VOLUNTEER HEALTHCARE CLINIC INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
VOLUNTEER HEALTHCARE CLINIC INC (EIN 74-6082464)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-06-19
IRS object ID
202511709349300216
Schema version
2024v5.1
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)
Return2025-06-19T08:09:00-07:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

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 Begin2024-01-01TaxPeriodBeginDt

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)
PersonLewis BryanPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2025-06-19SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
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
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

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$1,315,439GrossReceiptsAmt
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 Employee25TotalEmployeeCnt
Total Volunteers438TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$850,419PYContributionsGrantsAmt
CY Contributions Grants$1,271,910CYContributionsGrantsAmt
PY Program Service Revenue$21,980PYProgramServiceRevenueAmt
CY Program Service Revenue$23,724CYProgramServiceRevenueAmt
PY Investment Income$12,144PYInvestmentIncomeAmt
CY Investment Income$13,211CYInvestmentIncomeAmt
PY Other Revenue$1,255PYOtherRevenueAmt
CY Other Revenue$1,594CYOtherRevenueAmt
PY Total Revenue$885,798PYTotalRevenueAmt
CY Total Revenue$1,310,439CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$492,561PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$537,832CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$46,954CYTotalFundraisingExpenseAmt
PY Other Expenses$393,253PYOtherExpensesAmt
CY Other Expenses$672,897CYOtherExpensesAmt
PY Total Expenses$885,814PYTotalExpensesAmt
CY Total Expenses$1,210,729CYTotalExpensesAmt
PY Revenues Less Expenses-$16PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$99,710CYRevenuesLessExpensesAmt
Total Assets BOY$1,660,025TotalAssetsBOYAmt
Total Assets EOY$1,852,689TotalAssetsEOYAmt
Total Liabilities BOY$11,343TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,733TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,648,682NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,839,956NetAssetsOrFundBalancesEOYAmt
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$1,087,885ExpenseAmt
Revenue$23,724RevenueAmt
DescThe Clinic provided 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$1,087,885TotalProgramServiceExpensesAmt
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
Employee25EmployeeCnt
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)$97,236$0$2,367
Davika Reid
President3.000.00Yes (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)
Lewis Bryan
Treasurer1.000.00Yes (X)$0$0$0Yes (X)
Tom McHorse
Med Director4.000.00Yes (X)$0$0$0Yes (X)
Allen Busch
Director1.000.00$0$0$0Yes (X)
Lora Ann Gerson
Director1.000.00$0$0$0Yes (X)
Samantha O'Meara
Director1.000.00$0$0$0Yes (X)
Mary Lou Perez Brown
Director1.000.00$0$0$0Yes (X)
Alina Ramos
Director1.000.00$0$0$0Yes (X)
Beth Schlechter
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$97,236TotalReportableCompFromOrgAmt
Total Other Compensation$2,367TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$41,640FundraisingAmt
Government Grants$226,193GovernmentGrantsAmt
All Other Contributions$1,004,077AllOtherContributionsAmt
Noncash Contributions$508,972NoncashContributionsAmt
Total Contributions$1,271,910TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient feesDesc
Business621300BusinessCd
Total Revenue Column$23,724TotalRevenueColumnAmt
Related Or Exempt Func Income$23,724RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$23,724TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,211TotalRevenueColumnAmt
Exclusion$13,211ExclusionAmt

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$5,000FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$41,640ContriRptFundraisingEventAmt
Fundraising Direct Expenses$5,000FundraisingDirectExpensesAmt

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$1,594TotalRevenueColumnAmt
Exclusion$1,594ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,594OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,310,439TotalRevenueColumnAmt
Related Or Exempt Func Income$23,724RelatedOrExemptFuncIncomeAmt
Exclusion$14,805ExclusionAmt

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$97,236TotalAmt
Program Services$62,457ProgramServicesAmt
Management And General$9,724ManagementAndGeneralAmt
Fundraising$25,055FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$377,075TotalAmt
Program Services$359,540ProgramServicesAmt
Management And General$17,535ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,596TotalAmt
Program Services$2,767ProgramServicesAmt
Management And General$237ManagementAndGeneralAmt
Fundraising$592FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$23,640TotalAmt
Program Services$23,640ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$36,285TotalAmt
Program Services$32,283ProgramServicesAmt
Management And General$2,085ManagementAndGeneralAmt
Fundraising$1,917FundraisingAmt

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$8,840TotalAmt
Management And General$8,840ManagementAndGeneralAmt

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$8,264TotalAmt
Program Services$256ProgramServicesAmt
Management And General$8,008ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,953TotalAmt
Program Services$10,638ProgramServicesAmt
Management And General$657ManagementAndGeneralAmt
Fundraising$658FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,886TotalAmt
Program Services$8,798ProgramServicesAmt
Management And General$544ManagementAndGeneralAmt
Fundraising$544FundraisingAmt

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$12,911TotalAmt
Program Services$11,491ProgramServicesAmt
Management And General$710ManagementAndGeneralAmt
Fundraising$710FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,135TotalAmt
Management And General$13,135ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medicines$462,921$462,921
Medical supplies$82,068$82,068
Other expenses$36,087$23,863$5,944$6,280
Dues, licenses and subscrip$10,270$6,670$3,600

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$16,562TotalAmt
Program Services$7,163ProgramServicesAmt
Management And General$1,801ManagementAndGeneralAmt
Fundraising$7,598FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,210,729TotalAmt
Program Services$1,087,885ProgramServicesAmt
Management And General$75,890ManagementAndGeneralAmt
Fundraising$46,954FundraisingAmt
FieldValueIRS element (for citing)
Joint CostsYes (X)JointCostsInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$231,394BOYAmt
EOY$280,774EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$98,283BOYAmt
EOY$106,302EOYAmt

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$383,720LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$257,107BOYAmt
EOY$244,196EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$156,633BOYAmt
EOY$161,825EOYAmt

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$916,608BOYAmt
EOY$1,059,592EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,660,025BOYAmt
EOY$1,852,689EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,343BOYAmt
EOY$12,733EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,343BOYAmt
EOY$12,733EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,379,752BOYAmt
EOY$1,482,242EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$268,930BOYAmt
EOY$357,714EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,648,682BOYAmt
EOY$1,839,956EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,660,025BOYAmt
EOY$1,852,689EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$99,710ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$91,564OtherChangesInNetAssetsAmt
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$1,112,913CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,146,668CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$694,804CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$850,419CurrentTaxYearMinus1YearAmt
Current Tax Year$1,271,910CurrentTaxYearAmt
Total$5,076,714TotalAmt

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$1,112,913CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,146,668CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$694,804CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$850,419CurrentTaxYearMinus1YearAmt
Current Tax Year$1,271,910CurrentTaxYearAmt
Total$5,076,714TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$556,861SubstantialContributorsTotAmt
Public Support Total170$4,519,853PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,039CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$158CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,144CurrentTaxYearMinus1YearAmt
Current Tax Year$13,211CurrentTaxYearAmt
Total$29,619TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,646CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,279CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,786CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,255CurrentTaxYearMinus1YearAmt
Current Tax Year$1,594CurrentTaxYearAmt
Total$19,560TotalAmt
FieldValueIRS element (for citing)
Total Support$5,125,893TotalSupportAmt
Gross Receipts Rltd Activities$66,765GrossReceiptsRltdActivitiesAmt
Public Support CY1700.88180PublicSupportCY170Pct
Public Support PY1700.87300PublicSupportPY170Pct
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$917,361BeginningYearBalanceAmt
Contributions$50,967ContributionsAmt
Investment Earnings Or Losses$91,564InvestmentEarningsOrLossesAmt
End Year Balance$1,059,892EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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 Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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
FieldValueIRS element (for citing)
Board Designated Balance EOY0.76230BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.23770PrmnntEndowmentBalanceEOYPct
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$323,167DepreciationAmt
Book Value$185,028BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,246OtherCostOrOtherBasisAmt
Depreciation$22,022DepreciationAmt
Book Value$8,224BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$39,475OtherCostOrOtherBasisAmt
Depreciation$38,531DepreciationAmt
Book Value$944BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$244,196TotalBookValueLandBuildingsAmt
Total Book Value Securities$161,825TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBeneficial interest in funds held at ACFDesc
Book Value$1,059,592BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,059,592TotalBookValueOtherAssetsAmt
Total Rev Etc Audited Fincl Stmt$898,031TotalRevEtcAuditedFinclStmtAmt
Other Revenue$96,564OtherRevenueAmt
Revenue Not Reported$96,564RevenueNotReportedAmt
Revenue Subtotal$801,467RevenueSubtotalAmt
Other Revenues Not Included$508,972OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$508,972RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,310,439TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$706,757TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$5,000OtherExpensesIncludedAmt
Expenses Not Reported$5,000ExpensesNotReportedAmt
Expenses Subtotal$701,757ExpensesSubtotalAmt
Other Expenses Not Included$508,972OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$508,972ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,210,729TotalExpensesPerForm990Amt

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 $91564 Special event expenses netted on 990 $5000
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/SDonated medications and supplies $508972
Part XII, Line 2d: Other expenses and losses per audited F/SSpecial event expenses netted on 990 $5000
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SDonated medications and supplies $508972

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$46,640GrossReceiptsEvent1Amt
Charitable Contri Event1$41,640CharitableContriEvent1Amt
Gross Revenue Event1$5,000GrossRevenueEvent1Amt
Entertainment Event1$5,000EntertainmentEvent1Amt
Gross Receipts Total$46,640GrossReceiptsTotalAmt
Charitable Contributions Tot$41,640CharitableContributionsTotAmt
Gross Revenue Total Events$5,000GrossRevenueTotalEventsAmt
Entertainment Total Events$5,000EntertainmentTotalEventsAmt
Direct Expense Summary Events$5,000DirectExpenseSummaryEventsAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$508,972NoncashContributionsRptF990Amt
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 = $91564

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