2014-05-12T14:52:03-05:00 2013-09-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2012-10-01 237156236 WEST SIDE COMMUNITY HEALTH SERVICES INC % LORI DOEHNE CFO WEST 6512221816 153 CESAR CHAVEZ STREET Suite ST PAUL MN 55107 LORI DOEHNE 6512221816 2014-03-20 true Brian D Todd 4178658701 2012 2015-11-30 17:44:51Z LORI DOEHNE CFO 153 CESAR CHAVEZ STREET ST PAUL MN 55107 27444685 false X WWW.WESTSIDECHS.ORG X 1972 MN WEST SIDE COMMUNITY HEALTH SERVICES IS THE LEADER IN DELIVERING AFFORDABLE HEALTH CARE BY BEING THE PROVIDER OF CHOICE, DRIVEN BY COMPASSION AND RESPECT FOR ALL. SEE SCHEDULE O FOR MORE INFORMATION. 13 13 334 30 0 0 9664315 11697274 15017338 15684878 118357 62533 0 0 24800010 27444685 1099689 4525820 0 0 14888060 14736516 0 0 0 8166839 9310135 24154588 28572471 645422 -1127786 17943456 21312908 5652223 10149461 12291233 11163447 X WEST SIDE COMMUNITY HEALTH SERVICES' MISSION IS STRENGTHENING THE WELL-BEING OF OUR COMMUNITY THROUGH HEALTH CARE FOR ALL. false false 17103976 4525820 11053662 THE ORGANIZATION PROVIDES COMPREHENSIVE HEALTH CARE & 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 CHILD CARE, 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, PEOPLE IN THE HOMELESS POPULATION, AND ADOLESCENTS IN A SERVICE AREA THAT INCLUDES A SIGNIFICANT PORTION OF THE CITY OF ST. PAUL AND RAMSEY COUNTY. 3097648 2946633 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. 4076554 1684583 THE ORGANIZATION PROVIDES PREVENTIVE, RESTORATIVE, AND EMERGENCY DENTAL SERVICES TO OVER 5,500 PATIENTS AT TWO CLINICS: WEST SIDE DENTAL CLINIC AND HELPING HAND DENTAL CLINIC. SEE SCHEDULE O FOR MORE INFORMATION. THE ORGANIZATION PROVIDES PREVENTIVE, RESTORATIVE, AND EMERGENCY DENTAL SERVICES TO OVER 5,500 PATIENTS AT TWO CLINICS: WEST SIDE DENTAL CLINIC AND HELPING HAND DENTAL CLINIC. SEE SCHEDULE O FOR MORE INFORMATION. 24278178 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 true true true true false false false false false false false false false false true true false false false true true true false false true 34 0 true 334 true false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true false false MN X X LORI DOEHNE CFO 6512221816 153 CESAR CHAVEZ ST ST PAUL MN 55107 X ROBERT SHEEHY 1.0 0.0 X X 0 0 0 SUSAN MARSCHALK 1.0 0.0 X 0 0 0 KELLY WOODS BIRKENHOLZ 1.0 0.25 X 0 0 0 PETE SURDO 1.0 0.0 X X 0 0 0 WILLIAM RILEY 1.0 0.0 X 0 0 0 BERENICE RIVERA 1.0 0.0 X X 0 0 0 SHENG THAO 1.0 0.0 X 0 0 0 BRYAN WARREN 1.0 0.0 X 0 0 0 BILL THOMPSON 1.0 0.0 X 0 0 0 LUIS ORTEGA 1.0 0.0 X 6577 0 0 CHRIS MISENER 1.0 0.0 X 0 0 0 ANDREATTE CALIGUIRE 1.0 0.0 X ANDREA CARO 1.0 0.0 X CANDACE DAHL 1.0 0.0 X HLEE LEE 1.0 0.0 X DAWN KSEPKA 1.0 0.0 X X MARSHA CRESSY 1.0 0.0 X JAESON T FOURNIER 40.0 15.0 X 183511 0 11511 ROBERT F STEELE 40.0 15.0 X 129219 0 5585 LORI DOEHNE 40.0 0.0 X 0 0 0 MARY NESVIG 32.0 0.0 X 153581 0 6071 KATHLEEN CULHANE-PERA 32.0 0.0 X 132852 0 7634 MUAJ LO 40.0 0.0 X 153705 0 16440 ROBERT MCDONALD 40.0 0.0 X 144770 0 0 BRAD J MCDONNELL 34.0 0.0 X 138254 0 5811 SUSAN A BENFIELD 28.0 0.0 X 130537 