THE NORTHERN NECK MIDDLESEX FREE HEALTH CLINIC INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- THE NORTHERN NECK MIDDLESEX FREE HEALTH CLINIC INC (EIN 54-1679279)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-15
- IRS object ID
- 201821359349302072
- Schema version
- 2016v3.0
- 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 | 2018-05-15T08:25:13-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540565834 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MITCHELL WIGGINS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 FLANK ROAD | AddressLine1Txt |
| City | PETERSBURG | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 238059152 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541679279 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE NORTHERN NECK-MIDDLESEX | BusinessNameLine1Txt |
| Business Name Line2 | FREE HEALTH CLINIC INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8044350575 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1694 | AddressLine1Txt |
| City | KILMARNOCK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | R JEAN NELSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 8044350575 | PhoneNum |
| Signature | 2018-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | M JAMES HARTSON JR CPA | PreparerPersonNm |
| PTIN | P00590214 | PTIN |
| Phone | 8047335566 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | R JEAN NELSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 51 WILLIAM B GRANT COURT | AddressLine1Txt |
| City | KILMARNOCK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $5,005,977 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NNFHC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1993 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | THE CLINIC SERVES LOW-INCOME, UNINSURED RESIDENTS OF THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA. THEY EMBRACE HEALTH AND WELLNESS AS THE FOUNDATION FOR QUALITY OF LIFE AND DEDICATE THEMSELVES TO PROVIDING THE HIGHEST LEVEL OF MEDICAL CARE TO ALL THOSE THEY SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 29 | TotalEmployeeCnt |
| Total Volunteers | 270 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,371,292 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,995,315 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $143,237 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $147,410 | CYProgramServiceRevenueAmt |
| PY Investment Income | $226,828 | PYInvestmentIncomeAmt |
| CY Investment Income | $55,133 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,745 | PYOtherRevenueAmt |
| CY Other Revenue | $3,619 | CYOtherRevenueAmt |
| PY Total Revenue | $2,745,102 | PYTotalRevenueAmt |
| CY Total Revenue | $4,201,477 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,793,086 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $731,324 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $832,585 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $36,199 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,425,757 | PYOtherExpensesAmt |
| CY Other Expenses | $445,463 | CYOtherExpensesAmt |
| PY Total Expenses | $3,157,081 | PYTotalExpensesAmt |
| CY Total Expenses | $4,071,134 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$411,979 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $130,343 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,831,928 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,113,750 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $118,884 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $103,857 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,713,044 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,009,893 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE CLINIC SERVES LOW-INCOME, UNINSURED RESIDENTS OF THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA. THEY EMBRACE HEALTH AND WELLNESS AS THE FOUNDATION FOR QUALITY OF LIFE AND DEDICATE THEMSELVES TO PROVIDING THE HIGHEST LEVEL OF MEDICAL CARE TO ALL THOSE THEY SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,008,072 | ExpenseAmt |
| Grant | $2,793,086 | GrantAmt |
| Revenue | $82,390 | RevenueAmt |
| Desc | PHARMACY PROVIDES PRESCRIPTIONS TO UNINSURED OR UNDERINSURED INDIVIDUALS IN THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA AT LITTLE TO NO COST. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $561,337 | ExpenseAmt |
| Revenue | $3,619 | RevenueAmt |
| Desc | HEALTH CLINIC PROVIDES MEDICAL CARE TO UNINSURED OR UNDERINSURED INDIVIDUALS IN THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $350,605 | ExpenseAmt |
| Revenue | $65,020 | RevenueAmt |
| Desc | DENTAL CLINIC PROVIDES DENTAL CARE AT REDUCED FEES TO PATIENTS IN THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,920,014 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 29 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | VA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORPORATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8044350575 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 51 WILLIAM B GRAHAM COURT | AddressLine1Txt |
| City | KILMARNOCK | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22482 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| R JEAN NELSON | ||||||
