Civic Intelligence

Medical Services Inc.

990 • Fiscal year 2014 • EIN 39-1536207

Apr 01, 2013 to Mar 31, 2014 • Filed on Oct 31, 2014

11040 N State Road 77Hayward, WI 54843-6391

(715) 634-8911

Siviq Scores

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

Liabilities / Assets

51st percentile

0.32x

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

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Liabilities / Revenue

51st percentile

0.46x

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

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Net Margin

62nd percentile

8.0%

Higher net margin than 62% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Top Officer Pay

41st percentile

$279,130

Higher top officer pay than 41% of similar nonprofits.

Top officer pay equals 0.7% of source-year revenue.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2014

Asset Growth

42nd percentile

3.4%

Faster asset growth than 42% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Revenue Growth

30th percentile

-0.9%

Faster revenue growth than 30% of similar nonprofits.

2014 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2013 to 2014

Assets

Up

$54,721,543

Up $1,818,298 (+3.4%) from 2013

Net Assets

Up

$37,044,345

Up $3,053,500 (+9.0%) from 2013

Liabilities

Down

$17,677,198

Down $1,235,202 (-6.5%) from 2013

Revenue

Down

$38,245,695

Down $353,920 (-0.9%) from 2013

Expenses

Up

$35,192,195

Up $1,735,310 (+5.2%) from 2013

Net Income

Down

$3,053,500

Down $2,089,230 (-41%) from 2013

Historical Trend

Balance Sheet Trend

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

$150M$100M$50M$0Assets 2011: $46,973,734Liabilities 2011: $21,236,850Net Assets 2011: $25,736,8842011Assets 2012: $48,744,243Liabilities 2012: $19,896,128Net Assets 2012: $28,848,1152012Assets 2013: $52,903,245Liabilities 2013: $18,912,400Net Assets 2013: $33,990,8452013Assets 2014: $54,721,543Liabilities 2014: $17,677,198Net Assets 2014: $37,044,3452014Assets 2015: $59,879,724Liabilities 2015: $16,061,160Net Assets 2015: $43,818,5642015Assets 2016: $63,113,666Liabilities 2016: $14,173,204Net Assets 2016: $48,940,4622016Assets 2017: $69,441,535Liabilities 2017: $12,942,501Net Assets 2017: $56,499,0342017Assets 2018: $75,042,046Liabilities 2018: $11,781,836Net Assets 2018: $63,260,2102018Assets 2019: $79,247,204Liabilities 2019: $10,401,784Net Assets 2019: $68,845,4202019Assets 2020: $85,483,305Liabilities 2020: $11,395,713Net Assets 2020: $74,087,5922020Assets 2021: $103,842,622Liabilities 2021: $18,408,552Net Assets 2021: $85,434,0702021Assets 2022: $112,931,072Liabilities 2022: $21,142,836Net Assets 2022: $91,788,2362022Assets 2023: $114,127,248Liabilities 2023: $16,987,532Net Assets 2023: $97,139,7162023Assets 2024: $127,173,544Liabilities 2024: $22,012,122Net Assets 2024: $105,161,4222024Assets 2025: $144,256,296Liabilities 2025: $29,307,758Net Assets 2025: $114,948,5382025

