CARE FREE MEDICAL INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CARE FREE MEDICAL INC (EIN 14-1909938)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-07-12
- IRS object ID
- 201341939349300549
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-12T13:49:01-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 382771117 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ABRAHAM & GAFFNEY PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3511 COOLIDGE ROAD SUITE 100 | AddressLine1 |
| City | EAST LANSING | City |
| State | MI | State |
| ZIP Code | 48823 | 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 | 141909938 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARE FREE MEDICAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CARE | NameControl |
| Phone | 5178875922 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5135 S PENNSYLVANIA AVE | AddressLine1 |
| City | LANSING | City |
| State | MI | State |
| ZIP Code | 48911 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARRY SALTMAN MD | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 5178875922 | Phone |
| Date Signed | 2013-07-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P00531801 | PTIN |
| Phone | 5173516836 | Phone |
| Date Prepared | 2013-07-12 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAREFREE MEDICAL AND DENTAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARRY SALTMAN MD | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5135 S PENNSYLVANIA AVE | AddressLine1 |
| City | LANSING | City |
| State | MI | State |
| ZIP Code | 48911 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1475313 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CAREFREEMEDICAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2004 | YearFormation |
| State Legal Domicile | MI | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE HIGH QUALITY COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO UNINSURED AND UNDERSERVED INDIVIDUALS IN THE GREATER LANSING MICHIGAN AREA. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 62 | TotalNbrEmployees |
| Total Nbr Volunteers | 92 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 380007 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 466645 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 833919 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 874266 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 660 | InvestmentIncomePriorYear |
| Investment Income Current Year | 720 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 11958 | OtherRevenuePriorYear |
| Other Revenue Current Year | 104560 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1226544 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1446191 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 875354 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 964871 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 8000 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 28286 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 348884 | OtherExpensePriorYear |
| Other Expenses Current Year | 469462 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1232238 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1434333 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -5694 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 11858 | RevenuesLessExpensesCY |
| Total Assets BOY | 640800 | TotalAssetsBOY |
| Total Assets EOY | 637713 | TotalAssetsEOY |
| Total Liabilities BOY | 220442 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 205497 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 420358 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 432216 | NetAssetsOrFundBalancesEOY |
| Mission Description | CARE FREE MEDICAL AND DENTAL PROVIDES HIGH QUALITY COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO UNINSURED AND UNDERSERVED INDIVIDUALS IN THE GREATER LANSING, MICHIGAN AREA. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 965709 | Expense |
| Revenue | 749372 | Revenue |
| Description | THE TWO MEDICAL CLINICS HAD 11,755 PATIENT ENCOUNTERS DURING 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 146648 | Expense |
| Revenue | 48999 | Revenue |
| Description | THE DENTAL CLINIC HAD 1,700 PATIENT ENCOUNTERS IN 2012. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 120065 | Expense |
| Revenue | 75895 | Revenue |
| Description | THE OPTOMETRY CLINIC HAD 745 PATIENT ENCOUNTERS IN 2012. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1232422 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 9 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 1 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 62 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | 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 | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MI | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSAN JENNINGS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5178875922 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5135 S PENNSYLVANIA AVE | AddressLine1 |
| City | LANSING | City |
