Civic Intelligence

West Metro Medical Foundation

990 • Fiscal year 2013 • EIN 41-6056465

Jan 01, 2013 to Dec 31, 2013 • Filed on Sep 25, 2014

1300 Godward St NE No 200055413

(612) 623-3030

Siviq Scores

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

Liabilities / Assets

59th percentile

0.11x

Higher debt load relative to assets than 59% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Liabilities / Revenue

87th percentile

0.77x

Higher debt load relative to revenue than 87% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Net Margin

87th percentile

37%

Higher net margin than 87% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Top Officer Pay

96th percentile

$173,700

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 244.4% of source-year revenue.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Asset Growth

48th percentile

1.5%

Faster asset growth than 48% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

Up

$504,402

Up $7,273 (+1.5%) from 2012

Net Assets

Up

$449,522

Up $21,395 (+5.0%) from 2012

Liabilities

Down

$54,880

Down $14,122 (-20%) from 2012

Revenue

$71,076

No earlier filing loaded for comparison.

Expenses

Down

$44,700

Down $22,510 (-33%) from 2012

Net Income

$26,376

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$600K$400K$200K$0Assets 2010: $501,911Liabilities 2010: $53,381Net Assets 2010: $448,5302010Assets 2011: $478,477Liabilities 2011: $53,144Net Assets 2011: $425,3332011Assets 2012: $497,129Liabilities 2012: $69,002Net Assets 2012: $428,1272012Assets 2013: $504,402Liabilities 2013: $54,880Net Assets 2013: $449,5222013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2013

Assets$504,402
Liabilities$54,880
Net Assets$449,522

Operations Trend

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

$100K$50K$0-$50KExpenses 2010: $48,1522010Expenses 2011: $82,7542011Expenses 2012: $67,2102012Revenue 2013: $71,076Expenses 2013: $44,700Net Income 2013: $26,3762013Revenue 2014: $53,151Expenses 2014: $90,439Net Income 2014: -$37,2882014

Highlighted filing

2013

Revenue$71,076
Expenses$44,700
Net Income$26,376
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Sep 25, 2014
Return Version
2013v3.0
Gross Receipts
$83,931
Mission and Program Overview

Mission

Support for medical education and community health programs

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$453,128$449,830▼ $3,298
Cash and Non-Interest-Bearing Accounts$21,506$38,829▲ $17,323
Inventories for Sale or Use$14,400$11,850▼ $2,550
Accounts Receivable$3,378$2,215▼ $1,163
Savings and Temporary Cash Investments$4,717$1,678▼ $3,039
Total Assets$497,129$504,402▲ $7,273
Liabilities
Escrow Account Liability$53,236$54,571▲ $1,335
Accounts Payable and Accrued Expenses$15,766$309▼ $15,457
Total Liabilities$69,002$54,880▼ $14,122
Net Assets / Fund Balance
Unrestricted Net Assets$426,080$408,972▼ $17,108
Temporarily Rstr Net Assets$2,047$40,550▲ $38,503
Total Net Assets Fund Balance$428,127$449,522▲ $21,395
Total Liabilities and Net Assets / Fund Balance$497,129$504,402▲ $7,273
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$50,497
Program Service Revenue
$0
Investment Income
$20,579
Other Revenue
$0
All Other Contributions
$50,497
Change in Net Assets
$26,376
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$24,000
Other Expenses$20,700
Total Fundraising Expense$2,228
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$24,000--$24,000
Fees for Service Investment Mgmnt Fees-$3,556-$3,556
Other Expenses$3,000$2,846$336$3,182
Fees for Services Other$2,047$802-$2,849
Fees for Services Accounting-$2,350-$2,350
Office Expenses-$1,176$1,142$2,318
Conferences and Meetings-$445-$445
Total Functional Expenses$29,047$13,425$2,228$44,700
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
41-6027707-501(c)(3)Phillips Neighborhood Clinic Grant$16,000
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
Yes
Annual disclosure for covered persons
Yes
Audit committee
No
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
No
Other officer compensation reviewed
No
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 7B

Special meetings may be called by the members to discuss issues that might lead to restructuring the governing board, assuming a majority of votes is obtained.

Form 990, Part VI, Section B, Line 11

The foundation's ceo and internal accountant review the form 990 in detail, in coordination with the tax preparer. Copies of the return are provided to all members of the foundation's board before filing.

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

All potential or actual conflicts of interest must be disclosed and resolved. Detailed procedures on identification, resolution and documentation of conflicts of interest are in the foundation's written conflict of interest policy, which is available upon request.

Form 990, Part VI, Section B, Line 15

The foundation does not have any employees.

Form 990, Part VI, Section C, Line 19

The foundation's governing documents, conflict of interest policy and financial statements are available upon request.

Filing and Contact Details

Filer

EIN
41-6056465
Phone
6126233030

Signing Officer

Name
Richard Schmidt Md
Title
Chair
Phone
6126233030
Signed
2014-09-25
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sue Schettle
Formed
1964
Legal Domicile
Mn
Voting Board Members
9
Independent Board Members
9
Employees
0
Volunteers
10

Preparer

Preparer
Linda M Nelson
Phone
6514834521
Supplemental Narrative

Financial Statement Notes

PART IV, LINE 2B:

West metro medical foundation is the fiscal agent for the minneapolis surgical society's "eitel fund."

