Civic Intelligence

Phillips Eye Institute Foundation

990 • Fiscal year 2018 • EIN 41-1613017

Jan 01, 2018 to Dec 31, 2018 • Filed on Nov 11, 2019

P O Box 43 Mr 10890Minneapolis, MN 55440-0043

(612) 262-0660

Siviq Scores

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

Liabilities / Assets

18th percentile

0.01x

Higher debt load relative to assets than 18% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Liabilities / Revenue

39th percentile

0.10x

Higher debt load relative to revenue than 39% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Net Margin

6th percentile

-53%

Higher net margin than 6% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Top Officer Pay

98th percentile

$1,069,472

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 157.8% of source-year revenue.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2018

Asset Growth

11th percentile

-9.5%

Faster asset growth than 11% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Revenue Growth

13th percentile

-20%

Faster revenue growth than 13% of similar nonprofits.

2018 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2017 to 2018

Assets

Down

$6,116,088

Down $644,354 (-9.5%) from 2017

Net Assets

Down

$6,045,988

Down $714,454 (-11%) from 2017

Liabilities

Up

$70,100

Up $70,100 from 2017

Revenue

Down

$677,924

Down $174,300 (-20%) from 2017

Expenses

Down

$1,034,724

Down $207,692 (-17%) from 2017

Net Income

Up

-$356,800

Up $33,392 (+8.6%) from 2017

Historical Trend

Balance Sheet Trend

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2010: $4,423,134Liabilities 2010: $73,594Net Assets 2010: $4,349,5402010Assets 2011: $4,046,106Liabilities 2011: $0Net Assets 2011: $4,046,1062011Assets 2012: $4,227,694Liabilities 2012: $162,769Net Assets 2012: $4,064,9252012Assets 2013: $4,983,853Liabilities 2013: $0Net Assets 2013: $4,983,8532013Assets 2014: $6,512,461Liabilities 2014: $0Net Assets 2014: $6,512,4612014Assets 2015: $6,747,403Liabilities 2015: $0Net Assets 2015: $6,747,4032015Assets 2016: $6,731,918Liabilities 2016: $0Net Assets 2016: $6,731,9182016Assets 2017: $6,760,442Liabilities 2017: $0Net Assets 2017: $6,760,4422017Assets 2018: $6,116,088Liabilities 2018: $70,100Net Assets 2018: $6,045,9882018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2018

Assets$6,116,088
Liabilities$70,100
Net Assets$6,045,988

Operations Trend

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

$3.0M$2.0M$1.0M$0-$1.0MExpenses 2010: $749,9132010Expenses 2011: $780,1762011Expenses 2012: $772,7692012Revenue 2013: $1,967,999Expenses 2013: $906,341Net Income 2013: $1,061,6582013Revenue 2014: $2,833,153Expenses 2014: $1,183,758Net Income 2014: $1,649,3952014Revenue 2015: $1,472,408Expenses 2015: $1,038,650Net Income 2015: $433,7582015Revenue 2016: $998,881Expenses 2016: $1,147,241Net Income 2016: -$148,3602016Revenue 2017: $852,224Expenses 2017: $1,242,416Net Income 2017: -$390,1922017Revenue 2018: $677,924Expenses 2018: $1,034,724Net Income 2018: -$356,8002018Revenue 2019: $575,124Expenses 2019: $872,186Net Income 2019: -$297,0622019

Highlighted filing

2018

Revenue$677,924
Expenses$1,034,724
Net Income-$356,800
Jump To
Filing Snapshot
Filing Period
Jan 1, 2018 to Dec 31, 2018
Signed
Nov 11, 2019
Return Version
2018v3.1
Gross Receipts
$3,545,751
Mission and Program Overview

Mission

The mission of phillips eye institute foundation (peif) is to further the commitment of phillips eye institute (pei) to eye care excellence, education, research and community involvement while honoring the legacy of mount sinai hospital.

See schedule o.what we do:1. Provide free access to superb medical care through transportation services for our patients.2. Conduct free annual vision screening for nearly 30,000 public school children and fund and coordinate follow-up treatment for children who are uninsured or underinsured.3. Purchase cutting-edge technology, which allows physicians to better diagnose and treat our patients.4. Fund access to laser vision correction surgery for troops deployedwho we do it for:the work of phillips eye institute, the upper midwest's only eye hospital, is so vital to our region. We integrate the latest diagnostic treatment and surgical technologies with a staff dedicated solely to ophthalmic care, the expertise of affiliated ophthalmologists, referring physicians and other eye care professionals. This unique collaboration ensures that patients receive the latest in advanced eye care-all within a single hospital dedicated to preserving, protecting and restoring vision.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$6,466,739$6,099,043▼ $367,696
Pledges and Grants Receivable$264,110$17,045▼ $247,065
Total Assets$6,760,442$6,116,088▼ $644,354
Other Assets Total$29,593--
Liabilities
Other Liabilities$0$70,100▲ $70,100
Total Liabilities$0$70,100▲ $70,100
Net Assets / Fund Balance
Temporarily Rstr Net Assets$3,293,383$2,898,201▼ $395,182
Unrestricted Net Assets$2,641,050$2,308,706▼ $332,344
Permanently Rstr Net Assets$826,009$839,081▲ $13,072
Total Net Assets Fund Balance$6,760,442$6,045,988▼ $714,454
Total Liabilities and Net Assets / Fund Balance$6,760,442$6,116,088▼ $644,354

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$369,384--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2018$1,173,312$14,573▼ $21,408-$1,135,962
2017$1,089,319$9,200▲ $74,793-$1,173,312
2016$1,013,201$26,667▲ $49,451-$1,089,319
2015$941,883$92,829▼ $21,511-$1,013,201
2014$815,548$92,941▲ $33,394-$941,883
Compensation and Service Providers

Employees

NameTitleOtherTotal
Michael LinsDirector$76,200$76,200
M Vaughn Emerson MdDirector$1,422$1,422

Board Members and Trustees

NameTitle
Jeff UsemDirector/chairman
Adrienne JordanDirector
Angela Oster MdDirector
Chuck SelcerDirector
Ed Ryan MdDirector
Elizabeth NelsonDirector
Irving Shapiro MdDirector
Jill Melicher MdDirector
Josh DeboerDirector
Menzi HendersonDirector
Robert Warashawsky MdDirector
Daniel ConradDirector/pres. Pei
Laureen HennenExec. Director Pei Foundation
Richard MagnusonCFO
Revenue and Support

Revenue Composition

Contributions and Grants
$463,006
Program Service Revenue
$0
Investment Income
$214,918
Other Revenue
$0
All Other Contributions
$326,492
Change in Net Assets
$-356,800

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
Yes

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Other Non Cash Contri Table1$129,750Fair Market Value
Other Non Cash Contri Table1$31,824Fair Market Value
Total Noncash Contributions2$161,574-

Audited Revenue Reconciliation

Revenue per Audited Statements
$677,924
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-357,654
Total Revenue per Audited Statements
$320,270
Total Revenue per Form 990
$677,924
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$824,731
Other Expenses$196,083
Total Fundraising Expense$136,074
Professional Fundraising Fees$13,910
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$824,731--$824,731
Fees for Services Professional Fundraising--$13,910$13,910
Fees for Services Accounting-$8,500-$8,500
All Other Expenses-$213$7,712$7,925
Conferences and Meetings--$4,904$4,904
Depreciation Depletion-$1,400-$1,400
Office Expenses-$165$775$940
Travel-$22$126$148
Other Expenses-$46,935$67$67
Total Functional Expenses$824,731$73,919$136,074$1,034,724

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$1,034,724
Total Expenses per Audited Statements$1,034,724
Total Expenses per Form 990$1,034,724
Expenses Not Reported on Financial Statements$0
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Allina Health System(dba Phillips Eye Institute)Minneapolis, MN170(b)(1)(a)(iii)Transportation Services$250,000
Allina Health System(dba Phillips Eye Institute)Minneapolis, MN170(b)(1)(a)(iii)Early Youth Eyecare (eye) Community Initiative$215,561
Allina Health System(dba Phillips Eye Institute)Minneapolis, MN170(b)(1)(a)(iii)Provide Eye Glass Frames, Lenses.$102,188
Allina Health System(dba Phillips Eye Institute)Minneapolis, MN170(b)(1)(a)(iii)Provide the Treatment Component of the Eye Program (office Visits and Glasses).$48,590
Allina Health System(dba Phillips Eye Institute)Minneapolis, MN170(b)(1)(a)(iii)Low Vision Equipment and Retina Research$27,835
Allina Health System(dba Phillips Eye Institute)Minneapolis, MN170(b)(1)(a)(iii)To Provide an Ultrasound Machine$8,000
Allina Health System(dba Phillips Eye Institute)Minneapolis, MN170(b)(1)(a)(iii)Provide Support for Sight for Soldiers Project$7,701
Allina Health System(dba Phillips Eye Institute)Minneapolis, MN170(b)(1)(a)(iii)To Provide Employee Professional Development.-
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$13,910
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Allina Health System$70,100
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
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
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 2

Jill melicher and daniel conrad - business relationship. Jill melicher is an officer and daniel conrad is also employed by minnesota eye consultants.

