2024-11-15T16:52:04-06:00 2023-12-31 450310328 BRADY MARTZ & ASSOCIATES PC PO BOX 14296 GRAND FORKS ND 582084296 990 2023-01-01 471836448 NORTH DAKOTA PROFESSIONAL HEALTH PROGRAM INC NORT 7017515090 919 S 7TH STREET 305 BISMARCK ND 58504 BETH STROUP-MENGE INTERIM EXECUTIVE DIRECTOR 7017515090 2024-11-15 1 1 NICOLE HELDSTAB P01220683 7017754685 2024-11-15 2023 2024-10-15 13:58:12Z BETH STROUP-MENGE 919 S 7TH STREET BISMARCK ND 58504 334890 0 X WWW.NDPHP.ORG X 2014 ND TO FACILITATE THE REHABILITATION OF HEALTHCARE PROVIDERS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PUBLIC SAFETY AND TO MONITOR THEIR RECOVERY. 10 10 2 0 0 0 8171 16 335316 334414 171 460 0 0 343658 334890 0 0 0 0 104906 83327 0 0 0 186438 302455 291344 385782 52314 -50892 198680 266340 26280 137817 172400 128523 FACILITATE THE REHABILITATION OF HEALTHCARE PROVIDERS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PUBLIC SAFETY AND TO MONITOR THEIR RECOVERY. 0 0 174037 334414 FACILITATING THE REHABILITATION OF HEALTHCARE PROVIDERS WHO HAVE PHYSICAL OR MENTAL CONDITIONS THAT COULD COMPROMISE PUBLIC SAFETY AND TO MONITOR THEIR RECOVERY. 174037 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 2 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 1 1 0 X BETH STROUP-MENGE 7017515090 919 S 7TH STREET SUITE 305 BISMARCK ND 58504 JOHN OLSON DIRECTOR 1.00 X 0 0 0 LANCE SCHREINER DIRECTOR 1.00 X 0 0 0 JULIE ANN BLEHM MD VICE PRESIDENT (STARTED 11/2023) 1.00 X X 0 0 0 BURT RISKEDAHL DIRECTOR 1.00 X 0 0 0 TOM DICKSON DIRECTOR 1.00 X 0 0 0 RANDY PERKINS SECRETARY/TREASURER 1.00 X X 0 0 0 THOMASINE HEITKAMP PRESIDENT 1.00 X X 0 0 0 BETH STROUP MENGE VICE PRESIDENT (THROUGH 11/2023) 1.00 X X 0 0 0 MOE BENTZ DIRECTOR (STARTED 11/2023) 1.00 X 0 0 0 VAUGN JOHNSON DIRECTOR (STARTED 11/2023) 1.00 X 0 0 0 BILL KNUTSON DIRECTOR (STARTED 11/2023) 1.00 X 0 0 0 ANN LEISETH EXECUTIVE DIRECTOR (THROUGH 8/2023) 40.00 X 56743 0 12533 BRITTANY ARMSTRONG HANSON EXECUTIVE DIRECTOR (STARTED 12/2023) 40.00 X 8375 0 419 65118 0 12952 0 0 0 0 0 16 16 PROGRAM INCOME 624100 312000 312000 FEES 624100 22414 22414 334414 460 460 334890 334414 0 460 X 78460 70614 7846 4867 4380 487 20422 20422 11460 11460 138744 92125 46619 71370 219 71151 8908 8908 15990 15990 12064 12064 1050 1050 14286 14286 DUES & SUBSCRIPTIONS 4134 4134 INTERNET MARKETING - WE 2220 2220 MINOR EQUIPMENT 1086 1086 MISCELLANEOUS 376 376 345 345 385782 174037 211745 0 67259 63510 131421 128867 15700 9093 10114 7571 0 2543 0 46627 198680 266340 280 48372 26000 44233 0 45212 26280 137817 X 172400 128523 172400 128523 198680 266340 -50892 7015 0 X X 0 0 0 X 9660 9780 10235 8171 16 37862 329750 317700 321184 335316 334414 1638364 339410 327480 331419 343487 334430 1676226 0 0 0 1676226 111 181 102 171 460 1025 111 181 102 171 460 1025 339521 327661 331521 343658 334890 1677251 0.99940 0.99960 0.00060 0.00040 X 10114 7571 2543 2543 RIGHT OF USE ASSET - OPERATING LEASE 46627 46627 OPERATING LEASE 45212 45212 X PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND IS NOT A PRIVATE FOUNDATION. THE ORGANIZATION'S POLICY IS TO EVALUATE THE LIKELIHOOD THAT ITS UNCERTAIN TAX POSITIONS WILL PREVAIL UPON EXAMINATION BASED ON THE EXTENT TO WHICH THOSE POSITIONS HAVE SUBSTANTIAL SUPPORT WITHIN THE INTERNAL REVENUE CODE AND REGULATIONS, REVENUE RULINGS, COURT DECISIONS, AND OTHER EVIDENCE. FORM 990, PART VI, SECTION B, LINE 11B THE PHP STAFF REVIEW THE FORM 990 BEFORE FILING WITH THE IRS. THE BOARD IS PROVIDED A FULL COPY AFTER FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST ACKNOWLEDGEMENT/DISCLOSURE FORM ANNUALLY. THE EXECUTIVE DIRECTOR AND THE FULL BOARD MONITOR THROUGHOUT THE YEAR FOR ANY POTENTIAL CONFLICTS. IF THERE IS A POTENTIAL CONFLICT THAT BOARD MEMBER ABSTAINS FROM DISCUSSION AND VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION IS INCLUDED IN THE PROCESS FOR DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AND APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART IX, LINE 11G PROFESSIONAL DEVELOPMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,031. COMPUTER TECHNOLOGY: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,638. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,638. PROGRAM CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,750. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 92,125. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,125. INTERIM EXECUTIVE DIRECTOR: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 29,200. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 29,200. PART XII: LINE 1 ACCOUNTING METHOD CHANGE IN 2023 FROM CASH TO ACCRUAL