HAMM MEMORIAL PSYCHIATRIC CLINIC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: HAMM MEMORIAL PSYCHIATRIC CLINIC (EIN 41-1649502)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2014-10-14
IRS object ID: 201442879349300944
Schema version: 2013v3.0
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 I
Schedule J
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-10-14T09:04:17-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 SOUTH SIXTH STREET SUITE 300	AddressLine1
City	MINNEAPOLIS	City
State	MN	State
ZIP Code	55402	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	411649502	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HAMM MEMORIAL PSYCHIATRIC CLINIC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	HAMM	BusinessNameControlTxt
Phone	6512240614	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	408 ST PETER STREET NO 429	AddressLine1
City	ST PAUL	City
State	MN	State
ZIP Code	55102	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHEN DWYER	PersonNm
Person Title	CHIEF OPERATING OFFICER	PersonTitleTxt
Phone	6512240614	PhoneNum
Signature	2014-09-10	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JENNIFER TINGLEY	PreparerPersonNm
PTIN	P01485570	PTIN
Phone	6123764500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEPHEN DWYER	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	408 ST PETER STREET NO 429	AddressLine1
City	ST PAUL	City
State	MN	State
ZIP Code	55102	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$2,493,701	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.HAMMCLINIC.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1989	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE QUALITY MENTAL HEALTH TREATMENT, REGARDLESS OF ABILITY TO PAY.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	34	TotalEmployeeCnt
Total Volunteers	21	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,598,888	PYContributionsGrantsAmt
CY Contributions Grants	$1,545,598	CYContributionsGrantsAmt
PY Program Service Revenue	$839,790	PYProgramServiceRevenueAmt
CY Program Service Revenue	$875,937	CYProgramServiceRevenueAmt
PY Investment Income	$2,837	PYInvestmentIncomeAmt
CY Investment Income	$8,416	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$63,750	CYOtherRevenueAmt
PY Total Revenue	$2,441,515	PYTotalRevenueAmt
CY Total Revenue	$2,493,701	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$69,139	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,810,993	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,855,661	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$134,052	CYTotalFundraisingExpenseAmt
PY Other Expenses	$519,265	PYOtherExpensesAmt
CY Other Expenses	$545,710	CYOtherExpensesAmt
PY Total Expenses	$2,350,258	PYTotalExpensesAmt
CY Total Expenses	$2,470,510	CYTotalExpensesAmt
PY Revenues Less Expenses	$91,257	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$23,191	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,344,805	TotalAssetsBOYAmt
Total Assets EOY	$1,278,646	TotalAssetsEOYAmt
Total Liabilities BOY	$870,831	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$692,327	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$473,974	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$586,319	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE QUALITY MENTAL HEALTH TREATMENT, REGARDLESS OF ABILITY TO PAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,354,153	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$849,153	RevenueAmt
Desc	CLINICAL SERVICES: HAMM MEMORIAL PSYCHIATRIC CLINIC PROVIDES A VARIETY OF OUTPATIENT MENTAL HEALTH AND RELATED SERVICES TO ADULTS AND OPERATES IN THE TWIN CITIES METROPOLITAN AREA. THE CLINIC OFFERS A FULL SPECTRUM OF OUTPATIENT MENTAL HEALTH SERVICES IN ENGLISH AND SPANISH. THE CLINIC SEEKS TO TREAT SYMPTOMS AND ALSO TO HELP CLIENTS GAIN INSIGHT AND UNDERSTANDING INTO THEIR BEHAVIOR. THE CLINIC TEAM IS COMPRISED OF CLINICAL SOCIAL WORKERS, PSYCHOLOGISTS, AND PSYCHIATRISTS WORKING TOGETHER TO IMPROVE MENTAL HEALTH. IN FY14, 772 PATIENTS WERE SERVED TOTALING 10,176 VISITS TO THE CLINIC.ELECTRONIC HEALTH RECORDS (EHR) PROGRAM: THE CLINIC TRANSITIONED TO AN ELECTRONIC HEALTH RECORDS SYSTEM.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$357,113	ExpenseAmt
Grant	$69,139	GrantAmt
Revenue	$26,784	RevenueAmt
Desc	TRAINING AND PROFESSIONAL DEVELOPMENT: THE CLINIC'S TRAINING PROGRAM PROVIDES SPECIALIZED TRAINING AND EDUCATION FOR GRADUATES AND POST-GRADUATES IN CLINICAL SOCIAL WORK, PSYCHOLOGY, AND PSYCHIATRY. THE CLINIC'S COMPREHENSIVE APPROACH TO TRAINING ENABLES STUDENTS TO PROVIDE DIRECT CLIENT CARE UNDER CLOSE SUPERVISION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$62,738	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	RESEARCH AND PUBLICATION: THE CLINIC CONDUCTS EFFECTIVENESS RESEARCH. EFFECTIVENESS RESEARCH SEEKS TO DETERMINE WHETHER THE TREATMENT AT THE CLINIC IS EFFECTIVE IN A COMMUNITY MENTAL HEALTH CENTER SETTING WITH A VARIETY OF CLIENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$34,121	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	COMMUNITY OUTREACH: THE CLINIC WORKS TO EDUCATE THE PUBLIC ABOUT MENTAL HEALTH ISSUES AND PROMOTES THE VALUE OF GOOD MENTAL HEALTH. IT ALSO WORKS TO BE A VOICE IN THE COMMUNITY FOR PERSONS WITH MENTAL ILLNESS AND TO IMPROVE PUBLIC AWARENESS OF THE SCOPE OF INFLUENCE ADULT MENTAL ILLNESS HAS ON THE COMMUNITY.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$34,121	TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses	$1,808,125	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	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	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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	Yes (1)	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	9	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	34	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	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	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	RICHARD BOURMAN CONTROLLER	PersonNm
Phone	6512240614	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	408 ST PETER STREET SUITE 429	AddressLine1
City	ST PAUL	City
State	MN	State
ZIP Code	55102	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
ROGER OPP
BOARD PRESIDENT	3.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ELIZABETH WITTENBERG
BOARD VICE PRESIDENT	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
ABBY DAWKINS
BOARD SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
J LAWRENCE MCINTYRE
BOARD TREASURER	3.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARILYN BROUSSARD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
VICTORIA COIFMAN
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ANNE R GEARITY
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
EDWARD H HAMM
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
EDWARD H HAMM III
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JAMES F HART MD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JEREMY T LANG
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MICKEY MULCAHY
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
PAUL W MATTESSICH PHD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
JONATHAN H MORGAN
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
KELLEY O'NEILL
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
PAULA RICHEY
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
KARI HUBBARD ROMINSKI
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
MARK E SUNDBY PHD
BOARD MEMBER	1.00	0.00	Yes (X)		$0	$0	$0
ROBERT NESHEIM MD
MEDICAL DIRECTOR	32.00	0.00		Yes (X)	$142,728	$0	$15,000
STEPHEN DWYER
CHIEF OPERATING OFFICER	40.00	0.00		Yes (X)	$104,213	$0	$12,000
RICHARD BOURMAN
CONTROLLER	24.00	0.00		Yes (X)	$72,688	$0	$1,800

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$319,629	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$28,800	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$1,545,598	AllOtherContributionsAmt
Noncash Contributions	$102,081	NoncashContributionsAmt
Total Contributions	$1,545,598	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES	621400	$849,153	$849,153
SEMINAR FEES/OTHER	900099	$26,784	$26,784

Field	Value	IRS element (for citing)
Total Program Service Revenue	$875,937	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,416	TotalRevenueColumnAmt
Exclusion	$8,416	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MEANINGFUL USE CREDIT	Desc
Business	900099	BusinessCd
Total Revenue Column	$63,750	TotalRevenueColumnAmt
Exclusion	$63,750	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$63,750	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,493,701	TotalRevenueColumnAmt
Related Or Exempt Func Income	$875,937	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$72,166	ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$69,139	TotalAmt
Program Services	$69,139	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$369,055	TotalAmt
Program Services	$210,029	ProgramServicesAmt
Management And General	$134,332	ManagementAndGeneralAmt
Fundraising	$24,694	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,212,456	TotalAmt
Program Services	$980,677	ProgramServicesAmt
Management And General	$168,887	ManagementAndGeneralAmt
Fundraising	$62,892	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$167,771	TotalAmt
Program Services	$129,315	ProgramServicesAmt
Management And General	$29,688	ManagementAndGeneralAmt
Fundraising	$8,768	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$106,379	TotalAmt
Program Services	$79,265	ProgramServicesAmt
Management And General	$21,028	ManagementAndGeneralAmt
Fundraising	$6,086	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,073	TotalAmt
Management And General	$3,073	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$12,360	TotalAmt
Management And General	$12,360	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$10,433	TotalAmt
Program Services	$7,774	ProgramServicesAmt
Management And General	$2,062	ManagementAndGeneralAmt
Fundraising	$597	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$24,362	TotalAmt
Program Services	$388	ProgramServicesAmt
Fundraising	$23,974	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$38,612	TotalAmt
Program Services	$22,144	ProgramServicesAmt
Management And General	$14,768	ManagementAndGeneralAmt
Fundraising	$1,700	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$122,215	TotalAmt
Program Services	$56,872	ProgramServicesAmt
Management And General	$65,343	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$153,204	TotalAmt
Program Services	$134,756	ProgramServicesAmt
Management And General	$15,366	ManagementAndGeneralAmt
Fundraising	$3,082	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,075	TotalAmt
Program Services	$3,776	ProgramServicesAmt
Management And General	$3,299	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$22,340	TotalAmt
Program Services	$19,470	ProgramServicesAmt
Management And General	$2,870	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$50,012	TotalAmt
Program Services	$25,006	ProgramServicesAmt
Management And General	$25,006	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$39,486	TotalAmt
Program Services	$29,422	ProgramServicesAmt
Management And General	$7,805	ManagementAndGeneralAmt
Fundraising	$2,259	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PROGRAM EXPENSES	$15,880	$15,880
BAD DEBTS	$12,548	$12,548
DUES	$11,664	$11,664
EQUIPMENT MAINTENANCE	$6,039		$6,039

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,407	TotalAmt
Management And General	$16,407	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,470,510	TotalAmt
Program Services	$1,808,125	ProgramServicesAmt
Management And General	$528,333	ManagementAndGeneralAmt
Fundraising	$134,052	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$119,759	BOYAmt
EOY	$272,461	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,525	BOYAmt
EOY	$3,169	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$103,488	BOYAmt
EOY	$42,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$77,760	BOYAmt
EOY	$62,617	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$26,999	BOYAmt
EOY	$30,798	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$459,061	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$352,212	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$127,409	BOYAmt
EOY	$106,849	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$595,136	BOYAmt
EOY	$396,444	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$289,729	BOYAmt
EOY	$364,308	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,344,805	BOYAmt
EOY	$1,278,646	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$317,833	BOYAmt
EOY	$249,196	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$552,998	BOYAmt
EOY	$443,131	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$870,831	BOYAmt
EOY	$692,327	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$41,171	BOYAmt
EOY	$180,011	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$70,074	BOYAmt
EOY	$0	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$362,729	BOYAmt
EOY	$406,308	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$473,974	BOYAmt
EOY	$586,319	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,344,805	BOYAmt
EOY	$1,278,646	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$23,191	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,474	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$83,680	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	0	FederalGrantAuditRequiredInd

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	$1,795,730	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,610,996	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,691,927	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,598,888	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,545,598	CurrentTaxYearAmt
Total	$8,243,139	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,795,730	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,610,996	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,691,927	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,598,888	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,545,598	CurrentTaxYearAmt
Total	$8,243,139	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$5,690,565	SubstantialContributorsTotAmt
Public Support Total170	$2,552,574	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$12,700	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$14,352	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$7,873	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,837	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,844	CurrentTaxYearAmt
Total	$39,606	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$63,750	CurrentTaxYearAmt
Total	$63,750	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$8,346,495	TotalSupportAmt
Gross Receipts Rltd Activities	$4,425,573	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.30580	PublicSupportCY170Pct
Public Support PY170	0.30640	PublicSupportPY170Pct
Private Foundation170	Yes (X)	PrivateFoundation170Ind
Facts And Circumstances Test	SCHEDULE A, PART II, LINE 17A, EXPLANATION FOR FACTS AND CIRCUMSTANCES TESTTHE CLINIC MAINTAINS ACTIVE COMMUNITY SUPPORT WHICH HAS SUCCESSFULLY ATTRACTED CONTRIBUTIONS FROM THE GENERAL PUBLIC. THEIR ANNUAL FUNDRAISING EFFORTS PROVIDE AN OPPORTUNITY FOR THE GENERAL PUBLIC TO KNOW MORE ABOUT THE ORGANZATION AND TO SUPPORT THE CLINIC'S PROGRAMS. THE CLINIC'S BOARD OF DIRECTORS REPRESENTS LEADERSHIP FROM AND OF THE COMMUNITY, AS WELL AS NONPROFIT MANAGEMENT EXPERTISE. THE BOARD HAS BEEN DESIGNED BOTH TO FACILIATE INVOLVEMENT BY FUNDERS AND TO ENSURE ACCOUNTABILITY TO THE BROAD COMMUNITY THE CLINIC SERVES. THE CLINIC HAS MANY PROGRAMS, COLLABORATIONS, AND RESOURCES AVAILABLE BOTH ON-SITE AND OFF-SITE THAT PROVIDE THE PUBLIC AND COMMUNITY WITH MENTAL HEALTH AND RELATED SERVICES.	FactsAndCircumstancesTestTxt

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

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$286,729	BeginningYearBalanceAmt
Contributions	$39,775	ContributionsAmt
Investment Earnings Or Losses	$53,093	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$13,135	GrantsOrScholarshipsAmt
Administrative Expenses	$2,153	AdministrativeExpensesAmt
End Year Balance	$364,309	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$230,151	BeginningYearBalanceAmt
Contributions	$40,538	ContributionsAmt
Investment Earnings Or Losses	$44,750	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$26,082	GrantsOrScholarshipsAmt
Administrative Expenses	$2,628	AdministrativeExpensesAmt
End Year Balance	$286,729	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$215,675	BeginningYearBalanceAmt
Contributions	$18,747	ContributionsAmt
Investment Earnings Or Losses	-$3,814	InvestmentEarningsOrLossesAmt
Administrative Expenses	$457	AdministrativeExpensesAmt
End Year Balance	$230,151	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,854	OtherCostOrOtherBasisAmt
Depreciation	$15,854	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$377,803	OtherCostOrOtherBasisAmt
Depreciation	$290,810	DepreciationAmt
Book Value	$86,993	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,404	OtherCostOrOtherBasisAmt
Depreciation	$45,548	DepreciationAmt
Book Value	$19,856	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$106,849	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
CERTIFICATES OF DEPOSIT	$299,646	F
CERTIFICATES OF DEPOSIT - DEFERRED COMP	$96,798	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$396,444	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	FUNDS HELD BY THE SAINT PAUL FOUNDATION	Desc
Book Value	$364,308	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$364,308	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
LIABILITY FOR PENSION BENEFITS	$433,879
LIABILITY FOR CAPITAL LEASE	$9,252

Field	Value	IRS element (for citing)
Total Liability	$443,131	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,536,979	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$5,474	NetUnrealizedGainsInvstAmt
Other Revenue	$37,804	OtherRevenueAmt
Revenue Not Reported	$43,278	RevenueNotReportedAmt
Revenue Subtotal	$2,493,701	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,493,701	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,470,510	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$2,470,510	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,470,510	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	TO PROVIDE SUPPORT TO ACCOMPLISH THE ORGANIZATION'S EXEMPT PURPOSE.
PART X, LINE 2:	THE CLINIC HAS BEEN CLASSIFIED AS A PUBLICLY SUPPORTED CLINIC, AND IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CLINIC HAS ADOPTED GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION OF UNCERTAIN TAX POSITIONS. THE GUIDANCE PRESCRIBES RECOGNITION THRESHOLD PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX FILING THAT ARE NOT CERTAIN TO BE REALIZED. THE IMPLEMENTATION OF THIS GUIDANCE HAD NO IMPACT ON THE CLINIC'S FINANCIAL STATEMENTS. THE CLINIC'S TAX FILINGS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. THE CLINIC IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX EXEMPT STATUS. THE CLINIC IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME, EXCISE OR OTHER TAXES. THE FILINGS FOR THE YEARS 2009 TO 2012 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHANGE IN VALUE - COMMUNITY FOUNDATION FUNDS 37,804.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	GRANTS, IN THE FORM OF STIPENDS, ARE GIVEN TO PSYCHOLOGY STUDENTS IN BI-WEEKLY PAYMENTS OVER A PERIOD OF ONE YEAR.	GrantTypeTxt
Recipient	4	RecipientCnt
Cash Grant	$69,139	CashGrantAmt
Non Cash Assistance	$0	NonCashAssistanceAmt
Valuation Method Used	N/A	ValuationMethodUsedDesc
Non Cash Assistance	N/A	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANTS, IN THE FORM OF STIPENDS, ARE GIVEN TO PSYCHOLOGY STUDENTS IN BI-WEEKLY PAYMENTS OVER A PERIOD OF ONE YEAR. THE CLINIC HAS THREE TYPES OF STUDENT PLACEMENTS: MASTERS LEVEL SOCIAL WORK STUDENTS, POST-GRADUATE PSYCHOLOGY STUDENTS AND POST DOCTORAL FELLOWS. EACH YEAR THE CLINIC DECIDES HOW MANY OF WHICH TYPE OF STUDENT THAT WILL BE ADMITTED. AFTER DETERMINATIONS ARE MADE, THE CLINIC NOTIFIES THE LOCAL SCHOOLS WITH WHOM THE CLINIC HAS AN ONGOING WORKING RELATIONSHIP WITH AND THE AMERICAN PSYCHOLOGICAL ASSOCIATION. THE LOCAL SCHOOLS ADVERTISE THE SOCIAL WORK AND POST-DOCTORAL OPENINGS AND THE AMERICAN PSYCHOLOGICAL ASSOCIATION ADVERTISES THE POST-GRADUATE PSYCHOLOGY POSITIONS. APPLICANTS WHO ARE VETTED BY THEIR RESPECTIVE ORGANIZATIONS ARE ELIGIBLE TO APPLY FOR A STUDENT PLACEMENT. THE CLINIC REVIEWS ALL APPLICATIONS AND THEN ARRANGE INTERVIEWS. A STAFF COMMITTEE MAKES THE ULTIMATE DECISION WHO TO ADMIT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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

Field	Value	IRS element (for citing)
Person	ROBERT NESHEIM MD	PersonNm
Title	MEDICAL DIRECTOR	TitleTxt
Base Compensation Filing Org	$142,728	BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs	$0	CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization	$0	BonusFilingOrganizationAmount
Bonus Related Organizations	$0	BonusRelatedOrganizationsAmt
Other Compensation Filing Org	$0	OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs	$0	OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org	$0	DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs	$0	DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org	$15,000	NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs	$0	NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org	$157,728	TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs	$0	TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org	$0	CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs	$0	CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$102,081	NoncashContributionsRptF990Amt
Method Of Determining Revenues	STOCK MARKET QUOTES	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, COLUMN (B):	FormAndLineReferenceDesc
Explanation	THE CLINIC REPORTS THE NUMBER OF CONTRIBUTORS ON PART I, COLUMN B.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	THE HAMM CLINIC EXECUTIVE COMMITTEE IS COMPRISED OF THE BOARD OF OFFICERS (PRESIDENT, VICE PRESIDENT, TREASURER AND SECRETARY); THE ASSISTANT SECRETARY; THE COMMITTEE CHAIRPERSONS; THE EXECUTIVE MEDICAL DIRECTOR AND THE CHIEF OPERATING OFFICER; AND ANY OTHER BOARD MEMBER THE PRESIDENT APPOINTS TO THE EXECUTIVE COMMITTEE. AD HOC RESPONSIBILITIES (PERFORMED ON AN AS NEEDED BASIS): - ADVISE EXECUTIVE MEDICAL DIRECTOR AND CHIEF OPERATING OFFICER ON PERSONNEL MATTERS, AS REQUESTED. - CONDUCT THE BUSINESS FOR THE BOARD, IF NECESSARY BEFORE THE FULL BOARD CAN MEET. - IMPLEMENT PROCESS AND PROCEDURES FOR SELECTION OF A NEW EXECUTIVE MEDICAL DIRECTOR AND THE CHIEF OPERATING OFFICER. - MONITOR THE PERFORMANCE OF THE BOARD COMMITTEES. TAKE ACTION TO CORRECT ANY DEFICIENCIES. - REVIEW OPERATIONAL RESULTS AND STATISTICS. - REVIEW INFORMATION ABOUT EXTERNAL TRENDS AND DEVELOPMENTS.
FORM 990, PART VI, SECTION A, LINE 2	EDWARD H. HAMM AND EDWARD H. HAMM III, BOTH BOARD MEMBERS, HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11	THE FINANCE COMMITTEE WILL MEET WITH THE AUDITORS ON OR BEFORE SEPTEMBER 10TH TO REVIEW THE AUDIT RESULTS AND FINANCIAL REPORTS. THE FORM 990 WILL BE EMAILED TO ALL FINANCE COMMITTEE MEMBERS FOR THEIR REVIEW AND EDIT COMMENTS. THE CONTROLLER AND COO WILL ALSO REVIEW THE FORM 990. A COPY OF THE 990 WILL BE PROVIDED TO THE WHOLE BOARD BEFORE IT IS FILED WITH IRS.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBERS FILL OUT AN ANNUAL DISCLOSURE FORM. IN THE CASE OF A CONFLICT, OR THE APPEARANCE THEREOF, BOARD MEMBERS ARE EXPECTED TO DISCLOSE THE CONFLICT PRIOR TO THE CLINIC'S MAKING ANY RELATED DECISIONS. IF A CONFLICT OF INTEREST IS PRESENT, THE DIRECTOR INVOLVED MUST IDENTIFY THE CONFLICT AND MAY, AT THE REQUEST OF THE BOARD OR COMMITTEE, REMAIN IN THE ROOM TO ANSWER QUESTIONS OF A FACTUAL NATURE THAT MAY ASSIST THE BOARD OR COMMITTEE IN ITS DELIBERATION AND DETERMINATION OF WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. BOARD MEMBERS HAVING A CONFLICT OF INTEREST ON A GIVEN ISSUE DO NOT VOTE ON THAT ISSUE. PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES.
FORM 990, PART VI, SECTION B, LINE 15	THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CHIEF OPERATING OFFICER INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION. THE EXECUTIVE COMMITTEE ALSO REVIEWS THE COMPENSATION AND BONUS PLAN. THE PROCESS WAS LAST UNDERTAKEN FOR THE PRESIDENT, DR. R. NESHEIM, AND CHIEF OPERATING OFFICER, S. DWYER IN 2013. THE PROCESS FOR DETERMINING OTHER OFFICERS' COMPENSATION INCLUDED A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, COMPARABILITY DATA, CONTEMPORANEOUS SUBSTANTIATION, AND A REVIEW BY THE EXECUTIVE AND FINANCE COMMITTEES WITH THE CHIEF OPERATING OFFICER AND THE BOARD PRESIDENT. THE PROCESS WAS LAST UNDERTAKEN FOR THE CONTROLLER, R. BOURMAN IN 2012; AND MEDICAL DIRECTOR, R. NESHEIM IN 2012.
FORM 990, PART VI, SECTION C, LINE 19	THE CLINIC'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	CHANGE IN VALUE - COMMUNITY FOUNDATION FUNDS 37,804. CHANGE IN LONG-TERM PENSION OBLIGATION 45,876.