2020-11-13T07:15:58-06:00 2019-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2019-01-01 411235064 NEIGHBORHOOD HEALTHSOURCE NEIG 6125889411 3300 FREMONT AVENUE N MINNEAPOLIS MN 554122405 STEVE KNUTSON EXECUTIVE DIRECTOR 6125889411 2020-11-12 1 MICHAEL J PETERSON CPA P01833529 2187224705 2020-11-12 71.13.38.61 2020-11-12 09:03:36 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 2019 2021-01-29 14:40:06Z STEVE KNUTSON 3300 FREMONT AVENUE N MINNEAPOLIS MN 554122405 6449937 0 X WWW.NEIGHBORHOODHEALTHSOURCE.ORG X 1970 MN THE SCOPE OF OUR PRIMARY MEDICAL SERVICES IS FOCUSED ON MAINTAINING ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTHCARE IN ORDER TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS. THE PRIMARY SERVICE AREA IS NORTH AND NORTHEAST MINNEAPOLIS WITH NW HENNEPIN COUNTY AND SOUTHERN ANOKA COUNTY AS SECONDARY SERVICE AREAS. THE TARGET POPULATION INCLUDES LOW-INCOME PEOPLE, BOTH UNINSURED AND THOSE ON MEDICAID. SERVICES ARE PROVIDED AT THREE FREESTANDING CLINICS: FREMONT CLINIC IN NORTH MINNEAPOLIS, CENTRAL AVENUE CLINIC AND SHERIDAN WOMEN & CHILDREN'S CLINIC IN NORTHEAST MINNEAPOLIS. ON-SITE SERVICES INCLUDE PRIMARY CARE, PREVENTION, OUTREACH, OB/GYN, CHRONIC DISEASE, INTERPRETING, AND ASSISTANCE WITH HEALTH CARE PLAN ENROLLMENT. WE PROVIDE REFERRALS AND CARE COORDINATION FOR DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE, HOSPITAL AND SPECIALTY SERVICES THROUGH PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS. 11 11 91 40 0 0 3209249 3092386 2759129 3065544 0 0 38722 292007 6007100 6449937 0 0 0 0 3993292 4454913 0 0 80206 1937645 2229386 5930937 6684299 76163 -234362 5478523 5317104 490904 501862 4987619 4815242 X THE MISSION OF NEIGHBORHOOD HEALTHSOURCE IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING QUALITY HEALTH CARE SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE. 0 0 3582624 0 3156098 PRIMARY MEDICAL CARE:THE SCOPE OF OUR PRIMARY MEDICAL SERVICES IS FOCUSED ON MAINTAINING ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTHCARE IN ORDER TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS. THE PRIMARY SERVICE AREA IS NORTH AND NORTHEAST MINNEAPOLIS WITH NW HENNEPIN COUNTY AND SOUTHERN ANOKA COUNTY AS SECONDARY SERVICE AREAS. THE TARGET POPULATION INCLUDES LOW-INCOME COMMUNITIES, BOTH UNINSURED AND THOSE ON MEDICAID. SERVICES WERE PROVIDED AT THREE FREESTANDING CLINICS: FREMONT CLINIC IN NORTH MINNEAPOLIS, CENTRAL AVENUE CLINIC AND SHERIDAN CLINIC IN NORTHEAST MINNEAPOLIS. ON-SITE SERVICES INCLUDE PRIMARY CARE, DISEASE AND CANCER PREVENTION, REPRODUCTIVE AND SEXUAL HEALTH EDUCATING, OB/GYN, CHRONIC DISEASE, INTERPRETING, AND ASSISTANCE WITH HEALTH CARE PLAN ENROLLMENT. WE PROVIDE REFERRALS AND CARE COORDINATION FOR DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE, HOSPITAL AND SPECIALTY SERVICES THROUGH PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS. NHS PROVIDES A VARIETY OF COMMUNITY HEALTH SERVICES IN SUPPORT OF PRIMARY CARE ACTIVITIES INCLUDING HEALTH EDUCATION, CHRONIC DISEASE PREVENTION, CANCER PREVENTION, AND REPRODUCTIVE HEALTH SERVICES. PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, CERTIFIED NURSE-MIDWIVES, CLINICAL AND ADMINISTRATIVE SUPPORT STAFF PROVIDE NHS SERVICES.ON AUGUST 1, 2019, THE HEALTH CENTER ACQUIRED CERTAIN ASSETS AND ASSUMED CERTAIN LIABILITIES OF NORTH METRO PEDIATRICS, P.A. UNDER AN AGREEMENT AND PLAN OF MERGER. NO CONSIDERATION WAS TRANSFERRED UNDER THE TERMS OF THE AGREEMENT. THE HEALTH CENTER RECORDED A CONTRIBUTION OF $59,389 FOR THE DIFFERENCE BETWEEN CASH ACQUIRED AND ACCOUNTS PAYABLE ASSUMED ON THE DATE OF MERGER THAT IS INCLUDED WITHIN CONTRIBUTIONS IN THE ACCOMPANYING STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS. THE RESULTS OF THESE OPERATIONS SINCE ACQUISITION ARE INCLUDED IN THE RESULTS OF THE HEALTH CENTER IN THE STATEMENTS OF OPERATIONS AND CHANGES IN NET ASSETS 228678 0 201453 MENTAL HEALTH:WHILE NHS PROVIDES MENTAL HEALTH CARE SERVICES ON SITE FOR MOST PATIENTS, MENTAL HEALTH CARE SERVICES FOR MEDICARE PATIENTS ARE CURRENTLY AVAILABLE THROUGH OFF-SITE REFERRAL TO NORTHPOINT HEALTH AND WELLNESS CENTER LOCATED IN NORTH MINNEAPOLIS. 3811302 1 1 0 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 91 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X JOHN PATRIKUS 6122872432 3300 FREMONT AVE N MINNEAPOLIS MN 554122405 RAHSHANA PRICE-ISUK MEDICAL DIRECTOR 32.00 X 181442 0 34867 MARK VINT PHYSICIAN 32.00 X 158051 0 35454 STEVE KNUTSON EXECUTIVE DIRECTOR 40.00 X 181227 0 17089 JOHN PATRIKUS FINANCE DIRECTOR 40.00 X 106638 0 7277 KIM PERRY CHAIR 1.00 X 0 0 0 NANCY ALBRECHT DIRECTOR 1.00 X 0 0 0 COLLEEN COOPER DIRECTOR 1.00 X 0 0 0 CYNTHIA GAUTHEIR DIRECTOR 1.00 X 0 0 0 JEFFREY GAUTHIER DIRECTOR 1.00 X 0 0 0 NOVELLA HOLDER DIRECTOR 1.00 X 0 0 0 GEORGIA HUGHES DIRECTOR 1.00 X 0 0 0 BOBBI MORTENSEN DIRECTOR 1.00 X 0 0 0 MANNY RUBIO DIRECTOR 1.00 X 0 0 0 STEPHANIE STATZ DIRECTOR 1.00 X 0 0 0 PETER TATIKIAN DIRECTOR 1.00 X 0 0 0 627358 0 94687 4 0 1 0 MCKESSON PO BOX 933027 ATLANTA GA 31193 MEDICAL SUPPLIES 148320 NETRIX IT 1285 CORPORATE CENTER DRIVE SUITE EAGAN MN 55121 MANAGED IT SERVICES AND EQUIPMENT 115826 2 163400 2728314 200672 3092386 PATIENT FEES 624100 2617318 2617318 PHARMACEUTICAL 340B RE 446110 387921 387921 OTHER MEDICAL SERVICE 624100 60305 60305 3065544 FUHN DISTRIBUTIONS 624100 292007 292007 292007 6449937 3357551 0 0 722042 685940 36102 3027600 2102051 891345 34204 61281 47319 13456 506 354385 251962 98327 4096 289605 169831 114476 5298 541 541 29917 29917 294779 207218 87561 18869 18869 124495 14023 110472 378824 211216 167608 283670 283670 11180 11180 17038 7948 9090 183196 183196 39908 15716 24192 PROVISION FOR BAD DEBTS 353724 353724 340 B PROGRAM EXPENSES 321555 321555 LICENSES AND FEES 67887 42560 25327 MN CARE/PROVIDER TAX 47884 