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Nonprofiteer
← ST PAUL CHILDREN'S MEDICAL CORPORATION

Form 990 for tax year 2023

Filed by ST PAUL CHILDREN'S MEDICAL CORPORATION.

Totals

Total revenue
$788,251
Total expenses
$831,750
Contributions and grants received
$0
Grants paid
$34,222
Program service revenue
$498,344
Investment income
$478
Other revenue
$289,429
Total assets, end of year
$0
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$0
Program services expenses (Part IX)
$831,750
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$831,750

Program services were 100.0% 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.

  • 2a · Program service revenue: CLINIC PATIENT FEES

    total $498,344 · related or exempt $498,344

  • 3 · Investment income

    total $478 · excluded $478

  • 11a · Other revenue: FORGIVENESS OF DEBT

    total $289,429 · excluded $289,429

  • 11e · Other revenue, total

    $289,429

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $34,222 · program services $34,222

  • 7 · Other salaries and wages

    total $553,132 · program services $553,132

  • 11g · Fees: other

    total $13,482 · program services $13,482

  • 14 · Information technology

    total $15,932 · program services $15,932

  • 16 · Occupancy

    total $13,835 · program services $13,835

  • 17 · Travel

    total $7 · program services $7

  • 20 · Interest

    total $7 · program services $7

  • 22 · Depreciation, depletion and amortization

    total $32,634 · program services $32,634

  • 23 · Insurance

    total $55,148 · program services $55,148

  • 24a · Other expenses: SUPPLIES

    total $34,192 · program services $34,192

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $31,551 · program services $31,551

  • 24c · Other expenses: DUES AND SUBSCRIPTIONS

    total $24,856 · program services $24,856

  • 24d · Other expenses: PRESCRIPTION ASSISTANCE

    total $5,872 · program services $5,872

  • 24e · All other expenses

    total $16,880 · program services $16,880

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $5,287

  • 2 · Savings and temporary cash investments

    beginning of year $18,014

  • 4 · Accounts receivable

    beginning of year $68,748

  • 9 · Prepaid expenses and deferred charges

    beginning of year $15,231

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $208,027

  • 17 · Accounts payable and accrued expenses

    beginning of year $81,102

  • 27 · Net assets without donor restrictions

    beginning of year $234,205 · end of year $0

Mission and programs · 2023

Mission

TO PROVIDE PEDIATRIC MEDICAL, DENTAL AND VISION SERVICES FOR THE CLINICS OF ST. PAUL CHILDREN'S FOUNDATION.

Activities or mission (Part I)

WORKING TOGETHER IN THE SPIRIT OF CHRIST TO BUILD A HEALTHY AND JOYFUL COMMUNITY FOR CHILDREN AND THEIR FAMILIES.

  • INDIGENT PEDIATRIC HEALTHCARE - CLINIC IS OPEN MONDAY THROUGH FRIDAY, 8:00 AM UNTIL 5:00 PM.

    Expenses $457,463 · Grants $34,222 · Revenue $274,089

  • INDIGENT PEDIATRIC DENTAL CARE - CLINIC IS OPEN MONDAY THROUGH THURSDAY, 7:30 AM UNTIL 5:30 PM.

    Expenses $332,700 · Revenue $199,338

  • INDIGENT EYE CARE - STARTED AS A NEW PROGRAM IN 2021 AND IS CURRENTLY SEEING PATIENTS.

    Expenses $41,587 · Revenue $24,917

As filed on the 2023 return.

Listed in Part VII

  • Jonathan Jetter

    PRESIDENT

    Total calculated
    $0
    Hours/week
    5

  • Patsy Lewis

    CHAIRWOMAN EMERITUS

    Total calculated
    $0
    Hours/week
    5

  • Duane Andrews MD

    CHAIRMAN EMERITUS

    Total calculated
    $0
    Hours/week
    5

  • Suzy King

    SECRETARY

    Total calculated
    $0
    Hours/week
    5

  • Randy Grooms

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Stuart Hene

    VP GOVERNANCE

    Total calculated
    $0
    Hours/week
    5

  • Travis Markle DDS

    TREASURER

    Total calculated
    $0
    Hours/week
    5

  • Lynn Pinkerton

    VP DEVELOPMENT

    Total calculated
    $0
    Hours/week
    5

  • Emigdio Rosales

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Johnny Ortiz

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Katherine Scott

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Crystal Smoker

    OPERATIONS DIRECTOR

    Total calculated
    $0
    Hours/week
    25

  • Raquel Blanco

    OFFICE MANAGER

    Total calculated
    $6,008
    From this org
    $6,008
    From related orgs
    $0
    Other
    $0
    Hours/week
    30

  • Danny L Price

    MD

    Total calculated
    $185,916
    From this org
    $185,916
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $185,916
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $185,916

  • Kathleen H Helgesen

    NURSE PRACTITIONER

    Total calculated
    $114,079
    From this org
    $114,079
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

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

None.

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

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
8 November 2024
IRS schema version
2023v5.1
Source object
202423189349306437

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