2024-05-02T14:34:56-05:00 2023-12-31 450250958 Eide Bailly LLP 800 Nicollet Mall Ste 1300 Minneapolis MN 554027033 990 2023-01-01 843899696 Convergence Integrated Care CONV 6515710515 2038 Ford Pkwy 453 Saint Paul MN 55116 Jin Lee Palen Executive Director 6515710515 2024-05-01 1 Jin Lee Palen 999009999 1 Deb Nelson CPA P01264758 6122536500 2024-04-25 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z Ann Henderson 2038 Ford Pkwy 453 Saint Paul MN 55116 583957 0 X https://www.macmhp.org/about-cic X 2019 MN Transforming community behavioral health. 8 8 3 9 0 0 639697 573207 98000 10750 0 0 0 0 737697 583957 0 0 0 0 242391 350589 0 0 0 444999 416484 687390 767073 50307 -183116 977715 747624 60102 13127 917613 734497 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. 0 0 598692 10750 As an Integrated Health Partnership, CIC expanded its quality improvement program, launched a new shared Social Determinants of Health platform, and created a new population health data analytics system of care. 598692 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 3 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X Jin Lee Palen 6515710515 2038 Ford Pkwy 453 Saint Paul MN 55116 Trevor Johnson President (Jan-Sep) 4.00 X X 0 0 0 Ann Henderson- Vice President (Jan-Sep)/ President (Oct-Dec) 4.00 X X 0 0 0 Katie Perzel Secretary 4.00 X X 0 0 0 Shauna Reitmeier- Board Treasurer 4.00 X X 0 0 0 Amy Ward Board Member 2.00 X 0 0 0 Jill Weidemann-West Board Member 2.00 X 0 0 0 Sarah Ackerman Board Member 2.00 X 0 0 0 Chris Jenkins Board Member 2.00 X 0 0 0 Steven Loos Board Member 2.00 X 0 0 0 Jin Lee Palen Executive Director 14.00 X 0 0 0 Tom Steinmetz Sr. Operations Director 32.00 X 124037 0 30031 Gladys Chuy Population Health & Quality Director 40.00 X 124518 0 13713 248555 0 43744 2 0 1 0 0 573207 573207 Workshops 900099 10750 10750 10750 583957 10750 0 0 X 165280 132224 33056 138969 111175 27794 4107 3286 821 17299 13839 3460 24934 19947 4987 53321 53321 7261 7261 2250 2250 109419 86478 22941 4418 4418 178776 178776 20000 10000 10000 2634 2634 31470 31470 1888 1888 Professional Developmen 2038 2038 3009 2407 602 767073 598692 168381 0 799285 607012 175987 139662 2443 950 977715 747624 60102 13127 60102 13127 X 917613 734497 917613 734497 977715 747624 -183116 0 X 0 0 0 X 320065 663545 639697 573207 2196514 320065 663545 639697 573207 2196514 2196514 16 16 2196530 303486 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X 0 0 0 0 0 0 0 0 0 Tom Steinmetz Sr. Operations Director 124037 0 0 0 0 0 0 0 31377 0 155414 0 0 0 Part I, 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. There is a shared services agreement in place between the two entities, which is approved by the board of directors. 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. 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.