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FREE CLINIC OF POWHATAN: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
FREE CLINIC OF POWHATAN (EIN 26-1275136)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-06-14
IRS object ID
202331659349300838
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-06-14T10:38:46-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN541953476PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAVIDSON DOYLE & HILTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 800AddressLine1Txt
CityLYNCHBURGCityNm
State AbbreviationVAStateAbbreviationCd
ZIP245050800ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN261275136EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FREE CLINIC OF POWHATAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFREEBusinessNameControlTxt
Phone8045985637PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 SKAGGS ROADAddressLine1Txt
CityPOWHATANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23139ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCONNIE MOSLOWPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8045985637PhoneNum
Signature2023-06-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCONNIEPersonFirstNm
Person LastMOSLOWPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY A GALLAGHER CPAPreparerPersonNm
PTINP00884747PTIN
Phone4348467611PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCONNIE MOSLOWPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 SKAGGS ROADAddressLine1Txt
CityPOWHATANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23139ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$838,597GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.freeclinicofpowhatan.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionBUILDING A HEALTHIER COMMUNITY ONE PERSON AT A TIMEActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$798,616PYContributionsGrantsAmt
CY Contributions Grants$825,131CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$38,267PYInvestmentIncomeAmt
CY Investment Income$13,466CYInvestmentIncomeAmt
PY Other Revenue-$7,466PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$829,417PYTotalRevenueAmt
CY Total Revenue$838,597CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$197,681PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$257,526CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$6,211CYTotalFundraisingExpenseAmt
PY Other Expenses$263,253PYOtherExpensesAmt
CY Other Expenses$298,478CYOtherExpensesAmt
PY Total Expenses$460,934PYTotalExpensesAmt
CY Total Expenses$556,004CYTotalExpensesAmt
PY Revenues Less Expenses$368,483PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$282,593CYRevenuesLessExpensesAmt
Total Assets BOY$3,196,146TotalAssetsBOYAmt
Total Assets EOY$3,319,126TotalAssetsEOYAmt
Total Liabilities BOY$10,718TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,283TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,185,428NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,316,843NetAssetsOrFundBalancesEOYAmt
MissionBUILDING A HEALTHIER COMMUNITY ONE PERSON AT A TIMEMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$336,408ExpenseAmt
DescORGANIZATION FACILITATES THE AVAILABILITY OF MEDICAL AND DENTAL SERVICES TO THE RESIDENTS OF POWHATAN, VIRGINIA THAT DO NOT HAVE THE RESOURCES TO THE SERVICES ELSEWHERE.Desc
Total Program Service Expenses$336,408TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee14EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAWN STILLERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8045985637PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12320 SKAGGS ROADAddressLine1Txt
CityPOWHATANCityNm
State AbbreviationVAStateAbbreviationCd
ZIP23139ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
ROBB STALLWORTH
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
TIMOTHY G BENUSA CPA
TREASURER1.00Yes (X)Yes (X)$0$0$0
BARBARA BROWN
DIRECTOR1.00Yes (X)$0$0$0
SHELIA GUNST
DIRECTOR1.00Yes (X)$0$0$0
SISTER ELENA HENDERSON
SECRETARY1.00Yes (X)Yes (X)$0$0$0
CONNIE MOSLOW
DIRECTOR40.00Yes (X)$0$0$0
TONYA PARRIS-WILKINS DDS
DIRECTOR1.00Yes (X)$0$0$0
WILL PERKINSON DDS
DIRECTOR1.00Yes (X)$0$0$0
LYNN PRINCE
DIRECTOR1.00Yes (X)$0$0$0
FRANK RENNIE
DIRECTOR1.00Yes (X)$0$0$0
DONALD SANDERS MD
DIRECTOR1.00Yes (X)$0$0$0
REV BRYAN STEVENS
DIRECTOR1.00Yes (X)$0$0$0
DEMETRIUS VENABLE
DIRECTOR1.00Yes (X)$0$0$0
KARLA CURTIS
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$72,570FundraisingAmt
Government Grants$45,040GovernmentGrantsAmt
All Other Contributions$707,521AllOtherContributionsAmt
Total Contributions$825,131TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,466TotalRevenueColumnAmt
Exclusion$13,466ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$72,570ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$838,597TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,466ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$238,116TotalAmt
Program Services$138,108ProgramServicesAmt
Management And General$95,246ManagementAndGeneralAmt
Fundraising$4,762FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$19,410TotalAmt
Program Services$11,452ProgramServicesAmt
Management And General$7,958ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$7,543TotalAmt
Management And General$7,543ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$12,282TotalAmt
Management And General$12,282ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$21,491TotalAmt
Management And General$20,416ManagementAndGeneralAmt
Fundraising$1,075FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$62,012TotalAmt
Program Services$12,402ProgramServicesAmt
Management And General$49,610ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,636TotalAmt
Program Services$2,636ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$81,558TotalAmt
Program Services$81,558ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,705TotalAmt
Management And General$4,705ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DENTAL SERVICES$35,933$35,933
MEDICAL SUPPLIES$29,287$29,287
PRESCRIPTIONS$17,524$17,524
MISCELLANEOUS$9,162$5,955$3,207

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,345TotalAmt
Program Services$1,553ProgramServicesAmt
Management And General$12,418ManagementAndGeneralAmt
Fundraising$374FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$556,004TotalAmt
Program Services$336,408ProgramServicesAmt
Management And General$213,385ManagementAndGeneralAmt
Fundraising$6,211FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$866,863BOYAmt
EOY$598,284EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$311,915BOYAmt
EOY$313,007EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$189,723BOYAmt
EOY$99,820EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,279BOYAmt
EOY$1,323EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$873,836LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$172,697LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$768,783BOYAmt
EOY$701,139EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,057,583BOYAmt
EOY$1,605,553EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,196,146BOYAmt
EOY$3,319,126EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$10,718BOYAmt
EOY$2,283EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,718BOYAmt
EOY$2,283EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,081,946BOYAmt
EOY$3,264,643EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$103,482BOYAmt
EOY$52,200EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,185,428BOYAmt
EOY$3,316,843EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,196,146BOYAmt
EOY$3,319,126EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$282,593ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$151,178NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

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$325,309CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$409,697CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,343,120CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$798,616CurrentTaxYearMinus1YearAmt
Current Tax Year$817,802CurrentTaxYearAmt
Total$3,694,544TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$325,309CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$409,697CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,343,120CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$798,616CurrentTaxYearMinus1YearAmt
Current Tax Year$817,802CurrentTaxYearAmt
Total$3,694,544TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$1,264,032SubstantialContributorsTotAmt
Public Support Total170$2,430,512PublicSupportTotal170Amt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$325CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74CurrentTaxYearMinus3YearsAmt
Total$399TotalAmt
FieldValueIRS element (for citing)
Total Support$3,694,943TotalSupportAmt
Public Support CY1700.65780PublicSupportCY170Pct
Public Support PY1700.63960PublicSupportPY170Pct
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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$652,146OtherCostOrOtherBasisAmt
Depreciation$87,728DepreciationAmt
Book Value$564,418BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$168,008OtherCostOrOtherBasisAmt
Depreciation$69,789DepreciationAmt
Book Value$98,219BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$53,682OtherCostOrOtherBasisAmt
Depreciation$15,180DepreciationAmt
Book Value$38,502BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$701,139TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$740,379TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$151,178NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$65,242DonatedServicesAndUseFcltsAmt
Revenue Not Reported-$85,936RevenueNotReportedAmt
Revenue Subtotal$826,315RevenueSubtotalAmt
Investment Expenses Not Incld$12,282InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$12,282RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$838,597TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$608,964TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$65,242DonatedServicesUseFcltsAmt
Expenses Not Reported$65,242ExpensesNotReportedAmt
Expenses Subtotal$543,722ExpensesSubtotalAmt
Investment Expenses Not Incld2$12,282InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$12,282ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$556,004TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationAccounting principles generally accepted in the United States of America require corporation management to evaluate tax positions taken by the corporation and recognize a tax liability (or asset) if the corporation has taken an uncertain tax position that more likely than not would be sustained upon examination by the Internal Revenue Service. Free Clinic of Powhatan's management has analyzed the tax positions taken by the clinic, and has concluded that as of December 31, 2022, no uncertain positions are taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The clinic is subject to routine audits by taxing jurisdictions; however, there are currently no audits of any tax periods in progress. The clinic believes it is no longer subject to income tax examinations for years prior to 2019.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DINNEREvent1Nm
Gross Receipts Event1$72,570GrossReceiptsEvent1Amt
Charitable Contri Event1$72,570CharitableContriEvent1Amt
Gross Receipts Total$72,570GrossReceiptsTotalAmt
Charitable Contributions Tot$72,570CharitableContributionsTotAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 7aTHE EXECUTIVE BOARD NOMINATES DIRECTORS EVERY THREE YEARS.
Form 990, Part VI, Section B, line 11bOFFICERS REVIEW ON AN ANNUAL BASIS
Form 990, Part VI, Section B, line 12cTHE OFFICER'S REVIEW FOR POTENTIAL CONFLICTS CONTINUOUSLY
Form 990, Part VI, Section B, line 15OFFICERS REVIEW ON ANNUAL BASIS
Form 990, Part VI, Section C, line 19AVAILABLE UPON REQUEST

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