VOLUNTEER HEALTHCARE CLINIC INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
VOLUNTEER HEALTHCARE CLINIC INC (EIN 74-6082464)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-07-12
IRS object ID
202421949349301817
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-07-12T16:42:50-07:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN742981758PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Dunagan Jack LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14833 Spicewood Springs Rd Ste 102AddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78759ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN746082464EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Volunteer Healthcare Clinic IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVOLUBusinessNameControlTxt
Phone5124596002PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14215 Medical ParkwayAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78756ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSamantha O'MearaPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2024-07-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSamanthaPersonFirstNm
Person LastOMearaPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGary Joseph JackPreparerPersonNm
PTINP00184408PTIN
Phone5124208997PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMarci RoePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14215 Medical ParkwayAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78756ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$889,798GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.volclinic.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionOur mission is to improve the health of the uninsured and working poor by providing access to high quality health care and prevention education. Our vision is to help create and sustain a healthy community where all people have access to healthcare and personal well-being.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee28TotalEmployeeCnt
Total Volunteers420TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$694,804PYContributionsGrantsAmt
CY Contributions Grants$850,419CYContributionsGrantsAmt
PY Program Service Revenue$7,614PYProgramServiceRevenueAmt
CY Program Service Revenue$21,980CYProgramServiceRevenueAmt
PY Investment Income$67PYInvestmentIncomeAmt
CY Investment Income$12,144CYInvestmentIncomeAmt
PY Other Revenue$1,786PYOtherRevenueAmt
CY Other Revenue$1,255CYOtherRevenueAmt
PY Total Revenue$704,271PYTotalRevenueAmt
CY Total Revenue$885,798CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$500,999PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$492,561CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$43,488CYTotalFundraisingExpenseAmt
PY Other Expenses$286,407PYOtherExpensesAmt
CY Other Expenses$393,253CYOtherExpensesAmt
PY Total Expenses$787,406PYTotalExpensesAmt
CY Total Expenses$885,814CYTotalExpensesAmt
PY Revenues Less Expenses-$83,135PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$16CYRevenuesLessExpensesAmt
Total Assets BOY$1,544,148TotalAssetsBOYAmt
Total Assets EOY$1,660,025TotalAssetsEOYAmt
Total Liabilities BOY$5,734TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,343TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,538,414NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,648,682NetAssetsOrFundBalancesEOYAmt
MissionOur mission is to improve the health of the uninsured and working poor by providing access to high quality health care and prevention education. Our vision is to help create and sustain a healthy community where all people, especially the indigent, have access to healthcare and personal well-being.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$768,895ExpenseAmt
Revenue$21,980RevenueAmt
DescThe Clinic provided walk-in clinics for adults and children seeking medical attention for primary, acute care needs and a chronic disease management clinic for patients with diabetes, hypertension, and endocrine disorders. The Clinic offered social service referrals, limited mental health services, and healthy lifestyle counseling as well. The Clinic also maintained an onsite pharmacy and lab. The Clinic offered care to people with no health insurance who are living at or below 200% of the U.S. Federal Poverty Level.Desc
Total Program Service Expenses$768,895TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee28EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnfalseAnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcfalseRegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMarci RoePersonNm
Phone5124596002PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14215 Medical ParkwayAddressLine1Txt
CityAustinCityNm
State AbbreviationTXStateAbbreviationCd
ZIP78756ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Marci Roe
Exec Director40.000.00Yes (X)$89,792$0$2,694
Davika Reid
President2.000.00Yes (X)$0$0$0Yes (X)
Sunaina Suhag
Vice President1.000.00Yes (X)$0$0$0Yes (X)
Ellee Cochran
Secretary1.000.00Yes (X)$0$0$0Yes (X)
Samantha O'Meara
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
Tom McHorse
Med Director4.000.00Yes (X)$0$0$0Yes (X)
Ranjit Nayak
Past President1.000.00Yes (X)$0$0$0Yes (X)
Allen Busch
Director1.000.00$0$0$0Yes (X)
Candice Chavez Fischer
Director1.000.00$0$0$0Yes (X)
Lora Ann Gerson
Director1.000.00$0$0$0Yes (X)
Alina Ramos
Director1.000.00$0$0$0Yes (X)
Beth Schletchter
Director1.000.00$0$0$0Yes (X)
Lynda Shanblum
Director1.000.00$0$0$0Yes (X)
Aurora Trahan
Director1.000.00$0$0$0Yes (X)
Ivette Vega
Director1.000.00$0$0$0Yes (X)
Michael Zimmerman
Director1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$89,792TotalReportableCompFromOrgAmt
Total Other Compensation$2,694TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$29,325FundraisingAmt
Government Grants$175,250GovernmentGrantsAmt
All Other Contributions$645,844AllOtherContributionsAmt
Noncash Contributions$220,115NoncashContributionsAmt
Total Contributions$850,419TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient feesDesc
Business621300BusinessCd
Total Revenue Column$21,980TotalRevenueColumnAmt
Related Or Exempt Func Income$21,980RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$21,980TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,144TotalRevenueColumnAmt
Exclusion$12,144ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$4,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$29,325ContriRptFundraisingEventAmt
Fundraising Direct Expenses$4,000FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther revenuesDesc
Business900099BusinessCd
Total Revenue Column$1,255TotalRevenueColumnAmt
Exclusion$1,255ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,255OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$885,798TotalRevenueColumnAmt
Related Or Exempt Func Income$21,980RelatedOrExemptFuncIncomeAmt
Exclusion$13,399ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$89,792TotalAmt
Program Services$58,365ProgramServicesAmt
Management And General$8,979ManagementAndGeneralAmt
Fundraising$22,448FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$364,596TotalAmt
Program Services$347,846ProgramServicesAmt
Management And General$16,750ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,412TotalAmt
Program Services$3,055ProgramServicesAmt
Management And General$188ManagementAndGeneralAmt
Fundraising$169FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$34,761TotalAmt
Program Services$31,132ProgramServicesAmt
Management And General$1,912ManagementAndGeneralAmt
Fundraising$1,717FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$8,424TotalAmt
Management And General$8,424ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,753TotalAmt
Program Services$436ProgramServicesAmt
Management And General$6,317ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,337TotalAmt
Program Services$7,421ProgramServicesAmt
Management And General$458ManagementAndGeneralAmt
Fundraising$458FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,520TotalAmt
Program Services$12,923ProgramServicesAmt
Management And General$798ManagementAndGeneralAmt
Fundraising$799FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,004TotalAmt
Program Services$11,573ProgramServicesAmt
Management And General$716ManagementAndGeneralAmt
Fundraising$715FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,324TotalAmt
Management And General$12,324ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medicines$188,249$188,249
Medical supplies$70,949$70,949
Other expenses$37,402$24,186$6,521$6,695
Other personnel expenses$13,423$12,760$663

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,868TotalAmt
Management And General$10,044ManagementAndGeneralAmt
Fundraising$9,824FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$885,814TotalAmt
Program Services$768,895ProgramServicesAmt
Management And General$73,431ManagementAndGeneralAmt
Fundraising$43,488FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$110,260BOYAmt
EOY$231,394EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$292,773BOYAmt
EOY$98,283EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$627,916LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$370,809LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$267,516BOYAmt
EOY$257,107EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$156,633EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$873,599BOYAmt
EOY$916,608EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,544,148BOYAmt
EOY$1,660,025EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,734BOYAmt
EOY$11,343EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,734BOYAmt
EOY$11,343EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,286,478BOYAmt
EOY$1,379,752EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$251,936BOYAmt
EOY$268,930EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,538,414BOYAmt
EOY$1,648,682EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,544,148BOYAmt
EOY$1,660,025EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$16ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$110,284OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$616,019CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,112,913CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,146,668CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$694,804CurrentTaxYearMinus1YearAmt
Current Tax Year$850,419CurrentTaxYearAmt
Total$4,420,823TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$616,019CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,112,913CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,146,668CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$694,804CurrentTaxYearMinus1YearAmt
Current Tax Year$850,419CurrentTaxYearAmt
Total$4,420,823TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$525,985SubstantialContributorsTotAmt
Public Support Total170$3,894,838PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,311CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,039CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$158CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$67CurrentTaxYearMinus1YearAmt
Current Tax Year$12,144CurrentTaxYearAmt
Total$19,719TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,073CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,646CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,279CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,786CurrentTaxYearMinus1YearAmt
Current Tax Year$1,255CurrentTaxYearAmt
Total$21,039TotalAmt
FieldValueIRS element (for citing)
Total Support$4,461,581TotalSupportAmt
Gross Receipts Rltd Activities$70,195GrossReceiptsRltdActivitiesAmt
Public Support CY1700.87300PublicSupportCY170Pct
Public Support PY1700.86600PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$874,199BeginningYearBalanceAmt
Contributions$7,878ContributionsAmt
Investment Earnings Or Losses$110,284InvestmentEarningsOrLossesAmt
Grants Or Scholarships$75,000GrantsOrScholarshipsAmt
End Year Balance$917,361EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,009,304BeginningYearBalanceAmt
Contributions$13,310ContributionsAmt
Investment Earnings Or Losses-$148,415InvestmentEarningsOrLossesAmt
End Year Balance$874,199EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$761,797BeginningYearBalanceAmt
Contributions$112,800ContributionsAmt
Investment Earnings Or Losses$134,707InvestmentEarningsOrLossesAmt
End Year Balance$1,009,304EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$635,084BeginningYearBalanceAmt
Contributions$50,350ContributionsAmt
Investment Earnings Or Losses$80,363InvestmentEarningsOrLossesAmt
Grants Or Scholarships$4,000GrantsOrScholarshipsAmt
End Year Balance$761,797EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$513,519BeginningYearBalanceAmt
Contributions$30,263ContributionsAmt
Investment Earnings Or Losses$91,302InvestmentEarningsOrLossesAmt
End Year Balance$635,084EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.75040BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.24960PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,000OtherCostOrOtherBasisAmt
Book Value$50,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$508,195OtherCostOrOtherBasisAmt
Depreciation$313,685DepreciationAmt
Book Value$194,510BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,246OtherCostOrOtherBasisAmt
Depreciation$19,059DepreciationAmt
Book Value$11,187BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,475OtherCostOrOtherBasisAmt
Depreciation$38,065DepreciationAmt
Book Value$1,410BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$257,107TotalBookValueLandBuildingsAmt
Total Book Value Securities$156,633TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBeneficial interest in funds held at ACFDesc
Book Value$916,608BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$916,608TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$779,967TotalRevEtcAuditedFinclStmtAmt
Other Revenue$114,284OtherRevenueAmt
Revenue Not Reported$114,284RevenueNotReportedAmt
Revenue Subtotal$665,683RevenueSubtotalAmt
Other Revenues Not Included$220,115OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$220,115RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$885,798TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$669,699TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$4,000OtherExpensesIncludedAmt
Expenses Not Reported$4,000ExpensesNotReportedAmt
Expenses Subtotal$665,699ExpensesSubtotalAmt
Other Expenses Not Included$220,115OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$220,115ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$885,814TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4: Intended uses of the endowment fund.To provide general support to the Organization.
Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Change in value of beneficial interests $110284 Special event expenses netted on 990 $4000
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SDonated medications and supplies $220115
Part XII, Line 2d: Other expenses and losses per audited F/SSpecial event expenses netted on 990 $4000
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SDonated medications and supplies $220115

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Tuned to HealthEvent1Nm
Gross Receipts Event1$33,325GrossReceiptsEvent1Amt
Charitable Contri Event1$29,325CharitableContriEvent1Amt
Gross Revenue Event1$4,000GrossRevenueEvent1Amt
Entertainment Event1$4,000EntertainmentEvent1Amt
Gross Receipts Total$33,325GrossReceiptsTotalAmt
Charitable Contributions Tot$29,325CharitableContributionsTotAmt
Gross Revenue Total Events$4,000GrossRevenueTotalEventsAmt
Entertainment Total Events$4,000EntertainmentTotalEventsAmt
Direct Expense Summary Events$4,000DirectExpenseSummaryEventsAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$220,115NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bThe Clinic's CPA prepares a draft of the return. The Executive Director and Treasurer review the draft before it is filed.
Form 990, Part VI, Section B, Line 15bThe Clinic has a personnel committee, which is a sub-committee of the Board of Directors, comprised of 5 directors, which includes the Treasurer. This committee oversaw the hiring of the Executive Director and reviews compensation changes for new and existing staff members. When determining a new leased employee's salary, efforts are made to bench mark against other similar positions in similar organizations. This might take the form of speaking with other non-profit leaders within the community, reviewing on-line salary reporting sites/or reviewing available compensation reports. Other factors, such as experience and knowledge, are also taken into consideration.
Form 990, Part VI, Section C, Line 19Certain other documents available upon request.
Form 990, Part XI, Line 9Change in value of beneficial interests = $110284

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