MYHEALTH FOR TEENS AND YOUNG ADULTS INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MYHEALTH FOR TEENS AND YOUNG ADULTS INC (EIN 23-7152735)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-11
- IRS object ID
- 201423159349302067
- Schema version
- 2013v3.1
- 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 | 2014-11-11T12:24:08-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411532347 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRINGTON LANGER & ASSOCIATES | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 563 PHALEN BLVD | AddressLine1 |
| City | SAINT PAUL | City |
| State | MN | State |
| ZIP Code | 55130 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237152735 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MYHEALTH FOR TEENS AND YOUNG ADULTS | BusinessNameLine1 |
| Business Name Line2 | INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MYHE | BusinessNameControlTxt |
| Phone | 9524743251 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 8TH AVENUE SOUTH | AddressLine1 |
| City | HOPKINS | City |
| State | MN | State |
| ZIP Code | 55305 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GERILYN HAUSBACK | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9524743251 | PhoneNum |
| Signature | 2014-11-11 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICHOLE FAIRBANKS | PreparerPersonNm |
| PTIN | P00967515 | PTIN |
| Phone | 6514811128 | PhoneNum |
| Preparation | 2014-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | GERILYN HAUSBACK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 8TH AVENUE SOUTH | AddressLine1 |
| City | HOPKINS | City |
| State | MN | State |
| ZIP Code | 55305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,525,185 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WESTSUBURBANTEENCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF MYHEALTH FOR TEENS AND YOUNG ADULTS IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HEALTH SERVICES AND INFORMATION THAT SUPPORT TEENS AND YOUNG ADULTS IN MAKING RESPONSIBLE AND WELL-INFORMED DECISIONS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 39 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $800,512 | PYContributionsGrantsAmt |
| CY Contributions Grants | $776,965 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $824,811 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $742,461 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,091 | PYInvestmentIncomeAmt |
| CY Investment Income | $468 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,296 | PYOtherRevenueAmt |
| CY Other Revenue | -$12,751 | CYOtherRevenueAmt |
| PY Total Revenue | $1,634,710 | PYTotalRevenueAmt |
| CY Total Revenue | $1,507,143 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,300,196 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,122,931 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $86,050 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $509,466 | PYOtherExpensesAmt |
| CY Other Expenses | $621,409 | CYOtherExpensesAmt |
| PY Total Expenses | $1,809,662 | PYTotalExpensesAmt |
| CY Total Expenses | $1,744,340 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$174,952 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$237,197 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $836,170 | TotalAssetsBOYAmt |
| Total Assets EOY | $766,301 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $178,517 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $345,845 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $657,653 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $420,456 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF MYHEALTH FOR TEENS AND YOUNG ADULTS IS TO IMPROVE THE HEALTH OF OUR COMMUNITY BY PROVIDING HEALTH SERVICES AND INFORMATION THAT SUPPORT TEENS AND YOUNG ADULTS IN MAKING RESPONSIBLE AND WELL-INFORMED DECISIONS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,365,118 | ExpenseAmt |
| Revenue | $644,492 | RevenueAmt |
| Desc | MEDICAL SERVICES - MYHEALTH OFFERS BASIC, REPRODUCTIVE AND MENTAL HEALTH CARE AT OUR TWO CLINIC LOCATIONS IN EXCELSIOR AND HOPKINS. IN 2013, OVER 2,000 CLIENTS WERE SEEN NEARLY 6,000 VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $167,234 | ExpenseAmt |
| Revenue | $47,969 | RevenueAmt |
| Desc | EDUCATION AND YOUTH DEVELOPMENT - OUR HEALTH EDUCATION STAFF PROVIDES SMALL AND LARGE GROUP PRESENTATIONS ON HEALTH EDUCATION TOPICS TO YOUNG PEOPLE, PARENTS, PROFESSIONALS AND THE GREATER COMMUNITY. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $39,888 | ExpenseAmt |
| Revenue | $50,000 | RevenueAmt |
| Desc | THE BECOMING PROGRAM - OUR HOME VISITING BECOMING PROGRAM NURSES WORK WITH PREGNANT AND PARENTING TEENS TO HELP THEM ACHIEVE HEALTHY PREGNANCY OUTCOMES AND SET AND ACHIEVE GOALS FOR THEIR FUTURE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,572,240 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 4 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 39 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GERILYN HAUSBACK | PersonNm |
| Phone | 9524743251 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 - 8TH AVE S | AddressLine1 |
| City | HOPKINS | City |
| State | MN | State |
| ZIP Code | 55343 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| NANCY Q BURKE | ||||||
| DIRECTOR | 1.25 | Yes (X) | $0 | $0 | $0 | |
| LEIA SIMON | ||||||
| VICE CHAIR | 1.25 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| HEIDI BYE | ||||||
| DIRECTOR | 1.25 | Yes (X) | $0 | $0 | $0 | |
| KATHRYN KARLMAN | ||||||
| DIRECTOR | 1.25 | Yes (X) | $0 | $0 | $0 | |
| REBECCA REED FARHA | ||||||
| DIRECTOR | 1.25 | Yes (X) | $0 | $0 | $0 | |
| JACIE HURD | ||||||
| BOARD CHAIR | 1.25 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| STACEY HURRELL | ||||||
| SECRETARY | 1.25 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JENNIFER OLIPHANT | ||||||
| DIRECTOR | 1.25 | Yes (X) | $0 | $0 | $0 | |
| CHRISTOPHER ORR | ||||||
| TREASURER | 1.25 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JACQUELINE KNAUF | ||||||
| DIRECTOR | 1.25 | Yes (X) | $0 | $0 | $0 | |
| ANNIE KRAPEK | ||||||
| DIRECTOR | 1.25 | Yes (X) | $0 | $0 | $0 | |
| CONNIE ROBERTSON | ||||||
| INTERIM EXEC | 40.00 | $64,974 | $0 | $0 | Yes (X) | |
| JILL HOGAN | ||||||
| INTERIM EXEC | 40.00 | $64,797 | $0 | $749 | Yes (X) | |
| LEAH HEBERT | ||||||
| EX - EXEC DI | 40.00 | $39,413 | $0 | $458 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $169,184 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $1,207 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $33,631 | FundraisingAmt |
| Government Grants | $558,817 | GovernmentGrantsAmt |
| All Other Contributions | $184,517 | AllOtherContributionsAmt |
| Total Contributions | $776,965 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| CLIENT SERVICE FEES | $694,492 | $694,492 |
| HEALTH EDUCATION INCOME | $47,969 | $47,969 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $742,461 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $468 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $468 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,255 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $33,631 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $18,042 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$12,787 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Total Revenue Column | $36 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $36 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,507,143 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $742,965 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,140 | TotalAmt |
| Program Services | $97,426 | ProgramServicesAmt |
| Management And General | $44,286 | ManagementAndGeneralAmt |
| Fundraising | $35,428 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $809,299 | TotalAmt |
| Program Services | $770,240 | ProgramServicesAmt |
| Management And General | $15,131 | ManagementAndGeneralAmt |
| Fundraising | $23,928 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,310 | TotalAmt |
| Program Services | $11,231 | ProgramServicesAmt |
| Management And General | $509 | ManagementAndGeneralAmt |
| Fundraising | $570 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,373 | TotalAmt |
| Program Services | $44,329 | ProgramServicesAmt |
| Management And General | $3,022 | ManagementAndGeneralAmt |
| Fundraising | $3,022 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,809 | TotalAmt |
| Program Services | $64,951 | ProgramServicesAmt |
| Management And General | $4,429 | ManagementAndGeneralAmt |
| Fundraising | $4,429 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,156 | TotalAmt |
| Program Services | $1,087 | ProgramServicesAmt |
| Management And General | $69 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,560 | TotalAmt |
| Program Services | $6,166 | ProgramServicesAmt |
| Management And General | $394 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,102 | TotalAmt |
| Program Services | $66,507 | ProgramServicesAmt |
| Management And General | $4,566 | ManagementAndGeneralAmt |
| Fundraising | $5,029 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,453 | TotalAmt |
| Program Services | $3,039 | ProgramServicesAmt |
| Management And General | $207 | ManagementAndGeneralAmt |
| Fundraising | $207 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,096 | TotalAmt |
| Program Services | $46,726 | ProgramServicesAmt |
| Management And General | $3,185 | ManagementAndGeneralAmt |
| Fundraising | $3,185 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,854 | TotalAmt |
| Program Services | $66,752 | ProgramServicesAmt |
| Management And General | $4,551 | ManagementAndGeneralAmt |
| Fundraising | $4,551 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,309 | TotalAmt |
| Program Services | $12,591 | ProgramServicesAmt |
| Management And General | $859 | ManagementAndGeneralAmt |
| Fundraising | $859 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,648 | TotalAmt |
| Program Services | $2,330 | ProgramServicesAmt |
| Management And General | $159 | ManagementAndGeneralAmt |
| Fundraising | $159 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,636 | TotalAmt |
| Program Services | $11,636 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,958 | TotalAmt |
| Program Services | $42,204 | ProgramServicesAmt |
| Management And General | $2,877 | ManagementAndGeneralAmt |
| Fundraising | $2,877 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,125 | TotalAmt |
| Program Services | $13,309 | ProgramServicesAmt |
| Management And General | $908 | ManagementAndGeneralAmt |
| Fundraising | $908 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL EXPENSES | $264,482 | $264,482 | ||
| EMR EXPENSES | $22,428 | $22,428 | ||
| PROGRAM SUPPLIES | $11,658 | $11,658 | ||
| MISCELLANEOUS | $6,539 | $5,751 | $394 | $394 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,405 | TotalAmt |
| Program Services | $7,397 | ProgramServicesAmt |
| Management And General | $504 | ManagementAndGeneralAmt |
| Fundraising | $504 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,744,340 | TotalAmt |
| Program Services | $1,572,240 | ProgramServicesAmt |
| Management And General | $86,050 | ManagementAndGeneralAmt |
| Fundraising | $86,050 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,863 | BOYAmt |
| EOY | $7,488 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,310 | BOYAmt |
| EOY | $72,637 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,450 | BOYAmt |
| EOY | $63,742 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,343 | BOYAmt |
| EOY | $31,877 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,492 | BOYAmt |
| EOY | $13,990 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,420 | BOYAmt |
| EOY | $12,421 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $935,205 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $371,059 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $610,292 | BOYAmt |
| EOY | $564,146 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,170 | BOYAmt |
| EOY | $766,301 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,517 | BOYAmt |
| EOY | $98,670 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $247,175 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,000 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,517 | BOYAmt |
| EOY | $345,845 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $641,642 | BOYAmt |
| EOY | $415,456 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,011 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,653 | BOYAmt |
| EOY | $420,456 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,170 | BOYAmt |
| EOY | $766,301 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$237,197 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $822,883 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $609,193 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $857,254 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $800,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $776,965 | CurrentTaxYearAmt |
| Total | $3,866,807 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $822,883 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $609,193 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $857,254 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $800,512 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $776,965 | CurrentTaxYearAmt |
| Total | $3,866,807 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $11,788 | SubstantialContributorsTotAmt |
| Public Support Total170 | $3,855,019 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,111 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,253 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,805 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $672 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $468 | CurrentTaxYearAmt |
| Total | $22,309 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $4,493 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,065 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,909 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36 | CurrentTaxYearAmt |
| Total | $21,503 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $3,910,619 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,983,919 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98580 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98440 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II, LINE 10 | FormAndLineReferenceDesc |
| Explanation | 21,503 | ExplanationTxt |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,311 | OtherCostOrOtherBasisAmt |
| Book Value | $33,311 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $416,444 | OtherCostOrOtherBasisAmt |
| Depreciation | $190,140 | DepreciationAmt |
| Book Value | $226,304 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $278,976 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,631 | DepreciationAmt |
| Book Value | $236,345 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $206,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $138,288 | DepreciationAmt |
| Book Value | $68,186 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $564,146 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,507,143 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $1,507,143 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,507,143 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,744,340 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $1,744,340 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,744,340 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 4, PART XIII | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND APPLICABLE MINNESOTA STATUTES, EXCEPT TO THE EXTENT IT HAS TAXABLE INCOME THAT IS NOT RELATED TO ITS TAX EXEMPT PURPOSE. FEDERAL AND STATE TAX AUTHORITIES GENERALLY HAVE THE RIGHT TO EXAMINE THE CURRENT AND THREE PREVIOUS YEARS OF INCOME TAX RETURNS. THE ORGANIZATION IS NOT CURRENTLY UNDER EXAMINATION BY ANY TAXING JURISDICTION. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed States | MN | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | HOMECOMING GALA | NameOfEvent1Amt |
| Gross Receipts Event1 | $38,886 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $33,631 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $5,255 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $10,873 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $129 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $6,040 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $38,886 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $33,631 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $5,255 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $10,873 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $129 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,040 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $18,042 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$12,787 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FULL BOARD OF DIRECTORS REVIEWS THE 990 PRIOR TO IT BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | EACH RESPONSIBLE PERSON SHALL ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. EACH NEW RESPONSIBLE PERSON IS REQUIRED TO REVIEW A COPY OF THE CONFLICT OF INTEREST POLICY AND ACKNOWLEDGE IN WRITING HE OR SHE HAS DONE SO. THE CONFLICT OF INTEREST POLICY SHALL BE REVIEWED ANNUALLY BY THE BOARD WITH ANY CHANGES IMMEDIATELY REPORTED TO ALL RESPONSIBLE PERSONS. A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL MATERIAL FACTS, WHICH SHALL BE REFLECTED IN THE BOARD MEETING MINUTES. THE BOARD CHAIR SHALL ACT AS THE DIRECTOR'S OR MEMBER'S PROXY IF THE DIRECTOR OR MEMBER DOES NOT PLAN TO ATTEND THE MEETING. THE PERSON WITH THE CONFLICT OF INTEREST, OUTSIDE OF EXPLAINING ALL MATERIAL FACTS. SHALL NOT HAVE ANY INFLUENCE ON THE BOARD'S DISCUSSION OF THE ISSUE. ANY PERSON WITH A CONFLICT OF INTEREST THAT IS NOT A DIRECTOR OR MEMBER SHALL DISCLOSE SUCH CONFLICT OF INTEREST TO THE CHAIR OR CHAIR'S DESIGNEE AND SHALL ABSTAIN FROM MAKING ANY MATERIAL DECISIONS OR ACTIONS REGARDING THE TRANSACTION OR CONTRACT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE EXECUTIVE DIRECTOR POSITION GOES THROUGH AN ANNUAL REVIEW BY THE BOARD. THE REVIEW INCLUDES STAFF MEMBER PARTICIPATION. THE BOARD DECISION AND DELIBERATION IS DOCUMENTED IN THE MEETING MINUTES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE EXECUTIVE DIRECTOR DOES ANNUAL REVIEWS OF AND DETERMINES SALARY FOR KEY EMPLOYEES. SALARY RANGES ARE DETERMINED USING COMPARABILITY DATA OBTAINED FROM THE MINNESOTA COUNCIL OF NONPROFITS' SALARY DATA, AND OTHER SOURCES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | MYHEALTH FOR TEENS AND YOUNG ADULTS (FORMERLY WEST SUBURBAN TEEN CLINIC) IS LISTED ON THE CHARITIES REVIEW COUNCIL WEBSITE AS "MEETS ALL STANDARDS" SEE WWW.SMARTGIVERS.ORG. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION BY REQUEST THROUGH THE ORGANIZATION. 990 IS ALSO AVAILABLE ON THE GUIDESTAR PHILANTHROPIC WEBSITE WWW.GUIDESTAR.ORG. |
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