Totals
- Total revenue
- $187,450
- Total expenses
- $122,838
- Contributions and grants received
- $151,267
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $10,905
- Other revenue
- $25,278
- Total assets, end of year
- $567,513
- Total liabilities, end of year
- $7,785
- Net assets or fund balances, end of year
- $559,728
- Program services expenses (Part IX)
- $73,757
- Management and general expenses
- $46,066
- Fundraising expenses
- $3,015
- Program service expenses (Part III)
- $73,757
Program services were 60.0% 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.
-
1c · Fundraising events
$53,303
-
1f · All other contributions, gifts and grants
$97,964
-
3 · Investment income
total $10,905 · excluded $10,905
-
6a · Gross rents
real property $13,406
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $13,406
-
6d · Net rental income or loss
total $13,406 · excluded $13,406
-
8a · Fundraising events: gross income
$16,455
-
8a · Fundraising events: contributions included on line 1c
$53,303
-
8b · Fundraising events: direct expenses
$12,379
-
8c · Net income from fundraising events
total $4,076 · excluded $4,076
-
11a · Other revenue: MISCELLANEOUS
total $7,796 · excluded $7,796
-
11e · Other revenue, total
$7,796
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $26,969 · program services $12,136 · management and general $12,136 · fundraising $2,697
-
10 · Payroll taxes
total $2,182 · program services $982 · management and general $982 · fundraising $218
-
11c · Fees: accounting
total $17,176 · management and general $17,176
-
12 · Advertising and promotion
total $392 · program services $392
-
13 · Office expenses
total $10,205 · program services $3,239 · management and general $6,966
-
14 · Information technology
total $697 · program services $575 · management and general $122
-
16 · Occupancy
total $32,961 · program services $27,193 · management and general $5,768
-
19 · Conferences, conventions and meetings
total $775 · program services $775
-
23 · Insurance
total $5,738 · program services $4,734 · management and general $1,004
-
24a · Other expenses: PHARMACEUTICALS, MEDICA
total $14,817 · program services $14,717 · fundraising $100
-
24b · Other expenses: VOLUNTEER APPRECIATION
total $6,102 · program services $5,034 · management and general $1,068
-
24c · Other expenses: MISCELLANEOUS EXPENSE
total $2,423 · program services $1,999 · management and general $424
-
24d · Other expenses: EQUIP & BLDG MAINTENANC
total $2,401 · program services $1,981 · management and general $420
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $382,888 · end of year $52,986
-
2 · Savings and temporary cash investments
beginning of year $106,263 · end of year $502,392
-
10a · Land, buildings and equipment: cost or other basis
$74,867
-
10b · Land, buildings and equipment: accumulated depreciation
$74,867
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $10,490 · end of year $12,135
-
17 · Accounts payable and accrued expenses
beginning of year $3,960 · end of year $6,486
-
25 · Other liabilities
beginning of year $565 · end of year $1,299
-
29 · Capital stock, trust principal or current funds
beginning of year $0 · end of year $0
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $0 · end of year $0
-
31 · Retained earnings, endowment or other funds
beginning of year $495,116 · end of year $559,728
Mission and programs · 2025
Mission
TO PROVIDE FREE URGENT CARE FOR THE UNINSURED WHOSE INCOME IS AT OR BELOW 200% OF THE POVERTY LEVEL AND TO ASSIST IN IDENTIFYING CONTINUITY OF CARE.
Activities or mission (Part I)
TO PROVIDE FREE URGENT CARE FOR THE UNINSURED AND TO ASSIST IN IDENTIFYING CONTINUITY OF CARE.
-
UNDER-INSURED PATIENTS:WE SERVE ALL PEOPLE WHO DO NOT HAVE INSURANCE AND WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. IN 2025, WE HAD 697 PATIENT VISITS OF WHICH 393 WERE UNIQUE PATIENTS. ALL WERE UNINSURED AND THEIR INCOME LEVEL WAS AT/BELOW 200% OF THE FEDERAL POVERTY GUIDELINES.
Expenses $60,665
-
HYPERTENSION:HYPERTENSION IS A COMPLEX MEDICAL ISSUE REQUIRING CLOSE MONITORING. IN 2025, WE MANAGED PATIENT CARE FOR APPROXIMATELY 118 PATIENTS WHO HAVE HYPERTENSION. WE PROVIDE NEEDED MEDICATIONS (QUARTERLY) AND BLOODWORK (ANNUALLY AND AS NEEDED) FOR THESE PATIENTS.
Expenses $5,900
-
DIABETES:DIABETES IS A COMPLEX MEDICAL ISSUE REQUIRING CLOSE MONITORING. IN 2025, WE MANAGED PATIENT CARE FOR APPROXIMATELY 31 PATIENTS WHO HAVE DIABETES. MOST OF THESE PATIENTS ALSO HAVE HYPERTENSION AS A CO-MORBIDITY. WE PROVIDE MEDICATIONS, DIABETIC TESTING SUPPLIES, AND BLOODWORK ON A QUARTERLY BASIS FOR THESE PATIENTS.
Expenses $7,192
As filed on the 2025 return.
Listed in Part VII
-
Martin HauserMARTIN HAUSER
PRESIDENT
- Total calculated
- $0
- Hours/week
- 3
-
Kathleen KostelnickKATHLEEN KOSTELNICK
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Emily Gale Scott MDEMILY GALE SCOTT MD
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
T Randall FairfaxT RANDALL FAIRFAX
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Judge Todd McKenneyJUDGE TODD MCKENNEY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
James PachelJAMES PACHEL
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Zachary MeyerZACHARY MEYER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Pastor David WeyrichPASTOR DAVID WEYRICH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
David Hoff MDDAVID HOFF MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Titus Sheers MDTITUS SHEERS MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Joshua Raines DoJOSHUA RAINES DO
BOARD MEMBER
- 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
- 2025
- Filed
- 7 May 2026
- IRS schema version
- 2025v4.1
- Source object
- 202601329349303355
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