Totals
- Total revenue
- $2,336,750
- Total expenses
- $2,029,004
- Contributions and grants received
- $2,222,815
- Grants paid
- $0
- Program service revenue
- $70,075
- Investment income
- $43,540
- Other revenue
- $320
- Total assets, end of year
- $3,235,368
- Total liabilities, end of year
- $24,107
- Net assets or fund balances, end of year
- $3,211,261
- Program services expenses (Part IX)
- $1,800,608
- Management and general expenses
- $114,246
- Fundraising expenses
- $114,150
- Program service expenses (Part III)
- $1,800,608
Program services were 88.7% 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.
-
1a · Federated campaigns
$40,974
-
1e · Government grants (contributions)
$302,482
-
1f · All other contributions, gifts and grants
$1,879,359
-
1g · Noncash contributions included above
$1,243,507
-
2a · Program service revenue: Eligibility Screenings
total $4,974 · related or exempt $4,974
-
2b · Program service revenue: Patient Contributions
total $65,101 · related or exempt $65,101
-
3 · Investment income
total $43,540 · excluded $43,540
-
11a · Other revenue: Other Income
total $320 · related or exempt $320
-
11e · Other revenue, total
$320
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 $143,451 · program services $19,358 · management and general $64,924 · fundraising $59,169
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $373,475 · program services $337,321 · management and general $12,615 · fundraising $23,539
-
8 · Pension plan contributions
total $9,058 · program services $6,250 · management and general $1,359 · fundraising $1,449
-
9 · Other employee benefits
total $13,989 · program services $9,653 · management and general $2,098 · fundraising $2,238
-
10 · Payroll taxes
total $39,920 · program services $27,545 · management and general $5,988 · fundraising $6,387
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $28,429 · program services $19,566 · management and general $4,326 · fundraising $4,537
-
11d · Fees: lobbying
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $75,262 · program services $66,282 · management and general $7,961 · fundraising $1,019
-
12 · Advertising and promotion
total $0
-
13 · Office expenses
total $10,644 · program services $5,637 · management and general $3,700 · fundraising $1,307
-
14 · Information technology
total $15,888 · program services $8,951 · management and general $1,946 · fundraising $4,991
-
15 · Royalties
total $0
-
16 · Occupancy
total $16,527 · program services $11,404 · management and general $2,479 · fundraising $2,644
-
17 · Travel
total $95 · program services $66 · management and general $14 · fundraising $15
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $3,535 · program services $2,439 · management and general $530 · fundraising $566
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $18,002 · program services $12,422 · management and general $2,700 · fundraising $2,880
-
23 · Insurance
total $10,157 · program services $7,008 · management and general $1,524 · fundraising $1,625
-
24a · Other expenses: Donated Goods
total $1,243,507 · program services $1,243,507
-
24b · Other expenses: Repairs Maintenance
total $8,342 · program services $5,755 · management and general $1,251 · fundraising $1,336
-
24c · Other expenses: Medical Supplies
total $15,661 · program services $15,661
-
24d · Other expenses: Equipment Rental
total $2,584 · program services $1,783 · management and general $388 · fundraising $413
-
24e · All other expenses
total $478 · management and general $443 · fundraising $35
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,381,516 · end of year $1,625,152
-
2 · Savings and temporary cash investments
beginning of year $1,276,091 · end of year $1,134,046
-
4 · Accounts receivable
beginning of year $85,982 · end of year $159,015
-
9 · Prepaid expenses and deferred charges
beginning of year $5,641 · end of year $13,533
-
10a · Land, buildings and equipment: cost or other basis
$540,959
-
10b · Land, buildings and equipment: accumulated depreciation
$237,337
-
10c · Land, buildings and equipment, net
beginning of year $316,915 · end of year $303,622
-
17 · Accounts payable and accrued expenses
beginning of year $16,729 · end of year $24,107
-
27 · Net assets without donor restrictions
beginning of year $3,002,038 · end of year $3,162,461
-
28 · Net assets with donor restrictions
beginning of year $47,378 · end of year $48,800
Mission and programs · 2022
Mission
To create a medical home for uninsured families and individuals in the communities that we serve.
-
The clinic has one primary purpose which is to provide high quality healthcare to uninsured and underinsured patient. In 2022, 6,522 patient visits for 1,605 individuals were offered and 49 volunteers contributed 1,622 hours to the organization.
Expenses $1,800,608 · Revenue $70,395
As filed on the 2022 return.
Listed in Part VII
-
April Cook Through November 2022
Founder/ED Thru 11/22 Board Member Eff 12/22
- Total calculated
- $116,924
- From this org
- $106,643
- From related orgs
- $0
- Other
- $10,281
- Hours/week
- 40
-
Sarah Porter
Executive Director Effective 11/22
- Total calculated
- $20,019
- From this org
- $20,019
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Stephen Antal
Board Chair
- Total calculated
- $0
- Hours/week
- 2
-
Dr David Cook
Founder/Director
- Total calculated
- $0
- Hours/week
- 2
-
Andi Griffin
VP of Governance
- Total calculated
- $0
- Hours/week
- 2
-
Jeff Tarte
VP of Internal
- Total calculated
- $0
- Hours/week
- 2
-
Donna Askew
Co-VP of External
- Total calculated
- $0
- Hours/week
- 2
-
Lisa Alexander
Co-VP of External
- Total calculated
- $0
- Hours/week
- 2
-
Mike Riley
Board Member
- Total calculated
- $0
- Hours/week
- 2
-
Kay James
Board Member
- Total calculated
- $0
- Hours/week
- 2
-
Dr Jose Aunon
Board Member
- Total calculated
- $0
- Hours/week
- 2
-
Justin Burton
Board Member
- Total calculated
- $0
- Hours/week
- 2
-
Dr Tom Brown
Board Member
- Total calculated
- $0
- Hours/week
- 2
-
Caroline Stevens
Board Member
- 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 August 2023
- IRS schema version
- 2022v5.0
- Source object
- 202303149349301415
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