INDIAN HEALTH BOARD OF MINNEAPOLIS INC: Form 990, tax year 2023
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- Organization
- INDIAN HEALTH BOARD OF MINNEAPOLIS INC (EIN 41-0977740)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-02-28
- IRS object ID
- 202520599349300527
- Schema version
- 2023v6.0
- 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 | 2025-02-28T10:17:26-06:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 410977740 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIAN HEALTH BOARD OF MINNEAPOLIS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDI | BusinessNameControlTxt |
| Phone | 6127219800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 EAST 24TH STREET | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55404 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK ROCK MD | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 6127219800 | PhoneNum |
| Signature | 2025-02-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2025-02-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PATRICK ROCK MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 EAST 24TH STREET | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55404 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,019,694 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.INDIANHEALTHBOARD.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO ENSURE ACCESS TO QUALITY HEALTH CARE SERVICES FOR AMERICAN INDIANS AND OTHER PEOPLES AND TO PROMOTE HEALTH EDUCATION AND WELLNESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 115 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,887,192 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,651,301 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,107,337 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,735,205 | CYProgramServiceRevenueAmt |
| PY Investment Income | $373,681 | PYInvestmentIncomeAmt |
| CY Investment Income | $588,592 | CYInvestmentIncomeAmt |
| PY Other Revenue | $23,855 | PYOtherRevenueAmt |
| CY Other Revenue | $44,596 | CYOtherRevenueAmt |
| PY Total Revenue | $16,392,065 | PYTotalRevenueAmt |
| CY Total Revenue | $19,019,694 | 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 | $9,241,816 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,408,447 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $91,952 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,378,656 | PYOtherExpensesAmt |
| CY Other Expenses | $4,110,832 | CYOtherExpensesAmt |
| PY Total Expenses | $12,620,472 | PYTotalExpensesAmt |
| CY Total Expenses | $14,519,279 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,771,593 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,500,415 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $38,661,430 | TotalAssetsBOYAmt |
| Total Assets EOY | $39,811,970 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,044,758 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $16,694,883 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $18,616,672 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,117,087 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF INDIAN HEALTH BOARD OF MINNEAPOLIS, INC. IS TO ENSURE ACCESS TO QUALITY HEALTH CARE SERVICES FOR AMERICAN INDIANS AND OTHER PEOPLES AND TO PROMOTE HEALTH EDUCATION AND WELLNESS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,216,444 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,850,213 | RevenueAmt |
| Desc | MEDICAL - PROVIDED 7,868 MEDICAL SERVICE ENCOUNTERS FOR THE AMERICAN INDIAN POPULATION AND THE GENERAL PUBLIC AT LARGE. THE MEDICAL PROGRAM EMPHASIZES HEALTH PROMOTION, PRENATAL CARE, AND MANAGEMENT OF CHRONIC DISEASES SUCH AS DIABETES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,610,752 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $2,691,396 | RevenueAmt |
| Desc | COUNSELING AND SUPPORT - PROVIDED 7,876 COUNSELING SERVICE ENCOUNTERS FOR THE AMERICAN INDIAN POPULATION AND THE GENERAL PUBLIC AT LARGE. THE COUNSELING AND SUPPORT CLINIC PROVIDE PROFESSIONAL THERAPEUTIC SERVICES INCLUDING INDIVIDUAL, FAMILY AND GROUP PSYCHOTHERAPY, AND PSYCHOLOGICAL ASSESSMENTS AND TESTING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,298,740 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $939,966 | RevenueAmt |
| Desc | DENTAL - PROVIDED 4,307 DENTAL SERVICE ENCOUNTERS FOR THE AMERICAN INDIAN POPULATION AND THE GENERAL PUBLIC AT LARGE. THE DENTAL CLINIC PROVIDES ADULT AND PEDIATRIC GENERAL DENTISTRY EMPHASIZING ON PREVENTIVE DENTAL CARE AND OFFERS PREVENTIVE DENTAL CARE EDUCATION. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (8 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $860,067 | $0 | $0 | PATIENT RECORDS |
| $742,656 | $0 | $239,074 | COMMUNITY SERVICE |
| $569,870 | $0 | $0 | RECOVERY SERVICES - PROVIDED 875 RECOVERY SERVICE ENCOUNTERS FOR THE AMERICAN INDIAN POPULATION AND THE GENERAL PUBLIC AT LARGE. THE RECOVERY SERVICES CLINIC PROVIDES PROFESSIONAL THERAPEUTIC SERVICES INCLUDING INDIVIDUAL, FAMILY AND GROUP PSYCHOTHERAPY. |
| $469,356 | $0 | $0 | LABORATORY |
| $282,373 | $0 | $0 | HEALTH EDUCATION |
| $162,324 | $0 | $0 | ENABLING SERVICES |
| $144,271 | $0 | $0 | TRANSPORTATION |
| $141,992 | $0 | $14,556 | PHARMACY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $3,372,909 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $253,630 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $10,498,845 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | 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 | 83 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 115 | 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KRIS WEHLAGE | PersonNm |
| Phone | 6127219880 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1315 EAST 24TH STREET | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55404 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 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 |
|---|---|---|---|---|---|---|---|
| JONI BUFFALOHEAD | |||||||
| CHAIR | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARK FIDDLER | |||||||
| VICE CHAIR | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOANNE WHITERABBIT | |||||||
| TREASURER (THRU SEPT. 23') | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JASON LUHRS | |||||||
| TREASURER | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HEATHER FAHEY | |||||||
| SECRETARY | 0.30 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FRANK BRODERICK | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| LINDA FRIZZELL | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| LEMOINE LAPOINTE | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| LISA MARTIN | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| GAIL MASON | |||||||
| BOARD MEMBER | 0.30 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK ROCK MD | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $386,360 | $0 | $61,892 | ||
| KATHRYN HEMKER | |||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $211,689 | $0 | $43,332 | ||
| MICHELE GELLERMAN | |||||||
| CONSULTANT | 20.00 | Yes (X) | $144,631 | $0 | $8,243 | ||
| KRIS WEHLAGE | |||||||
| FINANCE DIRECTOR | 40.00 | Yes (X) | $26,951 | $0 | $1,709 | ||
| MITCHELL LACOMBE | |||||||
| MEDICAL DIRECTOR | 40.00 | $273,421 | $0 | $44,248 | Yes (X) | ||
| EMILY TORELL | |||||||
| PHYSICIAN | 40.00 | $203,513 | $0 | $8,770 | Yes (X) | ||
| SHEILA THORSTENSON | |||||||
| DENTAL DIRECTOR | 40.00 | $197,712 | $0 | $40,296 | Yes (X) | ||
| MICHAEL HARRIS | |||||||
| COMMUNITY ENGAGEMENT DIRECTOR | 40.00 | $179,295 | $0 | $20,722 | Yes (X) | ||
| JUSTIN MIKESELL | |||||||
| DENTIST | 40.00 | $163,055 | $0 | $19,280 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,786,627 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $248,492 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 21 | 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 |
|---|---|---|---|---|---|
| AZTEC JANITORIAL SERVICES | |||||
| 1490 FEDERAL CT | EAGAN | MN | 55122 | JANITORIAL SERVICES | $208,040 |
| ROBERT HALF | |||||
| PO BOX 743295 | LOS ANGELES | CA | 90074 | EMPLOYMENT AGENCY SERVICES | $143,026 |
| OWENS COMPANIES INC | |||||
| 500 WEST 92ND STREET | BLOOMINGTON | MN | 55420 | ELEVATOR REPAIR SERVICES | $105,887 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,034,413 | GovernmentGrantsAmt |
| All Other Contributions | $616,888 | AllOtherContributionsAmt |
| Total Contributions | $11,651,301 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL SERVICE REVENUE | 621400 | $2,850,213 | $2,850,213 |
| COUNSELING SERVICE REVENUE | 621400 | $2,691,396 | $2,691,396 |
| DENTAL SERVICE REVENUE | 621400 | $939,966 | $939,966 |
| OTHER PATIENT CARE REVENUE | 621400 | $161,392 | $161,392 |
| PHARMACEUTICAL REVENUE | 621400 | $14,556 | $14,556 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,682 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $77,682 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,735,205 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $588,592 | TotalRevenueColumnAmt |
| Exclusion | $588,592 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,427 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $9,427 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,427 | TotalRevenueColumnAmt |
| Exclusion | $9,427 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,169 | TotalRevenueColumnAmt |
| Exclusion | $35,169 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $35,169 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,019,694 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,735,205 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $633,188 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $982,860 | TotalAmt |
| Management And General | $896,722 | ManagementAndGeneralAmt |
| Fundraising | $86,138 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,415,710 | TotalAmt |
| Program Services | $6,178,505 | ProgramServicesAmt |
| Management And General | $1,237,205 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,621 | TotalAmt |
| Program Services | $204,174 | ProgramServicesAmt |
| Management And General | $35,447 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,176,062 | TotalAmt |
| Program Services | $981,410 | ProgramServicesAmt |
| Management And General | $194,652 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594,194 | TotalAmt |
| Program Services | $456,540 | ProgramServicesAmt |
| Management And General | $131,840 | ManagementAndGeneralAmt |
| Fundraising | $5,814 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,091 | TotalAmt |
| Management And General | $34,091 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,155 | TotalAmt |
| Management And General | $57,155 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,982 | TotalAmt |
| Management And General | $68,982 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,789 | TotalAmt |
| Program Services | $206,838 | ProgramServicesAmt |
| Management And General | $210,951 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $575,255 | TotalAmt |
| Program Services | $336,178 | ProgramServicesAmt |
| Management And General | $239,077 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $549,482 | TotalAmt |
| Program Services | $479,840 | ProgramServicesAmt |
| Management And General | $69,642 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $840,400 | TotalAmt |
| Program Services | $632,577 | ProgramServicesAmt |
| Management And General | $207,823 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,966 | TotalAmt |
| Program Services | $22,335 | ProgramServicesAmt |
| Management And General | $10,631 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,724 | TotalAmt |
| Program Services | $4,026 | ProgramServicesAmt |
| Management And General | $11,698 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,679 | TotalAmt |
| Management And General | $66,679 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,615 | TotalAmt |
| Program Services | $135,569 | ProgramServicesAmt |
| Management And General | $347,046 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,750 | TotalAmt |
| Program Services | $66,393 | ProgramServicesAmt |
| Management And General | $46,357 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $496,451 | $472,256 | $24,195 |
| BAD DEBT | $154,608 | $154,608 | |
| MN CARE TAX | $96,125 | $96,125 | |
| TRAINING | $65,740 | $52,046 | $13,694 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,020 | TotalAmt |
| Program Services | $19,425 | ProgramServicesAmt |
| Management And General | $24,595 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,519,279 | TotalAmt |
| Program Services | $10,498,845 | ProgramServicesAmt |
| Management And General | $3,928,482 | ManagementAndGeneralAmt |
| Fundraising | $91,952 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $590,043 | BOYAmt |
| EOY | $931 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,790,255 | BOYAmt |
| EOY | $27,621,915 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $649,039 | BOYAmt |
| EOY | $541,469 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $394,615 | BOYAmt |
| EOY | $627,527 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,208 | BOYAmt |
| EOY | $260,542 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,189,820 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,293,854 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,215,444 | BOYAmt |
| EOY | $9,895,966 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $883,826 | BOYAmt |
| EOY | $863,620 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,661,430 | BOYAmt |
| EOY | $39,811,970 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $739,498 | BOYAmt |
| EOY | $1,069,881 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,627,349 | BOYAmt |
| EOY | $14,623,429 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $11,200 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,411,481 | BOYAmt |
| EOY | $679,427 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $246,430 | BOYAmt |
| EOY | $310,946 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,044,758 | BOYAmt |
| EOY | $16,694,883 | 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 | $18,616,672 | BOYAmt |
| EOY | $23,117,087 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,616,672 | BOYAmt |
| EOY | $23,117,087 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,661,430 | BOYAmt |
| EOY | $39,811,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,500,415 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,532,652 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,888,178 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,129,340 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,887,192 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,651,301 | CurrentTaxYearAmt |
| Total | $48,088,663 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,532,652 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,888,178 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,129,340 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,887,192 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,651,301 | CurrentTaxYearAmt |
| Total | $48,088,663 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $48,088,663 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $83,759 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,886 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $373,681 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $598,019 | CurrentTaxYearAmt |
| Total | $1,112,999 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $49,201,662 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $25,150,652 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97740 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98630 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $68,982 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $68,982 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE MINNESOTA ASSOCIATION OF COMMUNITY HEALTH CENTERS (MNACHC). A PORTION OF THOSE DUES IS FOR LOBBYING ACTIVITIES. THE MNACHC WORKS ON BEHALF OF ITS MEMBERS AND THEIR PATIENTS TO PROMOTE THE COST-EFFECTIVE DELIVERY OF AFFORDABLE, QUALITY PRIMARY HEALTH CARE SERVICES, WITH A SPECIAL EMPHASIS ON MEETING THE NEEDS OF LOW INCOME AND MEDICALLY UNDERSERVED POPULATIONS. MNACHC PROVIDES A VOICE FOR ALL MEMBER COMMUNITY HEALTH CENTERS TO STATE AND FEDERAL PUBLIC POLICY ANALYSIS, EDUCATION AND ADVOCACY. LOCKRIDGE GRINDAL NAUEN PLLP PROVIDED STATE AND FEDERAL LOBBYING SERVICES FOR IHB'S EXPANSION PLAN. IHB ESTIMATES 2% OF DR. PATRICK ROCK'S SALARY FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,156,763 | OtherCostOrOtherBasisAmt |
| Book Value | $5,156,763 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,533,880 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,395,360 | DepreciationAmt |
| Book Value | $3,138,520 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,660,806 | OtherCostOrOtherBasisAmt |
| Depreciation | $898,494 | DepreciationAmt |
| Book Value | $762,312 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $838,371 | OtherCostOrOtherBasisAmt |
| Book Value | $838,371 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,895,966 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| FINANCE LEASE OBLIGATIONS | $568 |
| DEFERRED COMPENSATION OBLIGATION | $310,378 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $310,946 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $18,865,086 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$154,608 | OtherRevenueAmt |
| Revenue Not Reported | -$154,608 | RevenueNotReportedAmt |
| Revenue Subtotal | $19,019,694 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $19,019,694 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $14,364,671 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $14,364,671 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $154,608 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $154,608 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $14,519,279 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | IHB IS ACTING AS A FISCAL SPONSOR FOR THE MN ACTION COALITION AND RECEIVED FUNDS FROM STRATUS HEALTH ON BEHALF OF THE MN ACTION COALITION. IHB WILL RECEIVE A 10% FEE FOR ADMINISTERING THE FUNDS. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE -154,608. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 154,608. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICK ROCK MD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $288,091 | $0 | $52,061 | $0 | $46,208 | $0 | $12,682 | $0 | $49,210 | $0 | $448,252 | $0 | $0 | $0 |
| MITCHELL LACOMBE | ||||||||||||||
| MEDICAL DIRECTOR | $239,334 | $0 | $27,066 | $0 | $7,021 | $0 | $9,889 | $0 | $34,359 | $0 | $317,669 | $0 | $0 | $0 |
| KATHRYN HEMKER | ||||||||||||||
| CHIEF OPERATING OFFICER | $155,670 | $0 | $20,059 | $0 | $35,960 | $0 | $7,330 | $0 | $36,002 | $0 | $255,021 | $0 | $0 | $0 |
| SHEILA THORSTENSON | ||||||||||||||
| DENTAL DIRECTOR | $176,942 | $0 | $20,720 | $0 | $50 | $0 | $7,338 | $0 | $32,958 | $0 | $238,008 | $0 | $0 | $0 |
| EMILY TORELL | ||||||||||||||
| PHYSICIAN | $203,413 | $0 | $0 | $0 | $100 | $0 | $8,141 | $0 | $629 | $0 | $212,283 | $0 | $0 | $0 |
| MICHAEL HARRIS | ||||||||||||||
| COMMUNITY ENGAGEMENT DIRECTOR | $154,725 | $0 | $17,016 | $0 | $7,554 | $0 | $6,298 | $0 | $14,424 | $0 | $200,017 | $0 | $0 | $0 |
| JUSTIN MIKESELL | ||||||||||||||
| DENTIST | $161,505 | $0 | $1,500 | $0 | $50 | $0 | $6,502 | $0 | $12,778 | $0 | $182,335 | $0 | $0 | $0 |
| MICHELE GELLERMAN | ||||||||||||||
| CONSULTANT | $119,332 | $0 | $14,006 | $0 | $11,293 | $0 | $2,249 | $0 | $5,994 | $0 | $152,874 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW BEFORE SUBMISSION TO THE INTERNAL REVENUE SERVICE. QUESTIONS AND COMMENTS ARE FORWARDED TO THE CEO, FINANCE DIRECTOR OR AUDITOR FOR A RESPONSE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS ARE REQUIRED TO FILE WRITTEN DECLARATIONS OF POTENTIAL CONFLICTS OF INTEREST WITH THE CHAIRMAN ON THE BOARD UPON ELECTION TO THE BOARD OF DIRECTORS AND THEREAFTER ANNUALLY BY JANUARY 1ST. ALL DIRECTORS ARE PROHIBITED FROM DELIBERATION, VOTING, OR ATTEMPTING TO INFLUENCE OTHER DIRECTORS ON MATTERS IN WHICH THEY HAVE A FINANCIAL OR OTHER PRIVATE INTEREST OR GAIN, DIRECT OR INDIRECT, PERSONALLY OR THROUGH A MEMBER OF HIS/HER IMMEDIATE FAMILY. DISCLOSURE OF THE NATURE AND EXTENT OF ALL POTENTIAL CONFLICTS OF INTEREST SHALL BE MADE PRIOR TO THE UNDERTAKING OF ANY BOARD ACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS. THE CEO CURRENTLY HAS A CONTRACT WITH A THREE-YEAR TERM. THE CURRENT SALARY WAS SET BY ENGAGING WIPFLI, A PUBLIC ACCOUNTING FIRM, FOR SALARY RECOMMENDATIONS BASED ON HEALTH CENTER EXECUTIVE DIRECTORS AND COMPARABLE MEDICAL DIRECTOR SALARIES. SALARIES FOR NON-UNION MANAGERS ARE DETERMINED BY THE MARKET FOR NEW HIRES AND INCREASES HAVE BEEN DETERMINED FOR NON-UNION MANAGERS AND DEPARTMENT DIRECTORS BASED ON A POSITIVE AGENCY-WIDE OPERATING MARGIN, COST OF LIVING, AND INDIVIDUAL GOALS. UNION MANAGED EMPLOYEE SALARIES ARE SET IN THE UNION HANDBOOK. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |