CEDAR RIVERSIDE PEOPLES CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CEDAR RIVERSIDE PEOPLES CENTER (EIN 41-0982430)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-09
- IRS object ID
- 201312219349300226
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-08-09T09:05:59-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 390758449 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7601 FRANCE AVENUE SOUTH SUITE | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55435 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410982430 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CEDAR RIVERSIDE PEOPLE'S CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CEDA | NameControl |
| Phone | 6123555552 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 20TH AVENUE S | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55454 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PEGGY METZER | Name |
| Title | CEO | Title |
| Phone | 6123555552 | Phone |
| Date Signed | 2013-08-07 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIM A RITTER CPA | Name |
| PTIN | P00732856 | PTIN |
| Phone | 9525483400 | Phone |
| Date Prepared | 2013-08-07 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PEGGY METZER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 20TH AVENUE S | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55454 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 6344622 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PEOPLES-CENTER.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1970 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | TO PROMOTE A HIGH LEVEL OF COMMUNITY SERVICE BY PROVIDING RESOURCES, SERVICES, PRODUCTS, AND FACILITIES FOR SERVICES AND COMMUNITY EVENTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 95 | TotalNbrEmployees |
| Total Nbr Volunteers | 11 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2699602 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1174124 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4864440 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4901685 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6160 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5136 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 44162 | OtherRevenuePriorYear |
| Other Revenue Current Year | 150775 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 7614364 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6231720 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3442720 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3812366 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 1828 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 4739 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 146852 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1991037 | OtherExpensePriorYear |
| Other Expenses Current Year | 2351051 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5435585 | TotalExpensesPriorYear |
| Total Expenses Current Year | 6168156 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2178779 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 63564 | RevenuesLessExpensesCY |
| Total Assets BOY | 6248267 | TotalAssetsBOY |
| Total Assets EOY | 6066478 | TotalAssetsEOY |
| Total Liabilities BOY | 1917351 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1671998 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4330916 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4394480 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF PEOPLE'S CENTER HEALTH SERVICES IS TO ASSURE HIGH QUALITY AND RESPECTFUL HEALTH AND MEDICAL CARE TO ALL WITH A SPECIAL FOCUS ON THE NEEDS OF THE ECONOMICALLY DISADVANTAGED AND THE SOCIALLY DISENFRANCHISED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5029435 | Expense |
| Revenue | 4901685 | Revenue |
| Description | CRPC PROVIDES AFFORDABLE HEALTH SERVICES TO LOW INCOME INDIVIDUALS. SERVICES INCLUDE PRIMARY CARE, PRENATAL, PEDIATRIC, REPRODUCTIVE, GERIATRIC, DIABETES, WEIGHT AND DIET MANAGEMENT, BEHAVIORAL HEALTH, LOW COST PHARMACEUTICAL PROGRAM, HEALTH EDUCATION AND OUTREACH. IN 2012, 33,390 PATIENT ENCOUNTERS WERE INCURRED THROUGH THE SERVICES LISTED. | Description |
| Total Program Service Expense | 5029435 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 48 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 95 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA WIDBOOM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6123555552 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 425 20TH AVENUE S | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55454 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (18 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| KRISTINE LAMBERT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| NNAMDI NJOKU | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CHRYSTIAN PEREIRA PHARM D | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| LISA REDDITT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BOBBI RIX | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JULIE TATE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RAHO WARSAME | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CRAIG CURRIE | |||||||
| CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| ALLISON O'CONNOR | |||||||
| VICE CHAIR | 1.00 | X | 0 | 0 | 0 | X | |
| STEVE VENABLE | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| MICHAEL CEBALLOS | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| PEGGY METZER | |||||||
