FAYETTE CARE CLINIC INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FAYETTE CARE CLINIC INC (EIN 20-0314897)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-07-12
IRS object ID: 201331939349300143
Schema version: 2012v2.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-07-12T15:15:53-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CANADY RICHBOURG WOODWARD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	5302 FREDERICK ST SUITE 200	AddressLine1
City	SAVANNAH	City
State	GA	State
ZIP Code	314054823	ZIPCode

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

Filer Filer

Field	Value	IRS element (for citing)
EIN	200314897	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FAYETTE CARE CLINIC INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FAYE	NameControl
Phone	7707199620	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1260 HIGHWAY 54 W	AddressLine1
City	FAYETTEVILLE	City
State	GA	State
ZIP Code	302144514	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SHERYL WATFORD	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7707199620	Phone
Date Signed	2013-06-25	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN F WOODWARD	Name
Phone	9123542910	Phone
Date Prepared	2013-07-10	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MS SHERYL WATFORD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1260 HWY 54 W	AddressLine1
City	FAYETTEVILLE	City
State	GA	State
ZIP Code	30214	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	227425	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FAYETTECARECLINIC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2003	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	PROVIDE QUALITY HEALTHCARE TO THE UNINSURED RESIDENTS OF FAYETTE COUNTY WHOSE HOUSEHOLD INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	4	TotalNbrEmployees
Total Nbr Volunteers	159	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	190785	ContributionsGrantsPriorYear
Contributions Grants Current Year	181259	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	903	ProgramServiceRevenuePriorYear
Program Service Revenue CY	688	ProgramServiceRevenueCY
Investment Income Prior Year	104	InvestmentIncomePriorYear
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	38051	OtherRevenuePriorYear
Other Revenue Current Year	43762	OtherRevenueCurrentYear
Total Revenue Prior Year	229843	TotalRevenuePriorYear
Total Revenue Current Year	225709	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	105535	SalariesEtcPriorYear
Salaries Etc Current Year	155429	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	33886	TotalFundrsngExpCurrentYear
Other Expense Prior Year	137210	OtherExpensePriorYear
Other Expenses Current Year	116537	OtherExpensesCurrentYear
Total Expenses Prior Year	242745	TotalExpensesPriorYear
Total Expenses Current Year	271966	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-12902	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-46257	RevenuesLessExpensesCY
Total Assets BOY	182115	TotalAssetsBOY
Total Assets EOY	134122	TotalAssetsEOY
Total Liabilities BOY	2828	TotalLiabilitiesBOY
Total Liabilities EOY	1092	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	179287	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	133030	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE QUALITY HEALTHCARE TO THE UNINSURED RESIDENTS OF FAYETTE COUNTY WHOSE HOUSEHOLD INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	160491	Expense
Description	OUR MISSION IS TO PROMOTE HEALTH AND WELL-BEING BY REDUCING THE BARRIERS TO ACCESS HEALTHCARE FOR THE WORKING POOR AND UNINSURED POPOLATION OF FAYETTE COUNTY, THAT MEET INCOME REQUIREMENTS, THROUGH COMPASSIONATE HEALTH CARE AND EDUCATION AND TO PROVIDE A GATEWAY TO OTHER COMMUNITY RESOURCES.	Description
Total Program Service Expense	160491	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	false	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	true	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
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	5	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	4	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	false	QuidProQuoContributions
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	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	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	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SHERYL WATFORD	NamePerson
Telephone Number	7707194620	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1260 HWY 54 W	AddressLine1
Address Line2	SUITE 101	AddressLine2
City	FAYETTEVILLE	City
State	GA	State
ZIP Code	30214	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (12 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
DR CHARLES BARBER
DIRECTOR	1.00	X	0	0	0
DAYE BEXLEY
SECRETARY	1.00	X	0	0	0	X
ELIZABETH J CARAWAY
DIRECTOR	1.00	X	0	0	0
DR NIMISH DHRUVA
	1.00	X	0	0	0
ANTHONY FREEMAN
DIRECTOR	1.00	X	0	0	0	X
MEGAN LIDDY
DIRECTOR	1.00	X	0	0	0
GREGORY ALVAREZ MD
DIRECTOR	1.00	X	0	0	0
JOHN MILES
DIRECTOR	1.00	X	0	0	0
MARYANNE MUJICA
PRESIDENT	1.00	X	0	0	0	X
JIMMY PACE
DIRECTOR	1.00	X	0	0	0
SCOTT ROWLAND
TREASURER	1.00	X	0	0	0
SHERYL WATFORD
EXECUTIVE DI	45.00		67730	0	9007	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	67730	TotalReportableCompFromOrg
Total Other Compensation	9007	TotalOtherCompensation
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Federated Campaigns	36524	FederatedCampaigns
All Other Contributions	144735	AllOtherContributions
Noncash Contributions	4125	NoncashContributions
Total Contributions	181259	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT RECORD COPIES	480	480
MISC	208	208

