DOUGLAS A THOM CLINIC INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DOUGLAS A THOM CLINIC INC (EIN 04-2104268)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-15
IRS object ID
201143199349303884
Schema version
2010v3.4
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)
Timestamp2011-11-15T11:06:18-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RSM MCGLADREY INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line180 CITY SQUAREAddressLine1
CityBOSTONCity
StateMAState
ZIP Code021293742ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN042104268EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DOUGLAS A THOM CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDOUGNameControl
Phone5086555222Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1251 WEST CENTRAL STREET NO 22AddressLine1
CityNATICKCity
StateMAState
ZIP Code01760ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePETER WOODBURYName
TitleEXECUTIVE DIRECTORTitle
Phone5086555222Phone
Date Signed2011-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLYNNE JOHNSONName
Phone6179129000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonPETER L WOODBURYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1251 WEST CENTRAL STREET NO 22AddressLine1
CityNATICKCity
StateMAState
ZIP Code01760ZIPCode
FieldValueIRS element (for citing)
Gross Receipts27424030GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.THOMCHILD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1933YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionPERFORM EARLY INTERVENTION SERVICES FOR AT RISK CHILDREN BETWEEN THE AGES OF 0-3 YEARS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees728TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI160653TotalGrossUBI
Net Unrelated Business Txbl Income-191180NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year34949ContributionsGrantsPriorYear
Contributions Grants Current Year26880ContributionsGrantsCurrentYear
Program Service Revenue Prior Year27196876ProgramServiceRevenuePriorYear
Program Service Revenue CY27385799ProgramServiceRevenueCY
Investment Income Prior Year9738InvestmentIncomePriorYear
Investment Income Current Year11351InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year27241563TotalRevenuePriorYear
Total Revenue Current Year27424030TotalRevenueCurrentYear
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 Year23599419SalariesEtcPriorYear
Salaries Etc Current Year23980160SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year46874TotalFundrsngExpCurrentYear
Other Expense Prior Year2982180OtherExpensePriorYear
Other Expenses Current Year2840806OtherExpensesCurrentYear
Total Expenses Prior Year26581599TotalExpensesPriorYear
Total Expenses Current Year26820966TotalExpensesCurrentYear
Revenues Less Expenses Prior Year659964RevenuesLessExpensesPriorYear
Revenues Less Expenses CY603064RevenuesLessExpensesCY
Total Assets BOY7367451TotalAssetsBOY
Total Assets EOY8438072TotalAssetsEOY
Total Liabilities BOY1415664TotalLiabilitiesBOY
Total Liabilities EOY1862833TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5951787NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6575239NetAssetsOrFundBalancesEOY
Mission DescriptionPERFORM EARLY INTERVENTION SERVICES FOR AT RISK CHILDREN BETWEEN THE AGES OF 0 - 3 YEARS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense286864Expense
Revenue160653Revenue
DescriptionADMINISTRATIVE AND SOFTWARE SERVICES OPERATED TO SUPPORT PROGRAMS B AND C AND OTHER OUTSIDE EARLY INTERVENTION SERVICE PROVIDERS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense24330347Expense
Revenue27096050Revenue
DescriptionOPERATED 9 EARLY INTERVENTION PROGRAMS SERVING CHILDREN AT RISK, AGES 0-3.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense122559Expense
Revenue129096Revenue
DescriptionREGIONAL CONSULTATION PROGRAM FOR CHILDREN WITH SPECIAL HEALTHCARE NEEDS, INCLUDING FAMILY SUPPORT.Description
FieldValueIRS element (for citing)
Total Program Service Expense24739770TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds1DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees728NumberOfEmployees
Employment Tax Returns Filed0EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Taxable Distributions0TaxableDistributions
Distribution To Donor0DistributionToDonor
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPETER L WOODBURYNamePerson
Telephone Number5086555222TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1251 W CENTRAL ST STE 22AddressLine1
CityNATICKCity
StateMAState
ZIP Code01760ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LOUIS R COHEN
TREASURER0.50XX000
MIRIAM LASHER
BOARD PRESIDENT0.50XX000
PHYLLIS FAZZIO
DIRECTOR0.50X000
JAMES HOULARES
DIRECTOR0.50X000
ELIZABETH PAPE
DIRECTOR0.50X000
ARTHUR HUGHES
BOARD VICE PRESIDENT0.50XX000
FRED FORTMILLER
DIRECTOR0.50X000
PAM PALMUCCI
DIRECTOR0.50X000
HEATHER E BROWN
DIRECTOR0.50X000
PETER L WOODBURY
EXECUTIVE DIRECTOR40.00X246009035120
TANYA MATEER
DIR FINANCE40.00X11519501479
KATHLEEN WOODBURY
DIR BILLING40.0012751301171X
LAWRENCE TUCKER
SR PROGRAMMER40.0013443701217X
WILMA L RONCO
DIR PRGM SVCS40.00143496016940X
FieldValueIRS element (for citing)
Total Reportable Comp From Org766650TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation55927TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns1112FederatedCampaigns
All Other Contributions25768AllOtherContributions
Total Contributions26880TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REVENUE6241002722514627225146
PROGRAM SERVICE REVENU561499160653160653
FieldValueIRS element (for citing)
Total Program Service Revenue27385799TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11351TotalRevenueColumn
Exclusion$11,351ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column27424030TotalRevenueColumn
Related Or Exempt Function Income27225146RelatedOrExemptFunctionIncome
Unrelated Business Revenue160653UnrelatedBusinessRevenue
Exclusion$11,351ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total397802Total
Program Services19890ProgramServices
Management And General358022ManagementAndGeneral
Fundraising19890Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20154049Total
Program Services19337265ProgramServices
Management And General800697ManagementAndGeneral
Fundraising16087Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1897111Total
Program Services1768549ProgramServices
Management And General125175ManagementAndGeneral
Fundraising3387Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1531198Total
Program Services1415159ProgramServices
Management And General113203ManagementAndGeneral
Fundraising2836Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total11560Total
Management And General11560ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total65296Total
Management And General65296ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total65479Total
Program Services55996ProgramServices
Management And General9342ManagementAndGeneral
Fundraising141Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total114121Total
Program Services76440ProgramServices
Management And General37119ManagementAndGeneral
Fundraising562Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total920896Total
Program Services841962ProgramServices
Management And General77869ManagementAndGeneral
Fundraising1065Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total665201Total
Program Services664162ProgramServices
Management And General1025ManagementAndGeneral
Fundraising14Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total25056Total
Program Services550ProgramServices
Management And General24506ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total79753Total
Program Services13566ProgramServices
Management And General66187ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total149780Total
Program Services25162ProgramServices
Management And General122760ManagementAndGeneral
Fundraising1858Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DIRECT CARE/PROGRAM CON150078122559275190
OFFICE EQUIPMENT900957092718910258
STAFF TRAINING727016844342580
TELEPHONE555354422311143169
CLIENT PERSONAL ALLOWAN125921259200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total362663Total
Program Services202325ProgramServices
Management And General159731ManagementAndGeneral
Fundraising607Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total26820966Total
Program Services24739770ProgramServices
Management And General2034322ManagementAndGeneral
Fundraising46874Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY649657BOY
EOY2372448EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14603BOY
EOY14797EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5245010BOY
EOY4684218EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY297305BOY
EOY142663EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1358697LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec378204LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY968803BOY
EOY980493EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY118727BOY
EOY166584EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY73346BOY
EOY76869EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7367451BOY
EOY8438072EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1017135BOY
EOY1481155EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY398529BOY
EOY381678EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1415664BOY
EOY1862833EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5834229BOY
EOY6456233EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY117558BOY
EOY119006EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5951787BOY
EOY6575239EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7367451BOY
EOY8438072EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses603064ReconcilationRevenueExpenses
Reconcilation Other Changes20388ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34660CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28270CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25318CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34949CurrentTaxYearMinus1Year
Current Tax Year26880CurrentTaxYear
Total150077Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34660CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28270CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25318CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year34949CurrentTaxYearMinus1Year
Current Tax Year26880CurrentTaxYear
Total150077Total
FieldValueIRS element (for citing)
Public Support Total170150077PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8495CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9457CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7539CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9738CurrentTaxYearMinus1Year
Current Tax Year11351CurrentTaxYear
Total46580Total
FieldValueIRS element (for citing)
Total Support196657TotalSupport
Gross Receipts From Admissions Etc124564803GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.76310PublicSupportPertcentage170
Public Support Pertcent Prior Year0.77550PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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)
Number DA Fs Held2NumberDAFsHeld
Donor Advised Contributions5705DonorAdvisedContributions
Grants Paid From Donor Funds18780GrantsPaidFromDonorFunds
Aggregate DAF Value2840AggregateDAFValue
Disclosed Orgs Legal Control1DisclosedOrgsLegalControl
Disclosed For Charitable Purposes1DisclosedForCharitablePurposes

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis820597OtherCostOrOtherBasis
Depreciation68383Depreciation
Book Value752214BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis97477OtherCostOrOtherBasis
Depreciation70561Depreciation
Book Value26916BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis434308OtherCostOrOtherBasis
Depreciation232945Depreciation
Book Value201363BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6315OtherCostOrOtherBasis
Depreciation6315Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings980493TotalOfBookValueLandBuildings
Total Revenue27424030TotalRevenue
Total Expenses26820966TotalExpenses
Excess Or Deficit For Year603064ExcessOrDeficitForYear
Other$20,388OtherAmount
Total Adjustments20388TotalAdjustments
Excess Or Deficit Per FS623452ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt27445855TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments20388NetUnrealizedGainsInvestments
Other Revenues1437OtherRevenues
Revenue Not Rptd F99021825RevenueNotRptdF990
Revenue Subtotal27424030RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99027424030TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt26822403TotExpensesEtcAuditedFinclStmt
Other Expenses Included1437OtherExpensesIncluded
Expenses Not Rptd F9901437ExpensesNotRptdF990
Expenses Subtotal26820966ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99026820966TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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
PART XII, LINE 2D - OTHER ADJUSTMENTS:ASSETS RELEASED FROM RESTRICTIONS
PART XIII, LINE 2D - OTHER ADJUSTMENTS:ASSETS RELEASED FROM RESTRICTIONS

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
PETER L WOODBURY
24600900000150000201200281129000
WILMA L RONCO
1434960000010000069400160436000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
KATHLEEN WOODBURY
FAMILY MEMBER OF PETER L. WOODBURY, EXECUTIVE DIRECTOR128684EMPLOYMENT0
ELENA HOULARES KNIGHTLY
FAMILY MEMBER OF JAMES HOULARES, DIRECTOR41385EMPLOYMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE 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.
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 12C
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 B, LINE 15A
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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:UNREALIZED GAIN/LOSS 20,388. TOTAL TO FORM 990, PART XI, LINE 5: 20,388.FORM 990, PART XI, LINE 5:

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