Civic Intelligence

Central Minnesota Emergency

EIN 41-1708142 • 501(c)3 • St Cloud, MN

Profile

Provide emergency physician services to monticello hospital.

1406 Sixth Avenue NorthSt Cloud, MN 56303-1900

www.centracare.com

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 2018

Liabilities / Revenue

61st percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2018

Net Margin

94th percentile

72%

Higher net margin than 94% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2018

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 2017 to 2018

Revenue Growth

5th percentile

-95%

Faster revenue growth than 5% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2017 to 2018

Assets

Down

$0

Down $915,175 (-100%) from 2017

Liabilities

Down

$0

Down $1,131,365 (-100%) from 2017

Net Assets

Up

$0

Up $216,190 (+100%) from 2017

Revenue

Down

$161,457

Down $3,137,784 (-95%) from 2017

Expenses

Down

$45,997

Down $3,327,570 (-99%) from 2017

Net Income

Up

$115,460

Up $189,786 (+255%) from 2017

Trend Graphs

Balance Sheet Trend

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

$4.0M$3.0M$2.0M$1.0M$0-$1.0MAssets 2011: $2,475,676Liabilities 2011: $1,552,846Net Assets 2011: $922,8302011Assets 2012: $3,090,332Liabilities 2012: $2,127,501Net Assets 2012: $962,8312012Assets 2013: $3,512,762Liabilities 2013: $2,509,931Net Assets 2013: $1,002,8312013Assets 2014: $2,768,106Liabilities 2014: $1,725,276Net Assets 2014: $1,042,8302014Assets 2015: $3,130,056Liabilities 2015: $2,047,226Net Assets 2015: $1,082,8302015Assets 2016: $2,539,302Liabilities 2016: $2,298,069Net Assets 2016: $241,2332016Assets 2017: $915,175Liabilities 2017: $1,131,365Net Assets 2017: -$216,1902017Assets 2018: $0Liabilities 2018: $0Net Assets 2018: $02018

Highlighted filing

2018

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$15M$10M$5.0M$0-$5.0MRevenue 2011: $10,705,339Expenses 2011: $10,665,339Net Income 2011: $40,0002011Expenses 2012: $11,475,1082012Revenue 2013: $11,990,758Expenses 2013: $11,950,758Net Income 2013: $40,0002013Revenue 2014: $12,610,710Expenses 2014: $12,570,711Net Income 2014: $39,9992014Revenue 2015: $12,873,036Expenses 2015: $12,833,036Net Income 2015: $40,0002015Revenue 2016: $13,423,156Expenses 2016: $14,264,753Net Income 2016: -$841,5972016Revenue 2017: $3,299,241Expenses 2017: $3,373,567Net Income 2017: -$74,3262017Revenue 2018: $161,457Expenses 2018: $45,997Net Income 2018: $115,4602018

Highlighted filing

2018

Revenue$161,457
Expenses$45,997
Net Income$115,460

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
May 9, 2019
Return Version
2017v2.3
Gross Receipts
$161,457
Mission and Program Overview

Mission

Provide emergency physician services to monticello hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$773,372$0▼ $773,372
Pd in Cap Srpls Land Bldg Eqp Fund$383,100$0▼ $383,100
Accounts Receivable$141,803$0▼ $141,803
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Rtn Earn Endowment Incm Other Fnds$-599,290$0▲ $599,290
Total Assets$915,175$0▼ $915,175
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$1,131,365$0▼ $1,131,365
Total Liabilities$1,131,365$0▼ $1,131,365
Net Assets / Fund Balance
Total Net Assets Fund Balance$-216,190$0▲ $216,190
Total Liabilities and Net Assets / Fund Balance$915,175$0▼ $915,175
Compensation and Service Providers

Employees

NameTitleFull / Part TimeOtherTotal
Julie Gay PaDirector/physician AssistantFT$119,648$119,648