Field	Value	IRS element (for citing)
Total Program Service Revenue	688	TotalProgramServiceRevenue
Gross Income Fundraising Events	45478	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	1716	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	43762	TotalRevenueColumn
Exclusion	$43,762	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	225709	TotalRevenueColumn
Related Or Exempt Function Income	688	RelatedOrExemptFunctionIncome
Exclusion	$43,762	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	76737	Total
Program Services	7674	ProgramServices
Management And General	38368	ManagementAndGeneral
Fundraising	30695	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	66807	Total
Program Services	66807	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	11885	Total
Program Services	6500	ProgramServices
Management And General	2992	ManagementAndGeneral
Fundraising	2393	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	6081	Total
Management And General	6081	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	5061	Total
Program Services	3290	ProgramServices
Management And General	1771	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1404	Total
Management And General	1404	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1028	Total
Management And General	1028	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	49942	Total
Program Services	44948	ProgramServices
Management And General	4994	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1237	Total
Management And General	1237	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	13580	Total
Program Services	11737	ProgramServices
Management And General	1843	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2766	Total
Management And General	2766	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
SUPPLIES	11807	9983	1339	485
VOLUNTEER MEALS & APPREC	9202	3750	5452
DUES AND MEMBERSHIP	4134		4134
EQUIP REPAIR/MAINT	3745	3745

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	6550	Total
Program Services	2057	ProgramServices
Management And General	4180	ManagementAndGeneral
Fundraising	313	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	271966	Total
Program Services	160491	ProgramServices
Management And General	77589	ManagementAndGeneral
Fundraising	33886	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	80536	BOY
EOY	36195	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	56971	BOY
EOY	57099	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	96766	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	55938	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	44608	BOY
EOY	40828	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	182115	BOY
EOY	134122	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	2828	BOY
EOY	1092	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2828	BOY
EOY	1092	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	179287	BOY
EOY	133030	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	179287	BOY
EOY	133030	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	182115	BOY
EOY	134122	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-46257	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
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	false	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	128200	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	125624	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	282663	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	190785	CurrentTaxYearMinus1Year
Current Tax Year	181259	CurrentTaxYear
Total	908531	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	128200	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	125624	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	282663	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	190785	CurrentTaxYearMinus1Year
Current Tax Year	181259	CurrentTaxYear
Total	908531	Total

Field	Value	IRS element (for citing)
Public Support Total170	908531	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	1408	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	74	CurrentTaxYearMinus1Year
Total	1482	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	41768	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	42085	CurrentTaxYearMinus1Year
Current Tax Year	45478	CurrentTaxYear
Total	129331	Total

Field	Value	IRS element (for citing)
Total Support	1039344	TotalSupport
Gross Receipts From Admissions Etc	688	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.87410	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.91150	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

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

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	96766	OtherCostOrOtherBasis
Depreciation	55938	Depreciation
Book Value	40828	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	40828	TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt	1312176	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	1086467	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	1086467	RevenueNotRptdF990
Revenue Subtotal	225709	RevenueSubtotal
Total Revenue Per Form990	225709	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1358433	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	1086467	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	1086467	ExpensesNotRptdF990
Expenses Subtotal	271966	ExpensesSubtotal
Total Expenses Per Form990	271966	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	DANCE	NameOfEvent1
Gross Receipts Event1	33993	GrossReceiptsEvent1
Gross Revenue Event1	33993	GrossRevenueEvent1
Other Direct Expenses Event1	750	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNMENT	NameOfEvent2
Gross Receipts Event2	11485	GrossReceiptsEvent2
Gross Revenue Event2	11485	GrossRevenueEvent2
Other Direct Expenses Event2	966	OtherDirectExpensesEvent2
Gross Receipts Total	45478	GrossReceiptsTotal
Gross Revenue Total Events	45478	GrossRevenueTotalEvents
Other Direct Expenses Total Events	1716	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	1716	DirectExpenseSummaryEvents
Net Income Summary	43762	NetIncomeSummary

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	GROUP SIX PROPERTIES 1 LTD LP	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	MEMBER	Relationship
Amount Of Transaction	49942	AmountOfTransaction
Description Of Transaction	RENT OF FACILITIES	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	FATETTE CARE CLINIC, INC IS DEPENDENT ON ITS VOLUNTEERS. VOLUNTEERS PROVIDE MEDICAL, DENTAL, EDUCATIONAL AND ADMINISTRATIVE SERVICES. TOTAL VOLUNTEER SERVICES ARE VALUED AT APPROXIMATELY 271,879.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A COPY OF THE RETURN IS GIVEN TO EACH MEMBER OF THE BOARD BEFORE THE RETURN IS FILED. IF NO CORRECTIONS ARE SUGGESTED, THE RETURN IS FILED.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. REFERENCE IS MADE TO COMPENSATION PAID BY COMPARABLE ORGANIZATIONS,BUT LIMITED BY BUDGET RESTRAINTS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	N/A
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	COPIED AND DISTRIBUTED UPON REQUEST.