CARE CLINIC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- CARE CLINIC (EIN 27-0540451)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-11
- IRS object ID
- 202243159349306184
- Schema version
- 2021v4.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-11T16:31:39-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 411532347 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HARRINGTON LANGER & ASSOCIATES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 563 PHALEN BLVD | AddressLine1Txt |
| City | SAINT PAUL | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55130 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270540451 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | C A R E CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CARE | BusinessNameControlTxt |
| Phone | 6513881022 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 906 COLLEGE AVE | AddressLine1Txt |
| City | RED WING | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55066 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JULIE MALYON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 6513881022 | PhoneNum |
| Signature | 2022-10-24 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JULIE | PersonFirstNm |
| Person Last | MALYON | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NICHOLE FAIRBANKS | PreparerPersonNm |
| PTIN | P00967515 | PTIN |
| Phone | 6514811128 | PhoneNum |
| Preparation | 2022-11-11 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JULIE MALYON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 906 COLLEGE AVE | AddressLine1Txt |
| City | RED WING | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55066 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,359,173 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CARECLINICRW.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | MN | LegalDomicileStateCd |
| Activity Or Mission | TO CONTRIBUTE TO THE COMMUNITY BY IMPROVING HEALTH CARE ACCESS, CONNECTING PEOPLE TO RESOURCES AND PROMOTING HEALTH EDUCATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $782,671 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,026,445 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $165,870 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $331,354 | CYProgramServiceRevenueAmt |
| PY Investment Income | $726 | PYInvestmentIncomeAmt |
| CY Investment Income | $759 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,116 | PYOtherRevenueAmt |
| CY Other Revenue | $615 | CYOtherRevenueAmt |
| PY Total Revenue | $950,383 | PYTotalRevenueAmt |
| CY Total Revenue | $1,359,173 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $347,003 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $514,661 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $14,884 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $456,659 | PYOtherExpensesAmt |
| CY Other Expenses | $761,746 | CYOtherExpensesAmt |
| PY Total Expenses | $803,662 | PYTotalExpensesAmt |
| CY Total Expenses | $1,276,407 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $146,721 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $82,766 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $593,699 | TotalAssetsBOYAmt |
| Total Assets EOY | $688,560 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $59,137 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $71,232 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $534,562 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $617,328 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO CONTRIBUTE TO THE COMMUNITY BY IMPROVING HEALTH CARE ACCESS, CONNECTING PEOPLE TO RESOURCES AND PROMOTING HEALTH EDUCATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $593,226 | ExpenseAmt |
| Revenue | $676,750 | RevenueAmt |
| Desc | THE MEDICAL CLINIC SERVES LOW INCOME INDIVIDUALS WHO ARE UNINSURED AND LIVE IN GOODHUE COUNTY. WE HAVE HAD A STRONG SUPPORT FROM OUR COMMUNITY THROUGH FINANCIAL GIVING, GIFTS-IN-KIND AND INDIVIDUAL TIME OF VOLUNTEERS. WE HAVE ALMOST 200 VOLUNTEERS TRAINED AND READY TO SERVE. THE CLINIC IS OPEN TUESDAY EVENINGS AND IS STAFFED BY OVER 25 VOLUNTEERS EACH WEEK. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $432,157 | ExpenseAmt |
| Revenue | $507,742 | RevenueAmt |
| Desc | THE DENTAL CLINIC OPENED ON MAY 26TH, 2011 AND IS SERVING PATIENTS FOUR DAYS PER WEEK. ON AVERAGE THE DENTAL CLINIC SEES 49 PATIENTS EACH WEEK, INCLUDING EXTRACTIONS, FILLINGS, CLEANINGS, AND X-RAY SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $68,233 | ExpenseAmt |
| Revenue | $76,011 | RevenueAmt |
| Desc | THE MNSURE PROGRAM PROVIDES BI-LINGUAL INSURANCE ASSISTANCE TO OVER 3,000 INDIVIDUALS EACH YEAR BY TRAINED STAFF TO PROVIDE FREE APPLICATION, ENROLLMENT, AND FOLLOW-UP ASSISTANCE FOR INDIVIDUALS TO BE CONNECTED WITH AFFORDABLE HEALTH COVERAGE. OUR MNSURE STAFF ALSO HELPS CONNECT INDIVIDUALS WITH OTHER COMMUNITY RESOURCES ON AN AS NEEDED BASIS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $49,620 | ExpenseAmt |
| Revenue | $48,838 | RevenueAmt |
| Desc | THE HISPANIC FAMILY THERAPY PROGRAM OPENED IN JANUARY 2015 TO SPECIFICALLY TARGET THE GROWING MENTAL HEALTH NEEDS OF THE SPANISH SPEAKING POPULATION IN OUR COMMUNITY. THIS PROGRAM SERVICES 5-6 PATIENTS PER WEEK. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $49,620 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $48,838 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,143,236 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | false | BackupWthldComplianceInd |
| Employee | 17 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MN | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | C A R E CLINIC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6513881022 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 906 COLLEGE AVE | AddressLine1Txt |
| City | RED WING | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55066 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| JULIE MALYON | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $70,866 | $0 | $1,417 | |
| BREANNA LINDGREN | ||||||
| FINANCE MANA | 40.00 | Yes (X) | $42,202 | $0 | $840 | |
| MIKE GROVE | ||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GARY IOCCO | ||||||
| BOARD VICE C | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BARBARA AUGUSTINE | ||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JOHN DIMUNATION | ||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JAMES LARSON | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| KARINA HERRAN | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| DR DANN HEILMAN | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| CONNIE HANSON | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| MARY EBERLEIN | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| YANELIS JINETE | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| TERRI JOHNSON | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| JERRY OLSON | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| TOM BROWN | ||||||
