2017-05-03T16:50:31-05:00 2016-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-10-01 237156236 WEST SIDE COMMUNITY HEALTH SERVICES INC % JAESON T FOURNIER CEO WEST 6516027500 153 CESAR CHAVEZ STREET ST PAUL MN 551072226 JAESON T FOURNIER CEO 2017-02-02 true Brian D Todd P00422601 4178658701 2015 2017-02-10 21:41:12Z JAESON T FOURNIER CEO 153 CESAR CHAVEZ STREET ST PAUL MN 551072226 29352101 false X WWW.WESTSIDECHS.ORG X 1972 MN WSCHS PROVIDES MULTILINGUAL, MULTICULTURAL AND COMPREHENSIVE HEALTH CARE IN URBAN NEIGHBORHOODS, SCHOOLS, PUBLIC HOUSING AND HOMELESS SHELTERS. 14 14 347 25 0 0 9633360 10787115 20352048 18497046 69011 67940 0 0 30054419 29352101 154604 99967 0 0 17003395 18708211 0 0 0 11444454 10742524 28602453 29550702 1451966 -198601 24838924 24312664 10481476 10153817 14357448 14158847 X WEST SIDE COMMUNITY HEALTH SERVICES' MISSION IS STRENGTHENING THE WELL-BEING OF OUR COMMUNITY THROUGH HEALTH CARE FOR ALL. false false 16705294 99967 10225126 THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTH CARE AND SOCIAL SERVICES WITH BILINGUAL/BICULTURAL STAFF ON A SLIDING FEE SCALE. SERVICES INCLUDE PRIMARY, SPECIALTY, PREVENTIVE, URGENT CARE, COMPLEMENTARY, PHARMACY, DENTAL, OB/GYN, MENTAL HEALTH, SOCIAL AND WRAP-AROUND SERVICES SUCH AS TRANSPORTATION AND ASSISTANCE WITH HEALTH PLAN ENROLLMENT. WE ARE PROUD TO SERVE OVER 35,000 PATIENTS EACH YEAR. WE SERVE THE DIVERSE ST. PAUL METRO AREA COMMUNITY - PARTICULARLY THE LATINO AND HMONG POPULATIONS, ST. PAUL PUBLIC HOUSING RESIDENTS, THE HOMELESS, AND ADOLESCENTS-IN A SERVICE AREA THAT INCLUDES A SIGNIFICANT PORTION OF THE CITY OF ST. PAUL AND RAMSEY COUNTY. 4117037 3605523 THE ORGANIZATION PROVIDES PREVENTIVE, RESTORATIVE, AND EMERGENCY DENTAL SERVICES TO OVER 5,500 PATIENTS AT TWO CLINICS: WEST SIDE DENTAL CLINIC AND EAST SIDE FAMILY DENTAL CLINIC. SEE SCHEDULE O FOR MORE INFORMATION. 3854662 4666397 THE ORGANIZATION PROVIDES MEDICATION DISPENSING SERVICES AND MEDICATION THERAPY MANAGEMENT (MTM). MTM GOES BEYOND THE STANDARD COUNSELING ASSOCIATED WITH RECEIVING A NEW PRESCRIPTION, WORKING DIRECTLY WITH DOCTORS TO ASSURE THAT ALL MEDICATION NEEDS ARE BEING MET. UNINSURED PATIENTS RECEIVE SLIDING SCALE DISCOUNTS BASED UPON INCOME AND LOWER PRICED DRUGS. 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. 24676993 true true false true false false false false false false true false false false true false false true false false false false false false false false false false true true true false false false false false false false false false false true false false false false true true true false false true 34 0 true 347 true false false false false false false false false false false X 14 14 false false false false false false false true true true false true true true true true true true false false MN X X JAESON T FOURNIER CEO 6516027536 153 CESAR CHAVEZ STREET SAINT PAUL MN 551072226 SUSAN MARSCHALK DIRECTOR 1.0 0.0 X 0 0 0 PETE SURDO CHAIR 1.0 0.0 X X 0 0 0 SHENG THAO DIRECTOR 1.0 0.0 X 0 0 0 BRYAN WARREN DIRECTOR 1.0 0.0 X 0 0 0 BILL THOMPSON VICE CHAIR 1.0 0.0 X X 0 0 0 ANDREATTE CALIGUIRE DIRECTOR 1.0 0.0 X 0 0 0 ANDREA CARO DIRECTOR 1.0 0.0 X 0 0 0 MARSHA CRESSY SECRETARY 1.0 0.0 X X 0 0 0 HLEE LEE-KRON DIRECTOR 1.0 0.0 X 0 0 0 DAWN KSEPKA TREASURER 1.0 0.0 X X 0 0 0 CALLY CHAMBERLAIN DIRECTOR END 4/2016 1.0 0.0 X 0 0 0 GLADYS CHUY DIRECTOR END 8/2016 1.0 0.0 X 0 0 0 MAHOGANY ELLIS-CRUTCHFIELD DIRECTOR 1.0 0.0 X 0 0 0 JEANETTE JONES DIRECTOR 1.0 0.0 X 0 0 0 CAROL WILLIAMS DIRECTOR BEG 3/2016 1.0 0.0 X 0 0 0 KIM WORKMAN DIRECTOR BEG 3/2016 1.0 0.0 X 0 0 0 JAESON T FOURNIER CEO 40.0 1.0 X 209891 0 11015 BLAKE DARSOW CFO BEG 8/2016 40.0 0.0 X 0 0 0 MARY NESVIG MEDICAL DIRECTOR 32.0 0.0 X 168900 0 5161 MUAJ LO PHYSICIAN 40.0 0.0 X 173979 0 14272 JASON COMO PHYSICIAN 40.0 0.0 X 166257 0 8899 JOSHUA LACKNER PHYSICIAN 40.0 0.0 X 163472 0 4975 KATHLEEN CULHANE-PERA PHYSICIAN-ASSOCIATE MED. DIREC 24.0 0.0 X 144954 0 10191 ROBERT MCDONALD DENTIST 40.0 0.0 X 148086 0 486 1175539 0 54999 25 false true false NETGAIN TECHNOLOGY INC IT HOSTING SERVICES 340312 QUEST DIAGNOSTICS INC LABORATORY SERVICES 334743 REGENTS OF UNIV OF MINNESOTA CONTRACT PROVIDERS 270834 GE HEALTHCARE IITS USA IT LICENSING 220160 EXPERIENCED RESOURCES CONTRACT CFO/NURSE 214313 9 174607 9837277 775231 43115 10787115 NET PATIENT SERVICE REVENUE 624100 17921423 17921423 EHR INCENTIVE REVENUE 624100 306000 306000 PROGRAM INCENTIVES 624100 134917 134917 PRECEPTING 624100 66575 66575 OTHER 624100 68131 68131 18497046 67940 67940 0 0 0 0 0 0 0 0 0 0 29352101 18497046 67940 0 99967 99967 0 0 394967 174061 220906 0 14581155 13138722 1442433 164255 151203 13052 2478815 2220898 257917 1089019 973540 115479 0 196 196 125443 125443 0 0 0 2331088 1477056 854032 12148 7589 4559 868766 120531 748235 731348 318615 412733 0 958834 586302 372532 63255 46517 16738 0 119266 67954 51312 133952 133952 0 395746 324444 71302 18484 2453 16031 MEDICAL SUPPLIES & DRUGS 4197086 4197086 BAD DEBT 636577 636577 LICENSES, DUES, SUBSCRIPTIONS 114487 104089 10398 RECRUITING & RETENTION 35848 29389 6459 29550702 24676993 4873709 0 4439720 2370285 6497428 8239324 815641 1279204 2601853 2461954 0 0 0 0 4037691 4037691 151512 151112 371397 178508 9834853 4393530 5792992 5441323 0 0 0 0 0 0 0 0 130690 153263 24838924 24312664 2262254 2419430 0 0 96530 96618 2985448 2732569 0 0 0 0 610373 478329 0 0 4526871 4426871 10481476 10153817 X 14034915 13538969 322533 619878 0 0 14357448 14158847 24838924 24312664 -198601 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE MINNESOTA ASSOCIATION OF COMMUNITY HEALTH CENTERS. A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. 632640 632640 6017565 1851239 4166326 888525 818130 70395 2294623 1724161 570462 1500 1500 5441323 0 Due to related party 4000000 DUE TO THIRD PARTY PAYERS 426871 4426871 28612071 193892 -52229 141663 28470408 881693 881693 29352101 29108017 193892 193892 28914125 636577 636577 29550702 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (636,577) BAD DEBT EXPENSE 584,348 NET ASSETS RELEASED FROM RESTRICTION ------------- $ ( 52,229) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 881,693 TEMPORARILY RESTRICTED CONTRIBUTIONS SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 636,577 BAD DEBT EXPENSE true EVICTION PREVENTION - UTILITY ASSISTANCE 175 66117 EVICTION PREVENTION - REPAIRS/SANITATION 38 24709 EVICTION PREVENTION - RENT ASSISTANCE 11 3499 OTHER DIRECT PATIENT ASSISTANCE 27 5642 SCHEDULE I, PART I, LINE 2 MONITORING OF GRANTS: RECIPIENTS OF UTILITY ASSISTANCE ARE SCREENED BY RAMSEY COUNTY/WSCHS STAFF FOR ELIGIBILITY. DATA REGARDING THE AMOUNT AND PURPOSE OF THE LOAN, WITH CLIENT IDENTIFIERS ARE COMPILED IN RAMSEY COUNTY HMIS SYSTEM AND TRACKED ON SPREADSHEETS AT THE GRANTING LOCATION AND IN ACCOUNTING. IF THE APPROVED APPLICANT IS ELIGIBLE FOR ASSISTANCE FROM LARGER PROGRAMS BUT NEEDS ADDITIONAL FUNDS TO PAY THE BILL OR IF THEY ARE NOT ELIGIBLE FOR THOSE PROGRAMS, WEST SIDE COMMUNITY HEALTH SERVICES WILL ASSIST IN RESOLVING THE BILL. ALL PAYMENTS ARE MADE DIRECTLY TO THE LANDLORD, UTILITY COMPANY, OR SANITATION COMPANY. CHECKS ARE PROCESSED BY WSCHS WITH SPECIFIC NAMES AND ACCOUNT NUMBERS. THIS INFORMATION GOES TO THE UTILITIES AND HC STAFF TO VERIFY AND RECORD. X X X false false false false false false false false false JAESON T FOURNIER CEO 209771 0 0 0 120 0 5385 0 5630 0 220906 0 0 0 MUAJ LO PHYSICIAN 173979 0 0 0 0 0 4587 0 9685 0 188251 0 0 0 JASON COMO PHYSICIAN 166149 0 0 0 108 0 4269 0 4630 0 175156 0 0 0 JOSHUA LACKNER PHYSICIAN 163364 0 0 0 108 0 4106 0 869 0 168447 0 0 0 KATHLEEN CULHANE-PERA PHYSICIAN-ASSOCIATE MED. DIREC 144364 0 0 0 590 0 3770 0 6421 0 155145 0 0 0 MARY NESVIG MEDICAL DIRECTOR 168384 0 0 0 516 0 4233 0 928 0 174061 0 0 0 A RAMSEY COUNTY HOUSING AND REDEVELOPMENT AUTHORITY 416005875 2004-04-28 5000000 BUILDING AND LAND false false false A 0 0 5000000 0 0 0 100000 0 0 4900000 0 0 2004 false false true true A false false false false 0 false false false true A false false true false true false 0 false 0 false false A true X 20 43115 FMV false false false SCHEDULE M, PART I, COLUMN B, LINE 20 NUMBER OF CONTRIBUTORS: THE ORGANIZATION RECEIVED DONATIONS OF DRUGS AND MEDICAL SUPPLIES OVER $5,000 IN VALUE FROM TWO ENTITIES. ADDITIONALLY, THE ORGANIZATION RECEIVED DONATIONS OF DRUGS AND MEDICAL SUPPLIES FROM 18 OTHER CONTRIBUTORS, WITH EACH CONTRIBUTING LESS THAN $5,000 IN VALUE. FORM 990, PART III, LINE 4B PROGRAM SERVICES: OUR BRIGHT