2024-11-12T08:55:12-06:00 2023-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2023-01-01 237113799 SOUTHSIDE COMMUNITY HEALTH SERVICES INC SOUT 6128212025 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 ANN CAZABAN EXECUTIVE DIRECTOR 6128212025 2024-11-08 1 0 MICHAEL J PETERSON CPA P01833529 2187224705 2024-10-29 2023 2024-10-15 13:58:12Z ANN CAZABAN 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 13413883 0 X WWW.SOUTHSIDECHS.ORG X 1971 MN TO PROVIDE HIGH QUALITY HEALTH CARE IN THE COMMUNITIES SERVED. 10 10 134 15 0 0 6233956 7332234 5215954 5890846 8279 34515 0 150423 11458189 13408018 0 0 0 0 7198924 8287714 64055 88789 88789 3772505 4176707 11035484 12553210 422705 854808 4837894 8816778 1388994 4513070 3448900 4303708 X IMPROVING THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL CARE, REMOVING BARRIERS, AND PROMOTING HEALTHY LIFESTYLES. 0 0 4157082 0 1091827 MEDICAL:SOUTHSIDE COMMUNITY HEALTH SERVICES INC IS A 501 (C)(3) NON-PROFIT ORGANIZATION AND IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOCATED IN SOUTH MINNEAPOLIS. SOUTHSIDE MEDICAL CURRENTLY PROVIDES AFFORDABLE ACCESS TO HIGH-QUALITY PRIMARY AND PREVENTIVE CARE SERVICES, INCLUDING FAMILY PRACTICE, PEDIATRICS, INTERNAL MEDICINE, AND SEXUAL AND REPRODUCTIVE HEALTH. SOUTHSIDE MEDICAL ALSO PROVIDES CHRONIC CONDITION MANAGEMENT, CARE COORDINATION, ELIGIBILITY ASSISTANCE, AND INTERPRETING SERVICES TO PROMOTE HEALTH EQUITY FOR PATIENTS. SOUTHSIDE IS AN ESSENTIAL COMMUNITY PROVIDER AS DESIGNATED BY THE STATE OF MINNESOTA AND SERVES ALL PEOPLE REGARDLESS OF THEIR ABILITY TO PAY. A SLIDING FEE DISCOUNT PROGRAM IS AVAILABLE FOR PEOPLE AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINE. SOUTHSIDE SERVICED 13,725 MEDICAL PATIENT VISITS IN 2023. 4926326 0 4617254 DENTAL:SOUTHSIDE DENTAL CURRENTLY PROVIDES AFFORDABLE ACCESS TO HIGH-QUALITY PRIMARY AND RESTORATIVE DENTAL SERVICES FOR PEOPLE OF ALL AGES. SOUTHSIDE DENTAL ALSO OFFERS EMERGENCY DENTAL SERVICES ON A WALK-IN/SAME-DAY BASIS TO BETTER MEET THE NEEDS OF THE COMMUNITY. SOUTHSIDE DENTAL OPERATES 14 DENTAL OPERATORIES AND IS INTEGRATED WITH THE MEDICAL CLINIC THROUGH SUCH PROGRAMS AS CANCER (HPV) SCREENING AND BLOOD PRESSURE CHECKS FOR PATIENTS. IN 2023, SOUTHSIDE SERVICED 15,827 DENTAL PATIENT VISITS. 0 0 0 OUTREACH/COMMUNITY ENGAGEMENT: SOUTHSIDE'S COMMUNITY ENGAGEMENT PROVIDES HEALTH EDUCATION AND VARIOUS OTHER SERVICES IN PARTNERSHIP WITH OTHER COMMUNITY ORGANIZATIONS TO ADDRESS PEOPLE'S HEALTH RELATED SOCIAL NEEDS. BEHAVIORAL HEALTH: SOUTHSIDE BEHAVIORAL HEALTH IS INTEGRATED INTO ALL CLINICAL SERVICES. BEHAVIORAL HEALTH PROVIDES PSYCHIATRY, THERAPY, SCREENING, FAMILY SUPPORT, SUBSTANCE USE DISORDER, AND MORE. IN 2023, BEHAVIORAL HEALTH PROVIDED 560 BILLABLE VISITS. VISION: SOUTHSIDE VISION PROVIDES A FULL-SERVICE EYE CLINIC PROVIDING AFFORDABLE ACCESS TO HIGH-QUALITY PRIMARY CARE OPTOMETRY FOR ALL AGES. THE VISION CLINIC ALSO PROVIDES FRAMES AND LENSES ON-SITE TO REDUCE BARRIERS FOR PATIENTS TO ACCESS AFFORDABLE GLASSES. IN 2023, SOUTHSIDE SERVICED 1,613 VISION PATIENT VISITS. 