Civic Intelligence

Convergence Integrated Care

EIN 84-3899696 • 501(c)3 • Saint Paul, MN

Profile

The mission of Convergence Integrated Care is to promote better mental health and chemical health and improve the quality of mental health and substance use treatment for patients.

2038 Ford Pkwy 453Saint Paul, MN 55116

www.macmhp.org/about-cic

Siviq Scores

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

Liabilities / Assets

59th percentile

0.05x

Higher debt load relative to assets than 59% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

61st percentile

0.05x

Higher debt load relative to revenue than 61% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

23rd percentile

-11%

Higher net margin than 23% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

23rd percentile

-7.2%

Faster asset growth than 23% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

63rd percentile

16%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets59th percentile

Assets

Down

$693,491

Down $54,133 (-7.2%) from 2023

Liabilities

Up

$31,880

Up $18,753 (+143%) from 2023

Net Assets

Down

$661,611

Down $72,886 (-9.9%) from 2023

Operations
Liabilities / Revenue61st percentileNet Margin23rd percentile

Revenue

Up

$676,127

Up $92,170 (+16%) from 2023

Expenses

Down

$749,013

Down $18,060 (-2.4%) from 2023

Net Income

Up

-$72,886

Up $110,230 (+60%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth23rd percentile

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

$1.0M$500K$0Assets 2020: $420,071Liabilities 2020: $100,000Net Assets 2020: $320,0712020Assets 2021: $906,288Liabilities 2021: $38,982Net Assets 2021: $867,3062021Assets 2022: $977,715Liabilities 2022: $60,102Net Assets 2022: $917,6132022Assets 2023: $747,624Liabilities 2023: $13,127Net Assets 2023: $734,4972023Assets 2024: $693,491Liabilities 2024: $31,880Net Assets 2024: $661,6112024

Highlighted filing

2024

Assets$693,491
Liabilities$31,880
Net Assets$661,611
Open 2024 Filing

Operations Trend

Revenue Growth63rd percentile

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

$1.0M$500K$0-$500KRevenue 2020: $416,027Expenses 2020: $95,957Net Income 2020: $320,0702020Revenue 2021: $762,329Expenses 2021: $315,942Net Income 2021: $446,3872021Revenue 2022: $737,697Expenses 2022: $687,390Net Income 2022: $50,3072022Revenue 2023: $583,957Expenses 2023: $767,073Net Income 2023: -$183,1162023Revenue 2024: $676,127Expenses 2024: $749,013Net Income 2024: -$72,8862024

Highlighted filing

2024

Revenue$676,127
Expenses$749,013
Net Income-$72,886
Open 2024 Filing

Filings

Most recent year

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

Open filing
Assets
$693,491
Liabilities
$31,880
Net assets
$661,611
Revenue
$676,127
Expenses
$749,013
Net income
-$72,886
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$6.93$0.32$6.62$6.76$7.49$0.73
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$7.48$0.13$7.34$5.84$7.67$1.83
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.78$0.60$9.18$7.38$6.87$0.50
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$9.06$0.39$8.67$7.62$3.16$4.46
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.20$1.00$3.20$4.16$0.96$3.20
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 13, 2025
Return Version
2024v5.2
Gross Receipts
$676,127
Mission and Program Overview

Mission

The mission of Convergence Integrated Care is to promote better mental health and chemical health and improve the quality of mental health and substance use treatment for patients.

Transforming community behavioral health.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments-$416,374-
Accounts Receivable$139,662$140,123▲ $461
Cash and Non-Interest-Bearing Accounts$607,012$135,761▼ $471,251
Prepaid Expenses and Deferred Charges$950$1,233▲ $283
Total Assets$747,624$693,491▼ $54,133
Liabilities
Accounts Payable and Accrued Expenses$13,127$31,880▲ $18,753
Total Liabilities$13,127$31,880▲ $18,753
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$734,497$661,611▼ $72,886
Total Net Assets Fund Balance$734,497$661,611▼ $72,886
Total Liabilities and Net Assets / Fund Balance$747,624$693,491▼ $54,133
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tom SteinmetzSr. Operations DirectorPT$123,659$47,036$170,695
Gladys ChuyPopulation Health & Quality DirectorFT$127,437$17,797$145,234

Board Members and Trustees

NameTitle
Ann HendersonPresident
Steven LoosVice President
Amy WardBoard Member
Ashley KjosBoard Member
Jill Weidemann-WestBoard Member
Shauna ReitmeierBoard Member
Jin Lee PalenExecutive Director
Katie PerzelSecretary
Chris JenkinsTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$561,030
Program Service Revenue
$108,493
Investment Income
$6,604
Other Revenue
$0
Change in Net Assets
$-72,886
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$378,077
Other Expenses$370,936
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$267,091$66,772-$333,863
Information Technology$190,929--$190,929
Fees for Services Management-$52,605-$52,605
Conferences and Meetings$41,347--$41,347
Fees for Services Other$18,000$23,230-$41,230
Payroll Taxes$20,623$5,156-$25,779
Occupancy$9,407$9,407-$18,814
Other Employee Benefits$12,688$2,283-$14,971
Travel$13,920--$13,920
Fees for Services Legal-$4,374-$4,374
Office Expenses$3,675--$3,675
Pension Plan Contributions$2,771$693-$3,464
Fees for Services Accounting-$2,525-$2,525
Insurance-$1,032-$1,032
Other Expenses$34--$34
Total Functional Expenses$580,936$168,077$0$749,013
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
No
Annual disclosure for covered persons
Yes
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
Yes
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, line 3

“The Executive Director, Jin Lee Palen, is employed by Minnesota Association of Community Mental Health Programs, Inc, (MACMHP) an unrelated organization, for services as Executive Director for Convergence Integrated Care (CIC). CIC reimbursed MACMHP $56,161 in compensation and benefits during 2024.”

