Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
990 • Fiscal year 2015 • EIN 55-0708491
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
68th percentile
Higher debt load relative to assets than 68% of similar nonprofits.
Liabilities / Revenue
76th percentile
Higher debt load relative to revenue than 76% of similar nonprofits.
Net Margin
16th percentile
Higher net margin than 16% of similar nonprofits.
Top Officer Pay
97th percentile
Higher top officer pay than 97% of similar nonprofits.
Top officer pay equals 32.7% of source-year revenue.
Asset Growth
27th percentile
Faster asset growth than 27% of similar nonprofits.
Revenue Growth
9th percentile
Faster revenue growth than 9% of similar nonprofits.
Assets
Down$376,126
Down $49,244 (-12%) from 2014
Net Assets
Down$364,831
Down $46,225 (-11%) from 2014
Liabilities
Down$11,295
Down $3,019 (-21%) from 2014
Revenue
Down$227,537
Down $224,250 (-50%) from 2014
Expenses
Down$273,762
Down $220,727 (-45%) from 2014
Net Income
Down-$46,225
Down $3,523 (-8.3%) from 2014
To provide the underinsured with access to a patient-centered medical home that facilitates quality care through partnerships between the individual and their health care team.
Free primary care health clinic for patients who have no insurance, medicare or medicaid and who fall within federal poverty guidelines.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $324,723 | $301,413 | ▼ $23,310 |
| Cash and Non-Interest-Bearing Accounts | $82,189 | $32,929 | ▼ $49,260 |
| Pledges and Grants Receivable | - | $21,522 | - |
| Prepaid Expenses and Deferred Charges | $5,191 | $9,232 | ▲ $4,041 |
| Land, Buildings, and Equipment, Net | $9,642 | $7,405 | ▼ $2,237 |
| Total Assets | $425,370 | $376,126 | ▼ $49,244 |
| Other Assets Total | $3,625 | $3,625 | → $0 |
| Liabilities | |||
| Other Liabilities | $9,633 | $7,868 | ▼ $1,765 |
| Accounts Payable and Accrued Expenses | $4,681 | $3,427 | ▼ $1,254 |
| Total Liabilities | $14,314 | $11,295 | ▼ $3,019 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $411,056 | $364,831 | ▼ $46,225 |
| Total Net Assets Fund Balance | $411,056 | $364,831 | ▼ $46,225 |
| Total Liabilities and Net Assets / Fund Balance | $425,370 | $376,126 | ▼ $49,244 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $7,405 | $36,715 | $44,120 |
| Name | Title | Full / Part Time | Base | Total |
|---|---|---|---|---|
| Cindy Moore | Executive Director | FT | $74,379 | $74,379 |
| Name | Title |
|---|---|
| Matt Martin | President |
| Alita Sellers | Vice-president |
| Amy Gerber-smith | Board Member |
| Ann Bailey | Board Member |
| Kim Stooke Md | Board Member |
| Robert Lincicome Rph | Board Member |
| Shane Perdue | Board Member |
| Angie Smith | Secretary |
| Kathy Azar | Treasurer |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $171,223 |
| Other Expenses | $102,539 |
| Total Fundraising Expense | $11,833 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $38,025 | $36,955 | $4,619 | $79,599 |
| Current Officers, Directors, Trustees, and Key Employees | $74,379 | - | - | $74,379 |
| Occupancy | $51,878 | $7,751 | - | $59,629 |
| Payroll Taxes | $9,966 | $3,276 | $410 | $13,652 |
| Office Expenses | $2,832 | $2,813 | $6,657 | $12,302 |
| Fees for Services Accounting | - | $7,625 | - | $7,625 |
| Conferences and Meetings | $6,128 | - | - | $6,128 |
| Depreciation Depletion | $3,961 | $592 | - | $4,553 |
| Fees for Service Investment Mgmnt Fees | - | $3,931 | - | $3,931 |
| Pension Plan Contributions | $2,623 | $862 | $108 | $3,593 |
| Insurance | $3,156 | $300 | - | $3,456 |
| Other Expenses | $859 | $313 | $39 | $859 |
| Total Functional Expenses | $195,908 | $66,021 | $11,833 | $273,762 |
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $283,135 |
| Expenses per Audited Statements | $273,762 |
| Total Expenses per Form 990 | $273,762 |
| Expenses Not Reported on Form 990 | $9,373 |
| Expenses Not Reported on Financial Statements | $0 |
| Line Item | Amount |
|---|---|
| Fundraising Gross Income | $6,657 |
| Fundraising Direct Expenses | $0 |
| Professional Fundraising Fees | $0 |
| Liability | Amount |
|---|---|
| Compensated Absences | $7,868 |
“Form 990 is received and reviewed by the executive director and the executive committee of the the board of directors prior to signing and filing with the internal revenue service.”
“The conflict of interest policy is distributed and explained to all board members.”
“The agency makes its form 990 available upon request at its administrative offices.”
“The process has not changed since the prior year.”
“Accounting principles generally accepted in the united states require management to evaluate tax positions taken by the association and recognize a tax liability (or asset) if the clinic has taken an uncertain position that more likely than not would not be sustained upon examination by the internal revenue service (irs). Management has analyzed the tax positions taken by the clinic, and has concluded that as of the end of the fiscal year, there are no uncertain positions taken or expected to be taken that would require recognition of a liability (or asset) or disclosure in the financial statements. The clinic is subject to routine audits by taxing jurisdictions, however, there are currently no audits for any tax periods in progress. The clinic's federal return of organization from income tax (federal form 990) for the prior three fiscal years are subject to examination by the irs, generally for three years after they were filed.”
“Loss on sale of assets -9,373.”
“Loss on sale of assets 9,373.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 1 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 4681 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3427 |
| IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | FREE PRIMARY CARE HEALTH CLINIC FOR PATIENTS WHO HAVE NO INSURANCE, MEDICARE OR MEDICAID AND WHO FALL WITHIN FEDERAL POVERTY GUIDELINES. |
| IRS990/AllOtherContributionsAmt | 0 | 24035 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | CINDY MOORE |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 3048343986 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 418 GRAND PARK DRIVE NO 311 |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | PARKERSBURG |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | WV |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 26105 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 82189 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 32929 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 74379 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 74379 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 6128 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 6128 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 0 |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 205786 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 5642 |
| IRS990/CYOtherExpensesAmt | 0 | 102539 |
| IRS990/CYOtherRevenueAmt | 0 | 6657 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 9452 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | -46225 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 171223 |
| IRS990/CYTotalExpensesAmt | 0 | 273762 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 11833 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 227537 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 0 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 0 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 592 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 3961 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 4553 |
| IRS990/Desc | 0 | PRIMARY CARE WAS PROVIDED TO 100 PATIENTS DURING THE FISCAL YEAR. PATIENTS ARE INTERVIEWED BY OFFICE STAFF TO DETERMINE THEIR QUALIFICATIONS FOR SERVICES AND ARE SCHEDULED FOR AN APPOINTMENT WITH A HEALTH CARE PROVIDER. DIAGNOSTIC TESTING, PHYSICAL THERAPY, HEALTH EDUCATION AND IN-PATIENT SERVICES ARE PROVIDED BY THE LOCAL HOSPITAL. REFERRALS TO PHYSICIAN SPECIALISTS WHEN NECESSARY ARE ALSO PART OF THE SERVICE.THE ROLL OUT OF THE AFFORDABLE CARE ACT AND ASSUMPTION THAT EVERYONE HAS HEALTHCARE COVERAGE LED TO SUBSTANTIAL CUTS IN STATE FUNDING FOR GOOD SAMARITAN CLINIC. IN FISCAL YEAR 2016 OUR STATE FUNDING DROPPED FROM $181,751 TO $81,305. IN AN ATTEMPT TO GENERATE REVENUE TO MAKE UP FOR THOSE CUTS THE BOARD OF DIRECTORS OF THE CLINIC DECIDED TO START ACCEPTING WV MEDICAID. IN FEBRUARY 2015 WE SAW OUR FIRST MEDICAID PATIENTS. IN STAYING WITH OUR MISSION WE CONTINUE TO SERVE ADULTS THAT HAVE NO INSURANCE AND HAVE INCOMES THAT FALL AT OR BELOW 250% OF THE FEDERAL POVERTY LEVELS AS WELL AS THE MEDICAID PATIENTS. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/ElectionOfBoardMembersInd | 0 | 0 |
| IRS990/EmployeeCnt | 0 | 9 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/ExpenseAmt | 0 | 195908 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 0 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 7625 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 7625 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 3931 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 3931 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 40.00 |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MATT MARTIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ALITA SELLERS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | ROBERT LINCICOME RPH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | ANN BAILEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | AMY GERBER-SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | ANGIE SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | KATHY AZAR |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | SHANE PERDUE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | KIM STOOKE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | CINDY MOORE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 74379 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | VICE-PRESIDENT |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | BOARD MEMBER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | EXECUTIVE DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1991 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
| IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 0 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 6657 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 9 |
| IRS990/GovernmentGrantsAmt | 0 | 181751 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 0 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossReceiptsAmt | 0 | 227537 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 1 |
| IRS990/IndependentVotingMemberCnt | 0 | 9 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 300 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 3156 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 3456 |
| IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt | 0 | 5642 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 5642 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 324723 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 301413 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 36715 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 9642 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 7405 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 44120 |
| IRS990/LegalDomicileStateCd | 0 | WV |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 0 |
| IRS990/MethodOfAccountingCashInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO PROVIDE THE UNDERINSURED WITH ACCESS TO A PATIENT-CENTERED MEDICAL HOME THAT FACILITATES QUALITY CARE THROUGH PARTNERSHIPS BETWEEN THE INDIVIDUAL AND THEIR HEALTH CARE TEAM. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 411056 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 364831 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | 6657 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 6657 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 7751 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 51878 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 59629 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 6657 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 2813 |
| IRS990/OfficeExpensesGrp/ProgramServicesAmt | 0 | 2832 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 12302 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 3625 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 3625 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/Desc | 0 | DENTAL PROGRAM EXPENSES |
| IRS990/OtherExpensesGrp/Desc | 1 | MISCELLANEOUS |
| IRS990/OtherExpensesGrp/Desc | 2 | BIOHAZARD WASTE DISPOSA |
| IRS990/OtherExpensesGrp/Desc | 3 | PURCHASED PHARMACEUTIAL |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 39 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 1603 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 313 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 951 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 1150 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 2 | 859 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1603 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 1303 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 1150 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 859 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 9633 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 7868 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 4619 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 36955 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 38025 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 79599 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 410 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 3276 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 9966 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 13652 |
| IRS990/PensionPlanContributionsGrp/FundraisingAmt | 0 | 108 |
| IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt | 0 | 862 |
| IRS990/PensionPlanContributionsGrp/ProgramServicesAmt | 0 | 2623 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 3593 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 21522 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 5191 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 9232 |
| IRS990/PrincipalOfficerNm | 0 | CINDY MOORE |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 621400 |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 1 | 621400 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | FEES AND OTHER INCOME |
| IRS990/ProgramServiceRevenueGrp/Desc | 1 | MEDICAL RECORDS REIMBU |
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| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 1 | 114 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 9338 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 1 | 114 |
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| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 468857 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/PYInvestmentIncomeAmt | 0 | -36502 |
| IRS990/PYOtherExpensesAmt | 0 | 313600 |
| IRS990/PYOtherRevenueAmt | 0 | 1517 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 17915 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -42702 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 180889 |
| IRS990/PYTotalExpensesAmt | 0 | 494489 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 451787 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -46225 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 0 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 1 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
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| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt | 0 | 470374 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 290188 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 301987 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 287687 |
| IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt | 0 | 1556022 |
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| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt | 0 | 21133 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 3463 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 2223 |
| IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 4000 |
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| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus1YearAmt | 0 | 17915 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus2YearsAmt | 0 | 10483 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus3YearsAmt | 0 | 24908 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt | 0 | 33594 |
| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 96352 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt | 0 | 5642 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt | 0 | 21133 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt | 0 | 3463 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt | 0 | 2223 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt | 0 | 4000 |
| IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt | 0 | 36461 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.02160 |
| IRS990ScheduleA/InvestmentIncomePYPct | 0 | 0.01900 |
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| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.97840 |
| IRS990ScheduleA/PublicSupportPY509Pct | 0 | 0.98100 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 1652374 |
| IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind | 0 | X |
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| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt | 0 | 488289 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 300671 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt | 0 | 326895 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 321281 |
| IRS990ScheduleA/Total509Grp/TotalAmt | 0 | 1652374 |
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| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt | 0 | 509422 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt | 0 | 304134 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt | 0 | 329118 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 325281 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 1688835 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
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| IRS990ScheduleD/EquipmentGrp/DepreciationAmt | 0 | 36715 |
| IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt | 0 | 44120 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 9373 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 273762 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/OtherExpensesIncludedAmt | 0 | 9373 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 7868 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | COMPENSATED ABSENCES |
| IRS990ScheduleD/OtherRevenuesNotIncludedAmt | 0 | -9373 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 0 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | -9373 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 236910 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ASSOCIATION AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF THE CLINIC HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS). MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CLINIC, AND HAS CONCLUDED THAT AS OF THE END OF THE FISCAL YEAR, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE CLINIC IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS, HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE CLINIC'S FEDERAL RETURN OF ORGANIZATION FROM INCOME TAX (FEDERAL FORM 990) FOR THE PRIOR THREE FISCAL YEARS ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | LOSS ON SALE OF ASSETS -9,373. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | LOSS ON SALE OF ASSETS 9,373. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART X, LINE 2: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART XI, LINE 4B - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | PART XII, LINE 2D - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 7405 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 273762 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 7868 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 227537 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 236910 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 283135 |
| IRS990/ScheduleJRequiredInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | FORM 990 IS RECEIVED AND REVIEWED BY THE EXECUTIVE DIRECTOR AND THE EXECUTIVE COMMITTEE OF THE THE BOARD OF DIRECTORS PRIOR TO SIGNING AND FILING WITH THE INTERNAL REVENUE SERVICE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE CONFLICT OF INTEREST POLICY IS DISTRIBUTED AND EXPLAINED TO ALL BOARD MEMBERS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE AGENCY MAKES ITS FORM 990 AVAILABLE UPON REQUEST AT ITS ADMINISTRATIVE OFFICES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | FORM 990, PART VI, SECTION B, LINE 11 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | FORM 990, PART VI, SECTION B, LINE 12C |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | FORM 990, PART VI, SECTION C, LINE 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | FORM 990, PART XII, LINE 2C: |
| IRS990/SchoolOperatingInd | 0 | 0 |
| IRS990/SignificantChangeInd | 0 | 0 |
| IRS990/SignificantNewProgramSrvcInd | 0 | 0 |
| IRS990/StatesWhereCopyOfReturnIsFldCd | 0 | WV |
| IRS990/SubjectToProxyTaxInd | 0 | 0 |
| IRS990/TaxablePartyNotificationInd | 0 | 0 |
| IRS990/TaxExemptBondsInd | 0 | 0 |
| IRS990/TempOrPermanentEndowmentsInd | 0 | 0 |
| IRS990/TerminateOperationsInd | 0 | 0 |
| IRS990/TotalAssetsBOYAmt | 0 | 425370 |
| IRS990/TotalAssetsEOYAmt | 0 | 376126 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 425370 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 376126 |
| IRS990/TotalCompGreaterThan150KInd | 0 | 0 |
| IRS990/TotalContributionsAmt | 0 | 205786 |
| IRS990/TotalEmployeeCnt | 0 | 9 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 11833 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 66021 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 195908 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 273762 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 14314 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 11295 |
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Displayed year
2015 • Form 990Detailed filing. Detailed filing data is available for this year.