0 10459 1173006 0 63511 14 false true false QUEST DIAGNOSTICS INC LABORATORY 367345 NETGAIN TECHNOLOGY INC IT HOSTING SERVICES 357393 GE HEALTHCARE IITS USA IT LICENSING 168829 REGENTS OF UNIVERSITY OF MN MEDICAL SERVICES 132636 MANAGED SERVICES INC MAINTENANCE 130846 8 11089782 607492 242193 11697274 NET PATIENT SERVICE REVENUE 624100 14630670 14630670 EHR INCENTIVE REVENUE 624100 828750 828750 PROGRAM INCENTIVES 624100 172805 172805 PRECEPTING 624100 46700 46700 OTHER 624100 5953 5953 15684878 62533 62533 0 0 0 0 0 0 0 0 0 0 27444685 15684878 62533 4410000 4410000 115820 115820 0 0 527390 179740 347650 0 0 11414448 10150012 1264436 117602 117421 181 1809409 1574534 234875 867667 752106 115561 0 162822 162822 99253 99253 0 0 0 1349138 967470 381668 2744 1865 879 817370 259844 557526 670378 249687 420691 0 1129902 724849 405053 61023 37829 23194 0 112959 61019 51940 151279 151279 0 269048 215785 53263 12878 1859 11019 MEDICAL SUPPLIES & DRUGS 2961470 2961470 BAD DEBT 1389425 1389425 LICENSES, DUES, SUBSCRIPTIONS 103684 93999 9685 RECRUITING & RETENTION 16762 13444 3318 28572471 24278178 4294293 0 34779 3670388 4637076 5882779 1766049 517619 910790 990159 0 0 0 0 4037691 4037691 91759 77902 212258 112211 9016217 3221125 5951660 5795092 0 0 0 0 0 0 0 0 301394 229067 17943456 21312908 1617825 1974144 0 0 88592 120416 3670890 3454839 0 0 0 0 274916 240201 0 0 0 4359861 5652223 10149461 X 10973122 10762991 1318111 400456 0 0 12291233 11163447 17943456 21312908 -1127786 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 OTHER LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1(I) 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 5981936 1387212 4594724 875328 755688 119640 1432068 1078225 353843 94245 94245 5795092 0 DUE TO RELATED PARTY 4359861 4359861 21900237 254977 -5799425 -5544448 27444685 27444685 23028023 254977 254977 22773046 5799425 5799425 28572471 UNCERTAIN TAX POSITIONS SCHEDULE D, PART X, LINE 2 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. OTHER REVENUE INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 SCHEDULE D, PART XI, LINE 2D $(1,389,425) BAD DEBT (4,410,000) CONTRIBUTION EXPENSE ---------- $(5,799,425) TOTAL OTHER EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1 SCHEDULE D, PART XII, LINE 4B $ 1,389,425 BAD DEBT 4,410,000 CONTRIBUTION EXPENSE ---------- $ 5,799,425 TOTAL true EAST SIDE HEALTH CENTER INC 153 CESAR CHAVEZ ST ST PAUL MN 55107 455562728 501(C)(3) 4410000 SUPPORT 1 EVICTION PREVENTION PROGRAM-RENT 235 88909 EVICTION PREVENTION PROGRAM-UTILITIES 36 18181 EVICTION PREVENTION PROGRAM-SANITATION 25 7428 MONITORING OF GRANTS SCHEDULE I, PART I, LINE 2 WEST SIDE COMMUNITY HEALTH SERVICES OFFERS EVICTION PREVENTION SERVICES TO THOSE IN NEED IN THEIR COMMUNITY. IN ORDER TO GAIN ASSISTANCE, APPLICANTS SUBMIT A REQUEST STATING THEIR NEED. REQUESTS ARE VERIFIED WITH THE APPROPRIATE AGENCIES (IE: UTILITIES COMPANY) TO DETERMINE ACCOUNT STATUS. 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. IN FISCAL YEAR 2013, THE ORGANIZATION PROVIDED A CONTRIBUTION TO EAST SIDE HEALTH CENTER, A RELATED PARTY. THE ORGANIZATION IS ABLE TO MONITOR THE USAGE OF THE GRANT MONEY THROUGH THIS RELATIONSHIP. X X X false false false false false false false false false JAESON T FOURNIER 183343 0 0 0 168 0 4753 0 6758 0 195022 0 0 0 MARY NESVIG 153050 0 0 0 531 0 3854 0 2217 0 159652 0 0 0 MUAJ LO 153573 0 0 0 132 0 0 0 16440 0 170145 0 0 0 A RAMSEY COUNTY HOUSING & 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 true true false 0 false 0 false false A true X 1 2800 FMV X 39 239393 FMV false false false NUMBER OF CONTRIBUTIONS SCHEDULE M, PART I, COLUMN B, LINES 1 & 20 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 37 OTHER CONTRIBUTORS, WITH EACH CONTRIBUTING LESS THAN $5,000 IN VALUE. THE ORGANIZATION ALSO RECEIVED WORKS OF ART FROM ONE CONTRIBUTOR. ORGANIZATION'S MISSION FORM 990, PART I, LINE 1 WEST SIDE COMMUNITY HEALTH SERVICES IS THE LEADER IN DELIVERING AFFORDABLE HEALTH CARE BY BEING THE PROVIDER OF CHOICE, DRIVEN BY COMPASSION AND RESPECT FOR ALL. PROGRAM SERVICES FORM 990, PART III, LINE 4B 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. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4D 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 990 REVIEW POLICY FORM 990, PART VI, SECTION B, LINE 11B 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. CONFLICT OF INTEREST POLICY FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS ARE EXPECTED TO EXERCISE INDEPENDENT JUDGMENT IN OVERSEEING THE BUSINESS AFFAIRS OF THE ORGANIZATION. BOARD MEMBERS ARE PROHIBITED FROM ENGAGING IN ANY SITUATION THAT IS OR APPEARS TO BE A CONFLICT OF INTEREST. THIS INCLUDES PROHIBITING BOARD MEMBERS AND MEMBERS OF THEIR IMMEDIATE FAMILY FROM BEING EMPLOYEES OR CONTRACTORS OF WEST SIDE COMMUNITY HEALTH SERVICES. ON AN ANNUAL BASIS, ALL BOARD OF DIRECTORS AND COMMITTEE MEMBERS MUST SIGN A WRITTEN DECLARATION OF THE FOLLOWING: 1. FIT OF 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. COMPENSATION REVIEW FORM 990, PART VI, SECTION B, LINES 15A & 15B THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWED THE CEO COMPENSATION. THEY USED A NUMBER OF COMPENSATION SURVEYS, INCLUDING THE 2012 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 DECEMBER 2012. DOCUMENT DISCLOSURE FORM 990, PART VI, SECTION C, LINE 19 THE AUDIT REPORT AND FORM 990 ARE CURRENTLY AVAILABLE TO THE PUBLIC FOR VIEWING 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. DIRECTOR COMPENSATION FORM 990, PART VII, SECTION A LUIS ORTEGA RECEIVED COMPENSATION FROM THE ORGANIZATION, WHICH WAS PROVIDED FOR HIS PARTICIPATION, AS A COMMUNITY MEMBER, IN A RESEARCH PROJECT. NO BOARD MEMBERS RECEIVE COMPENSATION FOR THEIR ROLES AS DIRECTORS. EAST SIDE HEALTH CENTER INC 153 CESAR CHAVEZ ST SAINT PAUL MN 55107 455562728 RE HOLDING MN 501(C)3 11A II WEST SIDE true false true false false true false false false false true false false true true false false false false EAST SIDE HEALTH CENTER INC B 4410000 FMV EAST SIDE HEALTH CENTER INC E 4359861 FMV EAST SIDE HEALTH CENTER INC K 133336 FMV