2017-05-15T10:08:05-05:00 2016-06-30 540565834 MITCHELL WIGGINS & COMPANY LLP 100 FLANK ROAD PETERSBURG VA 238059152 990 2015-07-01 541679279 THE NORTHERN NECK-MIDDLESEX FREE HEALTH CLINIC INC NORT 8044350575 P O BOX 1694 KILMARNOCK VA 22482 R JEAN NELSON EXECUTIVE DIRECTOR 8044350575 2017-05-15 1 M JAMES HARTSON JR CPA P00590214 8047335566 2015 2021-01-29 14:40:06Z R JEAN NELSON 51 WILLIAM B GRANT COURT KILMARNOCK VA 22482 5309291 0 X WWW.NNFHC.COM X 1993 VA 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. 12 12 33 325 0 0 3907799 2371292 168378 143237 193554 226828 12364 3745 4282095 2745102 0 0 0 0 652450 731324 0 0 27760 3618538 2425757 4270988 3157081 11107 -411979 5190323 4831928 110076 118884 5080247 4713044 X 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. 0 0 2082241 79335 PHARMACY PROVIDES PRESCRIPTIONS TO UNINSURED OR UNDERINSURED INDIVIDUALS IN THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA AT LITTLE TO NO COST. 593766 3745 HEALTH CLINIC PROVIDES MEDICAL CARE TO UNINSURED OR UNDERINSURED INDIVIDUALS IN THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA 317063 63902 DENTAL CLINIC PROVIDES DENTAL CARE AT REDUCED FEES TO PATIENTS IN THE NORTHERN NECK REGION AND MIDDLESEX COUNTY OF VIRGINIA 2993070 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 33 1 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 VA X CORPORATION 8044350575 51 WILLIAM B GRAHAM COURT KILMARNOCK VA 22482 R JEAN NELSON EXECUTIVE DIRECTOR 60.00 X X 98077 0 14510 JO CROCKETT BOARD MEMBER 2.00 X 0 0 0 WALLACE MCGINNES BOARD MEMBER 2.00 X 0 0 0 BONNIE BRYANT BOARD MEMBER 2.00 X 0 0 0 SCOTT GRAHAM BOARD MEMBER 2.00 X 0 0 0 JANE BIRDSONG SECRETARY 4.00 X X 0 0 0 JOHN MAY BOARD MEMBER 2.00 X 0 0 0 PAGE HENLEY TREASURER 4.00 X X 0 0 0 KATHRYN VOSE VICE PRESIDENT 4.00 X X 0 0 0 JOHN O'SHAUGHNESSY PRESIDENT 6.00 X X 0 0 0 BARRET KEAN BOARD MEMBER 2.00 X 0 0 0 RICHARD BAYLOR MD BOARD MEMBER 2.00 X 0 0 0 BILL LEE BOARD MEMBER 2.00 X 0 0 0 98077 0 14510 0 0 0 0 STAFF CARE INC PO BOX 281923 ATLANTA GA 303841923 OUTSIDE MEDICAL SERVICES 184270 1 196572 2174720 1495890 2371292 DENTAL FEES 611300 42492 42492 PHARMACY HDS 446110 42332 42332 PHARMACY SUPPORT 446110 37003 37003 DENTAL DENTURES 621300 21410 21410 143237 60741 60741 1400 0 1400 1400 1400 2730276 2564189 166087 166087 166087 MEDICAL RECORDS 621300 2325 2325 PATIENT EDUCATION 621300 20 20 2345 2745102 146982 0 226828 101962 76538 15962 9462 530919 514895 10580 5444 8255 7760 317 178 42141 39613 1618 910 48047 45164 1845 1038 161423 161423 6428 6428 31885 31885 20563 20563 1869 1626 243 8639 430 8209 60546 44454 7698 8394 15499 15499 41708 39664 1730 314 19141 16800 1412 929 2693 2324 356 13 1520 1520 37857 37407 396 54 28997 27044 1692 261 CONTRIBUTED PHARAMCEUTI 1759488 1759488 COST OF PHARMACEUTICALS 122536 122536 SUPPLIES 53507 53507 DENTAL EXPENSE 31687 31687 19771 12336 6915 520 3157081 2993070 136251 27760 369632 46720 923120 68924 113736 5422 2204777 1934135 13289 20217 800427 447917 384579 352510 1289504 2292678 3008 5190323 4831928 66738 85930 43338 32954 110076 118884 X 3093991 2634849 729008 820947 1257248 1257248 5080247 4713044 5190323 4831928 -411979 -209095 253871 0 X X 0 1 X 1 0 X 1719146 1742549 2758119 2378427 2465728 11063969 1719146 1742549 2758119 2378427 2465728 11063969 4924642 6139327 79461 110959 129716 104623 60741 485500 11549469 1063991 0.53160 0.97790 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2294385 2301 2296686 2315702 1000 -22317 2294385 2082093 383609 150000 2315702 2125794 102519 230000 1998313 2054652 1000 70142 2125794 0.16540 0.54740 0.28720 0 0 96550 96550 260049 85257 174792 443828 362660 81168 352510 X 2955855 -209095 440411 231316 2724539 20563 20563 2745102 3576929 440411 440411 3136518 20563 20563 3157081 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, 2016. THE TAX YEARS OF 2013 TO 2015 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, 2016. PART XI, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED AGAINST INVESTMENT RETURN ON FINANCIAL STATEMENTS 20,563. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT EXPENSES NETTED AGAINST INVESTMENT RETURN ON FINANCIAL STATEMENTS 20,563. X 7 1495890 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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.