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Nonprofiteer
← MADISON FREE CLINIC INC

Form 990 for tax year 2022

Filed by MADISON FREE CLINIC INC.

Totals

Total revenue
$319,482
Total expenses
$262,769
Contributions and grants received
$311,386
Grants paid
$0
Program service revenue
$0
Investment income
$8,096
Other revenue
$0
Total assets, end of year
$425,194
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$425,194
Program services expenses (Part IX)
$208,555
Management and general expenses
$47,403
Fundraising expenses
$6,811
Program service expenses (Part III)
$208,555

Program services were 79.4% 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)

    $144,668

  • 1f · All other contributions, gifts and grants

    $166,718

  • 3 · Investment income

    total $8,096 · excluded $8,096

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $104,560 · program services $73,192 · management and general $26,140 · fundraising $5,228

  • 10 · Payroll taxes

    total $7,603 · program services $5,322 · management and general $1,901 · fundraising $380

  • 12 · Advertising and promotion

    total $1,422 · program services $1,422

  • 13 · Office expenses

    total $4,636 · program services $193 · management and general $4,443

  • 16 · Occupancy

    total $9,975 · management and general $9,975

  • 17 · Travel

    total $340 · management and general $340

  • 19 · Conferences, conventions and meetings

    total $1,514 · management and general $1,514

  • 23 · Insurance

    total $2,135 · management and general $2,135

  • 24a · Other expenses: HEALTHCARE

    total $102,617 · program services $102,617

  • 24b · Other expenses: MANAGEMENT FEES

    total $8,163 · program services $8,163

  • 24c · Other expenses: OUTREACH

    total $7,037 · program services $7,037

  • 24d · Other expenses: PRESCRIPTIONS

    total $4,427 · program services $4,427

  • 24e · All other expenses

    total $8,340 · program services $6,182 · management and general $955 · fundraising $1,203

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $218,085 · end of year $135,528

  • 2 · Savings and temporary cash investments

    beginning of year $150,396 · end of year $289,666

  • 27 · Net assets without donor restrictions

    beginning of year $368,481 · end of year $425,194

Mission and programs · 2022

Mission

THE MADISON FREE CLINIC, INC. OPERATES A VOLUNTARY NOT-FOR-PROFIT ORGANIZATION LOCATED IN MADISON, VA WHOSE PURPOSE IS TO PROVIDE MEDICAL VISITS AND PRESCRIPTION MEDICATION TO THE INDIGENT MADISON COUNTY RESIDENTS.

  • TO PROVIDE GENERIC AND NON-GENERIC PRESCRIPTIONS, PHYSICIAN VISITS, EYE GLASSES AND DENTAL SERVICES TO UNINSURED INDIGENT MADISON COUNTY RESIDENTS (BELOW 150% OF FEDERAL POVERTY GUIDELINES.)

  • TO PROVIDE GENERIC AND NON-GENERIC PRESCRIPTIONS, PHYSICIAN VISITS, EYE GLASSES AND DENTAL SERVICES TO UNINSURED INDIGENT MADISON COUNTY RESIDENTS (BELOW 150% OF FEDERAL POVERTY GUIDELINES.)

    Expenses $208,555

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

Listed in Part VII

  • Jana Sikora-Jackson

    EXECUTIVE DI

    Total calculated
    $60,084
    From this org
    $60,084
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Cindy Napier Fnp

    VICE PRESIDE

    Total calculated
    $0
    Hours/week
    1

  • Doreen Jenkins Fnp

    DIRECTOR

    Total calculated
    $0
    Hours/week
    6

  • Mariel Lewis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.3

  • Eve Bargmann MD

    PRESIDENT

    Total calculated
    $0
    Hours/week
    4

  • Stephanie Mendlow MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Christine Wallen RN PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.3

  • Edward Sira

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.3

  • William Tanner

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.3

  • Beverly Teel

    TREASURER

    Total calculated
    $0
    Hours/week
    0.3

  • Larry Wolfarth

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.3

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
7 May 2024
IRS schema version
2022v5.0
Source object
202421369349304977

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