2022-11-15T13:28:27-06:00 2021-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2021-01-01 410982430 CEDAR RIVERSIDE PEOPLE'S CENTER CEDA 6123324973 425 20TH AVENUE S MINNEAPOLIS MN 55454 ANN ROGERS CEO 6123324973 2022-11-08 1 ANN ROGERS 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2022-11-08 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z PEOPLE'S CENTER CLINICS & SERVICES ANN ROGERS 425 20TH AVENUE S MINNEAPOLIS MN 55454 9047103 0 X WWW.PEOPLES-CENTER.ORG X 1970 MN TO PROMOTE A HIGH LEVEL OF COMMUNITY SERVICE BY PROVIDING RESOURCES, SERVICES, PRODUCTS, AND FACILITIES FOR SERVICES AND COMMUNITY EVENTS. 8 8 105 50 0 0 3526133 4935667 4113595 3931424 8376 5560 444918 174452 8093022 9047103 5400 6510 0 0 5230789 5812571 0 0 481737 2898479 3439699 8134668 9258780 -41646 -211677 5938622 10919960 2009866 7202881 3928756 3717079 X THE MISSION OF PEOPLE'S CENTER CLINICS & SERVICES IS TO DELIVER AFFORDABLE HEALTHCARE, INSPIRE HOPE, AND PROMOTE COMMUNITY WELLNESS. 0 0 5260863 6510 4103877 CEDAR RIVERSIDE PEOPLE'S CENTER (CRPC) D/B/A PEOPLE'S CENTER CLINICS & SERVICES PROVIDES AFFORDABLE HEALTH SERVICES TO LOW INCOME INDIVIDUALS. SERVICES INCLUDE PRIMARY CARE, PRENATAL, PEDIATRIC, REPRODUCTIVE, GERIATRIC, DIABETES, WEIGHT AND DIET MANAGEMENT, BEHAVIORAL HEALTH, DENTAL SERVICES, LOW COST PHARMACEUTICAL PROGRAM, HEALTH EDUCATION AND OUTREACH. IN 2021, APPROXIMATELY 19,792 PATIENT ENCOUNTERS WERE INCURRED THROUGH THE SERVICES LISTED AND APPROXIMATELY 5,908 MORE ENCOUNTERS WERE DONE VIRTUALLY.THE ORGANIZATION MAINTAINS RECORDS TO IDENTIFY AND MONITOR THE LEVEL OF UNCOMPENSATED CARE IT PROVIDES TO ITS PATIENTS UNDER ITS SLIDING FEE SCHEDULE. CHARGES FORGONE UNDER THE ORGANIZATION'S SLIDING FEE SCHEDULE WERE $30,782 IN 2021. 5260863 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 34 0 105 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X SHEILA RIEBE 6123324973 425 20TH AVENUE S MINNEAPOLIS MN 55454 ED SHEEHY CHAIR 2.00 X X 0 0 0 JILL MYERS KEMPER VICE CHAIR (THRU 3/21) 2.00 X X 0 0 0 JENNIFER KISS SECRETARY 2.00 X X 0 0 0 MANEESH BHAGAT TREASURER 3.00 X X 0 0 0 ABDIMAHAD ABDI BOARD MEMBER 2.00 X 0 0 0 EBYAN ABDULLE BOARD MEMBER (THRU 5/21) 2.00 X 0 0 0 ALLISON ANFINSON BOARD MEMBER (THRU 11/21) 2.00 X 0 0 0 LYNN LEDERMAN BOARD MEMBER (THRU 9/21) 2.00 X 0 0 0 HASHIM MOHAMUD BOARD MEMBER 2.00 X 0 0 0 AMRAN NUR BOARD MEMBER 2.00 X 0 0 0 STEVEN SCHWISTER BOARD MEMBER 2.00 X 0 0 0 MARY M REYNHOUT STIEBER BOARD MEMBER (THRU 9/21) 2.00 X 0 0 0 DR ANTONIA WILCOXON BOARD MEMBER 2.00 X 0 0 0 PHILIP TRAEGER CHIEF FINANCIAL OFFICER 40.00 1.00 X 128359 0 15452 PAULA GUINN CHIEF ADVANCEMENT OFFICER 40.00 X 109716 0 15668 DR JOKHO FARAH CHIEF INFORMATION OFFICER (THRU 5/21) 40.00 X 39366 0 1992 ANN ROGERS CHIEF EXECUTIVE OFFICER 40.00 1.00 X 171294 0 5718 ADRIANNE ROSS CCO/COO (THRU 1/21) 40.00 X 6383 0 782 DR SARAH MAIER CHIEF HEALTH OFFICER 40.00 X 100505 0 8999 DR RICHARD BROWN