Totals
- Total revenue
- $9,479,195
- Total expenses
- $8,818,519
- Contributions and grants received
- $3,670,836
- Grants paid
- $0
- Program service revenue
- $3,986,121
- Investment income
- $49,463
- Other revenue
- $1,772,775
- Total assets, end of year
- $8,359,894
- Total liabilities, end of year
- $866,327
- Net assets or fund balances, end of year
- $7,493,567
- Program services expenses (Part IX)
- $5,886,304
- Management and general expenses
- $2,932,215
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $5,886,304
Program services were 66.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$3,504,468
-
1f · All other contributions, gifts and grants
$166,368
-
2a · Program service revenue: MEDICAL FEES
total $3,986,121 · related or exempt $3,986,121
-
3 · Investment income
total $84,697 · related or exempt $84,697
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6a · Gross rents
real property $7,089
-
6b · Less rental expenses
real property $23,117
-
6c · Rental income or loss
real property -$16,028
-
6d · Net rental income or loss
total -$16,028 · excluded -$16,028
-
7a · Gross sales of assets other than inventory
securities $379,610
-
7b · Less cost or other basis and sales expenses
securities $414,844
-
7c · Gain or loss
securities -$35,234
-
7d · Net gain or loss
total -$35,234 · related or exempt -$35,234
-
8c · Net income from fundraising events
total $0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$3,160,752
-
10b · Cost of goods sold
$1,371,949
-
10c · Net income from sales of inventory
total $1,788,803 · related or exempt $1,788,803
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $303,996 · management and general $303,996
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $3,919,545 · program services $2,941,127 · management and general $978,418
-
8 · Pension plan contributions
total $246,761 · program services $180,699 · management and general $66,062
-
9 · Other employee benefits
total $741,390 · program services $483,831 · management and general $257,559
-
10 · Payroll taxes
total $289,234 · program services $205,979 · management and general $83,255
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $437 · management and general $437
-
11c · Fees: accounting
total $41,101 · management and general $41,101
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $1,379,265 · program services $1,165,945 · management and general $213,320
-
12 · Advertising and promotion
total $5,222 · program services $3,332 · management and general $1,890
-
13 · Office expenses
total $720,612 · program services $447,356 · management and general $273,256
-
14 · Information technology
total $364,281 · program services $21,843 · management and general $342,438
-
15 · Royalties
total $0
-
16 · Occupancy
total $184,171 · program services $6,974 · management and general $177,197
-
17 · Travel
total $24,416 · program services $20,003 · management and general $4,413
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $48,726 · program services $35,958 · management and general $12,768
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $151,520 · program services $13,684 · management and general $137,836
-
23 · Insurance
total $75,975 · program services $54,807 · management and general $21,168
-
24a · Other expenses: BAD DEBT
total $237,624 · program services $237,624
-
24b · Other expenses: RECRUITING
total $76,928 · program services $63,689 · management and general $13,239
-
24c · Other expenses: Postage and Shipping
total $6,295 · program services $2,433 · management and general $3,862
-
24d · Other expenses: LAUNDRY & LINENS
total $1,020 · program services $1,020
-
24e · All other expenses
total $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $294,868 · end of year $277,626
-
2 · Savings and temporary cash investments
beginning of year $1,694,999 · end of year $2,251,008
-
3 · Pledges and grants receivable
beginning of year $163,568 · end of year $484,614
-
4 · Accounts receivable
beginning of year $661,578 · end of year $466,520
-
5 · Loans and receivables from officers and key people
end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
beginning of year $21,932 · end of year $19,570
-
8 · Inventories for sale or use
beginning of year $292,010 · end of year $399,491
-
9 · Prepaid expenses and deferred charges
beginning of year $73,704 · end of year $40,881
-
10a · Land, buildings and equipment: cost or other basis
$4,622,308
-
10b · Land, buildings and equipment: accumulated depreciation
$3,051,355
-
10c · Land, buildings and equipment, net
beginning of year $1,323,841 · end of year $1,570,953
-
11 · Investments: publicly traded securities
beginning of year $2,826,781 · end of year $2,762,904
-
12 · Investments: other securities
beginning of year $88,565 · end of year $86,327
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
end of year $0
-
17 · Accounts payable and accrued expenses
beginning of year $670,314 · end of year $776,327
-
19 · Deferred revenue
beginning of year $60,000 · end of year $90,000
-
27 · Net assets without donor restrictions
beginning of year $6,711,532 · end of year $7,493,567
Mission and programs · 2022
Mission
TO PROVIDE ACCESS TO HIGH QUALITY, COMPREHENSIVE, PRIMARY HEALTHCARE IN COOK COUNTY TO ALL USERS, REGARDLESS OF FINANCIAL ABILITY TO PAY FOR SERVICE.
