Centerville Clinics Inc.

“The form 990 is reviewed by the executive director and any other board member that wishes to review it.”

“Centerville clinic has a policy that addresses monitoring and enforcing compliance with the conflict of interest policy, and the policy includes the following procedures: a. The conflict of interest policy is given to each new board member and key employees and explained as part of their orientation program. B. The board of director's executive committee and the key employees review the board agenda on a monthly basis for the purpose of monitoring compliance with the conflict of interest policy. C. The conflict of interest policy is reviewed with all board members on an annual basis during a regular board of directors meeting. D. The conflict of interest policy is reveiwed with key employees no less than twice each year. E. The compliance is enforced according to the conflict of interest policy: "any matter of question or interpretation that arises relating to this policy, should be referred to the board president for decision and/or for referral to the board of directors for decision, were appropriate."”

“1. A committee was formed that included the president of the board and an independent employee for the purpose of determining like compensation in the area and by same type of organization of similiar size. Several sources were reviewed by the above committee: a. 990's of other federally qualified health centers of similiar size and budget comparisons. B. Area non-profit organizations were surveyed by reviewing the 990's. C. The national association of community health center's salary survey was compared to area and budget size. 2. The results of the survey were reported by the president of the board to the executive committee for review and approval. 3. The executive committee's report is then reported to the board of directors for final approval.”

“SEE EXPLANATION FOR 15A”

“Governing documents are available by request.”

“Maintenance agreements 400,070 0 0 lab supplies 360,259 0 0 telephone 0 331,353 0 utilities 230,533 50,605 0 data processing 0 246,764 0 medical supplies 244,798 0 0 independent consultants 0 236,403 0 building - repairs & main 151,428 0 0 workers compensation insu 91,844 22,961 0 dental supplies 106,340 0 0 minor equipment purchase 0 104,241 0 postage 0 61,113 0 study leave 41,068 10,267 0 janitorial supplies 51,145 0 0 recruitment 43,240 0 0 repairs & maint equipment 0 34,644 0 truck expenses 0 18,607 0 data processing - pharm 12,429 0 0 x-ray supplies 9,529 0 0 board designated 0 4,608 0 repairs x-ray 3,851 0 0 merchant services 3,783 0 0 allergy supplies 2,970 0 0 repairs - med equipment 921 0 0 general 0 660 0 repairs dental equipment 584 0 0 repairs lab 500 0 0 patient supplies 276 0 0”