PHOENIXVILLE FREE CLINIC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
PHOENIXVILLE FREE CLINIC (EIN 23-3072363)
Tax period
2023-07-01 to 2024-06-30
Filed
2025-03-15
IRS object ID
202530749349300323
Schema version
2023v6.0
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)
Return2025-03-15T13:45:36-05:00ReturnTs
Tax Period End2024-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN232194268PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WOOLARD KRAJNIK MASCIANGELO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 W WELSH POOL ROADAddressLine1Txt
CityEXTONCityNm
State AbbreviationPAStateAbbreviationCd
ZIP19341ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN233072363EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PHOENIXVILLE FREE CLINICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPHOEBusinessNameControlTxt
Phone6109351134PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1143 CHURCH STREETAddressLine1Txt
CityPHOENIXVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP19460ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONALD E PRICE PHDPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone6109351134PhoneNum
Signature2025-03-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonFRANK LOUGHRYPreparerPersonNm
PTINP01444525PTIN
Phone6103635200PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDONALD E PRICE PHDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1143 CHURCH STREETAddressLine1Txt
CityPHOENIXVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP19460ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,059,189GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PHOENIXVILLEFREECLINIC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO PROVIDE QUALITY HEALTHCARE TO THE UNINSURED AND UNDERSERVED WITH DIGNITY AND RESPECT.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee14TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,396,306PYContributionsGrantsAmt
CY Contributions Grants$1,871,378CYContributionsGrantsAmt
PY Program Service Revenue$11,690PYProgramServiceRevenueAmt
CY Program Service Revenue$1,055CYProgramServiceRevenueAmt
PY Investment Income$15,848PYInvestmentIncomeAmt
CY Investment Income$33,451CYInvestmentIncomeAmt
PY Other Revenue$47,787PYOtherRevenueAmt
CY Other Revenue$33,444CYOtherRevenueAmt
PY Total Revenue$1,471,631PYTotalRevenueAmt
CY Total Revenue$1,939,328CYTotalRevenueAmt
PY Grants And Similar Paid$213,761PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$305,945CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$896,637PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,025,682CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$180,765CYTotalFundraisingExpenseAmt
PY Other Expenses$327,751PYOtherExpensesAmt
CY Other Expenses$517,574CYOtherExpensesAmt
PY Total Expenses$1,438,149PYTotalExpensesAmt
CY Total Expenses$1,849,201CYTotalExpensesAmt
PY Revenues Less Expenses$33,482PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$90,127CYRevenuesLessExpensesAmt
Total Assets BOY$1,343,079TotalAssetsBOYAmt
Total Assets EOY$1,523,408TotalAssetsEOYAmt
Total Liabilities BOY$229,357TotalLiabilitiesBOYAmt
Total Liabilities EOY$273,883TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,113,722NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,249,525NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE QUALITY HEALTHCARE TO THE UNINSURED AND UNDERSERVED WITH DIGNITY AND RESPECT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,467,477ExpenseAmt
Grant$305,945GrantAmt
Revenue$11,301RevenueAmt