9083408 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 134 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X JOHN PATRIKUS 6128212025 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 ANN CAZABAN EXECUTIVE DIRECTOR 40.00 X 191143 0 6908 SOFIA ALI MEDICAL DIRECTOR 40.00 X 160951 0 29344 JAMES ADAMCZAK DENTIST 40.00 X 179006 0 9039 BRIAN QUINLAN DENTAL DIRECTOR 40.00 X 166323 0 16510 DANIEL GINGERICH-BOBERG PHYSICIAN 40.00 X 136642 0 33571 JANELLE KARLSRUD DENTAL DIRECTOR 40.00 X 157531 0 6359 KALEECA BIBLE DIRECTOR OF OPERATIONS 40.00 X 127641 0 16546 JOHN PATRIKUS CHIEF FINANCIAL OFFICER 40.00 X 75115 0 2279 MARK BUECHELE CHIEF FINANCIAL OFFICER (THRU 07/23) 11.00 X 59273 0 0 BRIAN OSBERG CHAIR 1.00 X X 0 0 0 ANGEL EVEN CHAIR (THRU 04/23) 1.00 X X 0 0 0 SHAUN ZEIG TREASURER 1.00 X X 0 0 0 D'WAYNE MORRIS SECRETARY 1.00 X X 0 0 0 MABY ALMIRON DIRECTOR 1.00 X 0 0 0 SARAH BLONIGAN DIRECTOR 1.00 X 0 0 0 KRISTY GRAUME DIRECTOR (THRU 03/23) 1.00 X 0 0 0 YECTLI HUERTA DIRECTOR 1.00 X 0 0 0 SARAH KASPARI DIRECTOR 1.00 X 0 0 0 JUAN LLERENA DIRECTOR 1.00 X 0 0 0 ALVARO PATINO DIRECTOR 1.00 X 0 0 0 MARIKA REECE DIRECTOR 1.00 X 0 0 0 MICHELLE STENBECK DIRECTOR (THRU 01/23) 1.00 X 0 0 0 KATIE THOMPSON DIRECTOR (THRU 09/23) 1.00 X 0 0 0 1253625 0 120556 21 0 1 0 4RMULA 275 EAST 4TH STREET SUITE 400 ST PAUL MN 55101 ARCHITECTURAL/DESIGN SERVICES 585067 GLORIMAR RIVERA 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 BILLING SERVICES 341812 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 EMR/PRACTICE MANAGEMENT SYSTEM 338048 LOFFLER PO BOX 1511 BIN 131511 MINNEAPOLIS MN 55480 IT SERVICES 231951 AMN INTERPRETING PO BOX 674954 DETROIIT MI 48267 INTERPRETING SERVICES 180309 5 3653112 3679122 7332234 DENTAL SERVICES 621400 4253798 4253798 MEDICAL SERVICES 621400 1608096 1608096 28952 28952 5890846 40380 40380 5865 -5865 -5865 -5865 FUHN DISTRIBUTION 621400 150423 150423 150423 13408018 6041269 0 34515 257324 257324 6876742 5339334 1537408 153785 124425 29360 410049 311802 98247 589814 442912 146902 32262 32262 8043 8043 44608 44608 88789 88789 998362 495087 503275 20907 20907 252472 215603 36869 707057 534082 172975 330555 204956 125599 12375 1214 11161 112771 15035 97736 56391 56391 328750 209869 118881 32983 7737 25246 BAD DEBT EXPENSE 541040 541040 PROGRAM SUPPLIES 528475 528093 382 MN PROVIDER TAXES 105034 105034 DUES & SUBSCRIPTIONS 20040 2511 17529 44582 4674 39908 12553210 9083408 3381013 88789 781492 134885 2060033 2921933 142779 373673 443319 285515 65331 88988 5543059 3635467 1323425 1907592 21515 3104192 4837894 8816778 954864 948130 0 50438 413668 370653 20462 3143849 1388994 4513070 X 3448900 4303708 3448900 4303708 4837894 8816778 854808 0 X 0 1 X 1 1 1 X 4327833 5625759 5963359 6233956 7332234 29483141 5096391 3965507 5591309 5215954 6041269 25910430 9424224 9591266 11554668 11449910 13373503 55393571 0 0 0 55393571 1754 8279 40380 50413 1754 8279 40380 50413 47489 18769 14625 80883 9471713 9610035 11571047 11458189 13413883 55524867 0.99760 0.99720 0.00090 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 44608 44608 0 PART II-B, LINE 1: 4% OF MNACHC MEMBERSHIP DUES FOR THE YEAR GO TOWARDS LOBBYING AND OTHER ADVOCACY ON BEHALF OF MEMBERS. THESE EFFORTS TEND TO ADVOCATE ON THE BEHALF OF THE MEMBERS THE STATE LEGISLATURE REGARDING THE MINNESOTA HEALTH DEPARTMENT FQHC SUBSIDY AND OTHER LEGISLATIVE ISSUES AROUND MEDICAID REIMBURSEMENT AS WELL AS OTHER TOPICS THAT IMPACT COMMUNITY HEALTH CENTERS IN THE STATE. $608 IS THE PORTION OF LOBBYING FEES PAID THROUGH MNACHC. $44,000 PAID TO OTHER FIRM FOR LOBBYING STATE OF MN FOR STATE APPROPRIATION FOR NEW CLINIC BUILDING. 130543 130543 1303144 1107276 195868 315603 315603 0 2514517 2212588 301929 1279252 1279252 1907592 ROU ASSET (WIPFLI) 3104192 3104192 LEASE LIABILITY 3143849 3143849 X 12866978 -541040 -541040 13408018 0 13408018 12012170 0 12012170 541040 541040 12553210 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -541,040. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 541,040. X 1 BLASEG FUNDRAISING 8086 EAST LAKE CARLOS DRIVE NE CARLOS MN 56319 FUNDRAISING CONSULTING FOR CAPITAL CAMPAIGN FOR NEW BUILDING 0 0 72000 -72000 NONPROFIT FUNDRAISING PARTNERS LLC 1711 VAN HISE AVENUE MADISON WI 53726 FUNDRAISING CONSULTING FOR CAPITAL CAMPAIGN FOR NEW BUILDING 0 0 16789 -16789 88789 -88789 MN SCHEDULE G, PART I, LINE 2B, COLUMN (V) FUNDRAISING CONSULTING FOR CAPITAL CAMPAIGN FOR NEW BUILDING X X X 0 0 0 0 0 0 0 0 0 ANN CAZABAN EXECUTIVE DIRECTOR 188543 0 2600 0 0 0 6758 0 150 0 198051 0 0 0 SOFIA ALI MEDICAL DIRECTOR 149484 0 0 0 11467 0 0 0 29344 0 190295 0 0 0 JAMES ADAMCZAK DENTIST 179006 0 0 0 0 0 0 0 9039 0 188045 0 0 0 BRIAN QUINLAN DENTAL DIRECTOR 163748 0 0 0 2575 0 6872 0 9638 0 182833 0 0 0 DANIEL GINGERICH-BOBERG PHYSICIAN 136642 0 0 0 0 0 5711 0 27860 0 170213 0 0 0 JANELLE KARLSRUD DENTAL DIRECTOR 155695 0 0 0 1836 0 6301 0 58 0 163890 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 IS PRESENTED TO THE EXECUTIVE COMMITTEE FOR REVIEW AND QUESTIONS. ONCE APPROVED BY THE COMMITTEE, FORM 990 WILL BE FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE UPDATED ANNUALLY FOR ALL BOARD MEMBERS AND EMPLOYEES. ANY CONFLICT OF INTEREST MUST BE IMMEDIATELY DISCLOSED TO THE EXECUTIVE DIRECTOR IN WRITING. NO MEMBER OF THE BOARD MAY VOTE ON MATTERS ON ANY AREA WHERE THEY MAY RECEIVE FINANCIAL GAIN, OR WHICH MAY CONFLICT WITH MEMBER OBLIGATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES THE COMPENSATION OF THE OTHER OFFICERS USING A MARKET SURVEY CONDUCTED BY AN OUTSIDE HR CONSULTANT. THE EXECUTIVE COMMITTEE USED EXECUTIVE SALARY SURVEYS FOR COMPARABILITY PURPOSES TO UPDATE THE EXECUTIVE DIRECTOR'S COMPENSATION. THE DECISION OF THE EXECUTIVE COMMITTEE WAS ALSO REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC.