2013-11-13T12:46:06-06:00 2012-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2012-01-01 410948382 PLANNED PARENTHOOD MINNESOTA NORTH DAKOTA SOUTH DAKOTA PLAN 6516965500 671 VANDALIA STREET ST PAUL MN 55114 SARAH A STOESZ 6516965500 2013-11-12 1 KURT BENNION P01469618 6123764500 2012 2016-02-24 21:20:13Z SARAH A STOESZ 671 VANDALIA STREET ST PAUL MN 55114 33379492 0 X WWW.PPMNS.ORG X 1968 MN AFFIRMING HUMAN RIGHTS TO REPRODUCTIVE HEALTH AND FREEDOM. 23 23 399 1722 -985 0 10565526 11466514 19118225 21432825 179641 170998 -9554 140734 29853838 33211071 462758 953824 0 0 15743682 16423651 119440 0 1289396 12425906 15744151 28751786 33121626 1102052 89445 40038120 42904670 10717842 12609301 29320278 30295369 X AFFIRMING HUMAN RIGHTS TO REPRODUCTIVE HEALTH AND FREEDOM. 0 0 23782059 173550 21429465 - PATIENT SERVICES - PPMNS SERVED 66,600 PATIENTS IN 2012 THROUGH A NETWORK OF 20 CLINICS IN MINNESOTA AND SOUTH DAKOTA. CLINICS PROVIDED BASIC WELL-WOMEN EXAMS AND FAMILY PLANNING SERVICES INCLUDING CONTRACEPTIVE CARE, PREGNANCY TESTING, PAP SMEARS (CYTOLOGY SCREENING), BREAST EXAMS, TESTING AND TREATMENT FOR SEXUALLY TRANSMITTED INFECTIONS, HIV TESTING AND EMERGENCY CONTRACEPTION. COLPOSCOPY, LEEP, SURGICAL AND MEDICATION ABORTIONS WERE OFFERED AT SELECTED SITES. 85% OF CLIENTS RECEIVING CARE WERE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. PLANNED PARENTHOOD CLINICS ARE OFTEN THE ONLY OPTION FOR SUBSIDIZED FAMILY PLANNING SERVICES IN THE COUNTY, PARTICULARLY IN THE RURAL AREAS OF MINNESOTA AND SOUTH DAKOTA. TO PROVIDE ACCESS FOR PATIENTS WHO OFTEN FACE BARRIERS TO SERVICE, PLANNED PARENTHOOD OFFERED EVENING, WEEKEND AND WALK IN HOURS, SAME DAY APPOINTMENTS AND INTERPRETER SERVICES IN 2012. 1097786 780274 3360 - EDUCATION AND OUTREACH -IN 2012, PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA'S EDUCATION AND OUTREACH PROGRAMS REACHED 33,559 PEOPLE INCLUDING 17,264 YOUTH AND ADULTS ENGAGED WITH US THROUGH PEER EDUCATION, CLASSROOM PRESENTATIONS, ALL-DAY RETREATS, AND INTENSIVE PROGRAMS. IN ADDITION, WE REACHED 16,110 PEOPLE THROUGH HEALTH FAIRS AND OTHER COMMUNITY EVENTS. YOUTH PROGRAMS:REACH ONE/TEACH ONE (ROTO) IS A YOUTH PEER EDUCATION PROGRAM OFFERED IN THREE LOCATIONS IN MN: ROCHESTER, DULUTH, MINNEAPOLIS, AND IN FARGO, ND. IN THE THREE ROTO PROGRAMS THAT HAPPENED IN 2012, 23 PARTICIPANTS RECEIVED INTENSIVE TRAINING ON REPRODUCTIVE AND SEXUAL HEALTH TOPICS. THEY IN TURN SHARED THEIR KNOWLEDGE WITH THEIR PEERS, REACHING 295 PEOPLE. SEVERAL ROTO PARTICIPANTS HAVE CONTINUED THEIR INVOLVEMENT WITH PLANNED PARENTHOOD BY BECOMING MEMBERS OF TEEN COUNCIL. YOUTH POWER IS A PEER EDUCATION PROGRAM FOR AFRICAN YOUTH. IN 2012, THE PROGRAM HAD 29 PARTICIPANTS WHO REACHED 889 INDIVIDUALS THROUGH ONE-ON-ONE AND SMALL GROUP