Civic Intelligence

Flagler County Free Clinic Inc

EIN 20-5036975 • 501(c)3 • Bunnell, FL

Profile

To provide free medical services and supplies to uninsured patients and to those families in the most need within our community.

PO Box 863Bunnell, FL 32110

n/A

Siviq Scores

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

Liabilities / Assets

55th percentile

0.09x

Higher debt load relative to assets than 55% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

38th percentile

0.03x

Higher debt load relative to revenue than 38% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

33rd percentile

-2.5%

Higher net margin than 33% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

47th percentile

$45,716

Higher top officer pay than 47% of similar nonprofits.

Top officer pay equals 2.2% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

14th percentile

-13%

Faster asset growth than 14% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

24th percentile

-9.2%

Faster revenue growth than 24% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets55th percentile

Assets

Down

$657,704

Down $94,819 (-13%) from 2023

Liabilities

Down

$60,407

Down $43,049 (-42%) from 2023

Net Assets

Down

$597,297

Down $51,770 (-8.0%) from 2023

Operations
Liabilities / Revenue38th percentileNet Margin33rd percentile

Revenue

Down

$2,092,512

Down $212,588 (-9.2%) from 2023

Expenses

Up

$2,144,282

Up $339,801 (+19%) from 2023

Net Income

Down

-$51,770

Down $552,389 (-110%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth14th percentile

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

$800K$600K$400K$200K$0Assets 2011: $44,660Liabilities 2011: $0Net Assets 2011: $44,6602011Assets 2012: $100,487Liabilities 2012: $0Net Assets 2012: $100,4872012Assets 2013: $135,079Liabilities 2013: $0Net Assets 2013: $135,0792013Assets 2014: $142,057Liabilities 2014: $861Net Assets 2014: $141,1962014Assets 2015: $156,185Liabilities 2015: $6,397Net Assets 2015: $149,7882015Assets 2016: $153,671Liabilities 2016: $27,645Net Assets 2016: $126,0262016Assets 2017: $144,972Liabilities 2017: $5,614Net Assets 2017: $139,3582017Assets 2018: $59,903Liabilities 2018: $1,390Net Assets 2018: $58,5132018Assets 2019: $40,875Liabilities 2019: $2,848Net Assets 2019: $38,0272019Assets 2020: $96,465Liabilities 2020: $3,975Net Assets 2020: $92,4902020Assets 2021: $135,321Liabilities 2021: $6,269Net Assets 2021: $129,0522021Assets 2022: $150,762Liabilities 2022: $2,314Net Assets 2022: $148,4482022Assets 2023: $752,523Liabilities 2023: $103,456Net Assets 2023: $649,0672023Assets 2024: $657,704Liabilities 2024: $60,407Net Assets 2024: $597,2972024

Highlighted filing

2024

Assets$657,704
Liabilities$60,407
Net Assets$597,297
Open 2024 Filing

Operations Trend

Revenue Growth24th percentile

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

$3.0M$2.0M$1.0M$0-$1.0MRevenue 2011: $13,397Expenses 2011: $11,317Net Income 2011: $2,0802011Revenue 2012: $81,735Expenses 2012: $25,908Net Income 2012: $55,8272012Revenue 2013: $73,265Expenses 2013: $38,673Net Income 2013: $34,5922013Revenue 2014: $75,768Expenses 2014: $69,651Net Income 2014: $6,1172014Revenue 2015: $217,066Expenses 2015: $216,593Net Income 2015: $4732015Revenue 2016: $259,245Expenses 2016: $275,010Net Income 2016: -$15,7652016Revenue 2017: $369,258Expenses 2017: $326,976Net Income 2017: $42,2822017Revenue 2018: $226,143Expenses 2018: $308,042Net Income 2018: -$81,8992018Revenue 2019: $547,847Expenses 2019: $568,333Net Income 2019: -$20,4862019Revenue 2020: $2,054,972Expenses 2020: $2,000,509Net Income 2020: $54,4632020Revenue 2021: $1,932,958Expenses 2021: $1,896,396Net Income 2021: $36,5622021Revenue 2022: $2,022,459Expenses 2022: $2,003,063Net Income 2022: $19,3962022Revenue 2023: $2,305,100Expenses 2023: $1,804,481Net Income 2023: $500,6192023Revenue 2024: $2,092,512Expenses 2024: $2,144,282Net Income 2024: -$51,7702024