| State | MI | State |
| ZIP Code | 48911 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| BARRY TONS | ||||||
| FINANCE COMMITTEE | 2.00 | X | 0 | 0 | 0 | |
| DIANNE BYRUM | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| JEAN YOUNG | ||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X |
| BRAIN KASER | ||||||
| SECRETARY | 5.00 | X | 0 | 0 | 0 | X |
| SCOTT CLARK | ||||||
| MEMBER | 2.00 | X | 0 | 0 | 0 | |
| KAREN GALLAGHER | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROBERT LOMBARDINI | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| MARY ODIE | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| KENNETH RUDMAN | ||||||
| MEMBER AT LARGE | 1.00 | X | 0 | 0 | 0 | |
| JAN JANKOWSKI | ||||||
| MEMBER AT LARGE | 20.00 | X | 0 | 0 | 0 | |
| MARY ANNE SESTI | ||||||
| PRESIDENT | 3.00 | X | 0 | 0 | 0 | X |
| JOHN SHASKI | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| GEORGE SMITH | ||||||
| FINANCE COMMITTEE | 1.00 | X | 0 | 0 | 0 | |
| LEONARD SILVERMAN | ||||||
| VP OPTOMETRY | 1.00 | X | 0 | 0 | 0 | X |
| TIMOTHY ZIELINSKI | ||||||
| VP DENTISTRY | 1.00 | X | 0 | 0 | 0 | X |
| TODD BRADLEY | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| TICO DUCKETT | ||||||
| MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BARRY SALTMAN | ||||||
| CEO | 40.00 | 60114 | 0 | 0 | X | |
| MARY C MEERSCHAERT | ||||||
| VP, MEDICAL DIRECTOR | 40.00 | 66923 | 0 | 0 | X | |
| MICHELLE LANTZ | ||||||
| VP, PUBLIC RELATIONS | 40.00 | 14134 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 141171 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Federated Campaigns | 52149 | FederatedCampaigns |
| Fundraising Events | 81755 | FundraisingEvents |
| Government Grants | 102601 | GovernmentGrants |
| All Other Contributions | 230140 | AllOtherContributions |
| Noncash Contributions | 77784 | NoncashContributions |
| Total Contributions | 466645 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAL CLINIC | 621110 | 743507 | 743507 |
| OPTOMETRY CLINIC | 621300 | 75895 | 75895 |
| DENTAL CLINIC | 621300 | 48999 | 48999 |
| MEDICAL RECORDS COPY F | 621110 | 5865 | 5865 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 874266 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 720 | TotalRevenueColumn |
| Exclusion | $720 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 36575 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 81755 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 29122 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7453 | TotalRevenueColumn |
| Exclusion | $7,453 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 97107 | TotalRevenueColumn |
| Exclusion | $97,107 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 97107 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1446191 | TotalRevenueColumn |
| Related Or Exempt Function Income | 874266 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $105,280 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151847 | Total |
| Program Services | 99576 | ProgramServices |
| Management And General | 37056 | ManagementAndGeneral |
| Fundraising | 15215 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 726897 | Total |
| Program Services | 685887 | ProgramServices |
| Management And General | 30674 | ManagementAndGeneral |
| Fundraising | 10336 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9193 | Total |
| Program Services | 6992 | ProgramServices |
| Management And General | 1600 | ManagementAndGeneral |
| Fundraising | 601 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76934 | Total |
| Program Services | 71552 | ProgramServices |
| Management And General | 3980 | ManagementAndGeneral |
| Fundraising | 1402 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4100 | Total |
| Management And General | 4100 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5600 | Total |
| Management And General | 5600 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 747 | Total |
| Program Services | 661 | ProgramServices |
| Fundraising | 86 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148268 | Total |
| Program Services | 129588 | ProgramServices |
| Management And General | 18505 | ManagementAndGeneral |
| Fundraising | 175 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90123 | Total |
| Program Services | 36352 | ProgramServices |
| Management And General | 53771 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68802 | Total |
| Program Services | 65114 | ProgramServices |
| Management And General | 3688 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 472 | Total |
| Program Services | 46 | ProgramServices |
| Management And General | 426 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13981 | Total |
| Program Services | 11115 | ProgramServices |
| Management And General | 2866 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32859 | Total |
| Program Services | 28536 | ProgramServices |
| Management And General | 4323 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37659 | Total |
| Program Services | 34238 | ProgramServices |
| Management And General | 3421 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| LAB FEES | 26983 | 26983 | ||
| LICENSES AND FEES | 2361 | 2262 | 99 | |
| FUNDRAISING | 471 | 471 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37036 | Total |
| Program Services | 33520 | ProgramServices |
| Management And General | 3516 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1434333 | Total |
| Program Services | 1232422 | ProgramServices |
| Management And General | 173625 | ManagementAndGeneral |
| Fundraising | 28286 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47136 | BOY |
| EOY | 42465 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 157756 | BOY |
| EOY | 148942 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3347 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 617229 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 174270 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 435908 | BOY |
| EOY | 442959 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 640800 | BOY |
| EOY | 637713 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13227 | BOY |
| EOY | 9140 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 207215 | BOY |
| EOY | 196357 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220442 | BOY |
| EOY | 205497 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 364414 | BOY |
| EOY | 376996 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55944 | BOY |
| EOY | 55220 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 420358 | BOY |
| EOY | 432216 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 640800 | BOY |
| EOY | 637713 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 11858 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Other | X | MethodOfAccountingOther |
| Accountant Compile Or Review | 1 | AccountantCompileOrReview |
Accountant Compile Or Review Basis AccountantCompileOrReviewBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FS Audited | 0 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 332938 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 308474 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 363786 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 454498 | CurrentTaxYearMinus1Year |
| Current Tax Year | 468276 | CurrentTaxYear |
| Total | 1927972 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 491705 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 606306 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 647407 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 741035 | CurrentTaxYearMinus1Year |
| Current Tax Year | 694188 | CurrentTaxYear |
| Total | 3180641 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 91412 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 208729 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 49268 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 118330 | CurrentTaxYear |
| Total | 479239 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 916055 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1123509 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1060461 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1207033 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1280794 | CurrentTaxYear |
| Total | 5587852 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 5587852 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1744 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2543 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1946 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 660 | CurrentTaxYearMinus1Year |
| Current Tax Year | 720 | CurrentTaxYear |
| Total | 7613 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1744 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2543 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1946 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 660 | CurrentTaxYearMinus1Year |
| Current Tax Year | 720 | CurrentTaxYear |
| Total | 7613 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 4831 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14378 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 93842 | CurrentTaxYearMinus1Year |
| Current Tax Year | 272185 | CurrentTaxYear |
| Total | 385236 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 917799 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1130883 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1076785 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1301535 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1553699 | CurrentTaxYear |
| Total | 5980701 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.93430 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97680 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00130 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00150 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 417409 | OtherCostOrOtherBasis |
| Depreciation | 68148 | Depreciation |
| Book Value | 349261 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74617 | OtherCostOrOtherBasis |
| Depreciation | 25027 | Depreciation |
