2025-12-15T17:27:56-06:00 2025-01-31 WITHUMSMITHBROWNPC 200 S ORANGE AVESTE 1200 ORLANDO FL 328013400 990 2024-02-01 411000060 COMMUNITY HEALTH SERVICE INC % MONTY MARTIN COMM 2184613669 2310 4th Ave N Moorhead MN 56560 RHONDA EASTLUND CEO 2184613669 2025-12-15 true true ERIK A HALLUSKA CPA P01954172 4078491569 2024 2025-03-06 01:10:19Z RHONDA EASTLUND 2310 4th Ave N Moorhead MN 56560 6712600 false X chsiclinics.org X 1973 MN COMMUNITY HEALTH SERVICE INC PROVIDES PRIMARY HEALTH CARE AND VICTIM ADVOCACY SERVICES TO LOW-INCOME, UNINSURED AND PRIMARILY MIGRANT AND SEASONAL AGRICULTURAL FRAMEWORKERS 13 13 86 13 0 0 6304495 5628321 1880246 1070438 25062 13841 0 0 8209803 6712600 0 0 0 0 4933721 4257437 0 0 0 4356002 2592327 9289723 6849764 -1079920 -137164 2634012 2870460 2662011 2947221 -27999 -76761 X COMMUNITY HEALTH SERVICE INC. PRIDES ITSELF ON DELIVERING QUALITY PATIENT-CENTERED HEALTHCARE AND SERVICES WITH PROFESSIONALISM AND PASSION, COLLABORATING WITH COMMUNITY PARTNERS TO PROMOTE HEALTH EQUITY. false false 4098751 0 746566 COMMUNITY HEALTH SERVICE INC. IS A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES PRIMARY HEALTHCARE SERVICES TO A LOW-INCOME, UNINSURED PATIENT POPULATION IN MINNESOTA AND NORTH DAKOTA, PRIMARILY MIGRANT AND SEASONAL AGRICULTURAL FARM WORKERS. WE SERVE NEARLY 4,100 PATIENTS, WHICH TRANSLATES TO NEARLY 10,120 VISITS PER YEAR. FOLLOWING COVID-19, CHSI FOCUSED ON ESTABLISHING PATIENT-PROVIDER INTERACTIONS AND PREVENTATIVE SCREENING FROM 2024 TO 2025. ALMOST 64% OF THE PATIENTS WERE OF HISPANIC OR LATINO ORIGIN, AND 55% SPOKE SPANISH. 57% OF PATIENTS WERE 100% BELOW THE FEDERAL POVERTY LEVEL. WITHIN PROGRAM 4A, WE ALSO OFFER DENTAL, BEHAVIORAL HEALTH, SUBSTANCE ABUSE, AND 340B PHARMACY SERVICES. 1713921 0 323872 COMMUNITY HEALTH SERVICES, INC. ALSO OFFERS A VICTIM ADVOCACY PROGRAM. THIS PROGRAM ADVOCATES FOR AND SUPPORTS VICTIMS OF DOMESTIC AND SEXUAL VIOLENCE. OUR COMMUNITY-BASED ADVOCACY SERVICES INCLUDE 24-HOUR CRISIS INTERVENTION, SUPPORTIVE LISTENING, SAFETY PLANS, AND CRIME VICTIM RIGHTS (SAFE HOUSING AND RELOCATION, ADVOCACY, AND LEGAL SYSTEM COORDINATION). IN FISCAL YEAR 2025, INTERVENTION ADVOCATES PROVIDED CRISIS ASSISTANCE AND DIRECT SERVICE TO 794 VICTIMS, SURVIVORS, AND THEIR CHILDREN. ACCORDING TO REGISTRATION DATA, 593 NEW CLIENTS OF DV/SA VICTIMS AND SURVIVORS HAVE SOUGHT CHSI VICTIM ADVOCACY AND SUPPORTIVE SERVICES. THE REGISTRATION DATE INDICATES THE VICTIM'S OR SURVIVORS' RACE OR ETHNICITY AS AMERICAN INDIAN, BLACK/AFRICAN AMERICAN, HISPANIC LATINO, ASIAN, WHITE NON-LATINO OR CAUCASIAN, AND MULTIRACIAL. 5812672 true true false false false false false false false true false false false true false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 5 0 true 86 true false false false false false false false false false false false false X 13 13 false true false false false false false true true false false true true true true true true true false false MN X MONTY MARTIN 2184613669 2310 4TH AVE N MOORHEAD MN 56560 STEPHANIE LOW CEO & CMO (THRU 07/2024) 40.0 0.0 X 151977 0 317 Richard Mokua Nurse Practitioner 40.0 0.0 X 121269 0 1660 Buck Bania Primary Care Physician 40.0 0.0 X 111246 0 11538 Jessie Lindemann Associate Medical Director 40.0 0.0 X 119522 0 969 Lucy Brink Nurse Practiti 40.0 0.0 X 101962 0 9543 RHONDA EASTLUND CEO 40.0 0.0 X 75191 0 0 DOMINIC GOODMAN COO & CHIEF PEOPLE & CULTURE 40.0 0.0 X 23448 0 3590 NATHAN ADAMS PRESIDENT 1.0 0.0 X X 0 0 0 JOSE ATILANO VICE PRESIDENT 1.0 0.0 X X 0 0 0 CHRISTY POTTS SECRETARY 1.0 0.0 X X 0 0 0 JAMIE GADES TREASURER 1.0 0.0 X X 0 0 0 GRISELT ANDRADE BOARD MEMBER 1.0 0.0 X 0 0 0 ROSA DIAZ BOARD MEMBER 1.0 0.0 X 0 0 0 TERRY LAVALLIE BOARD MEMBER 1.0 0.0 X 0 0 0 VANESSA NG BOARD MEMBER 1.0 0.0 X 0 0 0 MARCELA PERETT BOARD MEMBER 1.0 0.0 X 0 0 0 GLORIA TORRES-HERBECK BOARD MEMBER 1.0 0.0 X 0 0 0 CRISTINA VILLARREAL BOARD MEMBER 1.0 0.0 X 0 0 0 RYAN CARDARELLA BOARD MEMBER 1.0 0.0 X 0 0 0 PRISCILLA SILVA BOARD MEMBER 1.0 0.0 X 0 0 0 704615 0 27617 5 false true false BREAKWATER HEALTH NETWORK 1346 W ARROWHEAD DULUTH MN 558112218 TECHNOLOGY SYSTEMS 248058 AZEEZ OSENI 4602 WATERFALL COURT APT H OWINGS MILLS MN 21117 DEV & GRANT MANAGER 111000 2 5628321 5628321 PATIENT SERVICE REVENUE 900099 1042615 1042615 PHARMACY REVENUE 900099 27823 27823 1070438 13841 0 13841 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6712600 1070438 0 13841 0 0 0 0 152294 149751 2543 0 3119331 3067238 52093 165837 155965 9872 541068 508859 32209 278907 262304 16603 0 404993 404993 64559 64559 0 0 0 69239 69239 41878 41878 145043 57256 87787 363809 358242 5567 0 532440 532440 28924 13102 15822 0 0 131981 131981 0 206523 199017 7506 112135 112135 MEDICAL SUPPLIES 304929 304929 REPAIRS & MAINTENANCE 60416 60416 RECRUITMENT & TRAINING 79 79 OTHER MISCELLANEOUS 125379 31957 93422 6849764 5812672 1037092 0 X 555809 817416 0 0 38854 122251 188853 0 0 0 0 0 0 0 0 0 43836 14911 3584056 1822294 1525040 1761762 201253 73753 0 0 0 0 0 0 80367 80367 2634012 2870460 1334080 1548831 0 0 60114 207571 0 0 0 0 0 0 1267454 1190819 0 0 363 0 2662011 2947221 X -27999 -76761 0 0 -27999 -76761 2634012 2870460 X -137164 56071 32331 X X false false true false X 5887720 4418764 5672532 6304495 5628321 27911832 0 0 5887720 4418764 5672532 6304495 5628321 27911832 0 27911832 17142 17625 0 25062 13841 73670 0 0 27985502 4908089 0.99737 0.99710 X 0.00000 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20000 20000 658262 270397 387866 2905794 1551897 1353896 1761762 0 0 STEPHANIE LOW CEO & CMO (THRU 07/2024) 151977 0 0 0 0 0 0 0 317 0 152294 