SUSAN DEW HOFF MEMORIAL CLINIC INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: SUSAN DEW HOFF MEMORIAL CLINIC INC (EIN 55-0768457)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202503219349308145
Schema version: 2024v5.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T12:44:23-05:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	550357807	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	TETRICK & BARTLETT PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1916	AddressLine1Txt
City	CLARKSBURG	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	263021916	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	550768457	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN DEW HOFF MEMORIAL CLINIC INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	SUSA	BusinessNameControlTxt
Phone	3047453700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	623 LIBERTY STREET	AddressLine1Txt
City	WEST MILFORD	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26451	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DR JD HISSEM DDS	PersonNm
Person Title	CHAIR	PersonTitleTxt
Phone	3047453700	PhoneNum
Signature	2025-11-14	SignatureDt

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	false	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MARY C FLEECE	PreparerPersonNm
PTIN	P01336673	PTIN
Phone	3046245564	PhoneNum
Preparation	2025-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Special Condition	NA	SpecialConditionDesc

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN DEW HOFF MEMORIAL CLINIC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DR JENNY SANTELLI	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	623 LIBERTY AVENUE	AddressLine1Txt
City	WEST MILFORD	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26451	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$355,326	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	N/A	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1999	FormationYr
Legal Domicile State	WV	LegalDomicileStateCd
Activity Or Mission	PROVIDE HEALTH AND DENTAL CARE TO THE UNINSURED WORKING POOR.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	2	TotalEmployeeCnt
Total Volunteers	18	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$379,738	PYContributionsGrantsAmt
CY Contributions Grants	$347,536	CYContributionsGrantsAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$3,917	PYInvestmentIncomeAmt
CY Investment Income	$7,790	CYInvestmentIncomeAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$383,655	PYTotalRevenueAmt
CY Total Revenue	$355,326	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$86,583	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$85,463	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$361,447	PYOtherExpensesAmt
CY Other Expenses	$283,468	CYOtherExpensesAmt
PY Total Expenses	$448,030	PYTotalExpensesAmt
CY Total Expenses	$368,931	CYTotalExpensesAmt
PY Revenues Less Expenses	-$64,375	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$13,605	CYRevenuesLessExpensesAmt
Total Assets BOY	$540,870	TotalAssetsBOYAmt
Total Assets EOY	$565,059	TotalAssetsEOYAmt
Total Liabilities BOY	$5,283	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,685	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$535,587	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$562,374	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE HEALTH ASSESSMENT, PROMOTION AND REFERRAL SERVICES TO THE WORKING POOR WHO LACK MEDICAL AND DENTAL INSURANCE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$327,768	ExpenseAmt
Desc	IN 2024, THE CLINIC HELD 65 CLINICS AND PROVIDED SERVICES FOR 779 PATIENTS. THERE WERE 1,310 PROCEDURES, WHICH INCLUDED 345 X-RAYS, 3 PANORAMICS, 141 CLEANINGS, 245 FILLINGS, 503 EXTRACTIONS, FASHIONED 31 PARTIALS/DENTURES, 21 CROWNS, 11 RELINE/REPAIRS, AND 10 REFERRALS OUT FOR ROOT CANALS AND/OR ORAL SURGERY. IN ADDITION, AN OUTSIDE CONTRACTED DENTIST TREATED ANOTHER 190 PATIENTS. THE CLINIC ADDED 78 NEW PATIENTS, ALONG WITH 21 CANCER PATIENTS, 82 DIABETICS AND 130 VETERAN VISITS.	Desc
Total Program Service Expenses	$327,768	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	Yes (true)	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	false	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	4	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2	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	18	GoverningBodyVotingMembersCnt
Independent Voting Member	18	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	false	WhistleblowerPolicyInd
Document Retention Policy	false	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	GAIL MARSH	PersonNm
Phone	3047453700	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	623 LIBERTY AVENUE	AddressLine1Txt
City	WEST MILFORD	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26451	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
DR ANDREW MINIGH DDS
BOARD MEMBER	1.00	Yes (X)	$30,000	$0	$0
DR MARK SPIKER DDS
BOARD MEMBER	1.00	Yes (X)	$14,500	$0	$0
DR PAT COBB DDS
BOARD MEMBER	1.00	Yes (X)	$4,400	$0	$0
MARY BINEGAR
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
VANESSA BOWLES
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DR ROBERT WANKER DDS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DR JD HISSEM DDS
CHAIR	4.00	Yes (X)	$0	$0	$0	Yes (X)
BONNIE JACOBS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JOELLEN KEMMNER
VICE-CHAIR	4.00	Yes (X)	$0	$0	$0	Yes (X)
BERNICE JEAN LUCAS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
SANDRA MANO
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
BARBARA PRINCE
TREASURER	4.00	Yes (X)	$0	$0	$0	Yes (X)
CECELIA REID
SECRETARY	4.00	Yes (X)	$0	$0	$0	Yes (X)
TODD SOMMERS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
BEVERLY TALBERT
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
MARY LOU VARGO
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
ANDY WHARTON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DR JENNY SANTELLI
EXECUTIVE DI	10.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$48,900	TotalReportableCompFromOrgAmt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Federated Campaigns	$14,583	FederatedCampaignsAmt
All Other Contributions	$332,953	AllOtherContributionsAmt
Total Contributions	$347,536	TotalContributionsAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,790	TotalRevenueColumnAmt
Exclusion	$7,790	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$355,326	TotalRevenueColumnAmt
Exclusion	$7,790	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$79,420	TotalAmt
Program Services	$54,650	ProgramServicesAmt
Management And General	$24,770	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,043	TotalAmt
Program Services	$4,158	ProgramServicesAmt
Management And General	$1,885	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$6,750	TotalAmt
Program Services	$3,375	ProgramServicesAmt
Management And General	$3,375	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,436	TotalAmt
Management And General	$4,436	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$26,662	TotalAmt
Program Services	$26,662	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,142	TotalAmt
Program Services	$1,142	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$9,529	TotalAmt
Program Services	$9,529	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
CONTRACT SERVICES	$215,952	$215,952
DENTAL SUPPLIES	$10,461	$10,461
TELEPHONE & INTERNET	$3,678	$1,839	$1,839
OTHER EXPENSES	$2,686		$2,686

