Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (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 listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (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 VI.).. | ||||||
| 11 | Total support Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 1,816 | 1,372 | 1,788 | 1,874 | 1,368 | 8,218 |
| 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...... | 13,149,715 | 12,089,095 | 12,475,418 | 12,148,187 | 12,629,166 | 62,491,581 |
| 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. | 13,151,531 | 12,090,467 | 12,477,206 | 12,150,061 | 12,630,534 | 62,499,799 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons... | 0 | 0 | 0 | 0 | 0 | 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 | 0 | 0 | 0 | 0 | 0 |
| c | Add lines 7a and 7b.. | 0 | 0 | 0 | 0 | 0 | 0 |
| 8 | Public support (Subtract line 7c from line 6.) | 62,499,799 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2010 | (b) 2011 | (c) 2012 | (d) 2013 | (e) 2014 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 13,151,531 | 12,090,467 | 12,477,206 | 12,150,061 | 12,630,534 | 62,499,799 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 308,612 | 328,613 | 348,453 | 328,585 | 290,378 | 1,604,641 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 308,612 | 328,613 | 348,453 | 328,585 | 290,378 | 1,604,641 |
| 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 VI.) .. | 349,592 | 296,450 | 288,766 | 254,940 | 204,459 | 1,394,207 |
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 13,809,735 | 12,715,530 | 13,114,425 | 12,733,586 | 13,125,371 | 65,498,647 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e | Discount claimed for blockage or other factors (explain in detail in Part VI): | |||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| 7 | Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions) | |||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2014 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2014 |
(iii) Distributable Amount for 2014 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2014 from Section C, line 6 |
||||
|
2
Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions) |
||||
| 3 Excess distributions carryover, if any, to 2014: | ||||
| a From 2009.......X | ||||
| b From 2010.......X | ||||
| c From 2011.......X | ||||
| d From 2012.......X | ||||
| e From 2013....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2014 distributable amount | ||||
|
i
Carryover from 2009 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2014 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2014 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
||||
|
6
Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
||||
|
7 Excess distributions carryover to 2015. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a From 2010.......X | ||||
| b From 2011.......X | ||||
| c From 2012.......X | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| Schedule A, Part III, Line 12 Other Income | DESCRIPTION - OTHER, COLUMN A - 349592.0, COLUMN B - 296450.0, COLUMN C - 288766.0, COLUMN D - 254940.0, COLUMN E - 204459.0, COLUMN F - 1394207.0; |
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Line 15 Section B | 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 WAGED 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, Line 2 Family/business relationships amongst interested persons | 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. - Business relationship |
| Form 990, Part VI, Line 6 Classes of members or stockholders | Eastwood Community Clinics has a single corporate member, St. John Health. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | 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, Line 7b Decisions requiring approval by members or stockholders | 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, Line 11b Review of form 990 by governing body | 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, Line 12c Conflict of interest policy | 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, Line 19 Required documents available to the public | The organization will provide any documents open to public inspection upon request. |
| Form 990, Part VII, Section B, Line 1 Independent Contractor Reporting | Compensation of independent contractors is paid by and reported on the Form 1096, Annual Summary and Transmittal of U.S. Information Returns, of Ascension Health EIN 31-1662309. Expenses are allocated to and reimbursed by the filing organization to Ascension Health. As such, the organization has not reported independent contractors paid on Form 990, Part VII, Section B. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Net Assets Released to/from related organizations - 3162; |
| Community Benefit Report | Eastwood Community Benefit Report COMMUNITY BENEFIT REPORT Fiscal Year Ended June 30, 2015 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, 2015, Eastwood saw a decrease in funding from year to year for this particular funding from $1,318,000 to $974,000. Combined with the approximate $7,260,000 in annual revenue from Medicaid, including the HMOs, Eastwood's revenue related to treating the indigent is 28.6% of total gross revenue with an estimated cost of $3,840,000 offset by receipts of $2,805,000 totaling a loss of in excess of $1,035,000. 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, 2015 the estimated unreimbursed cost of services provided to the elderly, uninsured, and underinsured totaled $493,266. Category Amount Traditional charity care at cost $155,286 Unpaid cost of public indigent care programs (includes Medicaid, SCHIP, and other safety net programs; (does not include Medicare shortfalls) $337,980. Total: $493,266 Patient Services 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 FY15: 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 352 patients were provided services. Many of these patients come to Eastwood with the clothes on their backs. Of the approximately 167,000 patient visits delivered, nearly 70% were for mental health services and 30% were for substance abuse treatment. Approximately 30% 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. |
| Software ID: | 14000329 |
| Software Version: | 2014v1.0 |