DescTHE PHOENIXVILLE FREE CLINIC (PFC) IS A NONPROFIT FREE CLINIC IN PHOENIXVILLE THAT PROVIDES MEDICAL CARE TO UNINSURED RESIDENTS OF THE GREATER PHOENIXVILLE AREA, PRIMARILY IN CHESTER AND MONTGOMERY COUNTIES. IN OUR OVER 21 YEAR HISTORY, WE HAVE PROVIDED 175,000 PATIENT VISITS TO OUR MOST VULNERABLE NEIGHBORS. WITHOUT PFC'S SERVICES, UNINSURED RESIDENTS OF OUR COMMUNITY WOULD RELY HEAVILY ON EMERGENCY SERVICES AT LOCAL HOSPITALS AND GO WITHOUT PREVENTATIVE CARE, COMPOUNDING MEDICAL ISSUES AND LEADING TO CHRONIC DISEASE.DURING OUR 2022-23 FISCAL YEAR, WE PROVIDED 1,789 UNIQUE PATIENTS WITH 6,241 PATIENT VISITS. THIS INCLUDES BOTH PRIMARY CARE VISITS AND SPECIALTY CARE WITH OUR VOLUNTEER PHYSICIANS IN THE FIELDS OF PEDIATRICS, CARDIOLOGY, ALLERGY, NEUROLOGY, PODIATRY, GASTROENTEROLOGY, GYNECOLOGY, MENTAL HEALTH COUNSELING, ORTHOPEDICS, PULMONOLOGY, DERMATOLGY, AND MORE. AS THE COVID RESTRICTIONS EASED, THE NUMBER OF PATIENTS WE SERVE CONTINUES TO INCREASE.CLINICAL LABORATORY TESTS ARE CRUCIAL TO COMPREHENSIVE CARE IN BOTH DIAGNOSIS AND TREATMENT. PFC OPERATES AN IN-HOUSE LAB AND ALSO UTILIZES LABCORP FOR TESTS WE CANNOT PROCESS IN-HOUSE. DURING OUR 2022-23 FISCAL YEAR, WE PROVIDED 1,632 OF OUR PATIENTS WITH 5,622 LAB TESTS, WHICH OUR PROVIDERS USE TO CHECK ORGAN FUNCTION, MONITOR THE PROGRESSION OF CHRONIC DISEASE, DIAGNOSE HEALTH ISSUES, AND DEVELOP TREATMENT PLANS.PFC AND PAOLI HOSPITAL CONTINUE OUR PARTNERSHIP TO PROVIDE DIAGNOSTIC TESTS SUCH AS X-RAYS, ULTRASOUNDS, MRIS, CT SCANS, MAMMOGRAMS, AND OTHER STUDIES/CONSULTATIONS UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE CARE PROGRAM. DURING OUR 2022-23 FISCAL YEAR, WE PROVIDED 713 CLINIC PATIENTS WITH SERVICES WORTH OVER $3M.THIS YEAR, PFC SUCCESSFULLY EXPANDED OUR BEHAVIORAL HEALTH PROGRAM WHICH PROVIDES COMPREHENSIVE INDIVIDUAL BEHAVIORAL HEALTH SERVICES. THE CENTRAL GOAL IS TO PROVIDE ONGOING MENTAL AND BEHAVIORAL SERVICES TO THE UNINSURED TO PROMOTE OVERALL WELLNESS AND PREVENT MENTAL HEALTH CRISIS SITUATIONS.DESCRIPTION OF THE COMMUNITY SERVED: THE UNITED WAY OF PENNSYLVANIA ANNUAL ALICE REPORT HIGHLIGHTS HOUSEHOLDS THAT EARN MORE THAN THE FEDERAL POVERTY LEVEL BUT LESS THAN THE BASIC COST OF LIVING FOR THE AREA (THE ALICE THRESHOLD). CREATED BY THE UNITED WAY, ALICE, WHICH STANDS FOR ASSET LIMITED, INCOME CONSTRAINED BUT EMPLOYED REPRESENTS THE GROWING NUMBER OF FAMILIES WHO ARE UNABLE TO AFFORD THE BASICS OF HOUSING, CHILD CARE, FOOD, TRANSPORTATION, HEALTHCARE, AND TECHNOLOGY. THESE WORKERS OFTEN STRUGGLE TO KEEP THEIR OWN HOUSEHOLDS FROM FINANCIAL RUIN, WHILE KEEPING OUR LOCAL COMMUNITIES RUNNING. IN CHESTER COUNTY, WHICH IS THE WEALTHIEST COUNTY IN THE STATE, 6% OF HOUSEHOLDS ARE LIVING IN POVERTY, AND 24% OF HOUSEHOLDS ARE CLASSIFIED AS ALICE. THE MAJORITY OF THE CLINIC'S PATIENTS FALL UNDER ONE OF THESE TWO DESIGNATIONS.SINCE MANY PATIENTS DELAY MEDICAL CARE BECAUSE OF THEIR INABILITY TO PAY, PATIENTS SEEN BY OUR PROVIDERS OFTEN HAVE MULTIPLE MEDICAL ISSUES AND REQUIRE CARE FROM MULTIPLE SPECIALISTS, IN ADDITION TO PRIMARY CARE. THIS CAN PRESENT CHALLENGES WITH REGARD TO THE DELIVERY OF COMPREHENSIVE CARE, AND OUR ABILITY TO PROVIDE OUR PATIENTS WITH SPECIALTY CARE AND ANCILLARY SERVICES LIKE LAB TESTING AND MEDICATIONS IS CRITICAL. OUR PATIENTS, IN TURN, FACE A MULTITUDE OF CHALLENGES AND THOSE HARDSHIPS WERE HEIGHTENED DURING COVID, WHEN MANY LOST THEIR JOBS AND EXPERIENCED INCREASED FINANCIAL STRAIN AND FOOD AND HOUSING INSECURITY. OTHER BARRIERS INCLUDE MENTAL HEALTH AND ADDICTION ISSUES, LACK OF SOCIAL AND FAMILY SUPPORT, AND LIMITED TRANSPORTATION. PFC SERVES A DIVERSE POPULATION. 58.5% OF OUR PATIENTS ARE HISPANIC/LATINO AND 55.8% ARE WOMEN.Desc
Total Program Service Expenses$1,467,477TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee14EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUSAN ASHMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6109351134PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1143 CHURCH STREETAddressLine1Txt
CityPHOENIXVILLECityNm
State AbbreviationPAStateAbbreviationCd
ZIP19460ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
MARK DELOWERY DO
BOARD CHAIR8.00Yes (X)Yes (X)$0$0$0
KATE DEMUTIS DNPANP-BC
BOARD MEMBER2.00Yes (X)Yes (X)$0$0$0
GREG CARE CPA
TREASURER2.00Yes (X)Yes (X)$0$0$0
ROSE ANNE KLEMENTISZ
BOARD MEMBER2.00Yes (X)$0$0$0
TODD JACKSON
BOARD MEMBER2.00Yes (X)$0$0$0
RICH MCLAUGHLIN MD MBA
BOARD MEMBER2.00Yes (X)$0$0$0
ROBERT MCMURTIE DO MBA FAOCA CPE
BOARD MEMBER2.00Yes (X)$0$0$0
JIM PARADIS
BOARD MEMBER2.00Yes (X)$0$0$0
JOE SEIBERLICH
BOARD MEMBER2.00Yes (X)$0$0$0
JEANNE FRANKLIN
BOARD VICE CHAIR2.00Yes (X)$0$0$0
BERNADETTE WEIS
BOARD MEMBER2.00Yes (X)$0$0$0
