STRATEGY STUDIO / PUBLIC DATA EXPLORER

ST LOUIS INTEGRATED HEALTH NETWORK: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
ST LOUIS INTEGRATED HEALTH NETWORK (EIN 20-3288245)
Tax period
2021-09-01 to 2022-08-31
Filed
2023-07-05
IRS object ID
202321869349300927
Schema version
2021v4.2
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

FieldValueIRS element (for citing)
Return2023-07-05T15:22:57-05:00ReturnTs
Tax Period End2022-08-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN430765316PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RUBINBROWN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17676 FORSYTH BLVD SUITE 2100AddressLine1Txt
CitySAINT LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203288245EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST LOUIS INTEGRATED HEALTH NETWORKBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTLOBusinessNameControlTxt
Phone3146571483PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 MARYLAND PLAZA 300CAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENDRA HOLMESPersonNm
Person TitleTREASURERPersonTitleTxt
Phone3146571483PhoneNum
Signature2023-06-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKENDRAPersonFirstNm
Person LastHOLMESPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLY A RYANPreparerPersonNm
PTINP00829977PTIN
Phone3142903300PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerANDWELE JOLLYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 MARYLAND PLAZA 300CAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63108ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,603,198GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STLOUISIHN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2004FormationYr
Legal Domicile StateMOLegalDomicileStateCd
Activity Or MissionQUALITY AFFORDABLE ACCESSIBLE HEALTHCARE, ESPECIALLY FOR MEDICALLY UNDERSERVED.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee37TotalEmployeeCnt
Total Volunteers136TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,611,583PYContributionsGrantsAmt
CY Contributions Grants$709,325CYContributionsGrantsAmt
PY Program Service Revenue$1,518,181PYProgramServiceRevenueAmt
CY Program Service Revenue$1,886,581CYProgramServiceRevenueAmt
PY Investment Income$912PYInvestmentIncomeAmt
CY Investment Income$7,292CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,130,676PYTotalRevenueAmt
CY Total Revenue$2,603,198CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,170,743PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,027,067CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$4,252CYTotalFundraisingExpenseAmt
PY Other Expenses$989,632PYOtherExpensesAmt
CY Other Expenses$621,180CYOtherExpensesAmt
PY Total Expenses$3,160,375PYTotalExpensesAmt
CY Total Expenses$2,648,247CYTotalExpensesAmt
PY Revenues Less Expenses-$29,699PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$45,049CYRevenuesLessExpensesAmt
Total Assets BOY$2,446,332TotalAssetsBOYAmt
Total Assets EOY$2,235,518TotalAssetsEOYAmt
Total Liabilities BOY$359,671TotalLiabilitiesBOYAmt
Total Liabilities EOY$193,906TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,086,661NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,041,612NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE ST. LOUIS INTEGRATED HEALTH NETWORK, THROUGH COLLABORATION AND PARTNERSHIP, STRIVES FOR QUALITY, ACCESSIBLE AND AFFORDABLE HEALTHCARE SERVICES FOR ALL RESIDENTS OF METROPOLITAN ST. LOUIS, WITH AN EMPHASIS ON THE MEDICALLY UNDERSERVED. OUR GUIDING PRINCIPLES REFLECT OUR MOST IMPORTANT ORGANIZATIONAL COMMITMENTS: HEALTH EQUITY, PATIENT-CENTERED ORIENTATION, ACCOUNTABILITY, OUTCOME-FOCUSED DECISION MAKING, AND INNOVATION. OUR STRATEGIC PRIORITIES INCLUDE GROWING OUR CHARITABLE PROGRAMS AND INITIATIVES, STABILIZING AND DEVELOPING WORKFORCE, AND ACCELERATING EQUITY IN HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,570,825ExpenseAmt
