CLIFFORD W BEERS GUIDANCE CLINIC INCORPORATED: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: CLIFFORD W BEERS GUIDANCE CLINIC INCORPORATED (EIN 06-0646757)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-13
IRS object ID: 201941339349301849
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-13T08:16:07-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	061009205	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BLUM SHAPIRO & COMPANY PC CPA'S	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	29 S MAIN STREET PO BOX 272000	AddressLine1Txt
City	WEST HARTFORD	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	061272000	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	060646757	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFFORD W BEERS GUIDANCE CLINIC INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CLIF	BusinessNameControlTxt
Phone	2037721270	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	93 EDWARDS STREET	AddressLine1Txt
City	NEW HAVEN	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06511	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DR ALICE FORRESTER	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	2037721270	PhoneNum
Signature	2019-05-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LORI BUDNICK	PreparerPersonNm
PTIN	P00046310	PTIN
Phone	8605614000	PhoneNum
Preparation	2019-05-10	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	64.251.63.131	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-05-10	IPDt
IP Tm	08:38:44	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AE4F84C66CF7EFD26554BEC15325CB8203138E58	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B49528270D5C596423F272EFB472E66EFBF6AFC8	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DR ALICE FORRESTER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	93 EDWARDS STREET	AddressLine1Txt
City	NEW HAVEN	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06511	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$14,044,324	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CLIFFORDBEERS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1913	FormationYr
Legal Domicile State	CT	LegalDomicileStateCd
Activity Or Mission	OUTPATIENT CLINIC PROVIDING COMMUNITY BASED MENTAL HEALTH SERVICES FOR CHILDREN AND THEIR FAMILIES.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	17	VotingMembersIndependentCnt
Total Employee	235	TotalEmployeeCnt
Total Volunteers	40	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$16,910	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$12,229,515	PYContributionsGrantsAmt
CY Contributions Grants	$10,632,203	CYContributionsGrantsAmt
PY Program Service Revenue	$2,210,259	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,746,155	CYProgramServiceRevenueAmt
PY Investment Income	$60,617	PYInvestmentIncomeAmt
CY Investment Income	$62,515	CYInvestmentIncomeAmt
PY Other Revenue	$18,658	PYOtherRevenueAmt
CY Other Revenue	$22,990	CYOtherRevenueAmt
PY Total Revenue	$14,519,049	PYTotalRevenueAmt
CY Total Revenue	$13,463,863	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$12,348,825	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$11,709,893	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$609,364	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,266,277	PYOtherExpensesAmt
CY Other Expenses	$3,192,721	CYOtherExpensesAmt
PY Total Expenses	$15,615,102	PYTotalExpensesAmt
CY Total Expenses	$14,902,614	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,096,053	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$1,438,751	CYRevenuesLessExpensesAmt
Total Assets BOY	$5,573,812	TotalAssetsBOYAmt
Total Assets EOY	$4,958,107	TotalAssetsEOYAmt
Total Liabilities BOY	$1,461,234	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,177,134	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$4,112,578	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,780,973	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE INTEGRATED SERVICES ADDRESSING MENTAL, PHYSICAL, AND SOCIAL DETERMINANTS IN ORDER TO IMPROVE THE HEALTH, RESILIENCY, AND QUALITY OF LIFE OF CHILDREN, FAMILIES, AND COMMUNITIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$11,322,390	ExpenseAmt