CHRISTI SEIDEL
EXECUTIVE DIRECTOR40.00Yes (X)$133,900$0$0
DR ANDREA PELLEGRINO
MEDICAL DIRECTOR40.00Yes (X)$0$0$0
DONALD E PRICE PHD
EXECUTIVE DIRECTOR40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$133,900TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$355,663GovernmentGrantsAmt
All Other Contributions$1,515,715AllOtherContributionsAmt
Noncash Contributions$305,945NoncashContributionsAmt
Total Contributions$1,871,378TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAL RECORDSDesc
Business621400BusinessCd
Total Revenue Column$1,055TotalRevenueColumnAmt
Related Or Exempt Func Income$1,055RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,055TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,205TotalRevenueColumnAmt
Exclusion$23,205ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$110,246SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$100,000SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$10,246SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,246TotalRevenueColumnAmt
Related Or Exempt Func Income$10,246RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$53,305FundraisingGrossIncomeAmt
Fundraising Direct Expenses$19,861FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$33,444TotalRevenueColumnAmt
Exclusion$33,444ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,939,328TotalRevenueColumnAmt
Related Or Exempt Func Income$11,301RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$56,649ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$305,945TotalAmt
Program Services$305,945ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$227,867TotalAmt
Program Services$227,867ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$646,204TotalAmt
Program Services$448,283ProgramServicesAmt
Management And General$56,472ManagementAndGeneralAmt
Fundraising$141,449FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$23,333TotalAmt
Program Services$17,430ProgramServicesAmt
Management And General$1,651ManagementAndGeneralAmt
Fundraising$4,252FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$58,364TotalAmt
Program Services$48,866ProgramServicesAmt
Management And General$5,149ManagementAndGeneralAmt
Fundraising$4,349FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$69,914TotalAmt
Program Services$53,751ProgramServicesAmt
Management And General$4,649ManagementAndGeneralAmt
Fundraising$11,514FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$9,700TotalAmt
Management And General$9,700ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$32,250TotalAmt
Management And General$32,250ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,620TotalAmt
Program Services$2,482ProgramServicesAmt
Fundraising$4,138FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$68,560TotalAmt
Program Services$34,280ProgramServicesAmt
Management And General$27,424ManagementAndGeneralAmt
Fundraising$6,856FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$34,663TotalAmt
Program Services$25,997ProgramServicesAmt
Management And General$6,933ManagementAndGeneralAmt
Fundraising$1,733FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$22,140TotalAmt
Program Services$16,605ProgramServicesAmt
Management And General$4,428ManagementAndGeneralAmt
Fundraising$1,107FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$4,023TotalAmt
Program Services$2,816ProgramServicesAmt
Management And General$1,006ManagementAndGeneralAmt
Fundraising$201FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$309TotalAmt
Program Services$232ProgramServicesAmt
Management And General$62ManagementAndGeneralAmt
Fundraising$15FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,119TotalAmt
Program Services$524ProgramServicesAmt
Management And General$2,560ManagementAndGeneralAmt
Fundraising$35FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$36,823TotalAmt
Management And General$36,823ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$19,521TotalAmt
Program Services$17,569ProgramServicesAmt
Management And General$1,562ManagementAndGeneralAmt
Fundraising$390FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DONATIONS$117,303$117,303
