Totals
- Total revenue
- $652,021
- Total expenses
- $409,813
- Contributions and grants received
- $606,273
- Grants paid
- $0
- Program service revenue
- $44,751
- Investment income
- $260
- Other revenue
- $737
- Total assets, end of year
- $802,254
- Total liabilities, end of year
- $75,337
- Net assets or fund balances, end of year
- $726,917
- Program services expenses (Part IX)
- $379,836
- Management and general expenses
- $29,977
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $379,836
Program services were 92.7% 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.
-
1e · Government grants (contributions)
$470,108
-
1f · All other contributions, gifts and grants
$136,165
-
2a · Program service revenue: record fees
total $1,430 · related or exempt $1,430
-
2b · Program service revenue: Medicare and Medicaid fees
total $21,868 · related or exempt $21,868
-
2c · Program service revenue: Medical Fees
total $21,453 · related or exempt $21,453
-
3 · Investment income
total $260 · related or exempt $260
-
11a · Other revenue: Other
total $737 · related or exempt $737
-
11e · Other revenue, total
$737
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $41,000 · program services $20,500 · management and general $20,500
-
6 · Compensation of disqualified persons
total $228,778 · program services $228,778
-
7 · Other salaries and wages
total $0
-
8 · Pension plan contributions
total $0
-
9 · Other employee benefits
total $0
-
10 · Payroll taxes
total $21,461 · program services $19,831 · management and general $1,630
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $5,000 · program services $2,500 · management and general $2,500
-
11d · Fees: lobbying
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $0
-
12 · Advertising and promotion
total $2,742 · program services $2,742
-
13 · Office expenses
total $9,135 · program services $8,222 · management and general $913
-
14 · Information technology
total $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $11,277 · program services $10,149 · management and general $1,128
-
17 · Travel
total $3,004 · management and general $3,004
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $8,723 · program services $8,723
-
23 · Insurance
total $6,884 · program services $6,884
-
24a · Other expenses: Contract Services
total $43,415 · program services $43,415
-
24b · Other expenses: Patient services
total $26,378 · program services $26,378
-
24c · Other expenses: General expenses
total $2,016 · program services $1,714 · management and general $302
-
24e · All other expenses
total $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $215,976 · end of year $459,764
-
3 · Pledges and grants receivable
beginning of year $63,613 · end of year $87,580
-
4 · Accounts receivable
beginning of year $1,953 · end of year $2,225
-
10a · Land, buildings and equipment: cost or other basis
$309,312
-
10b · Land, buildings and equipment: accumulated depreciation
$56,627
-
10c · Land, buildings and equipment, net
beginning of year $241,726 · end of year $252,685
-
17 · Accounts payable and accrued expenses
beginning of year $5,605 · end of year $902
-
19 · Deferred revenue
beginning of year $32,954 · end of year $74,435
-
27 · Net assets without donor restrictions
beginning of year $451,755 · end of year $652,482
-
28 · Net assets with donor restrictions
beginning of year $32,954 · end of year $74,435
Mission and programs · 2022
Mission
Provide medical care to low income and uninsured adults.
Activities or mission (Part I)
The Organization provides free medical care to low income and uninsured adults through use of volunteer healthcare professionals.
-
Provide free medical care to to low income and uninsured adults.
Expenses $379,836
As filed on the 2022 return.
Listed in Part VII
-
Mike Swaim
Board member
- Total calculated
- $0
- Hours/week
- 1
-
Tami Sappenfield
Board member/Secretary
- Total calculated
- $0
- Hours/week
- 1
-
Jeannette Hendrick
Board member
- Total calculated
- $0
- Hours/week
- 1
-
Steve Erlandson
Board member/Med Director
- Total calculated
- $0
- Hours/week
- 1
-
Larry Irwin
Board member/Vice Chairman
- Total calculated
- $0
- Hours/week
- 1
-
Will Holthouser
Board member/Chairman
- Total calculated
- $0
- Hours/week
- 1
-
Cynthia Gonzalez
Board member/Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Janice Hayes
Board member
- Total calculated
- $0
- Hours/week
- 1
-
Erma Cooke
Board member
- Total calculated
- $0
- Hours/week
- 1
-
Matthew Schrum
Board member
- Total calculated
- $0
- Hours/week
- 1
-
Robin Chandler
Board member
- Total calculated
- $0
- Hours/week
- 1
-
Darlene Templeton
Board Member
- Total calculated
- $0
- Hours/week
- 1
-
Howard Fleming
Board member
- Total calculated
- $0
- Hours/week
- 1
-
Betty Taylor
Executive Director
- Total calculated
- $0
- 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
- 2022
- Filed
- 12 July 2023
- IRS schema version
- 2022v5.0
- Source object
- 202321939349301417
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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