PART X, LINE 2:

Fin 48 disclosure from compiled financial statements: the foundation is exempt from federal and state income taxes under 501(c)(3) of the internal revenue code; therefore, the statements do not include a provision for income taxes. The foundation reviews income tax positions taken or expected to be taken in income tax returns to determine if there are any income tax uncertainties. This includes positions that the entity is exempt from income taxes or not subject to income taxes on unrelated business income. The foundation recognizes tax benefits from uncertain tax positions only if it is more likely than not that the tax positions will be sustained on examination by taxing authorities, based on the technical merits of the positions. The foundation has identified no significant income tax uncertainties. The foundation files information returns as a tax-exempt organization. Should that status be challenged in the future, all years since inception could be subject to review by the irs. The foundations federal and state income tax returns are open to examination for tax years 2010 through 2012.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0WEST METRO MEDICAL FOUNDATION IS THE FISCAL AGENT FOR THE MINNEAPOLIS SURGICAL SOCIETY'S "EITEL FUND."
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1FIN 48 DISCLOSURE FROM COMPILED FINANCIAL STATEMENTS: THE FOUNDATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE; THEREFORE, THE STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES. THE FOUNDATION REVIEWS INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS TO DETERMINE IF THERE ARE ANY INCOME TAX UNCERTAINTIES. THIS INCLUDES POSITIONS THAT THE ENTITY IS EXEMPT FROM INCOME TAXES OR NOT SUBJECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. THE FOUNDATION RECOGNIZES TAX BENEFITS FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITIONS. THE FOUNDATION HAS IDENTIFIED NO SIGNIFICANT INCOME TAX UNCERTAINTIES. THE FOUNDATION FILES INFORMATION RETURNS AS A TAX-EXEMPT ORGANIZATION. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE IRS. THE FOUNDATIONS FEDERAL AND STATE INCOME TAX RETURNS ARE OPEN TO EXAMINATION FOR TAX YEARS 2010 THROUGH 2012.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART IV, LINE 2B:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART X, LINE 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt016000
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0PHILLIPS NEIGHBORHOOD CLINIC GRANT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10PHILLIPS NEIGHBORHOOD CLINIC MINNESOTA MEDICAL FOUNDATION
IRS990ScheduleI/RecipientTable/RecipientEIN0416027707
IRS990ScheduleI/RecipientTable/USAddress/AddressLine10420 DELAWARE STREET SE MMC 293
IRS990ScheduleI/RecipientTable/USAddress/AddressLine20C-616 MAYO
IRS990ScheduleI/RecipientTable/USAddress/City0MINNEAPOLIS
IRS990ScheduleI/RecipientTable/USAddress/State0MN
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode055455
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0GRANT APPLICANTS MUST COMPLETE AN APPLICATION FOR FUNDING CONSIDERATION. GRANTS ARE AWARDED TO LOCAL COMMUNITY NONPROFIT 501(C)(3) ORGANIZATIONS, PRIMARILY FOCUSED ON PROGRAM GRANTS TO WEST METRO COMMUNITIES OF MINNEAPOLIS, MN. THE FOUNDATION REQUESTS FOLLOW-UP REPORTS FROM ITS GRANT RECIPIENTS.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/IndependentConsultantInd0X
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0138642
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt016907
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt018151
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0SUE SCHETTLE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0173700
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleJ/WrittenEmploymentContractInd0X
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0SPECIAL MEETINGS MAY BE CALLED BY THE MEMBERS TO DISCUSS ISSUES THAT MIGHT LEAD TO RESTRUCTURING THE GOVERNING BOARD, ASSUMING A MAJORITY OF VOTES IS OBTAINED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FOUNDATION'S CEO AND INTERNAL ACCOUNTANT REVIEW THE FORM 990 IN DETAIL, IN COORDINATION WITH THE TAX PREPARER. COPIES OF THE RETURN ARE PROVIDED TO ALL MEMBERS OF THE FOUNDATION'S BOARD BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL POTENTIAL OR ACTUAL CONFLICTS OF INTEREST MUST BE DISCLOSED AND RESOLVED. DETAILED PROCEDURES ON IDENTIFICATION, RESOLUTION AND DOCUMENTATION OF CONFLICTS OF INTEREST ARE IN THE FOUNDATION'S WRITTEN CONFLICT OF INTEREST POLICY, WHICH IS AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE FOUNDATION DOES NOT HAVE ANY EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10TWIN CITIES MEDICAL SOCIETY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0410308140
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(6)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0MN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0PROFESSIONAL ASSOCIATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine101300 GODWARD ST NE 2000
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0MINNEAPOLIS
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State0MN
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode055413
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd01
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd01
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd01
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MN
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt02047
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt040550
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0497129
IRS990/TotalAssetsEOYAmt0504402
IRS990/TotalAssetsGrp/BOYAmt0497129
IRS990/TotalAssetsGrp/EOYAmt0504402
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt050497
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt02228
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt013425
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt029047
IRS990/TotalFunctionalExpensesGrp/TotalAmt044700
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt069002
IRS990/TotalLiabilitiesEOYAmt054880
IRS990/TotalLiabilitiesGrp/BOYAmt069002
IRS990/TotalLiabilitiesGrp/EOYAmt054880
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0428127
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0449522
IRS990/TotalOtherCompensationAmt035058
IRS990/TotalProgramServiceExpensesAmt029047
IRS990/TotalReportableCompFromOrgAmt00

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