CEDAR RIVERSIDE PEOPLES CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- CEDAR RIVERSIDE PEOPLES CENTER (EIN 41-0982430)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201943199349303864
- Schema version
- 2018v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T08:59:51-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410982430 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CEDAR RIVERSIDE PEOPLE'S CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CEDA | BusinessNameControlTxt |
| Phone | 6123324973 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 20TH AVENUE S | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55454 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN ROGERS | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 6123324973 | PhoneNum |
| Signature | 2019-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2019-11-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 4.30.113.218 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-05 | IPDt |
| IP Tm | 07:54:43 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9747BB8E0DC0E78824B7C9EDF76D609BB7F00C05 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEOPLE'S CENTER CLINICS & SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KARINA FORREST-PERKINS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 20TH AVENUE S | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55454 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $7,184,949 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PEOPLES-CENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1970 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO PROMOTE A HIGH LEVEL OF COMMUNITY SERVICE BY PROVIDING RESOURCES, SERVICES, PRODUCTS, AND FACILITIES FOR SERVICES AND COMMUNITY EVENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 104 | TotalEmployeeCnt |
| Total Volunteers | 425 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $30,272 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,348,750 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,225,691 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,697,181 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,935,671 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,289 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,973 | CYInvestmentIncomeAmt |
| PY Other Revenue | $37,971 | PYOtherRevenueAmt |
| CY Other Revenue | $15,614 | CYOtherRevenueAmt |
| PY Total Revenue | $8,086,191 | PYTotalRevenueAmt |
| CY Total Revenue | $7,184,949 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,847,040 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,580,892 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $30,231 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,885,679 | PYOtherExpensesAmt |
| CY Other Expenses | $2,615,011 | CYOtherExpensesAmt |
| PY Total Expenses | $7,732,719 | PYTotalExpensesAmt |
| CY Total Expenses | $7,195,903 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $353,472 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$10,954 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,342,174 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,989,902 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,370,706 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,029,388 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,971,468 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,960,514 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF PEOPLE'S CENTER CLINICS & SERVICES IS TO DELIVER AFFORDABLE HEALTHCARE, INSPIRE HOPE, AND PROMOTE COMMUNITY WELLNESS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,491,165 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $4,944,956 | RevenueAmt |
| Desc | CEDAR RIVERSIDE PEOPLE'S CENTER DOING BUSINESS AS 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 2018, APPROXIMATELY 28,190 PATIENT ENCOUNTERS WERE INCURRED THROUGH THE SERVICES LISTED. | Desc |
| Total Program Service Expenses | $4,491,165 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 104 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHEILA RIEBE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6126362035 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 20TH AVENUE S | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55454 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| EBYAN ABDULLE | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| REGINA ALLEN | |||||||
| BOARD MEMBER (THRU FEBRUARY) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MANEESH BHAGAT | |||||||
| BOARD MEMBER | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER KISS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNN LEDERMAN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ABSHIRO MOHAMED | |||||||
| BOARD MEMBER (THRU FEBRUARY) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MOHAMED MOHAMED | |||||||
| BOARD MEMBER (THRU FEBRUARY) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHYRN SPOTTS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY M REYNHOUT STIEBER | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| CHANDRA TORGENSEN | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ANN ROGERS | |||||||
| CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| NNAMDI NJOKU | |||||||
| VICE CHAIR | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| HASHIM MOHAMUD | |||||||
| SECRETARY | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MALINI WRIGHT | |||||||
| TREASURER | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SAHRA NOOR | |||||||
| CHIEF EXECUTIVE OFFICER (THRU APRIL) | 40.00 | $82,260 | $0 | $5,856 | Yes (X) | ||
| ARIELLA TILSEN | |||||||
| INTERIM CEO | 40.00 | $114,000 | $0 | $0 | Yes (X) | ||
| SHEILA RIEBE | |||||||
| CONTRACTED CFO (SEE SCHEDULE O) | 9.00 | $0 | $0 | $0 | Yes (X) | ||
| BRUCE MCCARTHY | |||||||
| CHIEF CLINICAL OFFICER | 40.00 | $217,027 | $0 | $15,343 | Yes (X) | ||
| STEVEN VINCENT | |||||||
| CHIEF MEDICAL OFFICER (THRU JANUARY) | 40.00 | $4,914 | $0 | $0 | Yes (X) | ||
| SARA THEOPHILOS | |||||||
| CHIEF OPERATIONS OFFICER | 40.00 | $79,207 | $0 | $22,793 | Yes (X) | ||
| RICHARD BROWN | |||||||
| PHYSICIAN | 40.00 | $176,488 | $0 | $5,112 | Yes (X) | ||
| HELEN H KIM | |||||||
| DENTIST | 40.00 | $134,500 | $0 | $2,000 | Yes (X) | ||
| KAY MAUST | |||||||
| PHYSICIAN | 40.00 | $151,441 | $0 | $3,392 | Yes (X) | ||
| RAUL NORIEGA | |||||||
| DIRECTOR OF HIT/BILLING | 40.00 | $100,727 | $0 | $5,073 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,060,564 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $59,569 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCGOUGH CONSTRUCTION COMPANY | |||||
| 2737 FAIRVIEW AVE N | ST PAUL | MN | 55113 | CONSTRUCTION | $283,702 |
| CLIFTONLARSONALLEN | |||||
| 220 S 6TH STREET SUITE 300 | MINNEAPOLIS | MN | 55402 | ACCOUNTING OUTSOURCING | $192,371 |
| ARCH LANGUAGE NETWORK | |||||
| 125 LITTLE CANADA ROAD W SUITE 200 | LITTLE CANADA | MN | 55117 | TRANSLATION SERVICES | $105,786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,027,443 | GovernmentGrantsAmt |
| All Other Contributions | $198,248 | AllOtherContributionsAmt |
| Total Contributions | $2,225,691 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CLINIC AND MENTAL HEAL | 621110 | $3,642,603 | $3,642,603 |
| DENTAL PATIENT FEES | 621110 | $1,293,068 | $1,293,068 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,935,671 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,973 | TotalRevenueColumnAmt |
| Exclusion | $7,973 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $300 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $300 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $300 | TotalRevenueColumnAmt |
| Exclusion | $300 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INSURANCE INCENTIVE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $9,285 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,285 | RelatedOrExemptFuncIncomeAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,029 | TotalRevenueColumnAmt |
| Exclusion | $6,029 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $15,314 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,184,949 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,944,956 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,302 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,400 | TotalAmt |
| Program Services | $324,840 | ProgramServicesAmt |
| Management And General | $216,560 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,458,954 | TotalAmt |
| Program Services | $2,485,732 | ProgramServicesAmt |
| Management And General | $973,222 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,590 | TotalAmt |
| Program Services | $6,076 | ProgramServicesAmt |
| Management And General | $2,514 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $168,387 | TotalAmt |
| Program Services | $130,627 | ProgramServicesAmt |
| Management And General | $37,760 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $403,561 | TotalAmt |
| Program Services | $244,283 | ProgramServicesAmt |
| Management And General | $159,278 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,066 | TotalAmt |
| Management And General | $42,066 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,251 | TotalAmt |
| Management And General | $29,251 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,604 | TotalAmt |
| Program Services | $219,406 | ProgramServicesAmt |
| Management And General | $411,967 | ManagementAndGeneralAmt |
| Fundraising | $30,231 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,114 | TotalAmt |
| Program Services | $2,150 | ProgramServicesAmt |
| Management And General | $100,964 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,217 | TotalAmt |
| Program Services | $47,253 | ProgramServicesAmt |
| Management And General | $169,964 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,056 | TotalAmt |
| Program Services | $7,860 | ProgramServicesAmt |
| Management And General | $167,196 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,712 | TotalAmt |
| Program Services | $196,241 | ProgramServicesAmt |
| Management And General | $471 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,236 | TotalAmt |
| Program Services | $321 | ProgramServicesAmt |
| Management And General | $4,915 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,182 | TotalAmt |
