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Nonprofiteer
← MONTGOMERY COUNTY FREE CLINIC INC

Form 990 for tax year 2023

Filed by MONTGOMERY COUNTY FREE CLINIC INC.

Totals

Total revenue
$282,637
Total expenses
$301,372
Contributions and grants received
$123,279
Grants paid
$0
Program service revenue
$101,344
Investment income
$7,138
Other revenue
$50,876
Total assets, end of year
$1,311,343
Total liabilities, end of year
$3,454
Net assets or fund balances, end of year
$1,307,889
Program services expenses (Part IX)
$226,937
Management and general expenses
$66,257
Fundraising expenses
$8,178
Program service expenses (Part III)
$226,937

Program services were 75.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $10,117

  • 1f · All other contributions, gifts and grants

    $113,162

  • 2a · Program service revenue: MEALS ON WHEELS

    total $51,344 · related or exempt $51,344

  • 2b · Program service revenue: MOW GRANT

    total $50,000 · related or exempt $50,000

  • 3 · Investment income

    total $6,543 · related or exempt $6,543

  • 7a · Gross sales of assets other than inventory

    securities $595

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $595

  • 7d · Net gain or loss

    total $595 · related or exempt $595

  • 8a · Fundraising events: gross income

    $61,595

  • 8b · Fundraising events: direct expenses

    $10,719

  • 8c · Net income from fundraising events

    total $50,876 · excluded $50,876

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $51,500 · program services $3,250 · management and general $42,961 · fundraising $5,289

  • 7 · Other salaries and wages

    total $80,657 · program services $80,657

  • 10 · Payroll taxes

    total $10,110 · program services $6,418 · management and general $3,287 · fundraising $405

  • 11c · Fees: accounting

    total $5,146 · management and general $5,146

  • 12 · Advertising and promotion

    total $285 · program services $285

  • 13 · Office expenses

    total $5,291 · program services $5,291

  • 16 · Occupancy

    total $10,074 · program services $10,074

  • 22 · Depreciation, depletion and amortization

    total $22,609 · program services $22,609

  • 23 · Insurance

    total $10,736 · program services $10,736

  • 24a · Other expenses: MEALS ON WHEELS PROGRAM

    total $52,628 · program services $52,628

  • 24b · Other expenses: PATIENT SERVICES

    total $16,953 · program services $16,953

  • 24c · Other expenses: FEES, DUES, SUBSCRIPTIO

    total $14,676 · program services $14,676

  • 24d · Other expenses: JANITORIAL SERVICES AND

    total $6,350 · management and general $6,350

  • 24e · All other expenses

    total $14,357 · program services $3,360 · management and general $8,513 · fundraising $2,484

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $326,833 · end of year $229,690

  • 2 · Savings and temporary cash investments

    end of year $101,609

  • 10a · Land, buildings and equipment: cost or other basis

    $1,052,185

  • 10b · Land, buildings and equipment: accumulated depreciation

    $386,712

  • 10c · Land, buildings and equipment, net

    beginning of year $685,859 · end of year $665,473

  • 13 · Investments: program-related

    beginning of year $181,186 · end of year $185,656

  • 15 · Other assets

    beginning of year $108,123 · end of year $128,915

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,365 · end of year $3,454

  • 27 · Net assets without donor restrictions

    beginning of year $1,191,513 · end of year $1,178,974

  • 28 · Net assets with donor restrictions

    beginning of year $108,123 · end of year $128,915

Mission and programs · 2023

Mission

MONTGOMERY COUNTY FREE CLINIC, INC. OFFERS HIGH-QUALITY MEDICAL AND DENTAL CARE AND HEALTH PROMOTION AND DISEASE PREVENTION SERVICES TO RESIDENTS OF MONTGOMERY COUNTY WHO LACK INSURANCE AND WOULD OTHERWISE GO WITHOUT BASIC HEALTH CARE. TO THIS END, THE CLINIC IS STAFFED BY VOLUNTEER HEALTH CARE PROFESSIONALS AND COMMUNITY MEMBERS WHO DONATE THEIR TIME AND TALENTS TO IMPROVE THE QUALITY OF THEIR OWN LIVES WHILE ALSO IMPROVING THE HEALTH OF THEIR COMMUNITY.

Activities or mission (Part I)

THE CLINIC OFFERS FREE BASIC MEDICAL AND DENTAL SERVICES TO UNINSURED RESIDENTS WHO MEET INCOME GUIDELINES.

  • MEALS ON WHEELS

    Expenses $52,628 · Revenue $101,344

  • MONTGOMERY COUNTY FREE CLINIC

    Expenses $174,309 · Revenue $181,293

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • John Roberts

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Naomi Horton

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Judy Pfledderer

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Dan Bergfors

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • David Johnson

    EXECUTIVE DIRECTOR

    Total calculated
    $51,500
    From this org
    $51,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    25

  • Brad Carlson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jennifer Coyle

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Ariadna Eufrasio

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Donna Hendrickson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jill Lamberton

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jeremy Lemus

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Linda McKinnon

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Jacob Moore

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Derek Nelson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Suzanne Thompson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
7 November 2024
IRS schema version
2023v5.1
Source object
202423179349300547

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