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Nonprofiteer
← FORDLAND CLINIC INC

Form 990 for tax year 2022

Filed by FORDLAND CLINIC INC.

Totals

Total revenue
$8,092,482
Total expenses
$5,725,050
Contributions and grants received
$3,857,246
Grants paid
$0
Program service revenue
$3,624,900
Investment income
$2,431
Other revenue
$607,905
Total assets, end of year
$9,906,394
Total liabilities, end of year
$879,522
Net assets or fund balances, end of year
$9,026,872
Program services expenses (Part IX)
$4,112,742
Management and general expenses
$1,606,539
Fundraising expenses
$5,769
Program service expenses (Part III)
$4,112,742

Program services were 71.8% 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.

  • 1e · Government grants (contributions)

    $3,471,660

  • 1f · All other contributions, gifts and grants

    $385,586

  • 2a · Program service revenue: PATIENT HEALTHCARE SERVICES

    total $3,621,464 · related or exempt $3,621,464

  • 2b · Program service revenue: MISCELLANEOUS INCOME

    total $3,436 · related or exempt $3,436

  • 3 · Investment income

    total $2,431 · excluded $2,431

  • 10a · Gross sales of inventory

    $809,851

  • 10b · Cost of goods sold

    $280,845

  • 10c · Net income from sales of inventory

    total $529,006 · related or exempt $529,006

  • 11a · Other revenue: INVESTMENT IN MO HEALTH PLUS

    total $78,899 · related or exempt $78,899

  • 11e · Other revenue, total

    $78,899

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $370,082 · program services $294,591 · management and general $75,491

  • 7 · Other salaries and wages

    total $3,030,111 · program services $2,131,296 · management and general $894,585 · fundraising $4,230

  • 8 · Pension plan contributions

    total $21,781 · program services $14,540 · management and general $7,203 · fundraising $38

  • 9 · Other employee benefits

    total $376,048 · program services $272,034 · management and general $103,549 · fundraising $465

  • 10 · Payroll taxes

    total $243,445 · program services $170,188 · management and general $72,938 · fundraising $319

  • 11a · Fees: management

    total $11,872 · program services $11,872

  • 11b · Fees: legal

    total $723 · management and general $723

  • 11c · Fees: accounting

    total $86,276 · management and general $86,276

  • 11g · Fees: other

    total $279,397 · program services $279,397

  • 12 · Advertising and promotion

    total $43,240 · program services $43,240

  • 13 · Office expenses

    total $234,201 · program services $129,676 · management and general $104,463 · fundraising $62

  • 14 · Information technology

    total $228,982 · program services $160,078 · management and general $68,604 · fundraising $300

  • 16 · Occupancy

    total $219,024 · program services $94,199 · management and general $124,675 · fundraising $150

  • 17 · Travel

    total $3,150 · program services $84 · management and general $3,066

  • 19 · Conferences, conventions and meetings

    total $1,153 · management and general $1,153

  • 20 · Interest

    total $19,383 · program services $13,551 · management and general $5,807 · fundraising $25

  • 22 · Depreciation, depletion and amortization

    total $129,186 · program services $90,312 · management and general $38,705 · fundraising $169

  • 23 · Insurance

    total $38,122 · program services $35,666 · management and general $2,445 · fundraising $11

  • 24a · Other expenses: DENTAL SUPPLIES

    total $198,870 · program services $198,870

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $173,148 · program services $173,148

  • 24c · Other expenses: BAD DEBT EXPENSE

    total $16,856 · management and general $16,856

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $284,884 · end of year $3,597,101

  • 2 · Savings and temporary cash investments

    beginning of year $2,698,009 · end of year $375,511

  • 3 · Pledges and grants receivable

    beginning of year $44,146 · end of year $44,030

  • 4 · Accounts receivable

    beginning of year $286,802 · end of year $485,117

  • 7 · Other notes and loans receivable

    beginning of year $800 · end of year $2,000

  • 8 · Inventories for sale or use

    beginning of year $16,565 · end of year $16,565

  • 9 · Prepaid expenses and deferred charges

    beginning of year $24,511 · end of year $29,495

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

    $4,545,369

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

    $1,769,371

  • 10c · Land, buildings and equipment, net

    beginning of year $1,578,955 · end of year $2,775,998

  • 12 · Investments: other securities

    beginning of year $119,317 · end of year $220,943

  • 14 · Intangible assets

    beginning of year $73,590 · end of year $73,590

  • 15 · Other assets

    beginning of year $1,855,456 · end of year $2,286,044

  • 17 · Accounts payable and accrued expenses

    beginning of year $432,637 · end of year $634,922

  • 23 · Secured mortgages and notes payable

    beginning of year $528,366 · end of year $244,600

  • 27 · Net assets without donor restrictions

    beginning of year $5,994,746 · end of year $9,014,199

  • 28 · Net assets with donor restrictions

    beginning of year $27,286 · end of year $12,673

Mission and programs · 2022

Mission

TO IMPROVE THE HEALTH OF OUR WIDER RURAL COMMUNITY AND TO SERVE AS THE INDEPENDENT PROVIDER OF CHOICE BY OFFERING COMPREHENSIVE HEALTHCARE SERVICES TO ALL AREA RESIDENTS WITHOUT REGARD TO INSURANCE OR INCOME.

  • FORDLAND CLINIC PROVIDES COMPREHENSIVE MEDICAL, DENTAL, MENTAL HEALTH AND WELLNESS SERVICES TO AREA RESIDENTS WITHOUT REGARDS TO INSURANCE OR THE ABILITY TO PAY. WITH SERVICES OFFERED ON A SLIDING FEE SCHEDULE, FORDLAND CLINIC PROVIDED OVER 245,364 IN DISCOUNTED MEDICAL CARE SERVICES TO PATIENTS IN 2022. FORDLAND CLINIC IS THE MEDICAL HOME FOR MANY WHO WOULD NOT OTHERWISE RECEIVE CARE DUE TO THE REMOTENESS OF THE RURAL AREA IN WHICH THEY LIVE, LACK OF INSURANCE, OR FINANCIAL CIRCUMSTANCES. IN 2022, FORDLAND CLINIC SERVED 6,442 PATIENTS FOR A TOTAL 20,447 HEALTHCARE VISITS.

    Expenses $4,112,742 · Revenue $4,232,805

As filed on the 2022 return.

Listed in Part VII

  • Taylor R Short

    DENTIST

    Total calculated
    $284,954
    From this org
    $280,188
    From related orgs
    $0
    Other
    $4,766
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $184,837
    Bonus
    $95,351
    Other
    not reported
    Deferred
    $4,197
    Nontaxable benefits
    $569
    Filer's total
    $284,954
  • Robert D Dunavant

    DENTIST

    Total calculated
    $172,841
    From this org
    $159,688
    From related orgs
    $0
    Other
    $13,153
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $138,538
    Bonus
    $21,150
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $13,153
    Filer's total
    $172,841
  • Debby S Carl

    NURSE

    Total calculated
    $136,626
    From this org
    $119,176
    From related orgs
    $0
    Other
    $17,450
    Hours/week
    40
  • Joan Twiton

    CEO

    Total calculated
    $162,817
    From this org
    $145,273
    From related orgs
    $0
    Other
    $17,544
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,947
    Bonus
    $1,326
    Other
    not reported
    Deferred
    $3,074
    Nontaxable benefits
    $14,470
    Filer's total
    $162,817
  • Ray Seiberlich

    CFO

    Total calculated
    $108,452
    From this org
    $99,969
    From related orgs
    $0
    Other
    $8,483
    Hours/week
    40
  • Aimee E Jarrett

    COO

    Total calculated
    $98,813
    From this org
    $96,831
    From related orgs
    $0
    Other
    $1,982
    Hours/week
    40
  • Bill Gdanitz

    PRESIDENT/DI

    Total calculated
    $0
    Hours/week
    1
  • Paul Farnsworth

    VICE PRES/DI

    Total calculated
    $0
    Hours/week
    1
  • Linda Kensinger

    SECRETARY/DI

    Total calculated
    $0
    Hours/week
    1
  • Gene Crewse

    TREASURER/DI

    Total calculated
    $0
    Hours/week
    1
  • Vanessa Owens

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Mike Dawson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Harry Chapin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Valerie Cochara

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Kendra Cunningham

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Scott Allen

    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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
3 November 2023
IRS schema version
2022v5.0
Source object
202313109349301456

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