2024-05-14T09:41:23-05:00 2023-12-31 921397405 TSS ADVISORS LLC 19 MORGAN DRIVE LEBANON NH 03766 990 2023-01-01 030343685 BRATTLEBORO WALK-IN CLINIC BRAT 8022518484 191 CLARK AVE 1 BRATTLEBORO VT 05301 DEBORAH LEMNAH TREASURER 8022518484 2024-05-10 1 DEBORAH LEMNAH 999009999 0 W JAY SIMMS P00435321 6036530044 2024-05-10 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z DEBORAH LEMNAH 191 CLARK AVE 1 BRATTLEBORO VT 05301 169162 0 X WWW.BRATTLEBOROWALKINCLINIC.COM X 1993 VT OUR MISSION IS TO PROVIDE PRIMARY MEDCIAL TREATMENT TO PERSONS REGARDLESS OF THEIR ABILITY TO PAY AND SERVCE AS A REFERRAL RESOURCE FOR THE COMMUNITY AND OTHER SERVICE ORGANIZATIONS. 6 6 1 34 0 0 4852 13580 0 0 14406 52210 21926 15213 41184 81003 0 0 0 0 24649 25241 0 0 0 34763 36495 59412 61736 -18228 19267 916135 966955 0 0 916135 966955 OUR MISSION IS TO PROVIDE PRIMARY MEDICAL TREATMENT TO PERSONS REGARDLESS OF THEIR ABILITY TO PAY AND SERVE AS A REFERRAL RESOURCE FOR THE COMMUNITY AND OTHER SERVICE ORGANIZATIONS. 0 0 55744 THE BRATTLEBORO WALK-IN CLINIC PROVIDES PRIMARY MEDICAL CARE TO PATIENTS AGES 18-64 AT NO COST TO THE PATIENT. THE CLINIC PROVIDES SERVICE TO APPROXIMATELY 300 PEOPLE PER YEAR. 55744 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 1 1 0 0 0 0 0 0 0 0 0 0 X 6 6 1 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 0 0 X DEBORAH LEMNAH 8025793003 191 CLARK AVE SUITE 1 BRATTLEBORO VT 05301 X ADRIAN SEGAR VICE PRESIDENT 1.00 X X 0 0 0 DEBBIE LEMNAH TREASURER 1.00 X X 0 0 0 ANDREW MILLER PRESIDENT 1.00 X X 0 0 0 CHRISTOPHER CHAPMAN SECRETARY 1.00 X X 0 0 0 CELIA SEGAR DIRECTOR 1.00 X 0 0 0 JOHN F DALY MD DIRECTOR 1.00 X 0 0 0 0 0 0 6 0 0 0 0 13580 13580 9700 9700 34880 19667 15213 15213 15213 111002 68492 42510 42510 42510 81003 42510 0 24913 21888 19699 2189 1679 1511 168 1674 1507 167 4577 4119 458 1264 1138 126 400 400 740 669 71 14710 13239 1471 3731 3358 373 9690 8721 969 VOLUNTEER APPRECIATION 748 748 MEDICAL SUPPLIES 585 585 LICENSES & TAXES 50 50 61736 55744 5992 0 30969 40066 403498 16790 394170 386708 490996 540181 916135 966955 0 0 X 916135 966955 916135 966955 916135 966955 X 19267 31556 -3 X 0 0 0 X 9660 8772 7404 4852 13580 44268 9660 8772 7404 4852 13580 44268 44268 15168 16228 13509 32241 44580 121726 828 828 166822 78 0.26540 0.30030 X THIS ORGANIZATION PROVIDES PRIMARY MEDICAL TREATMENT TO PERSONS AGES 18-64 TO THE BRATTLEBORO, VT COMMUNITY WHO DO NOT HAVE HEALTH INSURANCE OR WHO CANNOT AFFORD THEIR HIGH DEDUCTIBLE OR CO-INSURANCE. THIS PRIMARY MEDICAL CARE IS PROVIDED AT NO COST TO THE PATIENTS. THE CLINIC IS STAFFED BY VOLUNTEER PHYSICIANS, NNURSES, NURSE PRACTIONERS, AND RECEIPTIONISTS.IN THE FALL OF 2021, THE CLINIC PURCHASED A FACILITY TO INSURE THAT THEY HAD A FACILITY TO PROVIDE FREE CARE. TO BE ABLE TO PAY FOR THE FACILITY OCCUPANCY COSTS, AND TO SUBSIDIZE MEDICAL SUPPLIES, A PORTION OF THE BUILDING HAS BEEN RENTED OUT. THE GROSS RENT RECEIVED HAS PUSHED THE PUBLIC SUPPORT % TO BELOW 33%. THE CLINIC CONTINUES TO RECEIVE A LARGE VOLUME OF SMALL DONATIONS FROM THE PUBLIC. THE