Civic Intelligence

Convergence Integrated Care

990 • Fiscal year 2023 • EIN 84-3899696

Jan 01, 2023 to Dec 31, 2023 • Filed on May 01, 2024

Organization Profilewww.macmhp.org/about-cic
2038 Ford Pkwy 453Saint Paul, MN 55116

(651) 571-0515

Siviq Scores

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

Liabilities / Assets

50th percentile

0.02x

Higher debt load relative to assets than 50% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2023

Liabilities / Revenue

52nd percentile

0.02x

Higher debt load relative to revenue than 52% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2023

Net Margin

11th percentile

-31%

Higher net margin than 11% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2023

Top Officer Pay

94th percentile

$154,068

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 26.4% of source-year revenue.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2023

Asset Growth

9th percentile

-24%

Faster asset growth than 9% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2022 to 2023

Revenue Growth

17th percentile

-21%

Faster revenue growth than 17% of similar nonprofits.

2023 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets50th percentile

Assets

Down

$747,624

Down $230,091 (-24%) from 2022

Net Assets

Down

$734,497

Down $183,116 (-20%) from 2022

Liabilities

Down

$13,127

Down $46,975 (-78%) from 2022

Revenue And Expenses
Liabilities / Revenue52nd percentileNet Margin11th percentile

Revenue

Down

$583,957

Down $153,740 (-21%) from 2022

Expenses

Up

$767,073

Up $79,683 (+12%) from 2022

Net Income

Down

-$183,116

Down $233,423 (-464%) from 2022

Historical Trend

Balance Sheet Trend

Asset Growth9th percentile

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

2023

Assets$747,624
Liabilities$13,127
Net Assets$734,497
Open 2023 Filing

Operations Trend

Revenue Growth17th percentile

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

2023

Revenue$583,957
Expenses$767,073
Net Income-$183,116
Open 2023 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
May 1, 2024
Return Version
2023v5.0
Gross Receipts
$583,957
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
Cash and Non-Interest-Bearing Accounts$799,285$607,012▼ $192,273
Accounts Receivable$175,987$139,662▼ $36,325
Prepaid Expenses and Deferred Charges$2,443$950▼ $1,493
Total Assets$977,715$747,624▼ $230,091
Liabilities
Accounts Payable and Accrued Expenses$60,102$13,127▼ $46,975
Total Liabilities$60,102$13,127▼ $46,975
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$917,613$734,497▼ $183,116
Total Net Assets Fund Balance$917,613$734,497▼ $183,116
Total Liabilities and Net Assets / Fund Balance$977,715$747,624▼ $230,091
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Tom SteinmetzSr. Operations DirectorPT$124,037$31,377$155,414
Gladys ChuyPopulation Health & Quality DirectorFT$124,518$13,713$138,231

Board Members and Trustees

NameTitle
Ann Henderson- Vice President(Jan-Sep)/ President (Oct-Dec)
Trevor JohnsonPresident (Jan-Sep)
Amy WardBoard Member
Chris JenkinsBoard Member
Jill Weidemann-WestBoard Member
Sarah AckermanBoard Member
Steven LoosBoard Member
Jin Lee PalenExecutive Director
Katie PerzelSecretary
Shauna Reitmeier- BoardTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$573,207
Program Service Revenue
$10,750
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-183,116
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$416,484
Salaries, Compensation, and Employee Benefits$350,589
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Information Technology$178,776--$178,776
Comp Disqual Persons$132,224$33,056-$165,280
Other Salaries and Wages$111,175$27,794-$138,969
Fees for Services Other$86,478$22,941-$109,419
Fees for Services Management-$53,321-$53,321
Conferences and Meetings$31,470--$31,470
Payroll Taxes$19,947$4,987-$24,934
Occupancy$10,000$10,000-$20,000
Other Employee Benefits$13,839$3,460-$17,299
Fees for Services Legal-$7,261-$7,261
Office Expenses$4,418--$4,418
Pension Plan Contributions$3,286$821-$4,107
All Other Expenses$2,407$602-$3,009
Travel$2,634--$2,634
Fees for Services Accounting-$2,250-$2,250
Other Expenses$2,038--$2,038
Insurance-$1,888-$1,888
Total Functional Expenses$598,692$168,381$0$767,073
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
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 $53,321 in compensation and benefits during 2023.”

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) Are currently, and remain, members of the Minnesota Association of Community Mental Health Programs, B) 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 C) 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
2024-05-01
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Ann Henderson
Formed
2019
Legal Domicile
Mn
Voting Board Members
8
Independent Board Members
8
Employees
3
Volunteers
9

Preparer

Firm
Eide Bailly LLP
Address
800 Nicollet Mall Ste 1300, Minneapolis, MN 55402-7033
Preparer
Deb Nelson CPA
Phone
6122536500
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

“Consulting: Program service expenses 86,478. Management and general expenses 0. Fundraising expenses 0. Total expenses 86,478. Admin Contractors: Program service expenses 0. Management and general expenses 22,941. Fundraising expenses 0. Total expenses 22,941.”

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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0663545
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0320065
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt02196514
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt016
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt016
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0303486
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportTotal170Amt02196514
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0573207
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0639697
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0663545
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0320065
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt02196514
IRS990ScheduleA/TotalSupportAmt02196530
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/BaseCompensationFilingOrgAmt0124037
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt031377
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Tom Steinmetz
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Sr. Operations Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt0155414
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 $53,321 in compensation and benefits during 2023. 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 $53,321 in compensation and benefits during 2023.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The members of Convergence Integrated Care (CIC) are Minnesota-based nonprofit corporations meeting all of the following criteria: A) Are currently, and remain, members of the Minnesota Association of Community Mental Health Programs, B) 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 C) 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/ExplanationTxt2The governing board of CIC is elected by the members.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Form 990 and year end financial statements are reviewed by management and the Board of Directors prior to filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4The 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/ExplanationTxt5The organization does not have a policy to make these documents available.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6Consulting: Program service expenses 86,478. Management and general expenses 0. Fundraising expenses 0. Total expenses 86,478. Admin Contractors: Program service expenses 0. Management and general expenses 22,941. Fundraising expenses 0. Total expenses 22,941.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part IX, line 11g
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MN
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
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IRS990/TotalAssetsEOYAmt0747624
IRS990/TotalAssetsGrp/BOYAmt0977715
IRS990/TotalAssetsGrp/EOYAmt0747624
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt0573207
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0168381
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0598692
IRS990/TotalFunctionalExpensesGrp/TotalAmt0767073
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt060102
IRS990/TotalLiabilitiesEOYAmt013127
IRS990/TotalLiabilitiesGrp/BOYAmt060102
IRS990/TotalLiabilitiesGrp/EOYAmt013127
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0917613
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0734497
IRS990/TotalOtherCompensationAmt043744
IRS990/TotalProgramServiceExpensesAmt0598692
IRS990/TotalProgramServiceRevenueAmt010750
IRS990/TotalReportableCompFromOrgAmt0248555
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt010750
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0583957
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt09
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0977715
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0747624
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt02634
IRS990/TravelGrp/TotalAmt02634
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

Document Assets

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Filings

Displayed year

2023 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$747,624
Liabilities
$13,127
Net assets
$734,497
Revenue
$583,957
Expenses
$767,073
Net income
-$183,116
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
2023Detailed filing. Detailed filing data is available for this year.$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