CARE FREE MEDICAL INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CARE FREE MEDICAL INC (EIN 14-1909938)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-07-17
- IRS object ID
- 201811989349301851
- Schema version
- 2017v2.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-07-17T15:44:30-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 821734598 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | STEVENS KIRINOVIC & TUCKER PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3511 COOLIDGE RD STE 100 | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 488236390 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141909938 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE FREE MEDICAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 5178875922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5135 S PENNSYLVANIA AVE | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48911 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FARHAN BHATTI | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5178875922 | PhoneNum |
| Signature | 2018-06-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVEN R KIRINOVIC | PreparerPersonNm |
| PTIN | P01078923 | PTIN |
| Phone | 5173516836 | PhoneNum |
| Preparation | 2018-07-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE FREE MEDICAL AND DENTAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FARHAN BHATTI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5135 S PENNSYLVANIA AVENUE | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48911 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,774,758 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CAREFREEMEDICAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | CARE FREE MEDICAL AND DENTAL PROVIDES HIGH QUALITY COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO UNINSURED AND UNDERSERVED INDIVIDUALS IN THE GREATER LANSING, MICHIGAN AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 46 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $618,861 | PYContributionsGrantsAmt |
| CY Contributions Grants | $676,563 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $901,820 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $960,674 | CYProgramServiceRevenueAmt |
| PY Investment Income | $110 | PYInvestmentIncomeAmt |
| CY Investment Income | $30 | CYInvestmentIncomeAmt |
| PY Other Revenue | $54,345 | PYOtherRevenueAmt |
| CY Other Revenue | $79,705 | CYOtherRevenueAmt |
| PY Total Revenue | $1,575,136 | PYTotalRevenueAmt |
| CY Total Revenue | $1,716,972 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,088,634 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,106,478 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $362,619 | PYOtherExpensesAmt |
| CY Other Expenses | $404,142 | CYOtherExpensesAmt |
| PY Total Expenses | $1,451,253 | PYTotalExpensesAmt |
| CY Total Expenses | $1,510,620 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $123,883 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $206,352 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $552,780 | TotalAssetsBOYAmt |
| Total Assets EOY | $752,129 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $162,151 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $154,144 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $390,629 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $597,985 | NetAssetsOrFundBalancesEOYAmt |
| Mission | CARE FREE MEDICAL AND DENTAL PROVIDES HIGH QUALITY COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO UNINSURED AND UNDERSERVED INDIVIDUALS IN THE GREATER LANSING, MICHIGAN AREA. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $873,765 | ExpenseAmt |
| Revenue | $742,794 | RevenueAmt |
| Desc | THE TWO MEDICAL AND OPTICAL CLINICS HAD 9,799 AND 599 PATIENT ENCOUNTERS RESPECTIVELY IN 2017. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $291,305 | ExpenseAmt |
| Revenue | $217,880 | RevenueAmt |
| Desc | THE DENTAL CLINIC HAD 3,050 PATIENT ENCOUNTERS IN 2017. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $165,066 | ExpenseAmt |
| Desc | THE BEHAVIORAL AND OTHER CLINICS HAD 394 PATIENT ENCOUNTERS IN 2017. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,330,136 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 46 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SARAH THORNTON | PersonNm |
| Phone | 5178875922 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5135 S PENNSYLVANIA AVE | AddressLine1Txt |
| City | LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48911 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SUZETTE BURKITT-WESOLEK | ||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BECKY DANTONIO | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TICO DUCKETT | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DOUGLAS EDEMA | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KAREN GALLAGHER | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID HOUSTON | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ABDALMAJID KATRANJI | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| PAUL KENNEDY | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EMMA KOPPELMAN-HELVEY | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS MEE | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID NEFF | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN NEWMAN | ||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY ANNE SESTI | ||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| LEONARD SILVERMAN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEAN YOUNG | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TIMOTHY ZIELINSKI | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BARRY SALTMAN | ||||||
| PRESIDENT EM | 40.00 | Yes (X) | $84,950 | $0 | $0 | |
| SARAH THORNTON | ||||||
| ACCOUNTANT | 40.00 | Yes (X) | $40,687 | $0 | $0 | |
| FARHAN BHATTI | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $141,200 | $0 | $0 | |
| LUCIANNA SOLIS | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANGELA SPRECHER-EPPOLITO | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $266,837 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $18,756 | FederatedCampaignsAmt |
| Government Grants | $203,705 | GovernmentGrantsAmt |
| All Other Contributions | $454,102 | AllOtherContributionsAmt |
| Total Contributions | $676,563 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL CLINIC | 621110 | $700,003 | $700,003 |
| DENTAL CLINIC | 621300 | $217,880 | $217,880 |
| OPTOMETRY CLINIC | 621300 | $42,791 | $42,791 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $960,674 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30 | TotalRevenueColumnAmt |
| Exclusion | $30 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $135,702 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $57,786 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,916 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,789 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,789 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,789 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,716,972 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $962,463 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $30 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,249 | TotalAmt |
| Program Services | $243,450 | ProgramServicesAmt |
| Management And General | $43,799 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $717,707 | TotalAmt |
| Program Services | $672,912 | ProgramServicesAmt |
| Management And General | $44,795 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,573 | TotalAmt |
| Program Services | $18,592 | ProgramServicesAmt |
| Management And General | $1,981 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,949 | TotalAmt |
| Program Services | $73,092 | ProgramServicesAmt |
| Management And General | $7,857 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,504 | TotalAmt |
| Program Services | $2,380 | ProgramServicesAmt |
| Management And General | $6,124 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600 | TotalAmt |
| Management And General | $600 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,170 | TotalAmt |
| Management And General | $43,170 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,113 | TotalAmt |
| Program Services | $56,133 | ProgramServicesAmt |
| Management And General | $9,980 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,571 | TotalAmt |
| Program Services | $37,674 | ProgramServicesAmt |
| Management And General | $3,897 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,519 | TotalAmt |
| Program Services | $51,452 | ProgramServicesAmt |
| Management And General | $4,067 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $284 | TotalAmt |
| Program Services | $276 | ProgramServicesAmt |
| Management And General | $8 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,818 | TotalAmt |
| Program Services | $2,907 | ProgramServicesAmt |
| Management And General | $5,911 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,586 | TotalAmt |
| Program Services | $26,586 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,214 | TotalAmt |
| Program Services | $29,914 | ProgramServicesAmt |
| Management And General | $2,300 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| LAB FEES | $59,263 | $59,263 | |
| DUES AND SUBSCRIPTIONS | $24,815 | $22,146 | $2,669 |
| MEDICINE | $14,407 | $14,407 | |
| ALL OTHER | $12,137 | $10,342 | $1,795 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,141 | TotalAmt |
| Program Services | $8,610 | ProgramServicesAmt |
| Management And General | $1,531 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,510,620 | TotalAmt |
| Program Services | $1,330,136 | ProgramServicesAmt |
| Management And General | $180,484 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,099 | BOYAmt |
| EOY | $344,230 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $145,229 | BOYAmt |
| EOY | $40,000 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,030 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $695,024 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $334,081 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $371,529 | BOYAmt |
| EOY | $360,943 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,923 | BOYAmt |
| EOY | $4,926 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,780 | BOYAmt |
| EOY | $752,129 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,770 | BOYAmt |
| EOY | $15,488 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $151,381 | BOYAmt |
| EOY | $138,656 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,151 | BOYAmt |
| EOY | $154,144 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $385,158 | BOYAmt |
| EOY | $572,855 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,471 | BOYAmt |
| EOY | $25,130 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $390,629 | BOYAmt |
| EOY | $597,985 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $552,780 | BOYAmt |
| EOY | $752,129 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $206,352 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,004 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | Yes (true) | AccountantCompileOrReviewInd |
Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | false | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $436,890 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $476,605 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $579,462 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $618,861 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $676,563 | CurrentTaxYearAmt |
| Total | $2,788,381 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,067,448 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $934,910 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $758,961 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $945,420 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,096,376 | CurrentTaxYearAmt |
| Total | $4,803,115 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $86,945 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $90,685 | CurrentTaxYearMinus3YearsAmt |
| Total | $177,630 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,591,283 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,502,200 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,338,423 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,564,281 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,772,939 | CurrentTaxYearAmt |
| Total | $7,769,126 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $7,769,126 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $209 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $110 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30 | CurrentTaxYearAmt |
| Total | $445 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $209 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $72 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $110 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30 | CurrentTaxYearAmt |
| Total | $445 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $148,539 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,925 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,084 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,172 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,789 | CurrentTaxYearAmt |
| Total | $184,509 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,740,031 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,514,197 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,340,531 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,584,563 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,774,758 | CurrentTaxYearAmt |
| Total | $7,954,080 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97670 | PublicSupportCY509Pct |
| Public Support PY509 | 0.94120 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME 184,509 | ExplanationTxt |
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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $417,408 | OtherCostOrOtherBasisAmt |
| Depreciation | $101,924 | DepreciationAmt |
| Book Value | $315,484 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,617 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,883 | DepreciationAmt |
| Book Value | $33,734 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $202,999 | OtherCostOrOtherBasisAmt |
| Depreciation | $191,274 | DepreciationAmt |
| Book Value | $11,725 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $360,943 | TotalBookValueLandBuildingsAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DANCING WITH LO | Event1Nm |
| Gross Receipts Event1 | $92,092 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $92,092 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $2,630 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $23,584 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $19,030 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $25,050 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $25,050 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $1,413 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $3,365 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $4,805 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $18,560 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $18,560 | GrossRevenueOtherEventsAmt |
| Non Cash Prizes Other Events | $61 | NonCashPrizesOtherEventsAmt |
| Food And Beverage Other Events | $943 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $1,955 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $135,702 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $135,702 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $4,104 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $27,892 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $25,790 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $57,786 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $77,916 | NetIncomeSummaryAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SALTMAN RENTAL | |||
| COMPANY IS OWNE | $32,400 | OWNS BUILDING | false |
| LISA SALTMAN | |||
| DAUGHTER OF FOU | $34,550 | EMPLOYED AS SOCIAL W | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | SCH L, PART IV, BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: SALTMAN RENTAL (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: COMPANY IS OWNED BY FOUNDER BARRY SALTMAN (D) DESCRIPTION OF TRANSACTION: OWNS BUILDING AND RECEIVES RENTAL INCOME FROM CARE FREE MEDICAL MASON FACILITY (A) NAME OF PERSON: LISA SALTMAN (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: DAUGHTER OF FOUNDER BARRY SALTMAN (D) DESCRIPTION OF TRANSACTION: EMPLOYED AS SOCIAL WORKER | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS REVIEWED BY THE IN-HOUSE ACCOUNTANT AND EMAILED TO THE BOARD FOR REVIEW PRIOR TO SUBMISSION. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE BOARD OF DIRECTORS IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | BY RECOMMENDATION OF THE EXECUTIVE BOARD AND FINANCE SUB-COMMITTEES AND APPROVAL BY THE FULL BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15B | BY RECOMMENDATION OF THE EXECUTIVE BOARD AND FINANCE SUB-COMMITTEES AND APPROVAL BY THE FULL BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE ON REQUEST. |
| FORM 990, PART XI, LINE 9 | BOOK / TAX DEPRECIATION DIFFERENCE -1 |
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