CLINIC'S BOARD REPRESENTS A BROAD CROSS SECTION OF THE COMMUNITY INCLUDING A PHARMACIST, BANKER, DOCTOR, AND CONSULTANTS. AS NOTED, ALL MEDICAL CARE IS PROVIDED AT NO COST BY VOLUNTEER MEDICAL PROFESSIONALS. THE ESTIMATED COST OF THE DONATED MEDICAL PROFESSIONAL SERVICES IS TENS OF THOUSANDS OF DOLLARS. THIS IS NOT INCLUDED IN THE PUBLIC SUPPORT TEST. 105000 105000 298498 16790 281708 386708 FORM 990, PART VI, SECTION A, LINE 2 ADRIAN SEGAR AND CELIA SEGAR HAVE A FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 8B MINUTES OF BOARD MEETINGS ARE PREPARED AND DISTRIBUTED TO THE DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B COPY OF THE FORM 990 IS AVAILABLE FOR THE DIRECTORS TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C FULL DISCLOSURE SHALL BE MADE IN WRITING BY INTERESTED PARTIES TO THE FULL BOARD OF DIRECTORS IN ALL CONFLICTS OF INTEREST, INCLUDING BUT NOT LIMITED TO: A) A BOARD OMEMBER OR THEIR ORGANIZATION STANDS TO BENEFIT FROM A BRATTLEBORO WALK-IN CLINIC TRANSACTION OR A STAFF MEMBER OF THE BOARD MEMBER'S ORGANIZATION RECEIVES PAYMENT FROM THE CLINIC FOR ANY SERVICES. B) A BOARD MEMBER'S ORGANIZATION RECEIVES FUNDING FROM THE CLINIC. C) A BOARD MEMBER OR STAFF MEMBER IS MEMBER OF THE GOVERNING BODY OF A CONTRIBUTOR TO THE CLINIC. D) A STAFF MEMBER IN A SUPERVISORY POSITION IS RELATED TO ANOTHER STAFF MEMBER WHOM SHE OR HE SUPERVISES. E) A VOLUNTEER WORKING ON BEHALF OF THE CLINIC WHO MEETS ANY OF THE SITUATIONS LISTED ABOVE. FOLLOWING FULL DISCLOSURE OF A POSSIBLE CONFLICT OF INTEREST, THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST EXISTS, THE BOARD SHALL VOTE OT AUTHORIZE OR REJECT THE TRANSACTION IN QUESTION AND TAKE AN ACTION DEEMED NECESSARY TO ADDRESS THE CONFLICT TO PROTECT THE CLINIC'S BEST INTEREST. A BOARD MEMBER, STAFF MEMBER OR VOLUNTEER SHALL NOT PARTICIPATE IN ANY DISCUSSION OF THE BOARD OF DIRECTORS OR BOARD COMMITTEE IN WHICH THE SUBJECT OF THE DISUCSSION IS A CONTRACT, TRANSACTION, OR SITUATION IN WHICH THERE IS AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST. HOWEVER, THEY MAY BE PRESENT TO PROVIDE CLARIFYING INFORMATION IN SUCH A DUSCUSSION UNLESS OBJECTED TO ANY PRESENT BOARD OR COMMITTEE MEMBER. ANYONE IN A POSITION TO MAKE DECUSIONS ABOUT SPENDING THE CLINIC'S RESOURCES, WHO STANDS TO BENEFIT FROM THE DECISION, HAS A DUTY TO DISCLOSE THAT CONFLICT WHEN IT BECOMES APPARENT. SHE OR HE SHOULD NOT PARTICIPATE IN ANY FINAL DECISIONS. A COPY OF THIS POLICY SHALL BE GIVEN TO ALL BOARD MEMBERS, STAFF MEMBERS AND VOLUNTEERS UPON COMMENCEMENT OF SUCH PERSON'S RELATIONSHIP WITH CLINIC. FORM 990, PART VI, SECTION B, LINE 15A THE BRATTLEBORO WALK-IN CLINIC'S BOARD OF DIRECTORS AND OFFICERS ARE VOLUNTEERS WHOM ARE NOT COMPENSATED FOR THEIR TIME AND EFFORTS. THE PAID STAFF POSITIONS ARE REVIEWED AND APPROVED ANNUALLY BY THE BOARD OF DIRECTORS. THE SALARIES ARE COMPARED TO POSITIONS OF SIMILIAR RESPONSIBILITIES OF OTHER LOCAL ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE CLINIC'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING -3.