PHYSICIAN 40.00 X 197340 0 5740 RUTH HERMAN CLINICAL OPERATIONS CONSULTANT 40.00 X 131100 0 0 KATHERINE ROSE HOWARD KATHAN PHYSICIAN 40.00 X 126367 0 15927 HELEN H KIM DENTIST 40.00 X 164119 0 0 LEZLIE NELSON DENTIST 40.00 X 129461 0 11 1304010 0 70289 11 0 1 0 SURAD INTERPRETING 2025 NICOLLET AVENUE S SUITE 208 MINNEAPOLIS MN 55404 INTERPRETING SERVICES 271480 MAYO CLINIC LABORATORIES PO BOX 9146 MINNEAPOLIS MN 55480 LABORATORY SERVICES 261144 CLIFTON LARSON ALLEN 220 S 6TH STREET SUITE 300 MINNEAPOLIS MN 55402 OUTSOURCED ACCOUNTING 176112 ELVER'S CLEANING SERVICES LLC 6214 STEVENS AVENUE S RICHFELD MN 55423 CLEANING STAFF 119569 MEDICAL STAFFING NETWORK PO BOX 840292 DALLAS TX 752840292 TEMPORARY MEDICAL STAFFING 108553 5 4197864 737803 4935667 CLINIC AND MENTAL HEAL 621110 3286301 3286301 DENTAL PATIENT FEES 621110 645123 645123 3931424 1600 1600 3960 0 3960 3960 3960 INSURANCE INCENTIVE 900099 172453 172453 1999 1999 174452 9047103 4103877 0 7559 X 6510 6510 604234 355904 248330 4408549 2564267 1476943 367339 324962 191408 118384 15170 474826 279680 175864 19282 7026 7026 31936 31936 1177959 734077 425649 18233 72970 5403 17701 49866 161773 37619 117104 7050 436491 7247 429244 315721 39883 275838 3234 2402 829 3 74889 41342 33522 25 48981 39199 9782 342908 335578 7330 25723 25723 MEDICAL AND DENTAL SUPP 304072 304072 BAD DEBT EXPENSE 241409 241409 MN CARE TAX 59430 59430 LOSS ON REFINANCING 36454 36454 98723 15433 78521 4769 9258780 5260863 3516180 481737 1343311 693284 1281830 5413903 199918 192275 957178 646306 44242 69183 9240667 6225944 2088977 3014723 23166 27547 0 862739 5938622 10919960 978328 1009548 90810 42861 396159 0 0 6110957 544569 39515 2009866 7202881 X 3139749 2868531 789007 848548 3928756 3717079 5938622 10919960 -211677 0 X 0 1 X 1 1 1 X 3348750 2225691 2474121 3526133 4935667 16510362 4732661 4944956 4709077 4554184 4103877 23044755 1316 6029 53715 4254 1999 67313 8082727 7176676 7236913 8084571 9041543 39622430 0 0 0 39622430 3464 8273 15812 6674 1600 35823 3464 8273 15812 6674 1600 35823 8086191 7184949 7252725 8091245 9043143 39658253 0.99910 0.99860 0.00090 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8505 8505 8505 8505 8505 8505 8505 8505 8505 8505 0.00000 1.00000 0.00000 0 0 127499 127499 6156881 4605632 1551249 1758696 1620312 138384 1197591 1197591 3014723 DUE TO PEOPLE'S CENTER INVESTMENT CORPORATION 862739 862739 CAPITAL LEASE LIABILITY 39515 39515 8769240 -277863 -277863 9047103 0 9047103 8980917 0 8980917 277863 277863 9258780 PART V, LINE 4: THE ORGANIZATION HAS AN ENDOWMENT FUND IN HONOR OF THE PEOPLE'S CENTER HEALTH HERO AWARD. EARNINGS FROM THE ENDOWMENT WILL BE USED TO SUPPORT THE DALE HEDSTRAND EXAM ROOM. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -241,409. LOSS ON REFINANCING -36,454. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 241,409. LOSS ON REFINANCING 36,454. 