Civic Intelligence

Ely Community Health Center

EIN 47-5399418 • 501(c)3 • Ely, MN

Profile

This not-for-profit provides a weekly medical and dental clinic to those who are uninsured or underinsured. The clinic is run by volunteers and is a no cost service. Patients are provided with basic healthcare services, prescriptions, diagnostics, and referrals.

33 E Chapman StEly, MN 55731

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

60th percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

62nd percentile

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

79th percentile

26%

Higher net margin than 79% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

95th percentile

$62,912

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 25.7% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

48th percentile

-3.4%

Faster asset growth than 48% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

56th percentile

2.2%

Faster revenue growth than 56% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets60th percentile

Assets

Down

$336,742

Down $11,733 (-3.4%) from 2023

Liabilities

Down

$0

Down $74,994 (-100%) from 2023

Net Assets

Up

$336,742

Up $63,261 (+23%) from 2023

Operations
Liabilities / Revenue62nd percentileNet Margin79th percentile

Revenue

Up

$244,346

Up $5,192 (+2.2%) from 2023

Expenses

Up

$181,085

Up $54,547 (+43%) from 2023

Net Income

Down

$63,261

Down $49,355 (-44%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth48th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400K$300K$200K$100K$0Assets 2018: $31,147Net Assets 2018: $31,1472018Assets 2019: $42,229Liabilities 2019: $0Net Assets 2019: $42,2292019Assets 2020: $64,640Liabilities 2020: $0Net Assets 2020: $64,6402020Assets 2021: $57,172Liabilities 2021: $0Net Assets 2021: $57,1722021Assets 2022: $285,935Liabilities 2022: $124,266Net Assets 2022: $161,6692022Assets 2023: $348,475Liabilities 2023: $74,994Net Assets 2023: $273,4812023Assets 2024: $336,742Liabilities 2024: $0Net Assets 2024: $336,7422024

Highlighted filing

2024

Assets$336,742
Liabilities$0
Net Assets$336,742
Open 2024 Filing

Operations Trend

Revenue Growth56th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300K$200K$100K$0-$100KRevenue 2018: $50,816Expenses 2018: $37,680Net Income 2018: $13,1362018Revenue 2019: $48,923Expenses 2019: $37,841Net Income 2019: $11,0822019Revenue 2020: $71,381Expenses 2020: $48,970Net Income 2020: $22,4112020Revenue 2021: $56,553Expenses 2021: $64,021Net Income 2021: -$7,4682021Revenue 2022: $177,942Expenses 2022: $73,445Net Income 2022: $104,4972022Revenue 2023: $239,154Expenses 2023: $126,538Net Income 2023: $112,6162023Revenue 2024: $244,346Expenses 2024: $181,085Net Income 2024: $63,2612024

Highlighted filing

2024

Revenue$244,346
Expenses$181,085
Net Income$63,261
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$336,742
Liabilities
$0
Net assets
$336,742
Revenue
$244,346
Expenses
$181,085
Net income
$63,261
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$3.37$0.00$3.37$2.44$1.81$0.63
2023Detailed filing. Detailed filing data is available for this year.$3.48$0.75$2.73$2.39$1.27$1.13
2022Detailed filing. Detailed filing data is available for this year.$2.86$1.24$1.62$1.78$0.73$1.04
2021Detailed filing. Detailed filing data is available for this year.$0.57$0.00$0.57$0.57$0.64$0.07
2020Detailed filing. Detailed filing data is available for this year.$0.65$0.00$0.65$0.71$0.49$0.22
2019Detailed filing. Detailed filing data is available for this year.$0.42$0.00$0.42$0.49$0.38$0.11
2018Detailed filing. Detailed filing data is available for this year.$0.31$0.31$0.51$0.38$0.13
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 7, 2025
Return Version
2024v5.1
Gross Receipts
$244,346
Mission and Program Overview

Mission

This non profit provides a weekly medical and dental clinic to those who are uninsured or underinsured. The clinic is run by volunteers and is a no cost service. Patients are provided with basic healthcare services, prescriptions, diagnostics, and referrals to other area agencies.

