Civic Intelligence

Mission Columbus Medical Clinic

EIN 20-4493484 • 501(c)3 • Columbus, GA

Profile

Mission columbus medical clinic is a christian non-profit medical, dental and vision clinic designated to serve the needs of uninsured patients that lack the resources to cover initial doctor visits and other medical needs. Qualifying patients have an annual income of no more than twice the federal poverty level. Our mission is to reach out and meet the physical, social, emotional and spiritual needs of the medically underserved in the greater columbus and chattahoochee valley area.

3679 Steam Mill RoadColumbus, GA 31906

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2014

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

6th percentile

-279%

Higher net margin than 6% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

22nd percentile

-41%

Faster revenue growth than 22% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Assets

Down

$0

Down $222,799 (-100%) from 2013

Liabilities

$0

No earlier filing loaded for comparison.

Net Assets

Down

$0

Down $222,799 (-100%) from 2013

Revenue

Down

$75,985

Down $52,779 (-41%) from 2013

Expenses

Up

$288,186

Up $199,116 (+224%) from 2013

Net Income

Down

-$212,201

Down $251,895 (-635%) from 2013

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2011: $227,092Liabilities 2011: $0Net Assets 2011: $227,0922011Assets 2012: $183,105Net Assets 2012: $183,1052012Assets 2013: $222,799Net Assets 2013: $222,7992013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2014

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200K-$400KRevenue 2011: $51,032Expenses 2011: $81,819Net Income 2011: -$30,7872011Revenue 2012: $38,462Expenses 2012: $82,449Net Income 2012: -$43,9872012Revenue 2013: $128,764Expenses 2013: $89,070Net Income 2013: $39,6942013Revenue 2014: $75,985Expenses 2014: $288,186Net Income 2014: -$212,2012014

Highlighted filing

2014

Revenue$75,985
Expenses$288,186
Net Income-$212,201

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Oct 22, 2015
Return Version
2014v5.0
Gross Receipts
$209,199
Mission and Program Overview

Mission

Mission columbus medical clinic is a christian non-profit medical, dental and vision clinic designated to serve the needs of uninsured patients that lack the resources to cover initial doctor visits and other medical needs. Qualifying patients have an annual income of no more than twice the federal poverty level. Our mission is to reach out and meet the physical, social, emotional and spiritual needs of the medically underserved in the greater columbus and chattahoochee valley area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$222,799$0▼ $222,799
Land, Buildings, and Equipment, Net$131,847$0▼ $131,847
Cash and Non-Interest-Bearing Accounts$90,952$0▼ $90,952
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$222,799$0▼ $222,799
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$222,799$0▼ $222,799
Total Liabilities and Net Assets / Fund Balance$222,799$0▼ $222,799
Compensation and Service Providers

Board Members and Trustees

NameTitle
Rev Lowell CliattBoard Chairman
Anne GermanBoard Member
Bob GilsonBoard Member
Mrs Teddie UsseryBoard Member
Dr Michael SimsMedical Director
Rev Jimmy BlantonSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$208,510
Program Service Revenue
$689
Investment Income
$-133,214
Other Revenue
$0
All Other Contributions
$208,510
Change in Net Assets
$-212,201
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$180,906
Salaries, Compensation, and Employee Benefits$92,431
Other Expenses$14,849
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$180,906--$180,906
Other Salaries and Wages$81,910--$81,910
Payroll Taxes$6,351--$6,351
Occupancy$5,724--$5,724
Other Employee Benefits$4,170--$4,170
Depreciation Depletion$2,308$534-$2,842
Office Expenses-$1,155-$1,155
Conferences and Meetings$391--$391
Travel$133--$133
Other Expenses$373$88-$88
All Other Expenses-$28-$28
Total Functional Expenses$285,611$2,575$0$288,186
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mercymed of Columbus IncColumbus, GA501(c)3TO DISTRIBUTE ASSETS TO SUBSTANTIALLY SIMILAR ORGANIZATION TO FURTHER THE ORGANIZATION'S EXEMPT MISSION$160,927
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

The organization's form 990 is prepared by a certified public accountant well known to the organization and experienced in the area of non-profit taxation. The board performs a review of the return to make sure no material omissions or misstatements are made on the return before it is filed. Once approved, the return is signed by a board member and filed.

Form 990, Part VI, Section C, Line 19

UPON REQUEST

Filing and Contact Details

Filer

Filer Name
Mission Columbus Medical Clinic
EIN
20-4493484
Phone
7065074687
Address
3679 STEAM MILL ROAD, COLUMBUS, GA 31906

Signing Officer

Name
Teddie Ussery
Title
Board Member
Phone
7065074687
Signed
2015-10-22
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Teddie Ussery
Legal Domicile
Ga
Voting Board Members
6
Independent Board Members
6
Employees
2
Volunteers
15

Preparer

Firm
Robinson Grimes & Company Pc
Address
PO BOX 4299, COLUMBUS, GA 31914
Preparer
H Lev Norman CPA
Phone
7063245435
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Distribution of assets to mercymed -10,598.

Raw XML AppendixShowing 400 of 427 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/DescribedInSection501c3Ind01
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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt038462
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt051032
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt046688
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0474145
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleI/GrantRecordsMaintainedInd00
IRS990ScheduleI/RecipientTable/CashGrantAmt0160927
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)3
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt019979
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0EQUIPMENT
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TO DISTRIBUTE ASSETS TO SUBSTANTIALLY SIMILAR ORGANIZATION TO FURTHER THE ORGANIZATION'S EXEMPT MISSION
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0MERCYMED OF COLUMBUS INC
IRS990ScheduleI/RecipientTable/RecipientEIN0275011913
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0PO BOX 1491
IRS990ScheduleI/RecipientTable/USAddress/CityNm0COLUMBUS
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0GA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd031902
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0MARKET VALUE
IRS990ScheduleI/Total501c3OrgCnt01
IRS990/ScheduleJRequiredInd00
IRS990ScheduleN/AssetsDistributedInd01
IRS990ScheduleN/AttorneyGeneralNotifiedInd00
IRS990ScheduleN/BondsOutstandingInd00
IRS990ScheduleN/DirectorOfSuccessorInd01
IRS990ScheduleN/EmployeeOfSuccessorInd01
IRS990ScheduleN/LiabilitiesPaidInd01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc0OFFICE AND MEDICAL FURNITURE AND EQUIPMENT
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc1CASH
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt0MERCYMED OF COLUMBUS INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt1MERCYMED OF COLUMBUS INC
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02014-06-01
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12014-06-28
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN0275011913
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/EIN1275011913
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt019979
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt1160927
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)3
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)3
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0MARKET VALUE AT TRANSFER DATE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1CASH - ACTUAL VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0PO BOX 1491
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt1PO BOX 1491
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0COLUMBUS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1COLUMBUS
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd0GA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd1GA
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd031902
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd131902
IRS990ScheduleN/OwnerOfSuccessorInd00
IRS990ScheduleN/ReceiveCompensationInd00
IRS990ScheduleN/RequiredToNotifyAGInd00
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt0PERSON(S) INVOLVED: BOARD MEMBERS: TEDDIE USSERY, BOB GILSONEMPLOYEE: SARAH BARR
IRS990ScheduleN/SupplementalInformationDetail/ExplanationTxt1EXPLANATION OF INVOLVEMENT: TEDDIE USSERY AND BOB GILSON JOINED BOARD OF DIRECTORS OF TRANSFEREE ORGANIZATION, MERCYMED OF COLUMBUS, INC.SARAH BARR BECAME AN EMPLOYEE OF THE TRANSFEREE ORGANIZATION, MERCYMED OF COLUMBUS, INC.
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2E:
IRS990ScheduleN/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 2E:
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORGANIZATION'S FORM 990 IS PREPARED BY A CERTIFIED PUBLIC ACCOUNTANT WELL KNOWN TO THE ORGANIZATION AND EXPERIENCED IN THE AREA OF NON-PROFIT TAXATION. THE BOARD PERFORMS A REVIEW OF THE RETURN TO MAKE SURE NO MATERIAL OMISSIONS OR MISSTATEMENTS ARE MADE ON THE RETURN BEFORE IT IS FILED. ONCE APPROVED, THE RETURN IS SIGNED BY A BOARD MEMBER AND FILED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2DISTRIBUTION OF ASSETS TO MERCYMED -10,598.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XI, LINE 9:
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0GA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd01
IRS990/TotalAssetsBOYAmt0222799
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0222799
IRS990/TotalAssetsGrp/EOYAmt00
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0208510
IRS990/TotalEmployeeCnt02
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt02575
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0285611
IRS990/TotalFunctionalExpensesGrp/TotalAmt0288186
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0222799
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0285611
IRS990/TotalProgramServiceRevenueAmt0689
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0-133214
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0689
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt075985
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt015
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0222799
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt00
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ProgramServicesAmt0133
IRS990/TravelGrp/TotalAmt0133
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt03679 STEAM MILL ROAD
IRS990/USAddress/CityNm0COLUMBUS
IRS990/USAddress/StateAbbreviationCd0GA
IRS990/USAddress/ZIPCd031906
IRS990/VotingMembersGoverningBodyCnt06
IRS990/VotingMembersIndependentCnt06
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReasonableCauseExplanation/ExplanationTxt0ALL ASSETS AND OPERATIONS OF MISSION COLUMBUS MEDICAL CLINIC WERE TRANSFERRED TO MERCYMED, INC. IN JULY 2014. REVENUE AND EXPENSES AFTER THAT DATE WERE REPORTED ON THE 2013 FORM 990 FOR MERCYMED, INC. FOR THE YEAR ENDING 9/30/14. THE MISSION COLUMBUS MEDICAL CLINIC BOARD OF DIRECTORS BELIEVED IN GOOD FAITH THAT A 990 FOR 2014 HAD BEEN FILED BY THEIR ACCOUNTANT. HOWEVER, THE CPA FOR THE ORGANIZATION DIED BEFORE THE FINAL 990 FOR MISSION COLUMBUS MEDICAL CLINIC COULD BE FILED. THE BOARD OF DIRECTORS OF MISSION COLUMBUS MEDICAL CLINIC WERE UNAWARE THAT A FINAL 990 FOR MISSION COLUMBUS MEDICAL CLINIC WAS NOT FILED. WHEN THEY WERE NOTIFIED OF THE MISSED FILING DATE, THEY IMMEDIATELY TOOK STEPS TO GATHER THE NECESSARY INFORMATION TO FILE A COMPLETE AND ACCURATE RETURN. THE ORGANIZATION HAS TIMELY FILED FORM 990 IN THE PAST. FOR THESE REASONS, WE RESPECTFULLY REQUEST THAT ANY PENALTIES BE ABATED. WE APPRECIATE YOUR CONSIDERATION IN THIS MATTER.

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