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Nonprofiteer
← ELY COMMUNITY HEALTH CENTER

Form 990 for tax year 2023

Filed by ELY COMMUNITY HEALTH CENTER.

Totals

Total revenue
$239,154
Total expenses
$126,538
Contributions and grants received
$218,500
Grants paid
$0
Program service revenue
$14,380
Investment income
$0
Other revenue
$6,274
Total assets, end of year
$348,475
Total liabilities, end of year
$74,994
Net assets or fund balances, end of year
$273,481
Program services expenses (Part IX)
$116,257
Management and general expenses
$10,281
Fundraising expenses
$0
Program service expenses (Part III)
$116,257

Program services were 91.9% 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.

  • 1f · All other contributions, gifts and grants

    $218,500

  • 1g · Noncash contributions included above

    $3,000

  • 2a · Program service revenue: MNSure Navigation Reimb

    total $6,439 · related or exempt $6,439

  • 2b · Program service revenue: Dental Billing Revenue

    total $7,941 · related or exempt $7,941

  • 6a · Gross rents

    real property $6,274

  • 6c · Rental income or loss

    real property $6,274

  • 6d · Net rental income or loss

    total $6,274 · related or exempt $6,274

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $81,984 · program services $73,786 · management and general $8,198

  • 11c · Fees: accounting

    total $2,816 · program services $2,534 · management and general $282

  • 13 · Office expenses

    total $906 · program services $815 · management and general $91

  • 14 · Information technology

    total $1,873 · program services $1,686 · management and general $187

  • 15 · Royalties

    total $10,203 · program services $9,183 · management and general $1,020

  • 19 · Conferences, conventions and meetings

    total $2,029 · program services $2,029

  • 20 · Interest

    total $5,032 · program services $4,529 · management and general $503

  • 22 · Depreciation, depletion and amortization

    total $7,825 · program services $7,825

  • 23 · Insurance

    total $4,315 · program services $4,315

  • 24a · Other expenses: Medical Program Exp

    total $588 · program services $588

  • 24b · Other expenses: Dental Program Exp

    total $4,437 · program services $4,437

  • 24c · Other expenses: Printing & Publications

    total $1,176 · program services $1,176

  • 24d · Other expenses: Wellness Sr NutritionSp Ev

    total $3,124 · program services $3,124

  • 24e · All other expenses

    total $230 · program services $230

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $134,255 · end of year $175,167

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

    $183,001

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

    $9,693

  • 10c · Land, buildings and equipment, net

    beginning of year $151,680 · end of year $173,308

  • 24 · Unsecured notes and loans payable

    beginning of year $124,266 · end of year $74,994

  • 27 · Net assets without donor restrictions

    beginning of year $161,669 · end of year $273,481

Mission and programs · 2023

Mission

This not-for-profit provides a weekly medical and dental clinic to those who are uninsured or underinsured. The clinic is run by volunteers and is a no cost service. Patients are provided with basic healthcare services, prescriptions, diagnostics, and referrals.

  • Weekly medical and dental clinic to those who are uninsured or underinsured.Patients are provided with basic healthcare services, prescriptions, diagnostics, and referrals.The clinic is run by volunteers and is a no cost service.

    Expenses $116,257

As filed on the 2023 return.

Listed in Part VII

  • Crystal Chopp

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Andy McKibben

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Cindy Anderson-Bina

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Corey Larsen

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Molly Johnston

    Board Member

    Total calculated
    $0
    Hours/week
    2
  • Kristine Mosher

    Co-Medical Director

    Total calculated
    $0
    Hours/week
    10
  • Mary Bianco

    Medical Director Board Chair

    Total calculated
    $0
    Hours/week
    15
  • Marcia Chambers

    Secretary

    Total calculated
    $0
    Hours/week
    2
  • Tom Omerza

    Treasurer

    Total calculated
    $0
    Hours/week
    5
  • Helen Tome

    Executive Director

    Total calculated
    $0
    Hours/week
    25

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
1 May 2024
IRS schema version
2023v5.0
Source object
202411309349300631

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