2012-08-07T12:21:03-05:00 2011-12-31 382771117 ABRAHAM & GAFFNEY PC 3511 COOLIDGE ROAD SUITE 100 EAST LANSING MI 48823 990 2011-01-01 141909938 CARE FREE MEDICAL INC CARE 5178875922 5135 S PENNSYLVANIA AVE LANSING MI 48911 BARRY SALTMAN MD 5178875922 2012-08-02 1 P00531801 5173516836 2012-07-13 2011 2016-02-24 21:20:13Z CAREFREE MEDICAL AND DENTAL BARRY SALTMAN MD 5135 S PENNSYLVANIA AVE LANSING MI 48911 1227044 0 X WWW.CAREFREEMEDICAL.COM X 2004 MI PROVIDE HIGH QUALITY COMPREHENSIVE PRIMARY AND PREVENTATIVE HEALTH SERVICES TO UNINSURED AND UNDERSERVED INDIVIDUALS IN THE GREATER LANSING MICHIGAN AREA. 14 14 57 120 0 0 363786 380007 647407 833919 1946 660 46330 11958 1059469 1226544 0 0 0 0 777302 875354 0 8000 8228 319483 348884 1096785 1232238 -37316 -5694 654833 640800 228781 220442 426052 420358 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. 0 0 890702 766673 THE TWO MEDICAL CLINICS HAD 13,964 PATIENT ENCOUNTERS DURING 2011. 110950 21137 THE DENTAL CLINIC HAD 717 PATIENT ENCOUNTERS IN 2011. 49365 46109 THE OPTOMETRY CLINIC HAD 492 PATIENT ENCOUNTERS IN 2011. 1051017 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 9 0 1 57 1 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 MI X X SUSAN JENNINGS 5178875922 5135 S PENNSYLVANIA AVE LANSING MI 48911 BARRY TONS 2.00 X 0 0 0 DIANNE BYRUM 1.00 X 0 0 0 JEAN YOUNG 1.00 X X 0 0 0 BRAIN KASER 5.00 X X 0 0 0 SCOTT CLARK 2.00 X 0 0 0 KAREN GALLAGHER 1.00 X 0 0 0 ROBERT LOMBARDINI 1.00 X 0 0 0 MARY ODIE 1.00 X 0 0 0 KENNETH RUDMAN 1.00 X 0 0 0 JAN JANKOWSKI 20.00 X 0 0 0 MARY ANNE SESTI 3.00 X X 0 0 0 JOHN SHASKI 1.00 X 0 0 0 GEORGE SMITH 1.00 X 0 0 0 LEONARD SILVERMAN 1.00 X 0 0 0 BARRY SALTMAN 40.00 X 60000 0 0 60000 0 0 0 0 0 0 0 46230 156255 177522 31926 380007 MEDICAL CLINIC 621110 759648 759648 OPTOMETRY CLINIC 621300 46109 46109 DENTAL CLINIC 621300 21137 21137 MEDICAL RECORDS COPY F 621110 7025 7025 833919 660 660 11500 500 11000 11000 OTHER 900099 958 958 958 1226544 833919 0 12618 64590 43060 21530 732571 663587 68984 10196 7019 3177 67997 61280 6717 10700 10700 6866 6866 8000 8000 100 100 104930 81562 23140 228 26585 13957 12628 64663 61217 3446 396 396 3551 3317 234 14601 11049 3552 33745 27651 6094 46867 42449 4418 LAB FEES 18196 18196 LAUNDRY 3839 3839 LICENSES AND FEES 1702 1602 100 12143 10736 1407 1232238 1051017 172993 8228 43534 47136 151242 157756 583335 147427 460057 435908 654833 640800 11328 13227 217453 207215 228781 220442 X 394069 364414 31983 55944 426052 420358 654833 640800 X -5694 0 X X 1 0 1 X 0 X 310775 332938 308474 363786 454498 1770471 443618 491705 606306 647407 741035 2930071 24273 91412 208729 49268 11500 385182 778666 916055 1123509 1060461 1207033 5085724 0 0 0 5085724 806 1744 2543 1946 660 7699 806 1744 2543 1946 660 7699 4831 14378 93842 113051 779472 917799 1130883 1076785 1301535 5206474 0.97680 0.99400 0.00150 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 403848 57545 346303 67617 20286 47331 105203 63580 41623 6667 6016 651 435908 1226544 1232238 -5694 -5694 1301035 74491 74491 1226544 0 1226544 1306729 74491 74491 1232238 0 1232238 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. 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 X OPTOMETRY EQUIPMENT 1 10400 FAIR VALUE X DENTAL EQUIPMENT 1 5600 FAIR VALUE X OFFICE SUPPLIES 1 15927 FAIR VALUE 0 0 0 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.