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Nonprofiteer
← HOLY FAMILY CATHOLIC CLINIC P S

Form 990 for tax year 2022

Filed by HOLY FAMILY CATHOLIC CLINIC P S.

Totals

Total revenue
$2,026,686
Total expenses
$2,007,185
Contributions and grants received
$847,244
Grants paid
$0
Program service revenue
$1,179,442
Investment income
$0
Other revenue
$0
Total assets, end of year
$437,083
Total liabilities, end of year
$382,423
Net assets or fund balances, end of year
$54,660
Program services expenses (Part IX)
$1,729,972
Management and general expenses
$277,213
Fundraising expenses
$0
Program service expenses (Part III)
$1,729,972

Program services were 86.2% 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

    $847,244

  • 1g · Noncash contributions included above

    $770,000

  • 2a · Program service revenue: MEDICAL SERVICES

    total $1,170,046 · related or exempt $1,170,046

  • 2b · Program service revenue: MISCELLANEOUS INCOME

    total $5,776 · related or exempt $5,776

  • 2c · Program service revenue: QUALITY PAYMENTS

    total $3,620 · related or exempt $3,620

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $1,514,723 · program services $1,410,359 · management and general $104,364

  • 9 · Other employee benefits

    total $65,162 · program services $39,097 · management and general $26,065

  • 10 · Payroll taxes

    total $80,508 · program services $48,305 · management and general $32,203

  • 11b · Fees: legal

    total $61,801 · management and general $61,801

  • 12 · Advertising and promotion

    total $8,304 · program services $187 · management and general $8,117

  • 13 · Office expenses

    total $15,809 · program services $7,512 · management and general $8,297

  • 14 · Information technology

    total $23,021 · program services $20,719 · management and general $2,302

  • 16 · Occupancy

    total $119,117 · program services $107,205 · management and general $11,912

  • 17 · Travel

    total $906 · management and general $906

  • 19 · Conferences, conventions and meetings

    total $1,601 · management and general $1,601

  • 20 · Interest

    total $15,220 · management and general $15,220

  • 22 · Depreciation, depletion and amortization

    total $4,450 · program services $3,352 · management and general $1,098

  • 23 · Insurance

    total $38,264 · program services $36,156 · management and general $2,108

  • 24a · Other expenses: VACCINES

    total $29,418 · program services $29,418

  • 24b · Other expenses: CLINIC SUPPLIES

    total $20,298 · program services $20,298

  • 24c · Other expenses: TAXES & LICENSES

    total $4,525 · program services $4,525

  • 24d · Other expenses: PAYROLL TAX SERVICE

    total $1,428 · program services $1,428

  • 24e · All other expenses

    total $2,630 · program services $1,411 · management and general $1,219

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $195,557 · end of year $274,437

  • 7 · Other notes and loans receivable

    end of year $3,500

  • 9 · Prepaid expenses and deferred charges

    beginning of year $141,125 · end of year $141,125

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

    $28,953

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

    $10,932

  • 10c · Land, buildings and equipment, net

    beginning of year $22,471 · end of year $18,021

  • 17 · Accounts payable and accrued expenses

    beginning of year $11,624 · end of year $6,144

  • 22 · Loans and payables to officers and key people

    beginning of year $364,308 · end of year $361,269

  • 25 · Other liabilities

    beginning of year $28,992 · end of year $15,010

  • 27 · Net assets without donor restrictions

    beginning of year -$45,771 · end of year $44,660

  • 28 · Net assets with donor restrictions

    end of year $10,000

Mission and programs · 2022

Mission

PROVIDE SUPERIOR, COMPASSIONATE, LIFE-AFFIRMING HEALTH CARE TO PATIENTS OF ALL AGES, HONORING THE SANCTITY OF LIFE FROM CONCEPTION TO NATURAL DEATH, AND SUPPORTING THE CULTURE OF LIFE.

  • MULTISPECIALY CLINIC OPERATING IN WEST LINN SINCE SEPTEMBER 2020. MULISPECIALTY CLINIC OPERATING IN CORVALLIS SINCE NOVEMBER 2021. FATHER'S HEART CLINIC OPERATED UNDER THE NAME OF HFCC WITHIN THE SHELTER SINCE NOVEMBER 2020. NATURAL FAMILY PLANNING AND NAPRO TECHNOLOGY TEACHING. PRE- CANA (MARRIAGE PREPARATION) TEACHING. EDUCATIONAL BASED, LIFE- AFFIRMING BOOTHS SET UP AT MULTIPLE LOCATIONS THROUGHOUT OREGON. ULTRA- SOUND FOR MONITORING FETAL GROWTH ESTABLISHED WITHIN WEST LINN CLINIC WITH NINE DELIVERIES THIS YEAR. EXPANDING PATIENT CARE ADDING APPROXIMATELY 145 PATIENTS EACH MONTH, CURRENTLY SERVING APPROXIMATELY 550 PATIENTS PER MONTH.

    Expenses $1,729,972 · Revenue $1,179,442

As filed on the 2022 return.

Listed in Part VII

  • GRACE JAZRAWI DO

    PRESIDENT

    Total calculated
    $30,090
    From this org
    $30,090
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • MICHAEL SHERMAN MD

    VICE PRESIDE

    Total calculated
    $40,750
    From this org
    $40,750
    From related orgs
    $0
    Other
    $0
    Hours/week
    60

  • PAUL CIESLAK MD

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5

  • CHUCK BENTZ MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • BROTHER LOUIS NGUYEN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

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
31 January 2024
IRS schema version
2022v5.0
Source object
202401359349306705

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