FURP.ORG / PUBLIC DATA EXPLORER

HAMLETT SPAY AND NEUTER CLINIC OF COLORADO SPRINGS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HAMLETT SPAY AND NEUTER CLINIC OF COLORADO SPRINGS (EIN 84-0721617)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-12-14
IRS object ID
201233499349300118
Schema version
2011v1.3
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)
Timestamp2012-12-14T09:51:43-06:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1STOCKMAN KAST RYAN & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1102 N CASCADE AVENUE SUITE 400AddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840721617EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hamlett Spay & Neuter Clinic IncBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% SANDRA MOEInCareOfName
Name ControlHAMLNameControl
Phone7194751800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13660 Citadel Drive NorthAddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code80909ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSandra K MoeName
TitleExecutive DirectorTitle
Date Signed2012-12-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDOREEN B MERZName
Phone7196301186Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonSandra MoeNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13660 CITADEL DRIVE NORTHAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80909ZIPCode
FieldValueIRS element (for citing)
Gross Receipts827007GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.hamlettclinic.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE AFFORDABLE STERILIZATION OF DOGS AND CATS IN AN EFFORT TO REDUCE OVERPOPULATION AND THE NEEDLESS DEATH AND SUFFERING OF ANIMALS.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members4NbrIndependentVotingMembers
Total Nbr Employees17TotalNbrEmployees
Total Nbr Volunteers3TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year707468ContributionsGrantsPriorYear
Contributions Grants Current Year31272ContributionsGrantsCurrentYear
Program Service Revenue Prior Year846381ProgramServiceRevenuePriorYear
Program Service Revenue CY799264ProgramServiceRevenueCY
Investment Income Prior Year1179InvestmentIncomePriorYear
Investment Income Current Year1485InvestmentIncomeCurrentYear
Other Revenue Prior Year14021OtherRevenuePriorYear
Other Revenue Current Year-5033OtherRevenueCurrentYear
Total Revenue Prior Year1569049TotalRevenuePriorYear
Total Revenue Current Year826988TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year517014SalariesEtcPriorYear
Salaries Etc Current Year549278SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year200TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year27658TotalFundrsngExpCurrentYear
Other Expense Prior Year296337OtherExpensePriorYear
Other Expenses Current Year343709OtherExpensesCurrentYear
Total Expenses Prior Year813551TotalExpensesPriorYear
Total Expenses Current Year892987TotalExpensesCurrentYear
Revenues Less Expenses Prior Year755498RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-65999RevenuesLessExpensesCY
Total Assets BOY1446779TotalAssetsBOY
Total Assets EOY1588687TotalAssetsEOY
Total Liabilities BOY46435TotalLiabilitiesBOY
Total Liabilities EOY250963TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1400344NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1337724NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE AFFORDABLE STERILIZATION OF DOGS AND CATS IN AN EFFORT TO REDUCE OVERPOPULATION AND THE NEEDLESS DEATH AND SUFFERING OF ANIMALS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense409247Expense
Revenue248373Revenue
DescriptionSTERILIZATION SERVICES: AFFORDABLE SPAY AND NEUTER SERVICES FOR DOGS AND CATS IN ORDER TO REDUCE ANIMAL OVERPRODUCTION.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense310415Expense
Revenue340518Revenue
DescriptionVACCINATION SERVICES: AFFORDABLE VACCINATIONS FOR DOGS AND CATS IN ORDER TO PREVENT THE DEVELOPMENT AND SPREAD OF ANIMAL DISEASES.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense40300Expense
Revenue223617Revenue
DescriptionEUTHANASIA/OTHER SERVICES: SERVICES FOR EUTHANASIA ARE OFFERED FOR ANIMALS WHO ARE EITHER OLD OR TERMINALLY ILL. OTHER SERVICES INCLUDE TESTING OF BLOOD AND FECAL SAMPLES IN ORDER TO DETERMINE AN ANIMAL'S EXPOSURE TO DISEASE.Description
FieldValueIRS element (for citing)
Total Program Service Expense759962TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees17NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members4NumberIndependentVotingMembers
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
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSANDRA MOENamePerson
Telephone Number7194751800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13660 CITADEL DRIVE NORTHAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80909ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Margaret Johnston
President of Board & Vet Tech32.0XX2033600
Sherrie Nordstrom
Vice President/Volunteer Coord1.0XX
Robert Spitzer
Secretary1.0XX000
Lana Rollins
Treasurer1.0XX000
Nancy Glanzer
Director1.0X000
Sandra Sam Moe
Executive Director40.0X4604407134
FieldValueIRS element (for citing)
Total Reportable Comp From Org66380TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation7134TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonNONENamePerson
FieldValueIRS element (for citing)
Address Of ContractorAddressOfContractor
FieldValueIRS element (for citing)
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions31272AllOtherContributions
Total Contributions31272TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionSTERILIZATION, VACCINATIONS & SURGERY INCOMEDescription
Business Code541900BusinessCode
Total Revenue Column799264TotalRevenueColumn
Related Or Exempt Function Income799264RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue799264TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1485TotalRevenueColumn
Exclusion$1,485ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Fundraising Direct Expenses19FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-19TotalRevenueColumn
Exclusion-$19ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISCELLANEOUS9000991324413244
REALIZED GAIN/(LOSS): BENEFICIAL INTEREST IN TRUST900099-18258-$18,258
FieldValueIRS element (for citing)
Total Other Revenue-5014TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column826988TotalRevenueColumn
Related Or Exempt Function Income812508RelatedOrExemptFunctionIncome
Exclusion-$16,792ExclusionAmount

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)
Total73514Total
Program Services61806ProgramServices
Management And General8134ManagementAndGeneral
Fundraising3574Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total408049Total
Program Services343058ProgramServices
Management And General45152ManagementAndGeneral
Fundraising19839Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total32081Total
Program Services26971ProgramServices
Management And General3550ManagementAndGeneral
Fundraising1560Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total35634Total
Program Services29959ProgramServices
Management And General3943ManagementAndGeneral
Fundraising1732Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6187Total
Program Services6187ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total28422Total
Management And General28422ManagementAndGeneral

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)
Total7528Total
Program Services6775ProgramServices
Fundraising753Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total10891Total
Program Services10165ProgramServices
Management And General726ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total10151Total
Program Services9475ProgramServices
Management And General676ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13870Total
Program Services12666ProgramServices
Management And General1204ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4166Total
Program Services2512ProgramServices
Management And General1654ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
SUPPLIES1936661900973569
BANK & CREDIT CARD FEES2136621366
PRINTING & PUBLICATIONS673143752356
REPAIRS & MAINTENANCE1306812197871

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total27663Total
Program Services22353ProgramServices
Management And General5110ManagementAndGeneral
Fundraising200Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total892987Total
Program Services759962ProgramServices
Management And General105367ManagementAndGeneral
Fundraising27658Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5802BOY
EOY115690EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY577921BOY
EOY58416EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1730BOY
EOY1616EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY31365BOY
EOY35184EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6714BOY
EOY7140EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis921918LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65574LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1133BOY
EOY856344EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY82646BOY
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY739468BOY
EOY514297EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1446779BOY
EOY1588687EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY46435BOY
EOY56048EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY194915EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY46435BOY
EOY250963EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY670876BOY
EOY823427EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY729468BOY
EOY514297EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1400344BOY
EOY1337724EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1446779BOY
EOY1588687EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-65999ReconcilationRevenueExpenses
Reconcilation Other Changes3379ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15603CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14698CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21103CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year682468CurrentTaxYearMinus1Year
Current Tax Year31272CurrentTaxYear
Total765144Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years737921CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years757202CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years818173CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year846381CurrentTaxYearMinus1Year
Current Tax Year799264CurrentTaxYear
Total3958941Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years753524CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years771900CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years839276CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1528849CurrentTaxYearMinus1Year
Current Tax Year830536CurrentTaxYear
Total4724085Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year658789CurrentTaxYearMinus1Year
Current Tax Year11468CurrentTaxYear
Total670257Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year658789CurrentTaxYearMinus1Year
Current Tax Year11468CurrentTaxYear
Total670257Total
FieldValueIRS element (for citing)
Public Support Total5094053828PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12455CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1179CurrentTaxYearMinus1Year
Current Tax Year1485CurrentTaxYear
Total21191Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12455CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1179CurrentTaxYearMinus1Year
Current Tax Year1485CurrentTaxYear
Total21191Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years12553CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12929CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year13911CurrentTaxYearMinus1Year
Current Tax Year-5014CurrentTaxYear
Total34379Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years765979CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years789375CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years853355CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1543939CurrentTaxYearMinus1Year
Current Tax Year827007CurrentTaxYear
Total4779655Total
FieldValueIRS element (for citing)
Public Support Percentage5090.84814PublicSupportPercentage509
Prior Year Support Percentage0.84379PriorYearSupportPercentage
Investment Income Percentage0.00443InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00686PriorYrInvestIncomePercentage
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

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis434831OtherCostOrOtherBasis
Depreciation30929Depreciation
Book Value403902BookValue
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovements

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis108936OtherCostOrOtherBasis
Depreciation7748Depreciation
Book Value101188BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis378151OtherCostOrOtherBasis
Depreciation26897Depreciation
Book Value351254BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings856344TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN TRUSTDescription
Book Value514297BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets514297TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue826988TotalRevenue
Total Expenses892987TotalExpenses
Excess Or Deficit For Year-65999ExcessOrDeficitForYear
Net Unrealized GL On Investments3379NetUnrealizedGLOnInvestments
Total Adjustments3379TotalAdjustments
Excess Or Deficit Per FS-62620ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt830367TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments3379NetUnrealizedGainsInvestments
Revenue Not Rptd F9903379RevenueNotRptdF990
Revenue Subtotal826988RevenueSubtotal
Total Revenue Per Form990826988TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt892987TotExpensesEtcAuditedFinclStmt
Expenses Subtotal892987ExpensesSubtotal
Total Expenses Per Form990892987TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART X, LINE 2Identifier
ExplanationTHE CLINIC BELIEVES THAT IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11The organization provides a copy of this form 990 to all members of its governing body before filing the form.
FORM 990, PART VI, SECTION C, LINE 19The organization will provide its governing documents, conflict of interest policy and financial statements upon request.
FORM 990, PART XII, LINE 2CNo change from prior year process.
FORM 990, PART VI, SECTION B, LINE 12CA CONFLICT OF INTEREST POLICY IS MAINTAINED AND REVIEWED BY THE BOARD AT LEAST ANNUALLY.