Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 599,490 | 2,835,303 | 665,531 | 1,104,170 | 1,326,759 | 6,531,253 |
| 2 | 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 | 17,145,711 | 19,317,693 | 19,364,976 | 20,921,242 | 23,702,227 | 100,451,849 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 17,745,201 | 22,152,996 | 20,030,507 | 22,025,412 | 25,028,986 | 106,983,102 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | 1,515,575 | 715,798 | 291,983 | 152,470 | 103,680 | 2,779,506 |
| c | Add lines 7a and 7b.. | 1,515,575 | 715,798 | 291,983 | 152,470 | 103,680 | 2,779,506 |
| 8 | Public support. (Subtract line 7c from line 6.) | 104,203,596 | |||||
Calendar year
(or fiscal year beginning in)
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(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 17,745,201 | 22,152,996 | 20,030,507 | 22,025,412 | 25,028,986 | 106,983,102 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 2,320 | 6,071 | 5,814 | 38,431 | 46,619 | 99,255 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 2,320 | 6,071 | 5,814 | 38,431 | 46,619 | 99,255 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 17,747,521 | 22,159,067 | 20,036,321 | 22,063,843 | 25,075,605 | 107,082,357 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
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2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
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2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
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5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| Form 990, Part III, Line 4a | Outpatient Mental Health Services. Solutions is licensed as a Rule 29 facility, which means that it voluntarily adheres to a set of quality assurance standards outlined by the state of Minnesota for its outpatient programming. Solutions has a part time Psychiatrist, and a full range of Mental Health Professionals, including Licensed Psychologists, Licensed Independent Clinical Social Workers, Licensed Professional Clinical Counselors, Licensed Marriage and Family Therapists, and Board-Certified Behavior Analysts. These staff provide a broad range of services, including psychological evaluations, diagnostic assessments, behavioral evaluations, psychotherapy, behavioral interventions and consultation. The Outpatient staff also includes some Clinical Trainees, who are in the process of completing their supervision for terminal licensure as Licensed Professional Clinical Counselors, Licensed Independent Social Workers, and Licensed Marriage and Family Therapists. Solutions also has an APA accredited Psychology Internship Program, which can accept up to four Psychology Interns each year; programming runs August 1st through July 31 each year. Solutions' therapists are trained in and primarily use evidence-based practices across our organization. We are extremely proud of this, and this focus on doing things that work is reflected across all programming areas, as outlined below: Solutions has staff certified in the following: -Dialectical Behavior Therapy (DBT); agency state-certified as well -Parent Child Interaction Therapy (PCIT) -Managing and Adapting Practice (MAP) -Trauma Focused Cognitive Behavior Therapy (TF CBT) -Cognitive Processing Therapy (CPT) -Structured Psychotherapy for Adolescents Responding to Chronic Stress (SPARCS) -Infant and Early Childhood Mental Health (ECMH) -Child Parent Psychotherapy (CPP) -Duluth Model for domestic violence treatment (DV) -Applied Behavior Analysis (BCBA) -Applied Suicide Intervention Skills Training (ASIST) -Eye Movement Desensitization and Reprocessing (EMDR) -Prolonged Exposure Therapy (PET) Solutions additionally has staff who are certified trainers in: -Managing and Adapting Practice (MAP) Denette Narum, LICSW -Parent Child Interaction Therapy (PCIT) Michele Lovehaug, LICSW, is a regional trainer for PCIT International -Incredible Years Model of classroom management Children's Therapeutic Services and Supports (CTSS). CTSS is a flexible package of mental health services for children on Minnesota Medicaid who require more intensive intervention than traditional weekly or biweekly therapy. This program addresses the conditions of emotional disturbance that impair and interfere with the child's ability to function at an age-appropriate developmental level. It combines psychotherapy with skills training to restore personal and social functioning. Mental Health Professionals provide therapy and clinical supervision to the treatment planning process, while Mental Health Practitioners provide the skills training component. Adult Mental Health Rehabilitative Services (ARMHS). ARMHS is a mental health rehabilitative service for adults on Minnesota Medicaid that enables recipients to develop and enhance psychiatric stability, social competencies, personal and emotional adjustment, and independent living and community skills, when these abilities are impaired by the symptoms of mental illness. These services enable recipients to retain stability and functioning if/when they are at risk of losing significant functionality or risk being admitted to a more restricted setting. Mental Health Practitioners instruct, assist, and support the recipient in areas such as medication education and monitoring, basic social and living skills, symptom management, household management, employment-related supports, and/or transitioning to community living. A Mental Health Professional provides clinical supervision for these services. ND Rehab Services. The ND Rehab program provides a funding stream for children and adults on North Dakota Medicaid who are at risk of hospitalization and require restoration of functioning. These services include in-home therapy and behavioral intervention. School-Based Services. Solutions provides school-based services in a number of elementary schools in the Fargo-Moorhead area, including Moorhead, Dilworth-Glyndon-Felton, Breckenridge, Fargo, West Fargo, and Casselton public schools. Below is a description of the services provided, though not all services are available in all of the identified schools. School Liaison. School Liaisons work in five Moorhead elementary schools. This position coordinates mental health service needs with school staff. Day Treatment. Day treatment is provided in two Moorhead elementary schools to address students with high mental health needs. Therapy. A Mental Health Professional is co-located in these elementary schools to provide individual and group psychotherapy as a means to address mental health needs of students. Individual and Group Skills Training. Mental Health Practitioners provide individual and group skills training to support the therapy process for identified students with mental health needs. These services are provided in the school setting and support the student's functioning in the classroom. Behavioral Intervention Services. Behavioral Intervention services are available for the North Dakota schools served. These services are overseen by a Board-Certified Behavior Analyst. Applied Behavior Analysis (ABA). Solutions has a number of Board-Certified Behavior Analysts (BCBA's) who provide and oversee ABA services. ABA is a scientific approach to the understanding of behavior, and its principles guide the understanding of how behavior is learned, how it is affected by the environment, and how it "works" in the context of the environment. ABA therapy focuses on reducing the functionality of negative behaviors while increasing appropriate alternatives. While ABA is used across most all funding streams, there are two programs for which this treatment approach is central. Autism Innovation in Motion (AIM). Solutions' has branded the program name Autism Innovation in Motion for its autism clinics. When you hear "AIM," this refers to Solutions' autism/developmental clinics in its Minnesota offices. AIM primarily serves children of varying ages. While services are paid for by a variety of insurances, schools, or self-pay situations, one of its primary funding streams is through Minnesota Medicaid and is referred to as EIDBI (Early Intensive Behavioral Intervention Services. EIDBI covers medically necessary treatment to children with autism spectrum disorder and related conditions. The purpose of EIDBI is to provide medically necessary early intensive intervention that targets the functional skills and core domains of people with autism, as well as a) educate, train and support families; b) promote independence and participation in family, school and community life; and c) improve long-term outcomes and quality of life for children with autism and their families. Licensed Mental Health Professionals conduct comprehensive assessments to establish a diagnosis and level of service need. A Mental Health Professional also serves as the program's "Qualified Service Professional, and is responsible for overseeing the treatment plan and clinically supervising the program and staff. Board Certified Behavior Analysts (BCBA's) oversee the work of the Behavior Interventionists, who provide direct intervention services. BUILD. BUILD is an ABA program provided by Solutions. This program primarily serves children in school and home settings, as well as adults with disabilities in supervised settings. This program addresses: 1) behavioral disturbance associated with mental health disorders such as ADHD; 2) treatment of autism and management of collateral behavioral problems; and 3) management of behavioral difficulties for individuals with developmental disabilities. Services begin with a behavioral assessment, and then the development of a behavior intervention plan that is individualized for that individual. This program utilizes specialized staff. Board Certified Behavior Analysts provide the oversight for each client's plan, and direct intervention staff are Registered Behavior Technicians. Consultation and collaboration are key components to this program. "BUILD" is centered on: -Behavior that is socially relevant -Understanding of environmental complexities -Intervention that is targeted -Logistics that are practical -Development of skills |
| Form 990, Part III, Line 4a | Solutions staff partner with school staff or with other agency staff and families. Funding is through a variety of sources, including school contracts, self-pay, and third-party payers, such as Minnesota Medicaid Waiver and ND Rehab. Targeted Mental Health Case Management. In Minnesota it is a provider of targeted mental health case management to assist individuals in gaining access to needed social, mental health, rehabilitative, educational, health, vocational, and related services. The Case Manager develops an individual service plan that helps the adult or child/family obtain needed services through coordination with other agencies and assure continuity of care. Case Managers assess the delivery, appropriateness and effectiveness of services. A Mental Health Professional clinically oversees case management services. Corporate Foster Care. Solutions provides Corporate Foster Care (aka "Residential"). This is a 24-hour service. Solutions maintains 16 beds in various houses in the Moorhead area; it currently serves 9 individuals. Individuals served in this program typically have complex presentations, including serious behavioral difficulties that require a unified multi-disciplinary treatment team. An administrator, referred to as the Designated Manager oversees all programming, and the Designated Coordinator manages cases and coordinates with team members from partnering agencies. Direct Service Professionals provide 24-hour staffing for purposes of administering outlined programming and ensure health and safety of residents. Crisis On-Call Services. Solutions provides three crisis services. These include school-based crisis services in Minnesota, after hours mobile crisis response services and consultation services in Fargo, and provision of a 24x7 crisis service for individuals with developmental disabilities in Minnesota. Mobile Crisis Response. Solutions provides mobile mental health crisis response service for Region V in North Dakota, which includes the Fargo/West Fargo metro area and surrounding rural communities. These services are accessed through Southeast Human Service Center's Regional Intervention Service, with actual on-site response times of generally less than 13 minutes. This team was dispatched on-site on average 14 times per month in 2023-2024 to provide face-to-face crisis intervention and stabilization, with 97% success in diverting hospitalization or other emergency involvement. School Crisis Response. Crisis response is a part of Solutions' school-based services, for identified elementary schools in Moorhead and Dilworth-Glyndon-Felton. In addition to de-escalating the situation, these services target follow up work to engage the student's family in the need for additional mental health/behavioral interventions. Community Partnerships and Grants Solutions actively collaborates with other community partners. Examples are described below: Lakes & Prairies Community Action. Solutions has a longstanding contractual relationship with Head Start to provide consultation and reflective supervision. United Way. Solutions has worked closely with United Way of Cass-Clay for a number of years, and shares in the goal to early on address problems which might adversely affect children and families in the future. United Way provides funding to support Solutions' Incredible Years programming, an evidence-based approach which helps improve child-parent relationships and provides skill building for children and parents. Support from United Way helps to provide year-round parent groups and to defray costs for Incredible Years programming provided to students and families. Minnesota DHS Early Childhood Mental Health Grant. Solutions has been a recipient of the Early Childhood Mental Health (ECMH) grant for a number of years. This grant currently supports several initiatives, including a) funding for uninsured and under-insured children under five; b) provision of reflective supervision; and c) childcare consultation. School-Linked Behavioral Health Grant. Solutions provides services under the School-Linked Behavioral Health (SLBH) grant through a contract with Lakeland Mental Health Center for identified learners in the Moorhead, Dilworth-Glyndon-Felton, Breckenridge, Warroad, and Holdingford School Districts. Grant funds cover a portion of school positions, as well as client charges for uninsured and under-insured learners. 24/7 Crisis Grant: Solutions is the recipient of a grant to consult with Mobile Crisis teams across the state for the management of crisis and support for individuals with developmental disabilities. The grant provides support for 24-hour on-call, and allows Mobile Crisis teams a mechanism for consultation and on-site support to manage crises, as well as follow up behavioral assessment and consultation. It additionally allows for Solutions to provide trainings at the state level on topics such as 245-D standards, FAS, behavioral intervention, and crisis de-escalation for specialized populations. Mobile Transitions Grant: Solutions works with the State of Minnesota and related healthcare facilities to reduce the burden on inpatient psych departments by helping coordinate and facilitate transitioning of clients out of high-intensity settings to lower-intensity, community- and family-based settings where individuals with behavioral health disorders can receive the skills-training they need and the coordination of supports required to help them flourish as members of a community. Parent Connect Grant: Solutions is working to connect with and support parents of children with autism spectrum disorder. Coordinating with the State of Minnesota, Solutions is providing training to these families using the Incredible Years model of evidence-based practice. Additionally, Solutions is creating and distributing resources to families, schools, primary care providers, daycares, and other points of contact these resources inform and educate about autism and autism supports. Under this grant, Solutions is also working to create support networks in which parents are empowered to connect with one another for peer support. Training Grants. Solutions has regularly received training grant dollars to train outpatient staff in evidence-based practices. These include Managing and Adapting Practice (MAP), Parent-Child Interaction Therapy (PCIT), Trauma-Focused Cognitive Behavior Therapy (TF-CBT), and Child-Parent Psychotherapy (CPP). North Dakota & Minnesota Schools Solutions has various contracts with Central Cass, West Fargo, DGF, Breckenridge, and Moorhead School Districts. These contracts indicated specified services, these services include: behavioral assessment, consultation, intensive behavioral intervention services, ongoing follow up and direction for students with behavioral difficulties, and provision of direction for students with behavioral difficulties. Teacher Training and Consultation. Solutions provides Incredible Years Teachers Training and consultation through a grant for a number of North Dakota schools. There were approximately 4,000 clients served across the agency for the 23-24 Fiscal Year. |
| Form 990, Part VI, Section A, line 1a | The three officers (President, Vice President, and Secretary/Treasurer) serve as the members of the Executive Committee. Except for the power to amend the Articles of Incorporation and Bylaws, the Executive Committee shall have all of the powers and authority of the Board of Directors in the intervals between meetings of the Board of Directors, subject to the direction and control of the Board of Directors. |
| Form 990, Part VI, Section A, line 2 | Joel Bakken and Jan Witte-Bakken have a family relationship. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is reviewed by the Executive Director and provided to the board of directors prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | Directors, principal officer, or members of a committee with governing board delegated powers are required to follow the conflict of interest policy. Interested persons must disclose the existence of any conflicts of interest and disclose all material facts to the Board or Executive Committee. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the Board or Executive Committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining Board or Executive Committee members shall decide if a conflict of interest exists. Any director may recuse himself or herself at any time from involvement in any decision or discussion in which the director believes he or she has or may have a conflict of interest. |
| Form 990, Part VI, Section B, line 15a | Compensation for the Executive Director is determined using a combination of expected revenue and external salary data: Expected revenue - generated from current staffing productivity. External salary data - comparison of similar industry position salary/wages. Compensation is approved by the Board of Directors and documented in the minutes. |
| Form 990, Part VI, Section C, line 19 | These documents are available to the public upon request. |
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