COMMUNITY CARE CENTER FOR FORSYTH COUNTY: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY CARE CENTER FOR FORSYTH COUNTY (EIN 58-1403699)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-07-23
IRS object ID
202502049349301265
Schema version
2024v5.2
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)
Return2025-07-23T13:02:08-05:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560817345PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1TURLINGTON AND COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11338 WESTGATE CENTER DRIVEAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN581403699EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE CENTER FOR FORSYTH COUNTYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone3367237904PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12135 NEW WALKERTOWN ROADAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27101ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL JEFFREYPersonNm
Person TitleCHIEF EXECUTIVE OFFICERPersonTitleTxt
Phone3367237904PhoneNum
Signature2025-07-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDEXTER A GARNERPreparerPersonNm
PTINP01276494PTIN
Phone3367652410PhoneNum
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY CARE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerROBERT DIBELLAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12135 NEW WALKERTOWN ROADAddressLine1Txt
CityWINSTONSALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27101ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$8,859,361GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CCCFORSYTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTO PROVIDE FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW INCOME FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee37TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,248,600PYContributionsGrantsAmt
CY Contributions Grants$8,404,834CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$48,130PYInvestmentIncomeAmt
CY Investment Income$56,995CYInvestmentIncomeAmt
PY Other Revenue-$15,168PYOtherRevenueAmt
CY Other Revenue-$16,765CYOtherRevenueAmt
PY Total Revenue$9,281,562PYTotalRevenueAmt
CY Total Revenue$8,445,064CYTotalRevenueAmt
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$1,175,521PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,418,269CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,464CYTotalFundraisingExpenseAmt
PY Other Expenses$8,024,508PYOtherExpensesAmt
CY Other Expenses$7,156,138CYOtherExpensesAmt
PY Total Expenses$9,200,029PYTotalExpensesAmt
CY Total Expenses$8,574,407CYTotalExpensesAmt
PY Revenues Less Expenses$81,533PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$129,343CYRevenuesLessExpensesAmt
Total Assets BOY$2,200,406TotalAssetsBOYAmt
Total Assets EOY$2,133,564TotalAssetsEOYAmt
Total Liabilities BOY$99,058TotalLiabilitiesBOYAmt
Total Liabilities EOY$88,231TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,101,348NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,045,333NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW INCOME FAMILIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,106,501ExpenseAmt
Revenue$240RevenueAmt
DescCOMMUNITY 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$8,106,501TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 RequiredYes (1)ScheduleJRequiredInd
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 ContriYes (1)DeductibleNonCashContriInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee37EmployeeCnt
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
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 Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 Prsn0AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc0RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3367237904PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12135 WALKERTOWN RDAddressLine1Txt
CityWINSTON SALEMCityNm
State AbbreviationNCStateAbbreviationCd
ZIP27101ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
ROBERT DIBELLA
BOARD CHAIR2.00Yes (X)Yes (X)$0$0$0
KATIE ALEXANDER
SECRETARY2.00Yes (X)Yes (X)$0$0$0
SARAH BUCHANAN
BOARD MEMBER1.00Yes (X)$0$0$0
ANTHONY BRETT
BOARD MEMBER1.00Yes (X)$0$0$0
ROBERT COIL
BOARD MEMBER1.00Yes (X)$0$0$0
LORRAINE FRANK LIGHTFOOT
BOARD MEMBER1.00Yes (X)$0$0$0
KIMBERLY GREGG
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN CARD
BOARD MEMBER1.00Yes (X)$0$0$0
BEN HOUGH
BOARD MEMBER1.00Yes (X)$0$0$0
MARLON HUNTER
BOARD MEMBER1.00Yes (X)$0$0$0
LUNCINDA JONES
BOARD MEMBER1.00Yes (X)$0$0$0
VIVIAN CHANDLER
BOARD MEMBER1.00Yes (X)$0$0$0
NANCY SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
J BALDWIN SMITH
BOARD MEMBER1.00Yes (X)$0$0$0
ALEX TURNER
TREASURER2.00Yes (X)Yes (X)$0$0$0
CARL WESCOTT
BOARD MEMBER1.00Yes (X)$0$0$0
VERONICA WILTSHIRE
BOARD MEMBER1.00Yes (X)$0$0$0
WILLIAM PITTMAN
BOARD MEMBER1.00Yes (X)$0$0$0
PAUL JEFFREY
EXECUTIVE DIRECTOR40.00Yes (X)$135,308$0$6,773
TIMOTHY CLONTZ
(FORMER) EXECUTIVE DIRECTOR40.00Yes (X)$11,167$0$0
JOHN ST ANGELO
MEDICAL DIRECTOR40.00$155,556$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$302,031TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$6,773TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$43,127FederatedCampaignsAmt
Fundraising$61,125FundraisingAmt
Government Grants$491,189GovernmentGrantsAmt
All Other Contributions$7,809,393AllOtherContributionsAmt
Noncash Contributions$6,863,865NoncashContributionsAmt
Total Contributions$8,404,834TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,405TotalRevenueColumnAmt
Exclusion$34,405ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$419,882SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$397,292SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$22,590SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,590TotalRevenueColumnAmt
Exclusion$22,590ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$61,125ContriRptFundraisingEventAmt
Fundraising Direct Expenses$17,005FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$17,005TotalRevenueColumnAmt
Exclusion-$17,005ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER REVENUEDesc
Business621300BusinessCd
Total Revenue Column$240TotalRevenueColumnAmt
Related Or Exempt Func Income$240RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$240OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,445,064TotalRevenueColumnAmt
Related Or Exempt Func Income$240RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$39,990ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$302,031TotalAmt
Program Services$214,146ProgramServicesAmt
Management And General$87,885ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$919,888TotalAmt
Program Services$721,301ProgramServicesAmt
Management And General$196,472ManagementAndGeneralAmt
Fundraising$2,115FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$103,902TotalAmt
Program Services$79,543ProgramServicesAmt
Management And General$24,179ManagementAndGeneralAmt
Fundraising$180FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$92,448TotalAmt
Program Services$70,774ProgramServicesAmt
Management And General$21,514ManagementAndGeneralAmt
Fundraising$160FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$10,750TotalAmt
Management And General$10,750ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,136TotalAmt
Management And General$14,136ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,594TotalAmt
Management And General$1,594ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$24,253TotalAmt
Management And General$24,253ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,281TotalAmt
Management And General$4,281ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$11,697TotalAmt
Program Services$9,358ProgramServicesAmt
Management And General$2,339ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,845TotalAmt
Management And General$14,845ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DONATED MEDICINE$6,863,864$6,863,864
REPAIRS AND MAINTENANCE$59,719$47,775$11,944
PURCHASED MEDICINES$30,090$30,090
MISC. EXPENSES$27,377$27,377

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$93,532TotalAmt
Program Services$69,650ProgramServicesAmt
Management And General$23,873ManagementAndGeneralAmt
Fundraising$9FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,574,407TotalAmt
Program Services$8,106,501ProgramServicesAmt
Management And General$465,442ManagementAndGeneralAmt
Fundraising$2,464FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$660,171BOYAmt
EOY$381,878EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,081,114BOYAmt
EOY$1,191,600EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$134,116BOYAmt
EOY$210,014EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$7,574BOYAmt
EOY$10,933EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,482BOYAmt
EOY$14,894EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$699,610LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$535,684LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$144,726BOYAmt
EOY$163,926EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$135,009BOYAmt
EOY$142,191EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$22,214BOYAmt
EOY$18,128EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,200,406BOYAmt
EOY$2,133,564EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$76,844BOYAmt
EOY$70,103EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,214BOYAmt
EOY$18,128EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$99,058BOYAmt
EOY$88,231EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,932,487BOYAmt
EOY$1,898,489EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$168,861BOYAmt
EOY$146,844EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,101,348BOYAmt
EOY$2,045,333EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,200,406BOYAmt
EOY$2,133,564EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$129,343ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$73,328NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
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 CommitteeYes (1)AuditCommitteeInd
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$4,960,782CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,028,495CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,971,493CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,248,600CurrentTaxYearMinus1YearAmt
Current Tax Year$8,404,834CurrentTaxYearAmt
Total$45,614,204TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,960,782CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,028,495CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,971,493CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,248,600CurrentTaxYearMinus1YearAmt
Current Tax Year$8,404,834CurrentTaxYearAmt
Total$45,614,204TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$45,614,204PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,155CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$22,548CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$13,472CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$23,937CurrentTaxYearMinus1YearAmt
Current Tax Year$34,405CurrentTaxYearAmt
Total$75,573TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$555CurrentTaxYearMinus1YearAmt
Current Tax Year$240CurrentTaxYearAmt
Total$795TotalAmt
FieldValueIRS element (for citing)
Total Support$45,690,572TotalSupportAmt
Public Support CY1700.99830PublicSupportCY170Pct
Public Support PY1700.99860PublicSupportPY170Pct
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$135,009BeginningYearBalanceAmt
Investment Earnings Or Losses$14,081InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,504GrantsOrScholarshipsAmt
Administrative Expenses$1,395AdministrativeExpensesAmt
End Year Balance$142,191EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$134,815BeginningYearBalanceAmt
Investment Earnings Or Losses$8,169InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,200GrantsOrScholarshipsAmt
Administrative Expenses$1,267AdministrativeExpensesAmt
End Year Balance$136,517EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$164,388OtherCostOrOtherBasisAmt
Depreciation$42,998DepreciationAmt
Book Value$121,390BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$535,222OtherCostOrOtherBasisAmt
Depreciation$492,686DepreciationAmt
Book Value$42,536BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$163,926TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescBENEFICIAL INTEREST IN FOUNDATION ASSETSDesc
Book Value$142,191BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$142,191TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOPERATING LEASE OBLIGATIONDesc
Amt$18,128Amt
FieldValueIRS element (for citing)
Total Liability$18,128TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$12,688,494TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$73,328NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$4,153,097DonatedServicesAndUseFcltsAmt
Other Revenue$17,005OtherRevenueAmt
Revenue Not Reported$4,243,430RevenueNotReportedAmt
Revenue Subtotal$8,445,064RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$8,445,064TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,744,509TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$4,153,097DonatedServicesUseFcltsAmt
Other Expenses Included$17,005OtherExpensesIncludedAmt
Expenses Not Reported$4,170,102ExpensesNotReportedAmt
Expenses Subtotal$8,574,407ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$8,574,407TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS DETERMINED THAT IT HAS NO UNCERTAIN INCOME TAX POSITIONS AS OF DECEMBER 31, 2024. 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, 2021 REMAIN OPEN FOR EXAMINATION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT DIRECT EXPENSES NET OF REVENUE IN FORM 990 17,005.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT DIRECT EXPENSES NET OF REVENUE IN FORM 990 17,005.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$61,125GrossReceiptsEvent1Amt
Charitable Contri Event1$61,125CharitableContriEvent1Amt
Other Direct Expenses Event1$17,005OtherDirectExpensesEvent1Amt
Gross Receipts Total$61,125GrossReceiptsTotalAmt
Charitable Contributions Tot$61,125CharitableContributionsTotAmt
Oth Direct Expnss Total Events$17,005OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$17,005DirectExpenseSummaryEventsAmt
Net Income Summary-$17,005NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonJOHN ST ANGELOPersonNm
TitleMEDICAL DIRECTORTitleTxt
Base Compensation Filing Org$155,556BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$155,556TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$6,863,864NoncashContributionsRptF990Amt
Method Of Determining RevenuesAVERAGE WHOLESALE PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BNO REVIEW WAS OR WILL BE CONDUCTED.
FORM 990, PART VI, SECTION C, LINE 18THESE 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 19DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:NO CHANGE IN THIS PROCESS DURING THE YEAR

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