2025-11-10T11:19:12-06:00 2024-12-31 390758449 WIPFLI ADVISORY LLC 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-01-01 237113799 SOUTHSIDE COMMUNITY HEALTH SERVICES INC SOUT 6128212025 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 ANN CAZABAN EXECUTIVE DIRECTOR 6128212025 2025-11-07 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-11-05 2024 2025-03-06 01:10:19Z ANN CAZABAN 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 13316266 0 X WWW.SOUTHSIDECHS.ORG X 1971 MN TO PROVIDE HIGH QUALITY HEALTH CARE IN THE COMMUNITIES SERVED. 9 9 136 15 0 0 7332234 6239178 5890846 6758772 34515 186824 150423 54448 13408018 13239222 0 7545338 0 0 8287714 8481782 88789 92865 92865 4176707 3937745 12553210 20057730 854808 -6818508 8816778 20420928 4513070 22935728 4303708 -2514800 X IMPROVING THE HEALTH OF OUR PATIENTS AND COMMUNITIES BY DELIVERING EXCEPTIONAL CARE, REMOVING BARRIERS, AND PROMOTING HEALTHY LIFESTYLES. 0 0 12433218 7545338 2093549 MEDICAL:SOUTHSIDE COMMUNITY HEALTH SERVICES, INC (SCHS) IS A 501(C)(3) NONPROFIT ORGANIZATION AND IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) LOCATED IN SOUTH MINNEAPOLIS. SOUTHSIDE MEDICAL CURRENTLY PROVIDES FAMILY PRACTICE MEDICINE INCLUDING SPECIAL PROGRAMS FOR AT RISK POPULATIONS, FAMILY PLANNING, PRENATAL AND PEDIATRICS. WHILE THE MAJORITY OF PATIENTS COME FROM THE SOUTHSIDE OF MINNEAPOLIS, SCHS CONTINUES TO HAVE AN "ESSENTIAL COMMUNITY SAFETY NET PROVIDER" DESIGNATION FROM THE STATE OF MINNESOTA. IN 2024, SOUTHSIDE SERVICED 13,484 MEDICAL PATIENT VISITS. 4683052 0 4719671 DENTAL:SOUTHSIDE DENTAL CLINIC CURRENTLY PROVIDES GENERAL DENTAL SERVICES FOR PEOPLE OF ALL AGES. SOUTHSIDE CURRENTLY OPERATES FOURTEEN DENTAL OPERATORIES. IN 2024, THE DENTAL CLINIC PROVIDED 17,976 VISITS. 0 0 0 OUTREACH:SOUTHSIDE'S OUTREACH PROGRAM PROVIDES THE COMMUNITY WITH INNOVATIVE PROGRAMS, ACTIVITIES AND EDUCATIONAL OPPORTUNITIES DESIGNED TO IMPROVE HEALTH LITERACY AND ASSIST PEOPLE IN GETTING INVOLVED IN THEIR PERSONAL HEALTH CARE. IT HAS BEEN PROVIDED THAT THE EARLIER HEALTHY PRACTICES ARE ESTABLISHED, THE BETTER THE QUALITY OF LIFE FOR THE INDIVIDUAL. THESE PRACTICES CAN INCLUDE HEALTH DIET, CONSISTENT EXERCISE, AND MONITORING LIFESTYLE CHOICES. 0 0 0 BEHAVIORAL HEALTH:SOUTHSIDE OPERATES A BEHAVIORAL HEALTH PRACTICE THAT IS INTEGRATED INTO PRIMARY CARE AND SERVICES INCLUDE THERAPY, FAMILY SUPPORT, SUBSTANCE ABUSE, COPING WITH CHRONIC CONDITIONS, AND MORE. IN 2024 THE BEHAVIORAL HEALTH PRACTICE PROVIDED 925 SERVICES. 0 0 0 VISION: SOUTHSIDE VISION PROVIDES A FULL-SERVICE EYE CLINIC PROVIDING PRIMARY CARE OPTOMETRY TO A DIVERSE POPULATION. ITS SERVICES INCLUDE EYE EXAMS, DISTANCE VISION, NEAR VISION, DEPTH PERCEPTIONS, COLOR PERCEPTION, MUSCLE BALANCE, EYE COORDINATION, DIAGNOSIS AND TREATMENT OF EYE DISEASE (E.G., PINK EYE AND ALLERGIES), FRAMES AND LENSES, AND CONTACT LENSES. IN 2024 THE VISION PRACTICE PROVIDED 1,791 VISITS. 