RANGE MENTAL HEALTH CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- RANGE MENTAL HEALTH CENTER (EIN 41-0849301)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-12
- IRS object ID
- 202523169349304747
- Schema version
- 2024v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-11-12T13:00:18-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 920370318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REDPATH AND COMPANY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 ROBERT ST N SUITE 1600 | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410849301 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RANGE MENTAL HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RANG | BusinessNameControlTxt |
| Phone | 2187492881 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 SOUTH 13TH STREET | AddressLine1Txt |
| City | VIRGINIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55792 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNMARIE FLOREST | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2187492881 | PhoneNum |
| Signature | 2025-11-11 | 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 | CATHY A LYDON CPA | PreparerPersonNm |
| PTIN | P03217215 | PTIN |
| Phone | 6514267000 | PhoneNum |
| Preparation | 2025-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANNMARIE FLOREST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 SOUTH 13TH STREET | AddressLine1Txt |
| City | VIRGINIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55792 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,438,631 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RANGEMENTALHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1961 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | THE RANGE MENTAL HEALTH CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO PROVIDING COMPREHENSIVE INTEGRATED BEHAVIORAL HEALTH CARE SERVICES TO THE CITIZENS OF NORTHERN MINNESOTA THEREBY HELPING PEOPLE REACH AND MAINTAIN PRODUCTIVE AND DIGNIFIED LIVES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 201 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,016,864 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,721,975 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,147,889 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,663,328 | CYProgramServiceRevenueAmt |
| PY Investment Income | $39,831 | PYInvestmentIncomeAmt |
| CY Investment Income | $53,328 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $11,204,584 | PYTotalRevenueAmt |
| CY Total Revenue | $13,438,631 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,664,124 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,529,786 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,650,395 | PYOtherExpensesAmt |
| CY Other Expenses | $3,069,326 | CYOtherExpensesAmt |
| PY Total Expenses | $13,314,519 | PYTotalExpensesAmt |
| CY Total Expenses | $12,599,112 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,109,935 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $839,519 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,775,380 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,489,979 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $996,218 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $871,298 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,779,162 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,618,681 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE RANGE MENTAL HEALTH CENTER IS A NONPROFIT ORGANIZATION DEDICATED TO PROVIDING COMPREHENSIVE INTEGRATED BEHAVIORAL HEALTH CARE SERVICES TO THE CITIZENS OF NORTHERN MINNESOTA THEREBY HELPING PEOPLE REACH AND MAINTAIN PRODUCTIVE AND DIGNIFIED LIVES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,286,252 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $9,663,328 | RevenueAmt |
