2018-05-11T12:40:10-05:00 2017-12-31 231386942 CAMPBELL RAPPOLD & YURASITS LLP 1033 S CEDAR CREST BLVD ALLENTOWN PA 181035443 990 2017-01-01 233072363 THE CLINIC THEC 6109351134 143 CHURCH STREET PHOENIXVILLE PA 19460 JOHN ENYART PRESIDENT 6109351134 2018-05-09 1 TARA L BENDER CPA P00299403 6104357489 216.164.169.90 2018-05-09 08:31:18 ED P 6323853B4693A5247F810DB84233CC0D79C90F88 B251D02D6CA977732410CD2B6C958700085201E0 2017 2021-01-29 14:40:06Z JOHN ENYART 143 CHURCH STREET PHOENIXVILLE PA 19460 1752003 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. 12 12 14 149 0 0 1599798 1609195 115434 33233 13872 17539 -407 -3133 1728697 1656834 746217 925264 0 0 704953 719811 0 0 115298 232362 246329 1683532 1891404 45165 -234570 1700011 1485118 50858 35277 1649153 1449841 X THE CLINIC'S MISSION IS TO PROVIDE QUALITY HEALTHCARE TO THE UNINSURED, IN AN ATMOSPHERE WHICH FOSTERS DIGNITY AND RESPECT FOR ITS PATIENTS. IT IS OUR PRIVILEGE TO DO SO. 0 0 1623125 925264 37790 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 6,579 FROM BERKS, BUCKS, CHESTER, DELAWARE AND MONTGOMERY COUNTIES PRIMARILY.THE PHARMACEUTICAL ASSISTANCE PROGRAM PROVIDED 113 PATIENTS WITH FREE MEDICATIONS AND COORDINATED THE PROVISION OF 472 ANNUAL REFILLS. THE TOTAL VALUE OF THESE MEDICATIONS (AVERAGE WHOLESALE PRICE) WAS APPROXIMATELY $433,451.THE CLINIC'S CLINICAL LABORATORY PERFORMED, OR OUTSOURCED, THE PROVISION OF APPROXIMATELY 3,881 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 846 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. 1623125 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 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 10 0 1 14 1 0 0 0 0 0 1 1 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X SUSAN PUCCI 6109351134 143 CHURCH STREET PHOENIXVILLE PA 19460 JOHN ENYART VICE PRESIDENT 2.00 X X 0 0 0 GREG CARE TREASURER 2.00 X X 0 0 0 JAMES KOVALESKI PRESIDENT (UNTIL 10/2/17) 2.00 X X 0 0 0 ROBERT J DOLLFUS JR SECRETARY 2.00 X X 0 0 0 KOSHY MATTHEWS BOARD MEMBER 2.00 X 0 0 0 LEWIS OSTERHOUDT BOARD MEMBER 2.00 X 0 0 0 DOUGLAS HUGHES BOARD MEMBER 2.00 X 0 0 0 ANA NEGRON MD BOARD MEMBER 2.00 X 0 0 0 SANDY CRABTREE BOARD MEMBER 2.00 X 0 0 0 THOMAS CARNEVALE BOARD MEMBER 2.00 X 0 0 0 DOUG DARLINGTON BOARD MEMBER 2.00 X 0 0 0 JANE SARASOHN-KAHN BOARD MEMBER 2.00 X 0 0 0 TOM BURD 112017 - 72817 EXECUTIVE DIRECTOR 50.00 X 63138 0 8091 GEORGE SPYROPOULOS MD MEDICAL DIRECTOR 50.00 X 159471 0 16208 CHRISTINE DE BONIS 9317 - PRESENT EXECUTIVE DIRECTOR 50.00 X 25615 0 768 248224 0 25067 1 0 1 0 0 17836 1591359 862783 1609195 PROGRAM SERVICES 621400 33233 33233 33233 12982 12982 76593 72036 4557 4557 4557 20000 17836 23133 -3133 -3133 1656834 37790 0 9849 925264 925264 273291 224483 24404 24404 349140 238768 54080 56292 3848 2526 661 661 45170 23421 14542 7207 48362 35808 6198 6356 13411 13411 3118 3118 584 384 200 37340 21808 9046 6486 35371 26528 7074 1769 56162 42122 11232 2808 4057 2492 1399 166 75 75 19089 14317 3818 954 40098 36465 3491 142 OTHER PROGRAMS 26420 26420 INDIRECT SPECIAL EVENTS 7841 7841 VOLUNTEER RECOGNITION 2523 2523 MISCELLANEOUS 240 180 48 12 1891404 1623125 152981 115298 686918 538981 111000 14639 2316 13175 14191 663534 366230 316393 297304 323700 398244 234186 234082 1700011 1485118 50858 35277 50858 35277 X 1182044 1132084 277067 127715 190042 190042 1649153 1449841 1700011 1485118 -234570 35258 0 X X 0 1 X 1 0 X 818945 790220 941532 1569836 1591359 5711892 155435 136012 117264 115434 33233 557378 974380 926232 1058796 1685270 1624592 6269270 240525 266275 328200 331655 294855 1461510 0 240525 266275 328200 331655 294855 1461510 4807760 8541 11762 10167 8677 12982 52129 8541 11762 10167 8677 12982 52129 982921 937994 1068963 1693947 1637574 6321399 0.76060 0.75520 0.00820 0.00840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 270177 30049 15611 284615 257398 12779 270177 269259 -11861 257398 255241 14018 269259 227861 1500 25880 255241 0.00000 0.66770 0.33230 0 0 461518 170545 290973 202016 195685 6331 297304 CERTIFICATES OF DEPOSIT 206075 F INVESTED WITH CHESTER COUNTY COMMUNITY FOUNDATION 28007 F 234082 X 3138289 35258 1457156 -3118 1489296 1648993 7841 7841 1656834 3337601 1457156 1457156 1880445 10959 10959 1891404 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, 2017 AND 2016. 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 -3,118. PART XI, LINE 4B - OTHER ADJUSTMENTS: INDIRECT EXPENSES OF FUNDRAISING ACTIVITIES 7,841. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT FEES, NETTED AGAINST INCOME ON BOOKS 3,118. INDIRECT EXPENSES OF FUNDRAISING ACTIVITIES 7,841. ANNIVERSARY DINNER 19927 5867 14060 14060 GOLF EVENT 17909 11969 5940 3393 5680 37836 17836 20000 17453 5680 23133 -3133 0 HEALTHCARE ASSISTANCE 2423 62481 862783 FMV PHARMECEUTICALS AND SUPPLIES GIVEN TO PATIENTS OF THE CLINIC X X X 0 0 0 0 0 0 0 0 0 GEORGE SPYROPOULOS MD MEDICAL DIRECTOR 159471 0 0 0 0 0 4790 0 11418 0 175679 0 0 0 PART I, LINE 3 DR. SPYROPOULOS' SALARY WAS DETERMINED BY A SMALL COMMITTEE OF THE BOARD AND THE EXECUTIVE DIRECTOR, WHEREUPON THE COMMITTEE HAVE A RANGE BETWEEN $125,000 TO $175,000. THIS RANGE WAS BASED ON EXPERIENCE IN THE HOSPITAL AND HEALTHCARE FIELD FOR SALARY REQUIREMENTS FOR PRACTICING PHYSICIANS AND ALSO ON EXPERIENCE FROM INTERVIEWING PHYSICIANS WHO TURNED DOWN THE POSITION BASE ON THEIR SALARY DEMANDS. INPUT CAME FROM THE CHIEF NURSING OFFICER OF PHOENIXVILLE HOSPITAL AND THE VICE PRESIDENT OF ADMINISTRATION AT PAOLI HOSPITAL. BOTH OF THESE BOARD MEMBERS HAVE EXTENSIVE EXPERIENCE IN PHYSICIAN COMPENSATION. THERE IS NO FORMAL DOCUMENT ON THIS MATTER. X 862783 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.