MVNA: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MVNA (EIN 41-0693895)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-07-13
- IRS object ID
- 201101949349300710
- Schema version
- 2010v3.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-07-13T10:57:37-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5601 GREEN VALLEY DRIVE STE 700 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 554371145 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410693895 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINNESOTA VISITING NURSE AGENCY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MINN | NameControl |
| Phone | 6126174600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3433 BROADWAY STREET NE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55413 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEN VAN LIEW | Name |
| Title | CEO | Title |
| Phone | 6126174600 | Phone |
| Date Signed | 2011-07-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KIM HUNWARDSEN CPA | Name |
| Phone | 9529446166 | Phone |
| Date Prepared | 2011-07-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | JEN VAN LIEW | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3433 BROADWAY STREET NE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55413 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 14467783 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.MVNA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1952 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | HOME HEALTH & COMMUNITY NURSING SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 493 | TotalNbrEmployees |
| Total Nbr Volunteers | 105 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1737926 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1316743 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13820410 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12654861 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -66689 | InvestmentIncomePriorYear |
| Investment Income Current Year | 50884 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 10681 | OtherRevenuePriorYear |
| Other Revenue Current Year | -13956 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15502328 | TotalRevenuePriorYear |
| Total Revenue Current Year | 14008532 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10638259 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10438758 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 48273 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 103822 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4297753 | OtherExpensePriorYear |
| Other Expenses Current Year | 4041363 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14936012 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14528394 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 566316 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -519862 | RevenuesLessExpensesCY |
| Total Assets BOY | 7403141 | TotalAssetsBOY |
| Total Assets EOY | 7230424 | TotalAssetsEOY |
| Total Liabilities BOY | 1941277 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 2171752 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5461864 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 5058672 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDE COMPREHENSIVE AND CULTURALLY COMPETENT COMMUNITY HEALTH AND RELATED SERVICES IN COLLABORATION WITH PUBLIC HEALTH AND HEALTH SERVICE PROVIDERS TO ENSURE A HEALTHY FUTURE FOR MINNESOTA RESIDENTS. OUR WORK IS HOLISTIC SERVING THE INDIVIDUAL, FAMILY, AND COMMUNITY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3987981 | Expense |
| Revenue | 3007773 | Revenue |
| Description | HOME HEALTH SERVICES ARE PROVIDED TO ADULT AND ELDERLY ILL OR DISABLED CLIENTS. MVNA IS CONSIDERED A SAFETY NET FOR THESE CLIENTS, MOST OF WHOM ARE UNINSURED OR UNDERINSURED AND LIVE IN ABJECT POVERTY. CERTIFIED PUBLIC HEALTH, REGISTERED, AND LICENSED PRACTICAL NURSES IMPLEMENT AND COORDINATE DOCTORS' ORDERS FOR SPECIALIZED CARE AND PROVIDE EDUCATIONAL SUPPORT ABOUT DISEASE MANAGEMENT, SYMPTOM CONTROL AND MEDICATION MANAGEMENT. MVNA HOME HEALTH NURSES EDUCATE THE CLIENT ON HOW TO PERFORM SELF-CARE WITH TECHNICAL PROCEDURES IF THE CLIENT IS ABLE TO DO SO. OTHER SERVICES INCLUDE PHARMACIST FOR MEDICATION REVIEW; THERAPIES: PHYSICAL, OCCUPATIONAL, AND SPEECH; AND HOME HEALTH AIDES FOR PERSONAL CARE: BATHING, GROOMING, DRESSING AND HOMEMAKING. MVNA HOME HEALTH STAFF PROVIDED 31,752 VISITS SERVING 1,531 CLIENTS IN 2010. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3007174 | Expense |
| Revenue | 3256544 | Revenue |
| Description | FAMILY HEALTH SERVICES PROVIDE DIRECT HANDS-ON CARE BY CERTIFIED PUBLIC HEALTH NURSES FOR WOMEN AND CHILDREN. THOUSANDS OF VISITS ARE MADE ANNUALLY TO ASSIST HIGH-RISK PREGNANT WOMEN, WOMEN WITH NEWBORNS, CHRONICALLY ILL CHILDREN, CHILDREN WHO ARE ABUSED OR AT-RISK OF ABUSE, OR SUFFERING FROM LEAD EXPOSURE IN THEIR NEIGHBORHOOD. MVNA IS CONSIDERED A SAFETY-NET FOR MANY OF THESE FAMILIES WHO ARE IN ABJECT POVERTY. MVNA MATERNAL AND CHILD HEALTH STAFF PROVIDED 23,398 VISITS SERVING 5,532 CLIENTS IN 2010. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2486962 | Expense |
| Revenue | 3315336 | Revenue |
| Description | MVNA PARTNERS WITH MANY CORPORATIONS, OFFERING COMPREHENSIVE WELLNESS SERVICES DESIGNED TO MEET THE EMPLOYEE'S AND EMPLOYER'S NEEDS. SERVICES INCLUDE ANNUAL FLU SHOT CLINICS, VARIOUS WELLNESS SCREENINGS: CHOLESTEROL, DIABETES, BLOOD PRESSURE, AS WELL AS EMPLOYEE TRAINING COURSES FOR CPR, FIRST AID AND AED. PROCEEDS FROM THESE SERVICES HELP TO SUPPORT CARE GIVEN TO ILL AND DISABLED ADULTS AND FAMILIES AND CHILDREN IN NEED THROUGH MVNA'S HOME HEALTH AND FAMILY HEALTH PROGRAMS. IT ALSO SUPPORTS CLUB 100'S ADMINISTRATION WHICH PROVIDES MATERIAL GOODS TO CLIENTS IN ABJECT POVERTY. MNVA PROVIDED 117,380 VACCINATIONS IN 2010. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2723110 | Expense |
| Revenue | 3075208 | Revenue |
| Description | ORGANIZATION ALSO PROVIDES PERSONAL CARE ATTENDANT ASSESSMENTS, INTERPRETER SERVICES AND CLUB 100 AND 101 ASSISTANCE. CLUB 100 AND 101 INCLUDE GOODS THAT HAVE BEEN DONATED TO THE ORGANIZATION FOR THE ORGANIZATION TO PROVIDE TO NEEDY INDIVIDUALS THEY SERVE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2723110 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 3075208 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 12205227 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 1 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 9 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 493 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LORI DOEHNE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6126174613 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3433 BROADWAY ST NE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55413 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JOAN CAMPBELL | ||||||||
| CHAIR | 1.00 | X | X | 0 | 0 | 0 | ||
| ALAN NORDBY | ||||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | ||
| REBECCA ENOS | ||||||||
| SECRETARY | 1.00 | X | X | 0 | 0 | 0 | ||
| CAROL BACKSTROM | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DR MICHAEL BELZER | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| PAMELA K CASELUIS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| FRED CHUTE JR | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| JEANETE TAYLOR JONES | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| LEE GREENFIELD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| ROB GRUNEWALD | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| KIMBERLY KING | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARIE MANTHEY | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DR ROBERTA MEYERS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SANDRA MIDDENDORF | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DANIELLE NISKA | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DIANA VANCE-BRYAN | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| REV MARLENE WHITERABBIT | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARY TAMBORNINO | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| DIANE BARTELS | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| SUE SCHETTLE | ||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |||
| MARY ANN BLADE | ||||||||
| CHIEF EXECUTIVE OFFICER | 50.00 | X | 260310 | 0 | 6868 | |||
| LORI DOEHNE | ||||||||
| CHIEF FINANCIAL OFFICER | 50.00 | X | 97161 | 0 | 15063 | |||
| LISA ABICHT-SWENSEN | ||||||||
| VP OF HOME HEALTH & HOSPICE | 35.00 | 83871 | 78142 | 23114 | X | |||
| CHRIS BLADE | ||||||||
| DIRECTOR OF IT AND BILLING | 45.00 | 105127 | 0 | 6546 | X | |||
| MARY CARROLL | ||||||||
| VP OF CORPORATE HEALTH | 50.00 | 97944 | 0 | 12941 | X | |||
| KAYE STENNES | ||||||||
| VP OF FAMILY HEALTH AND PCA | 50.00 | 95406 | 0 | 13573 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 546469 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 78142 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 51591 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| RESIDENTIAL THERAPEUTICS INC | |||||
| 1120 ESTHER LANE SE | OWATONNA | MN | 55060 | THERAPY SERVICES | 257363 |
| ACCOUNTEMPS | |||||
| 800 NICOLLET MALL SUITE 2700 | MINNEAPOLIS | MN | 55402 | TEMPORARY STAFFING | 138685 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Federated Campaigns | 680620 | FederatedCampaigns |
| Fundraising Events | 42673 | FundraisingEvents |
| Related Organizations | 306402 | RelatedOrganizations |
| All Other Contributions | 287048 | AllOtherContributions |
| Noncash Contributions | 264008 | NoncashContributions |
| Total Contributions | 1316743 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT SERVICE RE | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 12654861 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12654861 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12654861 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 61509 | TotalRevenueColumn |
| Exclusion | $61,509 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 404070 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 414695 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -10625 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10625 | TotalRevenueColumn |
| Exclusion | -$10,625 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 30600 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 42673 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 44556 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -13956 | TotalRevenueColumn |
| Exclusion | -$13,956 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14008532 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12654861 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $36,928 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 458456 | Total |
| Management And General | 458456 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111922 | Total |
| Program Services | 111922 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7982054 | Total |
| Program Services | 7301959 | ProgramServices |
| Management And General | 655505 | ManagementAndGeneral |
| Fundraising | 24590 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265812 | Total |
| Program Services | 246542 | ProgramServices |
| Management And General | 18525 | ManagementAndGeneral |
| Fundraising | 745 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 948182 | Total |
| Program Services | 875423 | ProgramServices |
| Management And General | 69695 | ManagementAndGeneral |
| Fundraising | 3064 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 672332 | Total |
| Program Services | 584415 | ProgramServices |
| Management And General | 86068 | ManagementAndGeneral |
| Fundraising | 1849 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23266 | Total |
| Management And General | 23266 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63913 | Total |
| Management And General | 63913 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62000 | Total |
| Management And General | 62000 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48273 | Total |
| Fundraising | 48273 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1093055 | Total |
| Program Services | 853627 | ProgramServices |
| Management And General | 224479 | ManagementAndGeneral |
| Fundraising | 14949 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1323872 | Total |
| Program Services | 1192944 | ProgramServices |
| Management And General | 124043 | ManagementAndGeneral |
| Fundraising | 6885 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71392 | Total |
| Program Services | 51805 | ProgramServices |
| Management And General | 19264 | ManagementAndGeneral |
| Fundraising | 323 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 438133 | Total |
| Program Services | 218927 | ProgramServices |
| Management And General | 218733 | ManagementAndGeneral |
| Fundraising | 473 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 280028 | Total |
| Program Services | 277290 | ProgramServices |
| Management And General | 2484 | ManagementAndGeneral |
| Fundraising | 254 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 70432 | Total |
| Program Services | 40366 | ProgramServices |
| Management And General | 29988 | ManagementAndGeneral |
| Fundraising | 78 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1186 | Total |
| Management And General | 1186 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174628 | Total |
| Program Services | 29619 | ProgramServices |
| Management And General | 145009 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59211 | Total |
| Program Services | 51715 | ProgramServices |
| Management And General | 7184 | ManagementAndGeneral |
| Fundraising | 312 | Fundraising |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MISCELLANEOUS | 280247 | 268673 | 9547 | 2027 |
| BAD DEBT EXPENSE | 100000 | 100000 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14528394 | Total |
| Program Services | 12205227 | ProgramServices |
| Management And General | 2219345 | ManagementAndGeneral |
| Fundraising | 103822 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1236658 | BOY |
| EOY | 625542 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 739639 | BOY |
| EOY | 636070 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2647560 | BOY |
| EOY | 2551713 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 314660 | BOY |
| EOY | 557667 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1551699 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1074526 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 414655 | BOY |
| EOY | 477173 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1901728 | BOY |
| EOY | 2382259 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 148241 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7403141 | BOY |
| EOY | 7230424 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1865203 | BOY |
| EOY | 1760526 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36986 | BOY |
| EOY | 59583 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39088 | BOY |
| EOY | 351643 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1941277 | BOY |
| EOY | 2171752 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4588889 | BOY |
| EOY | 4259344 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 717485 | BOY |
| EOY | 643838 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155490 | BOY |
| EOY | 155490 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5461864 | BOY |
| EOY | 5058672 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7403141 | BOY |
| EOY | 7230424 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -519862 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 116670 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1240585 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1223085 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1383642 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1746819 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1317693 | CurrentTaxYear |
| Total | 6911824 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1240585 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1223085 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1383642 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1746819 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1317693 | CurrentTaxYear |
| Total | 6911824 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 446206 | AmountsSubstContributorsTotal |
| Public Support Total170 | 6465618 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 26585 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 44284 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 46701 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 25747 | CurrentTaxYearMinus1Year |
| Current Tax Year | 61509 | CurrentTaxYear |
| Total | 204826 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 7116650 | TotalSupport |
| Gross Receipts From Admissions Etc | 65772588 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.90850 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.95340 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $62,000 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 62000 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF OTHER LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1I: | ReturnReference |
| Explanation | MVNA ENGAGES INDEPENDENT CONTRACTORS WHO MEET WITH AND INFLUENCE LEGISLATORS, GOVERNMENT OFFICIALS, AND OTHERS ON THEIR BEHALF. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 155490 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 22778 | InvestmentEarningsOrLosses |
| Other Expenditures | 22778 | OtherExpenditures |
| End Of Year Balance | 155490 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 155490 | BeginningOfYearBalance |
| End Of Year Balance | 155490 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 155490 | BeginningOfYearBalance |
| End Of Year Balance | 155490 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 156764 | OtherCostOrOtherBasis |
| Book Value | 156764 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1274935 | OtherCostOrOtherBasis |
| Depreciation | 1074526 | Depreciation |
| Book Value | 200409 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 120000 | OtherCostOrOtherBasis |
| Book Value | 120000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 477173 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE OBLIGATION | $114,131 |
| ESTIMATED THIRD-PARTY PAYOR | $120,473 |
| DUE TO RELATED PARTY | $117,039 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 351643 | TotalOfAmounts |
| Total Revenue | 14008532 | TotalRevenue |
| Total Expenses | 14528394 | TotalExpenses |
| Excess Or Deficit For Year | -519862 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 116670 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 116670 | TotalAdjustments |
| Excess Or Deficit Per FS | -403192 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 13997858 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 116670 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 60855 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 725878 | OtherRevenues |
| Revenue Not Rptd F990 | 903403 | RevenueNotRptdF990 |
| Revenue Subtotal | 13094455 | RevenueSubtotal |
| Other Revenues Not Included | 914077 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 914077 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 14008532 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 14633805 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 60855 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 44556 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 105411 | ExpensesNotRptdF990 |
| Expenses Subtotal | 14528394 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 14528394 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE PERMANENT ENDOWMENT HELD BY THE ORGANIZATION, AS SHOWN IN LINES 1 AND 2, IS RESTRICTED TO INVESTMENTS TO BE HELD IN PERPETUITY. THE INVESTMENT INCOME FROM THIS ENDOWMENT IS EXPENDABLE TO SUPPORT VARIOUS HEALTH CARE SERVICES. ANY INVESTMENT INCOME FROM THE ENDOWMENTS HELD BY AN UNRELATED ORGANIZATION, AND NOT SHOWN ON LINES 1 AND 2, ARE RESTRICTED TO SCHOLARSHIPS AND GENERAL OPERATING PURPOSES. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | THE ORGANIZATION UNDERGOES AN ANNUAL ANALYSIS OF ITS VARIOUS TAX POSITIONS, ASSESSING THE LIKELIHOOD OF THOSE POSITIONS BEING UPHELD UPON EXAMINATION WITH RELEVANT TAX AUTHORITIES. AS OF DECEMBER 31, 2010 AND 2009, NO AMOUNTS WERE RECORDED AS A RESULT OF THIS ANALYSIS. IF THE ORGANIZATION IS SUBJECT TO INTEREST OR PENALTIES ON UNDERPAID INCOME TAXES, THEY WILL BE RECORDED AS INCOME TAX EXPENSE. THE ORGANIZATION IS SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES ON ANY PREVIOUS RETURNS. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | NET ASSETS RELEASED FROM RESTRICTIONS RECORDED AS REVENUE FOR FINANCIAL STMT 725,878. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CONTRIBUTIONS RECORDED IN FUND BALANCE FOR FINANCIAL STATEMENTS 629,446. TRANSFER FROM RELATED PARTY RECORDED IN FUND BALANCE FOR FINANCIAL STATEMENT 306,402. SPECIAL EVENT EXPENSES RECORDED IN EXPENSES FOR FINANCIAL STATEMENTS -44,556. INTEREST INCOME RECORDED IN FUND BALANCE FOR FINANCIAL STATEMENTS 22,785. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSES RECORDED IN EXPENSES FOR FINANCIAL STATEMENTS 44,556. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | X | MailSolicitations |
| Email Solicitations | X | EmailSolicitations |
| Phone Solicitations | X | PhoneSolicitations |
| In Person Solicitations | X | InPersonSolicitations |
| Solicitation Of Non Govt Grants | X | SolicitationOfNonGovtGrants |
| Solicitation Of Govt Grants | X | SolicitationOfGovtGrants |
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | 1 | AgreementRefFundraising |
Fundraiser Activity Information FundraiserActivityInformation (2 entries)
| Name Of IndividualNameOfIndividual | Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | ActivityActivity | Fundraiser Control Of FundsFundraiserControlOfFunds | Gross ReceiptsGrossReceipts | Amount Retained By ContractorAmountRetainedByContractor | Net To OrganizationNetToOrganization |
|---|---|---|---|---|---|---|---|---|---|
| JACKIE JONES | PO BOX 2008 | MAPLE GROVE | MN | 55311 | EVENT PLANNER | 0 | 42673 | 19273 | 23400 |
| SUE KLASEUS | 150 2ND STREET NE | MINNEAPOLIS | MN | 55413 | COORDINATE FUNDRAISING EFFORTS | 0 | 0 | 29000 | -29000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | 42673 | TotalGrossReceipts |
| Total Retained By Contractors | 48273 | TotalRetainedByContractors |
| Total Net To Organization | -5600 | TotalNetToOrganization |
| Licensed States | MN | LicensedStates |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | BREAKFAST | NameOfEvent1 |
| Gross Receipts Event1 | 73273 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 42673 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 30600 | GrossRevenueEvent1 |
| Rent Facility Costs Event1 | 800 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 16096 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 13262 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 14398 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 73273 | GrossReceiptsTotal |
| Charitable Contributions Total | 42673 | CharitableContributionsTotal |
| Gross Revenue Total Events | 30600 | GrossRevenueTotalEvents |
| Rent Facility Costs Total Events | 800 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 16096 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 13262 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 14398 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 44556 | DirectExpenseSummaryEvents |
| Net Income Summary | -13956 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MARY ANN BLADE | |||||||||||||
| 240310 | 0 | 20000 | 0 | 0 | 0 | 0 | 0 | 7076 | 0 | 267386 | 0 | 0 | 0 |
| LISA ABICHT-SWENSEN | |||||||||||||
| 83871 | 78142 | 0 | 0 | 0 | 0 | 6675 | 1412 | 3882 | 12027 | 94428 | 91581 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHRIS BLADE | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER OF CEO | Relationship |
| Amount Of Transaction | 111673 | AmountOfTransaction |
| Description Of Transaction | EMPLOYEE | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 257106 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 6 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 1509 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | MISCELLANEOUS | Description |
| Number Of Contributions | 93 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 5393 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | THE ORGANIZATION DID NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY DURING THE YEAR. | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE ORGANIZATION PRESENTS THE RETURN TO THE FINANCE COMMITTEE FOR REVIEW AND RECOMMENDATIONS. THE RETURN IS THEN PRESENTED TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. | |
| THE CONFLICT OF INTEREST POLICY COVERS OFFICERS, DIRECTORS AND KEY EMPLOYEES. A DOCUMENT IS SIGNED ANNUALLY. THE FORMS ARE REVIEWED BY THE CEO. IF A BOARD MEMBER IS AWARE OF A CONFLICT, HE OR SHE IS EXPECTED TO INFORM THE ORGANIZATION AND REFRAIN FROM VOTING ON MATTERS AFFECTED BY THE CONFLICT. | FORM 990, PART VI, SECTION B, LINE 12C | |
| THE PROCESS FOR DETERMINING COMPENSATION IS FOR THE CEO, CFO AND OTHER EMPLOYEES. THE ORGANIZATION'S HUMAN RESOURCES DIRECTOR RESEARCHES AND IDENTIFIES COMPARABLE SALARY RANGES USING VARIOUS RESOURCES AND PROVIDES THAT INFORMATION TO THE BOARD. SALARY SCHEDULES FOR EACH CLASSIFICATION ARE ESTABLISHED ANNUALLY BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE SALARY OF THE CEO OR CFO MUST BE WITHIN THE RANGE ESTABLISHED FOR THE CLASSIFICATION IN WHICH THEY ARE EMPLOYED. THIS SALARY ANALYSIS AND REVIEW PROCESS IS DOCUMENTED ON AN ANNUAL BASIS. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| IN ADDITION TO THE HOURS SERVED AT MINNESOTA VISITING NURSE AGENCY, THE FOLLOWING INDIVIDUALS ALSO SERVED TIME AT HOSPICE OF THE TWIN CITIES, A RELATED ORGANIZATION: DR. MICHAEL BELZER 1 HOUR PER WEEK JEANETE TAYLOR JONES 1 HOUR PER WEEK KIMBERLY KING 1 HOUR PER WEEK DIANE BARTELS 1 HOUR PER WEEK MARY ANN BLADE 1 HOUR PER WEEK LISA ABICHT-SWENSEN 15 HOURS PER WEEK | FORM 990, PART VII: | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 116,670. | FORM 990, PART XI, LINE 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF THE TWIN CITIES INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10405 SIXTH AVENUE NORTH SUITE 250 | AddressLine1 |
| City | PLYMOUTH | City |
| State | MN | State |
| ZIP Code | 55441 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030464240 | EIN |
| Primary Activities | HOSPICE CARE | PrimaryActivities |
| Legal Domicile State | DE | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 9 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 1 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HOSPICE OF THE TWIN CITIES INC | ||
| C | 306402 | AMOUNT RECORDED IN GENERAL LEDGER |
| HOSPICE OF THE TWIN CITIES INC | ||
| K | 217355 | AMOUNT RECORDED IN GENERAL LEDGER |
| HOSPICE OF THE TWIN CITIES INC | ||
| L | 95708 | AMOUNT RECORDED IN GENERAL LEDGER |
| HOSPICE OF THE TWIN CITIES INC | ||
| E | 117039 | AMOUNT RECORDED IN GENERAL LEDGER |