Highlighted filing

2014

Assets$54,721,543
Liabilities$17,677,198
Net Assets$37,044,345

Operations Trend

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

$100M$50M$0Expenses 2011: $29,671,1282011Expenses 2012: $33,258,7762012Revenue 2013: $38,599,615Expenses 2013: $33,456,885Net Income 2013: $5,142,7302013Revenue 2014: $38,245,695Expenses 2014: $35,192,195Net Income 2014: $3,053,5002014Revenue 2015: $43,010,774Expenses 2015: $36,236,555Net Income 2015: $6,774,2192015Revenue 2016: $43,707,275Expenses 2016: $38,148,649Net Income 2016: $5,558,6262016Revenue 2017: $46,074,799Expenses 2017: $39,119,743Net Income 2017: $6,955,0562017Revenue 2018: $48,368,813Expenses 2018: $42,278,243Net Income 2018: $6,090,5702018Revenue 2019: $52,360,184Expenses 2019: $46,815,855Net Income 2019: $5,544,3292019Revenue 2020: $61,379,998Expenses 2020: $55,386,011Net Income 2020: $5,993,9872020Revenue 2021: $66,310,173Expenses 2021: $58,139,432Net Income 2021: $8,170,7412021Revenue 2022: $72,260,461Expenses 2022: $63,123,188Net Income 2022: $9,137,2732022Revenue 2023: $76,098,852Expenses 2023: $70,644,512Net Income 2023: $5,454,3402023Revenue 2024: $86,854,899Expenses 2024: $81,607,919Net Income 2024: $5,246,9802024Revenue 2025: $98,267,512Expenses 2025: $88,788,815Net Income 2025: $9,478,6972025

Highlighted filing

2014

Revenue$38,245,695
Expenses$35,192,195
Net Income$3,053,500
Jump To
Filing Snapshot
Filing Period
Apr 1, 2013 to Mar 31, 2014
Signed
Oct 31, 2014
Return Version
2013v3.0
Gross Receipts
$38,326,798
Mission and Program Overview

Mission

Continuously improve the health status of the people of the hayward area

To provide quality health care to the people of hayward, wi and the surrounding areas

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$24,051,967$24,023,894▼ $28,073
Savings and Temporary Cash Investments$19,104,295$21,336,839▲ $2,232,544
Accounts Receivable$6,570,136$5,058,137▼ $1,511,999
Investments Other Securities$1,877,312$2,579,361▲ $702,049
Inventories for Sale or Use$851,047$874,930▲ $23,883
Prepaid Expenses and Deferred Charges$269,979$339,794▲ $69,815
Total Assets$52,903,245$54,721,543▲ $1,818,298
Other Assets Total$178,509$508,588▲ $330,079
Liabilities
Mortgage Notes Payable Secured by Investment Property$15,043,375$13,782,154▼ $1,261,221
Accounts Payable and Accrued Expenses$3,869,025$3,895,044▲ $26,019
Total Liabilities$18,912,400$17,677,198▼ $1,235,202
Net Assets / Fund Balance
Unrestricted Net Assets$33,990,845$37,044,345▲ $3,053,500
Total Net Assets Fund Balance$33,990,845$37,044,345▲ $3,053,500
Total Liabilities and Net Assets / Fund Balance$52,903,245$54,721,543▲ $1,818,298

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$19,676,965$13,216,191$32,893,156
Equipment$3,173,046$6,847,406$10,020,452
Other Land Buildings$1,128,084$1,057,312$2,185,396
Land$45,799-$45,799
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tim GullingsrudCEO - MsiFT$184,403$39,997$224,400
Robert TerryCrnaFT$180,325$33,977$214,302
Susan BauerCrnaFT$178,457$31,992$210,449
Suzanne UlmerCrnaFT$180,347$26,893$207,240
Heather SheehanVice President - MsiFT$123,298$47,057$170,355
Allison FarleyPharmacist/dept HeadFT$135,312$30,775$166,087
Brad ZellerVice President - MsiFT$118,800$45,939$164,739
Steven KraseanPhysical Therapist/dept HeFT$133,681$30,918$164,599
Janet MckichanVice President - MsiFT$133,698$18,274$151,972
Jason DouglasDirector/president - Rei--$99,516$99,516
Kent DumonseauCFO - ReiPT-$74,244$74,244

Board Members and Trustees

NameTitle
Barbara Koerpel-duffyChair
Daniel HymansDirector/president - Rei
Steve GillisVice Chair
Brent Kelley DoDirector
Gary NathanDirector
Heidi HabelDirector
James MillerDirector
Julie Kahl MdDirector
Les WhiteakerCFO - Mmc
Harry Malcolm MdSecretary
Karen GustafsonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Regional Enterprises INCProfessional Fees/rent-$2,223,522
Wapiti Medical GroupEr Services-$1,239,046
Market & JohnsonConstruction-$314,697
Essentia-haywardEr On-call Services-$145,349
-Er Services-$134,593
Revenue and Support

Revenue Composition

Contributions and Grants
$64,575
Program Service Revenue
$37,490,305
Investment Income
$433,602
Other Revenue
$257,213
All Other Contributions
$64,575
Change in Net Assets
$3,053,500

Audited Revenue Reconciliation

Revenue per Audited Statements
$34,907,278
Revenue Not Reported on Financial Statements
$3,338,417
Revenue Not Reported on Form 990
$81,103
Other Revenue Adjustments
$3,338,417
Total Revenue per Audited Statements
$34,988,381
Total Revenue per Form 990
$38,245,695
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$18,029,972
Salaries, Compensation, and Employee Benefits$17,162,223
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$11,218,325$927,276-$12,145,601
Other Employee Benefits$2,681,115$272,420-$2,953,535
Depreciation Depletion$2,159,990$540,214-$2,700,204
Information Technology-$2,278,932-$2,278,932
Other Expenses$1,511,339--$1,511,339
Payroll Taxes$782,335$108,786-$891,121
Office Expenses-$800,106-$800,106
Current Officers, Directors, Trustees, and Key Employees-$717,473-$717,473
Interest$437,326$109,375-$546,701
Pension Plan Contributions$423,167$31,326-$454,493
Fees for Services Other-$122,089-$122,089
Insurance-$89,890-$89,890
Fees for Services Accounting-$86,441-$86,441
Advertising-$55,932-$55,932
All Other Expenses-$23,498-$23,498
Total Functional Expenses$29,028,437$6,163,758$0$35,192,195

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$35,192,195
Total Expenses per Audited Statements$31,934,881
Expenses per Audited Statements$31,853,815
Expenses Not Reported on Financial Statements$3,338,380
Other Expense Adjustments$3,338,380
Expenses Not Reported on Form 990$81,066
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
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
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Regional enterprises, inc. Is the sole corporate member of medical services, inc.

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

The president of rei shall be an ex officio member of the msi board with full voting privileges.

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

As the sole member of medical services, inc., regional enterprises, inc. Has the following reserve powers: a. To make, amend, or repeal msi's bylaws and articles of incorporation. B. To approve any change in msi's philosophy, mission or vision statements, and approve the long-range goals and strategic plan for msi. C. To approve the annual operating and capital budget. D. To approve all building programs that exceed $500,000 in value. E. To select and retain an independent auditing firm. F. To appove the purchase, sale, lease, disposition, or alienation of any real property owned by msi. Any such action shall be jointly approved by the board of directors of memorial medical center of ashland, wisconsin. G. To approve any plan of dissolution or merger, consolidation, acquisition or disposition of real property or relocation of the facilities of msi. Any such action shall be jointly approved by the board of directors of memorial medical center of ashland, wisconsin. H. To authorize the president of rei to recommend to the board of msi, the individual who will serve as the chief administrative officer for msi, subject to ratification by the msi board of directors.

Form 990, Part VI, Section B, Line 11

The finance and accounting team review the 990 prior to filing to confirm accuracy of information. The 990 is reviewed by the board of directors before it is filed. If any changes are made, a final copy of the 990 is provided to the board of directors.

