GLOUCESTER MATHEWS CARE CLINIC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GLOUCESTER MATHEWS CARE CLINIC (EIN 54-1875619)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-04-10
- IRS object ID
- 201201019349300705
- Schema version
- 2011v1.2
- 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 | 2012-04-10T11:24:51-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | D ALLEN PERKINS CPA PLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12201 E GLENKIRK CT | AddressLine1 |
| City | RICHMOND | City |
| State | VA | State |
| ZIP Code | 232332249 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541875619 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GLOUCESTER-MATHEWS FREE CLINIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GLOU | NameControl |
| Phone | 8042101368 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7314 MAIN STREET | AddressLine1 |
| City | GLOUCESTER | City |
| State | VA | State |
| ZIP Code | 23061 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KAY BRADLEY | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 8042101368 | Phone |
| Date Signed | 2012-02-20 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | D ALLEN PERKINS | Name |
| Phone | 8043605857 | Phone |
| Date Prepared | 2012-04-10 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KAY BRADLEY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7314 MAIN STREET | AddressLine1 |
| City | GLOUCESTER | City |
| State | VA | State |
| ZIP Code | 23061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 1094410 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GMFREECLINIC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | THE MISSION OF THE GLOUCESTER-MATHEWS FREE CLINIC IS TO PROVIDE COMMUNITY BASED CARE FOR RESIDENTS OF GLOUCESTER AND MATHEWS COUNTY WHO LACK HEALTH INSURANCE OR INCOME TO PAY FOR HEALTH CARE. CARE IS PROVIDED TO PATIENTS INCLUDING MEDICINES, HEALTH SCREENING, DOCTOR VISITS, DENTAL CARE AND OTHER MEDICAL RELATED CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 12 | TotalNbrEmployees |
| Total Nbr Volunteers | 60 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6573578 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 969195 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 17945 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1841 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7561 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 80183 | OtherRevenuePriorYear |
| Other Revenue Current Year | 102752 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6673547 | TotalRevenuePriorYear |
| Total Revenue Current Year | 1079508 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5497561 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 541865 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 578038 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 18362 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 165042 | OtherExpensePriorYear |
| Other Expenses Current Year | 212779 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6204468 | TotalExpensesPriorYear |
| Total Expenses Current Year | 790817 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 469079 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 288691 | RevenuesLessExpensesCY |
| Total Assets BOY | 1442923 | TotalAssetsBOY |
| Total Assets EOY | 1520435 | TotalAssetsEOY |
| Total Liabilities BOY | 208708 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 211507 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1234215 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1308928 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE MISSION OF THE GLOUCESTER-MATHEWS FREE CLINIC IS TO PROVIDE COMMUNITY BASED CARE FOR RESIDENTS OF GLOUCESTER AND MATHEWS COUNTY WHO LACK HEALTH INSURANCE OR INCOME TO PAY FOR HEALTH CARE. CARE IS PROVIDED TO PATIENTS INCLUDING MEDICINES, HEALTH SCREENING, DOCTOR VISITS, DENTAL CARE AND OTHER MEDICAL RELATED CARE. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 706506 | Expense |
| Description | DURING THE YEAR, GMFC WAS ABLE TO PROVIDE 27,492 PRESCRIPTIONS FOR ITS CLIENTS. ALSO, IT PROVIDED 3974 OF DONATATED PHYSICIAN HOURS 6804 DONATED INTERN HOURS AND OVER 2200 HOURS OF NURSING AND OTHER HEALTH CARE HOURS TO ITS CLIENTS. GMFC ALSO EXPANDED ITS REFERRALS TO THE RIVERSIDE HEALTHCARE SYSTEM AND SIGNIFICANTLY EXPANDED ITS WORK RELATED TO PROVIDING FREE DENTAL SERVICES TO ITS CLIENTS. | Description |
| Total Program Service Expense | 706506 | 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 | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | false | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| 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 |
| Compliance With Backup Witholding | false | ComplianceWithBackupWitholding |
| Number Of Employees | 12 | NumberOfEmployees |
| Employment Tax Returns Filed | false | 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | 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 | false | 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 | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | 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 | KAY BRADLEY | NamePerson |
| Telephone Number | 8042101368 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7314 MAIN STREET | AddressLine1 |
| City | GLOUCESTER | City |
| State | VA | State |
| ZIP Code | 23061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| ADAM TAYLOR | ||||||
| PRESIDENT | 5.00 | X | X | 0 | 0 | 0 |
| ANN QUINN | ||||||
| VICE PRESIDE | 15.00 | X | X | 0 | 0 | 0 |
| ANN BROWN | ||||||
| TREASURER | 3.00 | X | X | 0 | 0 | 0 |
| JUDY CATHEY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| FRANK WEST III | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| IRA MILLEN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| NANCY DYKEMAN | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| KEVIN SMITH | ||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | |
| NINA GUY | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| LEWIS HUBBARD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| WILLIAM FARINHOLT | ||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |
| DAVID MEEKER | ||||||
| LEGAL COUNSE | 0.50 | X | 0 | 0 | 0 | |
| MEGAN MOORE | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| MELISSA CRAWFORD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | false | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Federated Campaigns | 8052 | FederatedCampaigns |
| Fundraising Events | 105359 | FundraisingEvents |
| All Other Contributions | 855784 | AllOtherContributions |
| Total Contributions | 969195 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7561 | TotalRevenueColumn |
| Exclusion | $7,561 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 117654 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 14902 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 102752 | TotalRevenueColumn |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1079508 | TotalRevenueColumn |
| Exclusion | $7,561 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 490138 | Total |
| Program Services | 446722 | ProgramServices |
| Management And General | 35216 | ManagementAndGeneral |
| Fundraising | 8200 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46093 | Total |
| Program Services | 41944 | ProgramServices |
| Management And General | 3227 | ManagementAndGeneral |
| Fundraising | 922 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41807 | Total |
| Program Services | 38103 | ProgramServices |
| Management And General | 3004 | ManagementAndGeneral |
| Fundraising | 700 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12050 | Total |
| Management And General | 12050 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34947 | Total |
| Program Services | 20967 | ProgramServices |
| Management And General | 6990 | ManagementAndGeneral |
| Fundraising | 6990 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24728 | Total |
| Program Services | 22502 | ProgramServices |
| Management And General | 1731 | ManagementAndGeneral |
| Fundraising | 495 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13637 | Total |
| Program Services | 12422 | ProgramServices |
| Management And General | 954 | ManagementAndGeneral |
| Fundraising | 261 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10545 | Total |
| Program Services | 9596 | ProgramServices |
| Management And General | 738 | ManagementAndGeneral |
| Fundraising | 211 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13915 | Total |
| Program Services | 12663 | ProgramServices |
| Management And General | 974 | ManagementAndGeneral |
| Fundraising | 278 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4187 | Total |
| Program Services | 3350 | ProgramServices |
| Management And General | 737 | ManagementAndGeneral |
| Fundraising | 100 | Fundraising |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| MEDICAL AND DENTAL SUPP. | 87757 | 87757 | ||
| OTHER | 11013 | 10480 | 328 | 205 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 790817 | Total |
| Program Services | 706506 | ProgramServices |
| Management And General | 65949 | ManagementAndGeneral |
| Fundraising | 18362 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17869 | BOY |
| EOY | 61228 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192308 | BOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 132154 | BOY |
| EOY | 352286 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 682720 | BOY |
| EOY | 484531 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2517 | BOY |
| EOY | 2522 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 371423 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 60573 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 319764 | BOY |
| EOY | 310850 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95591 | BOY |
| EOY | 309018 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1442923 | BOY |
| EOY | 1520435 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1401 | BOY |
| EOY | 12664 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 191237 | BOY |
| EOY | 184805 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16070 | BOY |
| EOY | 14038 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 208708 | BOY |
| EOY | 211507 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1032806 | BOY |
| EOY | 723248 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201409 | BOY |
| EOY | 585680 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1234215 | BOY |
| EOY | 1308928 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1442923 | BOY |
| EOY | 1520435 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 288691 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -213978 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | 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 | 1249696 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1914436 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2443456 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6679964 | CurrentTaxYearMinus1Year |
| Current Tax Year | 969195 | CurrentTaxYear |
| Total | 13256747 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | 102752 | CurrentTaxYear |
| Total | 102752 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1249696 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1914436 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2443456 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6679964 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1071947 | CurrentTaxYear |
| Total | 13359499 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 13359499 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3321 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8722 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18091 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1841 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7561 | CurrentTaxYear |
| Total | 39536 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3321 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8722 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18091 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1841 | CurrentTaxYearMinus1Year |
| Current Tax Year | 7561 | CurrentTaxYear |
| Total | 39536 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 167 | CurrentTaxYearMinus3Years |
| Total | 167 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1253017 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1923325 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2461547 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6681805 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1079508 | CurrentTaxYear |
| Total | 13399202 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99700 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00000 | InvestmentIncomePercentage |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Disclosed Orgs Legal Control | false | DisclosedOrgsLegalControl |
| Disclosed For Charitable Purposes | false | DisclosedForCharitablePurposes |
| Written Policy Monitoring | false | WrittenPolicyMonitoring |
| Sect170h Requirements Satisfied | false | Sect170hRequirementsSatisfied |
| Solicited Assets For Sale | false | SolicitedAssetsForSale |
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | false | IncludedOnFS |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | false | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 109986 | OtherCostOrOtherBasis |
| Book Value | 109986 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 215928 | OtherCostOrOtherBasis |
| Depreciation | 21008 | Depreciation |
| Book Value | 194920 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 45509 | OtherCostOrOtherBasis |
| Depreciation | 39565 | Depreciation |
| Book Value | 5944 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 310850 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BOARD DESIGNATED CASH | 309018 |
| OTHER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 309018 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED VACATION | $8,429 |
| OTHER | $5,609 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14038 | TotalOfAmounts |
| Total Revenue | 1079508 | TotalRevenue |
| Total Expenses | 790817 | TotalExpenses |
| Excess Or Deficit For Year | 288691 | ExcessOrDeficitForYear |
| Donated Services And Facilities | 74899 | DonatedServicesAndFacilities |
| Total Adjustments | 74899 | TotalAdjustments |
| Excess Or Deficit Per FS | 363590 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 6375972 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 5296464 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 5296464 | RevenueNotRptdF990 |
| Revenue Subtotal | 1079508 | RevenueSubtotal |
| Total Revenue Per Form990 | 1079508 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 6012382 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 5221565 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 5221565 | ExpensesNotRptdF990 |
| Expenses Subtotal | 790816 | ExpensesSubtotal |
| Other Expenses Not Included | 1 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 790817 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| RECONCILIATION OF CHANGES - OTHER | SCHEDULE D, PAGE 4, PART XI, LINE 8 | BOOK / TAX DEPRECIATION DIFFERENCE 1 |
| EXPENSE AMOUNTS INCLUDED ON RETURN - OTHER | SCHEDULE D, PAGE 4, PART XIII, LINE 4B | BOOK / TAX DEPRECIATION DIFFERENCE 1 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 990PTVIII1C | NameOfEvent1 |
| Gross Receipts Event1 | 105359 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 105359 | CharitableContributionsEvent1 |
| Name Of Event2 | CASINO NIGHT | NameOfEvent2 |
| Gross Receipts Event2 | 58481 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 58481 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 11244 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 59173 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 59173 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 3658 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 223013 | GrossReceiptsTotal |
| Charitable Contributions Total | 105359 | CharitableContributionsTotal |
| Gross Revenue Total Events | 117654 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 14902 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 14902 | DirectExpenseSummaryEvents |
| Net Income Summary | 102752 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990 - ORGANIZATION'S MISSION | THE MISSION OF THE GLOUCESTER-MATHEWS FREE CLINIC IS TO PROVIDE COMMUNITY BASED CARE FOR RESIDENTS OF GLOUCESTER AND MATHEWS COUNTY WHO LACK HEALTH INSURANCE OR INCOME TO PAY FOR HEALTH CARE. CARE IS PROVIDED TO PATIENTS INCLUDING MEDICINES, HEALTH SCREENING, DOCTOR VISITS, DENTAL CARE AND OTHER MEDICAL RELATED CARE. |
| ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 | FORM 990, PAGE 6, PART VI, LINE 11B | 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR, THE BOOKEEPER AND MEMBERS OF THE FINANCE COMMITTEE. GENERAL DISCUSSION OF THE 990 IS PERFORMED AT A BOARD MEETING, WITH AUTHORIZATION TO FILE APPROVED BY BOARD. |
| ENFORCEMENT OF CONFLICTS POLICY | FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL WRITTEN CONFIRMATION OF ANY CONFLICTS BY BOARD MEMBERS |
| GOVERNING DOCUMENTS DISCLOSURE EXPLANATION | FORM 990, PAGE 6, PART VI, LINE 19 | REQUESTS FOR GOVERNING DOCUMENTS ARE MADE AVAILABLE UPON WRITTEN REQUEST. |
Comments