BETA

LA CLINICA DEL PUEBLO: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
LA CLINICA DEL PUEBLO (EIN 47-1805672)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-17
IRS object ID
202533219349322263
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-17T16:46:16-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN840795096PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DALBY WENDLAND & CO PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1150AddressLine1Txt
CityGLENWOOD SPRINGSCityNm
State AbbreviationCOStateAbbreviationCd
ZIP816021150ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN471805672EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LA CLINICA DEL PUEBLOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLACLBusinessNameControlTxt
Phone9709481072PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1520 SOUTH THIRD STREET 8AddressLine1Txt
CityCARBONDALECityNm
State AbbreviationCOStateAbbreviationCd
ZIP81623ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonELAINE GROSSMANPersonNm
Person TitleBOARD PRESIDENTPersonTitleTxt
Phone9709481072PhoneNum
Signature2025-11-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL M SCHLEPP CPAPreparerPersonNm
PTINP01277721PTIN
Phone9709458575PhoneNum
Preparation2025-11-16PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerELAINE GROSSMANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1520 SOUTH THIRD STREET 8AddressLine1Txt
CityCARBONDALECityNm
State AbbreviationCOStateAbbreviationCd
ZIP81623ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$658,018GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Other Organization Dsc501 (C)(3)OtherOrganizationDsc
Formation2014FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTO PROVIDE FREE HEALTH AND DIET CONSULTATIONActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$349,370PYContributionsGrantsAmt
CY Contributions Grants$631,568CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$14,895CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$11,555CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$349,370PYTotalRevenueAmt
CY Total Revenue$658,018CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$36,275PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$121,813CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$16,089CYTotalFundraisingExpenseAmt
PY Other Expenses$58,894PYOtherExpensesAmt
CY Other Expenses$126,789CYOtherExpensesAmt
PY Total Expenses$95,169PYTotalExpensesAmt
CY Total Expenses$248,602CYTotalExpensesAmt
PY Revenues Less Expenses$254,201PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$409,416CYRevenuesLessExpensesAmt
Total Assets BOY$284,244TotalAssetsBOYAmt
Total Assets EOY$693,660TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$284,244NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$693,660NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE FREE HEALTH AND DIET CONSULTATIONMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$47,886ExpenseAmt
DescSUPPORT TO MEET AND CONSULT WITH COMMUNITY MEMBERS ABOUT HEALTH ISSUES AND DIET RECOMMENDATIONS (250+)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$58,081ExpenseAmt
Revenue$14,895RevenueAmt
DescCOVER BLOOD ANALYSIS TO THOSE COMMUNITY MEMBERS UNABLE TO AFFORD THE LAB FEES (110+)Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$49,028ExpenseAmt
DescOVERALL HEALTH ASSESSMENTS, INCLUDING BLOOD WORK AND CREATING A MEDICAL HISTORY FOR THOSE THAT HAVE NOT HAD REGULAR MEDICAL EVALUATIONDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$154,995TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THIRD STREET CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9709483644PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1520 SOUTH THIRD STREETAddressLine1Txt
CityCARBONDALECityNm
State AbbreviationCOStateAbbreviationCd
ZIP816232059ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
JIM MOSER
TREASURER2.00Yes (X)$0$0$0
ELAINE GROSSMAN
BOARD DIRECTOR & PRESIDENT2.00Yes (X)$0$0$0
CHRIS MILLER
SECRETARY2.00Yes (X)$0$0$0
ANA RAMIREZ
BOARD MEMEBER2.00Yes (X)$0$0$0
HILARY GARNSEY
BOARD MEMEBER2.00Yes (X)$0$0$0
KATHERINE LEMIEUX-RODMAN
BOARD MEMEBER2.00Yes (X)$0$0$0
LESLEY FAJARI-FEAUX
BOARD MEMEBER2.00Yes (X)$0$0$0
JENNIFER LANG
MEDICAL DIRECTOR40.00$65,588$0$0Yes (X)
JUDITH ALVAREZ
PROGRAM DIRECTOR10.00$24,425$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$90,013TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$35,000GovernmentGrantsAmt
All Other Contributions$596,568AllOtherContributionsAmt
Total Contributions$631,568TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT FEESDesc
Business621500BusinessCd
Total Revenue Column$14,895TotalRevenueColumnAmt
Related Or Exempt Func Income$14,895RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$14,895TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,555TotalRevenueColumnAmt
Exclusion$11,555ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$658,018TotalRevenueColumnAmt
Related Or Exempt Func Income$14,895RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,555ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$90,013TotalAmt
Program Services$77,439ProgramServicesAmt
Management And General$12,574ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,800TotalAmt
Program Services$31,800ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,950TotalAmt
Management And General$1,950ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,644TotalAmt
Management And General$10,644ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,722TotalAmt
Management And General$1,361ManagementAndGeneralAmt
Fundraising$1,361FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,563TotalAmt
Management And General$11,563ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,216TotalAmt
Management And General$1,216ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,087TotalAmt
Management And General$9,087ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LAB WORK$21,668$21,668
IT & TECH SERVICES$14,078$14,078
MEDICAL SUPPLIES & EQUI$12,420$12,420
OUTREACH/ EDUCATION$11,473$11,473

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$29,968TotalAmt
Program Services$195ProgramServicesAmt
Management And General$15,045ManagementAndGeneralAmt
Fundraising$14,728FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$248,602TotalAmt
Program Services$154,995ProgramServicesAmt
Management And General$77,518ManagementAndGeneralAmt
Fundraising$16,089FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$284,244BOYAmt
EOY$494,820EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$198,840LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$0LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$198,840EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$284,244BOYAmt
EOY$693,660EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$284,244BOYAmt
EOY$693,660EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$284,244BOYAmt
EOY$693,660EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$284,244BOYAmt
EOY$693,660EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$409,416ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$53,050CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$120,540CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$349,370CurrentTaxYearMinus1YearAmt
Current Tax Year$631,568CurrentTaxYearAmt
Total$1,154,528TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$53,050CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$120,540CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$349,370CurrentTaxYearMinus1YearAmt
Current Tax Year$631,568CurrentTaxYearAmt
Total$1,154,528TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$722,570SubstantialContributorsTotAmt
Public Support Total170$431,958PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$11,555CurrentTaxYearAmt
Total$11,555TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$320CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,700CurrentTaxYearMinus2YearsAmt
Current Tax Year$14,895CurrentTaxYearAmt
Total$24,915TotalAmt
FieldValueIRS element (for citing)
Total Support$1,190,998TotalSupportAmt
Gross Receipts Rltd Activities$24,915GrossReceiptsRltdActivitiesAmt
Public Support CY1700.36270PublicSupportCY170Pct
Public Support PY1700.22670PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind
Facts And Circumstances TestTHE ORGANIZATION MEETS THE REQUIREMENTS OF SECTION 170A-9(F)(3)(I), AS RECEIVING MORE THAN 10% OF SUPPORT FROM GOVERNMENTAL UNITS OR DIRECTLY OR INDIRECTLY FROM A REPRESENTATIVE NUMBER OF PERSONS, RATHER THAN RECEIVING ALMOST ALL OF ITS SUPPORT FROM THE MEMBERS OF A SINGLE FAMILY, AND IS EVIDENCE OF THE ORGANIZATION BEING PUBLICLY SUPPORTED.THE ORGANIZATION HAS A GOVERNING BODY WHICH REPRESENTS THE BROAD INTERESTS OF THE PUBLIC, RATHER THAN THE PERSONAL OR PRIVATE INTERESTS OF A LIMITED NUMBER OF DONORS OR PERSONS STANDING IN A RELATIONSHIP TO SUCH DONORS, AS DESCRIBED IN SECTION 4946(A)(1)(C) THROUGH (A)(1)(G), WHICH IS CONSIDERED EVIDENCE OF THE ORGANIZATION BEING PUBLICLY SUPPORTED.THE ORGANIZATION PROVIDES THEIR FACILITIES AND CLINICAL SERVICES DIRECTLY FOR THE BENEFIT OF THE GENERAL PUBLIC ON A CONTINUING BASIS.FactsAndCircumstancesTestTxt

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

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$173,389OtherCostOrOtherBasisAmt
Book Value$173,389BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,451OtherCostOrOtherBasisAmt
Book Value$25,451BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$198,840TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE GOVERNING BODY REVIEWS THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 24EDEVELOPMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 9,155. TOTAL EXPENSES 9,155. COMPUTERS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,211. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,211. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 4,000. TOTAL EXPENSES 4,000. TELEPHONE, TELECOMMUNICATIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,252. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,252. PRINTING & COPYING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,573. FUNDRAISING EXPENSES 1,573. TOTAL EXPENSES 3,146. SOFTWARE SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,013. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,013. OFFICE SUPPLIES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,592. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,592. BUSINESS MEALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 455. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 455. BOOKS, SUBSCRIPTIONS, REFERENCE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 389. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389. TRAINING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 274. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 274. BANK & PROCESSING FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 226. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 226. PATIENT SUPPORT: PROGRAM SERVICE EXPENSES 195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195. BUSINESS REGISTRATION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 35. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35. CONFERENCE, CONVENTION, MEETING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25.

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