2022-05-16T09:50:04-05:00 2021-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2020-07-01 411649502 HAMM MEMORIAL PSYCHIATRIC CLINIC HAMM 6512240614 408 ST PETER STREET NO 429 ST PAUL MN 55102 ANGELA LEWIS-DMELLO EXECUTIVE DIRECTOR 6512240614 2022-04-13 1 ANGELA LEWIS-DMELLO 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2022-04-13 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z ANGELA LEWIS-DMELLO 408 ST PETER STREET NO 429 ST PAUL MN 55102 3464666 0 X WWW.HAMMCLINIC.ORG X 1989 MN HAMM CLINIC'S MISSION IS TO PROMOTE MENTAL HEALTH WITH CULTURALLY RESPONSIVE, RELATIONAL CARE FOR ADULTS, ESPECIALLY FOR THOSE FACING FINANCIAL BARRIERS. 9 9 29 13 0 0 1629378 2082222 1061241 1381063 10089 1381 0 0 2700708 3464666 0 0 0 0 2050062 2108718 0 0 115726 617996 717743 2668058 2826461 32650 638205 2572246 3086143 561332 310653 2010914 2775490 X HAMM CLINIC'S MISSION IS TO PROMOTE MENTAL HEALTH WITH CULTURALLY RESPONSIVE, RELATIONAL CARE FOR ADULTS, ESPECIALLY FOR THOSE FACING FINANCIAL BARRIERS. 0 0 1863271 0 1273569 CLINICAL SERVICES HAMM MEMORIAL PSYCHIATRIC CLINIC PROVIDES A VARIETY OF OUTPATIENT MENTAL HEALTH AND RELATED SERVICES TO ADULTS AND OPERATES IN THE TWIN CITIES METROPOLITAN AREA. THE CLINIC OFFERS A FULL SPECTRUM OF OUTPATIENT MENTAL HEALTH SERVICES IN ENGLISH AND SPANISH. THE CLINIC SEEKS TO TREAT SYMPTOMS AND ALSO TO HELP CLIENTS GAIN INSIGHT AND UNDERSTANDING INTO THEIR BEHAVIOR. THE CLINIC TEAM IS COMPRISED OF CLINICAL SOCIAL WORKERS, PSYCHOLOGISTS, AND PSYCHIATRISTS WORKING TOGETHER TO IMPROVE MENTAL HEALTH. 264930 0 13309 TRAINING AND PROFESSIONAL DEVELOPMENT THE CLINIC'S TRAINING PROGRAM PROVIDES SPECIALIZED TRAINING AND EDUCATION FOR GRADUATES AND POST-GRADUATES IN CLINICAL SOCIAL WORK, PSYCHOLOGY, AND PSYCHIATRY. THE CLINIC'S COMPREHENSIVE APPROACH TO TRAINING ENABLES STUDENTS TO PROVIDE DIRECT CLIENT CARE UNDER CLOSE SUPERVISION. 37254 0 94185 PSYCHIATRY PROVIDE PSYCHIATRIC ASSESSMENT, NURSING, AND MEDICATION TO OUR CLIENTS IN AN INTERDISCIPLINARY, CULTURALLY RESPONSIVE MANNER. 7928 0 0 COMMUNITY OUTREACH THE CLINIC PARTICIPATES IN LOCAL MENTAL HEALTH AWARENESS EVENTS IN THE TWIN CITIES AREA. 7928 0 0 2173383 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 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 23 0 29 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X X THE ORGANIZATION 6123764500 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 HENRY STOKMAN BOARD PRESIDENT 4.00 X X 0 0 0 DAMON ANDERSON BOARD TREASURER 2.00 X X 0 0 0 RAEONE MAGNUSON BOARD SECRETARY 2.00 X X 0 0 0 JULIE BLUHM BOARD MEMBER 2.00 X 0 0 0 KEN EBEL BOARD MEMBER 2.00 X 0 0 0 ANNE R GEARITY BOARD MEMBER 2.00 X 0 0 0 EDWARD H HAMM BOARD MEMBER 2.00 X 0 0 0 EDWARD H HAMM JR BOARD MEMBER 2.00 X 0 0 0 KELLEY O'NEILL BOARD MEMBER 2.00 X 0 0 0 ANGELA LEWIS-DMELLO EXECUTIVE DIRECTOR 40.00 X 113163 0 17152 BUD INGRAM-LILE DIRECTOR OF PSYCHIATRY 40.00 X 264544 0 24168 377707 0 41320 2 0 1 0 2 368532 1713690 2082222 PATIENT FEES 621400 1273569 1273569 107494 107494 1381063 1381 1381 3464666 1381063 0 1381 431594 290309 141285 1368176 1294378 47268 26530 29171 28471 700 172019 161628 7256 3135 107758 95208 10845 1705 17633 17633 80294 80294 82461 82461 162049 60295 47042 54712 6749 1746 3729 1274 19118 12285 6605 228 49310 12754 27249 9307 152872 134526 15465 2881 27091 7007 14971 5113 254 254 7046 3523 3523 44225 38918 4474 833 BAD DEBT EXPENSE 19579 19579 DUES & SUBSCRIPTIONS 13550 3505 7488 2557 PROGRAM EXPENSE 6132 1586 3389 1157 EQUIPMENT MAINTENANCE 5534 1431 3058 1045 23846 6234 13063 4549 2826461 2173383 537352 115726 1495094 1794365 400400 496698 30010 39600 159701 127399 50821 56015 520743 500356 11271 20387 424949 551679 2572246 3086143 226447 301971 10000 0 324885 8682 561332 310653 X 1557173 2132978 453741 642512 2010914 2775490 2572246 3086143 X 638205 -1588 127959 X 0 1 X 1 0 X 1855113 3221278 1612728 1629378 2082222 10400719 1855113 3221278 1612728 1629378 2082222 10400719 4214450 6186269 7369 10694 19682 10089 1381 49215 10449934 5389943 0.59200 0.75850 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 424949 17330 127959 18559 551679 454010 250 -11189 17223 899 424949 451870 2700 21074 17768 2866 455010 431160 7350 34252 17227 3665 451870 375493 17745 57088 15915 3251 431160 0.00000 1.00000 0.00000 1 0 15854 15854 0 504889 484502 20387 20387 BENEFICIAL INTEREST IN ENDOWMENT FUNDS 551679 551679 CAPITAL LEASE OBLIGATIONS 8682 8682 3571458 -1588 127959 126371 3445087 19579 19579 3464666 2806882 0 2806882 19579 19579 2826461 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN ENDOWMENT FUNDS 127,959. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 19,579. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 19,579. X X X 0 0 0 0 0 0 0 0 0 BUD INGRAM-LILE DIRECTOR OF PSYCHIATRY 264544 0 0 0 0 0 10646 0 13522 0 288712 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS EDWARD H. HAMM, EDWARD H. HAMM JR., AND KELLEY O'NEILL HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR WILL PROVIDE A COPY TO THE FINANCE COMMITTEE TO REVIEW THE AUDIT RESULTS AND FINANCIAL REPORTS. THE FORM 990 WILL BE EMAILED TO ALL FINANCE COMMITTEE MEMBERS FOR THEIR REVIEW AND EDIT COMMENTS. A COPY OF THE 990 WILL BE PROVIDED TO THE WHOLE BOARD BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS FILL OUT AN ANNUAL DISCLOSURE FORM. IN THE CASE OF A CONFLICT, OR THE APPEARANCE THEREOF, BOARD MEMBERS ARE EXPECTED TO DISCLOSE THE CONFLICT PRIOR TO THE CLINIC'S MAKING ANY RELATED DECISIONS. IF A CONFLICT AND MAY, AT THE REQUEST OF THE BOARD OR COMMITTEE, REMAIN IN THE ROOM TO ANSWER QUESTIONS OF A FACTUAL NATURE THAT MAY ASSIST THE BOARD OR COMMITTEE IN ITS DELIBERATION AND DETERMINATION OF WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. BOARD MEMBERS HAVING A CONFLICT OF INTEREST ON A GIVEN ISSUE DO NOT VOTE ON THE ISSUE. PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING THE COMPENSATION OF THE EXECUTIVE DIRECTOR INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THE EXECUTIVE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BONUS PLAN. THE PROCESS WAS LAST UNDERTAKEN OF THE EXECUTIVE DIRECTOR, IN MAY OF 2020. THE PROCESS FOR DETERMINING OTHER OFFICERS' COMPENSATION INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, CONTEMPORANEOUS SUBSTANTIATION, AND A REVIEW BY THE FINANCE COMMITTEE. THE PROCESS WAS LAST UNDERTAKEN IN FEBRUARY OF 2020. FORM 990, PART VI, SECTION C, LINE 19 THE CLINIC'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN ENDOWMENT FUND 127,959.