| Program Services | $14,212 | ProgramServicesAmt |
| Management And General | $41,970 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,306 | TotalAmt |
| Program Services | $31,812 | ProgramServicesAmt |
| Management And General | $2,494 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,339 | TotalAmt |
| Program Services | $251,574 | ProgramServicesAmt |
| Management And General | $94,765 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,514 | TotalAmt |
| Program Services | $12,035 | ProgramServicesAmt |
| Management And General | $8,479 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL AND DENTAL SUPP | $334,939 | $142,105 | $192,834 |
| BAD DEBT EXPENSE | $250,541 | $250,541 | |
| MN CARE TAX | $89,886 | $89,886 | |
| DUES AND SUBSCRIPTIONS | $17,385 | $6,829 | $10,556 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,663 | TotalAmt |
| Program Services | $27,382 | ProgramServicesAmt |
| Management And General | $7,281 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,195,903 | TotalAmt |
| Program Services | $4,491,165 | ProgramServicesAmt |
| Management And General | $2,674,507 | ManagementAndGeneralAmt |
| Fundraising | $30,231 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $747,011 | BOYAmt |
| EOY | $717,942 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $822,104 | BOYAmt |
| EOY | $1,212,391 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $211,787 | BOYAmt |
| EOY | $211,508 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $754,330 | BOYAmt |
| EOY | $323,930 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,394 | BOYAmt |
| EOY | $41,504 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,657,822 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,192,983 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,747,505 | BOYAmt |
| EOY | $2,464,839 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,043 | BOYAmt |
| EOY | $17,788 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,342,174 | BOYAmt |
| EOY | $4,989,902 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $686,711 | BOYAmt |
| EOY | $459,117 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $619,197 | BOYAmt |
| EOY | $550,066 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,798 | BOYAmt |
| EOY | $20,205 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,370,706 | BOYAmt |
| EOY | $1,029,388 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,689,287 | BOYAmt |
| EOY | $3,901,904 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,676 | BOYAmt |
| EOY | $50,105 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,505 | BOYAmt |
| EOY | $8,505 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,971,468 | BOYAmt |
| EOY | $3,960,514 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,342,174 | BOYAmt |
| EOY | $4,989,902 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$10,954 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,548,775 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,744,197 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,021,588 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,348,750 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,225,691 | CurrentTaxYearAmt |
| Total | $10,889,001 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,227,675 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,996,557 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,487,149 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,732,661 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,944,956 | CurrentTaxYearAmt |
| Total | $25,388,998 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $322,670 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $52,717 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,651 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,316 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,029 | CurrentTaxYearAmt |
| Total | $398,383 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,099,120 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,793,471 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,524,388 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,082,727 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,176,676 | CurrentTaxYearAmt |
| Total | $36,676,382 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $36,676,382 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $61,954 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,745 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,357 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,464 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,273 | CurrentTaxYearAmt |
| Total | $120,793 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $61,954 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,745 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,357 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,464 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,273 | CurrentTaxYearAmt |
