2019-11-14T09:43:02-06:00 2018-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2018-01-01 411235064 NEIGHBORHOOD HEALTHSOURCE NEIG 6125889411 3300 FREMONT AVENUE N MINNEAPOLIS MN 554122405 STEVE KNUTSON EXECUTIVE DIRECTOR 6125889411 2019-11-08 1 MICHAEL J PETERSON CPA P01833529 2187224705 2019-11-08 4.30.113.218 2019-11-08 09:04:52 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 E433C82216CF4B1B7B2D83A781BC20530CAF3EA5 2018 2020-03-31 21:24:44Z STEVE KNUTSON 3300 FREMONT AVENUE N MINNEAPOLIS MN 554122405 6011054 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. 9 9 92 40 0 0 2948272 3209249 2954256 2759129 570 0 143254 38722 6046352 6007100 0 0 0 0 3949572 3993292 0 0 76089 1975023 1937645 5924595 5930937 121757 76163 5336731 5478523 425616 490904 4911115 4987619 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 3909727 0 2631332 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. 249557 0 167957 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. 4159284 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 92 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 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 NANCY ALBRECHT DIRECTOR 1.00 X 0 0 0 MARLINE BLAKE 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 VICKIE S GILFILLIAN-BENNETT DIRECTOR (THRU MARCH) 1.00 X 0 0 0 NOVELLA HOLDER DIRECTOR 1.00 X 0 0 0 GEORGIA HUGHES 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 KIM PERRY CHAIR 1.00 X 0 0 0 ANDREW SENN CHAIR (THRU JUNE) 1.00 X 0 0 0 STEVE KNUTSON EXECUTIVE DIRECTOR 40.00 X 172528 0 32929 JOHN PATRIKUS FINANCE DIRECTOR 40.00 X 103055 0 7224 RAHSHANA PRICE-ISUK MEDICAL DIRECTOR 32.00 X 176616 0 35340 MARK VINT PHYSICIAN 32.00 X 154727 0 34541 606926 0 110034 4 0 1 0 MCKESSON PO BOX 933027 ATLANTA GA 31193 MEDICAL SUPPLIES 103150 1 163400 26065 2960403 59381 3209249 PATIENT FEES 624100 2417844 2417844 OTHER MEDICAL SERVICE 624100 282600 282600 PHARMACEUTICAL 340B RE 446110 58685 58685 2759129 2516 26065 3954 -1438 -1438 FUHN DISTRIBUTIONS 624100 23160 23160 EHR INCENTIVE 624100 17000 17000 40160 6007100 2799289 0 -1438 315736 305464 10272 2970850 2397072 521127 52651 65527 47792 16480 1255 377915 280784 90260 6871 263264 192012 66212 5040 1033 1033 30574 30574 266543 205775 60768 8939 8939 126580 47786 78794 317390 167115 150275 265175 146788 118387 6879 268 6611 15566 9173 6393 189162 189162 35372 9355 26017 PROVISION FOR BAD DEBTS 297060 297060 340 B PROGRAM EXPENSES 283685 283685 MN CARE/PROVIDER TAX 43971 43971 DUES AND SUBSCRIPTIONS 12025 200 11825 37691 29415 8276 5930937 4159284 1695564 76089 787634 1107487 98454 247258 368835 232474 23131 21448 6396479 2533735 4051906 3862744 6771 7112 5336731 5478523 411565 374504 14051 116400 425616 490904 X 4911115 4987619 4911115 4987619 5336731 5478523 76163 341 0 X X 0 1 X 1 1 1 X 3259313 5220030 3161784 2948272 3209249 17798648 3259313 5220030 3161784 2948272 3209249 17798648 17798648 90 234 316 23 0 663 17799311 13857789 1.00000 0.99990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2850 2850 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 1473024 3000236 1122112 1060711 61401 3862744 5719891 341 5556 3954 9851 5710040 297060 297060 6007100 5643387 5556 3954 9510 5633877 297060 297060 5930937 PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 3,954. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 297,060. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 3,954. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 297,060. ANNUAL GALA 28581 26065 2516 3091 863 28581 26065 2516 3091 863 3954 -1438 X X X X 0 0 0 0 0 0 0 0 0 STEVE KNUTSON EXECUTIVE DIRECTOR 159869 0 12086 0 573 0 5362 0 27567 0 205457 0 0 0 RAHSHANA PRICE-ISUK MEDICAL DIRECTOR 176459 0 0 0 157 0 5486 0 29854 0 211956 0 0 0 MARK VINT PHYSICIAN 154598 0 0 0 129 0 4860 0 29681 0 189268 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. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE AND BOARD OF DIRECTORS REVIEW THE AUDITED FINANCIAL STATEMENTS AND HAVE OVERSIGHT OF THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.