COMMUNITY CARE CENTER FOR FORSYTH COUNTY: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: COMMUNITY CARE CENTER FOR FORSYTH COUNTY (EIN 58-1403699)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-08-19
IRS object ID: 202422329349301087
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-08-19T14:07:55-05:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	560817345	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	TURLINGTON AND COMPANY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	1338 WESTGATE CENTER DRIVE	AddressLine1Txt
City	WINSTONSALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27103	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	581403699	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COMMUNITY CARE CENTER FOR FORSYTH COUNTY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	COMM	BusinessNameControlTxt
Phone	3367237904	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2135 NEW WALKERTOWN ROAD	AddressLine1Txt
City	WINSTONSALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27101	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL JEFFREY	PersonNm
Person Title	CHIEF EXECUTIVE OFFICER	PersonTitleTxt
Phone	3367237904	PhoneNum
Signature	2024-08-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	DEXTER A GARNER	PreparerPersonNm
PTIN	P01276494	PTIN
Phone	3367652410	PhoneNum

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ROBERT DIBELLA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2135 NEW WALKERTOWN ROAD	AddressLine1Txt
City	WINSTONSALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27101	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$9,926,400	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CCCFORSYTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW INCOME FAMILIES.	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	35	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$8,971,493	PYContributionsGrantsAmt
CY Contributions Grants	$9,248,600	CYContributionsGrantsAmt
PY Program Service Revenue	$57,395	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$4,044	PYInvestmentIncomeAmt
CY Investment Income	$48,130	CYInvestmentIncomeAmt
PY Other Revenue	$1,725	PYOtherRevenueAmt
CY Other Revenue	-$15,168	CYOtherRevenueAmt
PY Total Revenue	$9,034,657	PYTotalRevenueAmt
CY Total Revenue	$9,281,562	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$950,265	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,175,521	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$3,617	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,122,002	PYOtherExpensesAmt
CY Other Expenses	$8,024,508	CYOtherExpensesAmt
PY Total Expenses	$9,072,267	PYTotalExpensesAmt
CY Total Expenses	$9,200,029	CYTotalExpensesAmt
PY Revenues Less Expenses	-$37,610	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$81,533	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,032,297	TotalAssetsBOYAmt
Total Assets EOY	$2,200,406	TotalAssetsEOYAmt
Total Liabilities BOY	$45,394	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$99,058	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,986,903	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,101,348	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW INCOME FAMILIES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$8,784,505	ExpenseAmt
Revenue	$555	RevenueAmt
Desc	COMMUNITY CARE CENTER OF FORSYTH COUNTY, INC. IS A FREE MEDICAL CLINIC FOR FAMILIES WHO EARN LESS THAN 200% OF THE FEDERAL POVERTY LEVEL AND HAVE NO MEDICAL INSURANCE. THE CENTER PROVIDES FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW-INCOME FAMILIES AS THE SOLE PROGRAM.	Desc
Total Program Service Expenses	$8,784,505	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	35	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	0	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	0	RegularMonitoringEnfrcInd
Whistleblower Policy	0	WhistleblowerPolicyInd
Document Retention Policy	0	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE ORGANIZATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3367237904	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2135 WALKERTOWN RD	AddressLine1Txt
City	WINSTON SALEM	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	27101	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
ROBERT DIBELLA
BOARD CHAIR	2.00	Yes (X)	Yes (X)	$0	$0	$0
KATIE ALEXANDER
SECRETARY	2.00	Yes (X)	Yes (X)	$0	$0	$0
RUDY ALLEN
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ANTHONY BRETT
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ROBERT COIL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
LORRAINE FRANK LIGHTFOOT
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
KIMBERLY GREGG
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
GREGORY HOLTHUSEN
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
BEN HOUGH
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
MARLON HUNTER
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
LUNCINDA JONES
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
GILMOUR LAKE
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
NANCY SMITH
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
J BALDWIN SMITH
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ALEX TURNER
TREASURER	2.00	Yes (X)	Yes (X)	$0	$0	$0
CARL WESCOTT
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
ROBERT FORD
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
YEN NGUYEN
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
DEBBIE MARSHALL
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
WILLIAM PITTMAN
BOARD MEMBER	1.00	Yes (X)		$0	$0	$0
TIMOTHY CLONTZ
EXECUTIVE DIRECTOR	40.00		Yes (X)	$126,592	$0	$9,157

