GLOUCESTER MATHEWS CARE CLINIC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: GLOUCESTER MATHEWS CARE CLINIC (EIN 54-1875619)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-06-22
IRS object ID: 202321739349301432
Schema version: 2022v5.0
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	2023-06-22T15:16:50-05:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	453936274	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BETH MOORE & ASSOCIATES CPAS	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 120547	AddressLine1Txt
City	NEWPORT NEWS	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23612	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	541875619	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GLOUCESTER MATHEWS CARE CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GLOU	BusinessNameControlTxt
Phone	8042101368	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 684	AddressLine1Txt
City	GLOUCESTER	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23061	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ARLENE ARMENTOR	PersonNm
Person Title	EXECUTIVE DIRECTOR	PersonTitleTxt
Phone	8042101368	PhoneNum
Signature	2023-06-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	ARLENE	PersonFirstNm
Person Last	ARMENTOR	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd
Form8822 B Attached	Yes (X)	Form8822BAttachedInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	LISA CANDELLA CPA	PreparerPersonNm
PTIN	P01695830	PTIN
Phone	7572241174	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	ARLENE ARMENTOR	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 684	AddressLine1Txt
City	GLOUCESTER	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23061	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,401,801	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GMCARECLINIC.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	VA	LegalDomicileStateCd
Activity Or Mission	THE MISSION OF THE GLOUCESTER MATHEWS CARE CLINIC IS TO PROVIDE COMMUNITY-BASED HEALTHCARE FOR THE RESIDENTS OF GLOUCESTER AND MATHEWS COUNTIES, AND SELECT SURROUNDING AREAS, WHO LACK HEALTH INSURANCE, OR ARE COVERED BY MEDICAID. WE ACHIEVE THIS THROUGH THE EFFORTS OF VOLUNTEERS, PAID PROFESSIONALS AND SUPPORT STAFF, AND CONTRIBUTIONS FROM MEMBERS OF THE COMMUNITY WHO SHARE OUR VALUES AND CONCERN.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	21	TotalEmployeeCnt
Total Volunteers	51	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,627,872	PYContributionsGrantsAmt
CY Contributions Grants	$2,305,163	CYContributionsGrantsAmt
PY Program Service Revenue	$79,230	PYProgramServiceRevenueAmt
CY Program Service Revenue	$81,940	CYProgramServiceRevenueAmt
PY Investment Income	$67	PYInvestmentIncomeAmt
CY Investment Income	$359	CYInvestmentIncomeAmt
PY Other Revenue	-$5,233	PYOtherRevenueAmt
CY Other Revenue	-$9,605	CYOtherRevenueAmt
PY Total Revenue	$2,701,936	PYTotalRevenueAmt
CY Total Revenue	$2,377,857	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	$683,460	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$726,671	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$57,498	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,717,020	PYOtherExpensesAmt
CY Other Expenses	$1,625,256	CYOtherExpensesAmt
PY Total Expenses	$2,400,480	PYTotalExpensesAmt
CY Total Expenses	$2,351,927	CYTotalExpensesAmt
PY Revenues Less Expenses	$301,456	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,930	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,371,454	TotalAssetsBOYAmt
Total Assets EOY	$2,460,790	TotalAssetsEOYAmt
Total Liabilities BOY	$788,921	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$852,327	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,582,533	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,608,463	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF THE GLOUCESTER MATHEWS CARE CLINIC IS TO PROVIDE COMMUNITY-BASED HEALTHCARE FOR THE RESIDENTS OF GLOUCESTER AND MATHEWS COUNTIES, AND SELECT SURROUNDING AREAS, WHO LACK HEALTH INSURANCE, OR ARE COVERED BY MEDICAID. WE ACHIEVE THIS THROUGH THE EFFORTS OF VOLUNTEERS, PAID PROFESSIONALS AND SUPPORT STAFF, AND CONTRIBUTIONS FROM MEMBERS OF THE COMMUNITY WHO SHARE OUR VALUES AND CONCERN.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,125,781	ExpenseAmt
Revenue	$81,940	RevenueAmt
