HAMM MEMORIAL PSYCHIATRIC CLINIC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- HAMM MEMORIAL PSYCHIATRIC CLINIC (EIN 41-1649502)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-01-29
- IRS object ID
- 202610299349300231
- Schema version
- 2024v5.5
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-01-29T09:19:26-06:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 393647910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI ADVISORY LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 411649502 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAMM MEMORIAL PSYCHIATRIC CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HAMM | BusinessNameControlTxt |
| Phone | 6512240614 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 RIVER PARK PLAZA 710 | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55107 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAISHA GILES | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6512240614 | PhoneNum |
| Signature | 2026-01-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2026-01-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MAISHA GILES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 RIVER PARK PLAZA 710 | AddressLine1Txt |
| City | ST PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,976,016 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HAMMCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1989 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | HAMM CLINIC'S MISSION IS TO PROMOTE MENTAL HEALTH WITH CULTURALLY RESPONSIVE, RELATIONAL CARE FOR ADULTS, ESPECIALLY FOR THOSE FACING FINANCIAL BARRIERS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 37 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,122,870 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,131,332 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,767,359 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,793,950 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,010 | PYInvestmentIncomeAmt |
| CY Investment Income | $50,734 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,925,239 | PYTotalRevenueAmt |
| CY Total Revenue | $3,976,016 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | 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 | $2,973,245 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,859,395 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $90,031 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $976,493 | PYOtherExpensesAmt |
| CY Other Expenses | $1,032,975 | CYOtherExpensesAmt |
| PY Total Expenses | $3,949,738 | PYTotalExpensesAmt |
| CY Total Expenses | $3,892,370 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$24,499 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $83,646 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,328,344 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,375,837 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,086,417 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,925,127 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,241,927 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,450,710 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | HAMM CLINIC'S MISSION IS TO PROMOTE MENTAL HEALTH WITH CULTURALLY RESPONSIVE, RELATIONAL CARE FOR ADULTS, ESPECIALLY FOR THOSE FACING FINANCIAL BARRIERS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,576,678 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $1,787,417 | RevenueAmt |
| Desc | CLINICAL SERVICES:HAMM MEMORIAL PSYCHIATRIC CLINIC PROVIDES A VARIETY OF OUTPATIENT MENTAL HEALTH AND RELATED SERVICES TO ADULTS IN THE TWIN CITIES METROPOLITAN AREA AND STATEWIDE. THE CLINIC OFFERS A FULL SPECTRUM OF OUTPATIENT MENTAL HEALTH SERVICES IN PERSON AND VIA TELEHEALTH. THE CLINIC SEEKS TO TREAT SYMPTOMS AND ALSO TO HELP CLIENTS GAIN INSIGHT AND UNDERSTANDING INTO THEIR BEHAVIOR. THE CLINIC PROVIDER TEAM IS COMPRISED OF CLINICAL SOCIAL WORKERS, CLINICAL COUNSELORS, PSYCHOLOGISTS, AND PSYCHIATRIC PROVIDERS AS WELL AS INTERNS WORKING TOGETHER TO IMPROVE CLIENT'S MENTAL HEALTH. IN FY 2025, THE CLINIC HAD A TOTAL OF 15,051 VISITS, SERVING 851 INDIVIDUALS WITH THERAPY NEEDS. 21% OF CLIENTS WERE UNEMPLOYED AT THE TIME THEY SOUGHT SERVICES. 30% OF CLIENTS ACCESSED OUR INCOME BASED SLIDING FEE PROGRAM OR REDUCED RATE SERVICES. 38% OF CLIENTS SERVED IDENTIFIED AS A PERSON OF COLOR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $486,001 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $6,533 | RevenueAmt |
