2018-03-19T14:11:09-05:00 2017-06-30 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2016-07-01 562298880 ACADEMIC CONSORTIUM FOR INTEGRATIVE MEDICINE AND HEALTH INC ACAD 7035569222 6728 OLD MCLEAN VILLAGE DRIVE MCLEAN VA 22101 LAURA DEGNON EXECUTIVE DIRECTOR 7035569222 2018-03-02 1 JOHN TAUER P00294068 6123764500 67.137.57.251 2018-03-02 10:58:25 CS P C75C06011B73D6F66A85DAF7D5BEDF01E370C5C1 F3F329DFBA37A4C14C73FD596159B47BC051605F 2016 2021-01-29 14:40:06Z ROBERT SAPER MD MPH 6728 OLD MCLEAN VILLAGE DRIVE MCLEAN VA 22101 576946 0 X WWW.IMCONSORTIUM.ORG X 2006 DE ADVANCING INTEGRATIVE MEDICINE AND HEALTH THROUGH ACADEMIC INSTITUTIONS AND HEALTH SYSTEMS. 7 7 0 0 0 0 141532 260010 1022000 292430 8914 17801 15621 6705 1188067 576946 14532 1600 0 0 0 0 0 0 0 1437325 727605 1451857 729205 -263790 -152259 1508341 1388935 2500 16170 1505841 1372765 X THE MISSION OF THE CONSORTIUM IS TO ADVANCE THE PRINCIPLES AND PRACTICES OF INTEGRATIVE HEALTHCARE WITHIN ACADEMIC INSTITUTIONS. 1 0 150683 0 172500 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 60 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. 206030 0 35450 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. 67268 0 74480 HSRA GRANT - AS AN ORGANIZATION WE WILL, (1) PROVIDE UAZPIM WITH INTEGRATIVE MEDICINE CONTENT EXPERTISE; (2) COLLABORATE WITH CIMPC TO DISSEMINATE AND SUSTAIN EVIDENCE BASED IM CURRICULA INTO PRIMARY CARE RESIDENCY AND OTHER TRAINING PROGRAMS, AND (3) CONTRIBUTE TO THE EVIDENCE-BASE FOR IM THROUGH OUR RESEARCH ACTIVITIES AND CONGRESSES. WE WILL PROVIDE SPECIFIC EXPERTS, COORDINATE DISSEMINATION ACTIVITIES WITH CIMPC; AND CONVENE LIVE INTERPROFESSIONAL TRAININGS. IN YEARS 2 AND 3 OF THE PROJECT, THE CONSORTIUM WILL CONVENE 1-2 DAY LONG INTERPROFESSIONAL INTEGRATIVE MEDICINE WORKSHOPS FOR APPROXIMATELY 200 PRIMARY CARE PROFESSIONALS AND TRAINEES. THESE WILL BE HELD IN CONJUNCTION WITH THE CONSORTIUM'S 2016 RESEARCH CONGRESS AND 2017 ANNUAL MEETING. 203409 1600 11400 GFF, HRSA, BRAVEWELL, AND LEAP 203409 1600 11400 627390 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 9 0 0 0 0 0 0 0 0 0 0 X 7 7 0 1 1 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 VA X DEGNON ASSOCIATES 7035569222 6728 OLD MCLEAN VILLAGE DRIVE MCLEAN VA 22101 X ROBERT SAPER MD MPH CHAIR 20.00 X X 0 0 0 LORENZO COHEN PHD VICE CHAIR 3.00 X X 0 0 0 SUSAN CARTER MMHC SECRETARY/TREASURER 3.00 X X 0 0 0 MARGARET CHESNEY PHD IMMEDIATE PAST CHAIR 3.00 X X 0 0 0 BRENT BAUER MD MEMBER AT LARGE 3.00 X 0 0 0 FRANCOISE ADAN MD MEMBER AT LARGE 2.50 X 0 0 0 SIAN COTTON PHD MEMBER AT LARGE 2.50 X 0 0 0 MARYANNA KLATT PHD DIRECTOR, THROUGH 04/2017 2.50 X 0 0 0 LAURA DEGNON CAE EXECUTIVE DIRECTOR 20.00 X 0 0 0 0 0 0 0 0 0 0 DEGNON ASSOCIATES INC 6728 OLD MCLEAN VILLAGE DRIVE MCLEAN VA 22101 MANAGEMENT SERVICES 350000 1 260010 260010 MEMBERSHIP DUES 900099 172500 172500 0 GOVERNMENT GRANTS 900099 74480 74480 0 CONFERENCES 900099 35450 35450 0 LEAP REGISTRATION 900099 10000 10000 292430 17801 17801 MISCELLANEOUS INCOME 900099 6705 1400 5305 6705 576946 293830 0 23106 1600 1600 350000 287273 62727 225 225 11635 11635 5000 5000 12840 3366 9474 14194 14194 24480 16000 8480 81364 81364 5941 3961 1980 1748 1748 LEAPS AND GFF COMMUNICA 92039 92039 HRSA 57028 57028 JOURNAL 39201 39201 BRAVEWELL LEGACY BOOKS 26870 26870 5040 4494 546 729205 627390 101815 0 819263 792789 30000 20000 162167 27313 2500 28180 488469 520653 5942 0 1508341 1388935 2420 2500 13750 2500 16170 X 1322067 1136200 183774 236565 1505841 1372765 1508341 1388935 -152259 19183 0 X 0 1 X 1 0 X 130994 243052 1342567 311498 260010 2288121 130994 243052 1342567 311498 260010 2288121 1654505 633616 1468 1345 1284 19601 17801 41499 575 575 2184 500 13460 9621 6705 32470 2362665 2457970 0.26820 0.31420 X THE ORGANIZATION MAINTAINS ACTIVE COMMUNITY SUPPORT WHICH HAS SUCCESSFULLYATTRACTED CONTRIBUTIONS FROM THE