PEER EDUCATION SESSIONS. HMONG STAR IS A PEER EDUCATION PROGRAM FOR HMONG YOUTH IN THE TWIN CITIES METRO AREA. DURING 2012, 21 YOUTH PARTICIPATED IN THE PROGRAM AND IN TURN EDUCATED 670 OF THEIR PEERS. TEEN COUNCIL IS AN INTENSIVE, YEAR-LONG YOUTH DEVELOPMENT PROGRAM FOR 10-12TH GRADE HIGH SCHOOL STUDENTS. PROGRAM ELEMENTS INCLUDE PEER EDUCATION, SERVICE LEARNING, AND INSTRUCTION ON A WIDE VARIETY OF TOPICS RELATED TO REPRODUCTIVE HEALTH AND SEXUALITY. PARTICIPANTS PRACTICE AND LEARN SKILLS LIKE PUBLIC SPEAKING, CLASSROOM INSTRUCTION, EVENT PLANNING, GRASS-ROOTS ORGANIZING, TIME MANAGEMENT, GOAL SETTING, INTERVIEWING, AND GROUP FACILITATION. THERE ARE TEEN COUNCIL PROGRAMS IN ROCHESTER, DULUTH, AND MINNEAPOLIS. FOR THE THREE TEEN COUNCIL PROGRAMS ENDING IN 2012, THERE WERE 37 TEEN COUNCIL MEMBERS WHO GAVE 223 PRESENTATIONS REACHING 4,232 PEOPLE. QUE ONDA! IS A PEER EDUCATION PROGRAM FOR LATINO YOUTH. DURING THE 2011-2012 ACADEMIC YEAR, THERE WERE THREE QUE ONDA! PROGRAMS, TWO IN MINNEAPOLIS AND ONE IN RICHFIELD, MN. THIRTY-SEVEN PARTICIPANTS REACHED 1,402 PEOPLE THROUGH PEER EDUCATION IN THEIR SCHOOL AND COMMUNITY. PROGRAMS FOR ADULTS:THE PARTNERSHIP PROJECT IS AN ADULT LAY HEALTH ADVISOR PROGRAM WHICH PROVIDES CULTURALLY RELEVANT PROGRAMMING TO AFRICAN-BORN MEN AND WOMEN IN THE TWIN CITIES AREA. PROGRAM PARTICIPANTS HELP STRENGTHEN THEIR COMMUNITIES BY BECOMING TRUSTED SOURCES OF ACCURATE INFORMATION ABOUT REPRODUCTIVE HEALTH. IN 2012, THE PROGRAM PROVIDED TRAINING TO 16 PARTICIPANTS WHO IN TURN REACHED 369 PEOPLE. OPEN HEART (HEALTH EDUCATION AND RESOURCES TRAINING) IS A CULTURALLY SPECIFIC PROGRAM FOR HMONG WOMEN AND MEN OFFERED IN PARTNERSHIP WITH LAO FAMILY COMMUNITY, INC. OF ST. PAUL, MN. PARTICIPANTS GAIN KNOWLEDGE ABOUT REPRODUCTIVE HEALTH AND ARE TRAINED TO SHARE THEIR KNOWLEDGE WITH OTHERS. 2012 WAS THE THIRD YEAR THIS PROGRAM WAS OFFERED. TWELVE PARTICIPANTS ATTENDED 9 SESSIONS. AS LAY HEALTH ADVISORS THEY EDUCATED 360 OF THEIR PEERS. TAKING SHAPE IS AN EDUCATIONAL PROGRAM FOR AMERICAN INDIAN MEN AND WOMEN AND YOUTH. DURING 2012, 36 TAKING SHAPE PROGRAMS REACHED 358 INDIVIDUALS, PROVIDING THEM WITH INCREASED KNOWLEDGE ABOUT REPRODUCTIVE AND SEXUAL HEALTH. PARENT-CHILD PROGRAMS:MOTHER-DAUGHTER AND MOTHER-SON RETREATS ARE ALL-DAY EVENTS PROVIDING 10 TO 12-YEAR-OLDS AND THEIR MOTHERS (OR FEMALE MENTORS) AN OPPORTUNITY TO LEARN ABOUT PUBERTY AND REPRODUCTIVE ANATOMY AND TO ENHANCE COMMUNICATION AND CONNECTION WITHIN FAMILIES. IN 2012, THERE WERE 143 PARTICIPANTS IN 9 RETREATS. OF THOSE, SIX WERE HELD IN THE TWIN CITIES AREA AND THREE WERE HELD IN BEMIDJI, ONE WAS FOR A HMONG AUDIENCE, THREE WERE FOR AMERICAN INDIAN MOTHERS AND CHILDREN, ONE WAS FOR A LATINA AUDIENCE, AND ONE WAS A MOTHER-SON RETREAT. 667951 0 0 - PUBLIC AFFAIRS - PLANNED PARENTHOOD PPMNS PUBLIC AFFAIRS WORK IS FOCUSED ON EDUCATING THE PUBLIC ON THE IMPORTANCE OF AFFORDABLE HEALTH CARE AND PREVENTIVE CARE TO REDUCE UNINTENDED PREGNANCIES AND SEXUALLY TRANSMITTED DISEASES. THROUGH OUR WORK, WE CREATE OPPORTUNITIES FOR PEOPLE THROUGHOUT OUR REGION TO LEARN ABOUT THE ISSUES, WRITE LETTERS TO THE EDITOR, REGISTER TO VOTE, AND TAKE OTHER NON-PARTISAN ACTION IN SUPPORT OF THEIR BELIEFS. IN 2012, PPMNS' WORK IN THE AREA OF PUBLIC AFFAIRS INCLUDED: MINNESOTA1. RAN EXTENSIVE ORGANIZATIONAL WIDE VOTER ENGAGEMENT PLAN ENCOURAGING YOUNG WOMEN TO VOTE. 2. RECRUITED 19 STUDENTS FROM OUR REGION TO REPRESENT PPMNS AT A YOUTH ORGANIZING AND POLICY INSTITUTE IN MONTANA.3. RECRUITED 700 ACTIVISTS AND VOLUNTEERS TO THE FIRST GOOD FRIDAY GATHERING OF SUPPORT FOR PPMNS AT THE VANDALIA HEALTH CENTER. 4. PLANNED AND IMPLEMENTED A 10TH ANNIVERSARY OPEN HOUSE AT THE SAINT CLOUD HEALTH CENTER AND HONORED LONG-TIME SUPPORTER, JANE OLSON AS A "WOMEN'S HEALTH CHAMPION" AND RECEIVED MEDIA ATTENTION FOR THE EVENT.5. CLOSELY MONITORED THE STATE AND FEDERAL HEALTH REFORM INITIATIVES TO GAIN A SOLID UNDERSTANDING OF HEALTH REFORM IMPLEMENTATION AND ITS IMPACT ON PPMNS PATIENTS.6. EDUCATED THE PUBLIC ON THE RISING RATES OF SEXUALLY TRANSMITTED DISEASES IN THE STATE. 7. PLAYED A LEADING ROLE IN THE PLANNING AND IMPLEMENTATION OF THE PRO-CHOICE COALITION'S 40TH ANNIVERSARY OF ROE V WADE CELEBRATION.8. ORGANIZED AND IMPLEMENTED A VOTER ENGAGEMENT EDUCATION RETREAT WITH TEEN COUNCILS MEMBERS FROM DULUTH, ROCHESTER AND MINNEAPOLIS.9. GREW LIST OF ACTIVISTS BY 41%.10. USED THE OPPORTUNITY OF THE SUSAN G. KOMEN FOUNDATION PUBLICITY TO HIGHLIGHT PPMNS'S WORK ON BREAST HEALTH THROUGH 9 TELEVISION STATIONS AND 8 PRINT OUTLETS.NORTH DAKOTA1. GREW LIST OF SUPPORTERS BY 20%.2. GREW LIST OF ACTIVISTS BY 60%.3. COLLABORATED WITH FACULTY AT NDSU TO WIN A 3 YEAR $1.2 MILLION FEDERAL PREGNANCY PREVENTION GRANT THAT WILL BE IMPLEMENTED BY PPMNS IN CONJUNCTION WITH NDSU.4. HELD THE LARGEST PROGRESS ON THE PRAIRIE EVENT IN OUR HISTORY IN FARGO AND GAVE LEADERSHIP AWARDS TO DESERVING PARTNERS.5. DOUBLED VOLUNTEER HOURS AND MANAGED 3 INTERNS WHO ACCUMULATED MORE THAN 700 VOLUNTEER HOURS.6. MAINTAINED ACTIVE PRESENCE ON COLLEGE CAMPUSES AND RECRUITED INTERNS TO WORK AT NDSU AND UND.7. SUCCESSFULLY PLACED AN OP-ED FROM NORTH DAKOTA STATE PUBLIC AFFAIRS MANAGER, AMY JACOBSON ON THE 39TH ANNIVERSARY OF ROE V. WADE, IN NORTH DAKOTA'S LEADING PAPER, THE FARGO FORUM. SOUTH DAKOTA 1. HELPED THE PUBLIC UNDERSTAND COMPLEX ISSUES INVOLVED IN ONGOING LITIGATION WITH THE STATE OF SOUTH DAKOTA AROUND THE LAW REQUIRING A 72 HR WAITING PERIOD AND MANDATED VISIT TO A CRISIS PREGNANCY CENTER FOR ABORTION PATIENTS.2. USED EXTENSIVE MEDIA COVERAGE OF THE