Civic Intelligence

Five County Mental Health Ctr Inc

990 • Fiscal year 2015 • EIN 41-0944710

Jan 01, 2015 to Dec 31, 2015 • Filed on Feb 07, 2016

220 W Washington AveFergus Falls, MN 56537

(218) 998-2775

Siviq Scores

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

Liabilities / Assets

Score unavailable

No value available

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

Source year 2015

Liabilities / Revenue

25th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Net Margin

8th percentile

-39%

Higher net margin than 8% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2015

Asset Growth

1st percentile

-100%

Faster asset growth than 1% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2014 to 2015

Revenue Growth

2nd percentile

-76%

Faster revenue growth than 2% of similar nonprofits.

2015 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2014 to 2015

Assets

Down

$0

Down $463,718 (-100%) from 2014

Net Assets

Down

$0

Down $100,185 (-100%) from 2014

Liabilities

Down

$0

Down $363,533 (-100%) from 2014

Revenue

Down

$258,254

Down $835,980 (-76%) from 2014

Expenses

Down

$358,439

Down $483,913 (-57%) from 2014

Net Income

Down

-$100,185

Down $352,067 (-140%) from 2014

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0-$500KAssets 2010: $1,087,244Liabilities 2010: $705,682Net Assets 2010: $381,5622010Assets 2011: $1,102,030Liabilities 2011: $684,200Net Assets 2011: $417,8302011Assets 2012: $1,219,696Liabilities 2012: $865,961Net Assets 2012: $353,7352012Assets 2013: $281,021Liabilities 2013: $432,718Net Assets 2013: -$151,6972013Assets 2014: $463,718Liabilities 2014: $363,533Net Assets 2014: $100,1852014Assets 2015: $0Liabilities 2015: $0Net Assets 2015: $02015

Highlighted filing

2015

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

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

$6.0M$4.0M$2.0M$0-$2.0MRevenue 2010: $4,986,509Expenses 2010: $4,982,978Net Income 2010: $3,5312010Revenue 2011: $5,108,145Expenses 2011: $5,071,877Net Income 2011: $36,2682011Expenses 2012: $4,988,4642012Revenue 2013: $3,758,740Expenses 2013: $4,264,172Net Income 2013: -$505,4322013Revenue 2014: $1,094,234Expenses 2014: $842,352Net Income 2014: $251,8822014Revenue 2015: $258,254Expenses 2015: $358,439Net Income 2015: -$100,1852015

Highlighted filing

2015

Revenue$258,254
Expenses$358,439
Net Income-$100,185
Jump To
Filing Snapshot
Filing Period
Jan 1, 2015 to Dec 31, 2015
Signed
Feb 7, 2016
Return Version
2015v2.1
Gross Receipts
$807,293
Mission and Program Overview

Mission

Non-residential mental health care provider offering comprehensive mental health services to residents of chisago, isanti, mille lacs and pine counties in minnesota.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$323,090--
Land, Buildings, and Equipment, Net$140,628--
Total Assets$463,718$0▼ $463,718
Liabilities
Mortgage Notes Payable Secured by Investment Property$250,379--
Other Liabilities$113,154--
Total Liabilities$363,533$0▼ $363,533
Net Assets / Fund Balance
Unrestricted Net Assets$100,185--
Total Net Assets Fund Balance$100,185$0▼ $100,185
Total Liabilities and Net Assets / Fund Balance$463,718$0▼ $463,718
Compensation and Service Providers

Board Members and Trustees

NameTitle
Rick GreeneChairperson
Loretta SaylorVice Chair
Bette FrederichsDirector
Mary FehringDirector
Roger TellinghuisenDirector
Steve ChaffeeDirector
Marina VorkDirector and Assistant Treasu
Kevin WojahnExecutive Director
Larry SoutherlandSecretarytreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$27,603
Program Service Revenue
$7,746
Investment Income
$109,751
Other Revenue
$113,154
Change in Net Assets
$-100,185
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$228,423
Other Expenses$130,016
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$215,819$12,604-$228,423
Fees for Services Other$6,819$60,000-$66,819
Fees for Services Legal$1,684$50,116-$51,800
Fees for Services Accounting-$9,500-$9,500
Insurance-$2,125-$2,125
Other Expenses$-5,000$4,772-$-5,000
Total Functional Expenses$219,322$139,117$0$358,439
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

The bankruptcy trustee is presented a copy of the 990 tax return for review and comment prior to the return being filed.

Conflict of interest policy compliance Part VI line 12C

Organizations conflict of interest policy is reviewed each year and each employee or board member required to follow policy states that he/she is still unaware of any conflicts with organization.

CEO executive director top management comp Part VI line 15A

Compensation for executive director and other top management is reviewed and adjusted annually based on the areas competitive rate, responsibilities taken on and job performance.

Other officer or key employee compensation Part VI line 15B

Board members only receive a minimal per diem amount for each board meeting attended. No other compensation is received.

Governing documents etc available to public Part VI line 19

Paper copies of the organizations tax return and audited financial statements are available to the public when a request is made to the organization in an appropriate manner.

Filing and Contact Details

Filer

Filer Name
Five County Mental Health Ctr Inc
EIN
41-0944710
Address
220 W WASHINGTON AVE, FERGUS FALLS, MN 56537
Doing Business As
Co Ahlgren Law Office

Signing Officer

Name
Erik Ahlgren
Title
Chapter 7 Trust
Phone
2189982775
Signed
2016-02-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Rick Greene
Formed
1968
Legal Domicile
Mn
Voting Board Members
8
Independent Board Members
4
Employees
66

Preparer

Firm
Currie Pangerl & Associates Ltd
Address
1015 Hillside Ave SW Suite 2, Pine City, MN 55063
Preparer
Peggy J Jensen CPA
Phone
3206292090
Supplemental Narrative

Additional Explanations

Cessation of or significant change to any program service Part III line 3

In 2014 the organization ceased all operations and filed for bankruptcy. The bankruptcy was finalized in late 2015.

List of other fees for services expenses Part IX line 11G

In order to comply with laws governing patient privacy and maintenance of medical records, chisago county was paid $60,000 for costs related to being the post-bankruptcy responsible party to maintain these records in compliance with various federal and state hippa and record retention regulations.

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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/PersonNm0FRANDSEN BANK AND TRUST
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0121 MAIN ST N
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0BRAHAM
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0MN
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd055006
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IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensation2Ind0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE BANKRUPTCY TRUSTEE IS PRESENTED A COPY OF THE 990 TAX RETURN FOR REVIEW AND COMMENT PRIOR TO THE RETURN BEING FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ORGANIZATIONS CONFLICT OF INTEREST POLICY IS REVIEWED EACH YEAR AND EACH EMPLOYEE OR BOARD MEMBER REQUIRED TO FOLLOW POLICY STATES THAT HE/SHE IS STILL UNAWARE OF ANY CONFLICTS WITH ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2COMPENSATION FOR EXECUTIVE DIRECTOR AND OTHER TOP MANAGEMENT IS REVIEWED AND ADJUSTED ANNUALLY BASED ON THE AREAS COMPETITIVE RATE, RESPONSIBILITIES TAKEN ON AND JOB PERFORMANCE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD MEMBERS ONLY RECEIVE A MINIMAL PER DIEM AMOUNT FOR EACH BOARD MEETING ATTENDED. NO OTHER COMPENSATION IS RECEIVED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4PAPER COPIES OF THE ORGANIZATIONS TAX RETURN AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC WHEN A REQUEST IS MADE TO THE ORGANIZATION IN AN APPROPRIATE MANNER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5IN 2014 THE ORGANIZATION CEASED ALL OPERATIONS AND FILED FOR BANKRUPTCY. THE BANKRUPTCY WAS FINALIZED IN LATE 2015.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6IN ORDER TO COMPLY WITH LAWS GOVERNING PATIENT PRIVACY AND MAINTENANCE OF MEDICAL RECORDS, CHISAGO COUNTY WAS PAID $60,000 FOR COSTS RELATED TO BEING THE POST-BANKRUPTCY RESPONSIBLE PARTY TO MAINTAIN THESE RECORDS IN COMPLIANCE WITH VARIOUS FEDERAL AND STATE HIPPA AND RECORD RETENTION REGULATIONS.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Cessation of or significant change to any program service Part III line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6List of other fees for services expenses Part IX line 11g
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IRS990/SubjectToProxyTaxInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt0463718
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0463718
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt027603
IRS990/TotalEmployeeCnt066
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0139117
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0219322
IRS990/TotalFunctionalExpensesGrp/TotalAmt0358439
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0363533
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt0363533
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0100185
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0219322
IRS990/TotalProgramServiceRevenueAmt07746
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0230651
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0258254
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0463718
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0100185
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt04
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02016-08-17 19:52:53Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0ERIK AHLGREN
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAPTER 7 TRUST
ReturnHeader/BusinessOfficerGrp/PhoneNum02189982775
ReturnHeader/BusinessOfficerGrp/SignatureDt02016-02-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FIVE COUNTY MENTAL HEALTH CTR INC
ReturnHeader/Filer/BusinessNameControlTxt0FIVE
ReturnHeader/Filer/EIN0410944710
ReturnHeader/Filer/USAddress/AddressLine1Txt0220 W WASHINGTON AVE
ReturnHeader/Filer/USAddress/CityNm0FERGUS FALLS
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd056537
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0411926228
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Currie Pangerl & Associates Ltd
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt01015 Hillside Ave SW Suite 2
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Pine City
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0MN
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd055063
ReturnHeader/PreparerPersonGrp/PhoneNum03206292090
ReturnHeader/PreparerPersonGrp/PreparationDt02016-02-12
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Peggy J Jensen CPA
ReturnHeader/ReturnTs02016-02-12T18:02:35-06:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02015-01-01
ReturnHeader/TaxPeriodEndDt02015-12-31
ReturnHeader/TaxYr02015

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