Revenue	$2,746,155	RevenueAmt
Desc	CLIFFORD BEERS PROVIDES A BROAD RANGE OF OUTPATIENT PROGRAMS AND SERVICES INCLUDING TRADITIONAL OUTPATIENT THERAPY, SPECIALIZED SERVICES TO TARGET PROBLEM SEXUAL BEHAVIOR, SCHOOL-BASED HEALTH CLINICS TO MORE EASILY REACH CHILDREN, AND COMMUNITY DRIVEN CRISIS WORK. THE CLINIC IS PRESENTLY SERVING THE NEWTOWN, CT COMMUNITY AFTER THE TRAGEDY OF 12/14/12. ALL CLINIC PROGRAMS AND SERVICES ARE DESIGNED TO RESPOND TO THE NEEDS OF THE COMMUNITY AND, THEREFORE, MORPH AS NEEDED. THE CLINIC USES A TRAUMA-INFORMED APPROACH TO CARE, SERVING 18+ TOWNS/CITIES IN THE GREATER NEW HAVEN AREA.CONTINUED ON SCHEDULE OEMPS CRISIS SERVICES IS A 24/7 HOTLINE (2-1-1) FOR FAMILIES FACING A CRISIS BUT NOT LIFE-THREATENING SITUATION (E.G., SIGNIFICANT SAFETY ISSUE, THREATS OF SUICIDE, DESTRUCTION TO PROPERTY). CARE COORDINATION IS FOR FAMILIES AT RISK OF HAVING CHILDREN PLACED IN RESIDENTIAL CARE AND AIMS TO COLLABORATE WITH FAMILIES, COMMUNITY SUPPORTS, AND OTHER PROVIDERS TO COORDINATE THE FAMILY'S CARE AND EMPOWER THE FAMILY TO ADVOCATE FOR THEMSELVES.CHILD FIRST IS AN EVIDENCE-BASED IN-HOME PROGRAM FOR CHILDREN 0-5 WHO ARE AT HIGH RISK FOR ABUSE OR NEGLECT. THE CLINIC GUIDES/SUPPORTS NEW PARENTS TO FOSTER BOTH THE PARENT-CHILD CONNECTION AND THE CHILD'S DEVELOPMENT. CHILD FIRST ALSO CONSULTS WITH PRESCHOOLS AND DAY CARE CENTERS ON ISSUES REGARDING THE BEHAVIORAL HEALTH NEEDS OF YOUNG CHILDREN.SCHOOL-BASED HEALTH CLINICS ARE IN FOUR SCHOOLS. ON-SITE LOCALES HELP OVERCOME FINANCIAL, CULTURAL, TRANSPORTATION AND STIGMA BARRIERS TO CARE.JOTLAB (JUVENILES OPTING FOR TREATMENT TO LEARN APPROPRIATE BEHAVIORS) OFFERS TREATMENT FOR CHILDREN AND ADOLESCENTS ENGAGING IN PROBLEM SEXUAL BEHAVIOR OR AT-RISK BEHAVIOR. TREATMENT CAN FOLLOW TRADITIONAL WEEKLY OUTPATIENT THERAPY OR CAN BE AS MUCH AS 15 HOURS/WEEK VIA THE INTENSIVE OUTPATIENT (IOP) PROGRAM.PROJECT CATCH (COLLABORATION ADVOCACY AND TREATMENT FOR CHILDREN) FOCUSES ON THE TRAUMA OF SEXUAL ABUSE AND DOMESTIC VIOLENCE. CATCH PROVIDES SUPPORT, CASE MANAGEMENT, AND ADVOCACY TO HELP CHILDREN AND THEIR FAMILIES RECOVER FROM THESE TRAUMAS.	Desc
Total Program Service Expenses	$11,322,390	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	102	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	235	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	17	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CT	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	MICHAEL RISO CFO	PersonNm
Phone	2037778648	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	5 SCIENCE PARK	AddressLine1Txt
City	NEW HAVEN	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	06511	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
THOMAS SANSONE ESQ
PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
ROCHELLE CUMMINGS
VICE-PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
MAUREEN FRANK
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
DOMINIC SCHIOPPO
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM S COLWELL ESQ
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
KAREN DUBOIS-WALTON
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
JACQUELINE EPRIGHT
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
LYNN GABBARD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
RICHARD LEIBIGER
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
WILLIAM T KOSTURKO
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
STEPHEN H KOVEL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
CHRISTOPHER LEVESQUE
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
TED NOVICKI
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
YAN SEARCY
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
FREDERICK J STREETS
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
TINA C WEINER
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
CHERYL WILLIAMS
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ALICE FORRESTER
CHIEF EXECUTIVE OFFICER	35.00		Yes (X)	$167,402	$0	$35,621
MICHAEL RISO