PHARMACEUTICALS$93,141$93,141
UTILITIES$14,975$11,231$2,995$749
TELEPHONE$12,589$9,442$2,518$629

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$41,838TotalAmt
Program Services$33,713ProgramServicesAmt
Management And General$4,777ManagementAndGeneralAmt
Fundraising$3,348FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,849,201TotalAmt
Program Services$1,467,477ProgramServicesAmt
Management And General$200,959ManagementAndGeneralAmt
Fundraising$180,765FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$272,234BOYAmt
EOY$382,658EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$90,523BOYAmt
EOY$16,807EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$152,147BOYAmt
EOY$200,467EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,989BOYAmt
EOY$1,575EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,256BOYAmt
EOY$71,209EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$652,512LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$386,784LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$284,253BOYAmt
EOY$265,728EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$461,177BOYAmt
EOY$527,589EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$76,500BOYAmt
EOY$57,375EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,343,079BOYAmt
EOY$1,523,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$44,953BOYAmt
EOY$57,653EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$90,523BOYAmt
EOY$93,292EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
EOY$50,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,881BOYAmt
EOY$72,938EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$229,357BOYAmt
EOY$273,883EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$744,168BOYAmt
EOY$834,729EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$369,554BOYAmt
EOY$414,796EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,113,722BOYAmt
EOY$1,249,525EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,343,079BOYAmt
EOY$1,523,408EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$90,127ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$45,674NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$687,127CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,537,537CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,570,584CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,396,306CurrentTaxYearMinus1YearAmt
Current Tax Year$1,871,379CurrentTaxYearAmt
Total$7,062,933TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$400CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$940CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,113CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$11,690CurrentTaxYearMinus1YearAmt
Current Tax Year$1,055CurrentTaxYearAmt
Total$15,198TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$687,527CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,538,477CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,571,697CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,407,996CurrentTaxYearMinus1YearAmt
Current Tax Year$1,872,434CurrentTaxYearAmt
Total$7,078,131TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$7,078,131PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,136CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,942CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,377CurrentTaxYearMinus1YearAmt
Current Tax Year$26,482CurrentTaxYearAmt
Total$75,281TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,344CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,136CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,942CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,377CurrentTaxYearMinus1YearAmt
Current Tax Year$26,482CurrentTaxYearAmt
Total$75,281TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$691,871CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,548,613CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,585,639CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,428,373CurrentTaxYearMinus1YearAmt
Current Tax Year$1,898,916CurrentTaxYearAmt
Total$7,153,412TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98950PublicSupportCY509Pct