| EXECUTIVE DIRECTOR | 60.00 | Yes (X) | Yes (X) | $103,308 | $0 | $15,274 |
| JO CROCKETT | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BILL ARNOLD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BONNIE BRYANT | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SCOTT GRAHAM | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BARRET KEAN | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN MAY | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PAGE HENLEY | ||||||
| TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| KATHRYN VOSE | ||||||
| VICE PRESIDENT | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JOHN O'SHAUGHNESSY | ||||||
| PRESIDENT | 6.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| BILL LEE | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RICHARD BAYLOR MD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $103,308 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $15,274 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARTON ASSOCIATES INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 417844 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 022417844 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | OUTSIDE MEDICAL SERVICES | ServicesDesc |
| Compensation | $112,796 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $189,905 | GovernmentGrantsAmt |
| All Other Contributions | $3,805,410 | AllOtherContributionsAmt |
| Noncash Contributions | $2,654,884 | NoncashContributionsAmt |
| Total Contributions | $3,995,315 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DENTAL FEES | 611300 | $44,726 | $44,726 |
| PHARMACY HDS | 446110 | $41,619 | $41,619 |
| PHARMACY SUPPORT | 446110 | $40,771 | $40,771 |
| DENTAL DENTURES | 621300 | $20,294 | $20,294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $147,410 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,039 | TotalRevenueColumnAmt |
| Exclusion | $53,039 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $806,594 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $804,500 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,094 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,094 | TotalRevenueColumnAmt |
| Exclusion | $2,094 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL RECORDS | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $3,619 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,619 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,619 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,201,477 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $151,029 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $55,133 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,793,086 | TotalAmt |
| Program Services | $2,793,086 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,886 | TotalAmt |
| Program Services | $73,594 | ProgramServicesAmt |
| Management And General | $17,419 | ManagementAndGeneralAmt |
| Fundraising | $11,873 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $616,445 | TotalAmt |
| Program Services | $595,451 | ProgramServicesAmt |
| Management And General | $14,961 | ManagementAndGeneralAmt |
| Fundraising | $6,033 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,159 | TotalAmt |
| Program Services | $10,055 | ProgramServicesAmt |
| Management And General | $733 | ManagementAndGeneralAmt |
| Fundraising | $371 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,507 | TotalAmt |
| Program Services | $42,811 | ProgramServicesAmt |
| Management And General | $3,119 | ManagementAndGeneralAmt |
| Fundraising | $1,577 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,588 | TotalAmt |
| Program Services | $50,887 | ProgramServicesAmt |
| Management And General | $2,360 | ManagementAndGeneralAmt |
| Fundraising | $1,341 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,038 | TotalAmt |
| Program Services | $89,038 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,800 | TotalAmt |
| Management And General | $27,800 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,057 | TotalAmt |
| Management And General | $22,057 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,790 | TotalAmt |
| Program Services | $8,090 | ProgramServicesAmt |
| Fundraising | $3,700 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,826 | TotalAmt |
| Program Services | $141 | ProgramServicesAmt |
| Management And General | $2,685 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,058 | TotalAmt |
| Program Services | $46,721 | ProgramServicesAmt |
| Management And General | $7,716 | ManagementAndGeneralAmt |
| Fundraising | $8,621 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,328 | TotalAmt |
| Program Services | $33,606 | ProgramServicesAmt |
| Management And General | $1,445 | ManagementAndGeneralAmt |
| Fundraising | $277 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,641 | TotalAmt |
| Program Services | $21,628 | ProgramServicesAmt |
| Management And General | $1,818 | ManagementAndGeneralAmt |
| Fundraising | $1,195 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,623 | TotalAmt |
| Program Services | $1,401 | ProgramServicesAmt |
| Management And General | $214 | ManagementAndGeneralAmt |
