Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Eastwood Community Clinics
Employer identification number
38-1958763
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2010.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2009.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2009.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
8,121
26,972
1,816
36,909
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
25,013,646
24,146,401
12,887,966
13,509,370
13,149,715
88,707,098
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
25,013,646
24,154,522
12,914,938
13,509,370
13,151,531
88,744,007
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public Support (Subtract line 7c from line 6.)
88,744,007
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2006
(b) 2007
(c) 2008
(d) 2009
(e) 2010
(f) Total
9
Amounts from line 6...
25,013,646
24,154,522
12,914,938
13,509,370
13,151,531
88,744,007
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
46,525
43,959
24,042
107,129
308,612
530,267
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
46,525
43,959
24,042
107,129
308,612
530,267
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
86,758
103,016
131,123
301,658
349,592
972,147
13
Total support (Add lines 9, 10c, 11 and 12.).
25,146,929
24,301,497
13,070,103
13,918,157
13,809,735
90,246,421
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2010 (line 8 column (f) divided by line 13 column (f))
.........
15
98.340 %
16
Public support percentage from 2009 Schedule A, Part III, line 15
...............
16
99.110 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2010 (line 10c column (f) divided by line 13 column (f))
......
17
0.590 %
18
Investment income percentage from 2009 Schedule A, Part III, line 17
.............
18
0.220 %
19a
33 1/3% support tests—2010.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2009.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2010
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Eastwood Community Clinics
Employer identification number
38-1958763
Identifier
Return Reference
Explanation
Form 990, Part VI, Section A, line 6
Eastwood Community Clinics has a single corporate member, St. John Health.
Form 990, Part VI, Section A, line 7a
Eastwood Community Clinics has a single corporate member, St. John Health, who has the ability to elect members to the governing body of Eastwood Community Clinic.
Form 990, Part VI, Section A, line 7b
All decisions that have a material impact to Eastwood Community Clinics financial information or corporation as a whole are subject to approval by its sole corporate member, St. John Health.
Form 990, Part VI, Section B, line 11
Management, including certain officers, works diligently to complete the Form 990 and attached schedules in a thorough manner. Management presents the Form to the board, or a designated committee, to review and answer any questions. Prior to filing the return, all board members are provided the Form 990 and management team members are available to answer any board member questions.
Form 990, Part VI, Section B, line 12c
Eastwood Community Clinics regularly and consistently monitors and enforces compliance with the conflict of interest policy in that any director, principal officer, or member of a committee with governing board delegated powers, who has a direct or indirect financial interest, must disclose the existence of the financial interest and be given the opportunity to disclose all material facts to the directors and members of the committees with governing board delegated powers considering the proposed transaction or arrangement. The remaining individuals on the governing board or committee will decide if conflicts of interest exist. Each director, principal officer and member of a committee with governing board delegated powers annually signs a statement which affirms such person has received a copy of the conflict of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization is charitable and in order to maintain its federal tax exemption it must engage primarily in activities which accomplish its tax-exempt purpose.
Form 990, Part VI, Section B, line 15
In determining compensation of the organizations' CEO, executive director, or top management official, the process included a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. Management reviewed and approved the compensation. In the review of the compensation, the CEO, executive director, and top management were compared to the other organizations in the area that hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands. In determining compensation of other officers of the organization, the process included a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision. Management reviewed and approved the compensation. In the review of the compensation, the other officers of the organizations were compared to the other organizations employees in the area that hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands.
Form 990, Part VI, Section C, line 19
The organization will provide any documents open to public inspection upon request.
Changes in Net Assets or Fund Balances:
Form 990, Part XI, line 5:
Net unrealized gains on investments: 221,286. Other Restricted Activity 3,484. Total to Form 990, Part XI, Line 5: 224,770.
Form 990, Part VII, Section A:
The compensation listed is for services provided to this organization or a related organization in an employee capacity, and not for participation in this organization's board.
Part XII, Line 3a:
The financial statements of Eastwood Community Clinics were audited on a consolidated basis. An audit committee has been delegated the responsibility to oversee the audited financial statements in accordance with standards contained in government auditing standards, issued by the comptroller general of the united states pursuant to OMB Circular A-133 and the selection of the independent accountants that audited the financial statements.
Community Benefit Report:
Form 990, Part III:
Eastwood Community Benefit Report Fiscal Year Ended June 30, 2011 This report illustrates the significant degree to which Eastwood Community Clinics, hereinafter Eastwood, contributes to the positive health status of the communities it serves. As a member of Ascension Health, the nation's largest Catholic healthcare system, Eastwood continues to build and strengthen sustainable collaborative efforts that benefit the health of individuals, families, and society as a whole. The goal of Eastwood is to perpetuate the healing mission of the church. Eastwood furthers this goal through delivery of patient services, care to the elderly and indigent, and patient education and health awareness programs for the community. Our concern for all human life and dignity of each person leads the organization to provide services to all people in the community without regard to the patient's race, creed, national origin, economic status, or ability to pay. Eastwood has engaged in the following activities to ensure that our mission is accomplished: Unreimbursed Services Provided to the Elderly and the Poor: Eastwood continues to be a preferred provider of services for the governmental agencies that fund substance abuse and mental health services to the indigent elderly and poor. During the fiscal year ending June 30, 2011, Eastwood saw a decrease in funding from year to year for this particular funding to $1,460,000. Combined with the approximate $2,295,000 in annual revenue from Medicaid HMOs, Eastwood's revenue related to treating the indigent is 29% of total revenue. In the spirit of principles adopted by Ascension Health, Eastwood has taken proactive steps to address those issues that will affect accessibility, financing, and delivery of healthcare to all persons, especially the uninsured, underinsured, and the underserved. During the fiscal year ending June 30, 2011 the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $609,166. Category Amount: Traditional charity care at cost $516,266 Unpaid government sponsored health care (net expense) Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, and other safety net programs; (does not include Medicare shortfalls) $92,900. Total: $609,166 Patient Services: Eastwood provides the following residential and outpatient services to the community: Eastwood Clinics has 8 outpatient clinics spread throughout the metropolitan Detroit area, each offering mental health and chemical dependency treatment services to individuals, couples and families, including adolescents and children. Each clinic has a professional staff of Master degreed Social Workers and Psychologists and Ph.D. Psychologists, all under the direction of supervising Psychiatrists who direct all treatment planning and provide direct patient care through psychiatric evaluation and medication management, when indicated. Since approximately 33% of services are for children or adolescents and their families, all clinics have Psychiatrists who are Board certified in Child Psychiatry as well as General Psychiatry. The total professional staff across the 8 locations number approximately 210 therapists and nine Psychiatrists. The size and diversity of staff at each clinic enable Eastwood to treat such special conditions as eating disorders; ADD/ADHD; alcoholism and/or drug abuse or dependence; depression; divorced families/children of divorced families; codependent mental health and chemical abuse or dependency disorders; older adults' conditions such as dementia or depression. In addition to individual, couple and family therapy, each clinic offers several specialty groups for certain conditions; all sites offer recovery groups for chemical abusers/dependents. 6 of the 8 outpatient clinics also offer a combination of 10 Intensive Outpatient Programs for chemical dependency. Eastwood also operates 2 residential chemical dependency programs: A 24 bed primary treatment unit for males and an 18 bed halfway house providing supervised re-entry for recovering males. Both programs are founded on the 12 Step model, integrated with effective professional therapy. During the current fiscal year Eastwood delivered outpatient mental health and substance abuse treatment service to nearly 25,275 individuals and families. At its residential substance abuse treatment programs over 698 patients will be provided services. Many of these patients come to Eastwood with the clothes on their backs. Of the approximately 177,000 patient visits delivered, approximately 52% were for mental health services and 48% were for substance abuse treatment. Approximately 28% of those services delivered by Eastwood were to indigent patients. With over 65,000 service contacts per year with children and adolescents, Eastwood is the largest provider of outpatient behavioral health service in Michigan to persons under 18 years of age. Eastwood has specialty contracts with state and federal corrections department to treat substance abusers and perpetrators of sexual assault and violence. We receive paroles and probationers and follow strict guidelines with probation officers and corrections officers. Eastwood is the largest provider of outpatient services to individuals enrolled the Healthcare Professional Recovery Programs in Southeast Michigan. Eastwood has 10 Intensive Outpatient programs for substance abusers making it the oldest and largest provider of service in Southeast Michigan. Some of the services listed above operate at a loss in order to ensure that all services are available to meet community health care needs. These include medication management as well as many of the Medicaid services, which additionally have significantly higher no show rates in the behavioral medicine field. Community Outreach Activities: Eastwood seeks to improve the physical, mental, social and spiritual health status of its surrounding community. In addition to providing behavioral health care services to all individuals who require it, Eastwood has developed the following programs to help achieve its mission: - Expanding Awareness, Education, and Health Promotion: Eastwood believes that it is essential to educate people regarding the types of behavior that improve their chances of living a healthy life. Eastwood has presented lectures and seminars in the community to help provide education and materials to accomplish its goals. - Medical Education: Eastwood believes that, in order to provide the best health care to the community, its clinical personnel must receive ongoing education. Staff is required to maintain certification and attend seminars and ongoing education. Eastwood also provides clinical internship opportunities with local colleges and universities including Wayne State University, Michigan State University, and Oakland University. Summary: Eastwood furthers its charitable purposes by providing a broad array of services to meet the mental healthcare needs of patients and organizations in the community. We provide essential behavioral health services to the community, train and recruit healthcare professionals to serve the needs of the broader community, provide appropriate charity services to those patients who are not able to pay for their own healthcare needs, provide services to other organizations that allow them to provide quality services to their patients or constituents, and present education information classes and activities to the community in order to improve its overall mental health status.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.