Form 990, Part VI, Section A, line 4

“The bylaws were amended to change the criteria for membership.”

Form 990, Part VI, Section A, line 6

“The members of Convergence Integrated Care (CIC) are Minnesota-based nonprofit corporations meeting all of the following criteria: A) Affirmatively elect to join CIC by executing the IPA Participation Agreement and make the corresponding capital contribution as determined by the Board of Directors; and B) Satisfy all other membership requirements as laid out in the CIC Articles of Incorporation, Bylaws, IPA Participation Agreement, or as established by the Board.”

Form 990, Part VI, Section A, line 7A

“The governing board of CIC is elected by the members.”

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

“Form 990 and year end financial statements are reviewed by management and the Board of Directors prior to filing.”

Form 990, Part VI, Section B, line 12C

“The Board of directors are trained annually to adhere to the conflict of interest policy and are expected to recuse themselves from decisions where a conflict of interest exists.”

Form 990, Part VI, Section C, line 19

“The organization does not have a policy to make these documents available.”

Filing and Contact Details

Filer

Filer Name
Convergence Integrated Care
EIN
84-3899696
Phone
6515710515
Address
2038 Ford Pkwy 453, Saint Paul, MN 55116

Signing Officer

Name
Jin Lee Palen
Title
Executive Director
Phone
6515710515
Signed
2025-11-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jin Lee Palen
Formed
2019
Legal Domicile
Mn
Voting Board Members
8
Independent Board Members
8
Employees
3
Volunteers
10

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Heidi M Sachs CPA
Phone
6122536500
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0573207
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0639697
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0663545
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0320065
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt02757544
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt06604
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt016
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt06620
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0411979
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportTotal170Amt02757544
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0561030
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0573207
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0639697
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0663545
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0320065
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt02757544
IRS990ScheduleA/TotalSupportAmt02764164
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/ScheduleBRequiredInd01
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/BoardOrCommitteeApprovalInd0X
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt0123659
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt05292
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt041744
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Tom Steinmetz
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Sr. Operations Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0170695
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt00
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0The Executive Director, Jin Lee Palen, is employed by Minnesota Association of Community Mental Health Programs, Inc, (MACMHP) an unrelated organization, for services as Executive Director for Convergence Integrated Care (CIC). CIC reimbursed MACMHP $56,161 in compensation and benefits during 2024. There is a shared services agreement in place between the two entities, which is approved by the board of directors.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 3
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Executive Director, Jin Lee Palen, is employed by Minnesota Association of Community Mental Health Programs, Inc, (MACMHP) an unrelated organization, for services as Executive Director for Convergence Integrated Care (CIC). CIC reimbursed MACMHP $56,161 in compensation and benefits during 2024.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The bylaws were amended to change the criteria for membership.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The members of Convergence Integrated Care (CIC) are Minnesota-based nonprofit corporations meeting all of the following criteria: A) Affirmatively elect to join CIC by executing the IPA Participation Agreement and make the corresponding capital contribution as determined by the Board of Directors; and B) Satisfy all other membership requirements as laid out in the CIC Articles of Incorporation, Bylaws, IPA Participation Agreement, or as established by the Board.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The governing board of CIC is elected by the members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Form 990 and year end financial statements are reviewed by management and the Board of Directors prior to filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5The Board of directors are trained annually to adhere to the conflict of interest policy and are expected to recuse themselves from decisions where a conflict of interest exists.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6The organization does not have a policy to make these documents available.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section C, line 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MN
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0747624
IRS990/TotalAssetsEOYAmt0693491
IRS990/TotalAssetsGrp/BOYAmt0747624
IRS990/TotalAssetsGrp/EOYAmt0693491
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt0561030
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0168077
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0580936
IRS990/TotalFunctionalExpensesGrp/TotalAmt0749013
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt013127
IRS990/TotalLiabilitiesEOYAmt031880
IRS990/TotalLiabilitiesGrp/BOYAmt013127
IRS990/TotalLiabilitiesGrp/EOYAmt031880
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0734497
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0661611
IRS990/TotalOtherCompensationAmt064834
IRS990/TotalProgramServiceExpensesAmt0580936
IRS990/TotalProgramServiceRevenueAmt0108493
IRS990/TotalReportableCompFromOrgAmt0251096
IRS990/TotalRevenueGrp/ExclusionAmt06604
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0108493
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0676127
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt010
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0747624
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0693491
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt013920
IRS990/TravelGrp/TotalAmt013920
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02038 Ford Pkwy 453
IRS990/USAddress/CityNm0Saint Paul
IRS990/USAddress/StateAbbreviationCd0MN
IRS990/USAddress/ZIPCd055116
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0https://www.macmhp.org/about-cic
IRS990/WhistleblowerPolicyInd01
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