Highlighted filing

2024

Revenue$2,092,512
Expenses$2,144,282
Net Income-$51,770
Open 2024 Filing

Filings

Most recent year

2024 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$657,704
Liabilities
$60,407
Net assets
$597,297
Revenue
$2,092,512
Expenses
$2,144,282
Net income
-$51,770
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.66$0.06$0.60$2.09$2.14$0.05
2023Summary only. Only limited summary data is available for this year.$0.75$0.10$0.65$2.31$1.80$0.50
2022Summary only. Only limited summary data is available for this year.$0.15$0.00$0.15$2.02$2.00$0.02
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.14$0.01$0.13$1.93$1.90$0.04
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.10$0.00$0.09$2.05$2.00$0.05
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.04$0.00$0.04$0.55$0.57$0.02
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.06$0.00$0.06$0.23$0.31$0.08
2017Summary only. Only limited summary data is available for this year.$0.14$0.01$0.14$0.37$0.33$0.04
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.15$0.03$0.13$0.26$0.28$0.02
2015Detailed filing. Detailed filing data is available for this year.$0.16$0.01$0.15$0.22$0.22$0.00
2014Detailed filing. Detailed filing data is available for this year.$0.14$0.00$0.14$0.08$0.07$0.01
2013Summary only. Only limited summary data is available for this year.$0.14$0.00$0.14$0.07$0.04$0.03
2012Summary only. Only limited summary data is available for this year.$0.10$0.00$0.10$0.08$0.03$0.06
2011Summary only. Only limited summary data is available for this year.$0.04$0.00$0.04$0.01$0.01$0.00
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2020 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Oct 7, 2022
Return Version
2020v4.0
Gross Receipts
$2,054,972
Mission and Program Overview

Mission

To provide free medical services and supplies to uninsured patients and to those families in the most need within our community.

Provision of free medical services and supplies to the uninsured and the most needy families within the community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$40,875$96,465▲ $55,590
Total Assets$40,875$96,465▲ $55,590
Liabilities
Other Liabilities$2,848$3,975▲ $1,127
Total Liabilities$2,848$3,975▲ $1,127
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$38,027$92,490▲ $54,463
Total Net Assets Fund Balance$38,027$92,490▲ $54,463
Total Liabilities and Net Assets / Fund Balance$40,875$96,465▲ $55,590
Compensation and Service Providers
Top Officer Pay47th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Terri BellettoExecutive DiFT$56,600$56,600

Board Members and Trustees

NameTitle
Chiamaka Iheme MdDirector
Cory DomayerDirector
Don Alfonso MdDirector
Dr Jane WalterDirector
Laura LiggettDirector
Marjory D ManskeDirector
Mark Kilman MdDirector
Shrinivas Waingankar MdDirector
Michaelyn MilidantriTreasurer
Sharon AtackVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$2,054,972
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$1,750,434
Change in Net Assets
$54,463
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,852,526
Salaries, Compensation, and Employee Benefits$147,983
Total Fundraising Expense$11,460
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$104,753$9,632$6,021$120,406
Other Expenses$39,122$3,597$2,248$44,967
All Other Expenses$17,724$15,979$1,576$35,279
Payroll Taxes$23,992$2,206$1,379$27,577
Office Expenses$2,700$8,652-$11,352
Fees for Services Management$4,489$964-$5,453
Insurance$4,111$378$236$4,725
Total Functional Expenses$1,947,641$41,408$11,460$2,000,509
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
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Other Liability$3,975
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“REVIEW PRIOR TO FILING”

Form 990, Page 6, Part VI, Line 12C

“Board member's are asked to sign the conflict of interest policy on a yearly basis.”

Form 990, Page 6, Part VI, Line 19

“UPON REQUEST”

Filing and Contact Details

Filer

Filer Name
Flagler County Free Clinic Inc
EIN
20-5036975
Phone
3864373091
Address
PO BOX 863, BUNNELL, FL 32110

Signing Officer

Name
Chiamaka Iheme Md
Title
Director
Phone
3864373091
Signed
2022-10-07

Organization Details

Principal Officer
Chiamaka Iheme Md
Formed
2006
Legal Domicile
Fl
Voting Board Members
12
Independent Board Members
12
Employees
4

Preparer

Firm
Jonathan Convery LLC
Address
50 LEANNI WAY STE C2, PALM COAST, FL 32137-4755
Preparer
Jonathan Convery CPA
Phone
3864454375
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Item B

“The original tax return was filed prior to a review done on the 2020 financials. After the review, it was noted that the ppp loan had been forgiven in 2020 and the in-kind contributions and expenses were not correct. This amended return reflects the updated in-kind contributions and expenses and the forgiveness of the ppp loan.”

Form 990, Page 2, Part III, Line 4D

“All other related expenses”

Raw XML Appendix350 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.

Path#Value
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IRS990/ActivitiesConductedPrtshpInd0false
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IRS990/AllOtherContributionsAmt01750434
IRS990/AllOtherExpensesGrp/FundraisingAmt01576
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt015979
IRS990/AllOtherExpensesGrp/ProgramServicesAmt017724
IRS990/AllOtherExpensesGrp/TotalAmt035279
IRS990/AmendedReturnInd0X
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/BackupWthldComplianceInd0false
IRS990/BooksInCareOfDetail/PersonNm0TERRI BELLETTO
IRS990/BooksInCareOfDetail/PhoneNum03864373091
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt041 WELLSHIRE LANE
IRS990/BooksInCareOfDetail/USAddress/CityNm0PALM COAST
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0FL
IRS990/BooksInCareOfDetail/USAddress/ZIPCd032164
IRS990/BusinessRlnWith35CtrlEntInd0false
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt040875
IRS990/CashNonInterestBearingGrp/EOYAmt096465
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt02054972
IRS990/CYGrantsAndSimilarPaidAmt00
IRS990/CYInvestmentIncomeAmt00
IRS990/CYOtherExpensesAmt01852526
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt054463
IRS990/CYSalariesCompEmpBnftPaidAmt0147983
IRS990/CYTotalExpensesAmt02000509
IRS990/CYTotalFundraisingExpenseAmt011460
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt02054972
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/Desc0PROVISION OF FREE MEDICAL SERVICES AND SUPPLIES TO THE UNINSURED AND THE MOST NEEDY FAMILIES WITHIN THE COMMUNITY.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt04
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt01947641
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt0964
IRS990/FeesForServicesManagementGrp/ProgramServicesAmt04489
IRS990/FeesForServicesManagementGrp/TotalAmt05453
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt040.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/PersonNm0TERRI BELLETTO
IRS990/Form990PartVIISectionAGrp/PersonNm1SHARON ATACK
IRS990/Form990PartVIISectionAGrp/PersonNm2CORY DOMAYER
IRS990/Form990PartVIISectionAGrp/PersonNm3LAURA LIGGETT
IRS990/Form990PartVIISectionAGrp/PersonNm4CHIAMAKA IHEME MD
IRS990/Form990PartVIISectionAGrp/PersonNm5DON ALFONSO MD
IRS990/Form990PartVIISectionAGrp/PersonNm6MARK KILMAN MD
IRS990/Form990PartVIISectionAGrp/PersonNm7SHRINIVAS WAINGANKAR MD
IRS990/Form990PartVIISectionAGrp/PersonNm8MARJORY D MANSKE
IRS990/Form990PartVIISectionAGrp/PersonNm9MICHAELYN MILIDANTRI
IRS990/Form990PartVIISectionAGrp/PersonNm10DR JANE WALTER
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt056600
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/TitleTxt0EXECUTIVE DI
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02006
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt012
IRS990/GovernmentGrantsAmt0304538
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt02054972
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt012
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/FundraisingAmt0236
IRS990/InsuranceGrp/ManagementAndGeneralAmt0378
IRS990/InsuranceGrp/ProgramServicesAmt04111
IRS990/InsuranceGrp/TotalAmt04725
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt01
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0FL
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
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IRS990/MissionDesc0PROVISION OF FREE MEDICAL SERVICES AND SUPPLIES TO THE UNINSURED AND THE MOST NEEDY FAMILIES WITHIN THE COMMUNITY.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt038027
IRS990/NetAssetsOrFundBalancesEOYAmt092490
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt038027
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IRS990/NondeductibleContributionsInd0false
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt08652
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IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
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IRS990/OtherExpensesGrp/Desc1MEDICATION
IRS990/OtherExpensesGrp/Desc2VOLUNTEER
IRS990/OtherExpensesGrp/Desc3RENT
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IRS990/OtherLiabilitiesGrp/BOYAmt02848
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IRS990/OtherSalariesAndWagesGrp/FundraisingAmt06021
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt09632
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0104753
IRS990/OtherSalariesAndWagesGrp/TotalAmt0120406
IRS990/PartialLiquidationInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt01379
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt02206
IRS990/PayrollTaxesGrp/ProgramServicesAmt023992
IRS990/PayrollTaxesGrp/TotalAmt027577
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0CHIAMAKA IHEME MD
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgSrvcAccomActyOtherGrp/Desc0ALL OTHER RELATED EXPENSES
IRS990/ProhibitedTaxShelterTransInd0false
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE ORIGINAL TAX RETURN WAS FILED PRIOR TO A REVIEW DONE ON THE 2020 FINANCIALS. AFTER THE REVIEW, IT WAS NOTED THAT THE PPP LOAN HAD BEEN FORGIVEN IN 2020 AND THE IN-KIND CONTRIBUTIONS AND EXPENSES WERE NOT CORRECT. THIS AMENDED RETURN REFLECTS THE UPDATED IN-KIND CONTRIBUTIONS AND EXPENSES AND THE FORGIVENESS OF THE PPP LOAN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ALL OTHER RELATED EXPENSES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2REVIEW PRIOR TO FILING
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD MEMBER'S ARE ASKED TO SIGN THE CONFLICT OF INTEREST POLICY ON A YEARLY BASIS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, ITEM B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 2, PART III, LINE 4D
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/USAddress/CityNm0PALM COAST
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ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/PersonNm0CHIAMAKA IHEME MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum03864373091
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-10-07
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0FLAGLER COUNTY FREE CLINIC INC
ReturnHeader/Filer/BusinessNameControlTxt0FLAG
ReturnHeader/Filer/EIN0205036975
ReturnHeader/Filer/PhoneNum03864373091
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 863
ReturnHeader/Filer/USAddress/CityNm0BUNNELL
ReturnHeader/Filer/USAddress/StateAbbreviationCd0FL
ReturnHeader/Filer/USAddress/ZIPCd032110
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0463151547
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0JONATHAN CONVERY LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt050 LEANNI WAY STE C2
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PALM COAST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd0321374755
ReturnHeader/PreparerPersonGrp/PhoneNum03864454375
ReturnHeader/PreparerPersonGrp/PreparationDt02022-10-07
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0JONATHAN CONVERY CPA
ReturnHeader/ReturnTs02022-10-24T08:47:09-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0CHIAMAKA
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0IHEME
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

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