47884 55919 18295 37624 6684299 3811302 2792791 80206 1107487 953496 0 60948 247258 255293 232474 276523 21448 71440 6406627 2716931 3862744 3689696 7112 9708 5478523 5317104 374504 478094 116400 23768 490904 501862 X 4987619 4815242 4987619 4815242 5478523 5317104 -234362 2596 59389 0 X 0 1 X 1 1 1 X 5220030 3161784 2948272 3209249 3092386 17631721 5220030 3161784 2948272 3209249 3092386 17631721 17631721 234 316 23 573 17632294 14432231 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2138 2138 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE MINNESOTA ASSOCIATION OF COMMUNITY HEALTH CENTERS (MNACHC). SOME OF THOSE MEMBERSHIP COSTS GO TOWARDS LOBBYING AND ADVOCATING. MNACHC IS A NON-PROFIT MEMBERSHIP ORGANIZATION OF MINNESOTA'S FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). MNACHC WORKS ON BEHALF OF ITS MEMBERS AND THEIR PATIENTS TO PROMOTE THE COST-EFFECTIVE DELIVERY OF AFFORDABLE, QUALITY PRIMARY HEALTH CARE SERVICES. WITH A SPECIAL EMPHASIS ON MEETING THE NEEDS OF LOW INCOME AND MEDICALLY UNDERSERVED POPULATION. 801107 801107 4473260 1646525 2826735 1132260 1070406 61854 3689696 6158198 2596 59389 61985 6096213 353724 353724 6449937 6330575 0 6330575 353724 353724 6684299 PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 353,724. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 353,724. X X X X 0 0 0 0 0 0 0 0 0 RAHSHANA PRICE-ISUK MEDICAL DIRECTOR 180865 0 0 0 577 0 5654 0 29213 0 216309 0 0 0 MARK VINT PHYSICIAN 157502 0 0 0 549 0 4998 0 30456 0 193505 0 0 0 STEVE KNUTSON EXECUTIVE DIRECTOR 169603 0 10630 0 994 0 5483 0 11606 0 198316 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE DIRECTOR AND EXECUTIVE DIRECTOR REVIEW FORM 990. THE FINANCE DIRECTOR PROVIDES A COPY OF FORM 990 VIA EMAIL WHICH IS REVIEWED BY BOTH THE FINANCE COMMITTEE AND THE BOARD OF DIRECTORS PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANY BOARD MEMBERS HAVING AN INTEREST IN AN ITEM OF BUSINESS PRESENTED TO THE BOARD OF DIRECTORS SHALL MAKE PROMPT, FULL AND FRANK DISCLOSURE OF THIS INTEREST PRIOR TO ITS ACTING ON THE ITEM OF BUSINESS. AT THE DISCRETION OF THE BOARD, THE PERSON MAKING THE DECLARATION MAY BE EXCUSED FROM ALL OR A PORTION OF THE RELEVANT DISCUSSION AND VOTING. THE MINUTES OF THE MEETING REFLECT THE DISCLOSURE AND THE VOTING THEREON. THE POLICY IS POSTED ON THE BOARD MEMBER INTRANET AND REVIEWED DURING THE NEW MEMBER ORIENTATION PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS AND NEGOTIATE WITH POTENTIAL HIRES AND DELIBERATES AND MAKE THE FINAL DECISION FOR THE POSITION OF EXECUTIVE DIRECTOR (CEO). THE EXECUTIVE DIRECTOR MAKES FINAL DECISIONS REGARDING TOP MANAGEMENT OFFICIALS. FOR ALL POSITIONS, SALARY RANGES ARE REVIEWED AND COMPARED TO SALARY SURVEY INFORMATION FOR SIMILAR POSITIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THESE DOCUMENTS CAN BE REQUESTED BY CONTACTING THE ORGANIZATION'S FINANCE DIRECTOR.