2020-07-09T12:50:35-05:00 2019-12-31 231386942 CAMPBELL RAPPOLD & YURASITS LLP 1033 S CEDAR CREST BLVD ALLENTOWN PA 181035443 990 2019-01-01 233072363 THE CLINIC THEC 6109351134 143 CHURCH STREET PHOENIXVILLE PA 19460 LEW OSTERHOUDT EXECUTIVE DIRECTOR 6109351134 2020-05-15 1 TARA L BENDER CPA P00299403 6104357489 216.164.169.90 2020-05-15 14:50:08 ED P 1D7E18E29F3E246C7809448B542004F0E876CDA4 064D62FF1E7515B07F317BABC963811BD001F8B8 2019 2020-09-23 17:36:50Z LEW OSTERHOUDT 143 CHURCH STREET PHOENIXVILLE PA 19460 2248820 0 X WWW.THECLINICPA.ORG X 2001 PA TO PROVIDE QUALITY HEALTHCARE TO THE UNINSURED, IN AN ATMOSPHERE WHICH FOSTERS DIGNITY AND RESPECT FOR ITS PATIENTS. 11 11 14 125 0 0 1271772 2153231 59751 1201 15575 28028 0 6552 1347098 2189012 486402 1317944 0 0 746358 760955 1875 0 137879 191610 176474 1426245 2255373 -79147 -66361 1397115 1391360 59502 47055 1337613 1344305 X THE CLINIC PROVIDES QUALITY HEALTH CARE TO THE UNINSURED IN AN ATMOSPHERE WHICH FOSTERS DIGNITY AND RESPECT FOR ITS PATIENTS. IT IS OUR PRIVILEGE TO DO SO. 0 0 1963887 1317944 15138 THE CLINIC PROVIDES QUALITY HEALTH CARE TO THE UNINSURED IN AN ATMOSPHERE WHICH FOSTERS DIGNITY AND RESPECT FOR OUR PATIENTS. IT IS OUR PRIVILEGE TO DO SO.MEDICAL SERVICES INCLUDED: FAMILY AND INTERNAL MEDICINE, GYNECOLOGY, PEDIATRICS, CARDIOLOGY, UROLOGY, ORTHOPEDICS, PSYCHIATRY, OPTOMETRY, ALLERGY AND DERMATOLOGY, PSYCHOLOGICAL SERVICES, HOLISTIC HEALTH COUNSELING, ACUPUNCTURE, AND A LICENSED PROFESSIONAL COUNSELOR. TOTAL PATIENT VISITS WERE 7,327 FROM BERKS, BUCKS, CHESTER, DELAWARE AND MONTGOMERY COUNTIES PRIMARILY.THE PHARMACEUTICAL ASSISTANCE PROGRAM PROVIDED 47 PATIENTS WITH FREE MEDICATIONS AND COORDINATED THE PROVISION OF 82 ANNUAL REFILLS. THE TOTAL VALUE OF THESE MEDICATIONS (AVERAGE WHOLESALE PRICE) WAS APPROXIMATELY $135,434.00.THE CLINIC'S CLINICAL LABORATORY PERFORMED, OR OUTSOURCED, THE PROVISION OF OVER 6,000 LABORATORY TESTS WHICH WERE A CRUCIAL COMPONENT OF ASSESSING/DIAGNOSING MEDICAL PROBLEMS NEEDED TO DEVELOP AN ACCURATE TREATMENT PLAN.THE CLINIC, IN PARTNERSHIP PAOLI HOSPITAL/MAIN LINE HEALTH, COORDINATED THE PROVISION OF APPROXIMATELY 1,200 FREE DIAGNOSTIC TESTS, PROCEDURES AND CONSULTS TO OUR PATIENTS AT NO COST. THESE PROCEDURES INCLUDED SUCH SERVICES AS: X-RAYS, ULTRASOUNDS, MRI'S, CAT SCANS, MAMMOGRAMS, G.I. AND SURGICAL CONSULTS, AND BIOPSIES. 1963887 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 4 0 1 14 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X SUSAN ASHMAN 6109351134 143 CHURCH STREET PHOENIXVILLE PA 19460 JOHN ENYART PRESIDENT 2.00 X X 0 0 0 GREG CARE TREASURER 2.00 X X 0 0 0 DEB MICKA BOARD MEMBER 2.00 X 0 0 0 ROBERT J DOLLFUS JR SECRETARY 2.00 X X 0 0 0 SANDY CRABTREE BOARD MEMBER 2.00 X 0 0 0 JANE SARASOHN-KAHN BOARD MEMBER 2.00 X 0 0 0 CHRISTOPHER KELLY VICE PRESIDENT 2.00 X X 0 0 0 HENRY J YOUNG ESQ BOARD MEMBER 2.00 X 0 0 0 JIM PARADIS BOARD MEMBER 2.00 X 0 0 0 GARY M PHILLIPS MD BOARD MEMBER 2.00 X 0 0 0 MARREA SMITH BOARD MEMBER 2.00 X 0 0 0 LEW OSTERHOUDT EXECUTIVE DIRECTOR 50.00 X 90000 0 0 GEORGE SPYROPOULOS DO CHIEF MEDICAL OFFICER (FORMER) 50.00 X 20877 0 1503 SISSY JOHN MD MEDICAL DIRECTOR 50.00 X 92308 0 0 203185 0 1503 0 0 0 0 0 20935 2132296 1232690 2153231 PROGRAM SERVICES 621400 1201 1201 1201 14091 14091 61972 48035 13937 13937 13937 18325 20935 11773 6552 6552 2189012 15138 0 20643 1317944 1317944 204688 132688 18000 54000 414520 309022 50000 55498 12495 10911 1584 78605 60922 16931 752 50647 36029 5471 9147 2087 2087 9770 9770 3370 3370 1953 45 51 1857 39201 21995 12441 4765 21977 13670 3180 5127 56341 42404 11188 2749 3910 2419 1111 380 18639 18639 15236 13817 1135 284 EDUCATION & TRAINING 1353 581 233 539 INDIRECT SPECIAL EVENTS 1197 1197 MISCELLANEOUS 897 897 VOLUNTEER RECOGNITION 543 543 2255373 1963887 153607 137879 462708 335174 14290 94653 3320 4552 689399 400190 305728 289209 374787 426485 236282 241287 1397115 1391360 59502 47055 59502 47055 X 1014209 867714 323404 476591 1337613 1344305 1397115 1391360 -66361 73053 0 X X 0 1 X 1 0 X 941532 1569836 1591359 1271772 2132296 7506795 117264 115434 33233 59751 1201 326883 1058796 1685270 1624592 1331523 2133497 7833678 328200 331655 294855 197500 205200 1357410 0 328200 331655 294855 197500 205200 1357410 6476268 10167 8677 12982 12310 14091 58227 10167 8677 12982 12310 14091 58227 1068963 1693947 1637574 1343833 2147588 7891905 0.82060 0.77940 0.00740 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 264736 62097 326833 284615 -19879 264736 270177 30049 15611 284615 257398 12779 270177 269259 -11861 257398 0.58150 0.41850 0 0 461518 194052 267466 227881 206138 21743 289209 CERTIFICATES OF DEPOSIT 211233 F INVESTED WITH CHESTER COUNTY COMMUNITY FOUNDATION 30054 F 241287 X 3872231 73053 1614733 -3370 1684416 2187815 1197 1197 2189012 3865539 1614733 1614733 2250806 4567 4567 2255373 PART V, LINE 4: TO PROVIDE FUTURE INCOME TO SUPPORT THE PROGRAMS OF THE CLINIC. PART X, LINE 2: THE CLINIC IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND NONE OF ITS PRESENT OR ANTICIPATED FUTURE ACTIVITIES ARE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ACCOUNTING STANDARD FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THE GUIDANCE, THE ORGANIZATION MAY RECOGNIZE THE TAX BENEFITS FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ORGANIZATION AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR LIABILITIES RECORDED FOR THE YEARS ENDED DECEMBER 31, 2019 AND 2018. THE ORGANIZATION FILES FEDERAL FORM 990, RETURN OF ORGANIZATION EXEMPT FROM TAX, WITH THE UNITED STATES INTERNAL REVENUE SERVICE AND WITH THE BUREAU OF CHARITABLE ORGANIZATIONS IN PENNSYLVANIA. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT FEES, NETTED AGAINST INCOME ON BOOKS -3,370. PART XI, LINE 4B - OTHER ADJUSTMENTS: INDIRECT EXPENSES OF FUNDRAISING EVENTS 1,197. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES, NETTED AGAINST INCOME ON BOOKS 3,370. INDIRECT EXPENSES OF FUNDRAISING EVENTS 1,197. ANNIVERSARY DINNER 23229 8854 14375 6514 1976 FIELD DAY 16031 12081 3950 3283 39260 20935 18325 6514 5259 11773 6552 0 HEALTHCARE ASSISTANCE 85254 1232690 FMV PHARMECEUTICALS AND SUPPLIES GIVEN TO PATIENTS OF THE CLINIC X 1232690 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 AND ALL RELATED SCHEDULES IS PROVIDED TO THE AUDIT COMMITTEE FOR REVIEW AND ACCEPTANCE. ONCE THE COMMITTEE HAS APPROVED, IT IS PROVIDED TO THE BOARD OF DIRECTORS AND THE COMMITTEE RECOMMENDS APPROVAL FOR FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT BOARD MEMBERS DISCLOSE ANY CONFLICTS OF INTEREST. IN CONNECTION WITH ANY TRANSACTION OR ARRANGEMENT PRESENTED TO THE BOARD OF DIRECTORS, EACH INTERESTED PERSON IS REQUIRED TO MAKE FULL DISCLOSURE OF THE MATERIAL FACTS RELATING TO THE CONFLICT OR POTENTIAL CONFLICT. THE BOARD OF DIRECTORS, WITHOUT THE PARTICIPATION OF THE INTERESTED PARTY, MAKES A DETERMINATION WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT EXISTS, THE INTERESTED PARTY WILL EXCUSE HIMSELF FROM THE MEETING AND SHALL NOT VOTE ON THE ISSUE AT HAND. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER, OR COMMITTEE MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD SUCH PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF SUCH PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD DETERMINES THAT THE PERSON HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY OR CORRECTIVE ACTIONS. EACH DIRECTOR ANNUALLY SIGNS A STATEMENT WHICH AFFIRMS THAT EACH PERSON HAS RECEIVED A COPY OF THE POLICY, HAS READ AND UNDERSTANDS THE POLICY, AND HAS AGREED TO COMPLY WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A PERSONNEL COMMITTEE. THE COMMITTEE DETERMINES SALARIES BY USING THE COMPENSATION AND BENEFITS SURVEY BY THE NONPROFIT TIMES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE ON REQUEST. FORM 990; PART 12; LINE C2 THE PROCESS HAS NOT CHANGED FROM THAT OF PRIOR YEAR.