Public Support PY5090.96380PublicSupportPY509Pct
Investment Income CY0.01050InvestmentIncomeCYPct
Investment Income PY0.00850InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$369,554BeginningYearBalanceAmt
Investment Earnings Or Losses$45,242InvestmentEarningsOrLossesAmt
End Year Balance$414,796EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$347,381BeginningYearBalanceAmt
Investment Earnings Or Losses$22,173InvestmentEarningsOrLossesAmt
End Year Balance$369,554EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$388,794BeginningYearBalanceAmt
Investment Earnings Or Losses-$41,413InvestmentEarningsOrLossesAmt
End Year Balance$347,381EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$313,391BeginningYearBalanceAmt
Investment Earnings Or Losses$75,403InvestmentEarningsOrLossesAmt
End Year Balance$388,794EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$326,833BeginningYearBalanceAmt
Investment Earnings Or Losses-$13,442InvestmentEarningsOrLossesAmt
End Year Balance$313,391EndYearBalanceAmt
FieldValueIRS element (for citing)
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$512,275OtherCostOrOtherBasisAmt
Depreciation$258,871DepreciationAmt
Book Value$253,404BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$140,237OtherCostOrOtherBasisAmt
Depreciation$127,913DepreciationAmt
Book Value$12,324BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$265,728TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
WAGES & TAXES PAYABLE$17,879
RIGHT OF USE LEASE$55,059
FieldValueIRS element (for citing)
Total Liability$72,938TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$3,014,086TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$1,029,084DonatedServicesAndUseFcltsAmt
Other Revenue$45,674OtherRevenueAmt
Revenue Not Reported$1,074,758RevenueNotReportedAmt
Revenue Subtotal$1,939,328RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,939,328TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,878,285TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$1,029,084DonatedServicesUseFcltsAmt
Expenses Not Reported$1,029,084ExpensesNotReportedAmt
Expenses Subtotal$1,849,201ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,849,201TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TO PROVIDE FUTURE INCOME TO SUPPORT THE PROGRAMS OF THE CLINIC
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREALIZED GAINS 45,674.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1AUCTIONEvent1Nm
Gross Receipts Event1$9,109GrossReceiptsEvent1Amt
Gross Revenue Event1$9,109GrossRevenueEvent1Amt
Other Direct Expenses Event1$941OtherDirectExpensesEvent1Amt
Event2FIELD DAYEvent2Nm
Gross Receipts Event2$13,931GrossReceiptsEvent2Amt
Gross Revenue Event2$13,931GrossRevenueEvent2Amt
Other Direct Expenses Event2$3,138OtherDirectExpensesEvent2Amt
Other Events Total3OtherEventsTotalCnt
Gross Receipts Other Events$30,265GrossReceiptsOtherEventsAmt
Gross Revenue Other Events$30,265GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events$15,782OthDirectExpnssOtherEventsAmt
Gross Receipts Total$53,305GrossReceiptsTotalAmt
Gross Revenue Total Events$53,305GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$19,861OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$19,861DirectExpenseSummaryEventsAmt
Net Income Summary$33,444NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeHEALTHCARE ASSISTANCEGrantTypeTxt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistancePHARMACEUTICALS AND SUPPLIESNonCashAssistanceDesc

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS REVIEWED BY THE FINANCE COMMITTEE AND PROVIDED TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEVERY MEMBER OF THE BOARD REVIEWS AND EXECUTES A CONFLICT OF INTEREST STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION HAS A GOVERNANCE COMMITTEE. THE COMMITTEE DETERMINES SALARIES BY USING THE COMPENSATION AND BENEFITS SURVEY BY THE NONPROFIT TIMES.
FORM 990, PART VI, SECTION C, LINE 19SEE SCHEDULE O
FORM 990, PART XII, LINE 2C:FINANCE COMMITTEE RESPONSIBLE FOR OVERSIGHT OF AUDIT. NO CHANGES FROM PRIOR YEAR.

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