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← COMMUNITY CLINIC OF SHELBYVILLE AND BEDFORD COUNTY INC

Form 990 for tax year 2023

Filed by COMMUNITY CLINIC OF SHELBYVILLE AND BEDFORD COUNTY INC.

Totals

Total revenue
$1,377,906
Total expenses
$1,239,901
Contributions and grants received
$1,345,510
Grants paid
$48,214
Program service revenue
$19,895
Investment income
$2,025
Other revenue
$10,476
Total assets, end of year
$522,975
Total liabilities, end of year
$14,802
Net assets or fund balances, end of year
$508,173
Program services expenses (Part IX)
$1,217,104
Management and general expenses
$22,797
Fundraising expenses
$0
Program service expenses (Part III)
$1,217,104

Program services were 98.2% 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

    $1,345,510

  • 1g · Noncash contributions included above

    $633,304

  • 2a · Program service revenue: PATIENT FEE INCOME

    total $19,895 · related or exempt $19,895

  • 3 · Investment income

    total $2,025 · excluded $2,025

  • 8a · Fundraising events: gross income

    $52,201

  • 8b · Fundraising events: direct expenses

    $41,725

  • 8c · Net income from fundraising events

    total $10,476 · excluded $10,476

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $48,214 · program services $48,214

  • 7 · Other salaries and wages

    total $116,656 · program services $110,823 · management and general $5,833

  • 10 · Payroll taxes

    total $9,143 · program services $8,686 · management and general $457

  • 11c · Fees: accounting

    total $28,969 · program services $27,521 · management and general $1,448

  • 11g · Fees: other

    total $250,691 · program services $250,691

  • 13 · Office expenses

    total $11,893 · management and general $11,893

  • 14 · Information technology

    total $4,641 · program services $4,409 · management and general $232

  • 16 · Occupancy

    total $60,000 · program services $60,000

  • 17 · Travel

    total $6,100 · program services $6,100

  • 22 · Depreciation, depletion and amortization

    total $33,732 · program services $32,045 · management and general $1,687

  • 23 · Insurance

    total $2,887 · program services $2,743 · management and general $144

  • 24a · Other expenses: OTC MEDICAL SUPPLIES

    total $62,181 · program services $62,181

  • 24b · Other expenses: OTC MEDICAL SUPPLIES-IN KIND

    total $295,719 · program services $295,719

  • 24c · Other expenses: PROFESSIONAL SERVICES EXP

    total $277,585 · program services $277,585

  • 24e · All other expenses

    total $31,490 · program services $30,387 · management and general $1,103

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $275 · end of year $339

  • 2 · Savings and temporary cash investments

    beginning of year $164,602 · end of year $374,921

  • 3 · Pledges and grants receivable

    beginning of year $54,608 · end of year $48,821

  • 8 · Inventories for sale or use

    beginning of year $36,350

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

    $237,838

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

    $138,944

  • 10c · Land, buildings and equipment, net

    beginning of year $128,913 · end of year $98,894

  • 17 · Accounts payable and accrued expenses

    beginning of year $14,580 · end of year $14,802

  • 27 · Net assets without donor restrictions

    beginning of year $343,700 · end of year $407,527

  • 28 · Net assets with donor restrictions

    beginning of year $26,468 · end of year $100,646

Mission and programs · 2023

Mission

TO PROVIDE DENTAL AND MEDICAL SERVICES FOR THE LOW-INCOME AND UNINSURED ADULTS AGES 19-64+ OF BEDFORD COUNTY, TENNESSEE.

  • TO PROVIDE DENTAL AND MEDICAL SERVICES FOR THE LOW-INCOME AND UNINSURED ADULTS AGES 19-64+ OF BEDFORD COUNTY, TENNESSEE. SERVICES ARE PRIMARILY PROVIDED BY VOLUNTEERS OR CONTRACTED SERVICE PROVIDERS.

    Expenses $1,217,104

As filed on the 2023 return.

Listed in Part VII

  • Dr Barbara Kaczmarska

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Mamie Johnson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Carolyn Lokey

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Pam Chamberland

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Talia Navarrette

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Debra Nelson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Clement Ayuli

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Scott Johnson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0

  • Janet Zamora Aj

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Janice Brothers

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Richard Duggar

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Carolyn Goodman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Thomas Johnson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Johnny Reed

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Daryl Phillips

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • George Johnson

    VICE PRESIDENT

    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

Provenance

Return type
form_990
Tax year
2023
Filed
13 November 2024
IRS schema version
2023v5.1
Source object
202443199349311144

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