GENERAL PUBLIC. THEIR ANNUAL FUNDRAISINGEFFORTS PROVIDE AN OPPORTUNITY FOR THE GENERAL PUBLIC TO KNOW MORE ABOUTTHE ORGANIZATION AND TO SUPPORT THE ORGANIZATION'S PROGRAMS. THEORGANIZATION'S BOARD OF DIRECTORS REPRESENTS LEADERSHIP FROM AND OF THECOMMUNITY, AS WELL AS NONPROFIT MANAGEMENT EXPERTISE. THE BOARD HAS BEENDESIGNED BOTH TO FACILIATE INVOLVEMENT BY FUNDERS AND TO ENSUREACCOUNTABILITY TO THE BROAD COMMUNITY THE CLINIC SERVES. THE ORGANIZATIONHAS MANY PROGRAMS, COLLABORATIONS, AND RESOURCES AVAILABLE THAT PROVIDES THE PUBLIC AND COMMUNITY BENEFITS. THE ORGANIZATION HAS BEEN BROADENING ITS BASE OF SUPPORT THROUGH VARIOUS SOLICITATION EFFORTS TOWARDS THE GENERAL PUBLIC. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 X 596129 19183 19183 576946 0 576946 729205 0 729205 0 729205 PART X, LINE 2: 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. DEGNON ASSOCIATES INC LAURA DEGNON IS OWNER OF DEGNON ASSOCIATES, INC AND ED FOR THE ORGANIZATION 350000 DEGNON AND ASSOCIATES PROVIDES MANAGEMENT SERVICES TO THE ORGANIZATION. 0 OMV LLC LAURA DEGNON IS MEMBER OF OMV, LLC AND PROVIDES ED SERVICES TO ORGANIZATION 24000 RENT PAID BY ORGANIZATION TO OMV, LLC 0 FORM 990, PART III, LINE 2 HRSA GRANT AND BRAVEWELL LEGACY BOOK PROGRAMS WERE ADDED DURING THE YEAR. FORM 990, PART VI, SECTION A, LINE 3 THE CONSORTIUM HIRED DEGNON ASSOCIATES, INC. AS THE ACCREDITED ASSOCIATION MANAGEMENT COMPANY. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION CHANGED THE BOARD OF DIRECTORS COMPOSITION SINCE THE PRIOR FORM 990 WAS FILED. THE ORGANIZATIONS COMBINED THE SECRETARY AND TREASURER POSITION INTO ONE POSITION, SECRETARY-TREASURER. ADDITIONALLY THE ORGANIZATION WENT FROM ONE AT LARGE MEMBER AND THE MEMBERSHIP CHAIR TO THREE AT LARGE MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS APPROXIMATELY 72 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. FORM 990, PART VI, SECTION B, LINE 12C DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: BOARD OF DIRECTORS AND BOARD-DELEGATED WORKING GROUPS, ACTION TEAMS AND COMMITTEES: AT ANY MEETING, AFTER DISCLOSURE OF THE CONFLICT OF INTEREST AND ALL MATERIAL FACTS, AND AFTER DISCUSSION WITH THE INTERESTED PERSON, SUCH PERSON SHALL LEAVE THE BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE BY MAJORITY VOTE IF A CONFLICT OF INTEREST EXISTS. EXECUTIVE DIRECTOR: AN EMPLOYEE SHALL DISCLOSE ANY CONFLICT OF INTEREST TO THE EXECUTIVE DIRECTOR. THE EMPLOYEE SHALL MAKE THE DISCLOSURE PROMPTLY UPON LEARNING OF THE CONFLICT. IF THERE IS A QUESTION AS TO WHETHER THE EMPLOYEE HAS SUBSTANTIAL INFLUENCE OVER THE CONSORTIUM THE EXECUTIVE DIRECTOR SHALL PRESENT THE ISSUE TO THE BOARD WHO SHALL DECIDE BY MAJORITY VOTE IF A CONFLICT OF INTEREST EXISTS. THE EXECUTIVE DIRECTOR SHALL PROMPTLY DISCLOSE TO THE BOARD THEIR POTENTIAL CONFLICTS OF INTEREST AND ALL MATERIAL FACTS. AFTER DISCUSSION WITH THE EXECUTIVE DIRECTOR, THE EXECUTIVE DIRECTOR SHALL LEAVE WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE BOARD SHALL DECIDE BY MAJORITY VOTE IF A CONFLICT OF INTEREST EXISTS. PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING, BUT AFTER THE PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN A CONFLICT OF INTEREST. THE BOARD OR COMMITTEE CHAIRPERSON, IF APPROPRIATE, SHALL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CONSORTIUM CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS THAT DOES NOT PRESENT A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT ATTAINABLE UNDER THE CIRCUMSTANCES, THE BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OR COMMITTEE MEMBERS IF THE TRANSACTION OR ARRANGEMENT IS IN THE CONSORTIUM'S BEST INTEREST. A DECISION IS THEN MADE AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT IN CONFORMITY WITH THE DECISION. FORM 990, PART VI, SECTION B, LINE 15A IN OCTOBER 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.