SMILES DENTAL PROGRAM IS A PARTNERSHIP WITH THE GREATER TWIN CITIES UNITED WAY & THE KNIGHT FOUNDATION. SERVICES ARE PROVIDED FOR CHILDREN IN RAMSEY & DAKOTA COUNTIES. THE PARTNERSHIP FOR IMPROVING CHILDREN'S ORAL HEALTH IN RAMSEY COUNTY STRIVES TO IMPROVE THE ORAL HEALTH OF DISADVANTAGED POPULATIONS THROUGH COMMUNITY OUTREACH, EDUCATION, & DENTAL SERVICES. BRIGHT SMILES STRIVES TO ENSURE THAT LATINO CHILDREN HAVE ACCESS TO DENTAL CARE & FAMILIES ARE EDUCATED ON EFFECTIVE ORAL HEALTH PRACTICES. THERE IS NO CHARGE FOR THESE SERVICES. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: ADDITIONAL PROGRAM SERVICES THE ORGANIZATION PROVIDES AT ITS CLINICS INCLUDE: -ADOLESCENT HEALTH CARE SERVICES -DIABETES CARE -EVICTION PREVENTION -FAMILY PLANNING & PREGNANCY TESTING -FAMILY SUPPORT & MENTAL HEALTH COUNSELING -HEALTH EDUCATION -HIV CARE -NUTRITION SERVICES -PRENATAL CARE -SENIOR HEALTHCARE -WELL CHILD CARE AND IMMUNIZATIONS -WOMEN'S HEALTH, AND -WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM FORM 990, PART VI, SECTION A, LINE 9 OFFICERS, DIRECTORS, TRUSTEES, OR KEY EMPLOYEES UNREACHABLE AT THE ORGANIZATION'S MAILING ADDRESS: -GLADYS CHUY, 20 NE 2ND ST, #P904, MINNEAPOLIS, MN 55413 -CALLY CHAMBERLAIN, 13930 AQUILA CIRCLE, SAVAGE, MN 55378 -BRYAN WARREN, 4481 EVERGREEN DR, VADNAIS HEIGHTS, MN 55127 FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE RETURN IS PREPARED BY AN INDEPENDENT ACCOUNTANT USING THE AUDITED FINANCIAL RECORDS OF THE ORGANIZATION. THEN, THE CEO, CFO, FINANCE COMMITTEE, AND BOARD OF DIRECTORS REVIEW AND APPROVE THE RETURN PRIOR TO BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: 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 ORGANIZATIONAL 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 TRANSACTION WITH A COMPANY WHICH 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. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION REVIEW: THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED THE CEO COMPENSATION. THEY USED A NUMBER OF COMPENSATION SURVEYS, INCLUDING THE 2015 NACHC AND SURVEYS FROM THE WOOD EXECUTIVE SEARCH FIRM. THE EXECUTIVE COMMITTEE RECOMMENDED THE COMPENSATION STRUCTURE TO THE FULL BOARD FOR APPROVAL. ALL OTHER OFFICERS AND KEY EMPLOYEE SALARIES ARE REVIEWED AND APPROVED BY THE CEO ON AN ANNUAL BASIS. A REVIEW LAST OCCURRED IN JANUARY 2015. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE AUDIT REPORT AND FORM 990 ARE IN THE PROCESS OF BEING POSTED ON THE ORGANIZATION'S WEBSITE. 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. EAST SIDE HEALTH CENTER INC 153 CESAR CHAVEZ ST SAINT PAUL MN 55107 455562728 RE HOLDING MN 501(C)3 11C III-FI WEST SIDE true false false true false true false false false false false true false false true true false false false false EAST SIDE HEALTH CENTER INC K 400008 FMV