WILL-GRUNDY MEDICAL CLINIC INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
WILL-GRUNDY MEDICAL CLINIC INC (EIN 36-3492306)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-01-02
IRS object ID
202010079349302101
Schema version
2018v3.1
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)
Return2020-01-02T11:15:38-08:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN463912191PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BRANDT & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 LIBERTY STAddressLine1Txt
CityMORRISCityNm
State AbbreviationILStateAbbreviationCd
ZIP604502132ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363492306EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WILL GRUNDY MEDICAL CLINIC INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWILLBusinessNameControlTxt
Phone8157263377PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1213 EAST CASS STREETAddressLine1Txt
CityJOLIETCityNm
State AbbreviationILStateAbbreviationCd
ZIP60432ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENISE WINFREYPersonNm
Person TitleVice PresidentPersonTitleTxt
Signature2020-01-02SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrittany Brandt CPAPreparerPersonNm
PTINP01486603PTIN
Phone8155139184PhoneNum
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1213 EAST CASS STREETAddressLine1Txt
CityJOLIETCityNm
State AbbreviationILStateAbbreviationCd
ZIP60432ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$418,506GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionProviding free health-care services to people in WIll and Grundycounties who are unable to receive care from other sources. These services are provided through dedicated healthcare professionalActivityOrMissionDesc
Voting Members Governing Body37VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee15TotalEmployeeCnt
Total Volunteers390TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$421,250PYContributionsGrantsAmt
CY Contributions Grants$329,027CYContributionsGrantsAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$15,984PYInvestmentIncomeAmt
CY Investment Income$17,660CYInvestmentIncomeAmt
PY Other Revenue$75PYOtherRevenueAmt
CY Other Revenue$71,819CYOtherRevenueAmt
PY Total Revenue$437,309PYTotalRevenueAmt
CY Total Revenue$418,506CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$400,348PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$406,081CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$85,761CYTotalFundraisingExpenseAmt
PY Other Expenses$168,615PYOtherExpensesAmt
CY Other Expenses$135,179CYOtherExpensesAmt
PY Total Expenses$568,963PYTotalExpensesAmt
CY Total Expenses$541,260CYTotalExpensesAmt
PY Revenues Less Expenses-$131,654PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$122,754CYRevenuesLessExpensesAmt
Total Assets BOY$1,356,508TotalAssetsBOYAmt
Total Assets EOY$1,233,769TotalAssetsEOYAmt
Total Liabilities BOY$125TotalLiabilitiesBOYAmt
Total Liabilities EOY$140TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,356,383NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,233,629NetAssetsOrFundBalancesEOYAmt
MissionProviding free health-care services to people in WIll and Grundycounties who are unable to receive care from other sources. These services are provided through dedicated healthcare professionalMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$405,202ExpenseAmt
DescThe clinic provides the facilities & services necessary for delivery of primary medical & dental care for low income individuals. This year individuals volunteered over 16,600 hours to provide these services. Services included 2,838 diagnostic tests and procedures. In addition,five local hospitals accepted over 47 clinic patients for surgical procedures and related services with a total estimated cost of approximately 4,919,123. The Clinic assisted their patients to obtain over 225,684 dollars of prescription medications through the Indigent Patient Assistance Program offered by many Pharmaceutical Companies across the country.Desc
Total Program Service Expenses$405,202TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
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
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
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 RequiredfalseScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee15EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
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 Members37GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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 BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
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
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLASHAWN WESTPersonNm
Phone8157263377PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1213 EAST CASS STREETAddressLine1Txt
CityJOLIETCityNm
State AbbreviationILStateAbbreviationCd
ZIP60432ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
LASHAWN WEST
Director40.000.00Yes (X)$71,125$0$0
DEB BACHARZ
Trustee1.000.00Yes (X)$0$0$0
MARNE BAILEY
Trustee1.000.00Yes (X)$0$0$0
PENNY BASSO
Trustee1.000.00Yes (X)$0$0$0
EDNA BRASS
Trustee1.000.00Yes (X)$0$0$0
MARY BRENCZEWSKI
Trustee1.000.00Yes (X)$0$0$0
TIMOTHY BRODERICK
Trustee1.000.00Yes (X)$0$0$0
MATT CAMPBELL
Trustee1.000.00Yes (X)$0$0$0
MATT CARR
Trustee1.000.00Yes (X)$0$0$0
FRANK CSERVENYAK
Trustee1.000.00Yes (X)$0$0$0
CAROLL DANIELSON
Trustee1.000.00Yes (X)$0$0$0
KATHY DUNN
Trustee1.000.00Yes (X)$0$0$0
JONATHON FAVOR
Trustee1.000.00Yes (X)$0$0$0
JENNIFER FRYE
Trustee1.000.00Yes (X)$0$0$0
JOE GEORGE
Trustee1.000.00Yes (X)$0$0$0
LYNN HOPKINS
Trustee1.000.00Yes (X)$0$0$0
MAAZA JAAN
Trustee1.000.00Yes (X)$0$0$0
NICHOLAS JAWORSKI
Trustee1.000.00Yes (X)$0$0$0
BOB KAINICKY
Trustee1.000.00Yes (X)$0$0$0
HAZIQ KHAN
Trustee1.000.00Yes (X)$0$0$0
AN LE
Trustee1.000.00Yes (X)$0$0$0
CHRISTINE LUNNINGHAM
Trustee1.000.00Yes (X)$0$0$0
CHARLES MEADE
Trustee1.000.00Yes (X)$0$0$0
MITCHELENA MEADA
Trustee1.000.00Yes (X)$0$0$0
SHANNON MORGAN-JERM
Trustee1.000.00Yes (X)$0$0$0
ALBERT MARIE PEPESH
Trustee1.000.00Yes (X)$0$0$0
LISA PIERSON
Trustee1.000.00Yes (X)$0$0$0
YOLANDA REYES
Trustee1.000.00Yes (X)$0$0$0
ROSY SALAZAR
Trustee1.000.00Yes (X)$0$0$0
CHITAN SAMPAT
Trustee1.000.00Yes (X)$0$0$0
CHARLES SLAGLE
Trustee1.000.00Yes (X)$0$0$0
TAYLOR STRUCKMEYER
Trustee1.000.00Yes (X)$0$0$0
ROSIE VERDIN
Trustee1.000.00Yes (X)$0$0$0
KATHY WOLZ
Trustee1.000.00Yes (X)$0$0$0
TOM KENTNER
Treasurer1.000.00$0$0$0Yes (X)
MICHAEL RITTOF
President1.000.00$0$0$0Yes (X)
DENISE WINFREY
Vice President1.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$71,125TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$329,027AllOtherContributionsAmt
Total Contributions$329,027TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,506TotalRevenueColumnAmt
Exclusion$15,506ExclusionAmt

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,154SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,154SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,154TotalRevenueColumnAmt
Exclusion$2,154ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$71,170FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$71,170TotalRevenueColumnAmt

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)
DescMiscellaneousDesc
Business900099BusinessCd
Total Revenue Column$649TotalRevenueColumnAmt
Related Or Exempt Func Income$649RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$649OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$418,506TotalRevenueColumnAmt
Related Or Exempt Func Income$649RelatedOrExemptFuncIncomeAmt
Exclusion$17,660ExclusionAmt

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$71,125TotalAmt
Program Services$54,766ProgramServicesAmt
Management And General$5,690ManagementAndGeneralAmt
Fundraising$10,669FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$288,082TotalAmt
Program Services$221,823ProgramServicesAmt
Management And General$23,047ManagementAndGeneralAmt
Fundraising$43,212FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$17,453TotalAmt
Program Services$13,473ProgramServicesAmt
Management And General$1,385ManagementAndGeneralAmt
Fundraising$2,595FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,421TotalAmt
Program Services$22,654ProgramServicesAmt
Management And General$2,354ManagementAndGeneralAmt
Fundraising$4,413FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,950TotalAmt
Management And General$4,950ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

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$1,920TotalAmt
Program Services$960ProgramServicesAmt
Management And General$960ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8,179TotalAmt
Program Services$3,742ProgramServicesAmt
Management And General$3,708ManagementAndGeneralAmt
Fundraising$729FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,268TotalAmt
Program Services$3,286ProgramServicesAmt
Management And General$342ManagementAndGeneralAmt
Fundraising$640FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$41,554TotalAmt
Program Services$31,996ProgramServicesAmt
Management And General$3,324ManagementAndGeneralAmt
Fundraising$6,234FundraisingAmt

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$5,568TotalAmt
Program Services$4,457ProgramServicesAmt
Management And General$277ManagementAndGeneralAmt
Fundraising$834FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,370TotalAmt
Program Services$7,216ProgramServicesAmt
Management And General$749ManagementAndGeneralAmt
Fundraising$1,405FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
ADMINISTRATIVE$14,332$9,074$2,960$2,298
MED SUPPLIES & LAB$13,558$13,558
PRESCRIPTIONS$12,898$12,898
FUNDRAISING EXPENSES$11,699$11,699

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,883TotalAmt
Program Services$5,299ProgramServicesAmt
Management And General$551ManagementAndGeneralAmt
Fundraising$1,033FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$541,260TotalAmt
Program Services$405,202ProgramServicesAmt
Management And General$50,297ManagementAndGeneralAmt
Fundraising$85,761FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$100,719BOYAmt
EOY$77,794EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$43,527BOYAmt
EOY$48,661EOYAmt

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$1,377,281LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$648,179LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$734,670BOYAmt
EOY$729,102EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$477,592BOYAmt
EOY$378,212EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

