DOUGLAS A THOM CLINIC INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- DOUGLAS A THOM CLINIC INC (EIN 04-2104268)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2012-10-19
- IRS object ID
- 201202939349300005
- Schema version
- 2011v1.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-19T09:00:15-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 80 CITY SQUARE | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 021293742 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 042104268 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUGLAS A THOM CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DOUG | NameControl |
| Phone | 5086555222 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 WEST CENTRAL STREET NO 22 | AddressLine1 |
| City | NATICK | City |
| State | MA | State |
| ZIP Code | 01760 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PETER WOODBURY | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 5086555222 | Phone |
| Date Signed | 2012-10-18 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LYNNE JOHNSON | Name |
| PTIN | P00757336 | PTIN |
| Phone | 6179129000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PETER L WOODBURY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 WEST CENTRAL STREET NO 22 | AddressLine1 |
| City | NATICK | City |
| State | MA | State |
| ZIP Code | 01760 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 31391913 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.THOMCHILD.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1933 | YearFormation |
| State Legal Domicile | MA | StateLegalDomicile |
| Activity Or Mission Description | PERFORM EARLY INTERVENTION SERVICES FOR AT RISK CHILDREN BETWEEN THE AGES OF 0-3 YEARS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 709 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 173320 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -218034 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26880 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 30059 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 27385799 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 31352509 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 11351 | InvestmentIncomePriorYear |
| Investment Income Current Year | 9345 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 27424030 | TotalRevenuePriorYear |
| Total Revenue Current Year | 31391913 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23980160 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 27314450 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 58015 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2840806 | OtherExpensePriorYear |
| Other Expenses Current Year | 3546847 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 26820966 | TotalExpensesPriorYear |
| Total Expenses Current Year | 30861297 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 603064 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 530616 | RevenuesLessExpensesCY |
| Total Assets BOY | 8438072 | TotalAssetsBOY |
| Total Assets EOY | 8967493 | TotalAssetsEOY |
| Total Liabilities BOY | 1862833 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1863285 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6575239 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7104208 | NetAssetsOrFundBalancesEOY |
| Mission Description | PERFORM EARLY INTERVENTION SERVICES FOR AT RISK CHILDREN BETWEEN THE AGES OF 0 - 3 YEARS. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 27942490 | Expense |
| Revenue | 30658368 | Revenue |
| Description | OPERATED 9 EARLY INTERVENTION PROGRAMS SERVING CHILDREN AT RISK, AGES 0-3. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 375619 | Expense |
| Revenue | 173320 | Revenue |
| Description | ADMINISTRATIVE AND SOFTWARE SERVICES OPERATED TO SUPPORT PROGRAMS B AND C AND OTHER OUTSIDE EARLY INTERVENTION SERVICE PROVIDERS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 164122 | Expense |
| Revenue | 347501 | Revenue |
| Description | REGIONAL CONSULTATION PROGRAM FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS, INCLUDING FAMILY SUPPORT. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 28482231 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 1 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 24 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 709 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 1 | LocalChapters |
| Policies Reference Chapters | 1 | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PETER L WOODBURY | NamePerson |
| Telephone Number | 5086555222 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 251 W CENTRAL ST STE 22 | AddressLine1 |
| City | NATICK | City |
| State | MA | State |
| ZIP Code | 01760 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| LOUIS R COHEN | |||||||
| TREASURER | 0.50 | X | X | 0 | 0 | 0 | |
| MIRIAM G LASHER | |||||||
| BOARD PRESIDENT | 0.50 | X | X | 0 | 0 | 0 | |
| PHYLLIS FAZZIO | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| JAMES HOULARES | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| ARTHUR W HUGHES | |||||||
| BOARD VICE PRESIDENT | 0.50 | X | X | 0 | 0 | 0 | |
| FREDERICK V FORTMILLER | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| PAMELA PALMUCCI | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| HEATHER E BROWN | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| PETER L WOODBURY | |||||||
| EXECUTIVE DIRECTOR | 40.00 | X | 248483 | 0 | 46365 | ||
| TANYA MATEER | |||||||
| DIR FINANCE | 40.00 | X | 122563 | 0 | 6962 | ||
| KATHLEEN WOODBURY | |||||||
| DIR BILLING | 40.00 | 133173 | 0 | 2737 | X | ||
| LAWRENCE TUCKER | |||||||
| SR PROGRAMMER | 40.00 | 136939 | 0 | 1265 | X | ||
| WILMA L RONCO | |||||||
| DIR PRGM SVCS | 40.00 | 149927 | 0 | 21162 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 791085 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 78491 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 586 | FederatedCampaigns |
| All Other Contributions | 29473 | AllOtherContributions |
| Total Contributions | 30059 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| PATIENT REVENUE | 624100 | 31179189 | 31179189 | |
| PROGRAM SERVICE REVENU | 561499 | 173320 | 173320 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 31352509 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9345 | TotalRevenueColumn |
| Exclusion | $9,345 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 31391913 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31179189 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 173320 | UnrelatedBusinessRevenue |
| Exclusion | $9,345 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431795 | Total |
| Program Services | 14609 | ProgramServices |
| Management And General | 402577 | ManagementAndGeneral |
| Fundraising | 14609 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22972203 | Total |
| Program Services | 22082147 | ProgramServices |
| Management And General | 862071 | ManagementAndGeneral |
| Fundraising | 27985 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149891 | Total |
| Program Services | 101115 | ProgramServices |
| Management And General | 48776 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1984047 | Total |
| Program Services | 1875224 | ProgramServices |
| Management And General | 103688 | ManagementAndGeneral |
| Fundraising | 5135 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1776514 | Total |
| Program Services | 1620992 | ProgramServices |
| Management And General | 151680 | ManagementAndGeneral |
| Fundraising | 3842 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7321 | Total |
| Management And General | 7321 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65334 | Total |
| Management And General | 65334 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 318686 | Total |
| Program Services | 164344 | ProgramServices |
| Management And General | 154342 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11692 | Total |
| Management And General | 11692 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222285 | Total |
| Program Services | 179447 | ProgramServices |
| Management And General | 41136 | ManagementAndGeneral |
| Fundraising | 1702 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 145204 | Total |
| Program Services | 109370 | ProgramServices |
| Management And General | 35834 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1202492 | Total |
| Program Services | 929445 | ProgramServices |
| Management And General | 268368 | ManagementAndGeneral |
| Fundraising | 4679 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 792534 | Total |
| Program Services | 789736 | ProgramServices |
| Management And General | 2757 | ManagementAndGeneral |
| Fundraising | 41 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14715 | Total |
| Program Services | 44 | ProgramServices |
| Management And General | 14671 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94638 | Total |
| Program Services | 15735 | ProgramServices |
| Management And General | 78903 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| PROGRAM SUPPORT | 244700 | 244700 | ||
| OFFICE EQUIPMENTS | 137014 | 98386 | 38606 | 22 |
| DIRECT CARE SUPPLIES | 87964 | 87964 | ||
| STAFF TRAINING | 72717 | 61777 | 10940 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 129551 | Total |
| Program Services | 107196 | ProgramServices |
| Management And General | 22355 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30861297 | Total |
| Program Services | 28482231 | ProgramServices |
| Management And General | 2321051 | ManagementAndGeneral |
| Fundraising | 58015 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2372448 | BOY |
| EOY | 1727335 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14797 | BOY |
| EOY | 14943 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4684218 | BOY |
| EOY | 5859806 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142663 | BOY |
| EOY | 98655 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1447560 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 463784 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 980493 | BOY |
| EOY | 983776 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 166584 | BOY |
| EOY | 200108 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 76869 | BOY |
| EOY | 82870 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8438072 | BOY |
| EOY | 8967493 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1481155 | BOY |
| EOY | 1808332 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 381678 | BOY |
| EOY | 54953 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1862833 | BOY |
| EOY | 1863285 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6456233 | BOY |
| EOY | 6984977 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 119006 | BOY |
| EOY | 119231 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6575239 | BOY |
| EOY | 7104208 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8438072 | BOY |
| EOY | 8967493 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 530616 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1647 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 28270 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25318 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34949 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26880 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30059 | CurrentTaxYear |
| Total | 145476 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 28270 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25318 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34949 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26880 | CurrentTaxYearMinus1Year |
| Current Tax Year | 30059 | CurrentTaxYear |
| Total | 145476 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 145476 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 9457 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7539 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9738 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11351 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9345 | CurrentTaxYear |
| Total | 47430 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 192906 | TotalSupport |
| Gross Receipts From Admissions Etc | 134451454 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.75410 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.76310 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number DA Fs Held | 2 | NumberDAFsHeld |
| Donor Advised Contributions | 3900 | DonorAdvisedContributions |
| Grants Paid From Donor Funds | 938 | GrantsPaidFromDonorFunds |
| Aggregate DAF Value | 5801 | AggregateDAFValue |
| Disclosed Orgs Legal Control | 1 | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | 1 | DisclosedForCharitablePurposes |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 820597 | OtherCostOrOtherBasis |
| Depreciation | 88898 | Depreciation |
| Book Value | 731699 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 100263 | OtherCostOrOtherBasis |
| Depreciation | 80192 | Depreciation |
| Book Value | 20071 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 520385 | OtherCostOrOtherBasis |
| Depreciation | 288379 | Depreciation |
| Book Value | 232006 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6315 | OtherCostOrOtherBasis |
| Depreciation | 6315 | Depreciation |
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 983776 | TotalOfBookValueLandBuildings |
| Total Revenue | 31391913 | TotalRevenue |
| Total Expenses | 30861297 | TotalExpenses |
| Excess Or Deficit For Year | 530616 | ExcessOrDeficitForYear |
| Other | -$1,647 | OtherAmount |
| Total Adjustments | -1647 | TotalAdjustments |
| Excess Or Deficit Per FS | 528969 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 31390266 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1647 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -1647 | RevenueNotRptdF990 |
| Revenue Subtotal | 31391913 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 31391913 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 30861297 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 30861297 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 30861297 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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 FOLLOWS FASB ASC 740 - INCOME TAXES, WHICH CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES BY PRESCRIBING THE RECOGNITION THRESHOLD A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. IT ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. MANAGEMENT BELIEVES THE CLINIC HAS NO MATERIAL UNCERTAINTIES IN INCOME TAXES. THE CLINIC IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR FISCAL YEARS BEFORE 2008. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | UNREALIZED GAIN/LOSS -1,647. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER L WOODBURY | |||||||||||||
| 247691 | 0 | 0 | 0 | 792 | 0 | 24314 | 0 | 22051 | 0 | 294848 | 0 | 0 | 0 |
| WILMA L RONCO | |||||||||||||
| 149204 | 0 | 0 | 0 | 723 | 0 | 11413 | 0 | 9749 | 0 | 171089 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KATHLEEN WOODBURY | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FAMILY MEMBER OF PETER L. WOODBURY, EXECUTIVE DIRECTOR | Relationship |
| Amount Of Transaction | 135910 | AmountOfTransaction |
| Description Of Transaction | EMPLOYMENT | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 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. IN ADDITION, THE ORGANIZATION'S FORM 990 IS AVAILABLE VIA GUIDESTAR AND THE MASSACHUSETTS ATTORNEY GENERAL'S WEBSITE. | |
| FORM 990, PART XI, LINE 5: | UNREALIZED GAIN/LOSS -1,647. TOTAL TO FORM 990, PART XI, LINE 5: -1,647. | CHANGES IN NET ASSETS OR FUND BALANCES: |
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