Board Members and Trustees

NameTitle
Joseph D HelliePresident
Kenneth D HolmenPresident/CEO
David J Tilstra Md CpeVice President
Kevin W Sirmons MdPhysician
Mark W Bonneville MdPhysician
Mohammed I Hussain MbbsPhysician
Omer Qureishy MdPhysician
Steven J Fuglestad MdPhysician
Paul R Harris EsqSecretary
Gregory R KlugherzTreasurer/chief Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$152,334
Investment Income
$0
Other Revenue
$9,123
Change in Net Assets
$115,460
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$45,997
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance$14,260--$14,260
Fees for Services Legal$10,060--$10,060
Fees for Services Other-$4,786-$4,786
Fees for Services Accounting$3,806--$3,806
Other Expenses$1,361$3,534-$1,361
Total Functional Expenses$37,677$8,320$0$45,997
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
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
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
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 6

The sole member of the organization is centracare health system, a minnesota nonprofit organization.

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

Centracare health system, as the sole corporate member, has the authority to appoint the board of directors.

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

The following matters are reserved for action by centracare health system, the sole member: - approve amendments to the articles of incorporation or bylaws; - determine the dissolution of or the discontinuation of the business of the corporation; - appointment of directors and officers; - approval of the corporation's annual operating and capital budgets and any debts to be incurred; - approve the encumbrance of the assets of the corporation; - approve the corporation's annual budget for all professional compensation and approve all compensation policies and plans for physicians employed by the corporation; - review and approve all third-party contracts; - approve all strategic plans; - approval all risk-management policies; - approve any transaction which may affect the corporation's status as an organization exempt from federal income taxation, and approve any tax-exempt financing; - approve all accounting systems; - approve any use of trade names or any intellectual property of the corporation; - approve any mission statement or statement of corporate purpose; and - approve a conflicts of interest policy.

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

Annually, at the board of directors' meeting, prior to filing with the irs, the full board has an opportunity to review the form 990 with staff, to ask questions, and seek clarifications. The board of directors approves the final document prior to filing form 990 with the irs.

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

The board members are required to review and sign a conflict of interest questionnaire twice a year. All staff sign conflicts of interest forms on an annual basis. The questionnaires are reviewed by the corporate compliance officer as well as the corporate compliance group (a compliance committee which includes internal members and outside counsel). The responses to the questionnaires are then reviewed with the executive committee of the board. The corporate compliance officer is responsible for monitoring conflicts of interests related to board and staff and to alert affected parties when a conflict arises. When an actual conflict arises, the affected party is asked to recuse him/her self from the decision making process. The corporate compliance officer attends board meetings and specified board committee meetings where conflict issues may arise.

Form 990, Part VI, Section B, Line 15

Compensation of the president and treasurer are paid by a related organization and are subject to bi-annual full compensation and benefits comparability studies by an outside, independent consultant. The compensation portion of the study is reviewed annually by the consultant and updated for committee and board review for physicians. The last full review was done in may 2017. The last compensation review was done in march 2017.

Form 990, Part VI, Section C, Line 19

Financial statements, conflict of interest policy and governing documents are available upon request for the same period of disclosure as set forth in section 6104(d).

Filing and Contact Details

Filer

Filer Name
Central Minnesota Emergency
EIN
41-1708142
Phone
3202555656
Address
1406 SIXTH AVENUE NORTH, ST CLOUD, MN 56303-1900

Signing Officer

Name
Gregory Klugherz
Title
Treasurer
Phone
3202555656
Signed
2019-05-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kenneth D Holmen Md
Formed
1992
Legal Domicile
Mn
Voting Board Members
4
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Rsm US Llp
Address
801 NICOLLET MALL WEST TOWER STE, 1100, MINNEAPOLIS, MN 55402-2526
Preparer
Todd Jackson
Phone
6123324300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

The organization ceased all operations in fy2018 and was officially dissolved october 12, 2018.

Form 990, Part IX, Line 11G

Miscellaneous: program service expenses 0. Management and general expenses 4,128. Fundraising expenses 0. Total expenses 4,128. Bank charges: program service expenses 0. Management and general expenses 658. Fundraising expenses 0. Total expenses 658.

FORM 990, PART XI, LINE 9:

Net asset transfer to centracare health system 100,730.

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