STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MACON VOLUNTEER CLINIC INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MACON VOLUNTEER CLINIC INC (EIN 74-3055376)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-09-25
IRS object ID
201202699349300810
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2012-09-25T12:18:42-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GARRETT WOOD HALL & ASSOC PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 13557AddressLine1
CityMACONCity
StateGAState
ZIP Code31208ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN743055376EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MACON VOLUNTEER CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMACONameControl
Phone4787551110Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1376 ROGERS AVEAddressLine1
CityMACONCity
StateGAState
ZIP Code31204ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCILE LINDName
TitleEXECUTIVE DIRECTORTitle
Phone4787551110Phone
Date Signed2012-09-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameSTANLEY W HALLName
Phone4787419966Phone
Date Prepared2012-09-25DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCILE LINDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1376 ROGERS AVEAddressLine1
CityMACONCity
StateGAState
ZIP Code31204ZIPCode
FieldValueIRS element (for citing)
Gross Receipts315871GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteMACONVOLUNTEERCLINIC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileGAStateLegalDomicile
Activity Or Mission DescriptionProvide free medical care to individuals that do not qualify for public assistance and cannot afford to purchase health insurance.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees10TotalNbrEmployees
Total Nbr Volunteers100TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year352646ContributionsGrantsPriorYear
Contributions Grants Current Year310786ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year89InvestmentIncomePriorYear
Investment Income Current Year176InvestmentIncomeCurrentYear
Other Revenue Prior Year2290OtherRevenuePriorYear
Other Revenue Current Year4909OtherRevenueCurrentYear
Total Revenue Prior Year355025TotalRevenuePriorYear
Total Revenue Current Year315871TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year222862SalariesEtcPriorYear
Salaries Etc Current Year221801SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year21627TotalFundrsngExpCurrentYear
Other Expense Prior Year115954OtherExpensePriorYear
Other Expenses Current Year102111OtherExpensesCurrentYear
Total Expenses Prior Year338816TotalExpensesPriorYear
Total Expenses Current Year323912TotalExpensesCurrentYear
Revenues Less Expenses Prior Year16209RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8041RevenuesLessExpensesCY
Total Assets BOY522269TotalAssetsBOY
Total Assets EOY518505TotalAssetsEOY
Total Liabilities BOY2888TotalLiabilitiesBOY
Total Liabilities EOY7165TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY519381NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY511340NetAssetsOrFundBalancesEOY
Mission DescriptionProvide free medical careMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense229913Expense
DescriptionMACON VOLUNTEER CLINIC (MVC) PROVIDES FREE PRIMARY MEDICAL AND DENTAL CARE, AS WELL AS MEDICATION ASSISTANCE TO UNINSURED WORKING ADULTS OF BIBB COUNTY GEORGIA. ALL PATIENTS LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. LOCAL PHYSICIANS AND HEALTH CARE WORKERS VOLUNTEER TO PROVIDE SERVICES FREE OF CHARGE. DURING 2011 PHYSICIANS PROVIDED 2035 HOURS AND NURSES PROVIDED 2176 HOURS OF DONATED SERVICES TO THE CLINIC. IN 2011, WE EXPERIENCED A 20% GROWTH IN OUR PATIENT ROSTER. MVC PROVIDED 5,010 PATIENT VISITS TO 928 PATIENTS. OUR PATIENT DEMOGRAPHIC IS AS FOLLOWS: GENDER: 707 - FEMALE; 221 - MALE AGE: 2- 18 YRS; 876 - 19-59 YRS; 50 - 60-64 YRS RACE: 653-AFRICAN AMERICAN; 254-CAUCASIAN; 14-HISPANIC; 3-ASIAN; 4-OTHERDescription
Total Program Service Expense229913TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees10NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledGAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCILE LINDNamePerson
Telephone Number4787551110TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1376 ROGERS AVENUEAddressLine1
CityMACONCity
StateGAState
ZIP Code31204ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
CHAPIN HENLEY MD
Chairman1.00XX000
W JOHN O'SHAUGHNESSEYMD
Vice Chairman1.00XX000
JOHN ANDERSON
Director1.00X000
EVELYN BICKLEYMD
Director1.00X000
ALLISON TURK
Director1.00X000
SANDRA HIGGISON
Director1.00X000
YVONNE HOLMES
Director1.00X000
STEPHANIE DAVIDSON
Director1.00XX000
JACK MENENDEZ MD
Director1.00X000
JOY HULGAN
Director1.00X000
BILLY WEAVER MD
Director1.00X000
CILE LIND
Ex. Director40.00X6500000
LYNN DENNY
Medical Director20.00X7500000
SARAH PAYTON
Director1.00XX000
RAMONA SHERIDAN
Director1X
JAN BELAND
Director1X
FieldValueIRS element (for citing)
Total Reportable Comp From Org140000TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns80000FederatedCampaigns
All Other Contributions230786AllOtherContributions
Total Contributions310786TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column176TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMedical Records FeesDescription
Business Code900099BusinessCode
Total Revenue Column4909TotalRevenueColumn
Related Or Exempt Function Income4909RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue4909TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column315871TotalRevenueColumn
Related Or Exempt Function Income5085RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total205678Total
Program Services140991ProgramServices
Management And General46994ManagementAndGeneral
Fundraising17693Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total16123Total
Program Services11286ProgramServices
Management And General2902ManagementAndGeneral
Fundraising1935Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total6017Total
Program Services0ProgramServices
Management And General6017ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25845Total
Program Services25845ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total24125Total
Program Services10027ProgramServices
Management And General13461ManagementAndGeneral
Fundraising637Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total19417Total
Program Services16310ProgramServices
Management And General2136ManagementAndGeneral
Fundraising971Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total560Total
Program Services560ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7832Total
Program Services6579ProgramServices
Management And General862ManagementAndGeneral
Fundraising391Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total12299Total
Program Services12299ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionMedical SuppliesDescription
Total5849Total
Program Services5849ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total167Total
Program Services167ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total323912Total
Program Services229913ProgramServices
Management And General72372ManagementAndGeneral
Fundraising21627Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY270456BOY
EOY244028EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY119590BOY
EOY119717EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis175563LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec142387LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY40413BOY
EOY33176EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY91810BOY
EOY121584EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY522269BOY
EOY518505EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2888BOY
EOY7165EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2888BOY
EOY7165EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY387110BOY
EOY355082EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY132271BOY
EOY156258EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY519381BOY
EOY511340EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY522269BOY
EOY518505EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-8041ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis22031OtherCostOrOtherBasis
Depreciation13341Depreciation
Book Value8690BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis145937OtherCostOrOtherBasis
Depreciation121451Depreciation
Book Value24486BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7595OtherCostOrOtherBasis
Depreciation7595Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33176TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Central Georgia Community foundation44787
Medcen Foundation76797
FieldValueIRS element (for citing)
Total Book Value Other Assets121584TotalBookValueOtherAssets
Total Revenue315871TotalRevenue
Total Expenses323912TotalExpenses
Excess Or Deficit For Year-8041ExcessOrDeficitForYear
Excess Or Deficit Per FS-8041ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt874109TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities558238DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990558238RevenueNotRptdF990
Revenue Subtotal315871RevenueSubtotal
Total Revenue Per Form990315871TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt882150TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities558238DonatedServicesUseOfFacilities
Expenses Not Rptd F990558238ExpensesNotRptdF990
Expenses Subtotal323912ExpensesSubtotal
Total Expenses Per Form990323912TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aA copy of form 990 is provided to all board members by
Pt VI, Line 11aeletronic media or at the monthly board meeting.
Pt VI, Line 12cBoard members are required to complete annual questionnaires
Pt VI, Line 12cto determine if conflicts exist.
Pt VI, Line 15The board of directors reviews and approves compensation of
Pt VI, Line 15key employees annually and documents in the minutes of meetings.
Pt VI, Line 19All governing and financial documents are made available
Pt VI, Line 19to the public upon request at their office.
Form 990EZ, Part II, Line 24BUILDING IMPROVEMENTS OFFICE EQUIPMENT MEDICAL EQUIPMENT FURNITURE & FIXTURES COMMUNITY FOUNDATION
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE