Civic Intelligence

Appleton Medical Center Foundation Inc

EIN 39-1459276 • 501(c)3 • Appleton, WI

Profile

To raise funds and carry out the purposes of the appleton medical center, appleton, wi. These purposes include the encouragement of effective services within and around appleton and the greater fox valley area by providing scholarships and grants to organizations that support amc's purpose. To create and support hospital health care initiatives through funding for the appleton medical center and related other community health care providers.

1818 N Meade StreetAppleton, WI 54911

www.amcfoundation.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 2014

Liabilities / Revenue

Score unavailable

No value available

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

Source year 2014

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on the latest valid filing.

Source year 2014

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-100%

Faster asset growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

3rd percentile

-100%

Faster revenue growth than 3% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $814,463 (-100%) from 2013

Liabilities

Down

$0

Down $814,463 (-100%) from 2013

Net Assets

Flat

$0

Flat from 2013

Operations
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

Down

$0

Down $1,253,178 (-100%) from 2013

Expenses

Down

$0

Down $1,144,232 (-100%) from 2013

Net Income

Down

$0

Down $108,946 (-100%) from 2013

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

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

$15M$10M$5.0M$0Assets 2010: $10,807,039Liabilities 2010: $28,782Net Assets 2010: $10,778,2572010Assets 2011: $10,645,212Liabilities 2011: $50,428Net Assets 2011: $10,594,7842011Assets 2012: $12,041,669Liabilities 2012: $37,905Net Assets 2012: $12,003,7642012Assets 2013: $814,463Liabilities 2013: $814,463Net Assets 2013: $02013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0
Open 2014 Filing

Operations Trend

Revenue Growth3rd percentile

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

$1.5M$1.0M$500K$0Expenses 2010: $638,0352010Expenses 2011: $521,1302011Expenses 2012: $511,4962012Revenue 2013: $1,253,178Expenses 2013: $1,144,232Net Income 2013: $108,9462013Revenue 2014: $0Expenses 2014: $0Net Income 2014: $02014

Highlighted filing

2014

Revenue$0
Expenses$0
Net Income$0
Open 2014 Filing

Filings

Most recent year

2014 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$0
Expenses
$0
Net income
$0
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.00$0.00$0.00$0.00$0.00$0.00
2013Detailed filing. Detailed filing data is available for this year.$0.81$0.81$0.00$1.25$1.14$0.11
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.0$0.04$12.0$0.51
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.6$0.05$10.6$0.52
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.8$0.03$10.8$0.64
Latest Detailed Filing

The latest 2014 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2013 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 20, 2014
Return Version
2013v3.0
Gross Receipts
$7,503,728
Mission and Program Overview

Mission

To raise funds and carry out the purposes of the appleton medical center, appleton, wi. These purposes include the encouragement of effective services within and around appleton and the greater fox valley area by providing scholarships and grants to organizations that support amc's purpose. To create and support hospital health care initiatives through funding for the appleton medical center and related other community health care providers.

Enhance the health of our communities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$10,321,123$0▼ $10,321,123
Savings and Temporary Cash Investments$1,173,565$814,463▼ $359,102
Pledges and Grants Receivable$546,981$0▼ $546,981
Total Assets$12,041,669$814,463▼ $11,227,206
Liabilities
Accounts Payable and Accrued Expenses$37,905$814,463▲ $776,558
Total Liabilities$37,905$814,463▲ $776,558
Net Assets / Fund Balance
Unrestricted Net Assets$6,249,218$0▼ $6,249,218
Temporarily Rstr Net Assets$4,091,410$0▼ $4,091,410
Permanently Rstr Net Assets$1,663,136$0▼ $1,663,136
Total Net Assets Fund Balance$12,003,764$0▼ $12,003,764
Total Liabilities and Net Assets / Fund Balance$12,041,669$814,463▼ $11,227,206

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$5,257,892$47,322▲ $129,975$39,755-
2012$5,185,470$31,906▲ $71,610$31,094$5,257,892
2011$5,188,828$54,597▼ $14,882$43,073$5,185,470
2010$5,148,663$3,305▲ $64,028$27,168$5,188,828
2009$4,876,903$1,370▲ $287,444$17,054$5,148,663
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
FrohnamichaelExecutive DirectorPT$59,508$18,074$77,582

Board Members and Trustees

NameTitle
High Dean VPresident
Walsh Cyril PPresident
RuglandwalterVice President
Anderladavid MdDirector
BytofjoyceDirector
Dungar Steve C MdDirector
FulkersonjayDirector
Hunter WilliamDirector
OlsontimDirector
Raymichael MdphdDirector
Schaffmeyer Pastor AlanDirector
Schubbe Peter J DcDirector
Borenclark Jr MdSecretary (current)
UehlingbarbaraSecretary (former)
RiesterjeffTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$382,612
Program Service Revenue
$0
Investment Income
$880,591
Other Revenue
$-10,025
All Other Contributions
$313,706
Change in Net Assets
$108,946

Audited Revenue Reconciliation

Revenue per Audited Statements
$1,286,850
Revenue Not Reported on Financial Statements
$-33,672
Revenue Not Reported on Form 990
$1,125,447
Other Revenue Adjustments
$-33,672
Total Revenue per Audited Statements
$2,412,297
Total Revenue per Form 990
$1,253,178
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$739,950
Salaries, Compensation, and Employee Benefits$322,208
Total Fundraising Expense$277,943
Other Expenses$82,074
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$719,450--$719,450
Other Salaries and Wages-$80,552$241,656$322,208
Fees for Services Other-$13,328$13,328$26,656
Grants to Domestic Individuals$20,500--$20,500
Fees for Services Accounting-$18,036-$18,036
Office Expenses--$8,593$8,593
Fees for Service Investment Mgmnt Fees-$7,898-$7,898
Information Technology-$1,714$1,715$3,429
Travel-$692$2,074$2,766
Conferences and Meetings-$2,019-$2,019
Other Expenses-$1,316$166$166
All Other Expenses-$-4,663-$-4,663
Total Functional Expenses$739,950$126,339$277,943$1,144,232

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$1,177,904
Expenses per Audited Statements$1,144,232
Total Expenses per Form 990$1,144,232
Expenses Not Reported on Form 990$33,672
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
39-0824015-501(c)(3)Cancer Care Support, Nursing Education, Learning Center for Collaborative Care, Nicone Eeg Machines$450,926
39-1805963-501(c)(3)General Operations$90,000
39-1913179-501(c)(3)Hoophouses and Maintenance for 5 Years$50,000
39-6000710-Appleton School DistLAWRENCE UNIVERSITY RESEARCH PROJECT INVOLVING THE BUILDING FOR KIDS CHILDREN'S MUSEUM$25,000
39-1248133-501(c)(3)Annual Economic Development Grant$25,000
39-6120658-501(c)(3)Development of an At-risk Youth Career Mentoring/life Skills Initiative$23,500
39-6062608-501(c)(3)Avs Scholarship Awards$17,500
39-1913179-501(c)(3)Support of an Aftercare Coordinator$17,000
39-2013200-501(c)(3)General Operating Expenses$10,000
45-0530019-501(c)(3)Support Staffing of a Rn$8,000
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$33,672
Fundraising Gross Income$23,647
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$53,568$13,778$4,690$9,088
Event 2$38,985$9,869$8,364$1,505
Total Events$92,553$23,647$33,672$-10,025
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
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

“Appleton 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 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

“All are available upon request.”

Filing and Contact Details

Filer

EIN
39-1459276
Phone
9207386506

Signing Officer

Name
Dean High
Title
President
Phone
9207386506
Signed
2014-10-20
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeff Reister
Formed
1983
Legal Domicile
Wi
Voting Board Members
14
Independent Board Members
10
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. -13,238,157.”

FORM 990, PART XII, LINE 2C:

“This process has not changed from the prior year.”

Financial Statement Notes

PART V, LINE 4:

“The foundation has adopted investment and spending policies for endowment assets that attempt to provide a predictable stream of funding to programs supported by its endowment while seeking to maintain the purchasing power of the endowment assets. Endowment assests include those assets of donor-restricted funds that the foundation must hold in perpetuity or for a donor-specified period(s). Under this policy, as approved by the board of directors, the endowment assets are invested in a manner that is intended to produce results that exceed the price and yield results of the s & p 500 index while assuming a moderate level of investment risk.”

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 -33,672.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising expenses 33,672.”

Raw XML AppendixShowing 400 of 974 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.

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IRS990/Desc0TO RAISE FUNDS AND CARRY OUT THE PURPOSES OF THE APPLETON MEDICAL CENTER, APPLETON, WI. THESE PURPOSES INCLUDE THE ENCOURAGEMENT OF EFFECTIVE SERVICES WITHIN AND AROUND APPLETON AND THE GREATER FOX VALLEY AREA BY PROVIDING SCHOLARSHIPS AND GRANTS TO ORGANIZATIONS THAT SUPPORT AMC'S PURPOSE. TO CREATE AND SUPPORT HOSPITAL HEALTH CARE INITIATIVES THROUGH FUNDING FOR THE APPLETON MEDICAL CENTER AND RELATED OTHER COMMUNITY HEALTH CARE PROVIDERS.
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IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt9VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt13PRESIDENT
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IRS990/MissionDesc0TO RAISE FUNDS AND CARRY OUT THE PURPOSES OF THE APPLETON MEDICAL CENTER, APPLETON, WI. THESE PURPOSES INCLUDE THE ENCOURAGEMENT OF EFFECTIVE SERVICES WITHIN AND AROUND APPLETON AND THE GREATER FOX VALLEY AREA BY PROVIDING SCHOLARSHIPS AND GRANTS TO ORGANIZATIONS THAT SUPPORT AMC'S PURPOSE. TO CREATE AND SUPPORT HOSPITAL HEALTH CARE INITIATIVES THROUGH FUNDING FOR THE APPLETON MEDICAL CENTER AND RELATED OTHER COMMUNITY HEALTH CARE PROVIDERS.
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