Form 990, Part VI, Section A, Line 4

On december 28, 2018 phillips eye institute foundation (peif) requested reclassification of foundation status as a public charity. On april 25, 2019 the internal revenue service determined peif meets the requirements for classification as a public charity described in irc sections 509(a)(1) and 170(b)(1)(a)(vi). Peif's articles of incorporation were updated to reflect this change.

Form 990, Part VI, Section A, Line 6

Allina health system is the sole corporate member organization of phillips eye institute foundation. See schedule r for further details. Allina health system provides phillips eye institute foundation with administrative and staff services at no cost. The value of the services provided by allina health system to phillips eye institute foundation during 2018 were estimated at $135,914 and have been recorded as contribution revenue from a related organization in the statement of revenue and as administrative and fundraising expenses in the statement of functional expenses. Phillips eye institute foundation has no employees and does not pay compensation. Compensation disclosed as paid by a related organization is determined solely by the related organization.

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

As the sole corporate member organization, allina health system, holds certain reserved powers over phillips eye institute foundation. The reserved powers are fully described in phillips eye institute foundation's governing documents and include such powers as election and approval of directors, final approval of amendments to articles of incorporation or bylaws, approval of strategic plans and capital and operating budgets, approval of plans of merger or consolidation, approval of incurrence of debt or expenditures in excess of certain amounts, and various other reserved powers as described therein.

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

See form 990, part vi, section a, line 7a and its related narrative above in schedule o.

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

Phillips eye institute foundation's form 990 was prepared by the tax services function of allina health system, phillips eye institute foundation's sole corporate member. The form 990 filing was subjected to a rigorous review process by allina's tax manager and tax director. Allina's vice president of finance, and allina's chief financial officer also performed an executive review of the form 990. After the management review process described above was completed, the final form 990, as ultimately filed with the internal revenue service ["irs"], was provided to each voting member of phillips eye institute foundation's board of directors and finance committee. At the board of directors meeting september 26, 2019. Phillips eye institute foundation's board of directors voted on and approved a resolution approving the form 990 and the minnesota charitable organization annual report to be filed with the minnesota attorney general. The board of directors resolution also directed officers to file the form 990 with the irs and the charitable annual report with the charities division of the office of the minnesota attorney general. The above stated review and approval process occurred prior to filing phillips eye institute foundation's form 990 with the irs and minnesota charitable organization annual report with the minnesota attorney general.

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

The organization has several methods of monitoring and enforcing compliance with its conflict of interest policy. First, the organization regularly distributes conflict of interest disclosure questionnaires to its officers, directors, trustees, and key employees. These individuals are required to disclose annually any interest that could give rise to conflicts, including any family or business relationship. Second, the general counsel's office annually delivers a report to allina's board of directors which includes, among other things, the results of the conflict of interest questionnaire, an analysis of potential conflicts, and guidance for satisfactorily resolving conflicts. Third, the organization undertakes mandatory compliance training of all its employees which includes training on conflicts of interest. Fourth, all employees receive, and are expected to conduct themselves in accordance with allina's code of conduct. The code of conduct contains educational materials and guidance to resolve potential conflicts of interest. Fifth, allina maintains a corporate integrity hotline, a confidential 24 hour external resource to help answer questions related to ethical business conduct. All calls to the integrity line are kept confidential.

Form 990, Part VI, Section B, Line 15

Phillips eye institute foundation has no employees and does not pay compensation. Any compensation disclosed as paid by a related organization is determined solely by the related organization. Therefore, part vi, section b, line 15a and line 15b are not applicable to philips eye institute foundation.

Form 990, Part VI, Section C, Line 19

Phillips eye institute foundation makes its form 990, form 1023, governing documents, conflict of interest policy, and financial statements available to the public upon request. To arrange an inspection or receive a copy, please contact the following: phillips eye institute foundation tax services mail route 10890 p.o. Box 43 minneapolis, mn 55407-0043 telephone: 612-262-0660 physical address: 2925 chicago avenue minneapolis, mn 55407-1321 the form 990 and form 1023 are also available directly from the internal revenue service. The form 990 and financial statements are also available from the charities division of the office of the minnesota attorney general.

Filing and Contact Details

Filer

Filer Name
Phillips Eye Institute Foundation
EIN
41-1613017
Phone
6122620660
Address
P O BOX 43 MR 10890, MINNEAPOLIS, MN 55440-0043

Signing Officer

Name
Richard E Magnuson
Title
Chief Financial Officer
Phone
6122620660
Signed
2019-11-11

Organization Details

Principal Officer
Laureen Hennen
Formed
1987
Legal Domicile
Mn
Voting Board Members
13
Independent Board Members
9
Employees
0
Volunteers
209
Supplemental Narrative

Additional Explanations

Form 990, Part XII, Line 2C

This process remains unchanged from prior year.

Financial Statement Notes

PART V, LINE 4:

Charity and indigent care education and research buildings and equipment patient care

PART X, LINE 2:

The following is a copy of footnote 1 to the audited financial statements: summary of significant accounting policies - income tax "the foundation has received a determination letter from the internal revenue service indicating that it is exempt from federal income tax under section 501(a) of the internal revenue code (irc) as an organization described in section 501(c)(3) and 509(a)(3) and that charitable contributions by donors are deductible under section 170 of the irc. The foundation has adopted guidance in the income tax standard regarding the recognition of uncertain tax positions. The guidance prescribes recognition threshold principles for the financial statement recognition of tax positions taken or expected to be taken on a tax filing that are not certain to be realized. The implementation of this guidance had no impact on the foundation's financial statements. The foundation's tax filings are subject to review and examination by federal and state authorities. The foundation is not aware of any activities that would jeopardize its tax exempt status. The foundation is not aware of any activities that are subject to tax on unrelated business income, excise or other taxes."

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IRS990/ActivityOrMissionDesc0SEE SCHEDULE O.WHAT WE DO:1. PROVIDE FREE ACCESS TO SUPERB MEDICAL CARE THROUGH TRANSPORTATION SERVICES FOR OUR PATIENTS.2. CONDUCT FREE ANNUAL VISION SCREENING FOR NEARLY 30,000 PUBLIC SCHOOL CHILDREN AND FUND AND COORDINATE FOLLOW-UP TREATMENT FOR CHILDREN WHO ARE UNINSURED OR UNDERINSURED.3. PURCHASE CUTTING-EDGE TECHNOLOGY, WHICH ALLOWS PHYSICIANS TO BETTER DIAGNOSE AND TREAT OUR PATIENTS.4. FUND ACCESS TO LASER VISION CORRECTION SURGERY FOR TROOPS DEPLOYEDWHO WE DO IT FOR:THE WORK OF PHILLIPS EYE INSTITUTE, THE UPPER MIDWEST'S ONLY EYE HOSPITAL, IS SO VITAL TO OUR REGION. WE INTEGRATE THE LATEST DIAGNOSTIC TREATMENT AND SURGICAL TECHNOLOGIES WITH A STAFF DEDICATED SOLELY TO OPHTHALMIC CARE, THE EXPERTISE OF AFFILIATED OPHTHALMOLOGISTS, REFERRING PHYSICIANS AND OTHER EYE CARE PROFESSIONALS. THIS UNIQUE COLLABORATION ENSURES THAT PATIENTS RECEIVE THE LATEST IN ADVANCED EYE CARE-ALL WITHIN A SINGLE HOSPITAL DEDICATED TO PRESERVING, PROTECTING AND RESTORING VISION.
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IRS990/Form990PartVIISectionAGrp/PersonNm4ADRIENNE JORDAN
IRS990/Form990PartVIISectionAGrp/PersonNm5MICHAEL LINS
IRS990/Form990PartVIISectionAGrp/PersonNm6JILL MELICHER MD
IRS990/Form990PartVIISectionAGrp/PersonNm7ELIZABETH NELSON
IRS990/Form990PartVIISectionAGrp/PersonNm8ANGELA OSTER MD
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IRS990/Form990PartVIISectionAGrp/TitleTxt0DIRECTOR/PRES. PEI
IRS990/Form990PartVIISectionAGrp/TitleTxt1DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR/CHAIRMAN
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14EXEC. DIR. PEI FOUNDATION
IRS990/Form990PartVIISectionAGrp/TitleTxt15CFO
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IRS990/MissionDesc0THE MISSION OF PHILLIPS EYE INSTITUTE FOUNDATION (PEIF) IS TO FURTHER THE COMMITMENT OF PHILLIPS EYE INSTITUTE (PEI) TO EYE CARE EXCELLENCE, EDUCATION, RESEARCH AND COMMUNITY INVOLVEMENT WHILE HONORING THE LEGACY OF MOUNT SINAI HOSPITAL.
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IRS990/ProgSrvcAccomActy2Grp/Desc0PATIENT TRANSPORTATION SERVICESARRANGING TRANSPORTATION FOR EYE SURGERIES IS OFTEN PROBLEMATIC AND STRESSFUL FOR PATIENTS. OUR TRANSPORTATION SERVICES PROVIDE COMPLIMENTARY RIDES TO AND FROM PHILLIPS EYE INSTITUTE FOR SURGERY AND OTHER SERVICES. IN 2018, 3,270 PATIENTS TOOK ADVANTAGE OF OUR TRANSPORTATION SERVICES, TRAVELING 111,960 MILES. OVER 72% OF PATIENTS WERE OVER 60 YEARS OLD.
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