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Nonprofiteer
← FORSYTH COMMUNITY CLINIC INC

Form 990-EZ for tax year 2023

Filed by FORSYTH COMMUNITY CLINIC INC.

Totals

Total revenue
$142,955
Total expenses
$123,405
Contributions and grants received
$142,329
Grants paid
not reported
Program service revenue
not reported
Membership dues (line 3)
not reported
Investment income (line 4)
$626
Gain or loss on sale of assets (line 5c)
not reported
Gaming and fundraising events, net (line 6d)
not reported
Gross profit on inventory sales (line 7c)
not reported
Other revenue (line 8)
not reported
Total assets, end of year
$95,093
Total liabilities, end of year
$144
Net assets or fund balances, end of year
$94,949
Program service expenses (Part III)
$103,596

Program services were 83.9% of total expenses calculated — Part III's total program service expenses over total expenses, both as filed.

Mission and programs · 2023

Primary exempt purpose

The organizations mission is to provide no cost non-emergent health care to low income and indigent residents 18-years of age or older of Forsyth County, Georgia and since no emergency services are offered a full-time emergency room is outside the scope of services that the organization is capable of providing.

  • Forsyth Community Clinic is a free medical clinic that provides no-cost, non-emergent healthcare to uninsured residents of Forsyth County, Georgia aged 18 65 years, who qualify based on their financial status.Forsyth Community Clinic's goal is to lessen the gap in primary healthcare services for those without health insurance and serve as a vital resource for individuals in need of medical treatment and support. FCC aims to be the first place for people to come when they need help and if we cannot treat the person, we will work to find who can. To enroll as a patient, individuals must qualify for services. All patients must be adults, have no insurance (Medicaid or Medicare) and live in Forsyth County. We recommend contacting us directly to find out if you qualify financially. In 2023, the clinic had approximately 42 volunteers participate in various activities logging a total of 545 hours worth approximately $43,629 in medical services, had 166 patient visits, saved patients over $15,000 on medications with a 100% success rate with patient medications assistance and a 100% success rate for receiving speciality care and financial aid through the hospital. Additionally, in 2023 dental care was added to the list of services offered and a mobile healthcare unit was implemented.

    Expenses $103,596

As filed on the 2023 return.

Listed in Part IV

  • Karen Pirkle

    BOARD CHAIR

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    5
  • John Cannady

    VICE CHAIR

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    5
  • Chris Etheridge

    Treasurer

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    5
  • Madonna Owens

    Secretary

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    5
  • Kristine Walden

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Matt Bemont

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Felicia Brazile

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Sandra Green

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Emil Kranz

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Amy Moreau

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Elaine Padgett

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Sintya Pappagallo

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Dalia Alinee-Rojo

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Kim Waters-Rose

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Paige Whalen

    Director

    Total calculated
    $0
    Compensation
    $0
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    1
  • Evan Shoemake

    Executive Director

    Total calculated
    $68,600
    Compensation
    $68,600
    Benefit plans
    not reported
    Expense account
    not reported
    Hours/week
    40

Compensation is as filed in Part IV of the Form 990-EZ: compensation, contributions to benefit plans, expense account, 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.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990_ez
Tax year
2023
Filed
6 November 2024
IRS schema version
2023v5.1
Source object
202413119349202116

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