| Desc | TRAINING AND PROFESSIONAL DEVELOPMENT:THE CLINIC'S TRAINING PROGRAM PROVIDES SPECIALIZED TRAINING AND EDUCATION FOR GRADUATES AND POST-GRADUATES IN CLINICAL SOCIAL WORK, PSYCHOLOGY, AND PSYCHIATRY. THE CLINIC'S COMPREHENSIVE APPROACH TO TRAINING ENABLES STUDENTS TO PROVIDE DIRECT CLIENT CARE UNDER CLOSE SUPERVISION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $147,972 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PROFESSIONAL DEVELOPMENT AND OUTREACH:THE CLINIC'S PROFESSIONAL DEVELOPMENT PROGRAM CONSISTS OF CONTINUING EDUCATION OFFERINGS FOR MENTAL HEALTH PROVIDERS AND THE COMMUNITY WITH WORKSHOPS, SYMPOSIUMS AND CONFERENCES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,210,651 | 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 |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| 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 | 31 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 37 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAHONEY CPAS & ADVISORS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6512811868 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 RIVER PARK PLAZA SUITE 800 | AddressLine1Txt |
| City | SAINT PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55107 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| JULIE BLUHM | |||||||
| INTERIM EXEC. DIR.(THRU 12/24)/CHAIR | 32.00 | Yes (X) | Yes (X) | $142,219 | $0 | $0 | |
| KATHY LARSON | |||||||
| BOARD SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAMON ANDERSON | |||||||
| BOARD TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RAYMOND BOYLE | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KEN EBEL | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ROSELINE ELI-ZAFOE | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD H HAMM JR | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE KOZACHOK | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| NAKITA NATALA | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RAEONE OLSON | |||||||
| PRESIDENT (THRU 12/24)/BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| KELLEY O'NEILL | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| REBECCA ORTELL | |||||||
| BOARD SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GABRIEL SIMS | |||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| ANDREA STOESZ | |||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MAISHA GILES | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $17,788 | $0 | $0 | ||
| CRISTINA COMBS | |||||||
| DIRECTOR OF CLINICAL SERVICES | 40.00 | $113,735 | $0 | $7,342 | Yes (X) | ||
| STELLA CHEMARUM | |||||||
| PSYCHIATRIC NURSE PRACTITIONER | 32.00 | $112,572 | $0 | $5,748 | Yes (X) | ||
| TERA MEERKINS | |||||||
| PSYCHOLOGIST AND TESTING SPECIALIST | 40.00 | $107,835 | $0 | $9,901 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $494,149 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $22,991 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 4 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MAHONEY ULBRICH CHRISTIANSEN RUSS PA | |||||
| 10 RIVER PARK PLAZA SUITE 800 | SAINT PAUL | MN | 55107 | ACCOUNTING AND ADVISORY SERVICES | $147,420 |
| KAREN REIMERS MD | |||||
| 5764 N ORANGE BLOSSOM TRL | ORLANDO | FL | 32810 | DIRECTOR OF PSYCHIATRY SERVICES | $127,950 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $255,218 | GovernmentGrantsAmt |
| All Other Contributions | $1,876,114 | AllOtherContributionsAmt |
| Total Contributions | $2,131,332 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $1,787,417 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,787,417 | RelatedOrExemptFuncIncomeAmt |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,533 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,533 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,793,950 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,734 | TotalRevenueColumnAmt |
| Exclusion | $50,734 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,976,016 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,793,950 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $50,734 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,000 | TotalAmt |
| Management And General | $207,000 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,234,021 | TotalAmt |
| Program Services | $2,149,505 | ProgramServicesAmt |
| Management And General | $40,111 | ManagementAndGeneralAmt |
| Fundraising | $44,405 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,186 | TotalAmt |
| Program Services | $48,253 | ProgramServicesAmt |
| Management And General | $3,824 | ManagementAndGeneralAmt |
| Fundraising | $1,109 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $218,193 | TotalAmt |
| Program Services | $190,357 | ProgramServicesAmt |
| Management And General | $23,460 | ManagementAndGeneralAmt |
| Fundraising | $4,376 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,995 | TotalAmt |
| Program Services | $127,885 | ProgramServicesAmt |
| Management And General | $16,170 | ManagementAndGeneralAmt |
| Fundraising | $2,940 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,130 | TotalAmt |
| Program Services | $54,094 | ProgramServicesAmt |
| Management And General | $21,036 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,906 | TotalAmt |
| Management And General | $165,906 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,003 | TotalAmt |
| Program Services | $37,215 | ProgramServicesAmt |
| Fundraising | $6,788 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,938 | TotalAmt |
| Program Services | $4,482 | ProgramServicesAmt |
| Management And General | $4,519 | ManagementAndGeneralAmt |
