WILL-GRUNDY MEDICAL CLINIC INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- WILL-GRUNDY MEDICAL CLINIC INC (EIN 36-3492306)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-07-30
- IRS object ID
- 202542119349300324
- Schema version
- 2023v6.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-07-30T09:36:46-05:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 362416552 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WERMER ROGERS DORAN & RUZON LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 755 ESSINGTON ROAD | AddressLine1Txt |
| City | JOLIET | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 604352845 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363492306 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILL GRUNDY MEDICAL CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WILL | BusinessNameControlTxt |
| Phone | 8157265112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 213 EAST CASS STREET | AddressLine1Txt |
| City | JOLIET | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60432 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LASHAWN MARCONI | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8157265112 | PhoneNum |
| Signature | 2025-07-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS E LANCASTER | PreparerPersonNm |
| PTIN | P01789625 | PTIN |
| Phone | 8157306250 | PhoneNum |
| Preparation | 2025-07-29 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | KATHLEEN WOLZ | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 213 EAST CASS STREET | AddressLine1Txt |
| City | JOLIET | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60432 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,488,509 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | PROVIDING FREE HEALTH-CARE SERVICES TO PEOPLE IN WILL AND GRUNDY COUNTIES WHO ARE UNABLE TO RECEIVE CARE FROM OTHER SOURCES. THESE SERVICES ARE PROVIDED THROUGH DEDICATED HEALTHCARE PROFESSIONALS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 33 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 33 | VotingMembersIndependentCnt |
| Total Employee | 31 | TotalEmployeeCnt |
| Total Volunteers | 165 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,928,918 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,438,751 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $18,040 | PYInvestmentIncomeAmt |
| CY Investment Income | $29,714 | CYInvestmentIncomeAmt |
| PY Other Revenue | $23,273 | PYOtherRevenueAmt |
| CY Other Revenue | $15,036 | CYOtherRevenueAmt |
| PY Total Revenue | $1,970,231 | PYTotalRevenueAmt |
| CY Total Revenue | $2,483,501 | 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 | $857,907 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,096,834 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $94,853 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $704,050 | PYOtherExpensesAmt |
| CY Other Expenses | $755,649 | CYOtherExpensesAmt |
| PY Total Expenses | $1,561,957 | PYTotalExpensesAmt |
| CY Total Expenses | $1,852,483 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $408,274 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $631,018 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,435,920 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,100,584 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $113,546 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $147,195 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,322,374 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,953,389 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDING FREE HEALTH-CARE SERVICES TO PEOPLE IN WILL AND GRUNDY COUNTIES WHO ARE UNABLE TO RECEIVE CARE FROM OTHER SOURCES. THESE SERVICES ARE PROVIDED THROUGH DEDICATED HEALTHCARE PROFESSIONALS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $862,969 | ExpenseAmt |
| Desc | THE CLINIC PROVIDES THE FACILITIES & SERVICES NECESSARY FOR DELIVERY OF PRIMARY MEDICAL & DENTAL CARE FOR LOW INCOME INDIVIDUALS. THIS YEAR INDIVIDUALS VOLUNTEERED OVER 10,000 HOURS TO PROVIDE THESE SERVICES. SERVICES INCLUDED 2,867 DIAGNOSTIC TESTS AND PROCEDURES WITH A TOTAL ESTIMATED VALUE OF $2,150,250. IN ADDITION, LOCAL HOSPITALS ACCEPTED OVER 26 CLINIC PATIENTS FOR SURGICAL PROCEDURES AND RELATED SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $809,561 | ExpenseAmt |
| Desc | IN 2021, IN RESPONSE TO THE COVID-19 PANDEMIC, THE ORGANIZATION BEGAN PROVIDING TEMPORARY HOUSING TO INDIVIDUALS FACING HOMELESSNESS AND INSECURE SHELTER. IN COLLABORATION WITH OTHER COMMUNITY ORGANIZATIONS, WILL-GRUNDY MEDICAL CLINIC, INC. ASSESSES THE NEEDS OF PARTICIPANTS WITH THE GOAL OF RETURNING THEM TO PERMANENT HOUSING AND MAINTAINING CASE MANAGEMENT FOR ALL OF THEIR MEDICAL NEEDS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,672,530 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 31 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| 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 | 33 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 33 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LASHAWN MARCONI | PersonNm |
| Phone | 8157265112 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 213 EAST CASS STREET | AddressLine1Txt |
| City | JOLIET | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60432 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| ALBERT MARIE PAPESH | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ALICIA MORALES | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| AN LE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BRETT CARR | ||||||
| IMMEDIATE PAST PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CAROL DANIELSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLES MEADE | ||||||
| 1ST VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DENISE WINFREY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EDNA BRASS | ||||||
| VOLUNTEER COMMITTEE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ERIK SCHELLING | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GARY LIPINSKI | ||||||
| MEDICAL ADVISORY | 1.00 | Yes (X) | $0 | $0 | $0 | |
| HEATHER EDDY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ISAIAH WILLIAMS | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JAMES D WRIGHT | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOE GEORGE | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KATHY WOLZ | ||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SHAWN MARCONI | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $112,036 | $0 | $0 | Yes (X) |
| LESLIE JOHNSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LESLIE NEWBON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LISA PIERSON | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARNE BAILEY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY BRENCZEWSKI | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY ROSSIO | ||||||
| FUNDRAISING COMMITTEE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY SHEEHAN | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MATT CAMPBELL | ||||||
| PERSONNEL COMMITTEE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL RITTOF | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MITTCHELENA MEADE | ||||||
| FINANCE COMMITTEE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| SAM GARCIA | ||||||
| STRATEGIC PLANNING CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| STACY BAUMGARTNER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TAYLOR STRUCKMEYER | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TIM BRADLEY | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TIMOTHY BRODERICK | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TOM KENTNER | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| YEIJIN YEOM | ||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $112,036 | 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 |
| Government Grants | $2,024,316 | GovernmentGrantsAmt |
| All Other Contributions | $414,435 | AllOtherContributionsAmt |
| Noncash Contributions | $182,874 | NoncashContributionsAmt |
| Total Contributions | $2,438,751 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,564 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $7,564 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,150 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $22,150 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $22,150 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,150 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $19,964 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $5,008 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,956 | TotalRevenueColumnAmt |
| Exclusion | $14,956 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $80 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $80 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $80 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,483,501 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,794 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $14,956 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,036 | TotalAmt |
| Program Services | $98,592 | ProgramServicesAmt |
| Management And General | $6,722 | ManagementAndGeneralAmt |
| Fundraising | $6,722 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $858,286 | TotalAmt |
| Program Services | $755,292 | ProgramServicesAmt |
| Management And General | $51,497 | ManagementAndGeneralAmt |
| Fundraising | $51,497 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,728 | TotalAmt |
| Program Services | $31,440 | ProgramServicesAmt |
| Management And General | $2,144 | ManagementAndGeneralAmt |
| Fundraising | $2,144 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,784 | TotalAmt |
| Program Services | $79,890 | ProgramServicesAmt |
| Management And General | $5,447 | ManagementAndGeneralAmt |
| Fundraising | $5,447 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,319 | TotalAmt |
| Program Services | $16,121 | ProgramServicesAmt |
| Management And General | $1,099 | ManagementAndGeneralAmt |
| Fundraising | $1,099 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,072 | TotalAmt |
| Program Services | $5,344 | ProgramServicesAmt |
| Management And General | $364 | ManagementAndGeneralAmt |
| Fundraising | $364 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,520 | TotalAmt |
| Program Services | $21,578 | ProgramServicesAmt |
| Management And General | $1,471 | ManagementAndGeneralAmt |
| Fundraising | $1,471 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,993 | TotalAmt |
| Program Services | $14,073 | ProgramServicesAmt |
| Management And General | $960 | ManagementAndGeneralAmt |
| Fundraising | $960 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,488 | TotalAmt |
| Program Services | $47,388 | ProgramServicesAmt |
| Management And General | $2,550 | ManagementAndGeneralAmt |
| Fundraising | $2,550 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,904 | TotalAmt |
| Program Services | $3,436 | ProgramServicesAmt |
| Management And General | $234 | ManagementAndGeneralAmt |
| Fundraising | $234 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,302 | TotalAmt |
| Program Services | $48,666 | ProgramServicesAmt |
| Management And General | $3,318 | ManagementAndGeneralAmt |
| Fundraising | $3,318 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,230 | TotalAmt |
| Program Services | $47,722 | ProgramServicesAmt |
| Management And General | $3,254 | ManagementAndGeneralAmt |
| Fundraising | $3,254 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| ALL OTHER EXPENSES | $182,239 | $176,309 | $2,965 | $2,965 |
| HOUSING AND TRANSPORTAT | $157,123 | $157,123 | ||
| PRESCRIPTIONS | $124,452 | $124,452 | ||
| ADMINISTRATIVE | $51,254 | $45,104 | $3,075 | $3,075 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,753 | TotalAmt |
| Fundraising | $9,753 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,852,483 | TotalAmt |
| Program Services | $1,672,530 | ProgramServicesAmt |
| Management And General | $85,100 | ManagementAndGeneralAmt |
| Fundraising | $94,853 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,459 | BOYAmt |
| EOY | $84,112 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,237 | BOYAmt |
| EOY | $30,587 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,601 | BOYAmt |
| EOY | $34,500 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,700 | BOYAmt |
| EOY | $265,273 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,189,797 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $878,389 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $702,017 | BOYAmt |
| EOY | $1,311,408 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,862 | BOYAmt |
| EOY | $359,321 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,044 | BOYAmt |
