BLUE MOUNTAIN CLINIC INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: BLUE MOUNTAIN CLINIC INC (EIN 81-0365291)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-07-09
IRS object ID: 201811909349300836
Schema version: 2017v2.2
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 M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-07-09T10:43:33-07:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	810390489	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Boyle Deveny & Meyer PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	305 South 4th East Suite 200	AddressLine1Txt
City	Missoula	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59801	ZIPCd

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	810365291	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BLUE MOUNTAIN CLINIC INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	BLUE	BusinessNameControlTxt
Phone	4067211646	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	610 N CALIFORNIA ST	AddressLine1Txt
City	MISSOULA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59802	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ANNIE HANSEN	PersonNm
Person Title	Executive Dir.	PersonTitleTxt
Signature	2018-07-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Jaime Ward CPA	PreparerPersonNm
PTIN	P00441760	PTIN
Phone	4067213555	PhoneNum

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ANNIE HANSEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	610 N CALIFORNIA ST	AddressLine1Txt
City	MISSOULA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59802	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,958,038	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
All Affiliates Included	false	AllAffiliatesIncludedInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.bluemountainclinic.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1976	FormationYr
Legal Domicile State	MT	LegalDomicileStateCd
Activity Or Mission	The mission of Blue Mountain Clinic is to provide individualized, choice-based healthcare that respects the power of personal connection.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	30	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$191,239	PYContributionsGrantsAmt
CY Contributions Grants	$320,280	CYContributionsGrantsAmt
PY Program Service Revenue	$1,644,953	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,594,377	CYProgramServiceRevenueAmt
PY Investment Income	$98	PYInvestmentIncomeAmt
CY Investment Income	$610	CYInvestmentIncomeAmt
PY Other Revenue	$17,560	PYOtherRevenueAmt
CY Other Revenue	$31,753	CYOtherRevenueAmt
PY Total Revenue	$1,853,850	PYTotalRevenueAmt
CY Total Revenue	$1,947,020	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,097,635	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,126,535	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$73,724	CYTotalFundraisingExpenseAmt
PY Other Expenses	$834,487	PYOtherExpensesAmt
CY Other Expenses	$791,746	CYOtherExpensesAmt
PY Total Expenses	$1,932,122	PYTotalExpensesAmt
CY Total Expenses	$1,918,281	CYTotalExpensesAmt
PY Revenues Less Expenses	-$78,272	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$28,739	CYRevenuesLessExpensesAmt
Total Assets BOY	$755,979	TotalAssetsBOYAmt
Total Assets EOY	$809,137	TotalAssetsEOYAmt
Total Liabilities BOY	$163,958	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$188,377	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$592,021	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$620,760	NetAssetsOrFundBalancesEOYAmt
Mission	The mission of Blue Mountain Clinic is to provide individualized, choice-based healthcare that respects the power of personal connection.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,615,420	ExpenseAmt
Desc	Blue Mountain Clinic is a mission-driven 501(c)3 non-profit corporation organized in the state of Montana and is governed by a volunteer board of directors. Located at 610 N California Street in Missoula, MT, we are the only independent, non-government funded primary and family medicine clinic in the United States that has fully integrated family medicine, mental health counseling, abortion care, and comprehensive trans* care into our daily practice. We are not subsidized by any government money, are not a title X organization and do not offer a sliding fee scale for services. Because of this we are not eligible for many programs that offer amenities such as discounted birth control, sliding scales and large government grants. While such programs can be beneficial, we have always held the belief that we do not want federal regulations to influence how we care for our patients. This status does allow us to have complete autonomy in how we provide care while staying committed to our mission. BMC directly impacts the lives of over 10,000 patients per year who access a wide range of health services within our choice-based, primary medicine model. This is evidenced by the fact that 25% of our clients are traveling 100 miles or more to receive care at BMC. Since 2013 the demand for our care has increased by almost 30%. Blue Mountain Clinic is called upon daily by those who need care for their families, at an ever-increasing rate. This is a direct reflection of changes in our current healthcare environment; expanded services at BMC, lack of access due to clinic closures both in our region, and across the state, the retirement of several local family medicine doctors, anti-choice legislation, and most recently the expansion of Medicaid programs in Montana.In addition to our primary and reproductive care clients, we have been providing care to transgender patients throughout the Northern Rockies for over 16 years. In 2012, after receiving a grant from the Pride Foundation, we further strengthened our Trans* care through training, advocacy and marketing. Because of these trainings we have more than quadrupled the number of trans* identified patients we care for ranging in age from 9 to 72 years old. Our Medical Director Eric Ravitz, DO has been with the clinic for 17 years, our female MD Dr. Joey Banks 5 years, Kelly Polus PA-C 13 years, Alison Charman, ARNP 6 years, and our mental health counselors have been with us for 10 years. Most of our support staff have been working at Blue Mountain Clinic for over 10 years. Per the US Census Bureau, Montana and the Northern Rockies are home to some of the least populated regions, resulting in a large concentration of rural areas. These sparsely populated areas often result in very limited access to many of lifes necessities, including health care. Reports released by the American Medical Association and the American Academy of Family Physicians indicate that we will continue to experience a critical shortage of family medicine clinicians and clinics. The shortage is due in part to retiring physicians as well as a recent trend emerging where providers are choosing specialty areas of medicine over family medicine because they offer much higher salaries. In a report released by the Montana Office of Rural Health (MORH) a serious shortage of primary care physician services is cited in Montana. The distribution of physicians in Montana is extremely uneven, with 37% of all primary care physicians practicing in only three cities and 40 of Montana's 56 counties are designated health professional shortage areas. As we witness these changes and prepare for great uncertainty in the landscape of our healthcare both regionally and nationally, it is of the utmost importance that we remain a sound presence to ensure access to independent, choice-based health care that respects the power of personal connection.Blue Mountain Clinic advocates for its clients, community and region in the following areas:We are starting our 6th year providing critical gynecological training to residents in the Western Montana Family Medicine Residency Program. We train 10 residents a year preparing them to provide comprehensive reproductive and family medicine through our choice based lens. We are striving to ensure these residents will continue to practice and provide care filling the need for healthcare in our rural areas, many of which Blue Mountain Clinic currently serves. Dr. Eric Ravitz has served as the Medical Director for the Missoula Youth Homes for the past 10 years. The Youth Homes provide transitional and long-term housing and services to Montanas youth- from all over the state. Having Dr. Ravitz as their medical director enables them to offer a mental health component ensuring the whole health and safety of our most vulnerable populations.Dr. Joey Banks is currently serving as the Medical Director for Open Aid Alliance, a free clinic, located in Missoula, MT that strives to prevent HIV, hepatitis C and sexually transmitted infections through testing, education and outreach. Blue Mountain Clinic serves as one of the treatment sites for positive STI results when necessary. In anticipation of being defunded, Planned Parenthood has decided not to renew their youth education program, and therefore Blue Mountain Clinic will be absorbing this, in addition to our own current program. While we have always provided education and outreach within our schools, from topics as simple has healthy sexuality, to more sensitive topics including consent, by-stander intervention and teen suicide, this will more than double anything that we have ever done in the past. After an informal statewide survey completed in the summer of 2016, it was discovered that Blue Mountain Clinic is one of the only clinics in the state of Montana that provides:a.Comprehensive Trans* care that includes family medicine, hormone replacement, mental health counseling, and support and advocacy for reassignment surgery.b.Is one of the only remaining clinics not limiting or capping the amount of Medicaid patients. c.Is one of a handful of clinics left that continues to serve our Medicare population. Even locally, we see many clients who have been with their same doctor for 40 years or more, and are suddenly finding themselves discharged from the practice simply because they have termed onto Medicare. Can you imagine what it would be like to be with the same clinician for decades, only to find you healthcare displaced, simply because your insurance has changed? d.Is the only clinic of its kind where one can receive a full spectrum of family medicine, mental health counseling, reproductive and Trans*care all under one roof, without receiving any government funding, grants or designations.	Desc
Total Program Service Expenses	$1,615,420	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	14	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	30	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Form990 T Filed	false	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
DAF Excess Business Holdings	false	DAFExcessBusinessHoldingsInd
Taxable Distributions	false	TaxableDistributionsInd
Distribution To Donor	false	DistributionToDonorInd
Org Filed In Lieu Of Form1041	false	OrgFiledInLieuOfForm1041Ind
Licensed More Than One State	false	LicensedMoreThanOneStateInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	BLUE MOUNTAIN CLINIC	PersonNm
Phone	4067211646	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	610 N CALIFORNIA ST	AddressLine1Txt
City	MISSOULA	CityNm
State Abbreviation	MT	StateAbbreviationCd
ZIP	59802	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Christine Littig
Director	2.00	0.00	Yes (X)	$0	$0	$0
JAIME WARD
Director	2.00	0.00	Yes (X)	$0	$0	$0
ERIN STEUER
President	5.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
BETH HUBBLE
Director	2.00	0.00	Yes (X)	$0	$0	$0
ERIN ROBERTS
Vice President	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
HOLLY BIEHL
Director	2.00	0.00	Yes (X)	$0	$0	$0
DEANNA JENNESS
Director	2.00	0.00	Yes (X)	$0	$0	$0
KATIE DUBOSQUE
Director	40.00	0.00	Yes (X)	$0	$0	$0
KAT WERNER
Director	2.00	0.00	Yes (X)	$0	$0	$0
FRANK SHEEHY
Treasurer	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
ANNIE HANSEN
Executive Dir.	40.00	0.00		$55,231	$0	$0	Yes (X)
ERIC A RAVITZ
STAFF	40.00	0.00		$141,150	$0	$0		Yes (X)
JOEY BANKS
STAFF	40.00	0.00		$149,434	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$345,815	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$320,280	AllOtherContributionsAmt
Noncash Contributions	$37,492	NoncashContributionsAmt
Total Contributions	$320,280	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	HEALTH CARE DELIVERY	Desc
Business	621110	BusinessCd
Total Revenue Column	$1,594,377	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,594,377	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,594,377	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$610	TotalRevenueColumnAmt
Exclusion	$610	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$42,771	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$11,018	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$31,753	TotalRevenueColumnAmt
Exclusion	$31,753	ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,947,020	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,594,377	RelatedOrExemptFuncIncomeAmt
Exclusion	$32,363	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$55,231	TotalAmt
Management And General	$41,423	ManagementAndGeneralAmt
Fundraising	$13,808	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$932,291	TotalAmt
Program Services	$792,447	ProgramServicesAmt
Management And General	$93,229	ManagementAndGeneralAmt
Fundraising	$46,615	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$33,216	TotalAmt
Program Services	$24,912	ProgramServicesAmt
Management And General	$8,304	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$32,513	TotalAmt
Program Services	$24,385	ProgramServicesAmt
Management And General	$8,128	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$73,284	TotalAmt
Program Services	$54,963	ProgramServicesAmt
Management And General	$18,321	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$29,145	TotalAmt
Management And General	$29,145	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$20,337	TotalAmt
Program Services	$20,337	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,774	TotalAmt
Program Services	$3,103	ProgramServicesAmt
Management And General	$1,432	ManagementAndGeneralAmt
Fundraising	$239	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$30,351	TotalAmt
Program Services	$25,798	ProgramServicesAmt
Management And General	$3,035	ManagementAndGeneralAmt
Fundraising	$1,518	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,144	TotalAmt
Program Services	$12,915	ProgramServicesAmt
Management And General	$2,422	ManagementAndGeneralAmt
Fundraising	$807	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$144	TotalAmt
Program Services	$144	ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,114	TotalAmt
Program Services	$5,114	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,536	TotalAmt
Program Services	$25,955	ProgramServicesAmt
Management And General	$3,054	ManagementAndGeneralAmt
Fundraising	$1,527	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$55,830	TotalAmt
Program Services	$45,310	ProgramServicesAmt
Management And General	$10,520	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$310,287	$310,287
ELECTRONIC HEALTH RECORDS	$67,271	$67,271
CONTRACTED SERVICES	$67,043	$67,043
LAB SUPPLIES	$40,163	$40,163

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$114,607	TotalAmt
Program Services	$95,273	ProgramServicesAmt
Management And General	$10,124	ManagementAndGeneralAmt
Fundraising	$9,210	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,918,281	TotalAmt
Program Services	$1,615,420	ProgramServicesAmt
Management And General	$229,137	ManagementAndGeneralAmt
Fundraising	$73,724	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$21,255	BOYAmt
EOY	$4,326	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$167,847	BOYAmt
EOY	$167,499	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$53,635	BOYAmt
EOY	$77,532	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,000	BOYAmt
EOY	$5,000	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,205,236	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$691,100	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$508,242	BOYAmt
EOY	$514,136	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$40,644	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$755,979	BOYAmt
EOY	$809,137	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$80,439	BOYAmt
EOY	$78,731	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$36,485	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$83,519	BOYAmt
EOY	$73,161	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$163,958	BOYAmt
EOY	$188,377	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$592,021	BOYAmt
EOY	$620,760	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$592,021	BOYAmt
EOY	$620,760	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$755,979	BOYAmt
EOY	$809,137	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$28,739	ReconcilationRevenueExpnssAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$114,588	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$102,063	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$180,234	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$191,239	CurrentTaxYearMinus1YearAmt
Current Tax Year	$320,280	CurrentTaxYearAmt
Total	$908,404	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,308,714	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,480,175	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,636,874	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,644,953	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,594,377	CurrentTaxYearAmt
Total	$7,665,093	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,423,302	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,582,238	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,817,108	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,836,192	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,914,657	CurrentTaxYearAmt
Total	$8,573,497	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$78,600	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$72,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$151,000	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$118,000	CurrentTaxYearMinus1YearAmt
Current Tax Year	$223,117	CurrentTaxYearAmt
Total	$642,717	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$78,600	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$72,000	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$151,000	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$118,000	CurrentTaxYearMinus1YearAmt
Current Tax Year	$223,117	CurrentTaxYearAmt
Total	$642,717	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$7,930,780	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	-$20	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$46	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$98	CurrentTaxYearMinus1YearAmt
Current Tax Year	$610	CurrentTaxYearAmt
Total	$749	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$15	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	-$20	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$46	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$98	CurrentTaxYearMinus1YearAmt
Current Tax Year	$610	CurrentTaxYearAmt
Total	$749	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,423,317	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,582,218	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,817,154	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,836,290	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,915,267	CurrentTaxYearAmt
Total	$8,574,246	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.92500	PublicSupportCY509Pct
Public Support PY509	0.93850	PublicSupportPY509Pct
Investment Income CY	0.00010	InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$79,989	OtherCostOrOtherBasisAmt
Book Value	$79,989	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$874,119	OtherCostOrOtherBasisAmt
Depreciation	$471,815	DepreciationAmt
Book Value	$402,304	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$226,495	OtherCostOrOtherBasisAmt
Depreciation	$209,252	DepreciationAmt
Book Value	$17,243	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,633	OtherCostOrOtherBasisAmt
Depreciation	$10,033	DepreciationAmt
Book Value	$14,600	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$514,136	TotalBookValueLandBuildingsAmt

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agrmt Prof Fundraising Acty	false	AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	OFF THE RACK	Event1Nm
Gross Receipts Event1	$34,267	GrossReceiptsEvent1Amt
Gross Revenue Event1	$34,267	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$1,518	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$736	FoodAndBeverageEvent1Amt
Entertainment Event1	$5,408	EntertainmentEvent1Amt
Other Direct Expenses Event1	$3,356	OtherDirectExpensesEvent1Amt
Event2	CROSS COUNTRY BENEFIT	Event2Nm
Gross Receipts Event2	$8,504	GrossReceiptsEvent2Amt
Gross Revenue Event2	$8,504	GrossRevenueEvent2Amt
Gross Receipts Total	$42,771	GrossReceiptsTotalAmt
Gross Revenue Total Events	$42,771	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$1,518	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$736	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$5,408	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$3,356	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$11,018	DirectExpenseSummaryEventsAmt
Net Income Summary	$31,753	NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$37,492	NoncashContributionsRptF990Amt
Method Of Determining Revenues	quoted mkt price	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process	THE CURRENT BOARD TREASURER REVIEWS THE 990 IN DETAIL WITH THE EXECUTIVE DIRECTOR. A DRAFT OF THE 990 IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE. ANY CHANGES AND/OR SIGNIFICANT INFORMATION THAT IS RELEVANT TO BOARD MEMBERS IS PASSED ON TO THE BOARD FOR DISCUSSION PURPOSES VIA THE TREASURER.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	BOARD MEMBERS AND KEY STAFF MEMBERS ARE ASKED TO DIVULGE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO JOINING THE BOARD OR COMMENCING EMPLOYMENT AT THE CLINIC. BOTH BOARD AND STAFF MEMBERS UNDERGO A THOROUGH APPLICATION PROCESS DESIGNED TO PREVENT AND AVOID ANY POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	COMPENSATION OF THE EXECUTIVE DIRECTOR AND THE MEDICAL DIRECTOR IS SUBJECT TO ANNUAL REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS. CHANGES TO COMPENSATION BASED ON PERFORMANCE EVALUATIONS, COST OF LIVING INCREASE, OR ANNUAL BUDGET CONSTRAINTS ARE REVIEWED AND VOTED ON BY THE BOARD AS A WHOLE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	ANY OF THESE DOCUMENTS ARE READILY AVAILIBLE UPON REQUEST.