Pines Area Medical Develoment Association in Hackensack, Minnesota (MN)
Table of contents:
| Pines Area Medical Develoment Association | |
| Employer Identification Number (EIN) | 208943901 |
| Name of Organization | Pines Area Medical Develoment Association |
| In Care of Name | Dawn Peterson |
| Address | PO BOX 460, Hackensack, MN 56452-0460 |
| Subsection | Charitable Organization |
| Ruling Date | 02/2008 |
| Deductibility | Contributions are deductible |
| Foundation | Organization which receives a substantial part of its support from a governmental unit or the general public |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2013 |
| Assets | $10,000 to $24,999 |
| Income | $25,000 to $99,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $22,930 |
| Amount of Income | $65,216 |
| Form 990 Revenue Amount | $64,806 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: Health Treatment Facilities, Primarily Outpatient |
Non-representatives - add comments:
Amount of income in 2013: $65,216 (it was $57,935 in 2012)
| Pines Area Medical Develoment Association: | $65,216 |
| Other organizations performing similar types of work: | $502,277 |
Assets in 2013: $22,930 (it was $50,088 in 2012)
| This organization: | $22,930 |
| Other organizations performing similar types of work: | $342,333 |
Expenses in 2013: $73,072
| This organization: | $73,072 |
| Other organizations performing similar types of work: | $551,906 |
Income to expenses ratio in 2013: 0.9
| This organization: | 0.9 |
| Other organizations performing similar types of work: | 1.0 |
Grants share in income in 2013: 83.2%
| This organization: | 83.2% |
| Other organizations performing similar types of work: | 8.9% |
Revenue for 2013
Support schedule
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $34,271 | $56,939 | $64,806 |
| Contributions, gifts, grants, and similar amounts received | $26,027 | $53,339 | $53,897 |
| Program service revenue including government fees and contracts | $0 | $0 | $0 |
| Membership dues and assessments | $0 | $5 | $0 |
| Investment income | $45 | $0 | $0 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $0 |
| Net income/loss from gaming and fundraising events | $8,199 | $3,595 | $10,909 |
| Gross income from gaming | $0 | $0 | $0 |
| Gross income from fundraising events | $9,535 | $4,591 | $11,319 |
| Less: direct expenses from gaming and fundraising events | $1,336 | $996 | $410 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Total expenses | $66,753 | $63,330 | $73,072 |
| Total net assets | $-37,981 | $-44,372 | $-52,638 |
| Excess/Deficit for the year | $-32,482 | $-6,391 | $-8,266 |
| Net assets or fund balances at beginning of year | $-5,499 | $-37,981 | $-44,372 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $-44,372 | $-52,638 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $75,371 | $50,088 | $22,930 |
| Total liabilities | $113,352 | $94,460 | $75,568 |
| Net assets or fund balances | $-37,981 | $-44,372 | $-52,638 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No | |
| Were any significant changes made to the organizing or governing documents? | No | No | |
| Did the organization have unrelated business gross income of $1,000 or more during the year from business activities | No | No | No |
| Has the organization filed a Form 990-T for the year? | No | No | |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No | |
| Amount of political expenditures, direct or indirect | $0 | $0 | |
| Did the organization file Form 1120-POL for this year? | No | No | |
| Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? | No | No | |
| Total amount involved | $0 | $0 | |
| Initiation fees and capital contributions | $0 | $0 | $0 |
| Gross receipts for public use of club facilities | $0 | $0 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? | No | No | |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No | |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
| Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013) | |
| 2009 - 2013 Total | |
|---|---|
| Public support | $239,695 |
| Subtotal | $239,695 |
| Gifts, grants, contributions, and membership fees received | $198,404 |
| Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | $41,291 |
| Gross receipts from activities that are not an unrelated trade or business under section 513 | $0 |
| Tax revenues levied for the organization's benefit and either paid to or expended on its behalf | $0 |
| The value of services or facilities furnished by a governmental unit to the organization without charge | $0 |
| Less | $0 |
| Amounts received from disqualified persons | $0 |
| Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support | $0 |
| Total support | $240,017 |
| Public support | $239,695 |
| Subtotal | $322 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | $322 |
| Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 | $0 |
| Net income from unrelated business activities, whether or not the business is regularly carried on | $0 |
| Other income | $0 |
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| Organizations performing similar types of work | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Stillwater Medical Group | PO BOX 1309, Minneapolis, MN 55440-1309 | MN | 2005-01 | $51,456,854 |
| 2 | West Side Community Health Services Inc | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | MN | 1972-02 | $27,400,433 |
| 3 | Healthpartners Central Minnesota Clinics Inc | PO BOX 1309, Minneapolis, MN 55440-1309 | MN | 1997-02 | $18,944,740 |
| 4 | Community Dental Care | 1670 Beam Ave Ste 204, Maplewood, MN 55109-1227 | MN | 2004-08 | $12,427,610 |
| 5 | Southern Metro Medical Clinics Inc | 301 2nd St Ne, New Prague, MN 56071-1709 | MN | 1999-04 | $5,166,961 |
| 6 | West Cental Dental Resources Inc | 700 Cedar St Ste 44, Alexandria, MN 56308-1787 | MN | 2007-07 | $826,420 |
| 7 | Rose Country Dental Inc | 6006 4th St Sw, Motley, MN 56466 | MN | 2013-01 | $558,285 |
| 8 | Ready Set Smile Pa, Adt Kids | 3751 17th Ave S, Minneapolis, MN 55407-2807 | MN | 2013-05 | $145,634 |
| 9 | First Care Medical Services Foundation | 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 | MN | 2014-08 | $127,190 |
| 10 | Brite Smiles Inc | PO BOX 237, Medford, MN 55049-0237 | MN | 2010-08 | $63,291 |
| 11 | Healthy Smiles Inc | 34017 130th Ave, Claremont, MN 55924 | MN | 2009-05 | $25,833 |
| 12 | Tri-County Community Health Services | 415 Jefferson St N, Wadena, MN 56482-1264 | MN | 2009-12 | $684 |
| 13 | Alexandria Area Uncompensated Care Plan Inc | 11482 County Road 8 Nw, Garfield, MN 56332 | MN | 1998-06 | $0 |
| 14 | Annandale Health And Community Services | 500 Park Street East, Annandale, MN 55302 | MN | 1997-04 | $0 |
| 15 | Epic Community Of Care | 2536 18th Ave S, Minneapolis, MN 55404 | MN | 2003-07 | $0 |
| 16 | Healthy Teeth Club | 22171 Jason Ave N, Forest Lake, MN 55025 | MN | 2013-09 | $0 |
| 17 | Northern Minnesota Family Clinic | 619 5th St Nw, Bemidji, MN 56601-2914 | MN | 2004-06 | $0 |
| 18 | Richfield Community Nursing Center | 7625 Chicago Av S, Richfield, MN 55423 | MN | 2006-03 | $0 |
| 19 | Shomeka Outreach | Po Box 120362, Saint Paul, MN 55112 | MN | 2006-02 | $0 |
| 20 | Sibley Medical Clinic | PO BOX 620, Arlington, MN 55307-0620 | MN | 2001-03 | $0 |
| Number of organizations performing similar types of work | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Total | 1,490 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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