CHIEF FINANCIAL OFFICER	35.00		Yes (X)	$137,905	$0	$6,907
PIETER JOOST VAN WATTUM MD
MEDICAL DIRECTOR	22.00			$164,098	$0	$3,900	Yes (X)
CHRISTINE MONTGOMERY
VP CLINICIAL & COMMUNITY SERVICES	35.00			$103,454	$0	$22,724	Yes (X)
PAUL RAU
CHILD PSYCHIATRIST	35.00			$105,106	$0	$0	Yes (X)
TISA A ADKINSON DO
ASSOCIATE MEDICAL DIRECTOR	35.00			$183,832	$0	$28,357	Yes (X)
RITA PARADIS
VP OF BUSINESS DEVELOPMENT	35.00			$100,479	$0	$10,198	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$962,276	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$107,707	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH MANAGEMENT ASSOCIATES	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	120 NORTH WASHINGTON SQUARE STE 70	AddressLine1Txt
City	LANSING	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	48933	ZIPCd

Field	Value	IRS element (for citing)
Services	CONSULTING	ServicesDesc
Compensation	$121,329	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Fundraising	$62,041	FundraisingAmt
Government Grants	$8,694,276	GovernmentGrantsAmt
All Other Contributions	$1,875,886	AllOtherContributionsAmt
Total Contributions	$10,632,203	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CLIENT FEES	624100	$2,530,262	$2,530,262
FEE FOR SERVICE	900099	$215,893	$215,893

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,746,155	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,148	TotalRevenueColumnAmt
Exclusion	$61,148	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$557,916	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$556,549	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,367	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,367	TotalRevenueColumnAmt
Exclusion	$1,367	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$9,713	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$62,041	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$23,912	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$14,199	TotalRevenueColumnAmt
Exclusion	-$14,199	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CONFERENCE AND OTHER	Desc
Business	900099	BusinessCd
Total Revenue Column	$37,189	TotalRevenueColumnAmt
Exclusion	$37,189	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$37,189	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,463,863	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,746,155	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$85,505	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$942,123	TotalAmt
Program Services	$532,655	ProgramServicesAmt
Management And General	$409,468	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$8,734,604	TotalAmt
Program Services	$6,950,876	ProgramServicesAmt
Management And General	$1,456,660	ManagementAndGeneralAmt
Fundraising	$327,068	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$87,879	TotalAmt
Program Services	$66,040	ProgramServicesAmt
Management And General	$18,969	ManagementAndGeneralAmt
Fundraising	$2,870	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$1,197,162	TotalAmt
Program Services	$899,064	ProgramServicesAmt
Management And General	$259,587	ManagementAndGeneralAmt
Fundraising	$38,511	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$748,125	TotalAmt
Program Services	$570,205	ProgramServicesAmt
Management And General	$153,362	ManagementAndGeneralAmt
Fundraising	$24,558	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$28,434	TotalAmt
Program Services	$1,500	ProgramServicesAmt
Management And General	$26,934	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$46,328	TotalAmt
Management And General	$46,328	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$980,017	TotalAmt
Program Services	$742,859	ProgramServicesAmt
Management And General	$111,978	ManagementAndGeneralAmt
Fundraising	$125,180	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$21,856	TotalAmt
Program Services	$3,820	ProgramServicesAmt
Management And General	$13,941	ManagementAndGeneralAmt
Fundraising	$4,095	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$560,938	TotalAmt
Program Services	$352,425	ProgramServicesAmt
Management And General	$172,615	ManagementAndGeneralAmt
Fundraising	$35,898	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$349,154	TotalAmt
Program Services	$293,210	ProgramServicesAmt
Management And General	$48,703	ManagementAndGeneralAmt
Fundraising	$7,241	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$442,671	TotalAmt
Program Services	$315,671	ProgramServicesAmt
Management And General	$105,650	ManagementAndGeneralAmt
Fundraising	$21,350	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$77,970	TotalAmt
Program Services	$73,052	ProgramServicesAmt
Management And General	$4,253	ManagementAndGeneralAmt
Fundraising	$665	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$49,171	TotalAmt
Program Services	$32,244	ProgramServicesAmt
Management And General	$16,143	ManagementAndGeneralAmt
Fundraising	$784	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$31,867	TotalAmt
Management And General	$31,867	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$148,484	TotalAmt
Program Services	$120,828	ProgramServicesAmt
Management And General	$23,404	ManagementAndGeneralAmt
Fundraising	$4,252	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$82,704	TotalAmt
Program Services	$68,134	ProgramServicesAmt
Management And General	$12,325	ManagementAndGeneralAmt
Fundraising	$2,245	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
REPAIRS AND MAINTENANCE	$288,182	$239,779	$44,969	$3,434
EMERGENCY ASSISTANCE	$47,432	$47,432

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,513	TotalAmt
Program Services	$12,596	ProgramServicesAmt
Management And General	$13,704	ManagementAndGeneralAmt
Fundraising	$11,213	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$14,902,614	TotalAmt
Program Services	$11,322,390	ProgramServicesAmt
Management And General	$2,970,860	ManagementAndGeneralAmt
Fundraising	$609,364	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$771,139	BOYAmt
EOY	$25,114	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$666,717	BOYAmt
EOY	$41,590	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$270,440	BOYAmt
EOY	$296,766	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$82,736	BOYAmt
EOY	$107,964	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,020,683	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,776,257	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,203,988	BOYAmt
EOY	$1,244,426	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$2,516,484	BOYAmt
EOY	$3,166,244	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$62,308	BOYAmt
EOY	$76,003	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,573,812	BOYAmt
EOY	$4,958,107	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$750,093	BOYAmt
EOY	$650,971	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$171,141	BOYAmt
EOY	$62,187	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$540,000	BOYAmt
EOY	$1,463,976	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,461,234	BOYAmt
EOY	$2,177,134	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,400,784	BOYAmt
EOY	$1,196,669	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$423,501	BOYAmt
EOY	$296,011	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,288,293	BOYAmt
EOY	$1,288,293	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,112,578	BOYAmt
EOY	$2,780,973	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,573,812	BOYAmt
EOY	$4,958,107	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$1,438,751	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$107,146	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,771,252	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,609,743	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,801,731	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,229,515	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10,632,203	CurrentTaxYearAmt
Total	$53,044,444	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,771,252	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,609,743	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$11,801,731	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$12,229,515	CurrentTaxYearMinus1YearAmt
Current Tax Year	$10,632,203	CurrentTaxYearAmt