LITIGATION AS AN OPPORTUNITY TO REASSURE SOUTH DAKOTANS THAT PPMNS WILL CONTINUE TO FIGHT FOR WOMEN'S HEALTH CARE IN SOUTH DAKOTA. NINE PRINT OUTLETS PROVIDED LOCAL COVERAGE.3. SUCCESSFULLY PLACED AN OP-ED IN THE ARGUS LEADER FROM PPMNS NURSE PRACTITIONER PAM GLENN IN RESPONSE TO GOV DAUGAARD'S TASK FORCE ON INFANT MORTALITY. THE PIECE NOT ONLY DISCUSSED THE IMPORTANT ROLE PLANNED PREGNANCY CAN PLAY IN REDUCING INFANT MORTALITY RATES, BUT REMINDED READERS OF THE STATE'S NETWORK OF TITLE X FAMILY PLANNING CLINICS.4. MANAGED 3 INTERNS WHO ACCUMULATED MORE THAN 300 VOLUNTEER HOURS WORKING IN THE COMMUNITY AND ON COLLEGE CAMPUSES.5. PUBLISHED 10 ISSUES OF THE TEAM ROE TIMES FOR ACTIVISTS.6. COORDINATED A 2 HOUR PHONE BANK TO AID THE MINNESOTA VOTER ENGAGEMENT EFFORT.7. GREW LIST OF SUPPORTERS BY 6%.8. GREW LIST OF ACTIVISTS BY 20%.9. PROVIDED INFORMATION TO PROSPECTIVE DONORS ABOUT PPMNS'S WORK. 25547796 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 1 88 0 399 1 0 0 0 0 0 1 1 0 0 0 0 X 23 23 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X THE ORGANIZATION 6516965657 671 VANDALIA STREET ST PAUL MN 55114 X STACEY L MILLS 1.00 0.00 X X 0 0 0 LYNN M ABRAHAMSEN 1.00 0.00 X X 0 0 0 SUSAN WEINBERG 1.00 0.00 X X 0 0 0 TOM SANDERS 1.00 0.00 X X 0 0 0 JANE AHLIN 1.00 0.00 X 0 0 0 SUZANNA DE BACA 1.00 0.00 X 0 0 0 MARY P FOARDE 1.00 0.00 X 0 0 0 PHYLLIS B FRANCE 1.00 0.00 X 0 0 0 DOREEN FRANKEL PHD 1.00 0.00 X 0 0 0 LINDA GOLDENBERG 1.00 0.00 X 0 0 0 ANDREW GOOD MD 1.00 0.00 X 0 0 0 TOM GROSSMAN 1.00 0.00 X 0 0 0 RACHEL HAMLIN 1.00 1.00 X 0 0 0 BETSY HAWN 1.00 0.00 X 0 0 0 THOMAS L HOCH 1.00 0.00 X 0 0 0 SUSANNE LILLY HUTCHESON 1.00 1.00 X 0 0 0 MARLENE KAYSER 1.00 1.00 X 0 0 0 BETH KIEFFER LEONARD 1.00 0.00 X 0 0 0 KATHARINE L KELLY 1.00 1.00 X 0 0 0 KRIS MACDONALD 1.00 0.00 X 0 0 0 JENNIFER L MARTIN 1.00 0.00 X 0 0 0 MIGDALIA LOYOLA MELENDEZ 40.00 0.00 X 26855 0 976 DEBORAH ROESLER 1.00 1.00 X 0 0 0 LINDA J SCHER 1.00 0.00 X 0 0 0 SARAH A STOESZ 38.00 2.00 X 328881 15497 83608 DON BOYCHUK 40.00 0.00 X 222430 0 50122 SCOTT GRINDE 40.00 0.00 X 172911 0 47809 CAROL BALL 36.00 0.00 X 370786 0 83058 SHERRY BEHM 40.00 0.00 X 154110 0 40627 CONNIE LEWIS 37.00 3.00 X 150576 10468 51683 JESSICA SCHMIESING 40.00 0.00 X 176619 0 52980 CATHERINE LAWRENCE 40.00 0.00 X 150411 0 35200 SUSAN CASEY 40.00 0.00 X 142151 0 36173 SUZANNE FARR 40.00 0.00 X 115622 0 6008 ATHENA MIHAS 40.00 0.00 X 113894 0 9749 ADAM LARSON 40.00 0.00 X 112766 0 1587 KATHRYN EGGLESTON 40.00 0.00 X 105531 0 8051 2343543 25965 507631 13 0 1 0 QUEST DIAGNOSTICS INC PO BOX 12989 CHICAGO IL 60693 LAB TEST DIAGNOSTICS 853982 MINDSHIFT TECHNOLOGIES 1333 NORTHLAND DRIVE 100 MENDOTA HEIGHTS MN 55120 IT OUTSOURCED SERVICES 718093 CARLSON BUILDING SERVICES INC 4111 MACKENZIE COURT NE SUITE 100 ST MICHAEL MN 55376 JANITORIAL SERVICE 307551 ACCOUNTEMPS - ROBERT HALF MGMT RESOURCES PO BOX 743295 SAN FRANCISCO CA 90074 TEMPORARY STAFFING 288717 PARALLEL TECHNOLOGIES EB 324 PO BOX 1380 MINNEAPOLIS MN 55480 IT OUTSOURCED SERVICES 271155 10 244646 5364263 5857605 949798 11466514 PATIENT SERVICES 621300 21425419 21425419 SPEAKER FEES 900099 3360 3360 TRAINING SEMINARS 900099 2920 2920 PUBLICATIONS 511120 970 970 NURSE PRACT. TRAINING 900099 156 156 21432825 170888 170888 110 0 110 110 110 167672 244646 167395 277 277 41 1026 -985 -985 MISCELLANEOUS REVENUE 900099 106272 106272 MANAGEMENT FEES 900099 31892 31892 LIST RENTAL 900099 3278 3278 141442 33211071 21432825 -985 312717 953824 953824 2316165 1005676 1120845 189644 11701774 9412060 1812493 477221 135128 110919 18623 5586 1329958 1091723 183258 54977 940626 772129 129611 38886 32919 6075 25129 1715 151666 151666 30195 30195 789668 473846 194015 121807 1145271 897848 93306 154117 314071 105809 194796 13466 1966342 1663579 257110 45653 1924150 1636131 260448 27571 310001 261190 38704 10107 249023 97939 14526 136558 243500 20010 221935 1555 985987 195829 790158 230301 185408 44893 CLINICAL SUPPLIES & SER 6532147 6529498 2649 PPMNS DUES 333566 333566 EQUIPMENT EXPENSE 304756 119234 184714 808 MISCELLANEOUS EXPENSES 155684 155684 44904 9069 26110 9725 33121626 25547796 6284434 1289396 3783632 5200408 169856 171405 2842663 1210116 2848421 2102302 758901 1028838 232240 423880 28457636 7025376 18886022 21432260 8106714 8358674 500528 500571 1909143 2476216 40038120 42904670 4178203 3141620 6264966 9148576 274673 319105 10717842 12609301 X 5389474 6094030 15204900 15453906 8725904 8747433 29320278 30295369 40038120 42904670 89445 885646 0 X 0 1 X 1 1 1 X 14797170 12884547 11102758 10565526 11466514 60816515 14797170 12884547 11102758 10565526 11466514 60816515 1917692 58898823 367279 240950 254229 179593 170888 1212939 815 815 63168 18160 48019 13642 141483 284472 62314741 92916493 0.94520 0.96350 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS LIST RENTAL SALE OF INVENTORY MANAGEMENT FEES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 17444 17444 31814786 31832230 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 17444 17444 250000 250000 250000 250000 1000000 1500000 8908809 10272 1036286 469584 9485783 9160587 300000 -95994 455784 8908809 8381531 21363 1059613 301920 9160587 7065994 13851 1301686 8381531 11096582 40000 -3312777 757811 7065994 0.07800 0.92200 0.00000 0 0 3500495 3500495 19103431 1771763 17331668 2986285 2698243 288042 2724479 2555370 169109 142946 142946 21432260 ACCRUED INTEREST RECEIVABLE 7 CHARITABLE REMAINDER TRUST RECEIVABLE 60436 OTHER ASSETS 775586 OTHER CURRENT ASSETS 536766 RELATED PARTY RECEIVABLE 1103421 2476216 ANNUITIES PAYABLE 240014 DUE TO ACTION FUND 79091 319105 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT FUND ASSETS DESIGNED TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS IT SUPPORTS IN ACCORDANCE WITH EXPLICIT DONOR STIPULATIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION'S TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. THE TAX RETURNS FOR THE YEARS 2009 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. CELEBRATE PLANNED PARENTHOOD 401363 244646 156717 61041 96014 LEADERSHIP SANGER 10955 10955 8536 1804 412318 244646 167672 69577 97818 167395 277 1 PLANNED PARENTHOOD MINNESOTA NORTH DAKOTA SOUTH DAKOTA ACTION FUND 671 VANDALIA ST ST PAUL MN 55114 411709702 501(C)(4) 770274 GENERAL SUPPORT INCLUDING LOBBYING EXPENDITURES MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP PO BOX 747 DETROIT LAKES MN 56502 416049474 501(C)(3) 44500 TITLE X DISTRIBUTION SOUTHEASTERN MN COMMUNITY ACTION COUNCIL BOX 549 RUSHFORD MN 55971 410907135 501(C)(3) 44500 TITLE X DISTRIBUTION SOUTHWESTERN MN OPPORTUNITY COUNCIL PO BOX 787 1106 THIRD AVE WORTHINGTON MN 56187 416050245 501(C)(3) 40050 TITLE X DISTRIBUTION NEIGHBORHOOD HEALTH SOURCE 3300 FREMONT AVE NORTH MINNEAPOLIS MN 55412 411235064 501(C)(3) 44500 TITLE X DISTRIBUTION 4 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS TO THE ORGANIZATIONS ARE DESIGNATED FOR SPECIFIC PURPOSE USE OR IS A CHARITABLE DONATION THAT DOES NOT REQUIRE REPORTING AFTER DISBURSEMENT. TITLE X DISTRIBUTIONS TO 4 DELEGATE ORGANIZATIONS ARE PART OF THE FEDERAL TITLE X GRANT AND THE DELEGATES ARE SUB-RECIPIENTS OF FEDERAL GRANT FUNDS. TITLE X FUNDS ARE MONITORED BY THE ORGANIZATION TO ENSURE COMPLIANCE WITH FEDERAL GRANT REQUIREMENTS. REGULAR REPORTING IS REQUIRED AND AUDITS ARE CONDUCTED ON A REGULAR BASIS. X X X X 0 1 0 0 0 0 0 0 0 SARAH A STOESZ 261886 12340 0 0 66995 3157 60130 2833 19716 929 408727 19259 0 0 DON BOYCHUK 190167 0 0 0 32263 0 39218 0 10904 0 272552 0 0 0 SCOTT GRINDE 172500 0 0 0 411 0 46244 0 1565 0 220720 0 0 0 CAROL BALL 300875 0 0 0 69911 0 57159 0 25899 0 453844 0 0 0 SHERRY BEHM 148675 0 0 0 5435 0 30613 0 10014 0 194737 0 0 0 CONNIE LEWIS 147785 10274 0 0 2791 194 28913 2010 19411 1349 198900 13827 0 0 JESSICA SCHMIESING 155068 0 0 0 21551 0 34868 0 18112 0 229599 0 0 0 CATHERINE LAWRENCE 150000 0 0 0 411 0 20960 0 14240 0 185611 0 0 0 SUSAN CASEY 141740 0 0 0 411 0 28459 0 7714 0 178324 0 0 0 PART I, LINE 4B 457(F) PLAN DEFERRALS: SARAH STOESZ - $57,963 DON BOYCHUK - $35,342 SCOTT GRINDE - $44,519 CAROL BALL - $52,159 SHERRY BEHM - $10,545 CONNIE LEWIS - $10,515 JESSICA SCHMIESING - $26,594 CATHERINE LAWRENCE - $20,614 SUSAN CASEY - $25,559 457(F) PLAN DISTRIBUTIONS: SARAH STOESZ - $50,499 DON BOYCHUK - $31,758 CAROL BALL - $51,229 SHERRY BEHM - $5,024 CONNIE LEWIS - $1,531 JESSICA SCHMIESING - $20,700 X 324 FMV X 4192 FMV X 69 903357 STOCK MARKET QUOTES X 3 245 FMV X 21 4770 FMV X GIFT CERT 68 23687 FACE VALUE X MISCELLANEOUS 9 13223 FMV 0 0 1 1 THIRD PARTY USE: PART I, LINE 32B: THE ORGANIZATION USES A STOCK BROKER TO PROCESS DONATED SECURITIES. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE PERFORMS THE FUNCTIONS AND HAS THE POWERS OF THE BOARD IN THE MANAGEMENT OF THE BUSINESS OF THE ORGANIZATION, SUBJECT TO THE GUIDANCE AND LIMITATIONS SET FORTH IN THE BYLAWS. THE EXECUTIVE COMMITTEE PREPARES THE AGENDA FOR EACH BOARD MEETING, IN CONSULTATION WITH THE PRESIDENT AND THE COMMITTEE CHAIRS, AND IS RESPONSIBLE FOR COORDINATING THE PRESIDENT'S PERFORMANCE REVIEW. ALL ACTIONS TAKEN BY THE EXECUTIVE COMMITTEE ARE REPORTED BY PROVIDING THE MINUTES OF THE EXECUTIVE COMMITTEE'S MEETINGS TO THE BOARD MEMBERS AT OR BEFORE THE NEXT BOARD MEETING. THE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIR OF THE BOARD, THE CHAIR-ELECT, IF ANY, THE VICE CHAIR, THE TREASURER, THE SECRETARY, AND THE CHAIRS OF THE GOVERNANCE, DEVELOPMENT, AUDIT AND COMPLIANCE COMMITTEES. FORM 990, PART VI, SECTION A, LINE 6 ANY PERSON, FOUNDATION, CORPORATION OR OTHER ORGANIZATION MAKING A FINANCIAL CONTRIBUTION IS DEEMED TO BE A GENERAL MEMBER OF THE ORGANIZATION. PERSONS WHO RENDER VOLUNTEER SERVICES TO THE ORGANIZATION ON AN REGULAR BASIS ARE ALSO GENERAL MEMBERS FOR THE SAME PERIOD. FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S EXECUTIVE AND FINANCE COMMITTEES, ALONG WITH THE MANAGEMENT TEAM, CONDUCTED A DETAILED REVIEW AND THE TREASURER PRESENTED THE FORM 990 TO THE FULL BOARD PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS, OFFICERS, MANAGEMENT STAFF, AND CLINICIANS WILL COMPLETE A CONFLICT OF DISCLOSURE STATEMENT ANNUALLY TO BE REVIEWED BY THE CHIEF EXECUTIVE OFFICER OR THE BOARD CHAIR. IT IS A CONTINUING RESPONSIBILITY OF COVERED INDIVIDUALS TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE DISCLOSURES FOR POTENTIAL CONFLICTS THROUGHOUT THE YEAR. PRIOR TO BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICTED MEMBER, THE CONFLICTED MEMBER SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. THE CONFLICTED MEMBER SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD OR COMMITTEE'S DISCUSSION EXCEPT TO DISCLOSE FACTS AND TO RESPOND TO QUESTIONS. CONFLICTED MEMBERS SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR THE PURPOSES OF THE VOTE AND SHALL NOT BE PERMITTED TO VOTE. THE MINUTES OF THE MEETING SHALL INCLUDE DETAILS OF THE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 PPMNS UTILIZES AN OUTSIDE COMPENSATION CONSULTANT TO CONDUCT A MARKET ANALYSIS ON CEO COMPENSATION, REPORTING ON BOTH BASE PAY MARKET MEDIAN AND VARIABLE PAY MARKET MEDIAN. THE