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$126,592	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$9,157	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$64,719	FederatedCampaignsAmt
Fundraising	$67,335	FundraisingAmt
Government Grants	$440,442	GovernmentGrantsAmt
All Other Contributions	$8,676,104	AllOtherContributionsAmt
Noncash Contributions	$7,936,952	NoncashContributionsAmt
Total Contributions	$9,248,600	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,937	TotalRevenueColumnAmt
Exclusion	$23,937	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$653,308	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$628,854	SecuritiesAmt
Other	$261	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$24,454	SecuritiesAmt
Other	-$261	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,193	TotalRevenueColumnAmt
Exclusion	$24,193	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$67,335	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$15,723	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$15,723	TotalRevenueColumnAmt
Exclusion	-$15,723	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	OTHER REVENUE	Desc
Business	621300	BusinessCd
Total Revenue Column	$555	TotalRevenueColumnAmt
Related Or Exempt Func Income	$555	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$555	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,281,562	TotalRevenueColumnAmt
Related Or Exempt Func Income	$555	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$32,407	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$135,749	TotalAmt
Program Services	$54,299	ProgramServicesAmt
Management And General	$81,450	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$876,640	TotalAmt
Program Services	$721,201	ProgramServicesAmt
Management And General	$152,342	ManagementAndGeneralAmt
Fundraising	$3,097	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$87,475	TotalAmt
Program Services	$67,007	ProgramServicesAmt
Management And General	$20,200	ManagementAndGeneralAmt
Fundraising	$268	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$75,657	TotalAmt
Program Services	$57,954	ProgramServicesAmt
Management And General	$17,472	ManagementAndGeneralAmt
Fundraising	$231	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$17,101	TotalAmt
Management And General	$17,101	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$15,440	TotalAmt
Management And General	$15,440	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$6,320	TotalAmt
Management And General	$6,320	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,670	TotalAmt
Management And General	$18,670	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,413	TotalAmt
Management And General	$2,413	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,090	TotalAmt
Program Services	$5,672	ProgramServicesAmt
Management And General	$1,418	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,078	TotalAmt
Management And General	$15,078	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DONATED MEDICINE	$7,718,801	$7,718,801
REPAIRS AND MAINTENANCE	$56,117	$44,894	$11,223
PURCHASED MEDICINES	$45,781	$45,781
LAB FEES AND MEDICAL SU	$26,439	$26,439

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$95,258	TotalAmt
Program Services	$42,457	ProgramServicesAmt
Management And General	$52,780	ManagementAndGeneralAmt
Fundraising	$21	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,200,029	TotalAmt
Program Services	$8,784,505	ProgramServicesAmt
Management And General	$411,907	ManagementAndGeneralAmt
Fundraising	$3,617	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$696,747	BOYAmt
EOY	$660,171	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$928,828	BOYAmt
EOY	$1,081,114	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$105,405	BOYAmt
EOY	$134,116	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$19,766	BOYAmt
EOY	$7,574	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,889	BOYAmt
EOY	$15,482	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$684,076	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$539,350	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$139,328	BOYAmt
EOY	$144,726	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$135,009	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$131,334	BOYAmt
EOY	$22,214	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,032,297	BOYAmt
EOY	$2,200,406	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$45,394	BOYAmt
EOY	$76,844	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$22,214	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,394	BOYAmt
EOY	$99,058	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,852,906	BOYAmt
EOY	$1,932,487	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$133,997	BOYAmt
EOY	$168,861	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,986,903	BOYAmt
EOY	$2,101,348	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,032,297	BOYAmt
EOY	$2,200,406	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$81,533	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$32,912	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,818,266	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,960,782	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,028,495	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,971,493	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,248,600	CurrentTaxYearAmt
Total	$40,027,636	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,818,266	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,960,782	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$14,028,495	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,971,493	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,248,600	CurrentTaxYearAmt
Total	$40,027,636	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$40,027,636	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,093	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,155	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$22,548	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$13,472	CurrentTaxYearMinus1YearAmt
Current Tax Year	$23,937	CurrentTaxYearAmt
Total	$57,261	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year	$555	CurrentTaxYearAmt
Total	$555	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$40,085,452	TotalSupportAmt
Public Support CY170	0.99860	PublicSupportCY170Pct
Public Support PY170	0.99900	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$128,997	BeginningYearBalanceAmt
Investment Earnings Or Losses	$12,768	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,452	GrantsOrScholarshipsAmt
Administrative Expenses	$1,304	AdministrativeExpensesAmt
End Year Balance	$135,009	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$152,275	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$16,555	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,340	GrantsOrScholarshipsAmt
Administrative Expenses	$1,383	AdministrativeExpensesAmt
End Year Balance	$128,997	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$136,517	BeginningYearBalanceAmt
Investment Earnings Or Losses	$22,381	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,184	GrantsOrScholarshipsAmt
Administrative Expenses	$1,439	AdministrativeExpensesAmt
End Year Balance	$152,275	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$134,815	BeginningYearBalanceAmt
Investment Earnings Or Losses	$8,169	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,200	GrantsOrScholarshipsAmt
Administrative Expenses	$1,267	AdministrativeExpensesAmt
End Year Balance	$136,517	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$125,013	BeginningYearBalanceAmt
Investment Earnings Or Losses	$16,209	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,108	GrantsOrScholarshipsAmt
Administrative Expenses	$1,299	AdministrativeExpensesAmt
End Year Balance	$134,815	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$164,388	OtherCostOrOtherBasisAmt
Depreciation	$37,951	DepreciationAmt
Book Value	$126,437	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$519,688	OtherCostOrOtherBasisAmt
Depreciation	$501,399	DepreciationAmt
Book Value	$18,289	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$144,726	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	BENEFICIAL INTEREST IN FOUNDATION ASSETS	Desc
Book Value	$135,009	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$135,009	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	OPERATING LEASE OBLIGATION	Desc
Amt	$22,214	Amt

Field	Value	IRS element (for citing)
Total Liability	$22,214	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$15,768,918	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$32,912	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$6,438,460	DonatedServicesAndUseFcltsAmt
Other Revenue	$15,723	OtherRevenueAmt
Revenue Not Reported	$6,487,095	RevenueNotReportedAmt
Revenue Subtotal	$9,281,823	RevenueSubtotalAmt
Other Revenues Not Included	-$261	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	-$261	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$9,281,562	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$15,654,473	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$6,438,460	DonatedServicesUseFcltsAmt
Other Expenses Included	$15,984	OtherExpensesIncludedAmt
Expenses Not Reported	$6,454,444	ExpensesNotReportedAmt
Expenses Subtotal	$9,200,029	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$9,200,029	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE ORGANIZATION HAS DETERMINED THAT IT HAS NO UNCERTAIN INCOME TAX POSITIONS AS OF DECEMBER 31, 2023. ALSO, THE ORGANIZATION DOES NOT ANTICIPATE ANY INCREASE OR DECREASE IN UNRECOGNIZED TAX BENEFITS DURING THE NEXT TWELVE MONTHS THAT WOULD RESULT IN A MATERIAL CHANGE IN ITS FINANCIAL POSITION. THE ORGANIZATION'S INCOME TAX RETURNS FOR THE YEARS ENDED AFTER DECEMBER 31, 2020 REMAIN OPEN FOR EXAMINATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	SPECIAL EVENT DIRECT EXPENSES NET OF REVENUE IN FORM 990 15,723.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	LOSS ON DISPOSAL -261.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	LOSS ON DISPOSAL OF FIXED ASSETS 261. SPECIAL EVENT DIRECT EXPENSES NET OF REVENUE IN FORM 990 15,723.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GALA	Event1Nm
Gross Receipts Event1	$67,335	GrossReceiptsEvent1Amt
Charitable Contri Event1	$67,335	CharitableContriEvent1Amt
Other Direct Expenses Event1	$15,723	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$67,335	GrossReceiptsTotalAmt
Charitable Contributions Tot	$67,335	CharitableContributionsTotAmt
Oth Direct Expnss Total Events	$15,723	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$15,723	DirectExpenseSummaryEventsAmt
Net Income Summary	-$15,723	NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$218,151	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$7,718,801	NoncashContributionsRptF990Amt
Method Of Determining Revenues	AVERAGE WHOLESALE PRICE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	NO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PART VI, SECTION C, LINE 18	THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST AND THE ORGANIZATION'S FORM 990 IS AVAILABLE THROUGH ANOTHER'S WEBSITE AT WWW.GUIDESTAR.ORG.
FORM 990, PART VI, SECTION C, LINE 19	DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:	NO CHANGE IN THIS PROCESS DURING THE YEAR.