GLOUCESTER MATHEWS CARE CLINIC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- GLOUCESTER MATHEWS CARE CLINIC (EIN 54-1875619)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-15
- IRS object ID
- 201741359349310914
- Schema version
- 2016v3.0
- 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 | 2017-05-15T16:35:16-04:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 141992806 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | D ALLEN PERKINS CPA PLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8416 PATTERSON AVE | AddressLine1Txt |
| City | RICHMOND | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 232296402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541875619 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLOUCESTER-MATHEWS FREE CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GLOU | BusinessNameControlTxt |
| Phone | 8042101368 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6031 INDUSTRIAL DRIVE | AddressLine1Txt |
| City | GLOUCESTER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23061 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BURNS | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8042101368 | PhoneNum |
| Signature | 2017-03-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | D ALLEN PERKINS | PreparerPersonNm |
| PTIN | P01044738 | PTIN |
| Phone | 8044022047 | PhoneNum |
| Preparation | 2017-05-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | 5505907242B0B34EBF66370BC7FB7BFC81F2BEED | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5505907242B0B34EBF66370BC7FB7BFC81F2BEED | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID BURNS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6031 INDUSTRIAL DRIVE | AddressLine1Txt |
| City | GLOUCESTER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,372,577 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GMFREECLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF THE GLOUCESTER-MATHEWS FREE CLINIC IS TO PROVIDE COMMUNITY BASED CARE FOR RESIDENTS OF GLOUCESTER AND MATHEWS COUNTY WHO LACK HEALTH INSURANCE OR INCOME TO PAY FOR HEALTH CARE. CARE IS PROVIDED TO PATIENTS INCLUDING MEDICINES, HEALTH SCREENING, DOCTOR VISITS, DENTAL CARE AND OTHER MEDICAL RELATED CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 35 | TotalEmployeeCnt |
| Total Volunteers | 350 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,041,086 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,092,331 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,360 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,064 | CYInvestmentIncomeAmt |
| PY Other Revenue | $203,962 | PYOtherRevenueAmt |
| CY Other Revenue | $244,395 | CYOtherRevenueAmt |
| PY Total Revenue | $1,251,408 | PYTotalRevenueAmt |
| CY Total Revenue | $1,342,790 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $931,949 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,013,049 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $48,364 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $441,888 | PYOtherExpensesAmt |
| CY Other Expenses | $381,707 | CYOtherExpensesAmt |
| PY Total Expenses | $1,373,837 | PYTotalExpensesAmt |
| CY Total Expenses | $1,394,756 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$122,429 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$51,966 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,733,608 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,258,189 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,496,822 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,073,369 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,236,786 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,184,820 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE GLOUCESTER-MATHEWS FREE CLINIC IS TO PROVIDE COMMUNITY BASED CARE FOR RESIDENTS OF GLOUCESTER AND MATHEWS COUNTY WHO LACK HEALTH INSURANCE OR INCOME TO PAY FOR HEALTH CARE. CARE IS PROVIDED TO PATIENTS INCLUDING MEDICINES, HEALTH SCREENING, DOCTOR VISITS, DENTAL CARE AND OTHER MEDICAL RELATED CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,229,108 | ExpenseAmt |
| Desc | DURING THE YEAR, GMFC WAS ABLE TO PROVIDE 28795 PRESCRIPTIONS FOR ITS CLIENTS. ALSO, IT PROVIDED OVER 17,600 DONATED PHYSICIAN, INTERN, NURSING AND DENTIST HOURS TO ITS CLIENTS. GMFC ALSO EXPANDED ITS REFERRALS TO THE RIVERSIDE HEALTHCARE SYSTEM IN 2016. | Desc |
| Total Program Service Expenses | $1,229,108 | 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 | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | 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 | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | 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 | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 35 | EmployeeCnt |
| Employment Tax Returns Filed | false | 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 |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | 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 | false | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KEVIN BROPHY | PersonNm |
| Phone | 8042101368 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6031 INDUSTRIAL DRIVE | AddressLine1Txt |
| City | GLOUCESTER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 23061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| ADAM TAYLOR | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ANN QUINN | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LINDA GASKINS-JEFFERS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| VICKY GUNN | ||||||
| VICE PRESIDE | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| REV SVEN L VANBAARS | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| CHRISTINE CONLEY MD | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| NANCY DYKEMAN | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| GAYLEN DAVIS | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| EUNICE HYER | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA ZIMA | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| C RICHARD POGUE | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KATE FOSKIT | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BOB BAILEY | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LOUISE THEBERGE | ||||||
| PRESIDENT | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MARGIE WILEY | ||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KIRBY SMITH | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| DIANNE LUCY | ||||||
| BOARD MEMBER | 0.50 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Federated Campaigns | $20,300 | FederatedCampaignsAmt |
| Government Grants | $73,000 | GovernmentGrantsAmt |
| All Other Contributions | $999,031 | AllOtherContributionsAmt |
| Total Contributions | $1,092,331 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,064 | TotalRevenueColumnAmt |
| Exclusion | $6,064 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $274,182 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $29,787 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,395 | TotalRevenueColumnAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,342,790 | TotalRevenueColumnAmt |
| Exclusion | $6,064 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $879,979 | TotalAmt |
| Program Services | $800,781 | ProgramServicesAmt |
| Management And General | $61,598 | ManagementAndGeneralAmt |
| Fundraising | $17,600 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,811 | TotalAmt |
| Program Services | $57,158 | ProgramServicesAmt |
| Management And General | $4,397 | ManagementAndGeneralAmt |
| Fundraising | $1,256 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,259 | TotalAmt |
| Program Services | $63,936 | ProgramServicesAmt |
| Management And General | $4,918 | ManagementAndGeneralAmt |
| Fundraising | $1,405 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,023 | TotalAmt |
| Program Services | $1,002 | ProgramServicesAmt |
| Management And General | $7,016 | ManagementAndGeneralAmt |
| Fundraising | $2,005 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,378 | TotalAmt |
| Program Services | $42,827 | ProgramServicesAmt |
| Management And General | $14,276 | ManagementAndGeneralAmt |
| Fundraising | $14,275 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,585 | TotalAmt |
| Program Services | $45,122 | ProgramServicesAmt |
| Management And General | $3,471 | ManagementAndGeneralAmt |
| Fundraising | $992 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,674 | TotalAmt |
| Program Services | $12,337 | ProgramServicesAmt |
| Management And General | $7,402 | ManagementAndGeneralAmt |
| Fundraising | $4,935 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,878 | TotalAmt |
| Program Services | $30,015 | ProgramServicesAmt |
| Management And General | $8,576 | ManagementAndGeneralAmt |
| Fundraising | $4,287 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,430 | TotalAmt |
| Program Services | $73,191 | ProgramServicesAmt |
| Management And General | $5,630 | ManagementAndGeneralAmt |
| Fundraising | $1,609 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL AND DENTAL SUPP. | $84,939 | $84,939 |
| BAD DEBT EXPENSE | $17,800 | $17,800 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,394,756 | TotalAmt |
| Program Services | $1,229,108 | ProgramServicesAmt |
| Management And General | $117,284 | ManagementAndGeneralAmt |
| Fundraising | $48,364 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,485 | BOYAmt |
| EOY | $252,058 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $403,770 | BOYAmt |
| EOY | $194,148 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,622 | BOYAmt |
| EOY | $35,975 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,769,716 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $225,364 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,889,266 | BOYAmt |
| EOY | $1,544,352 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $328,465 | BOYAmt |
| EOY | $231,656 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,733,608 | BOYAmt |
| EOY | $2,258,189 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,080 | BOYAmt |
| EOY | $13,642 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,426,433 | BOYAmt |
| EOY | $878,649 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,309 | BOYAmt |
| EOY | $181,078 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,496,822 | BOYAmt |
| EOY | $1,073,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,065 | BOYAmt |
| EOY | $684,391 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $781,721 | BOYAmt |
| EOY | $500,429 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,236,786 | BOYAmt |
| EOY | $1,184,820 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,733,608 | BOYAmt |
| EOY | $2,258,189 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$51,966 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (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 | $1,156,777 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $947,550 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,044,608 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,041,086 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,092,331 | CurrentTaxYearAmt |
| Total | $5,282,352 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $295,599 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $316,158 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $260,527 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $226,947 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $274,182 | CurrentTaxYearAmt |
| Total | $1,373,413 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,452,376 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,263,708 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,305,135 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,268,033 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,366,513 | CurrentTaxYearAmt |
| Total | $6,655,765 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $6,655,765 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,385 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,251 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,389 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,360 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,064 | CurrentTaxYearAmt |
| Total | $50,449 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,385 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,251 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $13,389 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,360 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,064 | CurrentTaxYearAmt |
| Total | $50,449 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,464,761 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,275,959 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,318,524 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,274,393 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,372,577 | CurrentTaxYearAmt |
| Total | $6,706,214 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99250 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99190 | PublicSupportPY509Pct |
| Investment Income CY | 0.01000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $68,500 | OtherCostOrOtherBasisAmt |
| Book Value | $68,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,441,495 | OtherCostOrOtherBasisAmt |
| Depreciation | $130,318 | DepreciationAmt |
| Book Value | $1,311,177 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $259,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $95,046 | DepreciationAmt |
| Book Value | $164,675 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,544,352 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BOARD DESIGNATED CASH | Desc |
| Book Value | $231,656 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $231,656 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO GRANTOR | $165,964 |
| ACCRUED VACATION | $11,210 |
| OTHER | $3,904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $181,078 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $8,809,136 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $7,466,346 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $7,466,346 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,342,790 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,342,790 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,861,102 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $7,466,346 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $7,466,346 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,394,756 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,394,756 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | CASINO NIGHT | Event1Nm |
| Gross Receipts Event1 | $118,641 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $118,641 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $16,821 | OtherDirectExpensesEvent1Amt |
| Event2 | CAPITAL CAMPAIG | Event2Nm |
| Gross Receipts Event2 | $108,402 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $108,402 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $2,457 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $47,139 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $47,139 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $10,509 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $274,182 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $274,182 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $29,787 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $29,787 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $244,395 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MISSION OF THE GLOUCESTER-MATHEWS FREE CLINIC IS TO PROVIDE COMMUNITY BASED CARE FOR RESIDENTS OF GLOUCESTER AND MATHEWS COUNTY WHO LACK HEALTH INSURANCE OR INCOME TO PAY FOR HEALTH CARE. CARE IS PROVIDED TO PATIENTS INCLUDING MEDICINES, HEALTH SCREENING, DOCTOR VISITS, DENTAL CARE AND OTHER MEDICAL RELATED CARE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, THE BOOKEEPER AND MEMBERS OF THE FINANCE COMMITTEE. GENERAL DISCUSSION OF THE 990 IS PERFORMED AT A BOARD MEETING, WITH AUTHORIZATION TO FILE APPROVED BY BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL WRITTEN CONFIRMATION OF ANY CONFLICTS BY BOARD MEMBERS |
| FORM 990, PAGE 6, PART VI, LINE 19 | REQUESTS FOR GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. |
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