CARE FREE MEDICAL INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- CARE FREE MEDICAL INC (EIN 14-1909938)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-08-17
- IRS object ID
- 201532309349300228
- Schema version
- 2014v5.0
- 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 | 2015-08-17T11:21:27-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 382771117 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABRAHAM & GAFFNEY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3511 COOLIDGE ROAD SUITE 100 | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48823 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | 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 MD | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5178875922 | PhoneNum |
| Signature | 2015-08-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00531801 | PTIN |
| Phone | 5173516836 | PhoneNum |
| Preparation | 2015-08-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAREFREE MEDICAL AND DENTAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | FARHAN BHATTI MD | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,514,197 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | 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 | PROVIDE HIGH QUALITY COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO UNINSURED AND UNDERSERVED INDIVIDUALS IN THE GREATER LANSING MICHIGAN AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 63 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $508,094 | PYContributionsGrantsAmt |
| CY Contributions Grants | $536,965 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,067,448 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $934,910 | CYProgramServiceRevenueAmt |
| PY Investment Income | $209 | PYInvestmentIncomeAmt |
| CY Investment Income | $72 | CYInvestmentIncomeAmt |
| PY Other Revenue | $141,857 | PYOtherRevenueAmt |
| CY Other Revenue | $15,727 | CYOtherRevenueAmt |
| PY Total Revenue | $1,717,608 | PYTotalRevenueAmt |
| CY Total Revenue | $1,487,674 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,278,717 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $928,218 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $509,918 | PYOtherExpensesAmt |
| CY Other Expenses | $560,558 | CYOtherExpensesAmt |
| PY Total Expenses | $1,788,635 | PYTotalExpensesAmt |
| CY Total Expenses | $1,488,776 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$71,027 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,102 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $555,981 | TotalAssetsBOYAmt |
| Total Assets EOY | $574,443 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $194,792 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $214,356 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $361,189 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $360,087 | 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 | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $920,717 | ExpenseAmt |
| Revenue | $633,817 | RevenueAmt |
| Desc | THE TWO MEDICAL CLINICS HAD 10,984 PATIENT ENCOUNTERS DURING 2014. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $174,320 | ExpenseAmt |
| Revenue | $124,011 | RevenueAmt |
| Desc | THE DENTAL CLINIC HAD 2,501 PATIENT ENCOUNTERS IN 2014. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $104,327 | ExpenseAmt |
| Revenue | $177,082 | RevenueAmt |
| Desc | THE OPTOMETRY CLINIC HAD 1,135 PATIENT ENCOUNTERS IN 2014. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $1,199,364 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 63 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | 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 | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SARAH THORNTON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| BARRY TONS | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| DIANNE BYRUM | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JEAN YOUNG | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KAREN GALLAGHER | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SCOTT CLARK | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| ABDALMAJID KATRANJI | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MAURY KOFFMAN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| EMMA KOPPELMAN-HELVEY | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| KENNETH RUDMAN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN WILLOUGHBY | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| MARY ANNE SESTI | ||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JOHN SHASKI | ||||||
| GOVERNANCE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |
| GEORGE SMITH | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| LEONARD SILVERMAN | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TIMOTHY ZIELINSKI | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TODD BRADLEY | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| TICO DUCKETT | ||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |
| BARRY SALTMAN | ||||||
| EXECUTIVE DIRECTOR | 40.00 | $62,879 | $0 | $0 | Yes (X) | |
| MICHELLE LANTZ | ||||||
| VP, PUBLIC RELATIONS | 40.00 | $10,096 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $72,975 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $40,280 | FederatedCampaignsAmt |
| Fundraising | $60,360 | FundraisingAmt |
| Government Grants | $196,111 | GovernmentGrantsAmt |
| All Other Contributions | $240,214 | AllOtherContributionsAmt |
| Total Contributions | $536,965 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL CLINIC | 621110 | $633,817 | $633,817 |
| OPTOMETRY CLINIC | 621300 | $177,082 | $177,082 |
| DENTAL CLINIC | 621300 | $124,011 | $124,011 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $934,910 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72 | TotalRevenueColumnAmt |
| Exclusion | $72 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $30,325 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $60,360 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $26,523 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,802 | TotalRevenueColumnAmt |
| Exclusion | $3,802 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $11,925 | TotalRevenueColumnAmt |
| Exclusion | $11,925 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,925 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,487,674 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $934,910 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $15,799 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,439 | TotalAmt |
| Program Services | $67,571 | ProgramServicesAmt |
| Management And General | $10,868 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $746,082 | TotalAmt |
| Program Services | $701,594 | ProgramServicesAmt |
| Management And General | $44,488 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,445 | TotalAmt |
| Program Services | $13,924 | ProgramServicesAmt |
| Management And General | $2,521 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,252 | TotalAmt |
| Program Services | $80,927 | ProgramServicesAmt |
| Management And General | $6,325 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,405 | TotalAmt |
| Program Services | $695 | ProgramServicesAmt |
| Management And General | $40,710 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,000 | TotalAmt |
| Management And General | $24,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,557 | TotalAmt |
| Program Services | $15,006 | ProgramServicesAmt |
| Management And General | $64,551 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,545 | TotalAmt |
| Program Services | $1,181 | ProgramServicesAmt |
| Management And General | $7,364 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,489 | TotalAmt |
| Program Services | $58,068 | ProgramServicesAmt |
| Management And General | $12,421 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,510 | TotalAmt |
| Program Services | $40,592 | ProgramServicesAmt |
| Management And General | $10,918 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,181 | TotalAmt |
| Program Services | $94,177 | ProgramServicesAmt |
| Management And General | $4,004 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,920 | TotalAmt |
| Program Services | $1,180 | ProgramServicesAmt |
| Management And General | $740 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,177 | TotalAmt |
| Program Services | $1,028 | ProgramServicesAmt |
| Management And General | $149 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,344 | TotalAmt |
| Program Services | $8,234 | ProgramServicesAmt |
| Management And General | $2,110 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,077 | TotalAmt |
| Program Services | $36,077 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,540 | TotalAmt |
| Program Services | $132 | ProgramServicesAmt |
| Management And General | $40,408 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| LAB FEES | $28,603 | $28,603 | |
| DUES AND SUBSCRIPTIONS | $18,505 | $4,479 | $14,026 |
| MEDICINE | $15,606 | $15,606 | |
| REPAIRS AND MAINTENANCE | $5,963 | $5,413 | $550 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,136 | TotalAmt |
| Program Services | $24,877 | ProgramServicesAmt |
| Management And General | $3,259 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,488,776 | TotalAmt |
| Program Services | $1,199,364 | ProgramServicesAmt |
| Management And General | $289,412 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,575 | BOYAmt |
| EOY | $106,415 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,731 | BOYAmt |
| EOY | $51,927 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,246 | BOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $661,398 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $245,297 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $439,429 | BOYAmt |
| EOY | $416,101 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555,981 | BOYAmt |
| EOY | $574,443 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,022 | BOYAmt |
| EOY | $9,580 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,770 | BOYAmt |
| EOY | $174,776 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $30,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,792 | BOYAmt |
| EOY | $214,356 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,060 | BOYAmt |
| EOY | $291,561 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,129 | BOYAmt |
| EOY | $68,526 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $361,189 | BOYAmt |
| EOY | $360,087 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $555,981 | BOYAmt |
| EOY | $574,443 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,102 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Other | Yes (X) | MethodOfAccountingOtherInd |
| Accountant Compile Or Review | Yes (1) | 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 | 0 | FSAuditedInd |
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $363,786 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $454,498 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $468,276 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $436,890 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $476,605 | CurrentTaxYearAmt |
| Total | $2,200,055 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $647,407 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $741,035 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $694,188 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,067,448 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $934,910 | CurrentTaxYearAmt |
| Total | $4,084,988 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $49,268 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $118,330 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $86,945 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $90,685 | CurrentTaxYearAmt |
| Total | $356,728 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,060,461 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,207,033 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,280,794 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,591,283 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,502,200 | CurrentTaxYearAmt |
| Total | $6,641,771 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $6,641,771 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,946 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $660 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $720 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $209 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $72 | CurrentTaxYearAmt |
| Total | $3,607 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,946 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $660 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $720 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $209 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $72 | CurrentTaxYearAmt |
| Total | $3,607 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,378 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $93,842 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $272,185 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $148,539 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,925 | CurrentTaxYearAmt |
| Total | $540,869 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,076,785 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,301,535 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,553,699 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,740,031 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,514,197 | CurrentTaxYearAmt |
| Total | $7,186,247 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92420 | PublicSupportCY509Pct |
| Public Support PY509 | 0.92060 | PublicSupportPY509Pct |
| Investment Income CY | 0.00050 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00090 | 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
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $417,408 | OtherCostOrOtherBasisAmt |
| Depreciation | $79,587 | DepreciationAmt |
| Book Value | $337,821 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,617 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,468 | DepreciationAmt |
| Book Value | $44,149 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $169,373 | OtherCostOrOtherBasisAmt |
| Depreciation | $135,242 | DepreciationAmt |
| Book Value | $34,131 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $416,101 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FEDERAL TAX LAW PROVIDES TAX BENEFITS TO NONPROFIT ORGANIZATIONS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE). THE CODE REQUIRES THAT TAX-EXEMPT ORGANIZATIONS MUST COMPLY WITH FEDERAL TAX LAW TO MAINTAIN TAX-EXEMPT STATUS AND AVOID PENALTIES. AS AN EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, THE ORGANIZATION IS ONLY SUBJECT TO TAX ON UNRELATED BUSINESS INCOME AS DEFINED BY SECTION 509(A)(1) OF THE CODE. THE ORGANIZATION HAD NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED DECEMBER 31, 2014. ACCORDINGLY, A PROVISION FOR INCOME TAXES WAS NOT MADE ON THE FINANCIAL STATEMENTS. THE AMOUNT OF INCOME TAX BENEFIT THAT MAY BE DISALLOWED BY THE INTERNAL REVENUE SERVICE (IRS), IF ANY, CANNOT BE DETERMINED AT THIS TIME ALTHOUGH THE ORGANIZATION EXPECTS SUCH AMOUNTS, IF ANY, TO BE IMMATERIAL. INTEREST AND/OR PENALTIES ON AN AMOUNT OF INCOME TAXES DEEMED UNDERPAID, IF ANY, WILL BE CLASSIFIED AS INCOME TAXES IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS NOT RECOGNIZED ANY INTEREST OR PENALTIES PAYABLE IN THE STATEMENT OF ASSETS, LIABILITIES, AND NET ASSETS - MODIFIED CASH BASIS AS OF DECEMBER 31, 2014, OR INTEREST OR PENALTIES EXPENSE IN THE STATEMENT OF SUPPORT, REVENUE, AND EXPENSES - MODIFIED CASH BASIS FOR THE YEAR THEN ENDED. THE ORGANIZATION IS SUBJECT TO IRS AND STATE EXAMINATIONS FOR A PERIOD OF THREE (3) YEARS AFTER THE FORM 990 HAS BEEN FILED. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DANCING W/ LOCAL STARS | Event1Nm |
| Gross Receipts Event1 | $90,685 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $60,360 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $30,325 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $19,604 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $6,919 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $90,685 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $60,360 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $30,325 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $19,604 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,919 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $26,523 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $3,802 | NetIncomeSummaryAmt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SALTMAN RENTAL | |||
| COMPANY IS OWNED BY FOUNDER BARRY SALTMAN | $66,450 | OWNS BUILDING AND RECEIVES RENTAL INCOME FROM CARE FREE MEDICAL MASON FACILITY. | 0 |
| LISA SALTMAN | |||
| DAUGHTER OF FOUNDER BARRY SALTMAN | $28,033 | EMPLOYED AS A SOCIAL WORKER BY CLINIC | 0 |
| TAYLOR SALTMAN | |||
| GRANDDAUGHTER OF FOUNDER BARRY SALTMAN | $1,517 | EMPLOYED AS OFFICE ASSISTANT BY CLINIC | 0 |
| SELENA SALTMAN-KWANT | |||
| GRANDDAUGHTER OF FOUNDER BARRY SALTMAN | $2,137 | EMPLOYED AS OFFICE ASSISTANT BY CLINIC | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY IN-HOUSE ACCOUNTANT AND EMAILED TO BOARD FOR REVIEW |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | BY RECOMMENDATION OF THE EXECUTIVE AND FINANCE SUB-COMMITTEES AND APPROVAL BY THE FULL BOARD. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE ON REQUEST. |
| FORM 990, PART XII, LINE 1: | THE ORGANIZATION HAS NOT CHANGED ITS METHOD OF ACCOUNTING FROM THE PREVIOUS YEAR. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEARS; THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY OF THE REVIEWED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
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