CARE FREE MEDICAL INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CARE FREE MEDICAL INC (EIN 14-1909938)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-08-07
IRS object ID: 201242209349300739
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-08-07T12:21:03-05:00	Timestamp
Tax Period End Date	2011-12-31	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	2011-01-01	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	2012-08-02	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
PTIN	P00531801	PTIN
Phone	5173516836	Phone
Date Prepared	2012-07-13	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	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	1227044	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	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	14	NbrIndependentVotingMembers
Total Nbr Employees	57	TotalNbrEmployees
Total Nbr Volunteers	120	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	363786	ContributionsGrantsPriorYear
Contributions Grants Current Year	380007	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	647407	ProgramServiceRevenuePriorYear
Program Service Revenue CY	833919	ProgramServiceRevenueCY
Investment Income Prior Year	1946	InvestmentIncomePriorYear
Investment Income Current Year	660	InvestmentIncomeCurrentYear
Other Revenue Prior Year	46330	OtherRevenuePriorYear
Other Revenue Current Year	11958	OtherRevenueCurrentYear
Total Revenue Prior Year	1059469	TotalRevenuePriorYear
Total Revenue Current Year	1226544	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	777302	SalariesEtcPriorYear
Salaries Etc Current Year	875354	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	8000	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	8228	TotalFundrsngExpCurrentYear
Other Expense Prior Year	319483	OtherExpensePriorYear
Other Expenses Current Year	348884	OtherExpensesCurrentYear
Total Expenses Prior Year	1096785	TotalExpensesPriorYear
Total Expenses Current Year	1232238	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-37316	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-5694	RevenuesLessExpensesCY
Total Assets BOY	654833	TotalAssetsBOY
Total Assets EOY	640800	TotalAssetsEOY
Total Liabilities BOY	228781	TotalLiabilitiesBOY
Total Liabilities EOY	220442	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	426052	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	420358	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	890702	Expense
Revenue	766673	Revenue
Description	THE TWO MEDICAL CLINICS HAD 13,964 PATIENT ENCOUNTERS DURING 2011.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	110950	Expense
Revenue	21137	Revenue
Description	THE DENTAL CLINIC HAD 717 PATIENT ENCOUNTERS IN 2011.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	49365	Expense
Revenue	46109	Revenue
Description	THE OPTOMETRY CLINIC HAD 492 PATIENT ENCOUNTERS IN 2011.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	1051017	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	0	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	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	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
Transaction Related Entity	0	TransactionRelatedEntity
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	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	57	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	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form1098 C Filed	0	Form1098CFiled
Indoor Tanning Services	0	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	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 (15 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
PRESIDENT	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
SECRETARY	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
MEMBER	1.00	X	0	0	0
BARRY SALTMAN
CEO	40.00	X	60000	0	0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	60000	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	46230	FederatedCampaigns
Government Grants	156255	GovernmentGrants
All Other Contributions	177522	AllOtherContributions
Noncash Contributions	31926	NoncashContributions
Total Contributions	380007	TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICAL CLINIC	621110	759648	759648
OPTOMETRY CLINIC	621300	46109	46109
DENTAL CLINIC	621300	21137	21137
MEDICAL RECORDS COPY F	621110	7025	7025

Field	Value	IRS element (for citing)
Total Program Service Revenue	833919	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	660	TotalRevenueColumn
Exclusion	$660	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	11500	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	500	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	11000	TotalRevenueColumn
Exclusion	$11,000	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	OTHER	Description
Business Code	900099	BusinessCode
Total Revenue Column	958	TotalRevenueColumn
Exclusion	$958	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	958	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1226544	TotalRevenueColumn
Related Or Exempt Function Income	833919	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$12,618	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	64590	Total
Program Services	43060	ProgramServices
Management And General	21530	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	732571	Total
Program Services	663587	ProgramServices
Management And General	68984	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	10196	Total
Program Services	7019	ProgramServices
Management And General	3177	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	67997	Total
Program Services	61280	ProgramServices
Management And General	6717	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	10700	Total
Management And General	10700	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	6866	Total
Management And General	6866	ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	8000	Total
Fundraising	8000	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	100	Total
Program Services	100	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	104930	Total
Program Services	81562	ProgramServices
Management And General	23140	ManagementAndGeneral
Fundraising	228	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	26585	Total
Program Services	13957	ProgramServices
Management And General	12628	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	64663	Total
Program Services	61217	ProgramServices
Management And General	3446	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	396	Total
Program Services	396	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3551	Total
Program Services	3317	ProgramServices
Management And General	234	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	14601	Total
Program Services	11049	ProgramServices
Management And General	3552	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	33745	Total
Program Services	27651	ProgramServices
Management And General	6094	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	46867	Total
Program Services	42449	ProgramServices
Management And General	4418	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
LAB FEES	18196	18196
LAUNDRY	3839	3839
LICENSES AND FEES	1702	1602	100

