DAVIS VOLUNTEER MEDICAL CLINIC: Form 990EZ, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
DAVIS VOLUNTEER MEDICAL CLINIC (EIN 20-1232463)
Tax period
2025-07-01 to 2026-06-30
Filed
2026-09-17
IRS object ID
202602609349200015
Schema version
2025v4.2
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

FieldValueIRS element (for citing)
Return2026-09-17T10:19:55-05:00ReturnTs
Tax Period End2026-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN824439676PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HBME LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1559 WEST 500 SOUTHAddressLine1Txt
CityBOUNTIFULCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84010ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2025-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201232463EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVIS VOLUNTEER MEDICAL CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDAVIBusinessNameControlTxt
Phone8015938027PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1721 E BROOKSHIRE HOLLOW DRAddressLine1Txt
CityKAYSVILLECityNm
State AbbreviationUTStateAbbreviationCd
ZIP84037ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHNNIE COOKPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone8015938027PhoneNum
Signature2026-08-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCLARKE R BRADSHAWPreparerPersonNm
PTINP00072488PTIN
Phone8012960200PhoneNum
Preparation2026-08-28PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$4,255GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Investment Income$4,255InvestmentIncomeAmt
Total Revenue$4,255TotalRevenueAmt
Other Expenses Total$1,611OtherExpensesTotalAmt
Total Expenses$1,611TotalExpensesAmt
Excess Or Deficit For Year$2,644ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$48,428NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$51,072NetAssetsOrFundBalancesEOYAmt

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$48,428BOYAmt
EOY$51,072EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$48,428BOYAmt
EOY$51,072EOYAmt

Sum Of Total Liabilities SumOfTotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$48,428BOYAmt
EOY$51,072EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
Primary Exempt PurposeDAVIS VOLUNTEER MEDICAL CLINIC WAS FORMED FOR THE PURPOSE OF PROVIDING EMERGENCY AND MEDICAL HEALTH CLINICAL SERVICES TO INDIGENT AND LOW INCOME PATIENTS IN DAVIS COUNTY, UTAH. THE ORGANIZATION OPERATES FROM SPECIFICALLY DESIGNATED FUNDS RECEIVED FROM THE UNITED WAY OF SALT LAKE AND FROM DONATED MEDICAL SERVICES AND SUPPLIES PROVIDED BY MEDICAL PROFESSIONALS WITHIN THE DAVIS COUNTY COMMUNITY.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPROVIDED EMERGENCY AND MEDICAL HEALTH SERVICES TO INDIGENT AND LOW INCOME PATIENTS.DescriptionProgramSrvcAccomTxt
Grants And Allocations$0GrantsAndAllocationsAmt
Program Service Expenses$0ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$0TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOHNNIE COOK
PRESIDENT2.00$0$0$0
MARUEEN COOK
SECRETARY2.00$0$0$0
CLARKE BRADSHAW
TREASURER2.00$0$0$0
GEORGE SNELL
BOARD2.00$0$0$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not Rpt0ChgMadeToOrgnzngDocNotRptInd
Organization Had UBI0OrganizationHadUBIInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Direct Indirect Pltcl Expend$0DirectIndirectPltclExpendAmt
Made Loans To From Officers0MadeLoansToFromOfficersInd
Tax Imposed Under IRC4911$0TaxImposedUnderIRC4911Amt
Tax Imposed Under IRC4912$0TaxImposedUnderIRC4912Amt
Tax Imposed Under IRC4955$0TaxImposedUnderIRC4955Amt
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
Tax Imposed On Organization Mgr$0TaxImposedOnOrganizationMgrAmt
Tax Reimbursed By Organization$0TaxReimbursedByOrganizationAmt
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARKE BRADSHAWBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1559 W 500 SAddressLine1Txt
CityBOUNTIFULCityNm
State AbbreviationUTStateAbbreviationCd
ZIP84010ZIPCd
FieldValueIRS element (for citing)
Phone8012960200PhoneNum
FieldValueIRS element (for citing)
Foreign Financial Account0ForeignFinancialAccountInd
Foreign Office0ForeignOfficeInd
Donor Advised Fnds0DonorAdvisedFndsInd
Operate Hospital0OperateHospitalInd
Tanning Services Provided0TanningServicesProvidedInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
School Operating0SchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (1)FiledScheduleAInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt
Total$1,403TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,213CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70CurrentTaxYearMinus2YearsAmt
Total$1,403TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$1,403PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,009CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$540CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,298CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,789CurrentTaxYearMinus1YearAmt
Current Tax Year$4,255CurrentTaxYearAmt
Total$11,891TotalAmt
FieldValueIRS element (for citing)
Total Support$13,294TotalSupportAmt
Public Support CY1700.10550PublicSupportCY170Pct
Public Support PY1700.18320PublicSupportPY170Pct
Private Foundation170Yes (X)PrivateFoundation170Ind
Facts And Circumstances TestDAVIS VOLUNTEER MEDICAL CLINIC MEETS THE FACTS AND CIRCUMSTANCES TEST QUALIFYING AS A PUBLIC SUPPORTED ORGANIZATION. THE ORGANIZATION MAINTAINS A WEEKLY MEDICAL CLINICWHERE MEDICAL SERVICES ARE PROVIDED TO THE GENERAL PUBLIC WITHOUT CHARGE. THE ORGANIZATION RECEIVES LIMITED FINANCIAL CONTRIBUTIONS THROUGH DIRECT DONATIONS. THE ORGANIZATION IS GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF A BROAD RANGE OF INDIVIDUALS IN THE COMMUNITY WHO CONTRIBUTE THEIR TIME AND SERVICES WITHOUT COMPENSATION. THE MEDICAL SERVICES ARE PROVIDED AT THE CLINIC BY LICENSED MEDICAL PROFESSIONALS WHO CONTRIBUTE THEIR TIME AND SERVICES WITHOUT COMPENSATION. THE BOARD MEETS ON A REGULAR BASIS TO COORDINATE THE OPERATIONS OF THE CLINIC.FactsAndCircumstancesTestTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOMEDESCRIPTION: INTEREST AND DIVIDENDS. AMOUNT: 4,255.
FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSESDESCRIPTION: OFFICE EXPENSE. AMOUNT: 225. DESCRIPTION: INSURANCE. AMOUNT: 1,386. TOTAL TO FORM 990-EZ, LINE 16: 1,611.

Transfer Prsnl Bnft Contracts Decl TransferPrsnlBnftContractsDecl

FieldValueIRS element (for citing)
DeclarationTHE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.DeclarationDesc

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