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE PRESIDENT SHALL CAST A VOTE ONLY IN THE EVENT OF A TIE. FORM 990, PART VI, SECTION A, LINE 1A THE ORGANIZATION HAS AN EXECUTIVE COMMITTEE CONSISTING OF THE BOARD PRESIDENT, VICE PRESIDENT/SECRETARY AND TREASURER. THE EXECUTIVE COMMITTEE SHALL HAVE ALL OF THE POWERS OF THE GOVERNING BOARD WHEN THE BOARD IS NOT IN SESSION AND SHALL GENERALLY PERFORM SUCH DUTIES AND EXERCISE SUCH POWERS AS MAY BE PERFORMED BY THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON INFORMATION PROVIDED BY THE THE ORGANIZATION. THE CEO AND CFO REVIEW THE FORM 990 AND A COPY IS EMAILED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C COMMUNITY HEALTH SERVICE, INC. PROHIBITS CONFLICTS OF INTEREST OR THE APPEARANCE OF CONFLICTS OF INTEREST. THE CONFLICT OF INTEREST POLICY COVERS BOARD MEMBERS, EMPLOYEES, CONSULTANTS AND THOSE WHO FURNISH GOODS OR SERVICES TO COMMUNITY HEALTH SERVICE, INC. EACH BOARD MEMBER MUST COMPLETE THE CONFLICT OF INTEREST STATEMENT AND DISCLOSURE FORM. CONFLICTS ARE REVIEWED BY THE BOARD. IF A CONFLICT IS DETERMINED, APPROPRIATE RESTRICTIONS ARE EVALUATED AND IMPLEMENTED ON A CASE-BY-CASE BASIS. SHOULD ANY CONFLICT OF INTEREST ARISE AT ANY SUBSEQUENT TIME, DISCLOSURE MUST BE MADE TO THE BOARD PRESIDENT IMMEDIATELY TO BE PRESENTED TO THE BOARD AT THE NEXT BOARD MEETING. SHOULD THE CONFLICT OF INTEREST DEAL WITH THE PRESIDENT, DISCLOSURE MUST BE MADE TO THE BOARD VICE PRESIDENT IMMEDIATELY. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED AND DOCUMENTED BY THE BOARD OF DIRECTORS USING COMPARABILITY DATA OBTAINED FROM SIMILAR SIZED FQHC'S LOCALLY AND STATE-WIDE. THE LAST REVIEW WAS CONDUCTED IN 2017. ALL OTHER COMPENSATION IS DETERMINED BY THE EXECUTIVE DIRECTOR AND MANAGEMENT, USING COMPARABILITY DATA OBTAINED FROM SIMILAR SIZED FQHC'S LOCALLY AND STATE-WIDE. THE LAST REVIEW WAS CONDUCTED IN 2017. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE GENERAL PUBLIC THROUGH REQUESTS MADE IN WRITING TO THE EXECUTIVE DIRECTOR. FORM 990, PART XII, LINE 2B THE FORM 990 HAS BEEN FILED USING UNAUDITED INFORMATION. THE ORGANIZATION HAS A SIGNED ENGAGEMENT LETTER TO HAVE THE REQUIRED AUDIT AND SINGLE AUDIT COMPLETED, HOWEVER THESE AUDITS HAVE NOT BEEN COMPLETED AS OF THE TAX FILING DUE DATE OF THE FORM 990. WHEN THE REQUIRED AUDITS ARE COMPLETE, THE ORGANIZATION PLANS TO FILE AN AMENDED FORM 990. FORM 990, PART XII, LINE 3B THE ORGANIZATION HAS A SIGNED ENGAGEMENT LETTER TO HAVE THE REQUIRED SINGLE AUDIT COMPLETED, HOWEVER THESE AUDITS HAVE NOT BEEN COMPLETED AS OF THE TAX FILING DUE DATE OF THE FORM 990. FORM 990, PART XI, LINE 8 A PRIOR PERIOD ADJUSTMENT OF $56,071 WAS RECORDED IN THIS RETURN TO RECONCILE THE BEGINNING BALANCE OF NET ASSETS. CORE FORM, PART XI; QUESTION 9 Other changes in net assets: $32,331.