Total	$53,044,444	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$53,044,444	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$33,662	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$21,145	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$39,083	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$58,944	CurrentTaxYearMinus1YearAmt
Current Tax Year	$62,515	CurrentTaxYearAmt
Total	$215,349	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$60,036	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$35,586	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,006	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,233	CurrentTaxYearMinus1YearAmt
Current Tax Year	$37,189	CurrentTaxYearAmt
Total	$140,050	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$53,399,843	TotalSupportAmt
Public Support CY170	0.99330	PublicSupportCY170Pct
Public Support PY170	0.99210	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,429,533	BeginningYearBalanceAmt
Contributions	$1,000,000	ContributionsAmt
Investment Earnings Or Losses	$150,498	InvestmentEarningsOrLossesAmt
Other Expenditures	$451,526	OtherExpendituresAmt
End Year Balance	$3,128,505	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,963,323	BeginningYearBalanceAmt
Contributions	$1,001,000	ContributionsAmt
Investment Earnings Or Losses	$238,664	InvestmentEarningsOrLossesAmt
Other Expenditures	$773,454	OtherExpendituresAmt
End Year Balance	$2,429,533	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,313,499	BeginningYearBalanceAmt
Contributions	$749	ContributionsAmt
Investment Earnings Or Losses	-$2,855	InvestmentEarningsOrLossesAmt
Other Expenditures	$348,070	OtherExpendituresAmt
End Year Balance	$1,963,323	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,578,956	BeginningYearBalanceAmt
Contributions	$903,936	ContributionsAmt
Investment Earnings Or Losses	$53,607	InvestmentEarningsOrLossesAmt
Other Expenditures	$223,000	OtherExpendituresAmt
End Year Balance	$2,313,499	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,408,889	BeginningYearBalanceAmt
Investment Earnings Or Losses	$274,067	InvestmentEarningsOrLossesAmt
Other Expenditures	$104,000	OtherExpendituresAmt
End Year Balance	$1,578,956	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.52680	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.06180	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.41140	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$2,192,957	InvestmentCostOrOtherBasisAmt
Depreciation	$1,360,725	DepreciationAmt
Book Value	$832,232	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$300,084	InvestmentCostOrOtherBasisAmt
Depreciation	$73,383	DepreciationAmt
Book Value	$226,701	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$527,642	InvestmentCostOrOtherBasisAmt
Depreciation	$342,149	DepreciationAmt
Book Value	$185,493	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,244,426	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$13,740,875	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$107,146	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$145,043	DonatedServicesAndUseFcltsAmt
Other Revenue	$24,823	OtherRevenueAmt
Revenue Not Reported	$277,012	RevenueNotReportedAmt
Revenue Subtotal	$13,463,863	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$13,463,863	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$15,072,480	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$145,043	DonatedServicesUseFcltsAmt
Other Expenses Included	$24,823	OtherExpensesIncludedAmt
Expenses Not Reported	$169,866	ExpensesNotReportedAmt
Expenses Subtotal	$14,902,614	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$14,902,614	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	THE CLINIC'S BOARD OF DIRECTORS HAS APPROVED A SPENDING POLICY THAT EVALUATES AN ANNUAL SPENDING TARGET OF 4.25% OF THE AVERAGE QUARTERLY ENDING MARKET VALUE OVER THE PRECEDING TWENTY QUARTERS. THIS IS CONSISTENT WITH THE CLINIC'S OBJECTIVE TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS HELD IN PERPETUITY, AS WELL AS TO PROVIDE REAL GROWTH THROUGH NEW GIFTS AND INVESTMENT RETURN.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES NETTED WITH REVENUE ON FORM 990 24,823.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES NETTED WITH REVENUE ON FORM 990 24,823.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	BOH BREAKFAST	Event1Nm
Gross Receipts Event1	$71,754	GrossReceiptsEvent1Amt
Charitable Contri Event1	$62,041	CharitableContriEvent1Amt
Gross Revenue Event1	$9,713	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$4,840	RentFacilityCostsEvent1Amt
Entertainment Event1	$16,525	EntertainmentEvent1Amt
Other Direct Expenses Event1	$2,547	OtherDirectExpensesEvent1Amt
Event2	FRIENDS OF JIMMY MILLER	Event2Nm
Gross Receipts Total	$71,754	GrossReceiptsTotalAmt
Charitable Contributions Tot	$62,041	CharitableContributionsTotAmt
Gross Revenue Total Events	$9,713	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$4,840	RentFcltyCostsTotalEventsAmt
Entertainment Total Events	$16,525	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$2,547	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$23,912	DirectExpenseSummaryEventsAmt
Net Income Summary	-$14,199	NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALICE FORRESTER
CHIEF EXECUTIVE OFFICER	$167,402	$0	$0	$0	$0	$0	$15,925	$0	$19,696	$0	$203,023	$0	$0	$0
PIETER JOOST VAN WATTUM MD
MEDICAL DIRECTOR	$164,098	$0	$0	$0	$0	$0	$0	$0	$3,900	$0	$167,998	$0	$0	$0
TISA A ADKINSON DO
ASSOCIATE MEDICAL DIRECTOR	$183,832	$0	$0	$0	$0	$0	$0	$0	$28,357	$0	$212,189	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE REVIEW PROCESS OF THE FORM 990 IS DONE BY THE FINANCE COMMITTEE OF THE BOARD. AFTER THE FINANCE COMMITTEE REVIEWS AND APPROVES THE FORM 990, THE FINANCE COMMITTEE'S APPROVAL PROCESS IS COMMUNICATED TO THE BOARD, AND A COPY IS PROVIDED TO EACH BOARD MEMBER. EACH BOARD MEMEBER HAS AN OPPORTUNITY TO REVIEW THE FORM 990 BEFORE THE FINAL REPORT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE CLINIC HAS A FORMAL CONFLICT OF INTEREST POLICY THAT DESCRIBES SPECIFIC CONFLICTS THAT WOULD NEED TO BE DISCLOSED IF THEY WERE APPLICABLE. ALL DIRECTORS AND OFFICERS ARE REQUIRED TO COMPLETE AND SIGN A CONFLICT OF INTEREST STATEMENT IN THE FORM THAT HAS BEEN APPROVED BY THE BOARD, PRIOR TO TAKING OFFICE OR ACCEPTING NOMINATION AS A DIRECTOR OR OFFICER AND ANNUALLY THEREAFTER; AND SHALL HAVE A CONTINUING RESPONSIBILITY TO DISCLOSE TO THE CORPORATION AS SOON AS ANY POTENTIAL CONFLICT IS KNOWN, SUCH POTENTIAL CONFLICT OF INTEREST ARISING DURING THEIR TENURE AS AN OFFICER OR DIRECTOR. THE SECRETARY OF THE CORPORATION KEEPS ALL CONFLICT OF INTEREST STATEMENTS ON FILE IN THE CORPORATE RECORDS. THE SECRETARY OF THE CORPORATION REVIEWS EACH NEW, ANNUAL OR AMENDED STATEMENT, AND WHEN REQUESTED TO DO SO SHALL CAUSE ANY SUBSTANTIAL FINANCIAL OR OWNERSHIP INTEREST IN ANY OTHER ENTITY WITH THIS CORPORATION CONTRACTS TO BE DISCLOSED TO ALL STATE AND FEDERAL AGENCIES, INLUDING MEDICAID AUTHORITIES, WHICH ARE ENTITLED TO REQUEST AND RECEIVE THIS INFORMATION.
FORM 990, PART VI, SECTION B, LINE 15	YES, THE CLINIC UTILIZED A SEARCH FIRM THAT CONDUCTED A NATIONAL SEARCH TO FILL THE EXECUTIVE DIRECTOR POSITION IN 2007. AS PART OF THAT PROCESS, THE SEARCH FIRM ASSISTED WITH ESTABLISHING THE COMPENSATION RANGE, EVALUATING THE CANDIDATES, AND PREPARED SUMMARY DOCUMENTATION FOR THE FINAL CANDIDATES, AND PREPARED SUMMARY DOCUMENTATION FOR THE FINAL CANDIDATES. THE EXECUTIVE COMMITTEE OF THE BOARD WORKED CLOSELY WITH THE SEARCH FIRM TO REACH THE FINAL DECISION AND STRUCTURE THE FINAL EMPLOYMENT OFFER. THE EXECUTIVE DIRECTOR'S COMPENSATION IS BASED ON HER CONTRACT. ADDITIONALLY, THE CLINIC UTILIZES INDUSTRY DATA PREPARED BY THE CONNECTICUT COMMUNITY PROVIDERS ASSOCIATION TO EVALUATE AND BENCHMARK MARKET COMPENSATION FOR THE OTHER KEY EMPLOYEES IN THE ORGANIZATION.
FORM 990, PART VI, SECTION C, LINE 19	OTHER THAN THE INFORMATION DISCLOSED IN THE ANNUAL FORM 990 REPORT, THE CLINIC DOES NOT MAKE ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. THE CLINIC MAKES ITS AUDITED FINANCIAL STATEMENTS AVAILABLE TO FUNDERS AS PART OF GRANT FUNDING OR BANK LOAN REQUESTS THAT ARE EVALUATED AND DETERMINED TO BE APPROPRIATE AND NECESSARY.