| Book Value | 49590 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 125203 | OtherCostOrOtherBasis |
| Depreciation | 81095 | Depreciation |
| Book Value | 44108 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 442959 | TotalOfBookValueLandBuildings |
| Tot Revenue Etc Audited Fincl Stmt | 1529577 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 83386 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 83386 | RevenueNotRptdF990 |
| Revenue Subtotal | 1446191 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 1446191 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1517719 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 83386 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 83386 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1434333 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1434333 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Explanation | FEDERAL TAX LAW PROVIDES TAX BENEFITS TO NONPROFIT ORGANIZATIONS RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE). THE CODE REQUIRES THAT TAX-EXEMPT ORGANIZATIONS MUST COMPLY WITH FEDERAL TAX LAW TO MAINTAIN TAX-EXEMPT STATUS AND AVOID PENALTIES. AS AN EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE CODE, THE ORGANIZATION IS ONLY SUBJECT TO TAX ON UNRELATED BUSINESS INCOME AS DEFINED BY SECTION 509(A)(1) OF THE CODE. THE ORGANIZATION HAS NO UNRELATED BUSINESS INCOME FOR THE YEAR ENDED DECEMBER 31, 2012. ACCORDINGLY, A PROVISION FOR INCOME TAXES HAS NOT BEEN MADE ON THE FINANCIAL STATEMENTS. THE AMOUNT OF INCOME TAX BENEFIT THAT MAY BE DISALLOWED BY THE INTERNAL REVENUE SERVICE (IRS), IF ANY, CANNOT BE DETERMINED AT THIS TIME ALTHOUGH THE ORGANIZATION EXPECTS SUCH AMOUNTS, IF ANY, TO BE IMMATERIAL. INTEREST AND/OR PENALTIES ON AN AMOUNT OF INCOME TAXES DEEMED UNDERPAID, IF ANY, WILL BE CLASSIFIED AS INCOME TAXES IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS NOT RECOGNIZED ANY INTEREST OR PENALTIES PAYABLE IN THE STATEMENT OF NET ASSETS, LIABILITIES, AND NET ASSETS - MODIFIED CASH BASIS AS OF DECEMBER 31, 2012, OR INTEREST OR PENALTIES EXPENSE IN THE STATEMENT OF SUPPORT, REVENUE, AND EXPENSES - MODIFIED CASH BASIS FOR THE YEAR THEN ENDED. THE ORGANIZATION IS SUBJECT TO IRS AND STATE EXAMINATIONS FOR A PERIOD OF AT LEAST THREE (3) YEARS AFTER THE FORM 990 HAS BEEN FILED. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | DANCING WITH THE LOCAL STARTS | NameOfEvent1 |
| Gross Receipts Event1 | 118330 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 81755 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 36575 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 693 | CashPrizesEvent1 |
| Rent Facility Costs Event1 | 3110 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 7890 | FoodAndBeverageEvent1 |
| Entertainment Event1 | 300 | EntertainmentEvent1 |
| Other Direct Expenses Event1 | 17129 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 118330 | GrossReceiptsTotal |
| Charitable Contributions Total | 81755 | CharitableContributionsTotal |
| Gross Revenue Total Events | 36575 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 693 | CashPrizesTotalEvents |
| Rent Facility Costs Total Events | 3110 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 7890 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 300 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 17129 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 29122 | DirectExpenseSummaryEvents |
| Net Income Summary | 7453 | NetIncomeSummary |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| SALTMAN RENTAL | |||
| COMPANY IS OWNED BY FOUNDER BARRY SALTMAN | 44690 | OWNS BUILDING AND RECEIVES RENTAL INCOME FROM CARE FREE MEDICAL MASON FACILITY. | 0 |
| LISA SALTMAN | |||
| DAUGHTER OF FOUNDER BARRY SALTMAN | 18731 | EMPLOYED AS A SOCIAL WORKER BY CLINIC | 0 |
| TAYLOR SALTMAN | |||
| GRANDDAUGHTER OF FOUNDER BARRY SALTMAN | 454 | EMPLOYED AS OFFICE ASSISTANT BY CLINIC | 0 |
| SELENA SALTMAN-KWANT | |||
| GRANDDAUGHTER OF FOUNDER BARRY SALTMAN | 1949 | EMPLOYED AS OFFICE ASSISTANT BY CLINIC | 0 |
| SABRINA WATKINS | |||
| GRANDDAUGHTER OF FOUNDER BARRY SALTMAN | 36 | EMPLOYED AS OFFICE ASSISTANT BY CLINIC | 0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 51123 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FAIR VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | OPTOMETRY EQUIPMENT | 1 | 20000 | FAIR VALUE |
| X | OFFICE SUPPLIES | 1 | 2849 | FAIR VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | FORM 990 IS REVIEWED BY IN-HOUSE ACCOUNTANT AND EMAILED TO BOARD FOR REVIEW |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS IS REQUIRED TO FILL OUT A CONFLICT OF INTEREST FORM ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE ON REQUEST. |
| FORM 990, PART XII, LINE 1 | CARE FREE MEDICAL INC. USES THE MODIFIED CASH BASIS OF ACCOUNTING. |
| FORM 990, PART XII, LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEARS; THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY OF THE REVIEWED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. |
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