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,172	TotalAmt
Management And General	$2,172	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$368,931	TotalAmt
Program Services	$327,768	ProgramServicesAmt
Management And General	$41,163	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$156,565	BOYAmt
EOY	$188,496	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$373,697	BOYAmt
EOY	$366,335	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,356	BOYAmt
EOY	$7,118	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$57,079	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$53,969	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$4,252	BOYAmt
EOY	$3,110	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$540,870	BOYAmt
EOY	$565,059	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,283	BOYAmt
EOY	$2,685	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$5,283	BOYAmt
EOY	$2,685	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	$535,587	BOYAmt
EOY	$562,374	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$535,587	BOYAmt
EOY	$562,374	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$540,870	BOYAmt
EOY	$565,059	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$13,605	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$40,392	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (true)	AccountantCompileOrReviewInd
FS Audited	false	FSAuditedInd
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	$322,963	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$486,375	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$376,040	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$379,738	CurrentTaxYearMinus1YearAmt
Current Tax Year	$347,536	CurrentTaxYearAmt
Total	$1,912,652	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$322,963	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$486,375	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$376,040	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$379,738	CurrentTaxYearMinus1YearAmt
Current Tax Year	$347,536	CurrentTaxYearAmt
Total	$1,912,652	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$1,912,652	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,146	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,827	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,220	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$3,917	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,790	CurrentTaxYearAmt
Total	$35,900	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,948,552	TotalSupportAmt
Public Support CY170	0.98160	PublicSupportCY170Pct
Public Support PY170	0.98210	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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$6,647	OtherCostOrOtherBasisAmt
Depreciation	$5,464	DepreciationAmt
Book Value	$1,183	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$50,432	OtherCostOrOtherBasisAmt
Depreciation	$48,505	DepreciationAmt
Book Value	$1,927	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,110	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE D, PAGE 3, PART X	FormAndLineReferenceDesc
Explanation	THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS RECOGNIZED AS TAX EXEMPT UNDER 50L(A) OF THE CODE. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION UNDER 509(A)(1). THE ORGANIZATION HAD NO UNRELATED BUSINESS INCOME DURING THE YEAR ENDED DECEMBER 31, 2024. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE ORGANIZATION HAS CONCLUDED THAT AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEAR ENDED DECEMBER 31, 2021, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11B	THE BOARD MEMBERS ARE PROVIDED A COPY OF THE 990 AND IT IS REVIEWED AT BOARD MEETING.
FORM 990, PAGE 6, PART VI, LINE 12C	THE CLINIC ENFORCES AN ANNUAL DISCLOSURE REQUIRMENT WITH ITS CONFLICT OF INTEREST POLICY.
FORM 990, PAGE 6, PART VI, LINE 19	THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9	PRIOR PERIOD ADJUSTMENT 40,392 PRIOR PERIOD ADJUSTMENT WAS DUE TO REPORTING THE FAIR MARKET VALUE OF THE INVESTMENT CONTRACT WITH INSURANCE COMPANIES.
FORM 990, PAGE 12, PART XII, LINE 2C	THE ORGANIZATION HAS A COMMITEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OR REVIEW OF ITS FINANCIAL STATEMENTS. THE SELECTION PROCESS FOR CHOOSING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PREVIOUS YEAR.