| EOY | $15,383 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,435,920 | BOYAmt |
| EOY | $2,100,584 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,196 | BOYAmt |
| EOY | $98,157 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,350 | BOYAmt |
| EOY | $49,038 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,546 | BOYAmt |
| EOY | $147,195 | 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 | $1,264,766 | BOYAmt |
| EOY | $1,876,981 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,608 | BOYAmt |
| EOY | $76,408 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,322,374 | BOYAmt |
| EOY | $1,953,389 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,435,920 | BOYAmt |
| EOY | $2,100,584 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $631,018 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$3 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $495,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $499,653 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $924,211 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,928,418 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,438,751 | CurrentTaxYearAmt |
| Total | $6,286,369 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $495,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $499,653 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $924,211 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,928,418 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,438,751 | CurrentTaxYearAmt |
| Total | $6,286,369 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $6,286,369 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $37,256 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,747 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | -$31,823 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,040 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,714 | CurrentTaxYearAmt |
| Total | $101,934 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $58,356 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $76,920 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $59,079 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,343 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,044 | CurrentTaxYearAmt |
| Total | $243,742 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $6,632,045 | TotalSupportAmt |
| Public Support CY170 | 0.94790 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91590 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,237 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $350 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $30,587 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,101 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $136 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $30,237 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,101 | BeginningYearBalanceAmt |
| End Year Balance | $30,101 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $101 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $30,101 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,000 | BeginningYearBalanceAmt |
| End Year Balance | $30,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,000 | OtherCostOrOtherBasisAmt |
| Book Value | $90,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,901,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $712,562 | DepreciationAmt |
| Book Value | $1,188,686 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $124,202 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,867 | DepreciationAmt |
| Book Value | $22,335 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,347 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,960 | DepreciationAmt |
| Book Value | $10,387 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,311,408 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $2,488,509 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $2,488,509 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$5,008 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$5,008 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $2,483,501 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,857,494 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $3 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $3 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,857,491 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$5,008 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$5,008 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,852,483 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -5,008. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ROUNDING 3. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | FUNDRAISING EXPENSES -5,008. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL DINNER | Event1Nm |
| Gross Receipts Event1 | $19,964 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $19,964 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $5,008 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $19,964 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $19,964 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,008 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $5,008 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $14,956 | NetIncomeSummaryAmt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2260 | ContributionCnt |
| Noncash Contributions Rpt F990 | $96,998 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | MARKET 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| LINE 1 | DUE TO DELAYS COMPLETING THE AUDIT, THE ORIGINAL RETURN WAS FILED USING PRIOR YEAR INFORMATION. AFTER COMPLETING THE AUDIT, WE AMENDED THE ENTIRE RETURN, INCLUDING ALL SCHEDULES. |
| FORM 990, PART VI, SECTION A, LINE 2 | CHARLES AND MITTCHELENA MEADE ARE HUSBAND AND WIFE. |
| FORM 990, PART VI, SECTION B, LINE 11B | A MEETING WAS HELD BY THE BOARD OF DIRECTORS TO REVIEW THE FORM 990 PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 15 | IT IS THE POLICY OF THE CLINCIC TO PAY NO MORE THAN REASONABLE COMPENSATION FOR PERSONNEL SERVICES RENDERED TO THE CLINIC. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVENRING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY PROVIDING COPIES UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | ROUNDING -3. |
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