2012-10-19T09:00:15-05:00 2012-06-30 420714325 MCGLADREY LLP 80 CITY SQUARE BOSTON MA 021293742 990 2011-07-01 042104268 DOUGLAS A THOM CLINIC INC DOUG 5086555222 251 WEST CENTRAL STREET NO 22 NATICK MA 01760 PETER WOODBURY 5086555222 2012-10-18 1 LYNNE JOHNSON P00757336 6179129000 2011 2016-02-24 21:20:13Z PETER L WOODBURY 251 WEST CENTRAL STREET NO 22 NATICK MA 01760 31391913 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 8 709 0 173320 -218034 26880 30059 27385799 31352509 11351 9345 0 0 27424030 31391913 0 0 0 0 23980160 27314450 0 0 58015 2840806 3546847 26820966 30861297 603064 530616 8438072 8967493 1862833 1863285 6575239 7104208 PERFORM EARLY INTERVENTION SERVICES FOR AT RISK CHILDREN BETWEEN THE AGES OF 0 - 3 YEARS. 0 0 27942490 30658368 OPERATED 9 EARLY INTERVENTION PROGRAMS SERVING CHILDREN AT RISK, AGES 0-3. 375619 173320 ADMINISTRATIVE AND SOFTWARE SERVICES OPERATED TO SUPPORT PROGRAMS B AND C AND OTHER OUTSIDE EARLY INTERVENTION SERVICE PROVIDERS. 164122 347501 REGIONAL CONSULTATION PROGRAM FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS, INCLUDING FAMILY SUPPORT. 28482231 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 1 0 0 0 0 0 0 0 0 0 0 0 1 24 0 709 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 MA X PETER L WOODBURY 5086555222 251 W CENTRAL ST STE 22 NATICK MA 01760 LOUIS R COHEN 0.50 X X 0 0 0 MIRIAM G LASHER 0.50 X X 0 0 0 PHYLLIS FAZZIO 0.50 X 0 0 0 JAMES HOULARES 0.50 X 0 0 0 ARTHUR W HUGHES 0.50 X X 0 0 0 FREDERICK V FORTMILLER 0.50 X 0 0 0 PAMELA PALMUCCI 0.50 X 0 0 0 HEATHER E BROWN 0.50 X 0 0 0 PETER L WOODBURY 40.00 X 248483 0 46365 TANYA MATEER 40.00 X 122563 0 6962 KATHLEEN WOODBURY 40.00 X 133173 0 2737 LAWRENCE TUCKER 40.00 X 136939 0 1265 WILMA L RONCO 40.00 X 149927 0 21162 791085 0 78491 5 0 1 0 0 586 29473 30059 PATIENT REVENUE 624100 31179189 31179189 PROGRAM SERVICE REVENU 561499 173320 173320 31352509 9345 9345 31391913 31179189 173320 9345 431795 14609 402577 14609 22972203 22082147 862071 27985 149891 101115 48776 1984047 1875224 103688 5135 1776514 1620992 151680 3842 7321 7321 65334 65334 318686 164344 154342 11692 11692 222285 179447 41136 1702 145204 109370 35834 1202492 929445 268368 4679 792534 789736 2757 41 14715 44 14671 94638 15735 78903 PROGRAM SUPPORT 244700 244700 OFFICE EQUIPMENTS 137014 98386 38606 22 DIRECT CARE SUPPLIES 87964 87964 STAFF TRAINING 72717 61777 10940 129551 107196 22355 30861297 28482231 2321051 58015 2372448 1727335 14797 14943 4684218 5859806 142663 98655 1447560 463784 980493 983776 166584 200108 76869 82870 8438072 8967493 1481155 1808332 381678 54953 1862833 1863285 X 6456233 6984977 119006 119231 6575239 7104208 8438072 8967493 X 530616 -1647 X 0 1 1 X 1 1 X 28270 25318 34949 26880 30059 145476 28270 25318 34949 26880 30059 145476 145476 9457 7539 9738 11351 9345 47430 192906 134451454 0.75410 0.76310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2 3900 938 5801 1 1 820597 88898 731699 100263 80192 20071 520385 288379 232006 6315 6315 0 983776 31391913 30861297 530616 -1647 -1647 528969 31390266 -1647 -1647 31391913 0 31391913 30861297 0 30861297 0 30861297 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. X X X 0 0 0 0 0 0 0 0 0 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 KATHLEEN WOODBURY FAMILY MEMBER OF PETER L. WOODBURY, EXECUTIVE DIRECTOR 135910 EMPLOYMENT 0 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: UNREALIZED GAIN/LOSS -1,647. TOTAL TO FORM 990, PART XI, LINE 5: -1,647.