| Fundraising | $1,937 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,580 | TotalAmt |
| Program Services | $118 | ProgramServicesAmt |
| Management And General | $15,399 | ManagementAndGeneralAmt |
| Fundraising | $63 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,585 | TotalAmt |
| Program Services | $218,755 | ProgramServicesAmt |
| Management And General | $24,859 | ManagementAndGeneralAmt |
| Fundraising | $4,971 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,814 | TotalAmt |
| Program Services | $16,316 | ProgramServicesAmt |
| Management And General | $16,449 | ManagementAndGeneralAmt |
| Fundraising | $7,049 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,934 | TotalAmt |
| Program Services | $1,702 | ProgramServicesAmt |
| Management And General | $193 | ManagementAndGeneralAmt |
| Fundraising | $39 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $277,602 | TotalAmt |
| Program Services | $241,739 | ProgramServicesAmt |
| Management And General | $29,831 | ManagementAndGeneralAmt |
| Fundraising | $6,032 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,693 | TotalAmt |
| Program Services | $69,250 | ProgramServicesAmt |
| Management And General | $7,869 | ManagementAndGeneralAmt |
| Fundraising | $1,574 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| BAD DEBT EXPENSE | $29,622 | $29,622 | ||
| DUES & SUBSCRIPTIONS | $16,255 | $6,661 | $6,716 | $2,878 |
| PROGRAM EXPENSE | $7,406 | $3,035 | $3,060 | $1,311 |
| EQUIPMENT MAINTENANCE | $3,154 | $1,293 | $1,303 | $558 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,353 | TotalAmt |
| Program Services | $10,369 | ProgramServicesAmt |
| Management And General | $3,983 | ManagementAndGeneralAmt |
| Fundraising | $4,001 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,892,370 | TotalAmt |
| Program Services | $3,210,651 | ProgramServicesAmt |
| Management And General | $591,688 | ManagementAndGeneralAmt |
| Fundraising | $90,031 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $404,182 | BOYAmt |
| EOY | $78,449 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,399,909 | BOYAmt |
| EOY | $2,041,294 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,000 | BOYAmt |
| EOY | $96,748 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,009 | BOYAmt |
| EOY | $151,878 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,095 | BOYAmt |
| EOY | $62,944 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,060,675 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $287,696 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $858,669 | BOYAmt |
| EOY | $772,979 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,323,480 | BOYAmt |
| EOY | $2,171,545 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,328,344 | BOYAmt |
| EOY | $5,375,837 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,487 | BOYAmt |
| EOY | $201,168 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,904,930 | BOYAmt |
| EOY | $1,723,959 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,086,417 | BOYAmt |
| EOY | $1,925,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,668,089 | BOYAmt |
| EOY | $2,846,811 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $573,838 | BOYAmt |
| EOY | $603,899 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,241,927 | BOYAmt |
| EOY | $3,450,710 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,328,344 | BOYAmt |
| EOY | $5,375,837 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $83,646 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $82,235 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $42,902 | 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 | $2,082,222 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,311,471 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,054,774 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,122,870 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,131,332 | CurrentTaxYearAmt |
| Total | $10,702,669 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,082,222 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,311,471 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,054,774 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,122,870 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,131,332 | CurrentTaxYearAmt |
| Total | $10,702,669 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $3,635,700 | SubstantialContributorsTotAmt |
| Public Support Total170 | $7,066,969 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,381 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,762 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,927 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $35,010 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $50,734 | CurrentTaxYearAmt |
| Total | $123,814 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $10,826,483 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $7,730,650 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.65270 | PublicSupportCY170Pct |
| Public Support PY170 | 0.66960 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $573,838 | BeginningYearBalanceAmt |
| Contributions | $11,470 | ContributionsAmt |
| Investment Earnings Or Losses | $42,902 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $24,311 | GrantsOrScholarshipsAmt |
| End Year Balance | $603,899 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $544,135 | BeginningYearBalanceAmt |
| Contributions | $15,320 | ContributionsAmt |
| Investment Earnings Or Losses | $37,436 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $23,053 | GrantsOrScholarshipsAmt |
| End Year Balance | $573,838 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $527,162 | BeginningYearBalanceAmt |
| Contributions | $13,379 | ContributionsAmt |
| Investment Earnings Or Losses | $24,962 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $21,368 | GrantsOrScholarshipsAmt |
| End Year Balance | $544,135 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $551,679 | BeginningYearBalanceAmt |
| Contributions | $16,200 | ContributionsAmt |
| Investment Earnings Or Losses | -$20,734 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $19,983 | GrantsOrScholarshipsAmt |
| End Year Balance | $527,162 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $424,949 | BeginningYearBalanceAmt |
| Contributions | $17,330 | ContributionsAmt |
| Investment Earnings Or Losses | $127,959 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $18,559 | GrantsOrScholarshipsAmt |
| End Year Balance | $551,679 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $894,883 | OtherCostOrOtherBasisAmt |
| Depreciation | $182,366 | DepreciationAmt |
| Book Value | $712,517 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $165,792 | OtherCostOrOtherBasisAmt |
| Depreciation | $105,330 | DepreciationAmt |
| Book Value | $60,462 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $772,979 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN ENDOWMENT FUNDS | $603,899 |
| RIGHT OF USE ASSETS - OPERATING LEASES | $1,548,539 |
| RIGHT OF USE ASSETS - FINANCE LEASES | $19,107 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,171,545 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| FINANCE LEASE OBLIGATIONS | $1,703,744 |
| OPERATING LEASE OBLIGATIONS | $20,215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,723,959 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $4,289,434 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $82,235 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $217,903 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $13,280 | OtherRevenueAmt |
| Revenue Not Reported | $313,418 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,976,016 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,976,016 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,080,651 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $217,903 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $217,903 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,862,748 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $29,622 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $29,622 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,892,370 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN ENDOWMENT FUNDS 42,902. BAD DEBT EXPENSE -29,622. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 29,622. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBERS EDWARD H. HAMM JR. AND KELLEY O'NEILL HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR WILL PROVIDE A COPY TO THE FINANCE COMMITTEE TO REVIEW THE AUDIT RESULTS AND FINANCIAL REPORTS. THE FORM 990 WILL BE EMAILED TO ALL FINANCE COMMITTEE MEMBERS FOR THEIR REVIEW AND EDIT COMMENTS. A COPY OF THE 990 WILL BE PROVIDED TO THE WHOLE BOARD BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD MEMBERS FILL OUT A CONFLICT OF INTEREST DISCLOSURE FORM AND ARE EXPECTED TO DISCLOSE ANY CONFLICTS PRIOR TO THE CLINIC MAKING ANY RELATED DECISIONS. IF A CONFLICT ARISES WITH AN INDIVIDUAL THE INDIVIDUAL MAY, AT THE REQUEST OF THE BOARD OR COMMITTEE, REMAIN IN THE ROOM TO ANSWER QUESTIONS OF A FACTUAL NATURE THAT MAY ASSIST THE BOARD OR COMMITTEE IN ITS DELIBERATION AND DETERMINATION OF WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS. BOARD MEMBERS HAVING A CONFLICT OF INTEREST ON A GIVEN ISSUE DO NOT VOTE ON THE ISSUE. PROCEEDINGS RELATED TO CONFLICTS OF INTEREST ARE DOCUMENTED IN THE MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PROCESS FOR DETERMINING THE COMPENSATION OF THE CHIEF EXECUTIVE INCLUDED A REVIEW AND APPROVAL OF COMPARABILITY DATA, CONTEMPORANEOUS SUBSTANTIATION, DELIBERATION, AND DECISION. THE EXECUTIVE COMMITTEE ALSO REVIEWS THE CHIEF EXECUTIVE COMPENSATION AND BONUS PLAN. THE PROCESS WAS LAST UNDERTAKEN IN OCTOBER 2024. THE PROCESS FOR DETERMINING THE COMPENSATION OF OTHER KEY EMPLOYEES OR OFFICERS INCLUDES THE ONGOING REVIEW OF DATA, THE NEEDS OF THE ORGANIZATION, THE LEVEL OF EXPERIENCE NEEDED TO FILL KEY ROLES AND COMPENSATION IN SIMILARLY SITUATED NON-PROFIT ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CLINIC'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN ENDOWMENT FUND 42,902. |