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

Each director and officer shall disclose to the board of directors, or to the other members of any committee considering a proposed business transaction or arrangement, the existence and nature of any financial interest such person or a member of such person's family may have with respect to such proposed transaction or arrangement. Each director and principal officer shall promptly make disclosures as may be necessary to keep the board or committee fully apprised of such person's financial interests. Disclosure shall also be accomplished on an annual basis by having each director and principal officer execute and deliver to msi a certificate regarding conflicts of interest. If any director or principal officer discloses a potential financial interest to the board of directors or any committee regarding a proposed transaction or arrangement, the board or committee shall first determine whether the proposed transaction or arrangement could be considered an insider transaction. If the board or committee is certain that the transaction or arrangement will not involve an insider, the interested person shall leave the board or committee meeting while the financial interest is discussed. The remaining board or committee members shall decide if a conflict of interest exists. If it is determined no conflict exists, the interested person may rejoin the meeting and participate in the discussions and actions regarding this agenda item. The board or committee shall determine whether msi can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in msi's best interest and whether the transaction is fair and reasonable to msi. If the board or committee believes an alternate transaction could be considered that would be more advantageous to msi, the chairperson of the board or committee shall appoint a disinterested person or committee to investigate alternatives to the proposed transaction. Further action by the board or committee shall be tabled until such time as the disinterested person has been able to report his or her findings to the appropriate governing body. The board or committee shall not approve any transaction or arrangement that is not in the best interests of msi and that is not fair and reasonable to msi. Once discussion and/or action regarding the agenda item relating to the director's financial interest has been completed, the interested person may rejoin the board or committee meeting. If the transaction or arrangement involves or may involve an insider, the board or committee shall follow the procedures above and the insider shall leave the board or committee meeting while the insider transaction is discussed. The remaining board or committee members shall decide whether the transaction or arrangement under consideration could constitute an insider transaction. As part of this consideration, the board or committee shall also consider whether their action could be construed to be an excess benefit transaction subject to intermediate sanctions. In determining whether a transaction or arrangement is an excess benefit transaction, the board or committee considering the transaction or arrangement should review appropriate data as to comparability (such as compensation levels paid by similarly situated organizations in the region, national compensation studies, competing offers received by the insider, asset appraisals or rental analyses by qualified appraisers and other information that may be obtained about comparable agreements, purchases, sales and leases). The board or committee may rely on such information or data provided by msi's management. The board or committee shall not approve any transaction or arrangement th

Form 990, Part VI, Section B, Line 15

Hr will research salary data for our region and provide administration with a typical compensation range. Difficult positions to fill, demands of the position, experience, education, past work history, and references are all taken into consideration when determining compensation. Updates to the ranges are put into place around april or may each year, if changes occurred.

Form 990, Part VI, Section C, Line 18

A public disclosure copy of the tax return is available by request.

Form 990, Part VI, Section C, Line 19

The conflict of interest policy and financial statements are available by request from the public relations director for the same period of disclosure set forth in section 6104(d). The governing documents that are confidential and not available to the public.

Form 990, Part VII

Tim gullingsrud: time allocation: employment as ceo - msi: 37 hours per week board of directors - msi: 1 hour per week board of directors - rei: 1 hour per week board of directors - reimc: 1 hour per week medical services, inc compensation: ceo - msi reportable compensation: $184,406 ceo - msi other compensation: $39,997 board reportable compensation: $ 0 board other compensation: $ 0 jason douglas: time allocation: employment as president - rei: 36 hours per week board of directors - msi: 1 hour per week board of directors - rei: 1 hour per week board of directors - reimc: 1 hour per week board of directors - mmc: 1 hour per week memorial medical center compensation: president - rei reportable compensation: $92,144 president - rei other compensation: $7,372 board reportable compensation: $ 0 board other compensation: $ 0 daniel hymans: time allocation: employment as president - rei: 36 hours per week board of directors - msi: 1 hour per week board of directors - rei: 1 hour per week board of directors - reimc: 1 hour per week board of directors - mmc: 1 hour per week memorial medical center compensation: president - rei reportable compensation: $248,478 president - rei other compensation: $30,652 board reportable compensation: $ 0 board other compensation: $ 0

