2018-11-06T11:06:55-06:00 2018-06-30 420714325 RSM US LLP 80 CITY SQUARE BOSTON MA 021293742 990 2017-07-01 042104268 DOUGLAS A THOM CLINIC INC DOUG 5086555222 251 WEST CENTRAL STREET NO 22 NATICK MA 01760 GRETCHEN R OWENS EXECUTIVE DIRECTOR 5086555222 2018-11-06 1 LYNNE JOHNSON P00757336 6179129000 108.171.131.187 2018-11-06 11:26:52 ES P 537009A0A005A6691AF8E3CD281085943AFA35D8 93DCBEFAA18E51E34D8F84E5D1CC4DB28D8C7E60 2017 2018-06-14 16:35:46Z GRETCHEN R OWENS 251 WEST CENTRAL STREET NO 22 NATICK MA 01760 52007720 0 X HTTP://WWW.THOMCHILD.ORG X 1933 MA PERFORM EARLY INTERVENTION SERVICES FOR AT RISK CHILDREN BETWEEN THE AGES OF 0-3 YEARS. 8 8 989 8 255118 -4990 122360 50451 51091034 51911101 19898 46168 0 0 51233292 52007720 0 0 0 0 40437258 40155463 0 0 53450 10181186 10976568 50618444 51132031 614848 875689 14928617 15302745 4376849 3851327 10551768 11451418 PERFORM EARLY INTERVENTION SERVICES FOR AT RISK CHILDREN BETWEEN THE AGES OF 0 - 3 YEARS. 0 0 46642554 51317360 OPERATED 10 EARLY INTERVENTION PROGRAMS SERVING CHILDREN AT RISK, AGES 0-3. 762440 255118 ADMINISTRATIVE AND SOFTWARE SERVICES OPERATED TO SUPPORT OUR EARLY INTERVENTION PROGRAM, OUR REGIONAL CONSULTATION PROGRAM, AND OTHER OUTSIDE EARLY INTERVENTION SERVICE PROVIDERS. 343720 338623 REGIONAL CONSULTATION PROGRAM FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS, INCLUDING FAMILY SUPPORT. 47748714 1 1 0 0 0 1 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 79 0 1 989 1 1 1 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 0 0 1 1 0 1 1 1 1 1 1 0 0 MA X GRETCHEN R OWENS 5086555222 251 W CENTRAL ST STE 22 NATICK MA 01760 ARTHUR W HUGHES BOARD PRESIDENT 0.50 X X 0 0 0 PAMELA PALMUCCI BOARD VICE PRESIDENT 0.50 X X 0 0 0 LOUIS R COHEN BOARD TREASURER 0.50 X X 0 0 0 FREDERICK FORTMILLER BOARD MEMBER 0.50 X 0 0 0 JAMES HOULARES BOARD MEMBER 0.50 X 0 0 0 MIRIAM LASHER BOARD MEMBER (THRU 9/18/17) 0.50 X 0 0 0 JO-ANNE GILBODY BOARD MEMBER (FROM 1/16/18) 0.50 X 0 0 0 JEAN SANDLER BOARD MEMBER 0.50 X 0 0 0 MICHELLE GAUGHRAN BOARD VICE PRESIDENT 0.50 X X 0 0 0 TANYA MATEER DIRECTOR OF FINANCE 40.00 X 196544 0 7843 GRETCHEN OWENS EXECUTIVE DIRECTOR 40.00 X 204828 0 31242 LAWRENCE TUCKER SENIOR SOFTWARE DEVELOPER 40.00 X 213441 0 12823 ROBERT GAGNON DIRECTOR OF PROGRAM SVC. 40.00 X 187634 0 3263 EDHY RIJO SOFTWARE DEVELOPER 40.00 X 161151 0 2370 LINDA SCHAEFFER PROGRAM DIRECTOR 40.00 X 128093 0 2173 ANNE MARSH PROGRAM DIRECTOR 40.00 X 132033 0 10499 1223724 0 70213 14 0 1 0 BEACON ABA SERVICES 321 FORTUNE BLVD MILFORD MA 01757 SPECIALTY SERVICE PROVIDER 1863444 NORTH EAST ARC-BUILDING BLOCKS 64 HOLTEN STREET DANVERS MA 01923 SPECIALTY SERVICE PROVIDER 1360795 MAY CENTER FOR EARLY INTERVENTION PO BOX 821 READING MA 01867 SPECIALTY SERVICE PROVIDER 670421 NEW ENGLAND CENTER FOR CHILDREN PO BOX 845108 BOSTON MA 022845108 SPECIALTY SERVICE PROVIDER 482695 BEHAVIORAL CONCEPTS 354A GREENWOOD STREET WORCESTER MA 01607 SPECIALTY SERVICE PROVIDER 472871 10 302 50149 50451 PATIENT REVENUE 624100 51655983 51655983 PROGRAM SERVICE REVENUE 561499 255118 255118 51911101 46168 46168 52007720 51655983 255118 46168 X 467559 33524 420803 13232 33843129 32619668 1196111 27350 195760 167861 27899 3058581 2929085 129496 2590434 2374310 211630 4494 136168 136168 78180 78180 6703979 6441946 261456 577 7316 7316 270749 235643 34738 368 382890 159476 220665 2749 1302873 1184705 116805 1363 975566 971196 4317 53 857 118 739 197347 18064 179283 262764 23783 236040 2941 PROGRAM SUPPORT 194751 194751 TAXES AND LICENSING 156929 156929 STAFF TRAINING 96447 73270 23177 OFFICE EQUIPMENT 82484 65717 16567 200 127268 98668 28477 123 51132031 47748714 3329867 53450 3952162 2791395 15365 15442 80000 60000 9382306 11298960 132227 115013 2056253 1121525 797730 934728 518159 36339 50668 50868 14928617 15302745 3772272 3085657 569844 765670 34733 0 4376849 3851327 X 10354525 11280763 197243 170655 10551768 11451418 14928617 15302745 875689 23961 0 X 0 1 X 1 1 1 X 90883 11278 15643 122360 50451 290615 90883 11278 15643 122360 50451 290615 290615 22467 11013 16286 19898 46169 115833 406448 238594082 0.71500 0.77330 X 1 0 1000 286 1 1 820597 211987 608610 448936 367829 81107 446773 424823 21950 339947 116886 223061 934728 X 52031682 23961 23961 52007721 0 52007721 51132031 0 51132031 0 51132031 PART X, LINE 2: THE CLINIC WAS INCORPORATED IN 1933 UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 180, AND IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CLINIC IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES ON ITS RELATED BUSINESS INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE CLINIC RECOGNIZES A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES. MANAGEMENT EVALUATED THE CLINIC'S TAX POSITIONS AND CONCLUDED THAT THE CLINIC HAD NO MATERIAL UNCERTAINTIES IN INCOME TAXES AS OF JUNE 30, 2018 AND JUNE 30, 2017. THE CLINIC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR FISCAL YEARS BEFORE 2015. THE CLINIC WILL ACCOUNT FOR INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS, IF ANY, AS A PART OF TAX EXPENSE. X X X 0 0 0 0 0 0 0 0 0 TANYA MATEER DIRECTOR OF FINANCE 156424 0 40000 0 120 0 1588 0 6255 0 204387 0 0 0 GRETCHEN OWENS EXECUTIVE DIRECTOR 204708 0 0 0 120 0 1685 0 29557 0 236070 0 0 0 LAWRENCE TUCKER SENIOR SOFTWARE DEVELOPER 172649 0 40000 0 792 0 1742 0 11081 0 226264 0 0 0 ROBERT GAGNON DIRECTOR OF PROGRAM SVC. 147145 0 40000 0 489 0 0 0 3263 0 190897 0 0 0 EDHY RIJO SOFTWARE DEVELOPER 160875 0 0 0 276 0 1519 0 851 0 163521 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WILL BE GIVEN TO THE BOARD TREASURER TO REVIEW. UPON COMPLETION OF HIS REVIEW, IT WILL BE APPROVED FOR FINAL PROCESSING. THE COMPLETED FORM 990 WILL BE AVAILABLE TO THE AUDIT/FINANCE COMMITTEE FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES EACH EMPLOYEE TO DISCLOSE TO THE ORGANIZATION ANY PERSONAL INTEREST WHICH HE OR SHE MAY HAVE IN ANY MATTER PENDING BEFORE THE ORGANIZATION AND SHALL REFRAIN FROM PARTICIPATION IN ANY DECISION ON SUCH MATTER. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING THE EXECUTIVE DIRECTOR'S SALARY. THE PERSONNEL COMMITTEE HAS A REVIEW PROCESS AND THEN BRINGS THE FINAL SALARY DETERMINATION TO THE WHOLE BOARD FOR FINAL APPROVAL. THE REVIEW PROCESS INCLUDES LOOKING AT THE ORGANIZATION'S FINANCIAL RESULTS FOR THE FISCAL YEAR, AS COMPARED TO THE PRIOR YEAR, THE U.S. AVERAGE CEO PAY FOR SOCIAL WELFARE/CHARITABLE ORGANIZATIONS, THE AVERAGE TOTAL CEO PAY FOR MASSACHUSETTS AGENCIES WITH EARLY INTERVENTION SERVICES AND COMPARABLE REVENUES. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, FORM 990, CONFLICT OF INTEREST POLICY, GOVERNANCE POLICIES AND PROCEDURES AND OTHER APPROPRIATE GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). IN ADDITION, THE ORGANIZATION'S FORM 990 WITHOUT SHEDULE B IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. FORM 990, PART IX, LINE 11G RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 50,956. FUNDRAISING EXPENSES 577. TOTAL EXPENSES 51,533. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 164,501. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 164,501. INTERPRETING: PROGRAM SERVICE EXPENSES 26,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,107. PROGRAM CONSULTANTS: PROGRAM SERVICE EXPENSES 6,415,839. MANAGEMENT AND GENERAL EXPENSES 45,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,461,838.