2023-11-13T16:15:21-06:00 2022-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2022-01-01 411235064 NEIGHBORHOOD HEALTHSOURCE NEIG 6125889411 3300 FREMONT AVENUE N MINNEAPOLIS MN 554122405 STEVE KNUTSON EXECUTIVE DIRECTOR 6125889411 2023-11-13 1 STEVE KNUTSON 999009999 0 MICHAEL J PETERSON CPA P01833529 2187224705 2023-11-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z STEVE KNUTSON 3300 FREMONT AVENUE N MINNEAPOLIS MN 554122405 9148899 0 X WWW.NEIGHBORHOODHEALTHSOURCE.ORG X 1970 MN THE SCOPE OF OUR PRIMARY MEDICAL SERVICES IS FOCUSED ON MAINTAINING ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTHCARE IN ORDER TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS. THE PRIMARY SERVICE AREA IS NORTH AND NORTHEAST MINNEAPOLIS WITH NW HENNEPIN COUNTY AND SOUTHERN ANOKA COUNTY AS SECONDARY SERVICE AREAS. THE TARGET POPULATION INCLUDES LOW-INCOME PEOPLE, BOTH UNINSURED AND THOSE ON MEDICAID. SERVICES ARE PROVIDED AT THREE FREESTANDING CLINICS: FREMONT CLINIC IN NORTH MINNEAPOLIS, CENTRAL AVENUE CLINIC AND SHERIDAN WOMEN & CHILDREN'S CLINIC IN NORTHEAST MINNEAPOLIS. ON-SITE SERVICES INCLUDE PRIMARY CARE, PREVENTION, OUTREACH, OB/GYN, CHRONIC DISEASE, INTERPRETING, AND ASSISTANCE WITH HEALTH CARE PLAN ENROLLMENT. WE PROVIDE REFERRALS AND CARE COORDINATION FOR DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE, HOSPITAL, AND SPECIALTY SERVICES THROUGH PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS. 9 9 118 28 0 0 5017480 4906383 4254376 4218700 0 0 0 3921 9271856 9129004 0 0 0 0 5485437 6006017 0 0 81899 2422701 2812759 7908138 8818776 1363718 310228 7687895 7874156 1138726 1017494 6549169 6856662 X THE MISSION OF NEIGHBORHOOD HEALTHSOURCE IS TO IMPROVE THE HEALTH OF OUR COMMUNITIES BY PROVIDING QUALITY HEALTH CARE SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE. 0 0 6199387 0 3965578 PRIMARY MEDICAL CARE:THE SCOPE OF OUR PRIMARY MEDICAL SERVICES IS FOCUSED ON MAINTAINING ACCESS TO COMPREHENSIVE PRIMARY AND PREVENTIVE HEALTHCARE IN ORDER TO IMPROVE THE HEALTH STATUS OF UNDERSERVED AND VULNERABLE POPULATIONS. THE PRIMARY SERVICE AREA IS NORTH AND NORTHEAST MINNEAPOLIS WITH NW HENNEPIN COUNTY AND SOUTHERN ANOKA COUNTY AS SECONDARY SERVICE AREAS. THE TARGET POPULATION INCLUDES LOW-INCOME COMMUNITIES, BOTH UNINSURED AND THOSE ON MEDICAID. SERVICES WERE PROVIDED AT THREE FREESTANDING CLINICS: FREMONT CLINIC IN NORTH MINNEAPOLIS, CENTRAL AVENUE CLINIC AND SHERIDAN CLINIC IN NORTHEAST MINNEAPOLIS. ON-SITE SERVICES INCLUDE PRIMARY CARE, DISEASE AND CANCER PREVENTION, REPRODUCTIVE AND SEXUAL HEALTH EDUCATING, OB/GYN, CHRONIC DISEASE, INTERPRETING, AND ASSISTANCE WITH HEALTH CARE PLAN ENROLLMENT. WE PROVIDE REFERRALS AND CARE COORDINATION FOR DENTAL, MENTAL HEALTH AND SUBSTANCE ABUSE, HOSPITAL, AND SPECIALTY SERVICES THROUGH PARTNERSHIPS WITH OTHER COMMUNITY ORGANIZATIONS. NHS PROVIDES A VARIETY OF COMMUNITY HEALTH SERVICES IN SUPPORT OF PRIMARY CARE ACTIVITIES INCLUDING HEALTH EDUCATION, CHRONIC DISEASE PREVENTION, CANCER PREVENTION, AND REPRODUCTIVE HEALTH SERVICES. PHYSICIANS, NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS, CERTIFIED NURSE-MIDWIVES, CLINICAL AND ADMINISTRATIVE SUPPORT STAFF PROVIDE NHS SERVICES. 395706 0 253122 MENTAL HEALTH:WHILE NHS PROVIDES MENTAL HEALTH CARE SERVICES ON SITE FOR MOST PATIENTS, MENTAL HEALTH CARE SERVICES FOR MEDICARE PATIENTS ARE CURRENTLY AVAILABLE THROUGH OFF-SITE REFERRAL TO NORTHPOINT HEALTH AND WELLNESS CENTER LOCATED IN NORTH MINNEAPOLIS. 6595093 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 118 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 MN X CURT ENGELS 6125889411 3300 FREMONT AVE N MINNEAPOLIS MN 554122405 STEVE KNUTSON EXECUTIVE DIRECTOR 40.00 X 197964 0 28741 MARK VINT PHYSICIAN 32.00 X 175550 0 40086 SOFIA ALI PHYSICIAN 32.00 X 198944 0 3848 PATRICE DALTON PHYSICIAN 40.00 X 121039 0 30742 DAVID GOODMAN PHYSICIAN (THRU 10/2022) 32.00 X 131526 0 11055 EMILY BENZIE PHYSICIAN 24.00 X 126474 0 5558 JOHN PATRIKUS FINANCE DIRECTOR (THRU 12/2022) 40.00 X 119184 0 7959 KIM PERRY CHAIR (THRU 10/2022) 1.00 X 0 0 0 JEFFREY GAUTHIER VICE CHAIR 1.00 X 0 0 0 COLLEEN COOPER TREASURER 1.00 X 0 0 0 NANCY ALBRECHT DIRECTOR (THRU (10/2022) 1.00 X 0 0 0 CONNIE BLACKWELL DIRECTOR 1.00 X 0 0 0 DOUG CHRISTENSON DIRECTOR 1.00 X 0 0 0 PHILIP DENNY DIRECTOR 1.00 X 0 0 0 NOVELLA HOLDER DIRECTOR (THRU (10/2022) 1.00 X 0 0 0 BOBBI MORTENSEN DIRECTOR 1.00 X 0 0 0 STEPHANIE STATZ DIRECTOR 1.00 X 0 0 0 PETER TATIKIAN DIRECTOR 1.00 X 0 0 0 VICTOR WONG DIRECTOR 1.00 X 0 0 0 1070681 0 127989 8 0 1 0 KRAUS-ANDERSON CONSTRUCTION 501 SOUTH EIGHTH STREET MINNEAPOLIS MN 55404 CONSTRUCTION/RENOVATION SERVICES 554179 VISUALUTIONS INC 7440 MINTWOOD LANE SPRING TX 77379 SERVER HOSTING AND IT SERVICES 139213 NETRIXIT 2520 PILOT KNOW ROAD MENDOTA HEIGHTS MN 55120 CONTRACTED IT SERVICES 123450 PRO-TEC DESIGN 5929 BAKER ROAD SUITE 400 MINNETONKA MN 55345 SECURITY SYSTEM 110642 4 4396454 509929 4906383 PATIENT FEES 624100 3652720 3652720 PHARMACEUTICAL 340B RE 456110 406077 406077 OTHER MEDICAL SERVICE 624100 159903 159903 4218700 23816 19895 3921 3921 9129004 4218700 0 3921 353848 336156 17692 4521914 3658907 812877 50130 152850 124947 26173 1730 579100 465726 106458 6916 398305 306080 86794 5431 5253 5253 24270 24270 2850 2850 602025 514659 87366 41178 6214 34964 131575 62091 69484 484820 92428 392392 451687 414701 36986 16543 7499 9044 32725 24113 8612 419 419 217742 200105 17637 48860 11091 37769 340 B PROGRAM EXPENSES 396823 396823 PROVISION FOR BAD DEBTS 205632 205632 LICENSES AND FEES 88519 58633 29886 MN CARE/PROVIDER TAX 45025 45025 16813 16813 8818776 6595093 2141784 81899 2829579 3105520 25186 25186 528547 73788 718071 405352 44243 44237 7505581 3298328 3526714 4207253 15555 12820 7687895 7874156 808197 742834 330529 274660 1138726 1017494 X 6549169 6856662 6549169 6856662 7687895 7874156 310228 -2735 0 X 0 0 0 X 3209249 3092386 4332737 5017480 4906383 20558235 3209249 3092386 4332737 5017480 4906383 20558235 20558235 20558235 17853590 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2850 2850 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE MINNESOTA ASSOCIATION OF COMMUNITY HEALTH CENTERS (MNACHC). SOME OF THOSE MEMBERSHIP COSTS GO TOWARDS LOBBYING AND ADVOCATING. MNACHC IS A NON-PROFIT MEMBERSHIP ORGANIZATION OF MINNESOTA'S FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). 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 POPULATION. 801107 801107 5310860 2175420 3135440 1393614 1122908 270706 4207253 GOLF EVENT 6687 6687 4156 1896 50TH GALA 17129 17129 10701 3142 23816 23816 4156 10701 5038 19895 3921 X X X X 0 0 0 0 0 0 0 0 0 STEVE KNUTSON EXECUTIVE DIRECTOR 186268 0 11122 0 574 0 6088 0 22653 0 226705 0 0 0 MARK VINT PHYSICIAN 175421 0 0 0 129 0 5602 0 34484 0 215636 0 0 0 SOFIA ALI PHYSICIAN 198944 0 0 0 0 0 0 0 3848 0 202792 0 0 0 PATRICE DALTON PHYSICIAN 111541 0 0 0 9498 0 3466 0 27276 0 151781 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE DIRECTOR AND EXECUTIVE DIRECTOR REVIEW FORM 990. THE FINANCE DIRECTOR PROVIDES A COPY OF FORM 990 VIA EMAIL WHICH IS REVIEWED THE FINANCE COMMITTEE PRIOR TO SUBMISSION TO THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C ANY BOARD MEMBERS HAVING AN INTEREST IN AN ITEM OF BUSINESS PRESENTED TO THE BOARD OF DIRECTORS SHALL MAKE PROMPT, FULL AND FRANK DISCLOSURE OF THIS INTEREST PRIOR TO ITS ACTING ON THE ITEM OF BUSINESS. AT THE DISCRETION OF THE BOARD, THE PERSON MAKING THE DECLARATION MAY BE EXCUSED FROM ALL OR A PORTION OF THE RELEVANT DISCUSSION AND VOTING. THE MINUTES OF THE MEETING REFLECT THE DISCLOSURE AND THE VOTING THEREON. THE POLICY IS POSTED ON THE BOARD MEMBER INTRANET AND REVIEWED DURING THE NEW MEMBER ORIENTATION PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD REVIEWS AND NEGOTIATE WITH POTENTIAL HIRES AND DELIBERATES AND MAKE THE FINAL DECISION FOR THE POSITION OF EXECUTIVE DIRECTOR (CEO). THE EXECUTIVE DIRECTOR MAKES FINAL DECISIONS REGARDING TOP MANAGEMENT OFFICIALS. FOR ALL POSITIONS, SALARY RANGES ARE REVIEWED AND COMPARED TO SALARY SURVEY INFORMATION FOR SIMILAR POSITIONS. 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. THESE DOCUMENTS CAN BE REQUESTED BY CONTACTING THE ORGANIZATION'S FINANCE DIRECTOR.