MARKET ANALYSIS IS FOCUSED ON ORGANIZATIONS THAT MATCH PPMNS IN SIZE, SCOPE, AND REGION. MULTIPLE TYPES OF ORGANIZATIONS ARE USED, PREDOMINANTLY FOCUSED ON HEALTHCARE ORGANIZATIONS, BUT OTHER INDUSTRIES WITH SIMILAR SIZE AND SCOPE ARE ALSO USED IN THE ANALYSIS TO REPRESENT THE COMPLEXITY OF THE PPMNS BUSINESS MODEL. THE DATA IS REVIEWED BY THE PERSONNEL AND COMPENSATION COMMITTEE COMPRISED OF INDEPENDENT PERSONS WHO MAKE A FORMAL RECOMMENDATION TO THE BOARD OF DIRECTORS AS IT RELATES TO ESTABLISHING CEO COMPENSATION. THE FORMAL ANALYSIS IS COMPLETED EVERY THREE YEARS. IN THE OFF CYCLE YEARS, TRENDING DATA IS USED TO DETERMINE MOVEMENT IN CEO PAY AND IS USED IN CONSIDERATION WHEN MAKING ADJUSTMENT RECOMMENDATIONS BY THE PERSONNEL AND COMPENSATION COMMITTEE. THE COMPLETE PROCESS WAS LAST UNDERTAKEN IN 2012. A MARKET ASSESSMENT IS COMPLETED ON ALL EXECUTIVE POSITIONS UTILIZING VARIOUS THIRD-PARTY COMPENSATION SURVEYS (HEWITT, WATSON WYATT, TOWERS, STANTON, PPFA, IHS). THE BENCHMARKING ANALYSIS IS COMPLETED BY THE VICE PRESIDENT OF HUMAN RESOURCES, WHO IS A CERTIFIED COMPENSATION PROFESSIONAL. THE JOB MATCHES AND COMPENSATION DATA IS REVIEWED ANNUALLY BY THE PERSONNEL AND COMPENSATION COMMITTEE OF OUR BOARD OF DIRECTORS. COMPENSATION RECOMMENDATIONS, SPECIFICALLY INCREASES, ARE MADE BY THE CEO BASED ON INDIVIDUAL PERFORMANCE AND POSITION RELATIVE TO THE MARKET MEDIAN. THE PERSONNEL AND COMPENSATION COMMITTEE REVIEWS EXECUTIVE TEAM COMPENSATION AND THE CEO'S RECOMMENDATIONS AND MAKES FINAL RECOMMENDATIONS. ULTIMATELY, THE CEO MAKES THE FINAL DETERMINATION OF SALARY INCREASES. THIS PROCESS WAS LAST UNDERTAKEN IN 2011 FOR THE COO, CFO, VP CLINICAL OPERATIONS, VP EXTERNAL AFFAIRS, MEDICAL DIRECTOR, COMPLIANCE OFFICER AND VP/CHIEF DEVELOPMENT OFFICER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. SUMMARIZED FINANCIAL DATA IS AVAILABLE IN THE ORGANIZATION'S ANNUAL REPORT AVAILABLE ON THE WEBSITE. BOARD MEMBER COMPENSATION FORM 990, PART VII, SECTION A AT DIFFERENT TIMES DURING 2012, MIGDALIA LOYOLA MELENDEZ SERVED ON THE BOARD OF DIRECTORS OF PLANNED PARENTHOOD MINNESOTA, NORTH DAKOTA, SOUTH DAKOTA AND WAS EMPLOYED BY THE ORGANIZATION. SHE TERMINATED HER POSITION ON THE BOARD PRIOR TO BEGINNING HER EMPLOYMENT WITH THE ORGANIZATION. SHE WAS NOT COMPENSATED FOR HER SERVICE AS A DIRECTOR. PLANNED PARENTHOOD OF MN ND SD ACTION FUND 671 VANDALIA STREET ST PAUL MN 55114 411709702 ADVOCACY MN 501(C)(4) N/A PPMNS 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 0 PLANNED PARENTHOOD OF MN ND SD ACTION FUND B 770274 CASH PLANNED PARENTHOOD OF MN ND SD ACTION FUND L 61228 CONTRACT TERMS PLANNED PARENTHOOD OF MN ND SD ACTION FUND O 205120 EMPLOYEE SALARY AND TIME PLANNED PARENTHOOD OF MN ND SD ACTION FUND Q 237017 EMPLOYEE SALARY AND TIME