| BOARD MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $113,068 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $2,257 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $166,760 | GovernmentGrantsAmt |
| All Other Contributions | $859,685 | AllOtherContributionsAmt |
| Noncash Contributions | $424,753 | NoncashContributionsAmt |
| Total Contributions | $1,026,445 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLIENT SERVICE FEES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $331,354 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $331,354 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $331,354 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $759 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $759 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Total Revenue Column | $615 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $615 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $615 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,359,173 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $332,728 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,485 | TotalAmt |
| Program Services | $59,905 | ProgramServicesAmt |
| Management And General | $44,461 | ManagementAndGeneralAmt |
| Fundraising | $10,119 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $352,837 | TotalAmt |
| Program Services | $322,850 | ProgramServicesAmt |
| Management And General | $26,610 | ManagementAndGeneralAmt |
| Fundraising | $3,377 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,937 | TotalAmt |
| Program Services | $5,365 | ProgramServicesAmt |
| Management And General | $6,572 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,402 | TotalAmt |
| Program Services | $28,528 | ProgramServicesAmt |
| Management And General | $5,789 | ManagementAndGeneralAmt |
| Fundraising | $1,085 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,070 | TotalAmt |
| Program Services | $135,760 | ProgramServicesAmt |
| Management And General | $8,310 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,119 | TotalAmt |
| Program Services | $9,778 | ProgramServicesAmt |
| Management And General | $6,133 | ManagementAndGeneralAmt |
| Fundraising | $208 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,972 | TotalAmt |
| Program Services | $10,568 | ProgramServicesAmt |
| Management And General | $7,404 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,548 | TotalAmt |
| Program Services | $11,701 | ProgramServicesAmt |
| Management And General | $2,847 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| IN-KIND PHARMACEUTICALS | $424,753 | $424,753 | ||
| DENTAL EXPENSES | $51,751 | $51,751 | ||
| OTHER EXPENSES | $47,600 | $37,344 | $10,161 | $95 |
| MEDICAL EXPENSES | $41,342 | $41,342 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,591 | TotalAmt |
| Program Services | $3,591 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,276,407 | TotalAmt |
| Program Services | $1,143,236 | ProgramServicesAmt |
| Management And General | $118,287 | ManagementAndGeneralAmt |
| Fundraising | $14,884 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $313,132 | BOYAmt |
| EOY | $150,099 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,866 | BOYAmt |
| EOY | $350,380 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,886 | BOYAmt |
| EOY | $93,538 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,665 | BOYAmt |
| EOY | $8,074 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $204,490 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $118,021 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,150 | BOYAmt |
| EOY | $86,469 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,699 | BOYAmt |
| EOY | $688,560 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,137 | BOYAmt |
| EOY | $71,232 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,137 | BOYAmt |
| EOY | $71,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $432,747 | BOYAmt |
| EOY | $513,167 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $101,815 | BOYAmt |
| EOY | $104,161 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $534,562 | BOYAmt |
| EOY | $617,328 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $593,699 | BOYAmt |
| EOY | $688,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $82,766 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $328,234 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $341,457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $464,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $782,671 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,026,445 | CurrentTaxYearAmt |
| Total | $2,943,101 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $328,234 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $341,457 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $464,294 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $782,671 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,026,445 | CurrentTaxYearAmt |
| Total | $2,943,101 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $242,828 | SubstantialContributorsTotAmt |
| Public Support Total170 | $2,700,273 | PublicSupportTotal170Amt |
| Total Support | $2,943,101 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $564,328 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.91750 | PublicSupportCY170Pct |
| Public Support PY170 | 0.89610 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $78,284 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,657 | DepreciationAmt |
| Book Value | $62,627 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $126,206 | OtherCostOrOtherBasisAmt |
| Depreciation | $102,364 | DepreciationAmt |
| Book Value | $23,842 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $86,469 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $1,511,139 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $151,966 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $151,966 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,359,173 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $1,359,173 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,428,373 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $151,966 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $151,966 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,276,407 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $1,276,407 | TotalExpensesPerForm990Amt |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $424,753 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | THE HISPANIC FAMILY THERAPY PROGRAM OPENED IN JANUARY 2015 TO SPECIFICALLY TARGET THE GROWING MENTAL HEALTH NEEDS OF THE SPANISH SPEAKING POPULATION IN OUR COMMUNITY. THIS PROGRAM SERVICES 5-6 PATIENTS PER WEEK. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FINANCE DIRECTOR AND TREASURER WILL REVIEW WITH BOARD. OTHERWISE, REVIEW WITH FINANCE COMMITTEE AND BOARD CHAIR. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ANNUAL REVIEW BY BOARD MEMBERS AND ALL STAFF. |
| FORM 990, PAGE 6, PART VI, LINE 19 | UPON REQUEST |
| FORM 990, PART IX, LINE 11G | OTHER FEES 135,760 8,310 0 |