GREENVILLE FREE MEDICAL CLINIC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: GREENVILLE FREE MEDICAL CLINIC (EIN 57-0855205)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2013-11-14
IRS object ID: 201333189349301028
Schema version: 2012v2.3
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 M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T07:41:51-06:00	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	JENNINGS COOK & CO CPA'S PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 25937	AddressLine1
City	GREENVILLE	City
State	SC	State
ZIP Code	29616	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	570855205	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GREENVILLE FREE MEDICAL CLINIC INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GREE	NameControl
Phone	8642321470	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	600 ARLINGTON AVENUE	AddressLine1
City	GREENVILLE	City
State	SC	State
ZIP Code	29601	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SUZIE J FOLEY	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	8642321470	Phone
Date Signed	2013-10-01	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DOUGLAS P SCHMIEDING	Name
Phone	8642974700	Phone
Date Prepared	2013-11-14	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	SUZIE J FOLEY EXECUTIVE DIRECTOR	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 8993	AddressLine1
City	GREENVILLE	City
State	SC	State
ZIP Code	29604	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	6045905	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	GREENVILLEFREECLINIC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1987	YearFormation
State Legal Domicile	SC	StateLegalDomicile
Activity Or Mission Description	TO PROMOTE WELLNESS AND TO PROVIDE CARING, QUALITY PRIMARY MEDICAL CARE AND DENTAL SERVICES, HEALTH EDUCATION AND PRESCRIPTION MEDICATIONS WITHOUT CHARGE TO ELIGIBLE GREENVILLE COUNTY RESIDENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	21	TotalNbrEmployees
Total Nbr Volunteers	600	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	2895630	ContributionsGrantsPriorYear
Contributions Grants Current Year	5643281	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	40778	InvestmentIncomePriorYear
Investment Income Current Year	63805	InvestmentIncomeCurrentYear
Other Revenue Prior Year	10210	OtherRevenuePriorYear
Other Revenue Current Year	127789	OtherRevenueCurrentYear
Total Revenue Prior Year	2946618	TotalRevenuePriorYear
Total Revenue Current Year	5834875	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	288637	SalariesEtcPriorYear
Salaries Etc Current Year	655918	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	73930	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2777034	OtherExpensePriorYear
Other Expenses Current Year	5305227	OtherExpensesCurrentYear
Total Expenses Prior Year	3065671	TotalExpensesPriorYear
Total Expenses Current Year	5961145	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-119053	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-126270	RevenuesLessExpensesCY
Total Assets BOY	1832237	TotalAssetsBOY
Total Assets EOY	1726452	TotalAssetsEOY
Total Liabilities BOY	800	TotalLiabilitiesBOY
Total Liabilities EOY	4089	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1831437	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1722363	NetAssetsOrFundBalancesEOY
Mission Description	TO PROMOTE WELLNESS AND TO PROVIDE CARING, QUALITY PRIMARY MEDICAL CARE AND DENTAL SERVICES, HEALTH EDUCATION AND PRESCRIPTION MEDICATIONS WITHOUT CHARGE TO ELIGIBLE GREENVILLE COUNTY RESIDENTS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	5675413	Expense
Revenue	5852932	Revenue
Description	SEE MISSION STATEMENT 7/1/12 - 6/30/13 ACCOMPLISHMENTS: 7,079 MEDICAL CARE VISITS 1,190 DENTAL CLNIC VISITS OVER 38,000 PRECRIPTIONS/REFILLS DISPENSED 2,486 NURSE CONSULTS AND HEALTH PRESENTATIONS	Description
Total Program Service Expense	5675413	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	true	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	true	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	23	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	21	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
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	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	true	LocalChapters
Policies Reference Chapters	true	PoliciesReferenceChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SUZIE J FOLEY	NamePerson
Telephone Number	8642321470	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	600 ARLINGTON AVE	AddressLine1
City	GREENVILLE	City
State	SC	State
ZIP Code	29601	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	TitleTitle	OfficerOfficer
LAUREL FOWLER
2.00	X	0	0	0
CATHERINE GARNER
2.00	X	0	0	0
ROBERTO MARTINEZ
2.00	X	0	0	0
SCOTT CHRISTOPHER
2.00	X	0	0	0
PHIL FEISAL
2.00	X	0	0	0
SAMUEL ERWIN
2.00	X	0	0	0	VICE CHAIR
BEVERLY HAINES
2.00	X	0	0	0
TERI FICICCHY
2.00	X	0	0	0
DR DONALD RIDGELL
2.00	X	0	0	0
DR PETER MAURIDES
2.00	X	0	0	0
DR STEPHEN GEARY
2.00	X	0	0	0
MATTHEW UTECHT
2.00	X	0	0	0	SECRETARY
CHRIS JAMES
2.00	X	0	0	0
DAVID SLADE
2.00	X	0	0	0	CHAIR
MAXIM WILLIAMS
2.00	X	0	0	0
SAKO ZADOIAN
2.00	X	0	0	0
MIKE KELLY
2.00	X	0	0	0
SUZIE J FOLEY
40.00		86160	0	0	EXECUTIVE DI	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	86160	TotalReportableCompFromOrg
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	58000	GovernmentGrants
All Other Contributions	5585281	AllOtherContributions
Noncash Contributions	4820000	NoncashContributions
Total Contributions	5643281	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	22736	TotalRevenueColumn
Exclusion	$22,736	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	234042	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	192973	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	41069	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	41069	TotalRevenueColumn
Related Or Exempt Function Income	41069	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	145846	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	18057	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	127789	TotalRevenueColumn

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5834875	TotalRevenueColumn
Related Or Exempt Function Income	41069	RelatedOrExemptFunctionIncome
Exclusion	$22,736	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	543422	Total
Program Services	426741	ProgramServices
Management And General	67767	ManagementAndGeneral
Fundraising	48914	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	69647	Total
Program Services	55021	ProgramServices
Management And General	8358	ManagementAndGeneral
Fundraising	6268	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	42849	Total
Program Services	33851	ProgramServices
Management And General	5142	ManagementAndGeneral
Fundraising	3856	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6422	Total
Management And General	6422	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	49528	Total
Program Services	28277	ProgramServices
Management And General	17361	ManagementAndGeneral
Fundraising	3890	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	59870	Total
Program Services	47896	ProgramServices
Management And General	11974	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	17015	Total
Management And General	17015	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
DONATED GOODS/SUPPLIES	4820000	4820000
PRESCRIPTIONS	179823	179823
CONTRACTED SERVICES	31608	10980	17128	3500
MEDICAL & DENTAL SUPPLIES	30499	30499

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	110462	Total
Program Services	42325	ProgramServices
Management And General	60635	ManagementAndGeneral
Fundraising	7502	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	5961145	Total
Program Services	5675413	ProgramServices
Management And General	211802	ManagementAndGeneral
Fundraising	73930	Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	214692	BOY
EOY	104724	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1980796	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1244753	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	760203	BOY
EOY	736043	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	757013	BOY
EOY	785558	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	100329	BOY
EOY	100127	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1832237	BOY
EOY	1726452	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	800	BOY
EOY	4089	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	800	BOY
EOY	4089	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1617419	BOY
EOY	1545933	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	64018	BOY
EOY	26430	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	150000	BOY
EOY	150000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1831437	BOY
EOY	1722363	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1832237	BOY
EOY	1726452	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-126270	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	17196	ReconciliationUnrealizedInvest
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	true	AuditCommittee

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	941410	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	789158	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1032631	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	836354	CurrentTaxYearMinus1Year
Current Tax Year	969127	CurrentTaxYear
Total	4568680	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	941410	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	789158	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1032631	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	836354	CurrentTaxYearMinus1Year
Current Tax Year	969127	CurrentTaxYear
Total	4568680	Total

Field	Value	IRS element (for citing)
Public Support Total170	4568680	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	50336	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	53759	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	31623	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25476	CurrentTaxYearMinus1Year
Current Tax Year	22736	CurrentTaxYear
Total	183930	Total

Field	Value	IRS element (for citing)
Total Support	4752610	TotalSupport
Gross Receipts From Admissions Etc	145846	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.96130	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.95560	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

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	740406	BeginningOfYearBalance
Investment Earnings Or Losses	80293	InvestmentEarningsOrLosses
Other Expenditures	25000	OtherExpenditures
Administrative Expenses	8196	AdministrativeExpenses
End Of Year Balance	787503	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	702485	BeginningOfYearBalance
Investment Earnings Or Losses	41871	InvestmentEarningsOrLosses
Administrative Expenses	3950	AdministrativeExpenses
End Of Year Balance	740406	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	706935	BeginningOfYearBalance
Investment Earnings Or Losses	3079	InvestmentEarningsOrLosses
Administrative Expenses	7529	AdministrativeExpenses
End Of Year Balance	702485	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	650618	BeginningOfYearBalance
Investment Earnings Or Losses	63302	InvestmentEarningsOrLosses
Administrative Expenses	6985	AdministrativeExpenses
End Of Year Balance	706935	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	565827	BeginningOfYearBalance
Investment Earnings Or Losses	91139	InvestmentEarningsOrLosses
Administrative Expenses	6348	AdministrativeExpenses
End Of Year Balance	650618	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.80950	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.19050	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20000	OtherCostOrOtherBasis
Book Value	20000	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	668732	OtherCostOrOtherBasis
Depreciation	599165	Depreciation
Book Value	69567	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	84697	OtherCostOrOtherBasis
Depreciation	81927	Depreciation
Book Value	2770	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	92337	TotalOfBookValueLandBuildings

Other Securities OtherSecurities

Field	Value	IRS element (for citing)
Description	CERTIFICATES OF DEPOSIT	Description
Book Value	100127	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Securities	100127	TotalOfBookValueSecurities
Tot Revenue Etc Audited Fincl Stmt	9289946	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	17196	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	3437875	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	3455071	RevenueNotRptdF990
Revenue Subtotal	5834875	RevenueSubtotal
Total Revenue Per Form990	5834875	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	9399020	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	3437875	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	3437875	ExpensesNotRptdF990
Expenses Subtotal	5961145	ExpensesSubtotal
Total Expenses Per Form990	5961145	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	25TH ANNIVERSAR	NameOfEvent1
Gross Receipts Event1	118423	GrossReceiptsEvent1
Gross Revenue Event1	118423	GrossRevenueEvent1
Other Direct Expenses Event1	12548	OtherDirectExpensesEvent1
Name Of Event2	WALK WITH THE D	NameOfEvent2
Gross Receipts Event2	17098	GrossReceiptsEvent2
Gross Revenue Event2	17098	GrossRevenueEvent2
Other Direct Expenses Event2	1547	OtherDirectExpensesEvent2
Total Number Of Other Events	1	TotalNumberOfOtherEvents
Gross Receipts Other Events	10325	GrossReceiptsOtherEvents
Gross Revenue Other Events	10325	GrossRevenueOtherEvents
Other Direct Expenses Other Events	3712	OtherDirectExpensesOtherEvents
Gross Receipts Total	145846	GrossReceiptsTotal
Gross Revenue Total Events	145846	GrossRevenueTotalEvents
Other Direct Expenses Total Events	17807	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	17807	DirectExpenseSummaryEvents
Net Income Summary	128039	NetIncomeSummary

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	4	NumberOfContributions
Noncash Contribs Rptd F990	4820000	NoncashContribsRptdF990

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	false	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE AUDIT COMMITTEE REVIEWS FORM 990. AFTER THE COMMITTEE'S REVIEW THE FORM 990 IS SUBMITTED TO THE ENTIRE BOARD OF DIRECTORS FOR FINAL APPROVAL.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	POLICY: 4.5 POLICY TITLE: BOARD MEMBER'S CODE OF CONDUCT PROCEDURES FOR ADDRESSING THE CONFLICT OF INTEREST: THE CHAIR OF THE BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE CLININC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE CEO COMMITTEE REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE ANNUALLY TO DETERMINE IF THE EXECUTIVE DIRECTOR IS IN COMPLIANCE WITH THE CLINIC'S STATED POLICIES. THE COMMITTEE MAKES RECOMMENDATIONS OF COMPENSATION TO THE BOARD BASED ON THE RESULTS OF THE THEIR PERFORMANCE REVIEW. THE BOARD OF DIRECTORS GIVES FINAL APPROVAL OF THE EXECUTIVE DIRECTOR'S COMPENSATION. THE CEO EVALUATION COMMITTEE CONSISTS OF THREE BOARD MEMBERS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE PUBLIC IS INVITED TO ALL BOARD MEETINGS AND MAY REVIEW ALL DOCUMENTS. ALL DOCUMENTS ARE ALSO AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.

GREENVILLE FREE MEDICAL CLINIC: 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 (18 entries)

Investment Income InvestmentIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Gain Or Loss GainOrLoss

Net Gain Or Loss Investments NetGainOrLossInvestments

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Office Expenses OfficeExpenses

Occupancy Occupancy

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Investments Other Securities InvestmentsOtherSecurities

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

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

Equipment Equipment

Other Land Buildings OtherLandBuildings

Other Securities OtherSecurities

Schedule G IRS990ScheduleG

Events Information EventsInformation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Comments