WEST SIDE COMMUNITY HEALTH SERVICES INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- WEST SIDE COMMUNITY HEALTH SERVICES INC (EIN 23-7156236)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-17
- IRS object ID
- 202612309349301696
- Schema version
- 2024v5.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-17T17:46:46-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 410746749 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLIFTONLARSONALLEN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 WEST BRIDGE STREET | AddressLine1Txt |
| City | OWATONNA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237156236 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST SIDE COMMUNITY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 6516027500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 CESAR CHAVEZ STREET | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 551072226 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RENEE LEINBACH | PersonNm |
| Person Title | INTERIM PRESIDENT & EXEC. OFFICER | PersonTitleTxt |
| Phone | 6516027500 | PhoneNum |
| Signature | 2026-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUSTIN HARTERT | PreparerPersonNm |
| PTIN | P02236744 | PTIN |
| Phone | 5074467100 | PhoneNum |
| Preparation | 2026-08-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MINNESOTA COMMUNITY CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RENEE LEINBACH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 CESAR CHAVEZ STREET | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 551072226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $45,263,073 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MNCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | MCC PROVIDES MULTILINGUAL, MULTICULTURAL AND COMPREHENSIVE HEALTH CARE IN URBAN NEIGHBORHOODS, SCHOOLS, PUBLIC HOUSING AND HOMELESS SHELTERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 445 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,879,059 | PYContributionsGrantsAmt |
| CY Contributions Grants | $17,934,667 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $32,889,840 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,819,790 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$501,084 | PYInvestmentIncomeAmt |
| CY Investment Income | $785,302 | CYInvestmentIncomeAmt |
| PY Other Revenue | $692,184 | PYOtherRevenueAmt |
| CY Other Revenue | $723,314 | CYOtherRevenueAmt |
| PY Total Revenue | $45,959,999 | PYTotalRevenueAmt |
| CY Total Revenue | $45,263,073 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $668,380 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $661,207 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,404,885 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,978,209 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,738,655 | PYOtherExpensesAmt |
| CY Other Expenses | $20,979,567 | CYOtherExpensesAmt |
| PY Total Expenses | $51,811,920 | PYTotalExpensesAmt |
| CY Total Expenses | $49,618,983 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$5,851,921 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$4,355,910 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $23,456,237 | TotalAssetsBOYAmt |
| Total Assets EOY | $15,787,784 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $21,653,173 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $18,425,457 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,803,064 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,637,673 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MINNESOTA COMMUNITY CARE'S MISSION IS STRENGTHENING THE WELL-BEING OF OUR COMMUNITY THROUGH HEALTH CARE FOR ALL. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $27,648,834 | ExpenseAmt |
| Grant | $661,207 | GrantAmt |
| Revenue | $18,073,853 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTH CARE AND SOCIAL SERVICES WITH BILINGUAL/BICULTURAL STAFF ON A SLIDING FEE SCALE. SERVICES INCLUDE PRIMARY, SPECIALTY, PREVENTIVE, ACUTE CARE, PHARMACY, DENTAL, MIDWIFERY, MENTAL AND BEHAVIORAL HEALTH, SOCIAL AND WRAP-AROUND SERVICES SUCH AS TRANSPORTATION AND ASSISTANCE WITH HEALTH PLAN ENROLLMENT. WE ARE PROUD TO SERVE OVER 29,000 PATIENTS EACH YEAR. WE SERVE THE DIVERSE ST. PAUL METRO AREA COMMUNITY - PARTICULARLY THE LATINO AND HMONG POPULATIONS, ST. PAUL PUBLIC HOUSING RESIDENTS, THE UNSHELTERED, AND ADOLESCENTS - IN A SERVICE AREA THAT INCLUDES A SIGNIFICANT PORTION OF THE CITY OF ST. PAUL AND RAMSEY COUNTY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,949,833 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,581,979 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES PREVENTIVE, RESTORATIVE, AND EMERGENCY DENTAL SERVICES AT EAST SIDE FAMILY DENTAL CLINIC. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,899,667 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $5,163,958 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES COMPREHENSIVE PHARMACY SERVICES INCLUDING MEDICATION DISPENSING AND MEDICATION THERAPY MANAGEMENT (MTM). MTM GOES BEYOND THE STANDARD COUNSELING ASSOCIATED WITH RECEIVING A NEW PRESCRIPTION, WORKING DIRECTLY WITH DOCTORS TO ENSURE THAT ALL MEDICATION NEEDS ARE BEING MET. UNINSURED PATIENTS RECEIVE SLIDING SCALE DISCOUNTS BASED UPON INCOME AND LOWER PRICED MEDICATIONS. WHEN PRICES STILL REMAIN TOO HIGH, PHARMACISTS AID PATIENTS IN RECEIVING MEDICATION THROUGH MANUFACTURER PATIENT ASSISTANCE PROGRAMS, WHICH PROVIDES FREE MEDICATION TO QUALIFYING UNINSURED PATIENTS, OR THROUGH THE DISPENSING OF SAMPLE MEDICATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $39,498,334 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 445 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RENEE LEINBACH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6516027500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 CESAR CHAVEZ ST | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55107 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| CORDELL HARDY | |||||||||
| BOARD CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DANIEL RODRIGUEZ | |||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JANA NINCOVIK | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SARAH DELFOSSE | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CALLIE CHAMBERLAIN | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| AMELIA HARDY | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JESSICA NICKRAND | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR ARNOLD LONDON | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CHESTEVIA GIBSON | |||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RUEBEN MOORE | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 0.00 | Yes (X) | $323,467 | $0 | $17,784 | |||
| BERNADETTE FOH | |||||||||
| VP OF ADMINISTRATION | 40.00 | 0.00 | Yes (X) | $193,845 | $0 | $16,341 | |||
| BOBBY K ROYAL II | |||||||||
| VP OF PEOPLE AND CULTURE | 40.00 | 0.00 | Yes (X) | $189,391 | $0 | $10,890 | |||
| RAUL NORIEGA | |||||||||
| VP OF REVENUE CYCLE AND IT | 40.00 | 0.00 | Yes (X) | $178,827 | $0 | $20,809 | |||
| DUKE FOKUO | |||||||||
| VP OF FINANCE | 40.00 | 0.00 | Yes (X) | $98,922 | $0 | $13,748 | |||
| MUAJ LO | |||||||||
| VP OF MEDICAL CARE | 40.00 | 0.00 | Yes (X) | $275,625 | $0 | $43,145 | |||
| AUGUSTINE AVBAKHARE | |||||||||
| DIRECTOR OF QUALITY | 40.00 | 0.00 | $163,273 | $0 | $24,209 | Yes (X) | |||
| KENNETH NELSON | |||||||||
| DIRECTOR OF PHARMACY | 40.00 | 0.00 | $169,614 | $0 | $25,423 | Yes (X) | |||
| SELASE AGUDU MORGAN | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $157,203 | $0 | $30,863 | Yes (X) | |||
| FADUMASARA ALI | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $157,662 | $0 | $11,449 | Yes (X) | |||
| SUSAN BENFIELD | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $178,001 | $0 | $16,898 | Yes (X) | |||
| IJEOMA OGBONNAYA | |||||||||
| PSYCHIATRIC MP PROVIDER | 40.00 | 0.00 | $155,824 | $0 | $40,108 | Yes (X) | |||
| YOUSTINA SAWIRIS | |||||||||
| DENTIST | 40.00 | 0.00 | $145,475 | $0 | $15,309 | Yes (X) | |||
| SERGIO ELIAS | |||||||||
| DENTIST | 40.00 | 0.00 | $144,357 | $0 | $31,632 | Yes (X) | |||
| ASIA NUR | |||||||||
| DENTIST | 40.00 | 0.00 | $143,661 | $0 | $8,707 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,675,147 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $327,315 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 58 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| INFINITO BILLING LLC | |||||
| 8535 COLUMBUS AVE S | BLOOMINGTON | MN | 55420 | BILLING CONSULTING | $558,874 |
| ATOMIC DATA LLC | |||||
| 250 MARQUETTE AVE STE 225 | MINNEAPOLIS | MN | 55401 | INTERNET SERVICE | $394,646 |
| MEN IN BLACK SECURITY | |||||
| 6040 EARLE BROWN DRIVE 106 | BROOKLYN CENTER | MN | 55430 | SECURITY SERVICE | $250,688 |
| RIVERVIEW TRIANGLE LLC | |||||
| 1625 ENERGY PARK DR SUITE 100 | SAINT PAUL | MN | 55108 | BUILDING RENT SERVICE | $193,141 |
| COZEN O'CONNOR | |||||
| 7885 PO BOX 7247 | PHILADELPHIA | PA | 191707885 | LEGAL CONSULTING | $191,903 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $17,537,608 | GovernmentGrantsAmt |
| All Other Contributions | $397,059 | AllOtherContributionsAmt |
| Total Contributions | $17,934,667 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REV. | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $25,819,790 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,819,790 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,819,790 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $730,114 | TotalRevenueColumnAmt |
| Exclusion | $730,114 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $55,188 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $55,188 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $55,188 | TotalRevenueColumnAmt |
| Exclusion | $55,188 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| PROGRAM INCENTIVE | 900099 | $544,962 | $544,962 |
| MISCELLANEOUS REVENUE | 900099 | $178,352 | $178,352 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $723,314 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45,263,073 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,819,790 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,508,616 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $661,207 | TotalAmt |
| Program Services | $661,207 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,474,467 | TotalAmt |
| Management And General | $2,474,467 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,601,085 | TotalAmt |
| Program Services | $17,734,425 | ProgramServicesAmt |
| Management And General | $2,866,660 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,183,450 | TotalAmt |
| Program Services | $2,591,533 | ProgramServicesAmt |
| Management And General | $591,917 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,719,207 | TotalAmt |
| Program Services | $1,293,524 | ProgramServicesAmt |
| Management And General | $425,683 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $486,214 | TotalAmt |
| Management And General | $486,214 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,691 | TotalAmt |
| Management And General | $176,691 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,243,921 | TotalAmt |
| Program Services | $1,594,413 | ProgramServicesAmt |
| Management And General | $1,649,508 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,281 | TotalAmt |
| Program Services | $7 | ProgramServicesAmt |
| Management And General | $1,274 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,811 | TotalAmt |
| Program Services | $255,832 | ProgramServicesAmt |
| Management And General | $139,979 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,161,077 | TotalAmt |
| Program Services | $918,481 | ProgramServicesAmt |
| Management And General | $242,596 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,015,865 | TotalAmt |
| Program Services | $1,849,484 | ProgramServicesAmt |
| Management And General | $166,381 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,014 | TotalAmt |
| Program Services | $14,670 | ProgramServicesAmt |
| Management And General | $6,344 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,522 | TotalAmt |
| Program Services | $3,522 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,424 | TotalAmt |
| Program Services | $350,060 | ProgramServicesAmt |
| Management And General | $27,364 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,533,237 | TotalAmt |
| Program Services | $1,382,830 | ProgramServicesAmt |
| Management And General | $150,407 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,054 | TotalAmt |
| Program Services | $2,732 | ProgramServicesAmt |
| Management And General | $149,322 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT | $5,255,229 | $5,255,229 | |
| MEDICAL SUPPLIES & DRUG | $5,203,023 | $5,145,782 | $57,241 |
| MN CARE TAX | $311,487 | $264,490 | $46,997 |
| REPAIRS AND MAINTENANCE | $263,896 | $78,244 | $185,652 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,821 | TotalAmt |
| Program Services | $101,869 | ProgramServicesAmt |
| Management And General | $275,952 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,618,983 | TotalAmt |
| Program Services | $39,498,334 | ProgramServicesAmt |
| Management And General | $10,120,649 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $608,380 | BOYAmt |
| EOY | $100,430 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $213,706 | BOYAmt |
| EOY | $236,162 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,001,392 | BOYAmt |
| EOY | $549,079 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,523,972 | BOYAmt |
| EOY | $1,408,852 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,989 | BOYAmt |
| EOY | $156,425 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,260 | BOYAmt |
| EOY | $277,843 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,546,452 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,278,554 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,005,220 | BOYAmt |
| EOY | $11,267,898 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,712,318 | BOYAmt |
| EOY | $1,791,095 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,456,237 | BOYAmt |
| EOY | $15,787,784 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,216,443 | BOYAmt |
| EOY | $6,301,931 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,015 | BOYAmt |
| EOY | $198,300 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,785,510 | BOYAmt |
| EOY | $10,685,607 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,557 | BOYAmt |
| EOY | -$4,019 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,339,648 | BOYAmt |
| EOY | $1,243,638 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,653,173 | BOYAmt |
| EOY | $18,425,457 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,781,564 | BOYAmt |
| EOY | -$2,659,173 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,500 | BOYAmt |
| EOY | $21,500 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,803,064 | BOYAmt |
| EOY | -$2,637,673 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,456,237 | BOYAmt |
| EOY | $15,787,784 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$4,355,910 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$84,827 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,193,662 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,369,597 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,202,439 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,879,059 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,934,667 | CurrentTaxYearAmt |
| Total | $84,579,424 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,193,662 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,369,597 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,202,439 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,879,059 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,934,667 | CurrentTaxYearAmt |
| Total | $84,579,424 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $84,579,424 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,580 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,723 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,398 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $293 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $730,114 | CurrentTaxYearAmt |
| Total | $752,108 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $496,952 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $394,636 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,042,378 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $692,184 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $723,314 | CurrentTaxYearAmt |
| Total | $3,349,464 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $88,680,996 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $142,610,490 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95890 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | VALUE BASED PAYMENTS MEANINGFUL USE OTHER PROGRAM INCENTIVE | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $791,640 | OtherCostOrOtherBasisAmt |
| Book Value | $791,640 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,372,351 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,917,865 | DepreciationAmt |
| Book Value | $7,454,486 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $855,589 | OtherCostOrOtherBasisAmt |
| Book Value | $855,589 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,518,022 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,360,689 | DepreciationAmt |
| Book Value | $2,157,333 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,850 | OtherCostOrOtherBasisAmt |
| Book Value | $8,850 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,267,898 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE TO/FROM RELATED PARTY | $857,780 |
| ROU ASSETS | $916,727 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $16,588 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,791,095 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO/FROM RELATED PARTY | $256,454 |
| LEASE LIABILITY | $987,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,243,638 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | EVICTION PREVENTION- UTILITY ASSISTANCE, SANITATION, RENTAL ASSISTANCE, OTHER DIRECT PATIENT ASSISTANCE | GrantTypeTxt |
| Recipient | 507 | RecipientCnt |
| Cash Grant | $661,207 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Valuation Method Used | N/A | ValuationMethodUsedDesc |
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MONITORING OF GRANTS RECIPIENTS OF RENT/SANITATION/UTILITY ASSISTANCE ARE SCREENED BY RAMSEY COUNTY/MCC STAFF FOR ELIGIBILITY. DATA REGARDING THE AMOUNT AND PURPOSE OF THE ASSISTANCE, WITH CLIENT IDENTIFIERS, ARE DOCUMENTED IN THE STATE HOMELESS MANAGEMENT INFORMATION SYSTEM (HMIS) AND TRACKED ON SPREADSHEETS AT THE GRANTING LOCATION AND IN ACCOUNTING. IF APPROVED APPLICANT IS ELIGIBLE FOR ASSISTANCE FROM LARGER PROGRAMS BUT NEEDS ADDITIONAL ASSISTANCE TO PAY THE BILL IN TOTAL, OR IF THEY ARE NOT ELIGIBLE FOR THOSE PROGRAMS, MINNESOTA COMMUNITY CARE WILL ASSIST WITH RESOLVING THE BILL IN COMPLIANCE WITH FUNDING RULES. ALL PAYMENTS ARE MADE TO LANDLORD, UTILITY OR SANITATION COMPANIES. CHECKS ARE PROCESSED BY MCC WITH SPECIFIC NAMES AND ACCOUNT NUMBERS. THIS INFORMATION GOES TO THE COMPANIES, THE HOUSECALLS STAFF AND THE FUNDERS, WITH APPROPRIATE REDACTION, TO VERIFY AND RECORD. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RUEBEN MOORE | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $313,573 | $0 | $0 | $0 | $9,894 | $0 | $9,894 | $0 | $7,890 | $0 | $341,251 | $0 | $0 | $0 |
| MUAJ LO | ||||||||||||||
| VP OF MEDICAL CARE | $244,625 | $0 | $0 | $0 | $31,000 | $0 | $31,000 | $0 | $12,145 | $0 | $318,770 | $0 | $0 | $0 |
| BERNADETTE FOH | ||||||||||||||
| VP OF ADMINISTRATION | $183,837 | $0 | $0 | $0 | $10,008 | $0 | $10,008 | $0 | $6,333 | $0 | $210,186 | $0 | $0 | $0 |
| BOBBY K ROYAL II | ||||||||||||||
| VP OF PEOPLE AND CULTURE | $179,586 | $0 | $0 | $0 | $9,805 | $0 | $9,805 | $0 | $1,085 | $0 | $200,281 | $0 | $0 | $0 |
| RAUL NORIEGA | ||||||||||||||
| VP OF REVENUE CYCLE AND IT | $171,027 | $0 | $0 | $0 | $7,800 | $0 | $7,800 | $0 | $13,009 | $0 | $199,636 | $0 | $0 | $0 |
| IJEOMA OGBONNAYA | ||||||||||||||
| PSYCHIATRIC MP PROVIDER | $121,074 | $0 | $0 | $0 | $34,750 | $0 | $34,750 | $0 | $5,358 | $0 | $195,932 | $0 | $0 | $0 |
| KENNETH NELSON | ||||||||||||||
| DIRECTOR OF PHARMACY | $158,689 | $0 | $0 | $0 | $10,925 | $0 | $10,925 | $0 | $14,498 | $0 | $195,037 | $0 | $0 | $0 |
| SUSAN BENFIELD | ||||||||||||||
| PHYSICIAN | $168,856 | $0 | $0 | $0 | $9,145 | $0 | $9,145 | $0 | $7,753 | $0 | $194,899 | $0 | $0 | $0 |
| SELASE AGUDU MORGAN | ||||||||||||||
| MEDICAL DIRECTOR | $140,248 | $0 | $0 | $0 | $16,955 | $0 | $16,955 | $0 | $13,908 | $0 | $188,066 | $0 | $0 | $0 |
| AUGUSTINE AVBAKHARE | ||||||||||||||
| DIRECTOR OF QUALITY | $162,918 | $0 | $0 | $0 | $355 | $0 | $355 | $0 | $23,854 | $0 | $187,482 | $0 | $0 | $0 |
| SERGIO ELIAS | ||||||||||||||
| DENTIST | $120,879 | $0 | $0 | $0 | $23,478 | $0 | $23,478 | $0 | $8,154 | $0 | $175,989 | $0 | $0 | $0 |
| FADUMASARA ALI | ||||||||||||||
| MEDICAL DIRECTOR | $155,988 | $0 | $0 | $0 | $1,674 | $0 | $1,674 | $0 | $9,775 | $0 | $169,111 | $0 | $0 | $0 |
| YOUSTINA SAWIRIS | ||||||||||||||
| DENTIST | $137,970 | $0 | $0 | $0 | $7,505 | $0 | $7,505 | $0 | $7,804 | $0 | $160,784 | $0 | $0 | $0 |
| ASIA NUR | ||||||||||||||
| DENTIST | $143,661 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,707 | $0 | $152,368 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1A | EXECUTIVE COMMITTEE IS COMPOSED OF THE BOARD CHAIR, VICE CHAIR, BOARD TREASURER, BOARD SECRETARY, COMMUNITY BOARD MEMBER, AND NON-VOTING BOARD MEMBER, CEO/PEO OF THE HEALTH CENTER. |
| FORM 990, PART VI, SECTION A, LINE 2 | DIRECTORS CORDELL HARDY AND AMELIA HARDY ARE SPOUSES. |
| FORM 990, PART VI, SECTION A, LINE 8B | NO COMMITTEES HAVE THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM USING THE AUDITED FINANCIAL RECORDS OF THE ORGANIZATION. THEN, THE CEO, CFO, FINANCE COMMITTEE, AND BOARD OF DIRECTORS REVIEWED AND APPROVED THE RETURN PRIOR TO BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS ARE EXPECTED TO EXERCISE INDEPENDENT JUDGMENT IN OVERSEEING THE BUSINESS AFFAIRS OF THE ORGANIZATION. BOARD MEMBERS ARE PROHIBITED FROM ENGAGING IN ANY SITUATION THAT IS OR APPEARS TO BE A CONFLICT OF INTEREST. THIS INCLUDES PROHIBITING BOARD MEMBERS AND MEMBERS OF THEIR IMMEDIATE FAMILY FROM BEING EMPLOYEES OR CONTRACTORS OF WEST SIDE COMMUNITY HEALTH SERVICES ON AN ANNUAL BASIS, ALL BOARD OF DIRECTORS AND COMMITTEE MEMBERS MUST SIGN A WRITTEN DECLARATION OF THE FOLLOWING: 1. FIT OF ORGANIZATONAL MISSION WITH PERSONAL GOALS. 2. INDIVIDUAL OR IMMEDIATE FAMILY PARTICIPATION IN OTHER BUSINESS RELATIONSHIPS OR THE ENGAGEMENT OF OTHER OUTSIDE ACTIVITIES THAT MAY IMPAIR INDEPENDENCE OF JUDGMENT CONCERNING THE OPERATIONS OF WEST SIDE COMMUNITY HEALTH SERVICES 3. INDIVIDUAL OR IMMEDIATE FAMILY PERSONAL FINANCIAL INTERESTS THAT MAY IMPAIR INDEPENDENCE OF JUDGMENT OR INFLUENCE DECISIONS OR ACTIONS CONCERNING WEST SIDE COMMUNITY HEALTH SERVICES. 4. INDIVIDUAL OR IMMEDIATE FAMILY INVOLVEMENT, OR OTHER BOARD OR OFFICER INVOLVEMENT, IN ANY BUSINESS TRANSACTIONS INVOLVING MATERIAL INTEREST, DIRECT OR INDIRECT, PENDING OR COMPLETED, TO WHICH WEST SIDE COMMUNITY HEALTH SERVICES WAS OR IS TO BE A PARTY. 5. INDIVIDUAL OR IMMEDIATE FAMILY INVOLVEMENT OR OTHER BOARD OR OFFICER INVOLVEMENT, IN ANY BUSINESS TRANSACTIO WITH A COMPANY WHIHC SUBSTANTIALLY COMPETES WITH WEST SIDE COMMUNITY HEALTH SERVICES 6. SIGNED STATEMENTS WILL BE KEPT ON FILE ANY DECLARATION NOTING A POTENTIAL CONFLICT OF INTEREST WILL BE FURTHER REVIEWED BY THE EXECUTIVE COMMITTEE. IF A CONFLICT OF INTEREST IS DEEMED TO EXIST, THE CONFLICTED BOARD MEMBER WOULD ABSTAIN FROM VOTING ON THE MATTER. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS REVIEWS PRESIDENT & EXECUTIVE OFFICER PERFORMANCE AND COMPENSATION ON AN ANNUAL BASIS. THEY USE A NUMBER OF COMPENSATION STUDIES, PREPARED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AT THE TIME OF REVIEW AND MARKET-BASED SURVEYS. THE EXECUTIVE COMMITTEE RECOMMENDED THE COMPENSATION STRUCTURE TO THE FULL BOARD FOR APPROVAL. FROM FY24 TO FY25, THE SALARY FOR PRESIDENT & EXECUTIVE OFFICER HAS NO CHANGES. ALL OTHER OFFICERS AND KEY SALARIES ARE REVIEWED AND APPROVED BY THE PRESIDENT & EXECUTIVE OFFICER. WE DID NOT DO ALL STAFF REVIEW IN FY2025, BUT WE DID HAVE PROMOTIONS AND ORGANIZATION CHANGES THAT INCREASED SOME STAFF'S SALARIES WHICH APPROVED BY THE PRESIDENT & EXECUTIVE OFFICER. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2025. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST, AND WILL BE MAILED TO THE REQUESTOR WHEN ANY INQUIRY IS RECEIVED BY THE ORGANIZATION. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EQUITY CONSULTING PARTNERS LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 153 CESAR CHAVEZ ST | AddressLine1Txt |
| City | SAINT PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 873038978 | EIN |
| Primary Activities | PHARMACY | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST SIDE COMMUNITY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $1,551,244 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $438,034 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| EQUITY CONSULTING PARTNERS LLC | ||
| N | $37,536 | ACTUAL COST |
| EQUITY CONSULTING PARTNERS LLC | ||
| O | $60,000 | ACTUAL COST |
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