WILL-GRUNDY MEDICAL CLINIC INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- WILL-GRUNDY MEDICAL CLINIC INC (EIN 36-3492306)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-11-16
- IRS object ID
- 201443209349301009
- Schema version
- 2013v3.1
- 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 | 2014-11-16T19:47:26-08:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCCARTHY & MCHUGH LTD | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| 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 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363492306 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILL GRUNDY MEDICAL CLINIC INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WILL | BusinessNameControlTxt |
| Phone | 8157263377 | PhoneNum |
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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BETH HUGHES | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8157263377 | PhoneNum |
| Signature | 2014-11-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHLEEN R MCHUGH | PreparerPersonNm |
| Phone | 8157252500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LASHAWN WEST | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1606 Red Maple Drive | AddressLine1 |
| City | Plainfield | City |
| State | IL | State |
| ZIP Code | 60586 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $424,710 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.wgmedclinic.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 35 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 35 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Volunteers | 358 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $409,699 | PYContributionsGrantsAmt |
| CY Contributions Grants | $324,589 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,941 | PYInvestmentIncomeAmt |
| CY Investment Income | $32,555 | CYInvestmentIncomeAmt |
| PY Other Revenue | $70,459 | PYOtherRevenueAmt |
| CY Other Revenue | $49,681 | CYOtherRevenueAmt |
| PY Total Revenue | $495,099 | PYTotalRevenueAmt |
| CY Total Revenue | $406,825 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $327,062 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $354,822 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $63,737 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $170,477 | PYOtherExpensesAmt |
| CY Other Expenses | $154,915 | CYOtherExpensesAmt |
| PY Total Expenses | $497,539 | PYTotalExpensesAmt |
| CY Total Expenses | $509,737 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,440 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$102,912 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,978,301 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,875,069 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $320 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,977,981 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,875,069 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Providing free health-care services to people in Will and Grundy counties who | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $313,012 | ExpenseAmt |
| Desc | THE CLINIC PROVIDES THE FACILITIES & SERVICES NECESSARY FOR DELIVERY OF PRIMARY MEDICAL & DENTAL CARE FOR LOW INCOME INDIVIDUALS. THIS YEAR, INDIVIDUALS VOLUNTEERED OVER 19,924 HOURS TO PROVIDE THESE SERVICES. SERVICES INCLUDED 3,961 MEDICAL VISITS, 2,099 DIAGNOSTIC TESTS AND 33 CLINIC SURGICAL PROCEDURES. IN ADDITION, FOUR LOCAL HOSPITALS ACCEPTED OVER 30 CLINIC PATIENTS FOR SURGICAL PROCEDURES AND RELATED SERVICES WITH A TOTAL ESTIMATED COSTS OF APPROXIMATELY $3,550,778. THE CLINIC ASSISTED THEIR PATIENTS TO OBTAIN OVER $735,584 DOLLARS OF PRESCRIPTION MEDICATIONS THROUGH THE INDIGENT PATIENT ASSISTANCE PROGRAM OFFERED BY MANY PHARMACEUTICAL COMPANIES ACROSS THE COUNTRY. | Desc |
| Total Program Service Expenses | $313,012 | 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 | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 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 |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 17 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 35 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 35 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | false | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | false | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LASHAWN WEST | PersonNm |
| Phone | 8157263377 | PhoneNum |
US Address USAddress
| 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 Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| JD ROSS | |||||||
| Former Exec Director | 40.00 | Yes (X) | $57,214 | $0 | $0 | ||
| LASHAWN WEST | |||||||
| Exec Director | 40.00 | Yes (X) | $2,500 | $0 | $0 | ||
| MS PATRICIA PERRIER | |||||||
| President | 0.75 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DR JAMES RAGO | |||||||
| 1st Vice President | 0.75 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MS SARAH RIORDAN | |||||||
| 2nd Vice President | 0.75 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MS KAY RAY | |||||||
| V.P. Volunteers | 0.75 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MR ALFREDO MELESIO JR | |||||||
| Treasurer | 0.75 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| MS MARY BRENCZEWSKI | |||||||
| Secretary | 0.75 | $0 | $0 | $0 | Yes (X) | Yes (X) | |
| DR DEBRA BACHARZ | |||||||
| Director | 0.75 | $0 | $0 | $0 | Yes (X) | ||
| MS PENNY BASSO | |||||||
| Director | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| MR MATT CAMPBELL | |||||||
| Director | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| MS CAROL CHAPLIN | |||||||
| Director | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| MS PATRICIA CIPRIANI | |||||||
| Director | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| MR FRANK CSERVENYAK | |||||||
| Director | 0.50 | $0 | $0 | $0 | Yes (X) | ||
| DR SUNIL DESAI | |||||||
| Director | 1 | Yes (X) | |||||
| MS SANDRA FLECK | |||||||
| Director | 1 | Yes (X) | |||||
| MS LYNN HOPKINS | |||||||
| Director | 1 | Yes (X) | |||||
| MS BETH HUGHES | |||||||
| Director | 1 | Yes (X) | |||||
| MS JULIE HUGHES | |||||||
| Director | 1 | Yes (X) | |||||
| MS SUE HUTCHINSON | |||||||
| Director | 1 | Yes (X) | |||||
| MR JOHN KREPPS | |||||||
| Director | 1 | Yes (X) | |||||
| MRS CAROLYN KUCINIC | |||||||
| Director | 1 | Yes (X) | |||||
| MR DANIEL MAHER | |||||||
| Director | 1 | Yes (X) | |||||
| MS LORA MCGUIRE | |||||||
| Director | 1 | Yes (X) | |||||
| MR MIKE MURRAY | |||||||
| Director | 1 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $59,714 | TotalReportableCompFromOrgAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $53,945 | FundraisingAmt |
| Government Grants | $47,000 | GovernmentGrantsAmt |
| All Other Contributions | $223,644 | AllOtherContributionsAmt |
| Total Contributions | $324,589 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,555 | TotalRevenueColumnAmt |
| Exclusion | $32,555 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $67,501 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $53,945 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $17,885 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,616 | TotalRevenueColumnAmt |
| Exclusion | $49,616 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Miscellaneous | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $65 | TotalRevenueColumnAmt |
| Exclusion | $65 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $65 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $406,825 | TotalRevenueColumnAmt |
| Exclusion | $82,236 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,596 | TotalAmt |
| Program Services | $4,550 | ProgramServicesAmt |
| Management And General | $37,072 | ManagementAndGeneralAmt |
| Fundraising | $22,974 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,744 | TotalAmt |
| Program Services | $205,080 | ProgramServicesAmt |
| Management And General | $31,918 | ManagementAndGeneralAmt |
| Fundraising | $27,746 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,482 | TotalAmt |
| Program Services | $16,220 | ProgramServicesAmt |
| Management And General | $5,338 | ManagementAndGeneralAmt |
| Fundraising | $3,924 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,035 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $7,035 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,020 | TotalAmt |
| Program Services | $8,020 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,609 | TotalAmt |
| Program Services | $6,735 | ProgramServicesAmt |
| Management And General | $10,291 | ManagementAndGeneralAmt |
| Fundraising | $4,583 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,811 | TotalAmt |
| Program Services | $1,900 | ProgramServicesAmt |
| Management And General | $1,661 | ManagementAndGeneralAmt |
| Fundraising | $250 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,695 | TotalAmt |
| Program Services | $14,821 | ProgramServicesAmt |
| Management And General | $11,501 | ManagementAndGeneralAmt |
| Fundraising | $1,373 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,878 | TotalAmt |
| Program Services | $18,560 | ProgramServicesAmt |
| Management And General | $17,045 | ManagementAndGeneralAmt |
| Fundraising | $2,273 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,900 | TotalAmt |
| Program Services | $2,530 | ProgramServicesAmt |
| Management And General | $1,994 | ManagementAndGeneralAmt |
| Fundraising | $376 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies and Lab Fees | $2,720 | $2,720 | $0 | $0 |
| Prescriptions | $30,894 | $30,894 | $0 | $0 |
| Equipment Rental & Maintenance | $1,433 | $912 | $300 | $221 |
| Administrative | $7,518 | $0 | $7,518 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,402 | TotalAmt |
| Program Services | $70 | ProgramServicesAmt |
| Management And General | $1,315 | ManagementAndGeneralAmt |
| Fundraising | $17 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,737 | TotalAmt |
| Program Services | $313,012 | ProgramServicesAmt |
| Management And General | $132,988 | ManagementAndGeneralAmt |
| Fundraising | $63,737 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,809 | BOYAmt |
| EOY | $55,498 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $688,412 | BOYAmt |
| EOY | $621,696 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $41 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,356,734 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $564,733 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $812,341 | BOYAmt |
| EOY | $792,001 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $376,739 | BOYAmt |
| EOY | $405,833 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,978,301 | BOYAmt |
| EOY | $1,875,069 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $320 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,910,254 | BOYAmt |
| EOY | $1,808,869 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,727 | BOYAmt |
| EOY | $36,200 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,000 | BOYAmt |
| EOY | $30,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,977,981 | BOYAmt |
| EOY | $1,875,069 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,978,301 | BOYAmt |
| EOY | $1,875,069 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$102,912 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $414,511 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $416,955 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $389,485 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $409,699 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $324,589 | CurrentTaxYearAmt |
| Total | $1,955,239 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $414,511 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $416,955 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $389,485 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $409,699 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $324,589 | CurrentTaxYearAmt |
| Total | $1,955,239 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,955,239 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,364 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,801 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,260 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,941 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,555 | CurrentTaxYearAmt |
| Total | $100,921 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $87,818 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $69,507 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $71,507 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $91,557 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $67,566 | CurrentTaxYearAmt |
| Total | $387,955 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $2,444,115 | TotalSupportAmt |
| Public Support CY170 | 0.80000 | PublicSupportCY170Pct |
| Public Support PY170 | 0.80330 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Form990 Schedule A Part IV Form990ScheduleAPartIVGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt II Line 10 | Description: Special Events |
| Pt II Line 10 | 2009: 84092. |
| Pt II Line 10 | 2010: 69507. |
| Pt II Line 10 | 2011: 71067. |
| Pt II Line 10 | 2012: 91308. |
| Pt II Line 10 | 2013: 67501. |
| Pt II Line 10 | Description: Miscellaneous |
| Pt II Line 10 | 2009: 3726. |
| Pt II Line 10 | 2010: 0. |
| Pt II Line 10 | 2011: 440. |
| Pt II Line 10 | 2012: 249. |
| Pt II Line 10 | 2013: 65. |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $150 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $150 | OtherExpendituresAmt |
| End Year Balance | $30,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,867 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $415 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,282 | OtherExpendituresAmt |
| End Year Balance | $30,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,456 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $411 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $30,867 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $456 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $30,456 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $30,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $450 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $450 | OtherExpendituresAmt |
| End Year Balance | $30,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,000 | OtherCostOrOtherBasisAmt |
| Book Value | $90,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,118,661 | OtherCostOrOtherBasisAmt |
| Depreciation | $429,595 | DepreciationAmt |
| Book Value | $689,066 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $148,073 | OtherCostOrOtherBasisAmt |
| Depreciation | $135,138 | DepreciationAmt |
| Book Value | $12,935 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $792,001 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $406,825 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $406,825 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $406,825 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $509,737 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $509,737 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $509,737 | TotalExpensesPerForm990Amt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Annual Dinner | NameOfEvent1Amt |
| Gross Receipts Event1 | $89,905 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $34,650 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $55,255 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $8,600 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $944 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | Golf Outing | NameOfEvent2Amt |
| Gross Receipts Event2 | $27,102 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $17,195 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $9,907 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $3,650 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $3,237 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $1,075 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $117,007 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $51,845 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $65,162 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $3,650 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $11,837 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $2,019 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $17,506 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $47,656 | NetIncomeSummaryAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 19 | The organization makes its governing documents, policies and financial |
| Pt VI, Line 19 | statements available to the public by makeing copies upon request. |
| Pt VI, Line 2 | Family relationships within the Board of Directors are Dr. Al Ray |
| Pt VI, Line 2 | and Mrs. Kay Ray who are married. |
| Pt VI, Line 11b | A meeting is held by the Board of Directors to review the 990 prior to filing. |
| Pt VI, Line 15a | It is the policy of Will-Grundy Medical Clinic to pay no more |
| Pt VI, Line 15a | than reasonable compensation for personal services rendered |
| Pt VI, Line 15a | to the clinic. The amount has to be reasonable in light of |
| Pt VI, Line 15a | the position, responsibility and qualifications of the |
| Pt VI, Line 15a | position held and comparable to the compensation paid by |
| Pt VI, Line 15a | 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 885. 70. 798. 17. VOLUNTEER RECRUITMENT 517. 0. 517. 0. |
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