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Nonprofiteer
← ROCKBRIDGE AREA FREE CLINIC

Form 990 for tax year 2022

Filed by ROCKBRIDGE AREA FREE CLINIC.

Totals

Total revenue
$11,682,755
Total expenses
$11,396,768
Contributions and grants received
$3,233,041
Grants paid
$0
Program service revenue
$8,305,771
Investment income
$92,812
Other revenue
$51,131
Total assets, end of year
$14,777,218
Total liabilities, end of year
$6,636,125
Net assets or fund balances, end of year
$8,141,093
Program services expenses (Part IX)
$9,466,327
Management and general expenses
$1,674,162
Fundraising expenses
$256,279
Program service expenses (Part III)
$9,466,327

Program services were 83.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DENNIS CROPPER

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • DAVID DUGAN

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • CLYDE HART JR

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • JANE HORTON MD

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • JOSH MCMICHAEL

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CLAY DEVENING

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • SUE WHITSITT

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MCKINLEY WILLIAMS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ANN ASHLBY-MCKISSICK

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • THOMAS WAGNER

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL DAVID HENRY

    MEDICAL DIRE

    Total calculated
    $255,482
    From this org
    $255,482
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $245,282
    Bonus
    $10,200
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $5,224
    Filer's total
    $255,482

  • JAMIE C CLARK

    DENTIST

    Total calculated
    $170,265
    From this org
    $170,265
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,883
    Bonus
    $7,382
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $11,813
    Filer's total
    $170,265

  • HAMZEH AL QUBLAN

    DENTIST

    Total calculated
    $231,089
    From this org
    $231,089
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $160,288
    Bonus
    $70,801
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $12,996
    Filer's total
    $231,089

  • PERCITA ELLIS MD

    PHYSICIAN

    Total calculated
    $168,284
    From this org
    $168,284
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,084
    Bonus
    $200
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $11,750
    Filer's total
    $168,284

  • BETHANY ELLEN ELZA

    PHYSICIAN

    Total calculated
    $201,129
    From this org
    $201,129
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,929
    Bonus
    $10,200
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $12,747
    Filer's total
    $201,129

  • MICHELE HENTZ

    CFO

    Total calculated
    $118,640
    From this org
    $118,640
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • SUZANNE SHERIDAN

    CEO

    Total calculated
    $173,570
    From this org
    $173,570
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $173,370
    Bonus
    $200
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $12,093
    Filer's total
    $173,570

  • MARY LOONEY

    COO

    Total calculated
    $122,579
    From this org
    $122,579
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • STEVE BOLSTER

    CFO

    Total calculated
    $74,504
    From this org
    $74,504
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
30 August 2023
IRS schema version
2022v5.0
Source object
202343059349301334

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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