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Nonprofiteer
← FAITHFUL SERVANTS MISSION INC

Form 990 for tax year 2022

Filed by FAITHFUL SERVANTS MISSION INC.

Totals

Total revenue
$215,174
Total expenses
$130,851
Contributions and grants received
$212,070
Grants paid
$0
Program service revenue
$0
Investment income
$30
Other revenue
$3,074
Total assets, end of year
$447,143
Total liabilities, end of year
$1,541
Net assets or fund balances, end of year
$445,602
Program services expenses (Part IX)
$100,120
Management and general expenses
$22,821
Fundraising expenses
$7,910
Program service expenses (Part III)
$100,120

Program services were 76.5% 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.

  • 1c · Fundraising events

    $131,907

  • 1f · All other contributions, gifts and grants

    $80,163

  • 3 · Investment income

    total $30 · excluded $30

  • 6a · Gross rents

    real property $12,183

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $12,183

  • 6d · Net rental income or loss

    total $12,183 · excluded $12,183

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $131,907

  • 8b · Fundraising events: direct expenses

    $17,613

  • 8c · Net income from fundraising events

    total -$17,613 · excluded -$17,613

  • 11a · Other revenue: MISCELLANEOUS

    total $8,504 · excluded $8,504

  • 11e · Other revenue, total

    $8,504

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $52,736 · program services $39,552 · management and general $5,274 · fundraising $7,910

  • 11c · Fees: accounting

    total $2,720 · management and general $2,720

  • 13 · Office expenses

    total $5,467 · management and general $5,467

  • 14 · Information technology

    total $588 · program services $485 · management and general $103

  • 16 · Occupancy

    total $32,581 · program services $26,879 · management and general $5,702

  • 17 · Travel

    total $113 · management and general $113

  • 19 · Conferences, conventions and meetings

    total $335 · management and general $335

  • 22 · Depreciation, depletion and amortization

    total $1,724 · program services $1,422 · management and general $302

  • 23 · Insurance

    total $5,457 · program services $4,502 · management and general $955

  • 24a · Other expenses: PHARMACEUTICALS, MEDICA

    total $18,556 · program services $18,556

  • 24b · Other expenses: MISCELLANEOUS EXPENSE

    total $7,744 · program services $6,389 · management and general $1,355

  • 24c · Other expenses: REAL ESTATE TAX

    total $2,830 · program services $2,335 · management and general $495

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $244,530 · end of year $341,719

  • 2 · Savings and temporary cash investments

    beginning of year $101,326 · end of year $101,357

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

    $129,916

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

    $129,916

  • 10c · Land, buildings and equipment, net

    beginning of year $1,725 · end of year $0

  • 15 · Other assets

    beginning of year $16,317 · end of year $4,067

  • 17 · Accounts payable and accrued expenses

    beginning of year $16 · end of year $915

  • 25 · Other liabilities

    beginning of year $2,603 · end of year $626

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $361,279 · end of year $445,602

Mission and programs · 2022

Mission

TO PROVIDE FREE URGENT CARE FOR THE UNINSURED WHOSE INCOME IS AT OR BELOW 200% OF THE POVERTY LEVEL AND TO ASSIST IN IDENTIFYING CONTINUITY OF CARE.

Activities or mission (Part I)

TO PROVIDE FREE URGENT CARE FOR THE UNINSURED AND TO ASSIST IN IDENTIFYING CONTINUITY OF CARE.

  • FAITHFUL SERVANTS CARE CENTER CONTINUES TO SEE PATIENTS BY APPOINTMENT AND THOUGH OUR VOLUME REMAINS LOWER THAN PRE-PANDEMIC, WE ARE SEEING MORE ACUTE PATIENTS. IN 2022, WE SAW OVER 1000 PATIENTS AT THE CLINIC AND PROVIDED TELEPHONE GUIDANCE TO ANOTHER 100 WE PROVIDED 1,906PRESCRIPTIONS, 751 LAB TESTS, AND 55 DIAGNOSTIC TESTS. OUR PHYSICIAN ASSISTANT EMPLOYEE WAS ABLE TO CONSISTENTLY PROVIDE CARE FOR 95 DIABETIC PATIENT VISITS AND 221 HYPERTENSION PATIENT VISITS. MORE OF OUR VOLUNTEERS HAVE RETURNED OVER THE PAST YEAR WHICH HAS ENABLED US TO KEEP OUR DOORS OPEN EACH EVENING MONDAY- FRIDAY. IN 2023, WE GAVE INITAITED REGULAR TUESDAY EVENING VISITS AT REFUGE OF HOPE IN CANTON.

    Expenses $100,120

As filed on the 2022 return.

Listed in Part VII

  • Martin Hauser

    PRESIDENT

    Total calculated
    $0
    Hours/week
    3
  • Kathleen Kostelnick

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • Zachery Meyer

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Gayle Grater

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    2
  • T Randall Fairfax

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Judge Todd McKenney

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • James Pachel

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Emily Gale Scott MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • David Weyrich

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • David Hoff MD

    BOARD MEMBER

    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

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
10 May 2023
IRS schema version
2022v5.0
Source object
202331359349301128

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