Desc	GLOUCESTER MATHEWS CARE CLINIC'S THREE MAJOR PROGRAMS ARE OUR MEDICAL-BEHAVIORAL HEALTH CLINIC, DENTAL CLINIC, AND PHARMACY, AND THESE SERVICES ARE PROVIDED TO UNINSURED PATIENTS AS WELL AS THOSE WITH MEDICAID THROUGH THE 2019 MEDICAID EXPANSION. OUR OVERARCHING GOAL IS TO PROVIDE EXCELLENT, COMPASSIONATE CARE, ENGAGING PATIENTS AS ACTIVE PARTICIPANTS WITH US IN MANAGING THEIR HEALTH CONDITIONS. WE ALSO HELP PATIENTS ACCESS COMMUNITY SERVICES TO ADDRESS THEIR SOCIAL NEEDS CARING FOR THEIR PHYSICAL, MENTAL AND SOCIAL NEEDS ULTIMATELY IMPROVES THEIR QUALITY OF LIFE. DURING CY2022, WE SERVED 422 PATIENTS WITH 2,046 MEDICAL CARE VISITS, AND 142 DENTAL CARE VISITS. GMCC WAS ABLE TO PROVIDE 6,367 PRESCRIPTIONS FOR ITS CLIENTS. ALSO, OUR VOLUNTEERS DONATED 1,407 PHYSICIAN, NURSING, DENTIST AND PHARMACY HOURS TO OUR CLIENTS. GMCC CONTINUES TO REFER PATIENTS FOR ADDITIONAL CARE NEEDED TO RIVERSIDE HEALTHCARE SYSTEM, SENTARA HEALTH SYSTEM, AS WELL AS OTHER MEDICAL PROVIDERS.	Desc
Total Program Service Expenses	$2,125,781	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	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	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	4	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	21	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	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARLENE ARMENTOR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8042101368	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 684	AddressLine1Txt
City	GLOUCESTER	CityNm
State Abbreviation	VA	StateAbbreviationCd
ZIP	23061	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
SVEN L VANBAARS
PRESIDENT	4.00	Yes (X)	Yes (X)	$0	$0	$0
CARL 'WOODY' HOBBS
VICE PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
REBECCA WHITE
SECRETARY	3.00	Yes (X)	Yes (X)	$0	$0	$0
REV JAMES R LARSEN
TREASURER	3.00	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM HOUTZ
VICE PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
LOUISE D THEBERGE
IMMEDIATE PAST PRESIDENT	1.00	Yes (X)		$0	$0	$0
STEVEN GRISWOLD MD
DIRECTOR	1.00	Yes (X)		$0	$0	$0
BRYANT HUDGINS
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DIANNE LUCY
DIRECTOR	1.00	Yes (X)		$0	$0	$0
DIANE DAWN
DIRECTOR	1.00	Yes (X)		$0	$0	$0
MONTECIA BURNO
DIRECTOR	1.00	Yes (X)		$0	$0	$0
TRACY ELLIOTT
DIRECTOR	1.00	Yes (X)		$0	$0	$0
ARLENE ARMENTOR
EXECUTIVE	40.00	Yes (X)		$75,553	$0	$0
WAYNE J REYNOLDS
EX-OFFICIO DIRECTOR	1.00	Yes (X)		$0	$0	$0
CR HARRIS JR
EX-OFFICIO DIRECTOR	1.00	Yes (X)		$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$75,553	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	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	$23,000	FederatedCampaignsAmt
Fundraising	$157,658	FundraisingAmt
Government Grants	$73,000	GovernmentGrantsAmt
All Other Contributions	$2,051,505	AllOtherContributionsAmt
Noncash Contributions	$1,351,324	NoncashContributionsAmt
Total Contributions	$2,305,163	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	FEES AND OTHER INCOME	Desc
Business	624100	BusinessCd
Total Revenue Column	$81,940	TotalRevenueColumnAmt
Related Or Exempt Func Income	$81,940	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$81,940	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$359	TotalRevenueColumnAmt
Exclusion	$359	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$14,339	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$157,658	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$23,944	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$9,605	TotalRevenueColumnAmt
Exclusion	-$9,605	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,377,857	TotalRevenueColumnAmt
Related Or Exempt Func Income	$81,940	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$9,246	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$75,553	TotalAmt
Program Services	$57,420	ProgramServicesAmt
Management And General	$12,844	ManagementAndGeneralAmt
Fundraising	$5,289	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$565,317	TotalAmt
Program Services	$430,163	ProgramServicesAmt
Management And General	$95,724	ManagementAndGeneralAmt
Fundraising	$39,430	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,933	TotalAmt
Program Services	$28,069	ProgramServicesAmt
Management And General	$6,279	ManagementAndGeneralAmt
Fundraising	$2,585	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$48,868	TotalAmt
Program Services	$37,139	ProgramServicesAmt
Management And General	$8,308	ManagementAndGeneralAmt
Fundraising	$3,421	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$418	TotalAmt
Program Services	$418	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$11,050	TotalAmt
Management And General	$11,050	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$863	TotalAmt
Management And General	$863	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,283	TotalAmt
Management And General	$7,283	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$18,349	TotalAmt
Program Services	$18,349	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$28,099	TotalAmt
Program Services	$23,884	ProgramServicesAmt
Management And General	$2,810	ManagementAndGeneralAmt
Fundraising	$1,405	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,432	TotalAmt
Program Services	$4,432	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,915	TotalAmt
Program Services	$21,178	ProgramServicesAmt
Management And General	$2,492	ManagementAndGeneralAmt
Fundraising	$1,245	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$58,247	TotalAmt
Program Services	$49,510	ProgramServicesAmt
Management And General	$5,825	ManagementAndGeneralAmt
Fundraising	$2,912	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$15,721	TotalAmt
Program Services	$13,363	ProgramServicesAmt
Management And General	$1,572	ManagementAndGeneralAmt
Fundraising	$786	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
DONATED PHARMACEUTICALS	$1,351,324	$1,351,324
MEDICAL AND DENTAL SUPP	$34,023	$34,023
PATIENT OUTREACH	$29,243	$29,243
DUES AND SUBSCRIPTIONS	$9,957	$9,957

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$31,332	TotalAmt
Program Services	$17,309	ProgramServicesAmt
Management And General	$13,598	ManagementAndGeneralAmt
Fundraising	$425	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,351,927	TotalAmt
Program Services	$2,125,781	ProgramServicesAmt
Management And General	$168,648	ManagementAndGeneralAmt
Fundraising	$57,498	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$451,412	BOYAmt
EOY	$365,556	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$532,576	BOYAmt
EOY	$720,333	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$98,081	BOYAmt
EOY	$132,881	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$13,052	BOYAmt
EOY	$12,222	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,815,717	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$585,919	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,276,333	BOYAmt
EOY	$1,229,798	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,371,454	BOYAmt
EOY	$2,460,790	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$43,092	BOYAmt
EOY	$43,879	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$29,000	BOYAmt
EOY	$104,232	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$716,829	BOYAmt
EOY	$704,216	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$788,921	BOYAmt
EOY	$852,327	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	$1,194,460	BOYAmt
EOY	$1,156,667	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$388,073	BOYAmt
EOY	$451,796	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,582,533	BOYAmt
EOY	$1,608,463	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,371,454	BOYAmt
EOY	$2,460,790	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$25,930	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$916,930	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,410,618	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,350,277	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,627,872	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,305,163	CurrentTaxYearAmt
Total	$10,610,860	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$222,426	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years	$39,479	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$79,230	CurrentTaxYearMinus1YearAmt
Current Tax Year	$81,940	CurrentTaxYearAmt
Total	$423,075	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,139,356	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,410,618	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,389,756	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,707,102	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,387,103	CurrentTaxYearAmt
Total	$11,033,935	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$11,033,935	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,813	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$320	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$619	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67	CurrentTaxYearMinus1YearAmt
Current Tax Year	$359	CurrentTaxYearAmt
Total	$3,178	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,813	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$320	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$619	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$67	CurrentTaxYearMinus1YearAmt
Current Tax Year	$359	CurrentTaxYearAmt
Total	$3,178	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,141,169	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,410,938	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,390,375	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,707,169	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,387,462	CurrentTaxYearAmt
Total	$11,037,113	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99970	PublicSupportCY509Pct
Public Support PY509	0.99970	PublicSupportPY509Pct
Investment Income CY	0.00030	InvestmentIncomeCYPct
Investment Income PY	0.00030	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$68,500	OtherCostOrOtherBasisAmt
Book Value	$68,500	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,457,471	OtherCostOrOtherBasisAmt
Depreciation	$334,266	DepreciationAmt
Book Value	$1,123,205	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$289,746	OtherCostOrOtherBasisAmt
Depreciation	$251,653	DepreciationAmt
Book Value	$38,093	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,229,798	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$2,479,230	TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts	$101,373	DonatedServicesAndUseFcltsAmt
Revenue Not Reported	$101,373	RevenueNotReportedAmt
Revenue Subtotal	$2,377,857	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,377,857	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,453,300	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$101,373	DonatedServicesUseFcltsAmt
Expenses Not Reported	$101,373	ExpensesNotReportedAmt
Expenses Subtotal	$2,351,927	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,351,927	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE CLINIC HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE. THE CLINIC DOES NOT HAVE ANY UNRELATED BUSINESS TAXABLE INCOME AND MANAGEMENT BELIEVES IT HAS SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. MANAGEMENT HAS DETERMINED THE CLINIC DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2022. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2019, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	OKTOBERFEST	Event1Nm
Gross Receipts Event1	$49,449	GrossReceiptsEvent1Amt
Charitable Contri Event1	$46,674	CharitableContriEvent1Amt
Gross Revenue Event1	$2,775	GrossRevenueEvent1Amt
Rent Facility Costs Event1	$1,700	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$535	FoodAndBeverageEvent1Amt
Entertainment Event1	$900	EntertainmentEvent1Amt
Other Direct Expenses Event1	$5,289	OtherDirectExpensesEvent1Amt
Event2	CINCO DE MAYO	Event2Nm
Gross Receipts Event2	$83,536	GrossReceiptsEvent2Amt
Charitable Contri Event2	$81,317	CharitableContriEvent2Amt
Gross Revenue Event2	$2,219	GrossRevenueEvent2Amt
Food And Beverage Event2	$4,823	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$1,074	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$39,012	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$29,667	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$9,345	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$8,170	RentFcltyCostsOtherEventsAmt
Oth Direct Expnss Other Events	$1,453	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$171,997	GrossReceiptsTotalAmt
Charitable Contributions Tot	$157,658	CharitableContributionsTotAmt
Gross Revenue Total Events	$14,339	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$9,870	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$5,358	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$900	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$7,816	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$23,944	DirectExpenseSummaryEventsAmt
Net Income Summary	-$9,605	NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2218	ContributionCnt
Noncash Contributions Rpt F990	$1,351,324	NoncashContributionsRptF990Amt
Method Of Determining Revenues	RETAIL VALUE	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 (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, BOOKKEEPER, TREASURER, AND MEMBERS OF THE EXECUTIVE COMMITTEE. GENERAL DISCUSSION OF THE 990 IS PERFORMED AT A BOARD MEETING, WITH AUTHORIZATION TO FILE APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUAL WRITTEN CONFIRMATION OF ANY CONFLICTS BY BOARD MEMBERS.
FORM 990, PART VI, SECTION C, LINE 19	REQUESTS FOR GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST.