Totals
- Total revenue
- $359,016
- Total expenses
- $357,362
- Contributions and grants received
- $359,016
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $0
- Total assets, end of year
- $173,050
- Total liabilities, end of year
- $1,846
- Net assets or fund balances, end of year
- $171,204
- Program services expenses (Part IX)
- $293,463
- Management and general expenses
- $37,755
- Fundraising expenses
- $26,144
- Program service expenses (Part III)
- $293,463
Program services were 82.1% 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)
$132,970
-
1f · All other contributions, gifts and grants
$226,046
-
1g · Noncash contributions included above
$76,106
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $191,747 · program services $162,786 · management and general $15,992 · fundraising $12,969
-
10 · Payroll taxes
total $20,200 · program services $13,319 · management and general $5,806 · fundraising $1,075
-
11c · Fees: accounting
total $4,710 · management and general $4,710
-
12 · Advertising and promotion
total $1,120 · program services $855 · management and general $95 · fundraising $170
-
13 · Office expenses
total $2,046 · program services $1,176 · management and general $725 · fundraising $145
-
19 · Conferences, conventions and meetings
total $1,288 · program services $27 · management and general $1,258 · fundraising $3
-
20 · Interest
total $201 · management and general $201
-
22 · Depreciation, depletion and amortization
total $3,868 · program services $3,868
-
23 · Insurance
total $3,178 · program services $203 · management and general $2,950 · fundraising $25
-
24a · Other expenses: CONTRACT LABOR
total $76,106 · program services $76,106
-
24b · Other expenses: CONSULTING FEES
total $10,759 · program services $7,824 · management and general $2,678 · fundraising $257
-
24c · Other expenses: EVENT EXPENSE
total $10,020 · management and general $17 · fundraising $10,003
-
24d · Other expenses: COMPUTER EQUIP/SUPPLIES
total $8,964 · program services $7,176 · management and general $936 · fundraising $852
-
24e · All other expenses
total $23,155 · program services $20,123 · management and general $2,387 · fundraising $645
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $76,833 · end of year $78,020
-
10a · Land, buildings and equipment: cost or other basis
$208,775
-
10b · Land, buildings and equipment: accumulated depreciation
$118,032
-
10c · Land, buildings and equipment, net
beginning of year $94,611 · end of year $90,743
-
15 · Other assets
end of year $4,287
-
25 · Other liabilities
beginning of year $1,894 · end of year $1,846
-
27 · Net assets without donor restrictions
beginning of year $160,300 · end of year $122,954
-
28 · Net assets with donor restrictions
beginning of year $9,250 · end of year $48,250
Mission and programs · 2022
Mission
HOLLAND FREE MEDICATION CLINIC PRIMARY EXEMPT PURPOSE IS TO PROVIDED HEATH CARE FREE OF CHARGE TO THE POOR AND NEEDY OF THE HOLLAND\ZEELAND COMMUNITY IN WESTERN MICHIGAN.
-
URGENT MEDICATION FINANCIAL ASSISTANCE FOR LOW INCOME CLIENTS WITHOUT PRESCRIPTION INSURANCE.
Expenses $261,522
-
URGENT MEDICATION FINANCIAL ASSISTANCE FOR LOW INCOME CLIENTS WITHOUT PRESCRIPTION INSURANCE.
Expenses $31,941
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Ann Piet AndersonANN PIET ANDERSON
DIRECTOR
- Total calculated
- $0
-
Rachel BaggechRACHEL BAGGECH
DIRECTOR
- Total calculated
- $0
-
Aaron ClarkAARON CLARK
PRESIDENT
- Total calculated
- $0
-
Rachel HortonRACHEL HORTON
DIRECTOR
- Total calculated
- $0
-
Jordan KamphuisJORDAN KAMPHUIS
DIRECTOR
- Total calculated
- $0
-
Vicki KavanaughVICKI KAVANAUGH
SECRETARY
- Total calculated
- $0
-
John NicelyJOHN NICELY
MEDICAL DIRE
- Total calculated
- $0
-
Chad PierceCHAD PIERCE
DIRECTOR
- Total calculated
- $0
-
Shane PiersSHANE PIERS
TREASURER
- Total calculated
- $0
-
Luis RebolledoLUIS REBOLLEDO
DIRECTOR
- Total calculated
- $0
-
Sally RietveldSALLY RIETVELD
DIRECTOR
- Total calculated
- $0
-
Jeff CompagnerJEFF COMPAGNER
EXE.DIRECTOR
- Total calculated
- $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
- 2 May 2023
- IRS schema version
- 2022v5.0
- Source object
- 202331929349300623
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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