| Desc | AT RANGE MENTAL HEALTH CENTER, WE ARE DEDICATED TO PROVIDING COMPREHENSIVE, INTEGRATED BEHAVIORAL HEALTH CARE SERVICES THEREBY HELPING PEOPLE REACH AND MAINTAIN PRODUCTIVE AND DIGNIFIED LIVES. WE STRIVE TO DELIVER PERSON-CENTERED CARE AND PROVIDE A SETTING IN WHICH WE RESPOND TO YOU THE INDIVIDUAL AND YOUR GOALS, VALUES AND PREFERENCES. YOU AND OUR PROVIDERS DETERMINE AN EFFECTIVE CARE PLAN TOGETHER.MENTAL HEALTH SERVICES ARE PROVIDED EACH YEAR TO MORE THAN 2,500 ADULTS, CHILDREN, AND FAMILIES. THE SERVICE AREA OF RMHC COVERS NORTHERN ST. LOUIS COUNTY AND EXPANDS FOR MORE THAN 6,800 SQUARE MILES. OUR EVIDENCED-BASED, WRAPAROUND MENTAL HEALTH SERVICES INCLUDE PSYCHIATRY, OUTPATIENT THERAPY FOR ADULTS AND CHILDREN, AND COMMUNITY SUPPORT SERVICES SUCH AS ADULT REHABILITATIVE MENTAL HEALTH SERVICES (ARMHS), TARGETED CASE MANAGEMENT (TCM) AND PEER SUPPORT SPECIALIST SERVICES. ADDITIONAL SERVICES INCLUDE HOUSING SUPPORT AND SCHOOL-BASED MENTAL HEALTH SERVICES IN AREA SCHOOL DISTRICTS. RANGE TREATMENT CENTER (RTC) PROVIDES A MULTI-DISCIPLINARY APPROACH TOWARD THE TREATMENT OF INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD), THEIR FAMILIES, AND THEIR SIGNIFICANT OTHERS. SERVICES INCLUDE RESIDENTIAL AND OUTPATIENT TREATMENT OPTIONS FOR ADULTS AND ADOLESCENTS. RTC ALSO HOUSES A 24-HOUR DETOXIFICATION/WITHDRAWAL MANAGEMENT SERVICE. WITHDRAWAL MANAGEMENT WAS ADDED TO OUR SERVICE LINE MAY OF 2025. OUR MOBILE CRISIS TEAM SERVES ADULTS AND CHILDREN EXPERIENCING A MENTAL HEALTH CRISIS 24/7/365. WE OPERATE WELLSTONE CENTER FOR RECOVERY, A RESIDENTIAL, COMMUNITY-BASED PROGRAM DESIGNED TO ASSIST ADULTS EXPERIENCING A MENTAL HEALTH CRISIS OR EMERGENCY. WE ALSO NOW OFFER INTENSIVE RESIDENTIAL TREATMENT SERVICES (IRTS) HERE. OUR COMPASSIONATE COMMUNITY RESPONSE TEAM (CCRT) IS AVAILABLE TO RESPOND TO CALLS RELATED TO BIOPSYCHOSOCIAL BARRIERS, MENTAL HEALTH, SUBSTANCE USE, REPEAT/FREQUENT CALLS, AND UNMET NEEDS. THE TEAM IS A CO-RESPONSE SERVICE PROVIDED WITH AND IN CONJUNCTION WITH THE VIRGINIA POLICE DEPARTMENT.WITH A WORKFORCE OF ABOUT 150 PERSONS, RMHC CONTINUES ITS 60+ YEARS AS A NONPROFIT ORGANIZATION DEDICATED TO REMOVING BARRIERS, ERASING STIGMA AND OPENLY TALKING ABOUT MENTAL HEALTH. RMHC EARNED CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) STATUS IN 2023. LED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), CCBHCS WERE CREATED TO TRANSFORM MENTAL HEALTH AND SUBSTANCE USE TREATMENT ACROSS THE COUNTRY AND PROVIDE SUSTAINABLE FUNDING FOR ROBUST COMMUNITY OUTPATIENT MENTAL HEALTH TREATMENT.CCBHCS ARE REQUIRED TO MEET RIGOROUS FEDERAL STANDARDS FOR THE RANGE OF SERVICES THAT THEY PROVIDE, AND THEY ARE REQUIRED TO GET PEOPLE INTO CARE QUICKLY. AS A CCBHC, WE ENSURE ACCESS TO A COMPREHENSIVE RANGE OF SERVICES, PROVIDING CARE COORDINATION WHEN NEEDED AND INCORPORATING EVIDENCE-BASED PRACTICES AND OTHER SUPPORTS BASED ON A COMMUNITY NEEDS ASSESSMENT. EQUALLY IMPORTANT, CCBHCS ARE REQUIRED TO SERVE ANYONE WHO REQUESTS CARE FOR MENTAL HEALTH OR SUBSTANCE USE DISORDERS -- REGARDLESS OF THEIR ABILITY TO PAY, PLACE OF RESIDENCE, OR AGE, INCLUDING DEVELOPMENTALLY APPROPRIATE CARE FOR CHILDREN AND YOUTH -- WHICH RMHC HAS LONG PRACTICED.RMHC EARNED CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) STATUS IN 2023. LED BY THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), CCBHCS WERE CREATED TO TRANSFORM MENTAL HEALTH AND SUBSTANCE USE TREATMENT ACROSS THE COUNTRY AND PROVIDE SUSTAINABLE FUNDING FOR ROBUST COMMUNITY OUTPATIENT MENTAL HEALTH TREATMENT.CCBHCS ARE REQUIRED TO MEET RIGOROUS FEDERAL STANDARDS FOR THE RANGE OF SERVICES THAT THEY PROVIDE, AND THEY ARE REQUIRED TO GET PEOPLE INTO CARE QUICKLY. AS A CCBHC, WE ENSURE ACCESS TO A COMPREHENSIVE RANGE OF SERVICES, PROVIDING CARE COORDINATION WHEN NEEDED AND INCORPORATING EVIDENCE-BASED PRACTICES AND OTHER SUPPORTS BASED ON A COMMUNITY NEEDS ASSESSMENT. EQUALLY IMPORTANT, CCBHCS ARE REQUIRED TO SERVE ANYONE WHO REQUESTS CARE FOR MENTAL HEALTH OR SUBSTANCE USE DISORDERS -- REGARDLESS OF THEIR ABILITY TO PAY, PLACE OF RESIDENCE, OR AGE, INCLUDING DEVELOPMENTALLY APPROPRIATE CARE FOR CHILDREN AND YOUTH -- WHICH RMHC HAS LONG PRACTICED. | Desc |
| Total Program Service Expenses | $9,286,252 | 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 | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 33 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 201 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | 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 | Yes (1) | 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 | ANNMARIE FLOREST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2187492881 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 SOUTH 13TH STREET | AddressLine1Txt |
| City | VIRGINIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55792 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| TOM KRAUSE | |||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK MUHICH | |||||||
| IMMEDIATE PAST PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAT IVES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LARRY CUFFE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHLEEN SULENTICH MD | |||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KEITH HARVEY | |||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOHN LINSTROMBERG MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TONY HARKONEN | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ADAM VENNE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ANNMARIE FLOREST | |||||||
| CEO | 40.00 | Yes (X) | $124,905 | $0 | $20,684 | ||
| MARK ANDERSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CRYSTAL ROYER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JILL BARGER | |||||||
| MEDICAL DIRECTOR | 40.00 | $112,209 | $0 | $6,031 | Yes (X) | ||
| HEATHER MANTSCH | |||||||
| NURSE PRACTITIONER | 40.00 | $131,158 | $0 | $23,227 | Yes (X) | ||
| KATHRYN SCHULZETENBERG | |||||||
| DIRECTOR OF BUSINESS OPERATIONS | 40.00 | $102,295 | $0 | $8,780 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $470,567 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $58,722 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| IMAGINE MEDICAL GROUP PA | |||||
| 3939 WEST RIDGE ROAD SUITE A100 | EERIE | PA | 16506 | MEDICAL DIRECTOR AND PROVIDERS | $576,287 |
| VC3 INC | |||||
| PO BOX 746804 | ATLANTA | GA | 30374 | TECHNOLOGY EQUIPMENT AND SERVICES | $388,740 |
| CLIFTONLARSONALLEN LLP | |||||
| 3402 OAKWOOD MALL DR | EAU CLAIRE | WI | 54701 | ACCOUNTING | $157,928 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,706,237 | GovernmentGrantsAmt |
| All Other Contributions | $15,738 | AllOtherContributionsAmt |
| Noncash Contributions | $300 | NoncashContributionsAmt |
| Total Contributions | $3,721,975 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $9,663,328 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,663,328 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,663,328 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,708 | TotalRevenueColumnAmt |
| Exclusion | $42,708 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,620 | 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 | $10,620 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,620 | TotalRevenueColumnAmt |
| Exclusion | $10,620 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,438,631 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,663,328 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $53,328 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,588 | TotalAmt |
| Program Services | $14,559 | ProgramServicesAmt |
| Management And General | $131,029 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,493,238 | TotalAmt |
| Program Services | $6,210,952 | ProgramServicesAmt |
| Management And General | $1,282,286 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $329,734 | TotalAmt |
| Program Services | $264,320 | ProgramServicesAmt |
| Management And General | $65,414 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $957,179 | TotalAmt |
| Program Services | $735,076 | ProgramServicesAmt |
| Management And General | $222,103 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $604,047 | TotalAmt |
| Program Services | $485,724 | ProgramServicesAmt |
| Management And General | $118,323 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,700 | TotalAmt |
| Management And General | $62,700 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,783 | TotalAmt |
| Program Services | $199,847 | ProgramServicesAmt |
| Management And General | $217,936 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,282 | TotalAmt |
| Program Services | $13,419 | ProgramServicesAmt |
| Management And General | $8,863 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,020 | TotalAmt |
| Program Services | $18,734 | ProgramServicesAmt |
| Management And General | $24,286 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $692,562 | TotalAmt |
| Program Services | $221,468 | ProgramServicesAmt |
| Management And General | $471,094 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $651,200 | TotalAmt |
| Program Services | $538,424 | ProgramServicesAmt |
| Management And General | $112,776 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,658 | TotalAmt |
| Program Services | $91,672 | ProgramServicesAmt |
| Management And General | $9,986 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $163,426 | TotalAmt |