0 FIRE VICTIM SUPPORT 1 6510 X X X X 0 0 0 0 0 0 0 0 0 DR RICHARD BROWN PHYSICIAN 187412 0 9928 0 0 0 0 0 5740 0 203080 0 0 0 ANN ROGERS CHIEF EXECUTIVE OFFICER 171294 0 0 0 0 0 0 0 5718 0 177012 0 0 0 HELEN H KIM DENTIST 162307 0 1812 0 0 0 0 0 0 0 164119 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE ORGANIZATION HIRED A CFO 2020 (AS EMPLOYEE). PRIOR TO THAT THE ORGANIZATION HAS CONTRACTED OUT FOR CFO (CFAA - CHIEF FINANCE & ADMINISTRATION OFFICER). SINCE THAT TIME THE SAME CONTRACTED CFO WAS CONSULTED AND PROVIDED ASSISTANCE DURING 2021. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL AND THEN THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. INDIVIDUALS COVERED UNDER THE POLICY ARE REQUIRED TO SIGN AND DISCLOSE INFORMATION REGARDING CONFLICTS. THE EXECUTIVE COMMITTEE REVIEWS THE DISCLOSURES AND MONITORS COMPLIANCE WITH THE POLICY. WHEN THERE ARE SITUATIONS WHERE THE BOARD OF DIRECTORS IS UNCERTAIN AS TO IF A CONFLICT EXISTS, THE EXECUTIVE COMMITTEE REVIEWS THE CIRCUMSTANCES AND MAKES A DETERMINATION AS TO THE EXISTENCE OF A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF PEOPLES CENTER CLINIC'S AND SERVICES IS RESPONSIBLE FOR THE OVERSIGHT OF THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO. THE CEO, IN TURN, IS RESPONSIBLE FOR DETERMINING THE COMPENSATION OF SENIOR LEADERS AND MEDICAL PROVIDERS. THE EXECUTIVE COMMITTEE USES SALARY SURVEYS FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS TO EVALUATE COMPENSATION OF THE CEO. THE CEO IN TURN USES THE SURVEYS TO EVALUATE THE COMPENSATION OF THE SENIOR LEADERS AND MEDICAL PROVIDERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS AND 990 ARE FILED WITH THE ANNUAL REPORT TO THE STATE OF MINNESOTA ATTORNEY GENERAL. SOME OF THIS INFORMATION CAN BE OBTAIN THROUGH THE STATE WEBSITE AND THESE DOCUMENTS WILL BE MADE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 176,292. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,292. DENTAL PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 25,161. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,161. OTHER PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 129,968. FUNDRAISING EXPENSES 18,233. TOTAL EXPENSES 148,201. INTERPRETING SERVICES: PROGRAM SERVICE EXPENSES 271,480. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 271,480. OUTSOURCED ACCOUNTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 176,112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,112. LAB SERVICES: PROGRAM SERVICE EXPENSES 261,144. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 261,144. CLEANING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 119,569. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,569. PEOPLE'S CENTER INVESTMENT CORPORATION 425 20TH AVENUE SOUTH MINNEAPOLIS MN 55454 873102240 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 12A, I CEDAR RIVERSIDE PEOPLE'S CENTER 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PEOPLE'S CENTER INVESTMENT CORPORATION D 862739 CASH