Filing and Contact Details

Filer

EIN
39-1536207
Phone
7156348911

Signing Officer

Name
Tim Gullingsrud
Title
Chief Executive Officer
Phone
7156348911
Signed
2014-10-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tim Gullingsrud
Formed
1986
Legal Domicile
Wi
Voting Board Members
11
Independent Board Members
10
Employees
335
Volunteers
135

Preparer

Preparer
Mary Beth Santori
Phone
2187275025
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

The company is a not-for-profit corporation as described in section 501(c)(3) of the internal revenue code and is exempt from federal and state income taxes. Not-for-profit organizations may become subject to income taxes if qualification as a tax-exempt entity changes, if unrelated business income is generated and in certain other instances. Not-for-profit organizations are required to assess the certainty of their tax positions related to these matters and, in some cases, record liabilities for potential taxes, interest and penalties accompanied by footnote disclosures. The company has not identified any uncertain tax positions that would require the accrual of an income tax provision. Generally, the company is no longer subject to income tax examinations by the u.s. Federal, state or local tax authorities for years before 2011.

PART XI, LINE 2D - OTHER ADJUSTMENTS:

RENTAL EXPENSES 81,103.

PART XI, LINE 4B - OTHER ADJUSTMENTS:

Provision for doubtful receivables 3,338,380. Gain on sale of equipment 37.

PART XII, LINE 2D - OTHER ADJUSTMENTS:

Rental expenses 81,103. Gain on sale of equipment -37.

PART XII, LINE 4B - OTHER ADJUSTMENTS:

Provision for doubtful receivables 3,338,380.

Raw XML AppendixShowing 400 of 1,008 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/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt5SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt6CEO - MSI
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR/PRESIDENT - REI
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR/PRESIDENT - REI
IRS990/Form990PartVIISectionAGrp/TitleTxt12CFO - MMC
IRS990/Form990PartVIISectionAGrp/TitleTxt13VICE PRESIDENT - MSI
IRS990/Form990PartVIISectionAGrp/TitleTxt14CFO - REI
IRS990/Form990PartVIISectionAGrp/TitleTxt15VICE PRESIDENT - MSI
IRS990/Form990PartVIISectionAGrp/TitleTxt16VICE PRESIDENT - MSI
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IRS990/Form990PartVIISectionAGrp/TitleTxt20PHARMACIST/DEPT HEAD
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IRS990/OtherExpensesGrp/Desc3OTHER GENERAL SERVICE S
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IRS990/PartialLiquidationInd00
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$144$29.3$115$98.3$88.8$9.48
2024Detailed filing. Detailed filing data is available for this year.$127$22.0$105$86.9$81.6$5.25
2023Facts available. Structured filing facts are available, but richer extracted sections are limited.$114$17.0$97.1$76.1$70.6$5.45
2022Detailed filing. Detailed filing data is available for this year.$113$21.1$91.8$72.3$63.1$9.14
2021Detailed filing. Detailed filing data is available for this year.$104$18.4$85.4$66.3$58.1$8.17
2020Detailed filing. Detailed filing data is available for this year.$85.5$11.4$74.1$61.4$55.4$5.99
2019Detailed filing. Detailed filing data is available for this year.$79.2$10.4$68.8$52.4$46.8$5.54
2018Detailed filing. Detailed filing data is available for this year.$75.0$11.8$63.3$48.4$42.3$6.09
2017Detailed filing. Detailed filing data is available for this year.$69.4$12.9$56.5$46.1$39.1$6.96
2016Detailed filing. Detailed filing data is available for this year.$63.1$14.2$48.9$43.7$38.1$5.56
2015Detailed filing. Detailed filing data is available for this year.$59.9$16.1$43.8$43.0$36.2$6.77
2014Detailed filing. Detailed filing data is available for this year.$54.7$17.7$37.0$38.2$35.2$3.05
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$52.9$18.9$34.0$38.6$33.5$5.14
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$48.7$19.9$28.8$33.3
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.0$21.2$25.7$29.7
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2014 filings • 501(c)3 • $50M-$100M nonprofits