| Program Services | $51,906 | ProgramServicesAmt |
| Management And General | $111,520 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,749 | TotalAmt |
| Program Services | $17,271 | ProgramServicesAmt |
| Management And General | $131,478 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MAINTENANCE | $312,161 | $69,557 | $242,604 |
| CLIENT NEEDS | $293,302 | $287,235 | $6,067 |
| LEASING | $41,924 | $18,365 | $23,559 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,559 | TotalAmt |
| Program Services | $47,723 | ProgramServicesAmt |
| Management And General | $70,836 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,599,112 | TotalAmt |
| Program Services | $9,286,252 | ProgramServicesAmt |
| Management And General | $3,312,860 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $950 | BOYAmt |
| EOY | $641 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $651,502 | BOYAmt |
| EOY | $1,503,323 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,104 | BOYAmt |
| EOY | $336,057 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $753,283 | BOYAmt |
| EOY | $819,924 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $434,224 | BOYAmt |
| EOY | $434,224 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,779 | BOYAmt |
| EOY | $242,280 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,304,835 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,863,194 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,605,068 | BOYAmt |
| EOY | $1,441,641 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $697,470 | BOYAmt |
| EOY | $711,889 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,775,380 | BOYAmt |
| EOY | $5,489,979 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $919,550 | BOYAmt |
| EOY | $799,109 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,888 | BOYAmt |
| EOY | $52,676 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,780 | BOYAmt |
| EOY | $19,513 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $996,218 | BOYAmt |
| EOY | $871,298 | 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 | $3,739,844 | BOYAmt |
| EOY | $4,582,900 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,318 | BOYAmt |
| EOY | $35,781 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,779,162 | BOYAmt |
| EOY | $4,618,681 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,775,380 | BOYAmt |
| EOY | $5,489,979 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $839,519 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,974,644 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,493,913 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,356,129 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,016,864 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,721,975 | CurrentTaxYearAmt |
| Total | $22,563,525 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,717,404 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,889,277 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,036,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,147,889 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,663,328 | CurrentTaxYearAmt |
| Total | $34,454,536 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,692,048 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,383,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,392,767 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,164,753 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,385,303 | CurrentTaxYearAmt |
| Total | $57,018,061 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $57,018,061 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,044 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,957 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,998 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,708 | CurrentTaxYearAmt |
| Total | $118,662 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,044 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $17,957 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,955 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $41,998 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $42,708 | CurrentTaxYearAmt |
| Total | $118,662 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -$2,476 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | -$75,472 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,025 | CurrentTaxYearMinus2YearsAmt |
| Total | -$75,923 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,698,616 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,325,675 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,401,747 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,206,751 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,428,011 | CurrentTaxYearAmt |
| Total | $57,060,800 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99930 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00210 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00160 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 | $121,451 | OtherCostOrOtherBasisAmt |
| Book Value | $121,451 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,988,962 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,775,886 | DepreciationAmt |
| Book Value | $1,213,076 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $998,185 | OtherCostOrOtherBasisAmt |
| Depreciation | $928,634 | DepreciationAmt |
| Book Value | $69,551 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $196,237 | OtherCostOrOtherBasisAmt |
| Depreciation | $158,674 | DepreciationAmt |
| Book Value | $37,563 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,441,641 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| INVESTMENT IN PERPICH APTS LTD PARTNERSHIP | $424,465 |
| RESTRICTED CASH | $90,017 |
| RIGHT OF USE ASSET | $19,042 |
| UNEMPLOYMENT TRUST | $178,365 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $711,889 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE LIABILITY | Desc |
| Amt | $19,513 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,513 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GAAP PROVIDES THAT A TAX EXPENSE OR BENEFIT FROM AN UNCERTAIN INCOME TAX POSITION (INCLUDING TAX-EXEMPT STATUS) MAY BE RECOGNZIED ONLY WHEN IT IS MORE LIKLEY THAN NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. MANAGEMENT BELIEVES THE ORGANIZATION HAS NO UNCERTAIN INCOME TAX POSITIONS THAT WOULD RESULT IN AN ACCRUAL, EXPENSE OR BENEFIT UNDER THE MORE LIKELY THAN NOT STANDARD. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HEATHER MANTSCH | PersonNm |
| Title | NURSE PRACTITIONER | TitleTxt |
| Base Compensation Filing Org | $131,158 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $7,926 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $15,301 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $154,385 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE AUDIT OF THE FINANCIAL STATEMENTS IS COMPLETED BY AN INDEPENDENT AUDITOR AND PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE FORM 990 IS PREPARED BY THE AUDITOR BASED ON THE AUDITED INFORMATION AND IS REVIEWED BY THE BUSINESS MANAGER & CEO PRIOR TO FILING WITH THE IRS. COPIES OF THE 990 ARE MADE AVAILABLE TO BOARD MEMBERS FOR REVIEW |
| FORM 990, PART VI, SECTION B, LINE 12C | STAFF ARE NOTIFIED THROUGH TRAINING SOFTWARE AND E-MAIL CORRESPONDENCE ABOUT THE POLICY AND UPDATES. THE COMPLIANCE OFFICER MONITORS THE TRAINING SOFTWARE AND E-MAIL CORESPONDENCE IN REGARDS TO THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15 | INFORMATION IS GATHERED FROM THE STATE MENTAL HEALTH ASSOCIATION SALARY BENEFITS SURVEY, LOCAL WORKFORCE CENTER, SHRM WEBSITE AND AVAILABLE COMPARABLE LOCAL AGENCY INFORMATION. THIS INFORMATION PROVIDES A GENERAL RANGE FOR NEGOTIATIONS. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR HIRING THE CEO. THE CEO IS RESPONSIBLE FOR HIRING OTHER EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PERPICH APARTMENTS LIMITED PARTNERSHIP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 624 SOUTH 13TH STREET | AddressLine1Txt |
| City | VIRGINIA | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55792 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203688741 | EIN |
| Primary Activities | RENTAL | PrimaryActivitiesTxt |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$277,225 | ShareOfTotalIncomeAmt |
| Disproportionate Allocations | Yes (1) | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 1.00000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | 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 | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PERPICH APARTMENTS LIMITED PARTNERSHIP | ||
| A | $0 | FMV |
| PERPICH APARTMENTS LIMITED PARTNERSHIP | ||
| D | $0 | FMV |
| PERPICH APARTMENTS LIMITED PARTNERSHIP | ||
| L | $0 | FMV |
| PERPICH APARTMENTS LIMITED PARTNERSHIP | ||
| Q | $0 | FMV |