| Fundraising | $8 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,390 | TotalAmt |
| Management And General | $1,390 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,013 | TotalAmt |
| Program Services | $25,704 | ProgramServicesAmt |
| Management And General | $272 | ManagementAndGeneralAmt |
| Fundraising | $37 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,644 | TotalAmt |
| Program Services | $28,580 | ProgramServicesAmt |
| Management And General | $1,788 | ManagementAndGeneralAmt |
| Fundraising | $276 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $45,855 | $45,855 | ||
| DENTAL EXPENSE | $36,449 | $36,449 | ||
| LAB AND TEST FEES | $15,038 | $15,038 | ||
| VOLUNTEER SUPPORT | $8,517 | $797 | $7,659 | $61 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,396 | TotalAmt |
| Program Services | $1,082 | ProgramServicesAmt |
| Management And General | $1,485 | ManagementAndGeneralAmt |
| Fundraising | $829 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,071,134 | TotalAmt |
| Program Services | $3,920,014 | ProgramServicesAmt |
| Management And General | $114,921 | ManagementAndGeneralAmt |
| Fundraising | $36,199 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,720 | BOYAmt |
| EOY | $24,945 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,924 | BOYAmt |
| EOY | $443,196 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,736 | BOYAmt |
| EOY | $65,473 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,934,135 | BOYAmt |
| EOY | $1,817,432 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,217 | BOYAmt |
| EOY | $30,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $803,427 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $473,930 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,510 | BOYAmt |
| EOY | $329,497 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,292,678 | BOYAmt |
| EOY | $2,399,220 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,008 | BOYAmt |
| EOY | $3,613 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,831,928 | BOYAmt |
| EOY | $5,113,750 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,930 | BOYAmt |
| EOY | $80,557 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,954 | BOYAmt |
| EOY | $23,300 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,884 | BOYAmt |
| EOY | $103,857 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,634,849 | BOYAmt |
| EOY | $2,934,967 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $820,947 | BOYAmt |
| EOY | $817,678 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,257,248 | BOYAmt |
| EOY | $1,257,248 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,713,044 | BOYAmt |
| EOY | $5,009,893 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,831,928 | BOYAmt |
| EOY | $5,113,750 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $130,343 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $166,506 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $1,742,549 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,758,119 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,378,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,465,728 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,995,315 | CurrentTaxYearAmt |
| Total | $13,340,138 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,742,549 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,758,119 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,378,427 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,465,728 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,995,315 | CurrentTaxYearAmt |
| Total | $13,340,138 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $5,410,642 | SubstantialContributorsTotAmt |
| Public Support Total170 | $7,929,496 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $110,959 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $129,716 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $104,623 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $60,741 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $53,039 | CurrentTaxYearAmt |
| Total | $459,078 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,799,216 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $1,019,576 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.57460 | PublicSupportCY170Pct |
| Public Support PY170 | 0.53160 | 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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,296,686 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $198,647 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $91,500 | OtherExpendituresAmt |
| End Year Balance | $2,403,833 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,294,385 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,301 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,296,686 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,315,702 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$22,317 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,294,385 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,082,093 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $383,609 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $150,000 | OtherExpendituresAmt |
| End Year Balance | $2,315,702 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,125,794 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $102,519 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $230,000 | OtherExpendituresAmt |
| End Year Balance | $1,998,313 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.17220 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.30470 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.52310 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,550 | OtherCostOrOtherBasisAmt |
| Book Value | $96,550 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $260,049 | OtherCostOrOtherBasisAmt |
| Depreciation | $92,068 | DepreciationAmt |
| Book Value | $167,981 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $446,828 | OtherCostOrOtherBasisAmt |
| Depreciation | $381,862 | DepreciationAmt |
| Book Value | $64,966 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $329,497 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,883,301 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $166,506 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $537,375 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $703,881 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,179,420 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $22,057 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $22,057 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,201,477 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,586,452 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $537,375 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $537,375 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,049,077 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $22,057 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $22,057 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,071,134 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | INCOME WILL BE USED TO SUPPORT THE ORGANIZATION'S ACTIVITIES. |
| PART X, LINE 2: | THE CLINIC FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REGARDING "ACCOUNTING FOR UNCERTAIN TAX POSITIONS". THIS STANDARD PROVIDES DETAILED GUIDANCE FOR FINANCIAL STATEMENT RECOGNITION, MEASUREMENT, AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN THE CLINIC'S FINANCIAL STATEMENTS. IT REQUIRES AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. THE CLINIC HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AT JUNE 30, 2017. THE TAX YEARS OF 2014 TO 2016 REMAIN SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. THE CLINIC INCLUDES PENALTIES AND INTEREST ASSESSED BY INCOME TAXING AUTHORITIES IN OPERATING EXPENSES. THE CLINIC DID NOT HAVE PENALTIES AND INTEREST EXPENSES FOR THE YEAR ENDED JUNE 30, 2017. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | PRESCRIPTION MEDICATIONS PROVIDED TO UNINSURED OR UNDERINSURED INDIVIDUALS IN THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA | GrantTypeTxt |
| Recipient | 958 | RecipientCnt |
| Non Cash Assistance | $2,793,086 | NonCashAssistanceAmt |
| Valuation Method Used | FAIR MARKET VALUE | ValuationMethodUsedDesc |
| Non Cash Assistance | PRESCRIPTION MEDICATIONS | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PATIENT ELIGIBILITY IS DOCUMENTED PRIOR TO DISPENSING ANY MEDICATIONS. NNFHCP SCREENS PATIENTS USING ELIGIBILITY FORMS THAT HAVE BEEN APPROVED BY MANAGEMENT. THE FORMS DECLARATION OF INCOME/ NO INCOME AND NO LONGER WORKING ARE NEVER USED BY THEMSELVES TO DETERMINE ELIGIBILITY. THERE WILL ALWAYS BE OTHER DOCUMENTATION ALONG WITH THESE FORMS (FOR EXAMPLE: FOOD STAMP LETTER, SOCIAL SECURITY LETTER, LETTER OF SUPPORT). EACH PATIENT MUST BE SCREENED FOR ELIGIBILITY DETERMINATION EVERY 12 MONTHS, AT A MINIMUM, HAVE COMBINED HOUSEHOLD INCOME AT OR BELOW 200% OF FEDERAL POVERTY LEVEL, AND BE WITHOUT ANY PRESCRIPTION DRUG COVERAGE. VIRGINIA RESIDENCY IS REQUIRED FOR EACH PATIENT. AT A MINIMUM, ELIGIBILITY SCREENERS MUST REVIEW A PATIENT SIGNED ELIGIBILITY FORM, WHICH IDENTIFIES THE PATIENT'S VIRGINIA ADDRESS. LASTLY, PATIENTS MUST ATTEST TO THE FACT THEY HAVE NO INSURANCE ON A SIGNED ELIGIBILITY FORM. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $75,379 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | QUOTED MARKET VALUE | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 137 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,579,505 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN IS REVIEWED BY THE EXCUTIVE DIRECTOR AND MADE AVAILABLE TO THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | WHEN EMPLOYEES AND BOARD MEMBERS BECOME PART OF THE ORGANIZATION THEY ARE REQUIRED TO SIGN THE ORGANIZATIONS CONFLICT OF INTEREST POLICY. EACH YEAR EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY TO CERTIFY THAT NO CONFLICTS OF INTEREST HAVE ARISEN DUE TO NEW MEMBERS OR EMPLOYEES WHO HAVE JOINED THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | BOARD REVIEWS AND SETS COMPENSATION FOR EXECUTIVE DIRECTOR ANNUALLY BASED ON THE RECOMMENDATION OF THE EMPLOYEE COMPENSATION COMMITTEE |
| FORM 990, PART VI, SECTION C, LINE 19 | TAX RETURNS, BUDGETS AND OTHER GOVERNING DOCUMENTS ARE AVAILABLE FOR REVIEW BY DONORS AND THE GENERAL PUBLIC AT THE CLINIC DURING SCHEDULED OFFICE HOURS |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |