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Nonprofiteer
← MONTGOMERY COUNTY FREE CLINIC INC

Form 990 for tax year 2022

Filed by MONTGOMERY COUNTY FREE CLINIC INC.

Totals

Total revenue
$253,672
Total expenses
$234,129
Contributions and grants received
$199,828
Grants paid
$0
Program service revenue
$50,762
Investment income
$3,082
Other revenue
$0
Total assets, end of year
$1,270,806
Total liabilities, end of year
$2,365
Net assets or fund balances, end of year
$1,268,441
Program services expenses (Part IX)
$234,129
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$234,129

Program services were 100.0% 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.

  • 1f · All other contributions, gifts and grants

    $199,828

  • 2a · Program service revenue: MEALS ON WHEELS

    total $50,762 · related or exempt $50,762

  • 3 · Investment income

    total $3,082 · related or exempt $3,082

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $91,576 · program services $91,576

  • 10 · Payroll taxes

    total $7,006 · program services $7,006

  • 11c · Fees: accounting

    total $2,799 · program services $2,799

  • 11g · Fees: other

    total $1,315 · program services $1,315

  • 12 · Advertising and promotion

    total $495 · program services $495

  • 13 · Office expenses

    total $1,140 · program services $1,140

  • 16 · Occupancy

    total $10,291 · program services $10,291

  • 22 · Depreciation, depletion and amortization

    total $23,750 · program services $23,750

  • 23 · Insurance

    total $5,995 · program services $5,995

  • 24a · Other expenses: MEALS ON WHEELS PROGRAM

    total $47,048 · program services $47,048

  • 24b · Other expenses: FUNDRAISING COSTS

    total $10,479 · program services $10,479

  • 24c · Other expenses: MEDICAL

    total $7,472 · program services $7,472

  • 24d · Other expenses: FEES, DUES, SUBSCRIPTIO

    total $6,275 · program services $6,275

  • 24e · All other expenses

    total $18,488 · program services $18,488

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $184,308 · end of year $326,824

  • 2 · Savings and temporary cash investments

    beginning of year $103,131

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,122

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

    $1,049,962

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

    $364,103

  • 10c · Land, buildings and equipment, net

    beginning of year $707,127 · end of year $685,859

  • 13 · Investments: program-related

    beginning of year $150,000 · end of year $150,000

  • 15 · Other assets

    beginning of year $55,269 · end of year $108,123

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,912 · end of year $2,365

  • 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 $1,197,045 · end of year $1,268,441

Mission and programs · 2022

Mission

PROVIDING FREE BASIC MEDICAL AND DENTAL SERVICES TO UNINSURED RESIDENTS WHO MEET INCOME GUIDELINES IN MONTGOMERY COUNTY

Activities or mission (Part I)

THE CLINIC OFFERS FREE BASIC MEDICAL AND DENTAL SERVICES TO UNINSURED RESIDENTS WHO MEET INCOME GUIDELINES.

  • PROVIDED FREE BASIC MEDICAL AND DENTAL SERVICES TO UNINSURED RESIDENTS WHO MET INCOME GUIDELINES IN MONTGOMERY COUNTY.

  • Withheld by Nonprofiteer: this text may name a private individual.

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • David Johnson

    EXECUTIVE DIRECTOR

    Total calculated
    $12,625
    From this org
    $12,625
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Donna Hendrickson

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0

  • Vacant

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    0

  • Judy Pfledderer

    SECRETARY

    Total calculated
    $0
    Hours/week
    0

  • Dan Bergfors

    TREASURER

    Total calculated
    $0
    Hours/week
    0

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
9 August 2023
IRS schema version
2022v5.0
Source object
202302409349301000

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