Revenue$1,378,401RevenueAmt
DescCARE TRANSITIONS INITIATIVE - THE CARE TRANSITIONS INITIATIVE (FORMERLY KNOWN AS COMMUNITY REFERRAL COORDINATOR (CRC) PROGRAM AND P.U.L.S.E. PROGRAM) IS USED TO ASSIST PATIENTS/COMMUNITY MEMBERS TO UNDERSTAND THE LEVELS OF CARE AVAILABLE IN THE COMMUNITY AND WHEN AND HOW TO ENGAGE. IT IS A TIERED, COMMUNITY INTERVENTION PROGRAM AT THE PATIENT LEVEL THROUGH THE COMMUNITY REFERRAL COORDINATOR PROGRAM AND AT THE SYSTEMS LEVEL THROUGH THE TRANSITIONS OF CARE (TOC) TASK FORCE. THE CRC PROGRAM USES COMMUNITY REFERRAL COORDINATORS TO CONNECT PATIENTS IN INPATIENT UNITS AND/OR EMERGENCY DEPARTMENTS OF HOSPITALS WITH A PRIMARY CARE PROVIDER FOR FOLLOW-UP AND PREVENTATIVE CARE. CRCS WORK TO ENSURE ESTABLISHED COMMUNITY HEALTH CENTER PATIENTS ARE RECONNECTED TO THEIR PRIMARY CARE HOMES AS WELL AS HELP THOSE IDENTIFIED PATIENTS WITH CHRONIC DISEASES ESTABLISH PCP CARE FOLLOWING A HOSPITALIZATION. THE GOALS OF THE PROGRAM ARE TO (1) ENHANCE ACCESS TO A PRIMARY CARE HOME AND HEALTH RESOURCES FOR ALL PATIENTS REGARDLESS OF ABILITY TO PAY, (2) REDUCE NON-EMERGENT USE OF EMERGENCY DEPARTMENTS AND LOW ACUITY READMISSIONS, (3) ENHANCE CONTINUITY OF CARE, AND (4) STRENGTHEN COMMUNICATIONS/PROCESSES AMONG SAFETY NET PROVIDERS. THE TOC TASK FORCE IS A CROSS-FUNCTIONAL AND COLLABORATIVE GROUP THAT WORKS TO FOSTER EFFECTIVE TRANSITIONS OF CARE FOR PATIENTS. THE TOC TASK FORCE IS CHARGED WITH OVERSIGHT OF THE CRC PROGRAM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$361,887ExpenseAmt
DescRE-ENTRY COMMUNITY LINKAGES (RE-LINK) PROGRAM - THE PURPOSE OF THIS INITIATIVE IS TO IMPROVE THE HEALTH OUTCOMES FOR MINORITY REENTRANTS IN TRANSITION FROM JAIL TO THEIR COMMUNITIES UTILIZING COLLABORATIVE COMMUNITY EFFORTS THROUGH A HEALTH AND SOCIAL SERVICES NETWORK COMPRISED OF PHYSICAL HEALTH, BEHAVIORAL HEALTH, AND SOCIAL SUPPORT SERVICE PARTNERS. THE GOALS ARE TO (1) IMPROVE COORDINATION AND LINKAGES AMONG CRIMINAL JUSTICE, PUBLIC HEALTH, SOCIAL SERVICE, AND PRIVATE ENTITIES TO ADDRESS HEALTH CARE AND HEALTH CARE ACCESS OF COMMUNITY RE-ENTRANTS, (2) REDUCE HEALTH DISPARITIES EXPERIENCED BY THE REENTRY AND JUSTICE-INVOLVED POPULATION, (3) INCREASE ACCESS TO NEEDED PUBLIC HEALTH, BEHAVIORAL HEALTH, HEALTH CARE COVERAGE, AND SOCIAL SERVICES, AND (4) REDUCE RECIDIVISM.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$20,196ExpenseAmt
DescCOVID-19 -THIS PROGRAM IS FOCUSED ON THE PUBLIC HEALTH EMERGENCY RESPONSE WITH RESPECT TO COVID-19, INCLUDING (1) SERVING AS THE CONVENER AND FISCAL INTERMEDIARY FOR FQHCS CONDUCTING NO COST COVID-19 TESTING AND FLU SHOT EVENTS FOR INDIVIDUALS IN ST. LOUIS CITY, AND (2) SUPPORTING THE COMMUNITY LEADERS PROGRAM AS PART OF THE PREPARESTL CAMPAIGN.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$302,518ExpenseAmt
Revenue$508,180RevenueAmt
DescACCELERATE HEALTH EQUITIES - THE PURPOSE OF THESE INITIATIVES ARE TO EMPHASIZE ACTION FOR UNDERSERVED PRIORITY POPULATIONS TO CLOSE DISPARITY GAPS BY RACE. THE GOALS INCLUDE:(1) THE CONTINUATION OF ELEVATE WOMEN (FORMERLY KNOWN AS ENHANCED CENTERING PREGNANCY) AS AN EQUITABLE MODEL OF PRENATAL CARE THAT BROADENS THE CULTURE OF MEDICAL PRACTICE BY INTEGRATING PERSPECTIVES FROM COMMUNITIES WITH HEALTHCARE INSTITUTIONS AND AIMS TO DEMONSTRATE A PATHWAY TO VALUE-BASED HEALTHCARE, (2) COMMUNITY SICKLE CELL INITIATIVE COLLABORATION WITH PARTNERS TO DIRECTLY IMPACT POLICY AND CARE DELIVERY FOR INDIVIDUALS LIVING WITH SICKLE CELL DISEASE, (3) ALIGNING WITH FORWARD THROUGH FERGUSON BY WEAVING THEIR #2039 VISIONING INTO IHN'S VISION AND PRIORITY AREAS, (4) ADVOCACY FOR SUCCESSFUL AND EQUITABLE IMPLEMENTATION OF COVERAGE FOR MEDICAID EXPANSION POPULATION, AND (5) FEED THE BABIES CAMPAIGN, A COMMUNITY-WIDE COLLABORATIVE DESIGNED TO ADDRESS THE INFANT FORMULA SHORTAGE CRISIS AND PROVIDE IMMEDIATE SOLUTIONS FOR FAMILIES IN THE ST. LOUIS REGION. WORKFORCE - THE PURPOSE OF THESE INITIATIVES IS TO PROMOTE WORKFORCE STABILIZATION AND DEVELOPMENT IN THE HEALTHCARE SAFETY NET THROUGH (1) PIPELINE TO COMPASSIONATE CARE WHICH WORKS WITH MEDICAL STUDENTS TO SUPPORT THEIR TRAINING AND DEVELOP THEIR INTENTION TO ENTER PRIMARY CARE, COMMUNITY MEDICINE OR CARE FOR THE UNDERSERVED, (2) COMMUNITY HEALTH WORKER WORKFORCE PARTNERSHIP WHICH IS FOCUSED ON TRAINING AND DEVELOPING CHWS, PROVING THE VALUE OF THE CHW MODEL THROUGH A REGIONAL METRICS STRATEGY, AND CREATING INROADS FOR CHW REIMBURSEMENT THROUGH MEDICAID TO SUSTAIN THE WORKFORCE IN A MORE PERMANENT WAY AND (3) RE-ENERGIZE + RE-CALIBRATE LEARNING COLLABORATIVE WHICH IS FOCUSED ON ADDRESSING RACIALIZED TRAUMA IN COMMUNITY HEALTH CENTERS BY CONVENING MONTHLY LEARNING SESSIONS WITH TEAMS FROM EACH CHC.REGIONAL COLLECTIVE IMPACT - THE GOAL OF THESE INITIATIVES IS TO PARTICIPATE IN REGIONAL COLLECTIVE IMPACT EFFORTS TO ENSURE STRATEGY ALIGNMENT WITH THE HEALTH SYSTEMS THROUGH THE FOLLOWING EFFORTS: (1) PARTNERING TO ADVANCE HEALTH EQUITY TO ALIGN HEALTH AND SOCIAL INFRASTRUCTURE TO SYSTEMICALLY ADDRESS SOCIAL DETERMINANTS OF HEALTH THROUGH THE ST. LOUIS COMMUNITY INFORMATION EXCHANGE (CIE), (2) FOSTERING OPPORTUNITIES FOR PARTNERSHIP BETWEEN COMMUNITY HEALTH CENTERS AND ACADEMIC INSTITUTIONS TO ENCOURAGE AN EVIDENCE-BASED, REGIONAL APPROACH TO LOCAL HEALTH CARE DELIVERY VIA IHN'S NETWORK COMMUNITY ACADEMIC PARTNERSHIPS, (3) WORKING WITH PARTNERS TO ENSURE CONTINUED BEHAVIORAL HEALTH INTEGRATION INTO SAFETY-NET CARE DELIVERY, (4) SUPPORTING THE REGIONAL ST. LOUIS PARTNERSHIP FOR HEALTH COMMUNITY EFFORTS AND (5) IHN'S LEADERSHIP SUPPORTING REGIONAL CRISIS RESPONSE FOR COVID-19.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$302,518TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$508,180TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,255,426TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee37EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANGELA ARCHIBALD-CLABONPersonNm
Phone3146571483PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line130 MARYLAND PLAZA SUITE 300CAddressLine1Txt
CityST LOUISCityNm
State AbbreviationMOStateAbbreviationCd
ZIP63108ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
BETHANY JOHNSON-JAVOIS
CEO (THRU 9/21)40.00Yes (X)$171,145$0$15,606
AMANDA STOERMER
ACTING CEO40.00Yes (X)$101,720$0$14,111
DR ROBERT MASSIE
CHAIRMAN1.00Yes (X)$0$0$0Yes (X)
TESH JEWELL
SECRETARY (THRU 12/21)1.00Yes (X)$0$0$0Yes (X)
DR JASON PURNELL
SECRETARY1.00Yes (X)$0$0$0Yes (X)
ANGELA CLABON
TREASURER1.00Yes (X)$0$0$0Yes (X)
ANGELA BROWN
DIRECTOR1.00$0$0$0Yes (X)
DWAYNE BUTLER
DIRECTOR1.00$0$0$0Yes (X)
DR EMILY DOUCETTE
DIRECTOR (THRU 5/22)1.00$0$0$0Yes (X)
DR FREDRICK ECHOLS
DIRECTOR (THRU 2/22)1.00$0$0$0Yes (X)
DR ALEXANDER GARZA
DIRECTOR1.00$0$0$0Yes (X)
DR MATI HLATSWAYO-DAVIS
DIRECTOR1.00$0$0$0Yes (X)
DR KENDRA HOLMES
DIRECTOR1.00$0$0$0Yes (X)
DR CHRISTINE JACOBS
DIRECTOR1.00$0$0$0Yes (X)
DR FAISAL KHAN
DIRECTOR (THRU 8/22)1.00$0$0$0Yes (X)
JOE PIERLE
DIRECTOR1.00$0$0$0Yes (X)
DR ROB POIRIER
DIRECTOR1.00$0$0$0Yes (X)
CIEARRA WALKER
DIRECTOR1.00$0$0$0Yes (X)
DARA WEBB
DIRECTOR1.00$0$0$0Yes (X)
ANDWELE JOLLY
PRESIDENT AND CEO (AS OF 6/22)40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$272,865TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$29,717TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KORN FERRYBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1NW 5854 PO BOX 1450AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55485ZIPCd
FieldValueIRS element (for citing)
ServicesCEO SEARCHServicesDesc
Compensation$112,400CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$272,500RelatedOrganizationsAmt
Government Grants$390,314GovernmentGrantsAmt
All Other Contributions$46,511AllOtherContributionsAmt
Total Contributions$709,325TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescREFERRAL COORDINATORDesc
Business621400BusinessCd
Total Revenue Column$1,886,581TotalRevenueColumnAmt
Related Or Exempt Func Income$1,886,581RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,886,581TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,292TotalRevenueColumnAmt
Exclusion$7,292ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,603,198TotalRevenueColumnAmt
Related Or Exempt Func Income$1,886,581RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$7,292ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$79,889TotalAmt
Program Services$41,135ProgramServicesAmt
Management And General$37,177ManagementAndGeneralAmt
Fundraising$1,577FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,509,043TotalAmt
Program Services$1,481,653ProgramServicesAmt
Management And General$25,316ManagementAndGeneralAmt
Fundraising$2,074FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$34,396TotalAmt
Program Services$33,772ProgramServicesAmt
Management And General$577ManagementAndGeneralAmt
Fundraising$47FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$286,017TotalAmt
Program Services$280,826ProgramServicesAmt
Management And General$4,798ManagementAndGeneralAmt
Fundraising$393FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$117,722TotalAmt
Program Services$115,586ProgramServicesAmt
Management And General$1,975ManagementAndGeneralAmt
Fundraising$161FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,742TotalAmt
Program Services$2,694ProgramServicesAmt
Management And General$11,048ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$104,195TotalAmt
Management And General$104,195ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$284,423TotalAmt
Program Services$134,155ProgramServicesAmt
Management And General$150,268ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$4,380TotalAmt
Program Services$3,830ProgramServicesAmt
Management And General$550ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$70,252TotalAmt
Program Services$54,297ProgramServicesAmt
Management And General$15,955ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,800TotalAmt
Management And General$11,800ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,800TotalAmt
Management And General$2,800ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,968TotalAmt
Program Services$1,964ProgramServicesAmt
Management And General$4ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$56,027TotalAmt
Program Services$46,286ProgramServicesAmt
Management And General$9,741ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6TotalAmt
Management And General$6ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,631TotalAmt
Management And General$3,631ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,332TotalAmt
Program Services$6,505ProgramServicesAmt
Management And General$5,827ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER EXPENSES$19,994$19,994
CLIENT SUPPORT EXPENSES$18,402$18,402
BOOKS AND REFERENCES$16,497$13,627$2,870
MEMBERSHIP DUES$700$700

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$31TotalAmt
Management And General$31ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,648,247TotalAmt
Program Services$2,255,426ProgramServicesAmt
Management And General$388,569ManagementAndGeneralAmt
Fundraising$4,252FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$318,024BOYAmt
EOY$23,422EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,928,857BOYAmt
EOY$1,596,155EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$167,583BOYAmt
EOY$197,318EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,170BOYAmt
EOY$408,085EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,470BOYAmt
EOY$1,941EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$43,011LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$34,414LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,228BOYAmt
EOY$8,597EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,446,332BOYAmt
EOY$2,235,518EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$224,547BOYAmt
EOY$191,406EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$135,124BOYAmt
EOY$2,500EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$359,671BOYAmt
EOY$193,906EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,650,997BOYAmt
EOY$1,762,575EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$435,664BOYAmt
EOY$279,037EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,086,661BOYAmt
EOY$2,041,612EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,446,332BOYAmt
EOY$2,235,518EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$45,049ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,819,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,041,812CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,318,091CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,658,550CurrentTaxYearMinus1YearAmt
Current Tax Year$709,325CurrentTaxYearAmt
Total$7,546,865TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,819,087CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,041,812CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,318,091CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,658,550CurrentTaxYearMinus1YearAmt
Current Tax Year$709,325CurrentTaxYearAmt
Total$7,546,865TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,614,955SubstantialContributorsTotAmt
Public Support Total170$5,931,910PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,740CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,283CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,413CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$912CurrentTaxYearMinus1YearAmt
Current Tax Year$7,292CurrentTaxYearAmt
Total$57,640TotalAmt
FieldValueIRS element (for citing)
Total Support$7,604,505TotalSupportAmt
Gross Receipts Rltd Activities$6,862,381GrossReceiptsRltdActivitiesAmt
Public Support CY1700.78010PublicSupportCY170Pct
Public Support PY1700.80610PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$43,011OtherCostOrOtherBasisAmt
Depreciation$34,414DepreciationAmt
Book Value$8,597BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$8,597TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$2,618,678TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$15,480DonatedServicesAndUseFcltsAmt
Revenue Not Reported$15,480RevenueNotReportedAmt
Revenue Subtotal$2,603,198RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,603,198TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,663,727TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$15,480DonatedServicesUseFcltsAmt
Expenses Not Reported$15,480ExpensesNotReportedAmt
Expenses Subtotal$2,648,247ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,648,247TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBETHANY JOHNSON-JAVOISPersonNm
TitleCEO (THRU 9/21)TitleTxt
Base Compensation Filing Org$171,145BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$5,724DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$9,882NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$186,751TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM, REVIEWED BY MANAGEMENT AND PROVIDED TO THE BOARD OF DIRECTORS ELECTRONICALLY PRIOR TO THE FORM BEING FILED WITH THE IRS BY MANAGEMENT.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION COLLECTS CONFLICT OF INTEREST STATEMENTS FROM ALL MEMBERS OF THE BOARD OF DIRECTORS ON AN ANNUAL BASIS. THE STATEMENTS ARE REVIEWED BY THE CEO OF THE ORGANIZATION AND THE CHAIRMAN OF THE BOARD OF DIRECTORS. IF A CONFLICT OF INTEREST IS PRESENT, THE APPLICABLE BOARD MEMBER(S) IS/ARE EXCUSED FROM ANY DECISIONS MADE BY THE ORGANIZATION AS RELATED TO THE NOTED CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE BOARD OF DIRECTORS APPROVED THE SALARY OF THE ORGANIZATION'S CEO BASED ON COMPARISONS FOR SIMILAR POSITIONS IN SIMILAR NOT-FOR-PROFIT ORGANIZATIONS. THE COMPARATIVE INFORMATION WAS ACCUMULATED BY THE ORGANIZATION DURING THE SEARCH FOR A NEW CEO DURING A PREVIOUS FISCAL YEAR. ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS REVIEWS THE CEO'S PERFORMANCE TO DETERMINE IF A CHANGE IN COMPENSATION IS WARRANTED. OTHER TOP EXECUTIVES OF THE ORGANIZATION HAVE ANNUAL REVIEWS BY THE CEO AND COMPENSATION ADJUSTED ACCORDINGLY BASED ON REVIEW OF SIMILAR POSITIONS IN OTHER NON-PROFIT ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19THE VARIOUS DOCUMENTS ARE AVAILABLE UPON WRITTEN REQUEST ADDRESSED TO THE ORGANIZATION'S OFFICE.
FORM 990, PART VI, LINE 8BTHE ORGANIZATION HAS AN EXECUTIVE COMMITTEE THAT HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD OF DIRECTORS.
FORM 990, PART IX, LINE 11GHUMAN RESOURCES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 29,674. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,674. LICENSING: PROGRAM SERVICE EXPENSES 77,413. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,413. CEO SEARCH: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 112,400. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 112,400. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 18,579. MANAGEMENT AND GENERAL EXPENSES 8,194. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,773. WORKFORCE DEVELOPMENT: PROGRAM SERVICE EXPENSES 11,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,782. CONSULTING: PROGRAM SERVICE EXPENSES 26,381. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,381.
FORM 990, PART XII, LINE 2C:NO CHANGE FROM PRIOR YEAR PROCESS.