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Nonprofiteer
← SAFE HARBOR FREE CLINIC

Form 990 for tax year 2022

Filed by SAFE HARBOR FREE CLINIC.

Totals

Total revenue
$777,748
Total expenses
$690,592
Contributions and grants received
$699,547
Grants paid
$0
Program service revenue
$0
Investment income
$715
Other revenue
$77,486
Total assets, end of year
$1,154,520
Total liabilities, end of year
$12,945
Net assets or fund balances, end of year
$1,141,575
Program services expenses (Part IX)
$551,315
Management and general expenses
$96,732
Fundraising expenses
$42,545
Program service expenses (Part III)
$551,315

Program services were 79.8% 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

    $699,547

  • 1g · Noncash contributions included above

    $307,301

  • 3 · Investment income

    total $715 · excluded $715

  • 8a · Fundraising events: gross income

    $54,486

  • 8c · Net income from fundraising events

    total $54,486

  • 11a · Other revenue: SUBLET RENTAL INCOME

    total $23,000 · excluded $23,000

  • 11e · Other revenue, total

    $23,000

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $137,524 · program services $41,257 · management and general $68,762 · fundraising $27,505

  • 9 · Other employee benefits

    total $2,084 · program services $625 · management and general $1,042 · fundraising $417

  • 10 · Payroll taxes

    total $12,429 · program services $3,728 · management and general $6,215 · fundraising $2,486

  • 11c · Fees: accounting

    total $4,899 · management and general $4,899

  • 11e · Fees: professional fundraising services

    total $3,662 · fundraising $3,662

  • 11g · Fees: other

    total $51,477 · program services $51,477

  • 13 · Office expenses

    total $3,607 · program services $1,803 · fundraising $1,804

  • 16 · Occupancy

    total $75,409 · program services $65,098 · management and general $9,968 · fundraising $343

  • 17 · Travel

    total $117 · program services $58 · management and general $59

  • 19 · Conferences, conventions and meetings

    total $723 · program services $434 · management and general $289

  • 22 · Depreciation, depletion and amortization

    total $20,173 · program services $19,163 · management and general $1,010

  • 23 · Insurance

    total $8,592 · program services $7,733 · management and general $859

  • 24a · Other expenses: MEDICATIONS

    total $313,594 · program services $313,594

  • 24b · Other expenses: LAB TESTING

    total $22,450 · program services $22,450

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $12,577 · program services $12,577

  • 24d · Other expenses: TECHNOLOGY

    total $7,838 · program services $4,703 · management and general $2,351 · fundraising $784

  • 24e · All other expenses

    total $13,437 · program services $6,615 · management and general $1,278 · fundraising $5,544

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $662,059 · end of year $120,615

  • 2 · Savings and temporary cash investments

    beginning of year $39,963 · end of year $774,843

  • 8 · Inventories for sale or use

    beginning of year $248,030 · end of year $167,048

  • 9 · Prepaid expenses and deferred charges

    beginning of year $3,138 · end of year $3,247

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

    $219,761

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

    $130,994

  • 10c · Land, buildings and equipment, net

    beginning of year $105,948 · end of year $88,767

  • 25 · Other liabilities

    beginning of year $3,506 · end of year $12,945

  • 27 · Net assets without donor restrictions

    beginning of year $1,049,407 · end of year $1,135,350

  • 28 · Net assets with donor restrictions

    beginning of year $6,225 · end of year $6,225

Mission and programs · 2022

Mission

TO PROVIDE QUALITY AND RESPECTFUL FREE HEALTH CARE AND REFERRAL SERVICES TO ADDRESS THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS IN A SAFE AND WELCOMING ENVIRONMENT; THIS INCLUDES CONTINUING CARE AND EDUCATION REGARDING DIABETES, HYPERTENSION, AND GENERAL WELLNESS.

Activities or mission (Part I)

TO PROVIDE QUALITY AND RESPECTFUL FREE HEALTH CARE AND REFERRAL SERVICES TO ADDRESS THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS IN A SAFE AND WELCOMING ENVIRONMENT.

  • DONATIONS OF GOODS AND SERVICES USED IN CARRYING OUT THE MAIN PURPOSE OF SAFE HARBOR FREE CLINIC - TO PROVIDE QUALITY AND RESPECTFUL FREE HEALTH CARE AND REFERRAL SERVICES TO ADDRESS THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS IN A SAFE AND WELCOMING ENVIRONMENT. THIS INCLUDES MEDICATIONS AND LAB/TESTING SUPPLIES THAT HAVE BEEN DONATED.

    Expenses $551,315

  • DONATIONS OF GOODS AND SERVICES USED IN CARRYING OUT THE MAIN PURPOSE OF SAFE HARBOR FREE CLINIC - TO PROVIDE QUALITY AND RESPECTFUL FREE HEALTH CARE AND REFERRAL SERVICES TO ADDRESS THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS IN A SAFE AND WELCOMING ENVIRONMENT. THIS INCLUDES MEDICATIONS AND LAB/TESTING SUPPLIES THAT HAVE BEEN DONATED.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Carrie Cabe

    SECRETARY

    Total calculated
    $0
    Hours/week
    2
  • Michael Dame

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2
  • Tim Menzies

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Tim Poetzl

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Brett Reid

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2
  • Randall Thompson

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    2
  • Don Timmerman

    TREASURER

    Total calculated
    $0
    Hours/week
    2

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
15 November 2023
IRS schema version
2022v5.0
Source object
202303199349320270

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