2011-06-30T15:47:52-05:00 2010-12-31 LARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2010-01-01 237113799 SOUTHSIDE COMMUNITY HEALTH SERVICES INC SOUT 6128223282 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 WILLIAM TENDLE 6128223282 2011-06-23 1 6123764500 2010 2016-02-24 21:20:13Z WILLIAM TENDLE 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 6565551 0 X WWW.SOUTHSIDECHS.ORG X 1971 MN TO PROVIDE HIGH QUALITY HEALTH CARE IN THE COMMUNITIES SERVED. 11 11 89 0 0 0 2474324 2351170 5679676 4208792 23431 4032 13241 1557 8190672 6565551 332532 0 0 0 4958356 4817729 0 0 0 2434110 2274193 7724998 7091922 465674 -526371 3797506 3435459 857173 1021497 2940333 2413962 X 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. 0 0 3305669 2725256 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. 1941307 1489125 DENTALGENERAL DENTAL SERVICES FOR PEOPLE OF ALL AGES. EXPANSION WAS COMPLETED IN LATE 2009 TO ADD TWO DENTAL OPERATORIES. 284223 0 OUTREACHPUBLIC EDUCATION RELATING TO HEALTH MATTERS. 5531199 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 16 0 1 89 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X PATRICIA WIDBOOM 6128212014 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 JIM GALLAGHER 1.00 X 0 0 0 VICTOR L M GOMEZ 1.00 X 0 0 0 CHAD BLIHOVDE 1.00 X 0 0 0 ANNIE CAMARILLO 1.00 X 0 0 0 ANITA URVINA DAVIS 1.00 X 0 0 0 LANCE HAAKENSTAD 1.00 X 0 0 0 NATALIE K G TEJEDA 1.00 X 0 0 0 MONICA MURDO 1.00 X 0 0 0 RITA SALONE 1.00 X 0 0 0 YAA NTI 1.00 X 0 0 0 TIM RIDLEY 1.00 X 0 0 0 WILLIAM TENDLE 40.00 X 175813 0 14640 PATRICIA WIDBOOM 40.00 X 101750 0 7426 DR KARI RABIE 40.00 X 173308 0 19035 DR ROBERT LARBI-ODAM 40.00 X 139063 0 8924 THOMAS R RESNICK 40.00 X 134739 0 4042 DR RYAN LINDNER 40.00 X 128501 0 9450 DR GAURANG BHATT 32.00 X 103185 0 10074 956359 0 73591 7 0 1 0 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 3 1766467 584703 2351170 PATIENT FEES 621110 3374500 3374500 FQHC SETTLEMENTS 621110 834292 834292 4208792 4032 4032 MISCELLANEOUS INCOME 900099 1557 1557 1557 6565551 4214381 0 0 491972 172920 319052 3494358 2974866 519492 63332 45058 18274 450892 296938 153954 317175 250887 66288 17150 17150 23966 23966 539200 435795 103405 23754 900 22854 214525 116507 98018 62348 169 62179 325510 310379 15131 11847 5220 6627 7492 3728 3764 3770 3770 310432 260333 50099 34501 25563 8938 MEDICAL SUPPLIES 350321 345549 4772 BAD DEBTS 187352 187352 MINNESOTA PROVIDERS TAX 63987 63987 DUES & SUBSCRIPTIONS 43705 2239 41466 BANK FEES 24142 13795 10347 30191 19014 11177 7091922 5531199 1560723 0 31461 43968 359140 569392 264547 505166 1658132 304704 9760 30510 3896002 1916883 1471866 1979119 2600 2600 3797506 3435459 857173 1021497 857173 1021497 X 2776542 2178962 163791 235000 2940333 2413962 3797506 3435459 -526371 X 0 1 1 X 1 1 X 1980510 1761073 1610936 2474324 2351170 10178013 4716157 5771606 4986795 5679676 4208792 25363026 6696667 7532679 6597731 8154000 6559962 35541039 0 0 0 35541039 5962 39393 38628 23206 4032 111221 5962 39393 38628 23206 4032 111221 473 86938 57214 13241 1557 159423 6703102 7659010 6693573 8190447 6565551 35811683 0.99240 0.99120 0.00310 0.00330 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 130543 130543 1406121 425658 980463 509690 322328 187362 1849648 1168897 680751 1979119 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. X X X 0 0 0 1 0 0 0 0 0 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 PART I, LINE 5 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. 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. FORM 990, PART VI, SECTION B, LINE 12C 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 15 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 C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. Q FOUNDATION INC 4243 4TH AVENUE SOUTH MINNEAPOLIS MN 55409 260138861 COMMUNITY HEALTH & WELLNESS MN 501(C)(3) LINE 11A, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0