| Total | $120,793 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,161,074 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,820,216 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,544,745 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,086,191 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,184,949 | CurrentTaxYearAmt |
| Total | $36,797,175 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99670 | PublicSupportCY509Pct |
| Public Support PY509 | 0.81950 | PublicSupportPY509Pct |
| Investment Income CY | 0.00330 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00500 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,505 | BeginningYearBalanceAmt |
| End Year Balance | $8,505 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,505 | BeginningYearBalanceAmt |
| End Year Balance | $8,505 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,505 | BeginningYearBalanceAmt |
| End Year Balance | $8,505 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,505 | BeginningYearBalanceAmt |
| End Year Balance | $8,505 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $8,505 | BeginningYearBalanceAmt |
| End Year Balance | $8,505 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $127,499 | OtherCostOrOtherBasisAmt |
| Book Value | $127,499 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,115,175 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,913,109 | DepreciationAmt |
| Book Value | $2,202,066 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,365,329 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,279,874 | DepreciationAmt |
| Book Value | $85,455 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,819 | OtherCostOrOtherBasisAmt |
| Book Value | $49,819 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,464,839 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $6,884,303 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,884,303 | RevenueSubtotalAmt |
| Other Revenues Not Included | $300,646 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $300,646 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $7,184,949 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,945,362 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,945,362 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $250,541 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $250,541 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,195,903 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 250,541. CONTRIBUTIONS TO RESTRICTED NET ASSETS 50,105. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 250,541. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRUCE MCCARTHY | ||||||||||||||
| CHIEF CLINICAL OFFICER | $215,427 | $0 | $1,600 | $0 | $0 | $0 | $0 | $0 | $15,343 | $0 | $232,370 | $0 | $0 | $0 |
| RICHARD BROWN | ||||||||||||||
| PHYSICIAN | $174,888 | $0 | $1,600 | $0 | $0 | $0 | $0 | $0 | $5,112 | $0 | $181,600 | $0 | $0 | $0 |
| KAY MAUST | ||||||||||||||
| PHYSICIAN | $150,641 | $0 | $800 | $0 | $0 | $0 | $0 | $0 | $3,392 | $0 | $154,833 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| MINNEAPOLIS COMMUNITY DEVELOPMENT AGENCY | |||||||
| A | 416009115 | 2006-02-16 | $579,325 | CLINIC RENOVATIONS | 0 | 0 | 0 |
| MINNEAPOLIS COMMUNITY DEVELOPMENT AGENCY | |||||||
| B | 416009115 | 2010-10-20 | $1,092,382 | ASSET ACQUISITION | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $472,373 | $579,325 | $11,500 | $567,825 | 2007 | 0 | 0 | Yes (1) | Yes (1) |
| B | $596,687 | $1,092,382 | $21,847 | $1,070,535 | 2010 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE ORGANIZATION CONTRACTED OUT FOR CFO SERVICES IN 2018. |
| FORM 990, PART VI, SECTION A, LINE 4 | DURING THE YEAR THE ORGANIZATION MADE AMENDMENTS TO THEIR BYLAWS. BELOW IS A SUMMARY OF THOSE CHANGES: UPDATE TO THE "DOING BUSINESS AS" NAME AS REFLECTED ON PAGE 1 OF THE RETURN. DECREASE IN THE REQUIRED TIME GAP FOR BOARD MEMBERS BETWEEN TERMS FROM 2 YEARS TO 6 MONTHS. EXECUTIVE COMMITTEE CAN AT THEIR DISCRETION EXTEND A DIRECTOR'S TERM FOR UP TO 6 MONTHS UNDER UNUSUAL CIRCUMSTANCES, INCLUDING, BUT NOT LIMITED TO A TIME OF CEO TRANSITION OR UPCOMING HRSA SITE VISIT ATTENDANCE EXPECTATIONS NOW INCLUDE THAT ANY DIRECTOR THAT HAS MISSED THREE CONSECUTIVE BOARD MEETINGS OR FIVE IN ONE YEAR SHALL BE DEEMED TO HAVE TENDERED HIS OR HER RESIGNATION TO THE BOARD, TO BE VOTED UPON BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 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 PERSONNEL AND EXECUTIVE COMMITTEES ARE RESPONSIBLE FOR THE OVERSIGHT OF THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO, SENIOR LEADERS, AND MEDICAL PROVIDERS. THE EXECUTIVE COMMITTEE HIRED A CONSULTANT TO EVALUATE COMPENSATION OF THE CEO, SENIOR LEADERS, AND MEDICAL PROVIDERS. THE CONSULTANT USED SURVEYS AND METRICS TO EVALUATE THE CEO'S COMPENSATION. THE BOARD OF DIRECTORS REVIEWED THE RECOMMENDATIONS AND APPROVED THE COMPENSATION PLAN FOR THE CEO. |
| 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 INFORMATION CAN BE OBTAINED THROUGH THE STATE WEBSITE AND ALL OTHER DOCUMENTS WILL BE MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, CONTRACTED CFO | THE ORGANIZATION CONTRACTED CLIFTON LARSON ALLEN FOR CFO SERVICES, PERFORMED BY SHEILA RIEBE. |
| FORM 990, PART XI, LINE 2C: | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |