ACADEMIC CONSORTIUM FOR INTEGRATIVE MEDICINE & HEALTH INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: ACADEMIC CONSORTIUM FOR INTEGRATIVE MEDICINE & HEALTH INC (EIN 56-2298880)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-06-26
IRS object ID: 202021789349300412
Schema version: 2018v3.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-06-26T09:03:27-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 S 6TH STREET SUITE 300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	562298880	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ACADEMIC CONSORTIUM FOR INTEGRATIVE	BusinessNameLine1Txt
Business Name Line2	MEDICINE AND HEALTH INC	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	ACAD	BusinessNameControlTxt
Phone	2692649261	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12570 TURTLE CREEK DRIVE	AddressLine1Txt
City	NEW BUFFALO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49117	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DALE WEST	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	2692649261	PhoneNum
Signature	2020-06-23	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOHN TAUER	PreparerPersonNm
PTIN	P00294068	PTIN
Phone	6123764500	PhoneNum
Preparation	2020-06-22	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	66.41.31.27	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-06-23	IPDt
IP Tm	09:05:54	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	BA838E0DBCBAA7CAAE0C9EFA9D0B0445DB4BBA38	AtSubmissionCreationDeviceId
At Submission Filing Device Id	B2546B713F7E481D53EBD38AC5C56AAB7076177B	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-04-17 16:48:07Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	FREDERICK HECHT MD	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12570 TURTLE CREEK DRIVE	AddressLine1Txt
City	NEW BUFFALO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49117	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$334,982	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.IMCONSORTIUM.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2006	FormationYr
Legal Domicile State	DE	LegalDomicileStateCd
Activity Or Mission	TO ADVANCE THE PRINCIPLES AND PRACTICES OF INTEGRATIVE HEALTHCARE WITHIN ACADEMIC INSTITUTIONS.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	0	TotalEmployeeCnt
Total Volunteers	100	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$517,590	PYContributionsGrantsAmt
CY Contributions Grants	$18,353	CYContributionsGrantsAmt
PY Program Service Revenue	$1,009,601	PYProgramServiceRevenueAmt
CY Program Service Revenue	$221,904	CYProgramServiceRevenueAmt
PY Investment Income	$32,656	PYInvestmentIncomeAmt
CY Investment Income	$15,098	CYInvestmentIncomeAmt
PY Other Revenue	$4,401	PYOtherRevenueAmt
CY Other Revenue	$1,204	CYOtherRevenueAmt
PY Total Revenue	$1,564,248	PYTotalRevenueAmt
CY Total Revenue	$256,559	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$0	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$105,653	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,358,783	PYOtherExpensesAmt
CY Other Expenses	$616,014	CYOtherExpensesAmt
PY Total Expenses	$1,359,783	PYTotalExpensesAmt
CY Total Expenses	$721,667	CYTotalExpensesAmt
PY Revenues Less Expenses	$204,465	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$465,108	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,708,931	TotalAssetsBOYAmt
Total Assets EOY	$1,227,664	TotalAssetsEOYAmt
Total Liabilities BOY	$125,204	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$98,934	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,583,727	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,128,730	NetAssetsOrFundBalancesEOYAmt
Mission	THE MISSION OF THE CONSORTIUM IS TO ADVANCE THE PRINCIPLES AND PRACTICES OF INTEGRATIVE HEALTHCARE WITHIN ACADEMIC INSTITUTIONS AND HEALTH SYSTEMS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$136,192	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$193,750	RevenueAmt
Desc	MEMBERSHIP SERVICES - AS AN ORGANIZATION WE ARE COMMITTED TO SHARING INFORMATION AND IDEAS, MEETING CHALLENGES TOGETHER IN A PROCESS GROUNDED IN THE VALUES OF INTEGRATIVE MEDICINE SUPPORTING MEMBER INSTITUTIONS AND PROVIDING A NATIONAL VOICE FOR INTEGRATIVE MEDICINE. OUR MEMBERSHIP CURRENTLY INCLUDES APPROXIMATELY 71 HIGHLY ESTEEMED ACADEMIC MEDICAL CENTERS. PROVIDING ONLINE SERVICES FOR DUES PAYMENTS, CONFERENCE REGISTRATIONS, RELEVANT INFORMATION SHARING, PROGRAM UPDATES AND ANNOUNCEMENTS, VOTING PLATFORMS, AWARDS, MATERIALS ACCESS, ONLINE PRESENCE FOR PUBLIC ACCESS, AND MORE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$361,855	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$28,154	RevenueAmt
Desc	CONFERENCES/MEETINGS - ANNUAL CONFERENCE FOR MEMBERS AND NONMEMBERS WITH LIKE INTERESTS TO COLLABORATE AND SHARE INFORMATION IN THE FIELD OF INTEGRATIVE MEDICINE AND PERIODIC LEADERSHIP MEETINGS FOR STRATEGIC PLANNING AND GOVERNANCE.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$498,047	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	0	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	29	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	0	EmployeeCnt
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DALE WEST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2692649261	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	12570 TURTLE CREEK DRIVE	AddressLine1Txt
City	NEW BUFFALO	CityNm
State Abbreviation	MI	StateAbbreviationCd
ZIP	49117	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
FREDERICK HECHT MD
CHAIR	10.00	Yes (X)	Yes (X)	$0	$0	$0
FRANCOISE ADAN MD
VICE CHAIR	10.00	Yes (X)	Yes (X)	$0	$0	$0
SUSAN CARTER MMHC
SECRETARY/TREASURER - LEFT 4/2019	5.00	Yes (X)	Yes (X)	$0	$0	$0
RAY TEETS MD
SECRETARY	5.00	Yes (X)	Yes (X)	$0	$0	$0
SARAH INGERSOLL MS MBA RN
TREASURER	5.00	Yes (X)	Yes (X)	$0	$0	$0
ROBERT SAPER MD MPH
IMMEDIATE PAST CHAIR	10.00	Yes (X)	Yes (X)	$0	$0	$0
AVIAD HARAMATI PHD
MEMBER AT LARGE - LEFT 4/2019	2.00	Yes (X)		$0	$0	$0
AMY LOCKE MD
MEMBER AT LARGE	2.00	Yes (X)		$0	$0	$0
SCOTT MIST PHD MACOM
MEMBER AT LARGE	2.00	Yes (X)		$0	$0	$0
ARYA NIELSEN PHD
MEMBER AT LARGE	2.00	Yes (X)		$0	$0	$0
ALISON WHITEHEAD MPH RYT500
MEMBER AT LARGE	2.00	Yes (X)		$0	$0	$0
DALE WEST
EXECUTIVE DIRECTOR	30.00		Yes (X)	$0	$0	$0
LAURA DEGNON CAE
EXECUTIVE DIRECTOR - LEFT 1/2019	30.00		Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$0	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DEGNON ASSOCIATES INC	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6728 OLD MCLEAN VILLAGE DRIVE	AddressLine1Txt
City	MCLEAN	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	22101	ZIPCd

Field	Value	IRS element (for citing)
Services	MANAGEMENT SERVICES	ServicesDesc
Compensation	$193,219	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$18,353	AllOtherContributionsAmt
Total Contributions	$18,353	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP DUES	900099	$193,750	$193,750
CONFERENCES	900099	$20,154	$20,154
LEAP REGISTRATION	900099	$8,000	$8,000

Field	Value	IRS element (for citing)
Total Program Service Revenue	$221,904	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$29,181	TotalRevenueColumnAmt
Exclusion	$29,181	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$64,340	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$78,423	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$14,083	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$14,083	TotalRevenueColumnAmt
Exclusion	-$14,083	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS INCOME	Desc
Business	900099	BusinessCd
Total Revenue Column	$1,204	TotalRevenueColumnAmt
Exclusion	$1,204	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,204	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$256,559	TotalRevenueColumnAmt
Related Or Exempt Func Income	$221,904	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$16,302	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$91,250	TotalAmt
Program Services	$41,779	ProgramServicesAmt
Management And General	$49,471	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$7,380	TotalAmt
Program Services	$3,379	ProgramServicesAmt
Management And General	$4,001	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,023	TotalAmt
Program Services	$3,215	ProgramServicesAmt
Management And General	$3,808	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$193,219	TotalAmt
Program Services	$136,193	ProgramServicesAmt
Management And General	$57,026	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$27,193	TotalAmt
Management And General	$27,193	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$21,755	TotalAmt
Management And General	$21,755	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$5,000	TotalAmt
Management And General	$5,000	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$39,003	TotalAmt
Management And General	$39,003	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,736	TotalAmt
Program Services	$1,789	ProgramServicesAmt
Management And General	$11,947	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$15,028	TotalAmt
Program Services	$15,028	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,249	TotalAmt
Program Services	$8,833	ProgramServicesAmt
Management And General	$4,416	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$157,703	TotalAmt
Program Services	$157,703	ProgramServicesAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
JOURNAL	$92,872	$92,872
LEAPS AND GFF COMMUNICA	$37,256	$37,256

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$721,667	TotalAmt
Program Services	$498,047	ProgramServicesAmt
Management And General	$223,620	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$759,527	BOYAmt
EOY	$449,300	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$200,000	BOYAmt
EOY	$100,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$40,714	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$37,500	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$708,690	BOYAmt
EOY	$640,864	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,708,931	BOYAmt
EOY	$1,227,664	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$117,704	BOYAmt
EOY	$93,934	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$7,500	BOYAmt
EOY	$5,000	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$125,204	BOYAmt
EOY	$98,934	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,095,201	BOYAmt
EOY	$805,514	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$488,526	BOYAmt
EOY	$323,216	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,583,727	BOYAmt
EOY	$1,128,730	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,708,931	BOYAmt
EOY	$1,227,664	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$465,108	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,111	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,342,567	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$311,498	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$260,010	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$517,590	CurrentTaxYearMinus1YearAmt
Current Tax Year	$18,353	CurrentTaxYearAmt
Total	$2,450,018	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,342,567	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$311,498	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$260,010	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$517,590	CurrentTaxYearMinus1YearAmt
Current Tax Year	$18,353	CurrentTaxYearAmt
Total	$2,450,018	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$1,997,112	SubstantialContributorsTotAmt
Public Support Total170	$452,906	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,284	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$19,601	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$17,801	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$17,860	CurrentTaxYearMinus1YearAmt
Current Tax Year	$29,181	CurrentTaxYearAmt
Total	$85,727	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,460	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$9,621	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,705	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,401	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,204	CurrentTaxYearAmt
Total	$35,391	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$2,571,136	TotalSupportAmt
Gross Receipts Rltd Activities	$2,634,578	GrossReceiptsRltdActivitiesAmt
Public Support CY170	0.17620	PublicSupportCY170Pct
Public Support PY170	0.18840	PublicSupportPY170Pct
Ten Pct Facts Crcmstncs Test CY	Yes (X)	TenPctFactsCrcmstncsTestCYInd
Facts And Circumstances Test	THE ORGANIZATION MAINTAINS ACTIVE COMMUNITY SUPPORT WHICH HAS SUCCESSFULLY ATTRACTED CONTRIBUTIONS FROM THE GENERAL PUBLIC. THEIR ANNUAL FUNDRAISING EFFORTS PROVIDE AN OPPORTUNITY FOR THE GENERAL PUBLIC TO KNOW MORE ABOUT THE ORGANIZATION AND TO SUPPORT THE ORGANIZATION'S PROGRAMS. THE ORGANIZATION'S BOARD OF DIRECTORS REPRESENTS LEADERSHIP FROM AND OF THE COMMUNITY, AS WELL AS NONPROFIT MANAGEMENT EXPERTISE. THE BOARD HAS BEEN DESIGNED BOTH TO FACILITATE INVOLVEMENT BY FUNDERS AND TO ENSURE ACCOUNTABILITY TO THE BROAD COMMUNITY THE CLINIC SERVES. THE ORGANIZATION HAS MANY PROGRAMS, COLLABORATIONS, AND RESOURCES AVAILABLE THAT PROVIDE THE PUBLIC AND COMMUNITY MANY BENEFITS. THE ORGANIZATION HAS BEEN BROADENING ITS BASE OF SUPPORT THROUGH VARIOUS SOLICITATION EFFORTS TOWARDS THE GENERAL PUBLIC.	FactsAndCircumstancesTestTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$0	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$271,061	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$10,111	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$9,391	DonatedServicesAndUseFcltsAmt
Revenue Not Reported	$19,502	RevenueNotReportedAmt
Revenue Subtotal	$251,559	RevenueSubtotalAmt
Investment Expenses Not Incld	$5,000	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$5,000	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$256,559	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$726,058	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$9,391	DonatedServicesUseFcltsAmt
Expenses Not Reported	$9,391	ExpensesNotReportedAmt
Expenses Subtotal	$716,667	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$5,000	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$5,000	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$721,667	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT HAS BEEN CLASSIFIED AS AN ASSOCIATION THAT IS NOT A PRIVATE FOUNDATION UNDER THE INTERNAL REVENUE CODE AND CHARITABLE CONTRIBUTIONS BY DONORS ARE TAX DEDUCTIBLE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES. THE ORGANIZATION FOLLOWS THE PROVISIONS OF ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD FOR THE FINANCIAL STATEMENT RECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

TransactionTransactionAmt	Sharing Of RevenuesSharingOfRevenuesInd
DEGNON ASSOCIATES INC
$193,219	0
OMV LLC
$13,249	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	(A) NAME OF PERSON: DEGNON ASSOCIATES, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: LAURA DEGNON IS OWNER OF DEGNON ASSOCIATES, INC, AND IS EXECUTIVE DIRECTOR FOR THE ORGANIZATION THROUGH JANUARY 2019(D) DESCRIPTION OF TRANSACTION: DEGNON AND ASSOCIATES PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION(A) NAME OF PERSON: OMV, LLC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: LAURA DEGNON IS A MEMBER OF OMV, LLC, AND IS EXECUTIVE DIRECTOR FOR THE ORGANIZATION THROUGH JANUARY 2019(D) DESCRIPTION OF TRANSACTION: RENT PAID BY THE ORGANIZATION TO OMV, LLC	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	THE CONSORTIUM HIRED DEGNON ASSOCIATES, INC. AS THE ACCREDITED ASSOCIATION MANAGEMENT COMPANY THROUGH JANUARY 2019.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS APPROXIMATELY 75 MEMBER INSTITUTIONS.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBER ORGANIZATIONS EACH PUT FORTH ONE REPRESENTATIVE WITH VOTING RIGHTS FOR OFFICER/BOARD ELECTIONS.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION'S EXECUTIVE DIRECTOR AND TREASURER FIRST APPROVE A DRAFT OF THE FORM 990 BEFORE IT IS FORWARDED TO THE ORGANIZATION'S BOARD MEMBERS FOR THEIR REVIEW AND APPROVAL.
FORM 990, PART VI, SECTION B, LINE 12C	EACH BOARD DIRECTOR, OFFICER, MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS AND EMPLOYEE WITH SUBSTANTIAL INFLUENCE SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS THAT SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY; HAS READ AND UNDERSTAND THE POLICY; HAS AGREED TO COMPLY WITH THE POLICY; AND UNDERSTANDS THAT THE CONSORTIUM IS A CHARITABLE ORGANIZAITON AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE ORE MORE OF ITS TAX-EXEMPT PURPOSES. IF A POTENTIAL CONFLICT EXISTS, A DETERMINATION BY THE BOARD WILL BE MADE ON WHETHER TO EXCLUDE MEMBERS WITH THE CONFLICT FROM VOTING ON RELATED MATTERS.
FORM 990, PART VI, SECTION B, LINE 15A	IN 2014, THE CONSORTIUM MADE THE DECISION TO HIRE AN ASSOCIATION MANAGEMENT COMPANY (AMC) AND THEREFORE RELEASED THE EXECUTIVE DIRECTOR UNDER DIRECT EMPLOYMENT IN MINNESOTA. MANAGEMENT FEE TO THE AMC (DEGNON ASSOCIATES, INC.) INCLUDES EXECUTIVE DIRECTOR AND STAFF SUPPORT POSITIONS. THE FEE IS REVIEWED WITHIN THE CONTRACT PRIOR TO APPROVAL. THE DECISION TO HIRE AN AMC WAS BASED ON REVIEW OF CURRENT MARKET DATA. THE PROCESS AND DECISION WAS MADE BY THE BOARD. NO INDIVIDUAL COMPENSATION IS PART OF THE PROCESS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.