Civic Intelligence

Central Minnesota Emergency Physicians Inc

990 • Fiscal year 2017 • EIN 41-1708142

Jul 01, 2016 to Jun 30, 2017 • Filed on May 01, 2018

1406 Sixth Avenue NorthSt Cloud, MN 56303-1900

(320) 255-5656

Siviq Scores

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

Liabilities / Assets

94th percentile

1.24x

Higher debt load relative to assets than 94% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

72nd percentile

0.34x

Higher debt load relative to revenue than 72% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

33rd percentile

-2.3%

Higher net margin than 33% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

99th percentile

$1,320,334

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 40.0% of source-year revenue.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

1st percentile

-64%

Faster asset growth than 1% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

2nd percentile

-75%

Faster revenue growth than 2% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$915,175

Down $1,624,127 (-64%) from 2016

Net Assets

Down

-$216,190

Down $457,423 (-190%) from 2016

Liabilities

Down

$1,131,365

Down $1,166,704 (-51%) from 2016

Revenue

Down

$3,299,241

Down $10,123,915 (-75%) from 2016

Expenses

Down

$3,373,567

Down $10,891,186 (-76%) from 2016

Net Income

Up

-$74,326

Up $767,271 (+91%) from 2016

Historical Trend

Balance Sheet Trend

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

$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

2017

Assets$915,175
Liabilities$1,131,365
Net Assets-$216,190

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2017

Revenue$3,299,241
Expenses$3,373,567
Net Income-$74,326
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 1, 2018
Return Version
2016v3.0
Gross Receipts
$3,299,241
Mission and Program Overview

Mission

Provide emergency physician services to monticello hospital.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$1,062,043$773,372▼ $288,671
Pd in Cap Srpls Land Bldg Eqp Fund$383,100$383,100→ $0
Accounts Receivable$1,477,259$141,803▼ $1,335,456
Cap Stk Tr Prin Current Funds$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$-141,867$-599,290▼ $457,423
Total Assets$2,539,302$915,175▼ $1,624,127
Liabilities
Accounts Payable and Accrued Expenses$2,298,069$1,131,365▼ $1,166,704
Total Liabilities$2,298,069$1,131,365▼ $1,166,704
Net Assets / Fund Balance
Total Net Assets Fund Balance$241,233$-216,190▼ $457,423
Total Liabilities and Net Assets / Fund Balance$2,539,302$915,175▼ $1,624,127
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Omer Qureishy MdPhysicianFT$465,265$64,802$530,067
John E Mertz MdPhysicianFT$388,482$75,502$463,984
Mark W Bonneville MdPhysicianFT$356,974$66,335$423,309
David Covington MdPhysicianFT$318,148$101,139$419,287
Mark E Hoffman MdPhysicianFT$349,102$55,841$404,943

Board Members and Trustees

NameTitle
Kenneth D Holmen MdPresident/CEO
David J Tilstra MdcpeVice President
Paul R Harris EsqSecretary
Gregory R KlugherzTreasurer/chief Financial Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$3,287,082
Investment Income
$233
Other Revenue
$11,926
Change in Net Assets
$-74,326
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$3,054,673
Other Expenses$318,894
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,673,966--$2,673,966
Other Employee Benefits$243,885--$243,885
Insurance$111,903--$111,903
Payroll Taxes$107,197--$107,197
Pension Plan Contributions$29,625--$29,625
Fees for Services Legal$29,614--$29,614
Fees for Services Other-$14,485-$14,485
All Other Expenses$6,666--$6,666
Other Expenses$6,365$85,549-$6,365
Fees for Services Accounting$4,362--$4,362
Travel$458--$458
Total Functional Expenses$3,273,533$100,034$0$3,373,567
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
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole corporate member 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, as 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; - approve 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; - approve 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; - the mergers with, the acquisition of, or the affiliation with any hospital, clinic, or physician provider group; - 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 2016. The last compensation review was done in march 2016.

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/CFO
Phone
3202555656
Signed
2018-05-01
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
36
Volunteers
0

Preparer

Firm
Rsm US Llp
Address
801 NICOLLET MALL SUITE 1100, MINNEAPOLIS, MN 55402
Preparer
Todd a Jackson
Phone
6123324300
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 3

Historically, central minnesota emergency physicians (cmep) has provided emergency medical physician services and direction to st. Cloud hospital and the central mn community. In fiscal year 2017 cmep no long provided provided physician services and direction to st. Cloud hospital, but provided services to monticello hospital. Cmep is in the process of winding down operations and will dissolve entirely in fiscal year 2018-2019.

FORM 990, PART XI, LINE 9:

Other changes in net assets -383,097.

Raw XML AppendixShowing 400 of 671 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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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0KENNETH D HOLMEN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1GREGORY R KLUGHERZ
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2DAVID J TILSTRA MDCPE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3PAUL R HARRIS ESQ
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4JOHN E MERTZ MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5DAVID COVINGTON MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm6MARK W BONNEVILLE MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm7MARK E HOFFMAN MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm8OMER QUREISHY MD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT/CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TREASURER/CHIEF FINANCIAL OFFICER
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2VICE PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4PHYSICIAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt5PHYSICIAN

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