BLUE MOUNTAIN CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BLUE MOUNTAIN CLINIC INC (EIN 81-0365291)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-18
IRS object ID
201212929349300531
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

FieldValueIRS element (for citing)
Timestamp2012-10-18T11:42:24-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Boyle Deveny & Meyer PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1305 South 4th East Suite 200AddressLine1
CityMissoulaCity
StateMTState
ZIP Code59801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN810365291EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BLUE MOUNTAIN CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBLUENameControl
Phone4067211646Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1610 N CALIFORNIA STAddressLine1
CityMISSOULACity
StateMTState
ZIP Code59802ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANNIE HANSENName
TitleExecutive Dir.Title
Date Signed2012-10-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJaime Troiano CPAName
Phone4067213555Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANNIE HANSENNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1610 N CALIFORNIA STAddressLine1
CityMISSOULACity
StateMTState
ZIP Code59802ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1291208GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.bluemountainclinic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1976YearFormation
State Legal DomicileMTStateLegalDomicile
Activity Or Mission DescriptionIt is the mission of Blue Mountain Clinic (BMC) to provide access to safe, affordable reproductive and primary health care; to provide accurate education on health, reproductive choices and sexuality; to advocate for policies that improve reproductive justice and correct health disparities; and to empower individuals to actively participate in their health care.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees27TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year70224ContributionsGrantsPriorYear
Contributions Grants Current Year99805ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1158746ProgramServiceRevenuePriorYear
Program Service Revenue CY1170365ProgramServiceRevenueCY
Investment Income Prior Year145InvestmentIncomePriorYear
Investment Income Current Year5InvestmentIncomeCurrentYear
Other Revenue Prior Year6409OtherRevenuePriorYear
Other Revenue Current Year13454OtherRevenueCurrentYear
Total Revenue Prior Year1235524TotalRevenuePriorYear
Total Revenue Current Year1283629TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year787311SalariesEtcPriorYear
Salaries Etc Current Year753265SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year55638TotalFundrsngExpCurrentYear
Other Expense Prior Year453984OtherExpensePriorYear
Other Expenses Current Year510767OtherExpensesCurrentYear
Total Expenses Prior Year1241295TotalExpensesPriorYear
Total Expenses Current Year1264032TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-5771RevenuesLessExpensesPriorYear
Revenues Less Expenses CY19597RevenuesLessExpensesCY
Total Assets BOY733776TotalAssetsBOY
Total Assets EOY727095TotalAssetsEOY
Total Liabilities BOY254782TotalLiabilitiesBOY
Total Liabilities EOY228540TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY478994NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY498555NetAssetsOrFundBalancesEOY
Mission DescriptionIt is the mission of Blue Mountain Clinic (BMC) to provide access to safe, affordable reproductive and primary health care; to provide accurate education on health, reproductive choices and sexuality; to advocate for policies that improve reproductive justice and correct health disparities; and to empower individuals to actively participate in their health care.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1025524Expense
DescriptionBlue Mountain Clinic (BMC) features quality clinicians and experienced staff who provide: family practice - general medical services and on-site lab servicessexual and reproductive health care mental health counseling first trimester abortion and counselingEase of scheduling includes a "come on down" category, for those days when patient's need to receive urgent evaluation and care. BMC has provided access to first trimester abortion care with an emphasis on options counseling and birth control selection for 33 years. In 2011, BMC was again voted "Best Health Clinic" and Dr. Ravitz was voted "Best Doctor" for the 3rd year in a row in the Missoula Indepenent's reader's poll "Best of Missoula" awards. Each year BMC staff participate in 20-35 activities for education, advocacy and outreach.In 2011 BMC again put on "Off the Rack", a fund raising fashion event designed to promote healthy sexuality that goes beyond barriers, gender and stigma. This year about 600 supporters attended the event. In 2011, BMC continued to initiate expanded outreach efforts to develop the capacity to activate support and expand access. BMC continued to use internet technology as part of this effort, and continued to expand and develop E-Muse, an on-line newsletter. Continued steps were also taken to create a network of advocates in rural health care delivery settings, to increase prevention awareness to underserved regions of Montana and surrounding states, and to improve access to women seeking care by identifying resources to offset financial constraints.In July of 2010 BMC's Montana Access Project launched ASKMAP, an SMS(text) and web-based hotline to provide information on sexual health, education and resources. Users can send or text a question confidentially and anonymously and get answers and resources from a clinical professional using a technological medium that helps reduce shame and embarrassment.BMC sees about 8,500 patient visits every year. These visits breakdown as follows:Family Practice - 68%, Gynecology, Contraceptive and Sexual Health - 18%, Mental Health Counseling - 7%, Abortion Care - 7%Description
Total Program Service Expense1025524TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees27NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBLUE MOUNTAIN CLINICNamePerson
Telephone Number4067211646TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1610 N CALIFORNIA STAddressLine1
CityMISSOULACity
StateMTState
ZIP Code59802ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
AMANDA PATEL
Director2.00X000
Erica Woodahl
Director2.00X000
ANNIE HANSEN
Director/Staff40.00X3731100
Trinda Rieck
Director2.00X000
Peet Mckinney
Director2.00X000
JENESY DAHL
Director/Staff40.00X3349800
Deanna Jenness
Director2.00X000
MOLLY HOWARD
Secretary2.00000X
KEN LOCKWOOD
President2.00000X
Keegan Flaherty
Treasurer2.00000X
ANITA VATSHELL
Executive Dir.40.006846200X
ERIC A RAVITZ
STAFF40.0011108500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org250356TotalReportableCompFromOrg
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions99805AllOtherContributions
Total Contributions99805TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHEALTH CARE DELIVERYDescription
Business Code621110BusinessCode
Total Revenue Column1170365TotalRevenueColumn
Related Or Exempt Function Income1170365RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1170365TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5TotalRevenueColumn
Exclusion$5ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events21033GrossIncomeFundraisingEvents
Fundraising Direct Expenses7579FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column13454TotalRevenueColumn
Exclusion$13,454ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1283629TotalRevenueColumn
Related Or Exempt Function Income1170365RelatedOrExemptFunctionIncome
Exclusion$13,459ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total68462Total
Management And General51347ManagementAndGeneral
Fundraising17115Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total617009Total
Program Services524458ProgramServices
Management And General61701ManagementAndGeneral
Fundraising30850Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total15896Total
Program Services11922ProgramServices
Management And General3974ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total51898Total
Program Services38924ProgramServices
Management And General12974ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total700Total
Management And General700ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total17347Total
Management And General17347ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9218Total
Program Services5992ProgramServices
Management And General2765ManagementAndGeneral
Fundraising461Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5514Total
Program Services4687ProgramServices
Management And General551ManagementAndGeneral
Fundraising276Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13405Total
Program Services10723ProgramServices
Management And General2011ManagementAndGeneral
Fundraising671Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total303Total
Program Services303ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total10630Total
Program Services10630ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total35228Total
Program Services29944ProgramServices
Management And General3523ManagementAndGeneral
Fundraising1761Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total3400Total
Management And General3400ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OUTSIDE SERVICES9612896128
MEDICAL SUPPLIES7288572885
MALPRACTICE INSURANCE3150831508
LAB SUPPLIES4509445094
CONTRACTED SERVICES35333282667067

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total134074Total
Program Services114060ProgramServices
Management And General15510ManagementAndGeneral
Fundraising4504Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1264032Total
Program Services1025524ProgramServices
Management And General182870ManagementAndGeneral
Fundraising55638Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7867BOY
EOY21294EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY18472BOY
EOY39322EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY48583BOY
EOY49824EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY5000BOY
EOY5000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY27BOY
EOY27EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1128096LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec516468LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY646856BOY
EOY611628EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6971BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY733776BOY
EOY727095EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16458BOY
EOY18711EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY238324BOY
EOY209829EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY254782BOY
EOY228540EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY478994BOY
EOY498555EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY478994BOY
EOY498555EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY733776BOY
EOY727095EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses19597ReconcilationRevenueExpenses
Reconcilation Other Changes-36ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years117955CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years112513CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80720CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year70224CurrentTaxYearMinus1Year
Current Tax Year99805CurrentTaxYear
Total481217Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1010797CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1059264CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1125776CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1158746CurrentTaxYearMinus1Year
Current Tax Year1170365CurrentTaxYear
Total5524948Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1128752CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1171777CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1206496CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1228970CurrentTaxYearMinus1Year
Current Tax Year1270170CurrentTaxYear
Total6006165Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years89000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years59197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52000CurrentTaxYearMinus1Year
Current Tax Year80000CurrentTaxYear
Total366697Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years89000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years86500CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years59197CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year52000CurrentTaxYearMinus1Year
Current Tax Year80000CurrentTaxYear
Total366697Total
FieldValueIRS element (for citing)
Public Support Total5095639468PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years556CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years468CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years228CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year145CurrentTaxYearMinus1Year
Current Tax Year5CurrentTaxYear
Total1402Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years556CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years468CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years228CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year145CurrentTaxYearMinus1Year
Current Tax Year5CurrentTaxYear
Total1402Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1129308CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1172245CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1206724CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1229115CurrentTaxYearMinus1Year
Current Tax Year1270175CurrentTaxYear
Total6007567Total
FieldValueIRS element (for citing)
Public Support Percentage5090.93870PublicSupportPercentage509
Prior Year Support Percentage0.94110PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00070PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis79989OtherCostOrOtherBasis
Book Value79989BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis833370OtherCostOrOtherBasis
Depreciation342974Depreciation
Book Value490396BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis210962OtherCostOrOtherBasis
Depreciation169719Depreciation
Book Value41243BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3775OtherCostOrOtherBasis
Depreciation3775Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings611628TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1OFF THE RACKNameOfEvent1
Gross Receipts Event121033GrossReceiptsEvent1
Gross Revenue Event121033GrossRevenueEvent1
Rent Facility Costs Event11805RentFacilityCostsEvent1
Food And Beverage Event1447FoodAndBeverageEvent1
Other Direct Expenses Event15327OtherDirectExpensesEvent1
Gross Receipts Total21033GrossReceiptsTotal
Gross Revenue Total Events21033GrossRevenueTotalEvents
Rent Facility Costs Total Events1805RentFacilityCostsTotalEvents
Food And Beverage Total Events447FoodAndBeverageTotalEvents
Other Direct Expenses Total Events5327OtherDirectExpensesTotalEvents
Direct Expense Summary Events7579DirectExpenseSummaryEvents
Net Income Summary13454NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableANY OF THESE DOCUMENTS ARE READILY AVAILIBLE UPON REQUEST.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesCOMPENSATION OF THE EXECUTIVE DIRECTOR AND THE MEDICAL DIRECTOR IS SUBJECTED TO ANNUAL REVIEW AND APPROVAL BY THE BOARD OF DIRECTORS. CHANGES TO COMPENSATION BASED ON PERFORMANCE EVALUATIONS, COST OF LIVING INCREASE, OR ANNUAL BUDGET CONSTRAINTS ARE REVIEWED AND VOTED ON BY THE BOARD AS A WHOLE.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsBOARD MEMBERS AND KEY STAFF MEMBERS ARE ASKED TO DIVULGE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO JOINING THE BOARD OR COMMENCING EMPLOYMENT AT THE CLINIC. BOTH BOARD AND STAFF MEMBERS UNDERGO A THOROUGH APPLICATION PROCESS DESIGNED TO PREVENT AND AVOID ANY POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessA FINANCE COMMITTEE CONSISTING OF THE CURRENT BOARD TREASURER AND THE CPA WHO PREPARES THE RETURN (ALSO A FORMER BOARD MEMBER) MEET TO REVIEW THE 990 IN DETAIL AND ANY CHANGES AND/OR SIGNIFICANT INFORMATION THAT IS RELEVANT TO BOARD MEMBERS IS PASSED ON TO THE BOARD FOR DISCUSSION PURPOSES VIA THE TREASURER.

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