| CEO | 40.00 | 153977 | 0 | 6675 | X | ||
| MICHELE STERN | |||||||
| CFO (FORMER) | 40.00 | 86241 | 0 | 7510 | X | ||
| PATRICIA WIDBOOM | |||||||
| CFO | 40.00 | 10577 | 0 | 0 | X | ||
| RHONDA EASTLUND | |||||||
| CPO | 40.00 | 76998 | 0 | 14441 | X | ||
| STEVEN VINCENT | |||||||
| CMO | 40.00 | 165707 | 0 | 18206 | X | ||
| AHMED MOHAMED | |||||||
| MD | 40.00 | 142723 | 0 | 5082 | X | ||
| KAY MAUST | |||||||
| PHYSICIAN | 40.00 | 106366 | 0 | 2942 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 742589 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 54856 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OCHIN | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1881 SW NAITO PRKWY | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 97201 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | IT SUPPORT SYSTEMS | DescriptionOfServices |
| Compensation | 131794 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Government Grants | 1087721 | GovernmentGrants |
| All Other Contributions | 86403 | AllOtherContributions |
| Total Contributions | 1174124 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 4901685 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4901685 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4901685 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5136 | TotalRevenueColumn |
| Exclusion | $5,136 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 76914 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 112902 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -35988 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -35988 | TotalRevenueColumn |
| Exclusion | -$35,988 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PHYSICIAN INCENTIVE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 186763 | TotalRevenueColumn |
| Exclusion | $186,763 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 186763 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6231720 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4901685 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $155,911 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540332 | Total |
| Program Services | 427474 | ProgramServices |
| Management And General | 95098 | ManagementAndGeneral |
| Fundraising | 17760 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2838371 | Total |
| Program Services | 2247731 | ProgramServices |
| Management And General | 499553 | ManagementAndGeneral |
| Fundraising | 91087 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35322 | Total |
| Program Services | 29105 | ProgramServices |
| Management And General | 6217 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97322 | Total |
| Program Services | 72072 | ProgramServices |
| Management And General | 17129 | ManagementAndGeneral |
| Fundraising | 8121 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 301019 | Total |
| Program Services | 241059 | ProgramServices |
| Management And General | 52979 | ManagementAndGeneral |
| Fundraising | 6981 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11074 | Total |
| Management And General | 11074 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36383 | Total |
| Management And General | 36383 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4739 | Total |
| Fundraising | 4739 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 704788 | Total |
| Program Services | 580745 | ProgramServices |
| Management And General | 124043 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45903 | Total |
| Program Services | 23412 | ProgramServices |
| Management And General | 8079 | ManagementAndGeneral |
| Fundraising | 14412 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 459501 | Total |
| Program Services | 377937 | ProgramServices |
| Management And General | 80872 | ManagementAndGeneral |
| Fundraising | 692 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124800 | Total |
| Program Services | 101812 | ProgramServices |
| Management And General | 21965 | ManagementAndGeneral |
| Fundraising | 1023 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55362 | Total |
| Program Services | 45618 | ProgramServices |
| Management And General | 9744 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22519 | Total |
| Program Services | 17791 | ProgramServices |
| Management And General | 3963 | ManagementAndGeneral |
| Fundraising | 765 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45081 | Total |
| Program Services | 35875 | ProgramServices |
| Management And General | 7934 | ManagementAndGeneral |
| Fundraising | 1272 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63175 | Total |
| Program Services | 52056 | ProgramServices |
| Management And General | 11119 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497937 | Total |
| Program Services | 497937 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28853 | Total |
| Program Services | 23775 | ProgramServices |
| Management And General | 5078 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 212821 | 212821 | |
| MN CARE TAX | 39226 | 39226 | |
| MISCELLANEOUS | 3628 | 2989 | 639 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6168156 | Total |
| Program Services | 5029435 | ProgramServices |
| Management And General | 991869 | ManagementAndGeneral |
| Fundraising | 146852 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 328113 | BOY |
| EOY | 345639 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 493286 | BOY |
| EOY | 538745 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130891 | BOY |
| EOY | 140132 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 442144 | BOY |
| EOY | 525163 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51630 | BOY |
| EOY | 23219 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6526342 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2817859 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3824351 | BOY |
| EOY | 3708483 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12979 | BOY |
| EOY | 14142 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 291696 | BOY |
| EOY | 212158 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 673177 | BOY |
| EOY | 558797 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6248267 | BOY |
| EOY | 6066478 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307251 | BOY |
| EOY | 354563 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 135264 | BOY |
| EOY | 23360 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1330001 | BOY |
| EOY | 1147475 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144835 | BOY |
| EOY | 146600 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1917351 | BOY |
| EOY | 1671998 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4322411 | BOY |
| EOY | 4385975 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8505 | BOY |
| EOY | 8505 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4330916 | BOY |
| EOY | 4394480 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6248267 | BOY |
| EOY | 6066478 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 63564 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1139649 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1642363 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1754978 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2699602 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1174124 | CurrentTaxYear |
| Total | 8410716 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2177639 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2840451 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2913723 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4864440 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4901685 | CurrentTaxYear |
| Total | 17697938 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 47003 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 82194 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 30059 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 60662 | CurrentTaxYearMinus1Year |
| Current Tax Year | 186763 | CurrentTaxYear |
| Total | 406681 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3364291 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4565008 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4698760 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7624704 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6262572 | CurrentTaxYear |
| Total | 26515335 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 791294 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 418546 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7103 | CurrentTaxYearMinus1Year |
| Current Tax Year | 84480 | CurrentTaxYear |
| Total | 1301423 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 791294 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 418546 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7103 | CurrentTaxYearMinus1Year |
| Current Tax Year | 84480 | CurrentTaxYear |
| Total | 1301423 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 25213912 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13122 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 102163 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 92241 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 75548 | CurrentTaxYearMinus1Year |
| Current Tax Year | 82050 | CurrentTaxYear |
| Total | 365124 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13122 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 102163 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 92241 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 75548 | CurrentTaxYearMinus1Year |
| Current Tax Year | 82050 | CurrentTaxYear |
| Total | 365124 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3377413 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4667171 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4791001 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 7700252 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6344622 | CurrentTaxYear |
| Total | 26880459 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.93800 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.91970 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01360 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01270 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8505 | BeginningOfYearBalance |
| End Of Year Balance | 8505 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8505 | BeginningOfYearBalance |
| End Of Year Balance | 8505 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8505 | BeginningOfYearBalance |
| End Of Year Balance | 8505 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 8505 | BeginningOfYearBalance |
| End Of Year Balance | 8505 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributions | 8505 | Contributions |
| End Of Year Balance | 8505 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 127499 | OtherCostOrOtherBasis |
| Book Value | 127499 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5206196 | OtherCostOrOtherBasis |
| Depreciation | 2132157 | Depreciation |
| Book Value | 3074039 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1180297 | OtherCostOrOtherBasis |
| Depreciation | 673352 | Depreciation |
| Book Value | 506945 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 12350 | OtherCostOrOtherBasis |
| Depreciation | 12350 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3708483 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| FQHC REIMBURSEMENT RECEIVABLE | 361642 |
| UNAMORTIZED DEBT ISSUANCE COSTS | 90905 |
| EMR INCENTIVE RECEIVABLE | 106250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 558797 | TotalBookValueOtherAssets |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 6131801 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 112902 | OtherRevenues |
| Revenue Not Rptd F990 | 112902 | RevenueNotRptdF990 |
| Revenue Subtotal | 6018899 | RevenueSubtotal |
| Other Revenues Not Included | 212821 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 212821 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 6231720 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6068237 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 112902 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 112902 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5955335 | ExpensesSubtotal |
| Other Expenses Not Included | 212821 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 212821 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 6168156 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE PURPOSE OF THE ENDOWMENT IS TO FUND CAPITAL IMPROVEMENTS TO A MEDICAL EXAM ROOM. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE ORGANIZATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES FOR UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS IN 2012 AND 2011. THE ORGANIZATION'S FEDERAL RETURNS FOR YEARS 2009 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 112,902. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 212,821. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSE 112,902. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 212,821. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PEGGY METZER | ||||||||||||||
| CEO | 127458 | 0 | 26519 | 0 | 0 | 0 | 4487 | 0 | 2188 | 0 | 160652 | 0 | 0 | 0 |
| STEVEN VINCENT | ||||||||||||||
| CMO | 156738 | 0 | 8000 | 0 | 969 | 0 | 4786 | 0 | 13420 | 0 | 183913 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | HEALTH OR SOCIAL CLUB DUES UP TO $3,000 ARE INCLUDED IN THE EXECUTIVE DIRECTOR'S CONTRACT APPROVED BY THE BOARD OF DIRECTORS. |
| PART I, LINE 1B | SOME PROVIDERS OF CEDAR RIVERSIDE PEOPLES CENTER (CRPC) PAY SOME OF THEIR MEMBERSHIP DUES WITH THEIR PAYMENT NEGOTIATED WITH CRPC TO COVER PROFESSIONAL LICENSES. THE AMOUNT OF PROFESSIONAL LICENSE MONEY VARIES BETWEEN $500 TO $3,000. PROVIDERS CAN THEN CHOOSE THE MEMBERSHIPS THEY WANT CRPC TO COVER. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MINNEAPOLIS COMMUNITY DEVELOPMENT AGENCY | |||||||
| A | 416009115 | 2006-02-16 | 579325 | CLINIC RENOVATIONS | 0 | 0 | 0 |
| MINNEAPOLIS COMMUNITY DEVELOPMENT AGENCY | |||||||
| B | 416009115 | 2010-10-20 | 1092382 | ASSET ACQUISITION | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|
| A | 229375 | 579325 | 11500 | 567825 | 2007 | 0 | 0 | 1 | 1 |
| B | 294857 | 1092382 | 21847 | 1070535 | 2010 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
| B | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | LUCZANO MARIUCCI | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SON OF CEO | Relationship |
| Amount Of Transaction | 67350 | AmountOfTransaction |
| Description Of Transaction | EMPLOYED BY CEDAR RIVERSIDE PEOPLE'S CENTER AS AN IT DIRECTOR. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 WAS PRESENTED TO THE FINANCE COMMITTEE FOR REVIEW AND APPROVAL AND THEN THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS AND OFFICERS OF THE ORGANIZATION. INDIVIDUALS COVERED UNDER THE POLICY ARE REQUIRED TO SIGN AND DISCLOSE INFORMATION REGARDING CONFLICTS. THE EXECUTIVE COMMITTEE REVIEWS THE DISCLOSURES AND MONITORS COMPLIANCE WITH THE POLICY. WHEN THERE ARE SITUATIONS WHERE THE BOARD OF DIRECTORS IS UNCERTAIN AS TO IF A CONFLICT EXISTS, THE EXECUTIVE COMMITTEE REVIEWS THE CIRCUMSTANCES AND MAKES A DETERMINATION AS TO THE EXISTENCE OF A CONFLICT OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PERSONNEL AND EXECUTIVE COMMITTEES ARE RESPONSIBLE FOR THE OVERSIGHT OF THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CEO, SENIOR LEADERS, AND MEDICAL PROVIDERS. THE EXECUTIVE COMMITTEE HIRED A CONSULTANT TO EVALUATE COMPENSATION OF THE CEO, SENIOR LEADERS, AND MEDICAL PROVIDERS. THE CONSULTANT USED SURVEYS AND METRICS TO EVALUATE THE CEO'S COMPENSATION. THE BOARD OF DIRECTORS REVIEWED THE RECOMMENDATIONS AND APPROVED THE COMPENSATION PLAN FOR THE CEO. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. THE FINANCIAL STATEMENTS AND 990 ARE FILED WITH THE ANNUAL REPORT TO THE STATE OF MINNESOTA ATTORNEY GENERAL. | |
| FORM 990, PART IX, LINE 11G | OTHER PROFESSIONAL SERVICES : PROGRAM SERVICE EXPENSES 580,745. MANAGEMENT AND GENERAL EXPENSES 124,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 704,788. | OTHER FEES |
| FORM 990, PART XI, LINE 2C | THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |