Civic Intelligence

Unknown Organization

EIN 39-1634826 • 501(c)6 • West Bend, WI

Profile

The primary purpose is to help assure that patient care provided at St. Joseph's Hospital is maintained at high levels of quality, and to provide the hospital with a mechanism for accountability to the Board of Directors.

3200 Pleasant Valley RdWest Bend, WI 53095

n/A

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

9th percentile

-68%

Higher net margin than 9% of similar nonprofits.

501(c)6 • <$500k nonprofits • Source year 2014

Top Officer Pay

81st percentile

$16,000

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 41.6% of source-year revenue.

501(c)6 • <$500k nonprofits • Source year 2014

Asset Growth

8th percentile

-100%

Faster asset growth than 8% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

8th percentile

-67%

Faster revenue growth than 8% of similar nonprofits.

501(c)6 • <$500k nonprofits • Annualized from 2013 to 2014

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $280,602 (-100%) from 2013

Liabilities

-

No earlier filing loaded for comparison.

Net Assets

Down

$0

Down $280,602 (-100%) from 2013

Operations
Liabilities / RevenueScore unavailableNet Margin9th percentile

Revenue

Down

$38,464

Down $79,007 (-67%) from 2013

Expenses

Down

$64,652

Down $57,465 (-47%) from 2013

Net Income

Down

-$26,188

Down $21,542 (-464%) from 2013

Trend Graphs

Balance Sheet Trend

Asset Growth8th percentile

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

$300K$200K$100K$0Assets 2010: $226,190Net Assets 2010: $226,1902010Assets 2011: $230,392Net Assets 2011: $230,3922011Assets 2012: $285,248Net Assets 2012: $285,2482012Assets 2013: $280,602Liabilities 2013: $0Net Assets 2013: $280,6022013Assets 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

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

Operations Trend

Revenue Growth8th percentile

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

$150K$100K$50K$0-$50KRevenue 2010: $95,729Expenses 2010: $67,501Net Income 2010: $28,2282010Revenue 2011: $73,253Expenses 2011: $69,051Net Income 2011: $4,2022011Revenue 2012: $117,260Expenses 2012: $62,404Net Income 2012: $54,8562012Revenue 2013: $117,471Expenses 2013: $122,117Net Income 2013: -$4,6462013Revenue 2014: $38,464Expenses 2014: $64,652Net Income 2014: -$26,1882014

Highlighted filing

2014

Revenue$38,464
Expenses$64,652
Net Income-$26,188
Open 2014 Filing

Filings

Most recent year

2014 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
-
Net assets
$0
Revenue
$38,464
Expenses
$64,652
Net income
-$26,188
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.38$0.65$0.26
2013Detailed filing. Detailed filing data is available for this year.$2.81$0.00$2.81$1.17$1.22$0.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.85$2.85$1.17$0.62$0.55
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.30$2.30$0.73$0.69$0.04
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.26$2.26$0.96$0.68$0.28
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Sep 30, 2014
Signed
Aug 6, 2015
Return Version
2014v5.0
Gross Receipts
$38,464
Mission and Program Overview

Mission

The primary purpose is to help assure that patient care provided at St. Joseph's Hospital is maintained at high levels of quality, and to provide the hospital with a mechanism for accountability to the Board of Directors.

Program Services

DescriptionGrantsExpenses
Education Policy Programs: Provide it's members mutual education and professional support (approximately 70 active physicians)--
Compensation and Service Providers
Top Officer Pay81st percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Gary Herdrich MDPresident-$16,000-$16,000
Brian Wolter MDVice PresidentPT$12,000-$12,000
Roxanna Aldstadt DOCME Co Director-$5,000-$5,000
Christina Rutsch MDCME Co Director-$3,000-$3,000
Eric OlafssonSecr/Treas-$2,000-$2,000
John Tomashek MDPi Comm Member-$2,000-$2,000
Nicole Klausmeier MDPi Comm Member-$2,000-$2,000
Mark O'Meara MDSurg Chair-$2,000-$2,000
John Lacey MDPi Comm Member-$2,000-$2,000
Anna Hankins MDChild Hlth CHR-$2,000-$2,000
Timothy Mullin MDPi Comm Member-$2,000-$2,000
Kaizad Machhi MDPi Comm Member-$2,000-$2,000
Patrick Gardner MDPi Comm Member-$2,000-$2,000
Jeffrey SmaleCredentials CHR-$2,000-$2,000
Mary Lewis MDPi Comm Member-$2,000-$2,000
Filing and Contact Details

Filer

Filer Name
Medical Staff of St Josephs Community
EIN
39-1634826
Phone
2628368209
Address
3200 Pleasant Valley Rd, West Bend, WI 53095

Signing Officer

Name
Gary Herdrich MD
Title
President
Signed
2015-08-06
Supplemental Narrative

Additional Explanations

Other Expenses.1007

“Conferences, Conventions, and Meetings $3300”

Other Expenses.1

“Donations $1495”

Other Expenses.2

“Meals & Entertainment $1000”

Other Expenses.3

“Newspapers $727”

Other Expenses.4

“Other $130”

Raw XML Appendix165 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
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IRS990EZ/BooksInCareOfDetail/PersonNm0Medical Staff of St Josephs
IRS990EZ/BooksInCareOfDetail/PhoneNum02628368209
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt03200 Pleasant Valley Rd
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0West Bend
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0WI
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd053095
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0280602
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/CostOfGoodsSoldAmt00
IRS990EZ/CostOrOtherBasisExpenseSaleAmt00
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0-26188
IRS990EZ/FinalReturnInd0X
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form720FiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0280602
IRS990EZ/Form990TotalAssetsGrp/EOYAmt00
IRS990EZ/FundraisingGrossIncomeAmt00
IRS990EZ/GrossReceiptsAmt038464
IRS990EZ/GrossReceiptsForPublicUseAmt00
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/InfoInScheduleOPartIVInd0X
IRS990EZ/InitiationFeesAndCapContriAmt00
IRS990EZ/InvestmentIncomeAmt0203
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MembershipDuesAmt037675
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0280602
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0280602
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt03.50
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21.50
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61.00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt91.00
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt111.50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt121.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt131.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt141.00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt016000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt112000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt22000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt32000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt42000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt52000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt62000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt72000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt85000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt92000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt102000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt112000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt122000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt132000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt143000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0Gary Herdrich MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1Brian Wolter MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2Eric Olafsson
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3John Tomashek MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4Nicole Klausmeier MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5Mark O'Meara MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6John Lacey MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7Anna Hankins MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8Roxanna Aldstadt DO
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm9Timothy Mullin MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm10Kaizad Machhi MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm11Patrick Gardner MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm12Jeffrey Smale
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm13Mary Lewis MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm14Christina Rutsch MD
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0President
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1Vice President
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Secr/Treas
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3PI Comm Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4PI Comm Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5Surg Chair
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6PI Comm Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7Child Hlth Chr
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8CME Co Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt9PI Comm Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt10PI Comm Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt11PI Comm Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt12Credentials Chr
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt13PI Comm Member
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt14CME Co Director
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501cInd0X
IRS990EZ/OrganizationDissolvedEtcInd0true
IRS990EZ/OrganizationFiled990TInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherChangesInNetAssetsAmt0-254414
IRS990EZ/OtherExpensesTotalAmt06652
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0The primary purpose is to help assure that patient care provided at St. Joseph's Hospital is maintained at high levels of quality, and to provide the hospital with a mechanism for accountability to the Board of Directors.
IRS990EZ/ProgramServiceRevenueAmt0586
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Education Policy Programs: Provide it's members mutual education and professional support (approximately 70 active physicians)
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt058000
IRS990EZ/ScheduleBNotRequiredInd0X
IRS990EZ/SpecialEventsDirectExpensesAmt00
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt064652
IRS990EZ/TotalRevenueAmt038464
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/WebsiteAddressTxt0N/A
IRS990ScheduleN/AssetsDistributedInd0true
IRS990ScheduleN/AttorneyGeneralNotifiedInd0false
IRS990ScheduleN/BondLiabilitiesDischargedInd0false
IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0Checking and Money Market Accounts
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-09-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0390806302
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt0254414
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501c(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0FMV of Accounts
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt03200 Pleasant Valley Road
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0West Bend
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0WI
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd0530953868
IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Conferences, Conventions, and Meetings $3300
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Donations $1495
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Meals & Entertainment $1000
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Newspapers $727
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Other $130
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Other Expenses.1007
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Other Expenses.1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Other Expenses.2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other Expenses.3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Other Expenses.4
ReturnHeader/BuildTS02016-03-07 17:11:31Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Gary Herdrich MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0President
ReturnHeader/BusinessOfficerGrp/SignatureDt02015-08-06
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Medical Staff of St Josephs Community
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0Hospital
ReturnHeader/Filer/BusinessNameControlTxt0MEDI
ReturnHeader/Filer/EIN0391634826
ReturnHeader/Filer/PhoneNum02628368209
ReturnHeader/Filer/USAddress/AddressLine1Txt03200 Pleasant Valley Rd
ReturnHeader/Filer/USAddress/CityNm0West Bend
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WI
ReturnHeader/Filer/USAddress/ZIPCd053095
ReturnHeader/ReturnTs02015-08-06T07:36:13-07:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02014-01-01
ReturnHeader/TaxPeriodEndDt02014-09-30
ReturnHeader/TaxYr02014

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