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	12143	Total
Program Services	10736	ProgramServices
Management And General	1407	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1232238	Total
Program Services	1051017	ProgramServices
Management And General	172993	ManagementAndGeneral
Fundraising	8228	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	43534	BOY
EOY	47136	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	151242	BOY
EOY	157756	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	583335	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	147427	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	460057	BOY
EOY	435908	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	654833	BOY
EOY	640800	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	11328	BOY
EOY	13227	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	217453	BOY
EOY	207215	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	228781	BOY
EOY	220442	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	394069	BOY
EOY	364414	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	31983	BOY
EOY	55944	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	426052	BOY
EOY	420358	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	654833	BOY
EOY	640800	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-5694	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
FS Audited	0	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	310775	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	332938	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	308474	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	363786	CurrentTaxYearMinus1Year
Current Tax Year	454498	CurrentTaxYear
Total	1770471	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	443618	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	491705	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	606306	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	647407	CurrentTaxYearMinus1Year
Current Tax Year	741035	CurrentTaxYear
Total	2930071	Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	24273	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	91412	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	208729	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	49268	CurrentTaxYearMinus1Year
Current Tax Year	11500	CurrentTaxYear
Total	385182	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	778666	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	916055	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1123509	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1060461	CurrentTaxYearMinus1Year
Current Tax Year	1207033	CurrentTaxYear
Total	5085724	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	5085724	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	806	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1744	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2543	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1946	CurrentTaxYearMinus1Year
Current Tax Year	660	CurrentTaxYear
Total	7699	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	806	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1744	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2543	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1946	CurrentTaxYearMinus1Year
Current Tax Year	660	CurrentTaxYear
Total	7699	Total

Other Income509 OtherIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus2 Years	4831	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	14378	CurrentTaxYearMinus1Year
Current Tax Year	93842	CurrentTaxYear
Total	113051	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	779472	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	917799	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1130883	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1076785	CurrentTaxYearMinus1Year
Current Tax Year	1301535	CurrentTaxYear
Total	5206474	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.97680	PublicSupportPercentage509
Prior Year Support Percentage	0.99400	PriorYearSupportPercentage
Investment Income Percentage	0.00150	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00170	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	403848	OtherCostOrOtherBasis
Depreciation	57545	Depreciation
Book Value	346303	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	67617	OtherCostOrOtherBasis
Depreciation	20286	Depreciation
Book Value	47331	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	105203	OtherCostOrOtherBasis
Depreciation	63580	Depreciation
Book Value	41623	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6667	OtherCostOrOtherBasis
Depreciation	6016	Depreciation
Book Value	651	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	435908	TotalOfBookValueLandBuildings
Total Revenue	1226544	TotalRevenue
Total Expenses	1232238	TotalExpenses
Excess Or Deficit For Year	-5694	ExcessOrDeficitForYear
Excess Or Deficit Per FS	-5694	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1301035	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	74491	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	74491	RevenueNotRptdF990
Revenue Subtotal	1226544	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1226544	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1306729	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	74491	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	74491	ExpensesNotRptdF990
Expenses Subtotal	1232238	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1232238	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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, 2011. 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, 2011, 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 L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
SUZANNE SALTMAN
WIFE OF FOUNDER BARRY SALTMAN	42540	OWNS BUILDING AND RECEIVES RENTAL INCOME FROM CARE FREE MEDICAL MASON FACILITY.	0
LISA SALTMAN
DAUGHTER OF FOUNDER BARRY SALTMAN	14924	EMPLOYED AS A SOCIAL WORKER BY CLINIC	0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	OPTOMETRY EQUIPMENT	1	10400	FAIR VALUE
X	DENTAL EQUIPMENT	1	5600	FAIR VALUE
X	OFFICE SUPPLIES	1	15927	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 XI, LINE 1	THE ORGANIZATION PRESENTS THEIR REVIEWED FINANICAL STATEMENTS AND FORM 990 ON A MODIFIED CASH BASIS WHICH IS AN OTHER COMPREHENSIVE BASIS OF ACCOUNTING.
FORM 990, PART XII, LINE 2C	THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY OF THE REVIEWED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT.