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. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
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 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 monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(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. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
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 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
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—2012.
If the organization did not check a 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—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 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) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
1,816
1,372
1,788
1,874
6,850
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......
13,509,370
13,149,715
12,089,095
12,475,418
12,148,187
63,371,785
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.
13,509,370
13,151,531
12,090,467
12,477,206
12,150,061
63,378,635
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.)
63,378,635
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
13,509,370
13,151,531
12,090,467
12,477,206
12,150,061
63,378,635
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
107,129
308,612
328,613
348,453
328,585
1,421,392
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
107,129
308,612
328,613
348,453
328,585
1,421,392
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.)
..
301,658
349,592
296,450
288,766
254,940
1,491,406
13
Total support. (Add lines 9, 10c, 11, and 12.)..
13,918,157
13,809,735
12,715,530
13,114,425
12,733,586
66,291,433
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 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
95.610 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
96.270 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
2.140 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.680 %
19a
33 1/3% support tests—2013.
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—2012.
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) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and 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) 2013
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.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
Eastwood Community Clinics
Employer identification number
38-1958763
Return Reference
Explanation
Form 990, Part III:
Eastwood Community Clinics Community Benefit Report Fiscal Year Ended June 30, 2014 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, 2014, Eastwood saw a slight increase in funding from year to year for this particular funding from $1,258,000 to $1,318,000. Combined with the approximate $4,100,000 in annual revenue from Medicaid, including the HMOs, Eastwood's revenue related to treating the indigent is 29.5% of total gross revenue with an estimated cost of $3,819,000 offset by receipts of $3,006,000 totaling a loss of in excess of $813,000. 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, 2014 the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $489,122. CATEGORY AMOUNT: - Traditional charity care at cost = $429,101 - Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, and other safety net programs; does not include Medicare shortfalls) = $60,021. Total = $489,101 PATIENT SERVICES: Eastwood provides the following residential and outpatient services to the community: Eastwood provides the following residential and outpatient services to the community: Eastwood Clinics has 10 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 10 locations number approximately 220 therapists and 11 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 10 outpatient clinics also offer a combination of 9 Intensive Outpatient Programs for chemical dependency. Eastwood also operates a residential chemical dependency programs during FY14: the facility is a 25 bed primary treatment unit for males. The program is 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 23,000 individuals and families. At its residential substance abuse treatment programs approximately 348 patients were provided services. Many of these patients come to Eastwood with the clothes on their backs. Of the approximately 165,000 patient visits delivered, approximately 71% were for mental health services and 29% were for substance abuse treatment. Approximately 29.5% of those services delivered by Eastwood were to indigent patients. With over 55,000 visits 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 9 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.
Form 990, Part VI, Section A, line 2
Many of the persons listed on Part VII have a "business relationship" with each other by virtue of sitting on related St. John Providence Health System entity boards.
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. Ascension Health has designed a system authority matrix which assigns authority for key decisions that are necessary in the operation of the system. Specific areas that are identified in the authority matrix are: new organizations & major transactions; governing documents; appointments/removals; evaluation; debt limits; strategic & financial plans; assets; system policies & procedures. These areas are subject to certain levels of approval by Ascension per the system authority matrix.
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. 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 organization's President, the process, performed by St. John Health, a related organization of Eastwood Community Clinics, 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 President was compared to individuals at other organizations in the area who hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands. The individual was not present when his compensation was decided. In determining compensation of other officers of the organization, the process, performed by St. John Health, a related organization of Eastwood Community Clinics, 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 organization were compared to individuals at other organizations in the area who hold the same title. Wage bands are adjusted annually and wages paid for all positions are within those bands. During the review and approval of the compensation, documentation of the decision was recorded in the committee minutes.
Form 990, Part VI, Section C, line 19
The organization will provide any documents open to public inspection upon request.
Form 990, Part VII, Section A:
Where noted with a "(Sch O)" reference, 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.
Form 990, Part XI, line 9:
Net Assets Released from Restrictions 8,335. Other Restricted Activity -2,186.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.