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.”

“Telephone 0 393,540 0 lab supplies 328,259 0 0 data processing 0 297,118 0 medical supplies 259,160 0 0 independent consultants 0 232,237 0 utilities 184,934 40,595 0 building - repairs & main 186,672 0 0 workers compensation insu 148,534 37,134 0 minor equipment purchase 0 156,757 0 dental supplies 101,025 0 0 recruitment 100,216 0 0 study leave 75,686 18,922 0 postage 0 77,006 0 janitorial supplies 42,122 0 0 repairs & maint equipment 0 36,542 0 general 0 32,222 0 truck expenses 18,861 0 0 merchant services 0 14,114 0 data processing - pharm 13,273 0 0 x-ray supplies 4,993 0 0 board designated 4,441 0 0 repairs dental equipment 3,180 0 0 repairs x-ray 3,006 0 0 repairs lab 1,165 0 0 patient supplies 715 0 0 repairs - med equipment 678 0 0 total 1,476,920 1,336,187 0”