Form 990 for tax year 2023
Filed by COMMUNITY CARE CENTER FOR FORSYTH COUNTY.
Totals
- Total revenue
- $9,281,562
- Total expenses
- $9,200,029
- Contributions and grants received
- $9,248,600
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $48,130
- Other revenue
- -$15,168
- Total assets, end of year
- $2,200,406
- Total liabilities, end of year
- $99,058
- Net assets or fund balances, end of year
- $2,101,348
- Program services expenses (Part IX)
- $8,784,505
- Management and general expenses
- $411,907
- Fundraising expenses
- $3,617
- Program service expenses (Part III)
- $8,784,505
Program services were 95.5% 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.
-
1a · Federated campaigns
$64,719
-
1c · Fundraising events
$67,335
-
1e · Government grants (contributions)
$440,442
-
1f · All other contributions, gifts and grants
$8,676,104
-
1g · Noncash contributions included above
$7,936,952
-
3 · Investment income
total $23,937 · excluded $23,937
-
7a · Gross sales of assets other than inventory
securities $653,308
-
7b · Less cost or other basis and sales expenses
securities $628,854 · other assets $261
-
7c · Gain or loss
securities $24,454 · other assets -$261
-
7d · Net gain or loss
total $24,193 · excluded $24,193
-
8a · Fundraising events: gross income
$0
-
8a · Fundraising events: contributions included on line 1c
$67,335
-
8b · Fundraising events: direct expenses
$15,723
-
8c · Net income from fundraising events
total -$15,723 · excluded -$15,723
-
11a · Other revenue: OTHER REVENUE
total $555 · related or exempt $555
-
11e · Other revenue, total
$555
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $135,749 · program services $54,299 · management and general $81,450
-
7 · Other salaries and wages
total $876,640 · program services $721,201 · management and general $152,342 · fundraising $3,097
-
9 · Other employee benefits
total $87,475 · program services $67,007 · management and general $20,200 · fundraising $268
-
10 · Payroll taxes
total $75,657 · program services $57,954 · management and general $17,472 · fundraising $231
-
11a · Fees: management
total $17,101 · management and general $17,101
-
11c · Fees: accounting
total $15,440 · management and general $15,440
-
12 · Advertising and promotion
total $6,320 · management and general $6,320
-
13 · Office expenses
total $18,670 · management and general $18,670
-
17 · Travel
total $2,413 · management and general $2,413
-
22 · Depreciation, depletion and amortization
total $7,090 · program services $5,672 · management and general $1,418
-
23 · Insurance
total $15,078 · management and general $15,078
-
24a · Other expenses: DONATED MEDICINE
total $7,718,801 · program services $7,718,801
-
24b · Other expenses: REPAIRS AND MAINTENANCE
total $56,117 · program services $44,894 · management and general $11,223
-
24c · Other expenses: PURCHASED MEDICINES
total $45,781 · program services $45,781
-
24d · Other expenses: LAB FEES AND MEDICAL SU
total $26,439 · program services $26,439
-
24e · All other expenses
total $95,258 · program services $42,457 · management and general $52,780 · fundraising $21
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $696,747 · end of year $660,171
-
2 · Savings and temporary cash investments
beginning of year $928,828 · end of year $1,081,114
-
3 · Pledges and grants receivable
beginning of year $105,405 · end of year $134,116
-
8 · Inventories for sale or use
beginning of year $19,766 · end of year $7,574
-
9 · Prepaid expenses and deferred charges
beginning of year $10,889 · end of year $15,482
-
10a · Land, buildings and equipment: cost or other basis
$684,076
-
10b · Land, buildings and equipment: accumulated depreciation
$539,350
-
10c · Land, buildings and equipment, net
beginning of year $139,328 · end of year $144,726
-
12 · Investments: other securities
end of year $135,009
-
15 · Other assets
beginning of year $131,334 · end of year $22,214
-
17 · Accounts payable and accrued expenses
beginning of year $45,394 · end of year $76,844
-
25 · Other liabilities
beginning of year $0 · end of year $22,214
-
27 · Net assets without donor restrictions
beginning of year $1,852,906 · end of year $1,932,487
-
28 · Net assets with donor restrictions
beginning of year $133,997 · end of year $168,861
Mission and programs · 2023
Mission
TO PROVIDE FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW INCOME FAMILIES.
-
COMMUNITY CARE CENTER OF FORSYTH COUNTY, INC. IS A FREE MEDICAL CLINIC FOR FAMILIES WHO EARN LESS THAN 200% OF THE FEDERAL POVERTY LEVEL AND HAVE NO MEDICAL INSURANCE. THE CENTER PROVIDES FREE ON-SITE MEDICAL AND DENTAL CARE TO LOW-INCOME FAMILIES AS THE SOLE PROGRAM.
Expenses $8,784,505 · Revenue $555
As filed on the 2023 return.
Listed in Part VII
-
Robert DibellaROBERT DIBELLA
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Katie AlexanderKATIE ALEXANDER
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Rudy AllenRUDY ALLEN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Anthony BrettANTHONY BRETT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Robert CoilROBERT COIL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Lorraine Frank LightfootLORRAINE FRANK LIGHTFOOT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Kimberly GreggKIMBERLY GREGG
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Gregory HolthusenGREGORY HOLTHUSEN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Ben HoughBEN HOUGH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Marlon HunterMARLON HUNTER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Luncinda JonesLUNCINDA JONES
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Gilmour LakeGILMOUR LAKE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Nancy SmithNANCY SMITH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
J Baldwin SmithJ BALDWIN SMITH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Alex TurnerALEX TURNER
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Carl WescottCARL WESCOTT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Robert FordROBERT FORD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Yen NguyenYEN NGUYEN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Debbie MarshallDEBBIE MARSHALL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
William PittmanWILLIAM PITTMAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Timothy ClontzTIMOTHY CLONTZ
EXECUTIVE DIRECTOR
- Total calculated
- $135,749
- From this org
- $126,592
- From related orgs
- $0
- Other
- $9,157
- 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.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 8 August 2024
- IRS schema version
- 2023v5.1
- Source object
- 202422329349301087
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