This not-for-profit provides a weekly medical and dental clinic to those who are uninsured or underinsured. The clinic is run by volunteers and is a no cost service. Patients are provided with basic healthcare services, prescriptions, diagnostics, and referrals.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$175,167$171,895▼ $3,272
Land, Buildings, and Equipment, Net$173,308$164,847▼ $8,461
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$348,475$336,742▼ $11,733
Other Assets Total-$0-
Liabilities
Unsecured Notes Loans Payable$74,994--
Total Liabilities$74,994$0▼ $74,994
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$273,481$336,742▲ $63,261
Total Net Assets Fund Balance$273,481$336,742▲ $63,261
Total Liabilities and Net Assets / Fund Balance$348,475$336,742▼ $11,733

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$129,602$8,406$138,008
Equipment$17,822$12,171$29,993
Land$15,000-$15,000
Leasehold Improvements$2,423$83$2,506
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Helen TomeExecutive DirectorFT$62,912$62,912

Board Members and Trustees

NameTitle
Mary BiancoChairman
Andy McKibbenDirector
Cindy Anderson-BinaDirector
Corey LarsenDirector
Crystal ChoppDirector
Kristine MosherDirector
Molly JohnstonDirector
Marcia ChambersSecretary
Tom OmerzaTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$213,372
Program Service Revenue
$24,566
Investment Income
$0
Other Revenue
$6,408
All Other Contributions
$213,372
Change in Net Assets
$63,261
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$114,030
Other Expenses$67,055
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$62,912--$62,912
Other Salaries and Wages$51,118--$51,118
Depreciation Depletion$10,967--$10,967
Insurance-$4,744-$4,744
Information Technology-$3,493-$3,493
Fees for Services Accounting$2,192--$2,192
All Other Expenses$1,092$972-$2,064
Interest$1,759--$1,759
Other Expenses$4,953$1,567-$1,567
Office Expenses$528$238-$766
Conferences and Meetings$90--$90
Total Functional Expenses$166,565$14,520$0$181,085
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The executive director reviews the form 990 and provides it to the board for review before filing.”

Form 990, Part VI, Section C, Line 18

“Form 990, previous form 990ezs and other documents are available to the public upon request.”

Form 990, Part VI, Section C, Line 19

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name
Ely Community Health Center
EIN
47-5399418
Phone
2183655678
Address
33 E CHAPMAN ST, ELY, MN 55731

Signing Officer

Name
Helen Tome
Title
Executive Director
Signed
2025-05-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Helen Tome
Formed
2015
Legal Domicile
Mn
Voting Board Members
9
Independent Board Members
9
Employees
1

Preparer

Firm
Walker Giroux & Hahne LLC
Address
225 1st Street N Suite 2400, Virginia, MN 55792
Preparer
Ryan Jarvi
Phone
2187494880
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IRS990/OtherSalariesAndWagesGrp/TotalAmt051118
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0HELEN TOME
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/BusinessCd0621300
IRS990/ProgramServiceRevenueGrp/BusinessCd1624100
IRS990/ProgramServiceRevenueGrp/Desc0Dental Billing Revenue
IRS990/ProgramServiceRevenueGrp/Desc1MNSure Navigation Reimb
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt019896
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt14670
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt019896
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt14670
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0218500
IRS990/PYExcessBenefitTransInd0false
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt044554
IRS990/PYOtherRevenueAmt06274
IRS990/PYProgramServiceRevenueAmt014380
IRS990/PYRevenuesLessExpensesAmt0112616
IRS990/PYSalariesCompEmpBnftPaidAmt081984
IRS990/PYTotalExpensesAmt0126538
IRS990/PYTotalRevenueAmt0239154
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt063261
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/RentalIncomeOrLossGrp/RealAmt06408
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt049287
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0213372
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0224938
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0177404
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt054380
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt032938
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0703032
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearAmt026305
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus1YearAmt014215
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/CurrentTaxYearMinus2YearsAmt0538
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt041058
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt0744090
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0239677
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0239153
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0177942
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt054380
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt032938
IRS990ScheduleA/Total509Grp/TotalAmt0744090
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0239677
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0239153
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0177942
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt054380
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt032938
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0744090
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt0129602
IRS990ScheduleD/BuildingsGrp/DepreciationAmt08406
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0138008
IRS990ScheduleD/EquipmentGrp/BookValueAmt017822
IRS990ScheduleD/EquipmentGrp/DepreciationAmt012171
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt029993
IRS990ScheduleD/LandGrp/BookValueAmt015000
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt015000
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt02423
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt083
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt02506
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0164847
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE EXECUTIVE DIRECTOR REVIEWS THE FORM 990 AND PROVIDES IT TO THE BOARD FOR REVIEW BEFORE FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990, PREVIOUS FORM 990EZS AND OTHER DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 18
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section C, Line 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0MN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0348475
IRS990/TotalAssetsEOYAmt0336742
IRS990/TotalAssetsGrp/BOYAmt0348475
IRS990/TotalAssetsGrp/EOYAmt0336742
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0213372
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt014520
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0166565
IRS990/TotalFunctionalExpensesGrp/TotalAmt0181085
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt074994
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt074994
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0273481
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0336742
IRS990/TotalProgramServiceExpensesAmt0166565
IRS990/TotalProgramServiceRevenueAmt024566
IRS990/TotalReportableCompFromOrgAmt062912

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