WILL-GRUNDY MEDICAL CLINIC INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: WILL-GRUNDY MEDICAL CLINIC INC (EIN 36-3492306)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-01-06
IRS object ID: 201430139349300703
Schema version: 2012v2.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-01-06T14:07:40-08:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MCCARTHY & MCHUGH LTD	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	801 N LARKIN AVE SUITE 201	AddressLine1
City	JOLIET	City
State	IL	State
ZIP Code	60435	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	363492306	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	WILL GRUNDY MEDICAL CLINIC INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	WILL	NameControl
Phone	8157263377	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	213 EAST CASS STREET	AddressLine1
City	JOLIET	City
State	IL	State
ZIP Code	60432	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SHAWN WEST	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	8157263377	Phone
Date Signed	2013-11-07	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	KATHLEEN R MCHUGH	Name
Phone	8157252500	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	JD ROSS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	119 INWOOD DRIVE	AddressLine1
City	JOLIET	City
State	IL	State
ZIP Code	60435	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	516197	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.wgmedclinic.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1988	YearFormation
State Legal Domicile	IL	StateLegalDomicile
Activity Or Mission Description	Providing free medical/dental care to adults who have no health insurance or medical care entitlements & meet prescribed income guidelines. Care is provided by volunteer physicians, dentist and other professionals. The free clinic has been serving patients since 1988 and is supported primarily through donations from area hospitals, local businesses, grants, individuals and the United Way.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	35	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	35	NbrIndependentVotingMembers
Total Nbr Employees	16	TotalNbrEmployees
Total Nbr Volunteers	463	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	389485	ContributionsGrantsPriorYear
Contributions Grants Current Year	409699	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	14260	InvestmentIncomePriorYear
Investment Income Current Year	14941	InvestmentIncomeCurrentYear
Other Revenue Prior Year	42330	OtherRevenuePriorYear
Other Revenue Current Year	70459	OtherRevenueCurrentYear
Total Revenue Prior Year	446075	TotalRevenuePriorYear
Total Revenue Current Year	495099	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	348524	SalariesEtcPriorYear
Salaries Etc Current Year	327062	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	49697	TotalFundrsngExpCurrentYear
Other Expense Prior Year	156156	OtherExpensePriorYear
Other Expenses Current Year	170477	OtherExpensesCurrentYear
Total Expenses Prior Year	504680	TotalExpensesPriorYear
Total Expenses Current Year	497539	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-58605	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-2440	RevenuesLessExpensesCY
Total Assets BOY	1980809	TotalAssetsBOY
Total Assets EOY	1978301	TotalAssetsEOY
Total Liabilities BOY	388	TotalLiabilitiesBOY
Total Liabilities EOY	320	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1980421	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1977981	NetAssetsOrFundBalancesEOY
Mission Description	Providing free health-care services to people in Will and Grundy counties who	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	322731	Expense
Description	THE CLINIC PROVIDES THE FACILITIES & SERVICES NECESSARY FOR DELIVERY OF PRIMARY MEDICAL & DENTAL CARE FOR LOW INCOME INDIVIDUALS. THIS YEAR, INDIVIDUALS VOLUNTEERED OVER 24,965 HOURS TO PROVIDE THESE SERVICES. SERVICES INCLUDED 5,072 MEDICAL VISITS, 2,755 DIAGNOSTIC TESTS AND 47 CLINIC SURGICAL PROCEDURES. IN ADDITION, FIVE LOCAL HOSPITALS ACCEPTED 47 CLINIC PATIENTS FOR SURGICAL PROCEDURES AND RELATED SERVICES WHICH A TOTAL ESTIMATED COSTS OF APPROXIMATELY $5,350,000. THE CLINIC ASSISTED THEIR PATIENTS TO OBTAIN OVER $1,355,000 DOLLARS OF PRESCRIPTION MEDICATIONS THROUGH THE INDIGENT PATIENT ASSISTANCE PROGRAM OFFERED BY MANY PHARMACEUTICAL COMPANIES ACROSS THE COUNTRY.	Description
Total Program Service Expense	322731	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	16	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	35	NbrVotingGoverningBodyMembers
Number Independent Voting Members	35	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	J D ROSS	NamePerson
Telephone Number	8157263377	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	213 E CASS ST	AddressLine1
City	JOLIET	City
State	IL	State
ZIP Code	60432	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Key EmployeeKeyEmployee	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer
JD ROSS
Exec Director	40.00	X	56833	0	0
MS BETH HUGHES
President	0.75		0	0	0	X	X
MS PATRICIA PERRIER
1st Vice President & Secretary	0.75		0	0	0	X	X
DR JAMES RAGO
2nd Vice President	0.75		0	0	0	X	X
MS KAY RAY
V.P. Volunteers	0.75		0	0	0	X	X
MR ALFREDO MELESIO JR
Treasurer	0.75		0	0	0	X	X
MS PENNY BASSO
Director	0.75		0	0	0	X
MS MARY BRENCZEWSKI
Director	0.75		0	0	0	X
MR MATT CAMPBELL
Director	0.50		0	0	0	X
MS CAROL CHAPLIN
Director	0.50		0	0	0	X
MS PATRICIA CIPRIANI
Director	0.50		0	0	0	X
MR FRANK CSERVENYAK
Director	0.50		0	0	0	X
MRS JULIE HUGHES
Director	0.50		0	0	0	X
MS SUE HUTCHINSON
Director	0.50		0	0	0	X
REV GEORGE KLIMA
Director	1					X
MR JOHN KREPPS
Director	1					X
MR DANIEL MAHER
Director	0					X
MS LORA MCGUIRE
Director	0					X
SR ALBERT MARIE PAPESH
Director	1					X
MS LISA PIERSON
Director	1					X
DR AL RAY
Director	1					X
MR MICHAEL REARDON
Director	1					X
MS SARAH RIORDAN
Director	0					X
MS YOLANDA REYES
Director	0					X
MR MICHAEL RITTOF
Director	0					X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	56833	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Fundraising Events	65250	FundraisingEvents
Government Grants	62000	GovernmentGrants
All Other Contributions	282449	AllOtherContributions
Noncash Contributions	3610	NoncashContributions
Total Contributions	409699	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	14941	TotalRevenueColumn
Exclusion	$14,941	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	91308	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	65250	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	21098	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	70210	TotalRevenueColumn
Exclusion	$70,210	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Miscellaneous	Description
Business Code	900099	BusinessCode
Total Revenue Column	249	TotalRevenueColumn
Exclusion	$249	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	249	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	495099	TotalRevenueColumn
Exclusion	$85,400	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	54481	Total
Program Services	0	ProgramServices
Management And General	40861	ManagementAndGeneral
Fundraising	13620	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	242703	Total
Program Services	193956	ProgramServices
Management And General	24932	ManagementAndGeneral
Fundraising	23815	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5198	Total
Program Services	3327	ProgramServices
Management And General	1144	ManagementAndGeneral
Fundraising	727	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1033	Total
Program Services	661	ProgramServices
Management And General	227	ManagementAndGeneral
Fundraising	145	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	23647	Total
Program Services	15134	ProgramServices
Management And General	5202	ManagementAndGeneral
Fundraising	3311	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	6686	Total
Program Services	0	ProgramServices
Management And General	6686	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	6328	Total
Program Services	6328	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	19843	Total
Program Services	5520	ProgramServices
Management And General	9752	ManagementAndGeneral
Fundraising	4571	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1864	Total
Program Services	932	ProgramServices
Management And General	932	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	18981	Total
Program Services	10153	ProgramServices
Management And General	8193	ManagementAndGeneral
Fundraising	635	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	35579	Total
Program Services	17434	ProgramServices
Management And General	16011	ManagementAndGeneral
Fundraising	2134	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	8037	Total
Program Services	4294	ProgramServices
Management And General	3070	ManagementAndGeneral
Fundraising	673	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Medical Supplies and Lab Fees	8770	8770	0	0
Prescriptions	54786	54786	0	0
Equipment Rental & Maintenance	1616	1028	522	66
Administrative	5644	0	5644	0

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2343	Total
Program Services	408	ProgramServices
Management And General	1935	ManagementAndGeneral
Fundraising	0	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	497539	Total
Program Services	322731	ProgramServices
Management And General	125111	ManagementAndGeneral
Fundraising	49697	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	102471	BOY
EOY	100809	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	676299	BOY
EOY	688412	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	422	BOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1372072	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	559731	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	833704	BOY
EOY	812341	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	367913	BOY
EOY	376739	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1980809	BOY
EOY	1978301	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	388	BOY
EOY	320	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	388	BOY
EOY	320	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1919354	BOY
EOY	1910254	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	31067	BOY
EOY	37727	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	30000	BOY
EOY	30000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1980421	BOY
EOY	1977981	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1980809	BOY
EOY	1978301	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-2440	ReconcilationRevenueExpenses
Method Of Accounting Cash	X	MethodOfAccountingCash
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	348186	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	414511	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	416955	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	389485	CurrentTaxYearMinus1Year
Current Tax Year	409699	CurrentTaxYear
Total	1978836	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	348186	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	414511	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	416955	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	389485	CurrentTaxYearMinus1Year
Current Tax Year	409699	CurrentTaxYear
Total	1978836	Total

Field	Value	IRS element (for citing)
Public Support Total170	1978836	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	40717	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24364	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	14801	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	14260	CurrentTaxYearMinus1Year
Current Tax Year	14941	CurrentTaxYear
Total	109083	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	55064	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	87818	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	69507	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	71507	CurrentTaxYearMinus1Year
Current Tax Year	91557	CurrentTaxYear
Total	375453	Total

Field	Value	IRS element (for citing)
Total Support	2463372	TotalSupport
Public Support Pertcentage170	0.80330	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.79570	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Total509	0	PublicSupportTotal509
Public Support Percentage509	0	PublicSupportPercentage509
Investment Income Percentage	0	InvestmentIncomePercentage
Facts And Circumstances Test	OTHER INCOME PART II, LINE 10; DESCRIPTION: SPECIAL EVENTS; 2008: 54139.; 2009: 84092.; 2010: 69507.; 2011: 71067.; 2012: 91308.; DESCRIPTION: MISCELLANEOUS; 2008: 925.; 2009: 3726.; 2010: 0.; 2011: 440.; 2012: 249.;	FactsAndCircumstancesTest

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

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)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	30867	BeginningOfYearBalance
Investment Earnings Or Losses	415	InvestmentEarningsOrLosses
Other Expenditures	1282	OtherExpenditures
End Of Year Balance	30000	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	30456	BeginningOfYearBalance
Investment Earnings Or Losses	411	InvestmentEarningsOrLosses
End Of Year Balance	30867	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	30000	BeginningOfYearBalance
Investment Earnings Or Losses	456	InvestmentEarningsOrLosses
End Of Year Balance	30456	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	30000	BeginningOfYearBalance
Investment Earnings Or Losses	450	InvestmentEarningsOrLosses
Other Expenditures	450	OtherExpenditures
End Of Year Balance	30000	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	30000	BeginningOfYearBalance
Investment Earnings Or Losses	1014	InvestmentEarningsOrLosses
Other Expenditures	1014	OtherExpenditures
End Of Year Balance	30000	EndOfYearBalance

Field	Value	IRS element (for citing)
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	90000	OtherCostOrOtherBasis
Book Value	90000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1110676	OtherCostOrOtherBasis
Depreciation	397696	Depreciation
Book Value	712980	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	171396	OtherCostOrOtherBasis
Depreciation	162035	Depreciation
Book Value	9361	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	812341	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	495099	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	495099	RevenueSubtotal
Total Revenue Per Form990	495099	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	497539	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	497539	ExpensesSubtotal
Total Expenses Per Form990	497539	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Annual Dinner	NameOfEvent1
Gross Receipts Event1	104397	GrossReceiptsEvent1
Charitable Contributions Event1	36090	CharitableContributionsEvent1
Gross Revenue Event1	68307	GrossRevenueEvent1
Food And Beverage Event1	11130	FoodAndBeverageEvent1
Other Direct Expenses Event1	2006	OtherDirectExpensesEvent1
Name Of Event2	Golf Outing	NameOfEvent2
Gross Receipts Event2	51141	GrossReceiptsEvent2
Charitable Contributions Event2	29160	CharitableContributionsEvent2
Gross Revenue Event2	21981	GrossRevenueEvent2
Rent Facility Costs Event2	3136	RentFacilityCostsEvent2
Food And Beverage Event2	3597	FoodAndBeverageEvent2
Other Direct Expenses Event2	1229	OtherDirectExpensesEvent2
Gross Receipts Total	155538	GrossReceiptsTotal
Charitable Contributions Total	65250	CharitableContributionsTotal
Gross Revenue Total Events	90288	GrossRevenueTotalEvents
Rent Facility Costs Total Events	3136	RentFacilityCostsTotalEvents
Food And Beverage Total Events	14727	FoodAndBeverageTotalEvents
Other Direct Expenses Total Events	3235	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	21098	DirectExpenseSummaryEvents
Net Income Summary	69190	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifier	ExplanationExplanation
Pt VI, Line 19	The organization makes its governing documents, policies and financial
	statements available to the public by making
	copies of the documents upon request.
Pt VI, Line 2	Family relationships within the Board of Directors are
	Dr. Al Ray and Mrs Kay Ray whom are married.
Pt VI, Line 11b	The Board of Directors review the 990 at a meeting
	before the form is filed.
Pt VI, Line 15a	It is the policy of Will-Grundy Medical Clinic to pay no more
	than reasonable compensation for personal services rendered
	to the clinic. The amount has to be reasonable in light of
	the position, responsibility and qualifications of the
	position held and comparable to the compensation paid by
	other organizations for a similiar position.
Pt VI, Line 15b	Same as the explanation shown for Pt VI, Line 15a above
Form 990EZ, Part II, Line 24	INVESTMENTS
Form 990EZ, Part II, Line 26	ACCOUNTS PAYABLE & ACCRUED EXPENSES
Form 990, Part IX, Line 24f	MEMBERSHIP DUES 1053. 408. 645. 0. VOLUNTEER RECRUITMENT 1290. 0. 1290. 0.

WILL-GRUNDY MEDICAL CLINIC INC: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

Investment Income InvestmentIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Comp Current Officers Directors CompCurrentOfficersDirectors

Other Salaries And Wages OtherSalariesAndWages

Pension Plan Contributions PensionPlanContributions

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Fees For Services Other FeesForServicesOther

Office Expenses OfficeExpenses

Information Technology InformationTechnology

Occupancy Occupancy

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Accounts Receivable AccountsReceivable

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Total170 Total170

Gross Investment Income170 GrossInvestmentIncome170

Other Income170 OtherIncome170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Current Year CurrentYear

Current Year Minus1 Year CurrentYearMinus1Year

Current Year Minus2 Years CurrentYearMinus2Years

Current Year Minus3 Years CurrentYearMinus3Years

Current Year Minus4 Years CurrentYearMinus4Years

Land Land

Buildings Buildings

Equipment Equipment

Schedule G IRS990ScheduleG

Events Information EventsInformation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

Comments