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)
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,356,508BOYAmt
EOY$1,233,769EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$125BOYAmt
EOY$140EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$125BOYAmt
EOY$140EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,269,450BOYAmt
EOY$1,142,536EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$56,933BOYAmt
EOY$61,093EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,000BOYAmt
EOY$30,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,356,383BOYAmt
EOY$1,233,629EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,356,508BOYAmt
EOY$1,233,769EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$122,754ReconcilationRevenueExpnssAmt
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$337,501CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$321,671CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$344,531CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$317,529CurrentTaxYearMinus1YearAmt
Current Tax Year$329,027CurrentTaxYearAmt
Total$1,650,259TotalAmt

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$337,501CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$321,671CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$344,531CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$317,529CurrentTaxYearMinus1YearAmt
Current Tax Year$329,027CurrentTaxYearAmt
Total$1,650,259TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$1,650,259PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,358CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$20,508CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,356CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$15,984CurrentTaxYearMinus1YearAmt
Current Tax Year$17,660CurrentTaxYearAmt
Total$83,866TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$58,264CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$60,999CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$81,121CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$103,796CurrentTaxYearMinus1YearAmt
Current Tax Year$71,819CurrentTaxYearAmt
Total$375,999TotalAmt
FieldValueIRS element (for citing)
Total Support$2,110,124TotalSupportAmt
Public Support CY1700.78210PublicSupportCY170Pct
Public Support PY1700.77780PublicSupportPY170Pct
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$30,000BeginningYearBalanceAmt
Investment Earnings Or Losses$169InvestmentEarningsOrLossesAmt
Administrative Expenses$169AdministrativeExpensesAmt
End Year Balance$30,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,000BeginningYearBalanceAmt
Investment Earnings Or Losses$168InvestmentEarningsOrLossesAmt
Administrative Expenses$168AdministrativeExpensesAmt
End Year Balance$30,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,000BeginningYearBalanceAmt
Investment Earnings Or Losses$168InvestmentEarningsOrLossesAmt
Administrative Expenses$168AdministrativeExpensesAmt
End Year Balance$30,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,000BeginningYearBalanceAmt
Investment Earnings Or Losses$167InvestmentEarningsOrLossesAmt
Administrative Expenses$167AdministrativeExpensesAmt
End Year Balance$30,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$30,000BeginningYearBalanceAmt
Investment Earnings Or Losses$165InvestmentEarningsOrLossesAmt
Administrative Expenses$165AdministrativeExpensesAmt
End Year Balance$30,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd
Related Org List Sch RfalseRelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$90,000OtherCostOrOtherBasisAmt
Book Value$90,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,133,341OtherCostOrOtherBasisAmt
Depreciation$494,239DepreciationAmt
Book Value$639,102BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,877OtherCostOrOtherBasisAmt
Depreciation$93,877DepreciationAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,063OtherCostOrOtherBasisAmt
Depreciation$60,063DepreciationAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$729,102TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$418,506TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$418,506RevenueSubtotalAmt
Total Revenue Per Form990$418,506TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$541,260TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$541,260ExpensesSubtotalAmt
Total Expenses Per Form990$541,260TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd
Licensed StatesILLicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL DINNEREvent1Nm
Gross Receipts Event1$37,370GrossReceiptsEvent1Amt
Gross Revenue Event1$37,370GrossRevenueEvent1Amt
Event2AUTO BAHNEvent2Nm
Gross Receipts Event2$22,997GrossReceiptsEvent2Amt
Gross Revenue Event2$22,997GrossRevenueEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$10,803GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$10,803GrossRevenueOtherEventsAmt
Gross Receipts Total$71,170GrossReceiptsTotalAmt
Gross Revenue Total Events$71,170GrossRevenueTotalEventsAmt
Net Income Summary$71,170NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, EtFamily relationships within the Board of Directors are Mr. Charles Meade and Mrs. Mittchelena Meade, who are MARRIED.
Form 990, Part VI, Line 11b: Form 990 Review ProcessA MEETING WAS HELD BY THE BOARD OF DIRECTORS TO REVIEW THE FORM 990 PRIOR TO FILING.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableNo documents available to the public.
PART VI, LINE 11BA MEETING IS HELD BY THE BOARD OF DIRECTORS TO REVIEW THE FORM 990 PRIOR TO FILING.
PART VI, LINE 15AIT IS THE POLICY OF THE CLINIC TO PAY NO MORE THAN REASONABLE COMPENSTION FOR PERSONAL SERVICES RENDERED TO THE CLINIC.
PART VI, LINE 15BEXPLANATION CONSISTENT WITH PART VI, LINE 15A
PART VI, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY PROVIDING COPIES UPON REQUEST.
PART VI, LINE 2Family relationships within the Board of Directors are Mr. Charles Meade and Mrs. Mittchelena Meade, who are married.

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