0 0 0 17116270 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 17 0 136 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 1 1 1 1 1 1 1 1 0 MN X JOHN PATRIKUS 6128212025 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 YECTLI HUERTA CHAIR 1.00 X X 0 0 0 SHAUN ZEIG TREASURER 1.00 X X 0 0 0 D'WAYNE MORRIS SECRETARY (08/2024) 1.00 X X 0 0 0 MABY ALMIRON SECRETARY 1.00 X X 0 0 0 SARAH BLONIGAN DIRECTOR 1.00 X 0 0 0 JASMINE JACKSON DIRECTOR 1.00 X 0 0 0 SARAH KASPARI DIRECTOR 1.00 X 0 0 0 JUAN LLERENA DIRECTOR (02/2024) 1.00 X 0 0 0 BRIAN OSBERG DIRECTOR 1.00 2.00 X 0 0 0 DORA PALMA DIRECTOR 1.00 X 0 0 0 ALVARO PATINO DIRECTOR (06/2024) 1.00 X 0 0 0 MARIKA REECE DIRECTOR 1.00 X 0 0 0 ANN CAZABAN EXECUTIVE DIRECTOR 40.00 2.00 X 189737 0 14888 JOHN PATRIKUS CHIEF FINANCIAL OFFICER 40.00 X 135331 0 3986 KALEECA BIBLE DIRECTOR OF OPERATIONS (02/2024) 40.00 X 23035 0 770 BRIAN QUINLAN DENTIST 40.00 X 168652 0 15865 SHEILA KENNEDY MEDICAL DIRECTOR 40.00 X 141318 0 30775 JANELLE KARLSRUD DENTAL DIRECTOR 40.00 X 160859 0 1556 ALYSON FARLEY DENTIST 40.00 X 149311 0 12593 DAYA SRINIVASAN DENTIST 40.00 X 151616 0 1351 1119859 0 81784 18 0 1 0 4RMULA 370 WABASHA STREET NORTH ST PAUL MN 55102 ARCHITECTURAL & DESIGN SERVICES 807858 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 EMR/PRACTICE MANAGEMENT SYSTEM 287903 AMN INTERPRETING PO BOX 674954 DETROIT MI 48267 INTERPRETING SERVICES 260147 LOFFLER PO BOX 1511 BIN 131511 MINNEAPOLIS MN 55480 IT SERVICES 213698 GLORIMAR RIVERA 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 BILLING SERVICES 188498 5 4380018 1859160 6239178 DENTAL SERVICES 621400 4449619 4449619 MEDICAL SERVICES 621400 2238471 2238471 70682 70682 6758772 186824 186824 77044 77044 0 FUHN DISTRIBUTION 621400 54448 54448 54448 13239222 6813220 0 186824 7545338 7545338 343942 343942 7028346 6024698 1003648 31621 25145 6476 457596 364688 92908 620277 512714 107563 23113 23113 50075 50075 16505 16505 92865 92865 867541 543282 324259 9496 1773 7723 259192 225561 33631 677713 498775 178938 310269 168115 142154 4135 1476 2659 80904 17488 63416 227919 227919 357063 205031 152032 38660 9058 29602 PROGRAM SUPPLIES 752927 752927 MN PROVIDER TAXES 120037 120037 BAD DEBT EXPENSE 97604 97604 DUES & SUBSCRIPTIONS 14099 2560 11539 30493 30493 20057730 17116270 2848595 92865 134885 647722 2921933 1734655 373673 472880 285515 204230 0 13770000 88988 82414 4324953 3911022 1907592 413931 3104192 3095096 8816778 20420928 948130 1139528 50438 124368 370653 18424478 3143849 3247354 4513070 22935728 X 4303708 -2514800 4303708 -2514800 8816778 20420928 -6818508 0 X 0 1 X 1 1 1 X 5625759 5963359 6233956 7332234 6239178 31394486 3965507 5591309 5215954 6041269 6813220 27627259 9591266 11554668 11449910 13373503 13052398 59021745 0 0 0 59021745 1754 8279 40380 186824 237237 1754 8279 40380 186824 237237 18769 14625 33394 9610035 11571047 11458189 13413883 13239222 59292376 0.99540 0.99760 0.00400 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16505 16505 0 PART II-B, LINE 1: 5% OF MNACHC MEMBERSHIP DUES FOR THE YEAR GO TOWARDS LOBBYING AND OTHER ADVOCACY ON BEHALF OF MEMBERS. THESE EFFORTS TEND TO ADVOCATE ON THE BEHALF OF THE MEMBERS THE STATE LEGISLATURE REGARDING THE MINNESOTA HEALTH DEPARTMENT FQHC SUBSIDY AND OTHER LEGISLATIVE ISSUES AROUND MEDICAID REIMBURSEMENT AS WELL AS OTHER TOPICS THAT IMPACT COMMUNITY HEALTH CENTERS IN THE STATE. $505 IS THE PORTION OF LOBBYING FEES PAID THROUGH MNACHC. $16,000 PAID TO OTHER FIRM FOR LOBBYING STATE OF MN FOR STATE APPROPRIATION FOR NEW CLINIC BUILDING. 130543 130543 1303144 1184315 118829 315603 315603 0 2505193 2411104 94089 70470 70470 413931 ROU ASSET - FINANCE (WIPFLI) 3038833 DEPOSITS 56263 3095096 FINANCE LEASE LIABILITY 3247354 3247354 X 13141618 -97604 -97604 13239222 0 13239222 12414788 0 12414788 7642942 7642942 20057730 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAX ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. THE ORGANIZATION RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BAD DEBT EXPENSE -97,604. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 97,604. GRANTS TO RELATED ORGANIZATIONS 7,545,338. X X X X 1 BLASEG FUNDRAISING 8086 EAST LAKE CARLOS DRIVE NE CARLOS MN 56319 FUNDRAISING CONSULTING FOR CAPITAL CAMPAIGN FOR NEW BUILDING 0 0 72000 -72000 NONPROFIT FUNDRAISING PARTNERS LLC 1711 VAN HISE AVENUE MADISON WI 53726 FUNDRAISING CONSULTING FOR CAPITAL CAMPAIGN FOR NEW BUILDING 0 0 20865 -20865 92865 -92865 MN SCHEDULE G, PART I, LINE 2B, COLUMN (V) FUNDRAISING CONSULTING FOR CAPITAL CAMPAIGN FOR NEW BUILDING. 1 SCHS INC 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 994384742 501(C)(3) 6622200 0 TRANSFER OF NET ASSETS ONE SOUTHSIDE FOUNDATION 4243 FOURTH AVENUE SOUTH MINNEAPOLIS MN 55409 994326836 501(C)(3) 923138 0 TRANSFER OF NET ASSETS 2 0 PART I, LINE 2: BOTH GRANTS LISTED ON SCHEDULE I ARE TO RELATED PARTIES OF SOUTHSIDE COMMUNITY HEALTH SERVICES. SOUTHSIDE COMMUNITY HEALTH SERVICES WILL MONITOR USE OF THE FUNDS TO ENSURE THEY WILL BE USED FOR THEIR DESIGNATED PURPOSES. X X X 0 0 0 0 0 0 0 0 0 ANN CAZABAN EXECUTIVE DIRECTOR 156637 0 2600 0 30500 0 1377 0 13511 0 204625 0 0 0 BRIAN QUINLAN DENTIST 138723 0 0 0 29929 0 1517 0 14348 0 184517 0 0 0 SHEILA KENNEDY MEDICAL DIRECTOR 132425 0 0 0 8893 0 0 0 30775 0 172093 0 0 0 JANELLE KARLSRUD DENTAL DIRECTOR 135449 0 500 0 24910 0 1498 0 58 0 162415 0 0 0 ALYSON FARLEY DENTIST 148561 0 0 0 750 0 0 0 12593 0 161904 0 0 0 DAYA SRINIVASAN DENTIST 130084 0 0 0 21532 0 1293 0 58 0 152967 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF FORM 990 IS PRESENTED TO THE EXECUTIVE COMMITTEE FOR REVIEW AND QUESTIONS. ONCE APPROVED BY THE COMMITTEE, FORM 990 WILL BE FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST STATEMENTS ARE REQUIRED TO BE UPDATED ANNUALLY FOR ALL BOARD MEMBERS AND EMPLOYEES. ANY CONFLICT OF INTEREST MUST BE IMMEDIATELY DISCLOSED TO THE EXECUTIVE DIRECTOR IN WRITING. NO MEMBER OF THE BOARD MAY VOTE ON MATTERS ON ANY AREA WHERE THEY MAY RECEIVE FINANCIAL GAIN, OR WHICH MAY CONFLICT WITH MEMBER OBLIGATIONS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR REVIEWS AND APPROVES THE COMPENSATION OF THE OTHER OFFICERS USING A MARKET SURVEY CONDUCTED BY AN OUTSIDE HR CONSULTANT. THE EXECUTIVE COMMITTEE USED EXECUTIVE SALARY SURVEYS FOR COMPARABILITY PURPOSES TO UPDATE THE EXECUTIVE DIRECTOR'S COMPENSATION. THE DECISION OF THE EXECUTIVE COMMITTEE WAS ALSO REVIEWED AND APPROVED BY THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. ONE SOUTHSIDE FOUNDATION 4243 4TH AVE S MINNEAPOLIS MN 55409 994326836 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 12A, I SOUTHSIDE COMMUNITY HEALTH SERVICES INC 1 SCHS INC 4243 4TH AVE S MINNEAPOLIS MN 55409 994384742 SUPPORTING ORGANIZATION MN 501(C)(3) LINE 12A, I SOUTHSIDE COMMUNITY HEALTH SERVICES INC 1 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 ONE SOUTHSIDE FOUNDATION B 923138 CASH SCHS INC B 6622200 CASH