-
HEALTH CARE SERVICES FOR COOK COUNTY, MN - FULL-TIME PHYSICIANS PERFORMED 9,723 MEDICAL ENCOUNTERS, NURSE PRACTITIONERS PERFORMED 4,368 MEDICAL ENCOUNTERS, PSYCHIATRIC-MENTAL HEALTH NURSE PRACTITIONERS PERFORMED 8 MEDICAL ENCOUNTERS, NURSES PERFORMED 708 MEDICAL ENCOUNTERS, LICENSED INDEPENDENT CLINICAL SOCIAL WORKERS PERFORMED 2,271 MEDICAL ENCOUNTERS, AND DIETITIANS PERFORMED 44 MEDICAL ENCOUNTERS DURING THE FISCAL YEAR.
Expenses $5,886,304 · Revenue $3,986,121
As filed on the 2022 return.
Listed in Part VII
-
Paul TerrillPAUL TERRILL
PHYSICIAN
- Total calculated
- $288,183
- From this org
- $236,694
- From related orgs
- $0
- Other
- $51,489
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $236,694
- Bonus
- not reported
- Other
- not reported
- Deferred
- $16,425
- Nontaxable benefits
- $35,064
- Filer's total
- $288,183
-
Catherine HansenCATHERINE HANSEN
PHYSICIAN
- Total calculated
- $257,614
- From this org
- $232,601
- From related orgs
- $0
- Other
- $25,013
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $232,601
- Bonus
- not reported
- Other
- not reported
- Deferred
- $15,625
- Nontaxable benefits
- $9,388
- Filer's total
- $257,614
-
Jennifer DelfsJENNIFER DELFS
PHYSICIAN
- Total calculated
- $251,381
- From this org
- $196,065
- From related orgs
- $0
- Other
- $55,316
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $196,065
- Bonus
- not reported
- Other
- not reported
- Deferred
- $13,872
- Nontaxable benefits
- $41,444
- Filer's total
- $251,381
-
Kurt FarchminKURT FARCHMIN
PHYSICIAN
- Total calculated
- $233,706
- From this org
- $193,099
- From related orgs
- $0
- Other
- $40,607
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $193,099
- Bonus
- not reported
- Other
- not reported
- Deferred
- $14,134
- Nontaxable benefits
- $26,473
- Filer's total
- $233,706
-
Michael SampsonMICHAEL SAMPSON
PHYSICIAN
- Total calculated
- $228,899
- From this org
- $206,092
- From related orgs
- $0
- Other
- $22,807
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $206,092
- Bonus
- not reported
- Other
- not reported
- Deferred
- $14,207
- Nontaxable benefits
- $8,600
- Filer's total
- $228,899
-
Kate SurbaughKATE SURBAUGH
CEO
- Total calculated
- $160,270
- From this org
- $116,435
- From related orgs
- $0
- Other
- $43,835
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $116,435
- Bonus
- not reported
- Other
- not reported
- Deferred
- $8,047
- Nontaxable benefits
- $35,788
- Filer's total
- $160,270
-
Jeff StoddardJEFF STODDARD
CFO
- Total calculated
- $119,997
- From this org
- $112,132
- From related orgs
- $0
- Other
- $7,865
- Hours/week
- 40
-
Barbara Jean MeyersBARBARA JEAN MEYERS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Kylan HillKYLAN HILL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Jenny KartesJENNY KARTES
Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Jessa FrostJESSA FROST
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Kirk DornfeldKIRK DORNFELD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Eddie HertzbergEDDIE HERTZBERG
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Clare ShirleyCLARE SHIRLEY
President
- Total calculated
- $0
- Hours/week
- 2
-
Diane PearsonDIANE PEARSON
Secretary
- Total calculated
- $0
- Hours/week
- 1
-
Val UlstadVAL ULSTAD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Matthew BrownMATTHEW BROWN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Suzanne DaviesSUZANNE DAVIES
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Rick AndersonRICK ANDERSON
Vice President
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 27 September 2023
- IRS schema version
- 2022v5.0
- Source object
- 202312709349300146
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.