Civic Intelligence

Northland Pace Program

990 • Fiscal year 2013 • EIN 26-1689193

Jul 01, 2012 to Jun 30, 2013 • Filed on May 12, 2014

3811 Lockport St Ste 358503
Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

55th percentile

0.25x

Higher debt load relative to assets than 55% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2013

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2013

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

97th percentile

119%

Faster asset growth than 97% of similar nonprofits.

2013 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Assets

Up

$1,385,706

Up $752,627 (+119%) from 2012

Net Assets

Up

$1,044,002

Up $1,049,310 (+19768%) from 2012

Liabilities

Down

$341,704

Down $296,683 (-46%) from 2012

Revenue

-

No earlier filing loaded for comparison.

Expenses

Up

$5,037,897

Up $376,220 (+8.1%) from 2012

Net Income

-

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0-$5.0MAssets 2011: $761,560Liabilities 2011: $1,231,486Net Assets 2011: -$469,9262011Assets 2012: $633,079Liabilities 2012: $638,387Net Assets 2012: -$5,3082012Assets 2013: $1,385,706Liabilities 2013: $341,704Net Assets 2013: $1,044,0022013Assets 2014: $3,566,176Liabilities 2014: $1,388,907Net Assets 2014: $2,177,2692014Assets 2015: $4,854,085Liabilities 2015: $1,873,581Net Assets 2015: $2,980,5042015Assets 2016: $6,282,491Liabilities 2016: $2,191,184Net Assets 2016: $4,091,3072016Assets 2017: $8,313,243Liabilities 2017: $3,424,194Net Assets 2017: $4,889,0492017Assets 2020: $12,344,739Liabilities 2020: $4,516,176Net Assets 2020: $7,828,5632020Assets 2021: $14,541,053Liabilities 2021: $4,341,411Net Assets 2021: $10,199,6422021Assets 2022: $14,832,954Liabilities 2022: $4,095,815Net Assets 2022: $10,737,1392022

Highlighted filing

2013

Assets$1,385,706
Liabilities$341,704
Net Assets$1,044,002

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$20M$15M$10M$5.0M$0Expenses 2011: $4,645,2262011Expenses 2012: $4,661,6772012Expenses 2013: $5,037,8972013Revenue 2014: $7,421,595Expenses 2014: $6,370,448Net Income 2014: $1,051,1472014Revenue 2015: $9,679,849Expenses 2015: $8,876,614Net Income 2015: $803,2352015Revenue 2016: $12,527,896Expenses 2016: $11,417,093Net Income 2016: $1,110,8032016Revenue 2017: $14,925,473Expenses 2017: $14,127,731Net Income 2017: $797,7422017Revenue 2020: $18,808,931Expenses 2020: $15,987,136Net Income 2020: $2,821,7952020Revenue 2021: $17,955,640Expenses 2021: $16,540,897Net Income 2021: $1,414,7432021Revenue 2022: $19,228,579Expenses 2022: $17,831,497Net Income 2022: $1,397,0822022

Highlighted filing

2013

Revenue-
Expenses$5,037,897
Net Income-
Jump To
Filing Snapshot
Filing Period
Jul 1, 2012 to Jun 30, 2013
Signed
May 12, 2014
Return Version
2012v2.1
Gross Receipts
$5,942,211
Mission and Program Overview

Mission

Northland PACE Senior Care Services promotes independence through coordination of all health services allowing participants to continue living safely and with dignity at home.

Filing and Contact Details

Filer

EIN
26-1689193
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IRS990/Description0Northland PACE program was incorporated January 4, 2008, to engage in the business of providing all-inclusive care for the elderly (PACE) services in accordance with the PACE program agreement. The PACE services is an all inclusive set of services to meet the healthcare needs of the frail elderly as defined by CMS (Centers for Medicare and Medicaid Services) in the PACE regulations. Those services include but are not limited to primary and preventive care, specialty care, vision and dental care, pharmaceuticals, nutrition, mental and social health, physical, occupational and speech therapies and other services to maintain the health of the plan participants. The project target population is the frail elderly over 55 population which averages 15-35% of the service area'a population. The project is designed to develop a network-base PACE program in seven rural areas in three phases over a period of three years. While PACE has mostly been implemented in urban communities nationally, this PACE project will use a sophisticated telehealth conferencing system and an electronic medical record system to launch this rural health project in coordination with local providers to deliver a full spectrum of health care services to this frail elderly population in the seven rural areas.
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IRS990ScheduleJ/Form990ScheduleJPartIII/Explanation0The President is eligible for an annual bonus that is 15 percent of gross wages multiplied by a percent of goals completed for the year. The goals used are not tied directly to financial measurements. They are based on achievements of personal growth and program service accomplishments. The bonus is approved by the executive committee as an assignment from the board.
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IRS990ScheduleJ/SupplementalNonqualRetirePlan00
IRS990ScheduleJ/WrittenEmploymentContract0X
IRS990ScheduleO/GeneralExplanation/Explanation0The organization has an Executive Committee that consists of the Board President, Vice President, Secretary/Treasurer and one Board Director. The Executive Committee has the following roles and responsibilities: -Represent and act on behalf of the corporation and to make recommendations to the board of directors for its approval -Coordinate, receive and act upon the activities and general policies of the various functions of the corporation and to make appropriate recommendations to the board of directors -To receive and act upon reports and make recommendations from other committees of the corporation -To implement the policies adopted by the board of directors of the corporation -To make recommendations on the corporation management matters to the board of directors -To act as a nominating committee for the corporation if so directed by the board of directors -Conduct such other functions delegated by the board of directors
IRS990ScheduleO/GeneralExplanation/Explanation1Gary Miller and Susan Sisk have a business relationship. Gary is an officer of the organization that employs Susan. Lynn Grimm and Tim Cox have a business relationship with Darrold Bertsch, Kevin Greff, Gary Miller, Jeffrey Drop, Jon Frantsvog, Susan Sisk. Lynn and Tim are employed by a related organization that these individuals are associated as a Director or Board Officer.
IRS990ScheduleO/GeneralExplanation/Explanation2The sole member of the Northland PACE Program is Northland Healthcare Alliance.
IRS990ScheduleO/GeneralExplanation/Explanation3The sole member, Northland Healthcare Alliance, is responsible for selecting the governing body of the organization.
IRS990ScheduleO/GeneralExplanation/Explanation4The Member, Northland Healthcare Alliance, reserves consent to the following: -The purchase or sale of assets over $20,000 -The entry into any business line not expressly stated in the PACE application; -Any contract for services or contract to provide service exceeding $25,000 in consideration. -The admission of any additional Members. -The merger or combination of the Corporation. -The dissolution of the Corporation.
IRS990ScheduleO/GeneralExplanation/Explanation5Northland PACE Program has determined that its Finance Committee shall review and approve a draft of the Form 990. Subsequently, the Form 990 will be presented to the full board at a board meeting prior to filing with the IRS.
IRS990ScheduleO/GeneralExplanation/Explanation6Director conflict of interests: Director conflicts of interest shall be governed by North Dakota Century Code (NDCC) 10-33-46 or its successor statute and 42 cfr 460.68 or its successor regulation. The board shall adopt policies and procedures necessary for handling any direct or indirect conflict of interest as required under 42 cfr 460.68 the organization is in the process of creating a conflict of interest policy for the fiscal year ending June 30, 2013.
IRS990ScheduleO/GeneralExplanation/Explanation7Compensation is paid by the sole member of the organization, Northland Healthcare Alliance, and the member is reimbursed by the organization monthly. The sole member oversees the process for determining compensation. The CEO is reviewed annually by the executive committee based on his annual evaluation instrument provided to the committee. The CEO's compensation is compared to other health facilities and organizations. The CFO undergoes an annual performance evaluation. Compensation amounts determined for the CFO are compared to other PACE organizations as well as experience and evaluation on an annual basis. The process described above last took place in November 2012 for the CEO and April 2013 for the CFO.
IRS990ScheduleO/GeneralExplanation/Explanation8The Organization's governing documents are not made available to the public.
IRS990ScheduleO/GeneralExplanation/Explanation9Ancillary Services: Program service expenses 599,386. Management and general expenses 0. Fundraising expenses 0. Total expenses 599,386. Hospital & Clinic Services: Program service expenses 796,554. Management and general expenses 0. Fundraising expenses 0. Total expenses 796,554. Institutional : Program service expenses 953,179. Management and general expenses 0. Fundraising expenses 0. Total expenses 953,179. Consulting: Program service expenses 87,161. Management and general expenses 0. Fundraising expenses 0. Total expenses 87,161. Other Professional Fees: Program service expenses 119,715. Management and general expenses 84,748. Fundraising expenses 0. Total expenses 204,463.
IRS990ScheduleO/GeneralExplanation/Identifier0Other Fees
IRS990ScheduleO/GeneralExplanation/ReturnReference0Form 990, Part VI, Section A, line 1
IRS990ScheduleO/GeneralExplanation/ReturnReference1Form 990, Part VI, Section A, line 2
IRS990ScheduleO/GeneralExplanation/ReturnReference2Form 990, Part VI, Section A, line 6
IRS990ScheduleO/GeneralExplanation/ReturnReference3Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/GeneralExplanation/ReturnReference4Form 990, Part VI, Section A, line 7b
IRS990ScheduleO/GeneralExplanation/ReturnReference5Form 990, Part VI, Section B, line 11
IRS990ScheduleO/GeneralExplanation/ReturnReference6Form 990, Part VI, Section B, line 12
IRS990ScheduleO/GeneralExplanation/ReturnReference7Form 990, Part VI, Section B, line 15
IRS990ScheduleO/GeneralExplanation/ReturnReference8Form 990, Part VI, Section C, line 19
IRS990ScheduleO/GeneralExplanation/ReturnReference9Form 990, Part IX, line 11g
IRS990/ScheduleORequired01
IRS990ScheduleR/DividendsRelatedOrganization00
IRS990ScheduleR/ExchangeOfAssets00

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