Civic Intelligence

Convergence Integrated Care

990 • Fiscal year 2020 • EIN 84-3899696

Jan 01, 2020 to Dec 31, 2020 • Filed on May 12, 2021

2038 Ford Parkway Suite 453St Paul, MN 55116

(651) 571-0515

Siviq Scores

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

Liabilities / Assets

82nd percentile

0.24x

Higher debt load relative to assets than 82% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Liabilities / Revenue

85th percentile

0.24x

Higher debt load relative to revenue than 85% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

95th percentile

77%

Higher net margin than 95% of similar nonprofits.

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

76th percentile

$0

Higher top officer pay than 76% of similar nonprofits.

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

2020 filings • 501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2020

Assets

$420,071

No earlier filing loaded for comparison.

Net Assets

$320,071

No earlier filing loaded for comparison.

Liabilities

$100,000

No earlier filing loaded for comparison.

Revenue

$416,027

No earlier filing loaded for comparison.

Expenses

$95,957

No earlier filing loaded for comparison.

Net Income

$320,070

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.

$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

2020

Assets$420,071
Liabilities$100,000
Net Assets$320,071

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2020

Revenue$416,027
Expenses$95,957
Net Income$320,070
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
May 12, 2021
Return Version
2020v4.0
Gross Receipts
$416,027
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.

Development of evidence-based treatment methods that will help non-profit clinics promote better health and improve the quality of mental health and substance use services.

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$0$320,065▲ $320,065
Cash and Non-Interest-Bearing Accounts$0$100,006▲ $100,006
Total Assets$0$420,071▲ $420,071
Liabilities
Deferred Revenue$0$100,000▲ $100,000
Total Liabilities$0$100,000▲ $100,000
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$0$320,071▲ $320,071
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$0$320,071▲ $320,071
Total Liabilities and Net Assets / Fund Balance$0$420,071▲ $420,071
Compensation and Service Providers

Board Members and Trustees

NameTitle
Gary HirdPresident
Joe ManuelVice President
Jill Weidemann-WestBoard Member
Laura VaughnBoard Member
Matt EastwoodBoard Member
Rick LeeBoard Member
Sarah AckermanBoard Member
Shauna ReitmeierBoard Member
Amy WardSecretary
Ann HendersonSecretary
Janis AllenTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$95,962
Program Service Revenue
$320,065
Investment Income
$0
Other Revenue
$0
All Other Contributions
$0
Change in Net Assets
$320,070
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$95,957
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management$87,873$5,068-$92,941
Office Expenses$796$796-$1,592
Fees for Services Legal-$1,424-$1,424
Total Functional Expenses$88,669$7,288$0$95,957
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
No
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
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Convergence integrated care is a membership organization

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

Governing board is elected by the members

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

The form 990 and year-end financial statements are reviewed by the board of directors executive committee.

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

Board members 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 PARKWAY SUITE 453, ST PAUL, MN 55116

Signing Officer

Name
Tom Yardic
Title
Finance Manager
Phone
6512333502
Signed
2021-05-12

Organization Details

Principal Officer
Jinny Palen
Formed
2020
Legal Domicile
Mn
Voting Board Members
11
Independent Board Members
11
Employees
0
Volunteers
0
Raw XML Appendix387 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0CONVERGENCE INTEGRATED CARE IS A MEMBERSHIP ORGANIZATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1GOVERNING BOARD IS ELECTED BY THE MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE FORM 990 AND YEAR-END FINANCIAL STATEMENTS ARE REVIEWED BY THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD MEMBERS 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/ExplanationTxt4THE ORGANIZATION DOES NOT HAVE A POLICY TO MAKE THESE DOCUMENTS AVAILABLE.
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IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt00
IRS990/TotalAssetsEOYAmt0420071
IRS990/TotalAssetsGrp/BOYAmt00
IRS990/TotalAssetsGrp/EOYAmt0420071
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt095962
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt07288
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt088669
IRS990/TotalFunctionalExpensesGrp/TotalAmt095957
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt0100000
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt0100000
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0320071
IRS990/TotalOtherCompensationAmt00
IRS990/TotalOtherProgSrvcExpenseAmt00
IRS990/TotalOtherProgSrvcGrantAmt00
IRS990/TotalOtherProgSrvcRevenueAmt00
IRS990/TotalOthProgramServiceRevGrp/ExclusionAmt00
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IRS990/TotalOthProgramServiceRevGrp/TotalRevenueColumnAmt00
IRS990/TotalOthProgramServiceRevGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalProgramServiceExpensesAmt088669
IRS990/TotalProgramServiceRevenueAmt0320065
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0320065
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0416027
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0420071
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02038 FORD PARKWAY SUITE 453
IRS990/USAddress/CityNm0ST PAUL
IRS990/USAddress/StateAbbreviationCd0MN
IRS990/USAddress/ZIPCd055116
IRS990/VotingMembersGoverningBodyCnt011
IRS990/VotingMembersIndependentCnt011
IRS990/WhistleblowerPolicyInd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL2
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/LastSubmissionRqrOOBCd00
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/OOBSecurityVerificationCd011
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-03-31 18:45:55Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Tom Yardic
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0FINANCE MANAGER
ReturnHeader/BusinessOfficerGrp/PhoneNum06512333502
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-05-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Convergence Integrated Care
ReturnHeader/Filer/BusinessNameControlTxt0CONV
ReturnHeader/Filer/EIN0843899696
ReturnHeader/Filer/PhoneNum06515710515
ReturnHeader/Filer/USAddress/AddressLine1Txt02038 FORD PARKWAY SUITE 453
ReturnHeader/Filer/USAddress/CityNm0ST PAUL
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MN
ReturnHeader/Filer/USAddress/ZIPCd055116
ReturnHeader/ReturnTs02021-05-13T10:21:23-07:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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