FAYETTE CARE CLINIC INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: FAYETTE CARE CLINIC INC (EIN 20-0314897)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-09-12
IRS object ID: 201112559349300006
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-09-12T09:35:37-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CANADY RICHBOURG WOODWARD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	5302 FREDERICK ST SUITE 200	AddressLine1
City	SAVANNAH	City
State	GA	State
ZIP Code	314054823	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	200314897	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FAYETTE CARE CLINIC INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FAYE	NameControl
Phone	7707199620	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1260 HIGHWAY 54 W	AddressLine1
City	FAYETTEVILLE	City
State	GA	State
ZIP Code	302144514	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	SHERYL WATFORD	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	7707199620	Phone
Date Signed	2011-08-29	DateSigned
Authorize Third Party	false	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN F WOODWARD	Name
Phone	9123542910	Phone
Date Prepared	2011-09-02	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Name Of Principal Officer Person	MS SHERYL WATFORD	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1260 HWY 54 W	AddressLine1
City	FAYETTEVILLE	City
State	GA	State
ZIP Code	30214	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	326752	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FAYETTECARECLINIC.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2003	YearFormation
State Legal Domicile	GA	StateLegalDomicile
Activity Or Mission Description	PROVIDE QUALITY HEALTHCARE TO THE UNINSURED RESIDENTS OF FAYETTE COUNTY WHOSE HOUSEHOLD INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	2	TotalNbrEmployees
Total Nbr Volunteers	102	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	126296	ContributionsGrantsPriorYear
Contributions Grants Current Year	283576	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Current Year	1408	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-672	OtherRevenuePriorYear
Other Revenue Current Year	38768	OtherRevenueCurrentYear
Total Revenue Prior Year	125624	TotalRevenuePriorYear
Total Revenue Current Year	323752	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	52375	SalariesEtcPriorYear
Salaries Etc Current Year	90939	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	32125	TotalFundrsngExpCurrentYear
Other Expense Prior Year	87915	OtherExpensePriorYear
Other Expenses Current Year	149496	OtherExpensesCurrentYear
Total Expenses Prior Year	140290	TotalExpensesPriorYear
Total Expenses Current Year	240435	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-14666	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	83317	RevenuesLessExpensesCY
Total Assets BOY	100377	TotalAssetsBOY
Total Assets EOY	194290	TotalAssetsEOY
Total Liabilities BOY	1116	TotalLiabilitiesBOY
Total Liabilities EOY	2101	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	99261	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	192189	NetAssetsOrFundBalancesEOY
Mission Description	PROVIDE QUALITY HEALTHCARE TO THE UNINSURED RESIDENTS OF FAYETTE COUNTY WHOSE HOUSEHOLD INCOME DOES NOT EXCEED 200% OF THE FEDERAL POVERTY GUIDELINES.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	139757	Expense
Description	OUR MISSION IS TO PROMOTE HEALTH AND WELL-BEING BY REDUCING THE BARRIERS TO ACCESS HEALTHCARE FOR THE WORKING POOR AND UNINSURED POPOLATION OF FAYETTE COUNTY, THAT MEET INCOME REQUIREMENTS, THROUGH COMPASSIONATE HEALTH CARE AND EDUCATION AND TO PROVIDE A GATEWAY TO OTHER COMMUNITY RESOURCES.	Description
Total Program Service Expense	139757	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	false	ReportOtherAssets
Report Other Liabilities	false	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	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
Number Of Employees	2	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	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	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	false	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	GA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	SHERYL WATFORD	NamePerson
Telephone Number	7707194620	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1260 HWY 54 W	AddressLine1
Address Line2	SUITE 101	AddressLine2
City	FAYETTEVILLE	City
State	GA	State
ZIP Code	30214	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (9 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
GINGER BLACKSTONE
DIRECTOR	1.00	X	0	0	0
GREGORY ALVAREZ MD
DIRECTOR	1.00	X	0	0	0
DR CHARLES BARBER
DIRECTOR	1.00	X	0	0	0
JIMMY PACE
DIRECTOR	1.00	X	0	0	0
SCOTT ROWLAND
DIRECTOR	1.00	X	0	0	0
SHERYL WATFORD
EXECUTIVE DI	50.00		60403	0	6000	X
MARYANNE MUJICA
PRESIDENT	1.00		0	0	0	X
DAYE BEXLEY
SECRETARY	1.00		0	0	0	X
MARK KEARSLEY
TREASURER	1.00		0	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	60403	TotalReportableCompFromOrg
Total Other Compensation	6000	TotalOtherCompensation
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Federated Campaigns	67845	FederatedCampaigns
All Other Contributions	215731	AllOtherContributions
Total Contributions	283576	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1408	TotalRevenueColumn
Related Or Exempt Function Income	1408	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	41768	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	3000	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	38768	TotalRevenueColumn
Exclusion	$38,768	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	323752	TotalRevenueColumn
Related Or Exempt Function Income	1408	RelatedOrExemptFunctionIncome
Exclusion	$38,768	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	68876	Total
Program Services	9113	ProgramServices
Management And General	33202	ManagementAndGeneral
Fundraising	26561	Fundraising

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	16521	Total
Program Services	13217	ProgramServices
Management And General	3304	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	5542	Total
Program Services	1387	ProgramServices
Management And General	2414	ManagementAndGeneral
Fundraising	1741	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	55269	Total
Program Services	47532	ProgramServices
Management And General	7737	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1469	Total
Management And General	1469	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	811	Total
Program Services	242	ProgramServices
Management And General	569	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	49776	Total
Program Services	44798	ProgramServices
Management And General	4978	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	895	Total
Management And General	895	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	12090	Total
Program Services	10373	ProgramServices
Management And General	1717	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2132	Total
Management And General	2132	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
VOLUNTEER MEALS & APPREC	7064	4803	2261
SUPPLIES	6675	1843	1997	2835
TELEPHONE AND COMM.	4940	1976	1976	988
EQUIP REPAIR/MAINT	2249	2249
DUES AND MEMBERSHIP	1840		1840

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4286	Total
Program Services	2224	ProgramServices
Management And General	2062	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	240435	Total
Program Services	139757	ProgramServices
Management And General	68553	ManagementAndGeneral
Fundraising	32125	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	16159	BOY
EOY	11761	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	41790	BOY
EOY	126389	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	2413	BOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	85867	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	29727	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	40015	BOY
EOY	56140	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	100377	BOY
EOY	194290	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	1080	BOY
EOY	2101	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	36	BOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1116	BOY
EOY	2101	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	99261	BOY
EOY	192189	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	99261	BOY
EOY	192189	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	100377	BOY
EOY	194290	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	83317	ReconcilationRevenueExpenses
Reconcilation Other Changes	9611	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	false	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	140148	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	151339	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	128200	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	125624	CurrentTaxYearMinus1Year
Current Tax Year	282663	CurrentTaxYear
Total	827974	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	140148	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	151339	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	128200	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	125624	CurrentTaxYearMinus1Year
Current Tax Year	282663	CurrentTaxYear
Total	827974	Total

Field	Value	IRS element (for citing)
Public Support Total170	827974	PublicSupportTotal170

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year	41768	CurrentTaxYear
Total	41768	Total

Field	Value	IRS element (for citing)
Total Support	869742	TotalSupport
Gross Receipts From Admissions Etc	1408	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.95200	PublicSupportPertcentage170
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

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

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	85867	OtherCostOrOtherBasis
Depreciation	29727	Depreciation
Book Value	56140	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	56140	TotalOfBookValueLandBuildings
Total Revenue	323752	TotalRevenue
Total Expenses	240435	TotalExpenses
Excess Or Deficit For Year	83317	ExcessOrDeficitForYear
Excess Or Deficit Per FS	83317	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	894644	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	570892	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	570892	RevenueNotRptdF990
Revenue Subtotal	323752	RevenueSubtotal
Total Revenue Per Form990	323752	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	811327	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	570892	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	570892	ExpensesNotRptdF990
Expenses Subtotal	240435	ExpensesSubtotal
Total Expenses Per Form990	240435	TotalExpensesPerForm990

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	DANCE	NameOfEvent1
Gross Receipts Event1	26750	GrossReceiptsEvent1
Gross Revenue Event1	26750	GrossRevenueEvent1
Other Direct Expenses Event1	600	OtherDirectExpensesEvent1
Name Of Event2	GOLF TOURNMENT	NameOfEvent2
Gross Receipts Event2	15018	GrossReceiptsEvent2
Gross Revenue Event2	15018	GrossRevenueEvent2
Other Direct Expenses Event2	2400	OtherDirectExpensesEvent2
Gross Receipts Total	41768	GrossReceiptsTotal
Gross Revenue Total Events	41768	GrossRevenueTotalEvents
Other Direct Expenses Total Events	3000	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	3000	DirectExpenseSummaryEvents
Net Income Summary	38768	NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION ON VOLUNTEERS AND TYPES OF SERVICES OR BENEFITS	FORM 990, PAGE 1, PART I, LINE 6	FATETTE CARE CLINIC, INC IS DEPENDENT ON ITS VOLUNTEERS. VOLUNTEERS PROVIDE MEDICAL, DENTAL, EDUCATIONAL AND ADMINISTRATIVE SERVICES. TOTAL VOLUNTEER SERVICES ARE VALUED AT APPROXIMATELY 719,000.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A COPY OF THE RETURN IS GIVEN TO EACH MEMBER OF THE BOARD BEFORE THE RETURN IS FILED. IF NO CORRECTIONS ARE SUGGESTED, THE RETURN IS FILED.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. REFERENCE IS MADE TO COMPENSATION PAID BY COMPARABLE ORGANIZATIONS,BUT LIMITED BY BUDGET RESTRAINTS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	N/A
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	COPIED AND DISTRIBUTED UPON REQUEST.