SOUTHSIDE COMMUNITY HEALTH SERVICES INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHSIDE COMMUNITY HEALTH SERVICES INC (EIN 23-7113799)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-06-30
- IRS object ID
- 201131819349300728
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-06-30T15:47:52-05:00 | 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 | LARSONALLEN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 220 SOUTH SIXTH STREET SUITE 300 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | 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 | 237113799 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHSIDE COMMUNITY HEALTH SERVICES INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 6128223282 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4243 FOURTH AVENUE SOUTH | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55409 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM TENDLE | Name |
| Title | EXECUTIVE DIRECTOR/CEO | Title |
| Phone | 6128223282 | Phone |
| Date Signed | 2011-06-23 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6123764500 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | WILLIAM TENDLE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4243 FOURTH AVENUE SOUTH | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55409 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6565551 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.SOUTHSIDECHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1971 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HIGH QUALITY HEALTH CARE IN THE COMMUNITIES SERVED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 89 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2474324 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2351170 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5679676 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4208792 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 23431 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4032 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 13241 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1557 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8190672 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6565551 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 332532 | 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 | 4958356 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 4817729 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2434110 | OtherExpensePriorYear |
| Other Expenses Current Year | 2274193 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 7724998 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7091922 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 465674 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -526371 | RevenuesLessExpensesCY |
| Total Assets BOY | 3797506 | TotalAssetsBOY |
| Total Assets EOY | 3435459 | TotalAssetsEOY |
| Total Liabilities BOY | 857173 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1021497 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2940333 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2413962 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SOUTHSIDE COMMUNITY HEALTH SERVICES EXISTS TO SERVE THE COMMUNITY BY OFFERING FRIENDLY SUPERIOR QUALITY AND FISCALLY RESPONSIBLE HEALTH SERVICES IN AN ENVIRONMENT THAT FOSTERS LEARNING AND RESPECT. IT DOES THIS THROUGH COLLABORATION AND COMMUNICATION WHICH PATIENTS ACCEPT AS AN OPPORTUNITY TO IMPROVE THEIR HEALTH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3305669 | Expense |
| Revenue | 2725256 | Revenue |
| Description | MEDICALFAMILY PRACTICE INCLUDING SPECIAL PROGRAMS FOR AT RISK POPULATIONS, FAMILY PLANNING, PRENATAL AND PEDIATRICS.SOUTHSIDE COMMUNITY HEALTH SERVICES, INC. (SCHS) IS A 501 (C) 3 NONPROFIT ORGANIZATION AND IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), LOCATED IN SOUTH MINNEAPOLIS. SCHS HAS TWO MEDICAL CLINICS IN MINNEAPOLIS, ONE MEDICAL CLINIC IN STILLWATER AND ONE DENTAL CLINIC IN MINNEAPOLIS. WHILE THE MAJORITY OF PATIENTS COME FROM THE SOUTHSIDE OF MINNEAPOLIS, SCHS DRAWS PATIENTS FROM THROUGHOUT THE TWIN CITIES METROPOLITAN AREA (PATIENTS CAME FROM OVER 74 ZIP CODES). SCHS HAS HAD AN ESSENTIAL COMMUNITY SAFETY NET PROVIDER DESIGNATION FROM THE STATE OF MINNESOTA SINCE 1997. FINALLY, SCHS DOES NOT DISCRIMINATE AGAINST ANY PATIENT BASED ON RACE, COLOR, NATIONAL ORIGIN, DISABILITY, RELIGION, SEXUAL ORIENTATION, AGE, OR ABILITY TO PAY.IN 2010, OUR CLINICS SERVED MOSTLY LOW INCOME AND UNDER-SERVED WOMEN, CHILDREN AND FAMILIES. THESE 10,921 PATIENTS GENERATED 32,367 CLINIC VISITS. IN ADDITION TO THE CLINIC VISITS, OUR OUTREACH ACTIVITIES NOW KNOWN AS Q HEALTH CONNECTIONS, REACHED ANOTHER 10,000 RESIDENTS THROUGH LOCAL HEALTH FAIRS, A VARIETY OF PROGRAMS, AND OTHER COMMUNITY EVENTS. Q HEALTH CONNECTIONS PROVIDES MUCH NEEDED HEALTH EDUCATION AND HEALTH AWARENESS TO MINORITY POPULATIONS SUFFERING DRAMATIC HEALTH OUTCOME DISPARITIES.IN 2010, THE UNINSURED GREW FROM 38.2% TO 45.4%, A RECORD HIGH AT SCHS PRIMARILY CAUSED BY THE ECONOMIC RECESSION AND CONCOMITANT UNEMPLOYMENT WITH ITS ATTENDANT LOSS OF HEALTH INSURANCE COVERAGE. CUTBACKS IN MEDICAID, FURTHER RESULTED IN DIMINISHED REVENUE TO THE CLINICS, BOTH IN MEDICAL AND DENTAL. THE RESULT OF THIS CAUSED A SHORTFALL IN OPERATING REVENUES, NECESSITATING SOME LAYOFFS AND OVER $1.2 IN BUDGET CUTS. TO THE EXTENT POSSIBLE THESE UNINSURED PATIENTSWERE PLACED ON A SLIDING FEE BASED SCHEDULE. 53.1% OF PATIENTS WERE COVERED BY PUBLICLY SUBSIDIZED INSURANCE SUCH AS MNCARE, MEDICAID, SCHIPS AND GENERAL ASSISTANCE MEDICAL CARE (GAMC), AND 9.4% WERE PRIVATELY INSURED. IN 2010, WE EXPECT AN EVEN GREATER PROPORTION OF UNINSURED DUE TO GAMC BEING REDUCED BY TWO-THIRDS AND THE REMAINING ONE-THIRD GOING EXCLUSIVELY TO HOSPITALS. THAT WILL REMOVE ANY GAMC PAYMENTS TO CLINICS.IN 2010, 71% OF OUR PATIENTS WERE AT OR BELOW 200% OF FEDERAL POVERTY LEVEL. IN 2010, SCHS PATIENT CASELOAD REPRESENTED 33.1% CHILDREN AND TEENS AND 66.9% WERE ADULTS. 58.1% OF PATIENTS WERE FEMALE, 41.9% WERE MALE. 23.2% OF PATIENTS WERE BLACK/AFRICAN-AMERICAN; 38.8% WERE HISPANIC/LATINO; 2.8% WERE ASIAN; 0.5% WERE AMERICAN INDIAN 37.5% WERE NON HISPANIC WHITE AND 1.1% WERE OTHER. THE 2010 PATIENT CASELOAD CAME FROM 74 DIFFERENT ZIP CODES. IN 2010, 32.6% OF SCHS PATIENTS WERE IMMIGRANTS, MANY WITH LIMITED ENGLISH SPEAKING ABILITIES AND LITERACY LEVELS, 37 PATIENTS WERE CLASSIFIED AS HOMELESS AND 24 PATIENTS WERE MIGRANTS/SEASONAL WORKERS.IN CONCLUSION, WHILE SCHS HAS LONG SERVED THE POOR AND HISTORICALLY DISENFRANCHISED POPULATIONS WITHIN THE COMMUNITY. FROM 2008-2010, SCHS BEGAN TO SEE THE NUMBERS GROW IN THE UNINSURED AND UNDER INSURED RANKS DUE TO THE UNFORTUNATE IMPACT OF THE ECONOMIC RECESSION AND ITS CONCOMITANT UNEMPLOYMENT. WE FULLY EXPECT THE UNEMPLOYMENT PICTURE TO BE A LAGGING INDICATOR FOR SOME TIME TO COME. THEREFORE, 2011 WILL PROBABLY BE A CONTINUATION OF REDUCED CLINIC INCOME UNDERSCORING THE ADDITIONAL NEED FOR OUTSIDE GRANTS AND OTHER ASSISTANCE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1941307 | Expense |
| Revenue | 1489125 | Revenue |
| Description | DENTALGENERAL DENTAL SERVICES FOR PEOPLE OF ALL AGES. EXPANSION WAS COMPLETED IN LATE 2009 TO ADD TWO DENTAL OPERATORIES. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 284223 | Expense |
| Revenue | 0 | Revenue |
| Description | OUTREACHPUBLIC EDUCATION RELATING TO HEALTH MATTERS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 5531199 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | 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 | 0 | 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 | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | 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 | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | 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 | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 16 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 89 | 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 |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | 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 | 1 | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PATRICIA WIDBOOM | NamePerson |
| Telephone Number | 6128212014 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4243 FOURTH AVENUE SOUTH | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55409 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JIM GALLAGHER | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| VICTOR L M GOMEZ | ||||||||
| INTERIM PRESIDENT | 1.00 | X | 0 | 0 | 0 | |||
| CHAD BLIHOVDE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ANNIE CAMARILLO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| ANITA URVINA DAVIS | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| LANCE HAAKENSTAD | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| NATALIE K G TEJEDA | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| MONICA MURDO | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| RITA SALONE | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| YAA NTI | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| TIM RIDLEY | ||||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |||
| WILLIAM TENDLE | ||||||||
| EXECUTIVE DIRECTOR/CEO | 40.00 | 175813 | 0 | 14640 | X | |||
| PATRICIA WIDBOOM | ||||||||
| CFO | 40.00 | 101750 | 0 | 7426 | X | |||
| DR KARI RABIE | ||||||||
| MEDICAL DIRECTOR | 40.00 | 173308 | 0 | 19035 | X | |||
| DR ROBERT LARBI-ODAM | ||||||||
| PHYSICIAN | 40.00 | 139063 | 0 | 8924 | X | |||
| THOMAS R RESNICK | ||||||||
| DEVELOPMENT DIRECTOR | 40.00 | 134739 | 0 | 4042 | X | |||
| DR RYAN LINDNER | ||||||||
| DENTIST/DENTAL DIRECTOR | 40.00 | 128501 | 0 | 9450 | X | |||
| DR GAURANG BHATT | ||||||||
| DENTIST/DENTAL DIRECTOR | 32.00 | 103185 | 0 | 10074 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 956359 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 73591 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MCGOUGH CONSTRUCTION CO INC | |||||
| 183 UNIVERSITY AVENUE EAST | ST PAUL | MN | 55101 | CONSTRUCTION | 403871 |
| LIFELINE MOBILE INC | |||||
| 2050 MCGAW ROAD | COLUMBUS | OH | 43207 | VEHICLE | 353567 |
| PATTERSON DENTAL SUPPLY INC | |||||
| 1226 NORTH MICHAEL DR G | WOOD DALE | IL | 60191 | DENTAL SUPPLIES / EQUIPMENT | 177577 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Government Grants | 1766467 | GovernmentGrants |
| All Other Contributions | 584703 | AllOtherContributions |
| Total Contributions | 2351170 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT FEES | 621110 | 3374500 | 3374500 |
| FQHC SETTLEMENTS | 621110 | 834292 | 834292 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4208792 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4032 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4032 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 1557 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1557 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1557 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6565551 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4214381 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 491972 | Total |
| Program Services | 172920 | ProgramServices |
| Management And General | 319052 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3494358 | Total |
| Program Services | 2974866 | ProgramServices |
| Management And General | 519492 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63332 | Total |
| Program Services | 45058 | ProgramServices |
| Management And General | 18274 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450892 | Total |
| Program Services | 296938 | ProgramServices |
| Management And General | 153954 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 317175 | Total |
| Program Services | 250887 | ProgramServices |
| Management And General | 66288 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17150 | Total |
| Management And General | 17150 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23966 | Total |
| Management And General | 23966 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 539200 | Total |
| Program Services | 435795 | ProgramServices |
| Management And General | 103405 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23754 | Total |
| Program Services | 900 | ProgramServices |
| Management And General | 22854 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 214525 | Total |
| Program Services | 116507 | ProgramServices |
| Management And General | 98018 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62348 | Total |
| Program Services | 169 | ProgramServices |
| Management And General | 62179 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325510 | Total |
| Program Services | 310379 | ProgramServices |
| Management And General | 15131 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11847 | Total |
| Program Services | 5220 | ProgramServices |
| Management And General | 6627 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7492 | Total |
| Program Services | 3728 | ProgramServices |
| Management And General | 3764 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3770 | Total |
| Management And General | 3770 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310432 | Total |
| Program Services | 260333 | ProgramServices |
| Management And General | 50099 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34501 | Total |
| Program Services | 25563 | ProgramServices |
| Management And General | 8938 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 350321 | 345549 | 4772 |
| BAD DEBTS | 187352 | 187352 | |
| MINNESOTA PROVIDERS TAX | 63987 | 63987 | |
| DUES & SUBSCRIPTIONS | 43705 | 2239 | 41466 |
| BANK FEES | 24142 | 13795 | 10347 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30191 | Total |
| Program Services | 19014 | ProgramServices |
| Management And General | 11177 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7091922 | Total |
| Program Services | 5531199 | ProgramServices |
| Management And General | 1560723 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31461 | BOY |
| EOY | 43968 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 359140 | BOY |
| EOY | 569392 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 264547 | BOY |
| EOY | 505166 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1658132 | BOY |
| EOY | 304704 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9760 | BOY |
| EOY | 30510 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3896002 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1916883 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1471866 | BOY |
| EOY | 1979119 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2600 | BOY |
| EOY | 2600 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3797506 | BOY |
| EOY | 3435459 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 857173 | BOY |
| EOY | 1021497 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 857173 | BOY |
| EOY | 1021497 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2776542 | BOY |
| EOY | 2178962 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 163791 | BOY |
| EOY | 235000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2940333 | BOY |
| EOY | 2413962 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3797506 | BOY |
| EOY | 3435459 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -526371 | ReconcilationRevenueExpenses |
| 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 Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1980510 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1761073 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1610936 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2474324 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2351170 | CurrentTaxYear |
| Total | 10178013 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4716157 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5771606 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4986795 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5679676 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4208792 | CurrentTaxYear |
| Total | 25363026 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6696667 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7532679 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6597731 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8154000 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6559962 | CurrentTaxYear |
| Total | 35541039 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 35541039 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5962 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 39393 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38628 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 23206 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4032 | CurrentTaxYear |
| Total | 111221 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5962 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 39393 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 38628 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 23206 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4032 | CurrentTaxYear |
| Total | 111221 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 473 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 86938 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 57214 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13241 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1557 | CurrentTaxYear |
| Total | 159423 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6703102 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7659010 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6693573 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8190447 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6565551 | CurrentTaxYear |
| Total | 35811683 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99240 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99120 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00310 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00330 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 130543 | OtherCostOrOtherBasis |
| Book Value | 130543 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1406121 | OtherCostOrOtherBasis |
| Depreciation | 425658 | Depreciation |
| Book Value | 980463 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 509690 | OtherCostOrOtherBasis |
| Depreciation | 322328 | Depreciation |
| Book Value | 187362 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1849648 | OtherCostOrOtherBasis |
| Depreciation | 1168897 | Depreciation |
| Book Value | 680751 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1979119 | TotalOfBookValueLandBuildings |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | THE ORGANIZATION FOLLOWS THE GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S CONSOLIDATED FINANCIAL STATEMENTS. THE GUIDANCE FURTHER PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE APPLICATION OF THIS STANDARD HAS NO IMPACT ON THE ORGANIZATION'S 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 2007 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, STATE AND LOCAL AUTHORITIES. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| 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 | 1 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM TENDLE | |||||||||||||
| 139761 | 0 | 31779 | 0 | 4273 | 0 | 4566 | 0 | 10074 | 0 | 190453 | 0 | 0 | 0 |
| DR KARI RABIE | |||||||||||||
| 172375 | 0 | 933 | 0 | 0 | 0 | 4226 | 0 | 14809 | 0 | 192343 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 5 | ReturnReference |
| Explanation | THE DEVELOPMENT DIRECTOR RECEIVES AN INCENTIVE BASED ON REVENUES. HE RECEIVES A 5% INCENTIVE ON ALL NON-GOVERNMENTAL GRANT REVENUES FOR PROGRAM SERVICES SUPPORT. HE RECEIVES A FLAT $5,000 FOR EACH GOVERNMENTAL GRANT. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE CEO PROVIDED A COPY OF THE FORM 990 TO ALL BOARD MEMBERS FOR REVIEW. ALL QUESTIONS WERE ANSWERED AT A BOARD MEETING BEFORE THE 990 WAS APPROVED BY THE BOARD. THE FORM 990 WAS THEN FILED. | |
| CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE UPDATED ANNUALLY FOR ALL BOARD MEMBERS AND EMPLOYEES. ANY CONFLICT OF INTERST MUST BE IMMEDIATELY DISCLOSED TO THE EXECUTIVE DIRECTOR IN WRITING. NO MEMBER OF THE BOARD MAY VOTE ON MATTERS ON ANY AREA WHERE THEY MAY RECEIVE FINANCIAL GAIN OR WHICH MAY CONFLICT WITH MEMBERS OBLIGATIONS. | FORM 990, PART VI, SECTION B, LINE 12C | |
| IN 2010, THE EXECUTIVE COMMITTEE USED EXECUTIVE SALARY SURVEYS FOR COMPARABILITY PURPOSES TO UPDATE THE EXECUTIVE DIRECTOR/CEO'S COMPENSATION. THE DECISION OF THE EXECUTIVE COMMITTEE WAS ALSO REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS. THE PROCESS WAS CONTEMPORANEOUSLY SUBSTANTIATED. IN 2010, THE EXECUTIVE DIRECTOR REVIEWED AND APPROVED THE COMPENSATION FOR THE OTHER OFFICERS, USING A MARKET SURVEY CONDUCTED BY AN OUTSIDE H.R. CONSULTANT FOR COMPARABILITY PURPOSES. THE PROCESS INCLUDED COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION, BUT DID NOT INCLUDE REVIEW AND APPROVAL BY INDEPENDENT PERSONS. | FORM 990, PART VI, SECTION B, LINE 15 | |
| THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Q FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4243 4TH AVENUE SOUTH | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55409 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260138861 | EIN |
| Primary Activities | COMMUNITY HEALTH & WELLNESS | PrimaryActivities |
| Legal Domicile State | MN | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | LINE 11A, I | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | 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 | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | 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 | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
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