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Nonprofiteer
← FREE CLINIC OF PIERCE AND ST CROIXCOUNTIES INC

Form 990 for tax year 2022

Filed by FREE CLINIC OF PIERCE AND ST CROIXCOUNTIES INC.

Totals

Total revenue
$285,642
Total expenses
$220,510
Contributions and grants received
$287,492
Grants paid
$0
Program service revenue
$104
Investment income
$1,357
Other revenue
-$3,311
Total assets, end of year
$507,999
Total liabilities, end of year
$89,722
Net assets or fund balances, end of year
$418,277
Program services expenses (Part IX)
$180,546
Management and general expenses
$13,824
Fundraising expenses
$26,140
Program service expenses (Part III)
$180,546

Program services were 81.9% 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

    $15,192

  • 1c · Fundraising events

    $41,557

  • 1f · All other contributions, gifts and grants

    $230,743

  • 1g · Noncash contributions included above

    $19,360

  • 2a · Program service revenue: MEDICAL SERVICES

    total $104 · related or exempt $104

  • 3 · Investment income

    total $1,357 · excluded $1,357

  • 8a · Fundraising events: gross income

    $2,350

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

    $41,557

  • 8b · Fundraising events: direct expenses

    $5,661

  • 8c · Net income from fundraising events

    total -$3,311 · excluded -$3,311

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $137,824 · program services $113,856 · management and general $3,399 · fundraising $20,569

  • 8 · Pension plan contributions

    total $4,383 · program services $3,621 · management and general $108 · fundraising $654

  • 9 · Other employee benefits

    total $32,951 · program services $27,219 · management and general $815 · fundraising $4,917

  • 11b · Fees: legal

    total $104 · management and general $104

  • 11c · Fees: accounting

    total $9,398 · management and general $9,398

  • 13 · Office expenses

    total $2,946 · program services $2,946

  • 14 · Information technology

    total $5,424 · program services $5,424

  • 23 · Insurance

    total $2,713 · program services $2,713

  • 24a · Other expenses: VOLUNTEER EXPENSE

    total $15,881 · program services $15,881

  • 24b · Other expenses: PHARMACY EXPENSE

    total $7,345 · program services $7,345

  • 24c · Other expenses: MEDIAL SUPPLES AND CHAR

    total $819 · program services $819

  • 24d · Other expenses: MISC EXPENSE

    total $722 · program services $722

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $198,931 · end of year $218,676

  • 2 · Savings and temporary cash investments

    beginning of year $127,810 · end of year $229,166

  • 4 · Accounts receivable

    beginning of year $66,225 · end of year $57,166

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,970 · end of year $2,991

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

    $977

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

    $977

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $42,791 · end of year $89,722

  • 27 · Net assets without donor restrictions

    beginning of year $286,920 · end of year $361,111

  • 28 · Net assets with donor restrictions

    beginning of year $66,225 · end of year $57,166

Mission and programs · 2022

Mission

TO PROVIDE PRIMARY HEALTH CARE AND PREVENTATIVE HEALTH EDUCATION TOTHE RESIDENTS OF PIERCE AND ST. CROIX COUNTIES WHO HAVE NO HEALTH CAREALTERNATIVE.

Activities or mission (Part I)

PROVIDE PRIMARY HEALTH CARE AND PREVENTIVE HEALTH EDUCATION FOR THE RESIDENTS OF PIERCE AND ST. CROIX COUNTIES WHO HAVE NO HEALTH CARE ALTERNATIVE.

  • PROVIDED FREE CLINIC SERVICES ONE EVENING EACH WEEK AT THE RIVER FALLSAREA HOSPITAL, PART OF ALLINA HEALTH SPECIALTY CLINIC. THE CLINIC SAW AN AVERAGE OF 22 PATIENTS EACH WEEK.

    Expenses $180,546 · Revenue $104

As filed on the 2022 return.

Listed in Part VII

  • Samantha Bluhm

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Miranda Thorson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Mary Conroy-Johnson

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Julie Ducklow

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Julie Freeborn

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Leah Gavin

    DIRECTOR OF PHARMACY

    Total calculated
    $0
    Hours/week
    1

  • Bob Johnson

    MEDICAL DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Victoria Losinski

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Sharlene Lopez

    DIRECTOR

    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
1 November 2023
IRS schema version
2022v5.0
Source object
202343069349301409

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