Grace Medical Clinic Inc

EIN 61-1351519 • 501(c)3 • Mayfield, KY

Profile

To provide the needy with free medical services

211 S 8th StMayfield, KY 42066

n/A

Siviq Scores

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

No value available

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

Source year 2016

0.00x

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

501(c)3 • <$500k nonprofits • Source year 2016

-84%

Higher net margin than 11% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2016

$12,500

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 38.7% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2016

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

-82%

Faster revenue growth than 9% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Balance Sheet

Liabilities / AssetsScore unavailable

Assets

Down

Down $29,375 (-100%) from 2015

Liabilities

Down

Down $2,399 (-100%) from 2015

Net Assets

Down

Down $26,976 (-100%) from 2015

Operations

Liabilities / Revenue62nd percentile Net Margin11th percentile

Revenue

Down

$32,272

Down $142,628 (-82%) from 2015

Expenses

Down

$59,248

Down $121,222 (-67%) from 2015

Net Income

Down

-$26,976

Down $21,406 (-384%) from 2015

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

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

Highlighted filing

2016

Assets$0

Liabilities$0

Net Assets$0

Open 2016 Filing

Operations Trend

Revenue Growth9th percentile

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

Highlighted filing

2016

Revenue$32,272

Expenses$59,248

Net Income-$26,976

Open 2016 Filing

Filings

Most recent year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing

Assets: $0
Liabilities: $0
Net assets: $0
Revenue: $32,272
Expenses: $59,248
Net income: -$26,976

	Balance Sheet			Operations
Year	Assets	Liabilities	Net Assets	Revenue	Expenses	Net Income
2016Detailed filing. Detailed filing data is available for this year.	$0.00	$0.00	$0.00	$0.32	$0.59	$0.27
2015Detailed filing. Detailed filing data is available for this year.	$0.29	$0.02	$0.27	$1.75	$1.80	$0.06
2014Detailed filing. Detailed filing data is available for this year.	$0.36	$0.03	$0.33	$2.31	$2.53	$0.22
2013Detailed filing. Detailed filing data is available for this year.	$0.58	$0.03	$0.55	$5.33	$5.24	$0.09
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.	$0.48	$0.02	$0.46		$4.92
2011Summary only. Only limited summary data is available for this year.	$0.55	$0.02	$0.53	$4.72	$4.79	$0.07

Latest Filing Detail

Jump To

Filing Snapshot

Filing Period: Jan 1, 2016 to Dec 31, 2016
Signed: May 15, 2017
Return Version: 2016v3.0
Gross Receipts: $33,417

Mission and Program Overview

Mission

To provide the needy with free medical services

Balance Sheet Detail

Line	Beginning	End	Change
Assets
Inventories for Sale or Use	$14,944	$0	▼ $14,944
Cash and Non-Interest-Bearing Accounts	$13,095	$0	▼ $13,095
Land, Buildings, and Equipment, Net	$1,336	$0	▼ $1,336
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	-
Intangible Assets	-	$0	-
Prepaid Expenses and Deferred Charges	-	$0	-
Total Assets	$29,375	$0	▼ $29,375
Other Assets Total	-	$0	-
Liabilities
Accounts Payable and Accrued Expenses	$2,398	-	-
Other Liabilities	$1	-	-
Total Liabilities	$2,399	$0	▼ $2,399
Net Assets / Fund Balance
Unrestricted Net Assets	$26,976	-	-
Total Net Assets Fund Balance	$26,976	$0	▼ $26,976
Total Liabilities and Net Assets / Fund Balance	$29,375	$0	▼ $29,375

Compensation and Service Providers

Top Officer Pay86th percentile

Employees

Name	Title	Full / Part Time	Base	Total
ELIZABETH McCLENDON	Executive Direc	PT	$12,500	$12,500

Board Members and Trustees

Name	Title
L Gregory Cook	Chairman
David Saxon	Director
Jim Stephens	Director
Marilyn Thompson	Director
Sharon Green	Director
Susan Garland	Member
Ellen Burnett	Member at Large
Nancy C Crick	Treasurer

Revenue and Support

Revenue Composition

Contributions and Grants: $33,417
Program Service Revenue: $0
Investment Income: $-1,145
Other Revenue: $0
All Other Contributions: $33,417
Change in Net Assets: $-26,976

Expenses and Functional Allocation

Major Expense Lines

Line Item	Amount
Other Expenses	$45,729
Salaries, Compensation, and Employee Benefits	$13,519
Grants and Similar Amounts Paid	$0
Professional Fundraising Fees	$0
Total Fundraising Expense	$0

Functional Expense Allocation

Line Item	Program	Management	Fundraising	Total
Current Officers, Directors, Trustees, and Key Employees	$12,500	-	-	$12,500
All Other Expenses	$8,384	-	-	$8,384
Other Expenses	$4,305	-	-	$4,305
Insurance	$3,688	-	-	$3,688
Payroll Taxes	$1,019	-	-	$1,019
Fees for Services Accounting	$780	-	-	$780
Office Expenses	$437	-	-	$437
Depreciation Depletion	$191	-	-	$191
Total Functional Expenses	$59,248	$0	$0	$59,248

Fundraising, Events, and Gaming

Fundraising activities: No
Gaming activities: No
Professional fundraiser used: No

Fundraising and Gaming Totals

Line Item	Amount
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 Item	Beginning	End	Change
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: Yes
Annual disclosure for covered persons: No
Audit committee: No
Backup withholding compliance: 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: No
Audited financial statements prepared: No
Key decisions subject to board approval: No
Management duties delegated: No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

“No review was or will be conducted.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name: Grace Medical Clinic Inc
EIN: 61-1351519
Phone: 2702519885
Address: 211 S 8TH ST, MAYFIELD, KY 42066

Signing Officer

Name: ELIZABETH McCLENDON
Title: Executive Director
Signed: 2017-05-15
Discuss with paid preparer: Yes

Organization Details

Formed: 1999
Legal Domicile: Ky
Voting Board Members: 9
Independent Board Members: 0
Employees: 0

Preparer

Firm: Romaine & Associates Pllc
Address: 1214 PARIS RD, MAYFIELD, KY 42066-4989
Preparer: Krista Romaine CPA
Phone: 2702478050

Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 24E: Other Expenses

“CONTRACT LABOR: Column (A) - Total = $743; Column (B) - Program Services = $743; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“Dues and Subscriptions: Column (A) - Total = $245; Column (B) - Program Services = $245; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“Internet Fees: Column (A) - Total = $360; Column (B) - Program Services = $360; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“Janitorial: Column (A) - Total = $138; Column (B) - Program Services = $138; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“LICENSES/PERMITS: Column (A) - Total = $150; Column (B) - Program Services = $150; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“MEDICAL WASTE: Column (A) - Total = $340; Column (B) - Program Services = $340; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“Other Expenses: Column (A) - Total = $1734; Column (B) - Program Services = $1734; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“Other Expenses-Closing: Column (A) - Total = $453; Column (B) - Program Services = $453; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“Postage and Shipping: Column (A) - Total = $286; Column (B) - Program Services = $286; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“REIMBURSEMENT: Column (A) - Total = $2124; Column (B) - Program Services = $2124; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“TELEPHONE: Column (A) - Total = $1469; Column (B) - Program Services = $1469; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Form 990, Part IX, Line 24E: Other Expenses

“Volunteer Expense: Column (A) - Total = $342; Column (B) - Program Services = $342; Column (C) - Management & General = $0; Column (D) - Fundraising = $0”

Raw XML AppendixShowing 400 of 453 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
IRS990/AccountantCompileOrReviewInd	0	true
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt	0	2398
IRS990/AccountsReceivableGrp/EOYAmt	0	0
IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd	0	X
IRS990/ActivitiesConductedPrtshpInd	0	false
IRS990/ActivityOrMissionDesc	0	TO PROVIDE THE NEEDY WITH FREE MEDICAL SERVICES
IRS990/AdvertisingGrp/TotalAmt	0	0
IRS990/AllAffiliatesIncludedInd	0	false
IRS990/AllOtherContributionsAmt	0	33417
IRS990/AllOtherExpensesGrp/ProgramServicesAmt	0	8384
IRS990/AllOtherExpensesGrp/TotalAmt	0	8384
IRS990/AnnualDisclosureCoveredPrsnInd	0	false
IRS990/AuditCommitteeInd	0	false
IRS990/BackupWthldComplianceInd	0	false
IRS990/BenefitsToMembersGrp/TotalAmt	0	0
IRS990/BooksInCareOfDetail/PersonNm	0	GRACE MEDICAL CLINIC
IRS990/BooksInCareOfDetail/PhoneNum	0	2702519885
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt	0	211 S 8TH ST
IRS990/BooksInCareOfDetail/USAddress/CityNm	0	MAYFIELD
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd	0	KY
IRS990/BooksInCareOfDetail/USAddress/ZIPCd	0	42066
IRS990/BusinessRlnWithFamMemInd	0	false
IRS990/BusinessRlnWithOfficerEntInd	0	false
IRS990/BusinessRlnWithOrgMemInd	0	false
IRS990/CashNonInterestBearingGrp/BOYAmt	0	13095
IRS990/CashNonInterestBearingGrp/EOYAmt	0	0
IRS990/ChangeToOrgDocumentsInd	0	false
IRS990/CntrctRcvdGreaterThan100KCnt	0	0
IRS990/CollectionsOfArtInd	0	false
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt	0	12500
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt	0	12500
IRS990/CompDisqualPersonsGrp/TotalAmt	0	0
IRS990/CompensationFromOtherSrcsInd	0	false
IRS990/CompensationProcessCEOInd	0	false
IRS990/CompensationProcessOtherInd	0	false
IRS990/ConferencesMeetingsGrp/TotalAmt	0	0
IRS990/ConflictOfInterestPolicyInd	0	false
IRS990/ConservationEasementsInd	0	false
IRS990/ConsolidatedAuditFinclStmtInd	0	false
IRS990/ContractTerminationInd	0	X
IRS990/CreditCounselingInd	0	false
IRS990/CYBenefitsPaidToMembersAmt	0	0
IRS990/CYContributionsGrantsAmt	0	33417
IRS990/CYGrantsAndSimilarPaidAmt	0	0
IRS990/CYInvestmentIncomeAmt	0	-1145
IRS990/CYOtherExpensesAmt	0	45729
IRS990/CYOtherRevenueAmt	0	0
IRS990/CYProgramServiceRevenueAmt	0	0
IRS990/CYRevenuesLessExpensesAmt	0	-26976
IRS990/CYSalariesCompEmpBnftPaidAmt	0	13519
IRS990/CYTotalExpensesAmt	0	59248
IRS990/CYTotalFundraisingExpenseAmt	0	0
IRS990/CYTotalProfFndrsngExpnsAmt	0	0
IRS990/CYTotalRevenueAmt	0	32272
IRS990/DAFExcessBusinessHoldingsInd	0	false
IRS990/DecisionsSubjectToApprovaInd	0	false
IRS990/DeductibleArtContributionInd	0	false
IRS990/DeductibleNonCashContriInd	0	false
IRS990/DelegationOfMgmtDutiesInd	0	false
IRS990/DepreciationDepletionGrp/ProgramServicesAmt	0	191
IRS990/DepreciationDepletionGrp/TotalAmt	0	191
IRS990/Desc	0	PHYSICIAN CARE & PRESCRIPTION MEDICATIONS, 437 PATIENTS WERE TREATED DURING THE YEAR
IRS990/DescribedInSection501c3Ind	0	true
IRS990/DisregardedEntityInd	0	false
IRS990/DistributionToDonorInd	0	false
IRS990/DocumentRetentionPolicyInd	0	false
IRS990/DonorAdvisedFundInd	0	false
IRS990/ElectionOfBoardMembersInd	0	false
IRS990/EmployeeCnt	0	0
IRS990/EmploymentTaxReturnsFiledInd	0	false
IRS990/EngagedInExcessBenefitTransInd	0	false
IRS990/EscrowAccountInd	0	false
IRS990/ExpenseAmt	0	59248
IRS990/FamilyOrBusinessRlnInd	0	false
IRS990/FederalGrantAuditRequiredInd	0	false
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt	0	780
IRS990/FeesForServicesAccountingGrp/TotalAmt	0	780
IRS990/FeesForServicesLegalGrp/TotalAmt	0	0
IRS990/FeesForServicesLobbyingGrp/TotalAmt	0	0
IRS990/FeesForServicesManagementGrp/TotalAmt	0	0
IRS990/FeesForServicesOtherGrp/TotalAmt	0	0
IRS990/FeesForServicesProfFundraising/TotalAmt	0	0
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt	0	0
IRS990/FinalReturnInd	0	X
IRS990/ForeignActivitiesInd	0	false
IRS990/ForeignFinancialAccountInd	0	false
IRS990/ForeignGrantsGrp/TotalAmt	0	0
IRS990/ForeignOfficeInd	0	false
IRS990/Form1098CFiledInd	0	false
IRS990/Form8282FiledCnt	0	0
IRS990/Form8282PropertyDisposedOfInd	0	false
IRS990/Form8899Filedind	0	false
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	0	0.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	1	0.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	2	0.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	3	0.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	4	0.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	5	0.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	6	0.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	7	0.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt	8	0.00
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	15.00
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/OfficerInd	0	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/PersonNm	0	L GREGORY COOK
IRS990/Form990PartVIISectionAGrp/PersonNm	1	DAVID SAXON
IRS990/Form990PartVIISectionAGrp/PersonNm	2	ELLEN BURNETT
IRS990/Form990PartVIISectionAGrp/PersonNm	3	NANCY C CRICK
IRS990/Form990PartVIISectionAGrp/PersonNm	4	SUSAN GARLAND
IRS990/Form990PartVIISectionAGrp/PersonNm	5	SHARON GREEN
IRS990/Form990PartVIISectionAGrp/PersonNm	6	MARILYN THOMPSON
IRS990/Form990PartVIISectionAGrp/PersonNm	7	JIM STEPHENS
IRS990/Form990PartVIISectionAGrp/PersonNm	8	ELIZABETH McCLENDON
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	12500
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/TitleTxt	0	Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt	1	Director
IRS990/Form990PartVIISectionAGrp/TitleTxt	2	MEMBER AT LARGE
IRS990/Form990PartVIISectionAGrp/TitleTxt	3	Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt	4	MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt	5	Director
IRS990/Form990PartVIISectionAGrp/TitleTxt	6	Director
IRS990/Form990PartVIISectionAGrp/TitleTxt	7	Director
IRS990/Form990PartVIISectionAGrp/TitleTxt	8	Executive Direc
IRS990/Form990ProvidedToGvrnBodyInd	0	false
IRS990/Form990TFiledInd	0	false
IRS990/FormationYr	0	1999
IRS990/FormerOfcrEmployeesListedInd	0	false
IRS990/FSAuditedInd	0	false
IRS990/FundraisingActivitiesInd	0	false
IRS990/GainOrLossGrp/OtherAmt	0	-1145
IRS990/GamingActivitiesInd	0	false
IRS990/GoverningBodyVotingMembersCnt	0	9
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt	0	0
IRS990/GrantsToDomesticOrgsGrp/TotalAmt	0	0
IRS990/GrantsToIndividualsInd	0	false
IRS990/GrantsToOrganizationsInd	0	false
IRS990/GrantToRelatedPersonInd	0	false
IRS990/GrossReceiptsAmt	0	33417
IRS990/GroupReturnForAffiliatesInd	0	false
IRS990/IncludeFIN48FootnoteInd	0	false
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt	0	0
IRS990/IndependentAuditFinclStmtInd	0	false
IRS990/IndependentVotingMemberCnt	0	0
IRS990/IndivRcvdGreaterThan100KCnt	0	0
IRS990/IndoorTanningServicesInd	0	false
IRS990/InfoInScheduleOPartIXInd	0	X
IRS990/InfoInScheduleOPartVIInd	0	X
IRS990/InformationTechnologyGrp/TotalAmt	0	0
IRS990/InsuranceGrp/ProgramServicesAmt	0	3688
IRS990/InsuranceGrp/TotalAmt	0	3688
IRS990/IntangibleAssetsGrp/EOYAmt	0	0
IRS990/InterestGrp/TotalAmt	0	0
IRS990/InventoriesForSaleOrUseGrp/BOYAmt	0	14944
IRS990/InventoriesForSaleOrUseGrp/EOYAmt	0	0
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt	0	0
IRS990/InvestmentInJointVentureInd	0	false
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt	0	0
IRS990/InvestmentsProgramRelatedGrp/EOYAmt	0	0
IRS990/InvestmentsPubTradedSecGrp/EOYAmt	0	0
IRS990/InvestTaxExemptBondsInd	0	false
IRS990/IRPDocumentCnt	0	0
IRS990/IRPDocumentW2GCnt	0	0
IRS990/LandBldgEquipBasisNetGrp/BOYAmt	0	1336
IRS990/LandBldgEquipBasisNetGrp/EOYAmt	0	0
IRS990/LegalDomicileStateCd	0	KY
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt	0	1145
IRS990/LicensedMoreThanOneStateInd	0	false
IRS990/LoanOutstandingInd	0	false
IRS990/LobbyingActivitiesInd	0	false
IRS990/LocalChaptersInd	0	false
IRS990/MaterialDiversionOrMisuseInd	0	false
IRS990/MembersOrStockholdersInd	0	false
IRS990/MethodOfAccountingAccrualInd	0	X
IRS990/MinutesOfCommitteesInd	0	false
IRS990/MinutesOfGoverningBodyInd	0	false
IRS990/MissionDesc	0	TO PROVIDE THE NEEDY WITH FREE MEDICAL SERVICES
IRS990/MoreThan5000KToIndividualsInd	0	false
IRS990/MoreThan5000KToOrgInd	0	false
IRS990/NetAssetsOrFundBalancesBOYAmt	0	26976
IRS990/NetAssetsOrFundBalancesEOYAmt	0	0
IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt	0	-1145
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt	0	-1145
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt	0	0
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt	0	0
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt	0	0
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt	0	0
IRS990/NondeductibleContributionsInd	0	false
IRS990/OccupancyGrp/TotalAmt	0	0
IRS990/OfficeExpensesGrp/ProgramServicesAmt	0	437
IRS990/OfficeExpensesGrp/TotalAmt	0	437
IRS990/OfficerMailingAddressInd	0	false
IRS990/OnBehalfOfIssuerInd	0	false
IRS990/OperateHospitalInd	0	false
IRS990/Organization501c3Ind	0	X
IRS990/OrganizationFollowsSFAS117Ind	0	X
IRS990/OrgFiledInLieuOfForm1041Ind	0	false
IRS990/OtherAssetsTotalGrp/EOYAmt	0	0
IRS990/OtherEmployeeBenefitsGrp/TotalAmt	0	0
IRS990/OtherExpensesGrp/Desc	0	Donated Medications
IRS990/OtherExpensesGrp/Desc	1	Donated-St Nicholas Foundation
IRS990/OtherExpensesGrp/Desc	2	UTILITIES
IRS990/OtherExpensesGrp/Desc	3	Medical Supplies
IRS990/OtherExpensesGrp/ProgramServicesAmt	0	14944
IRS990/OtherExpensesGrp/ProgramServicesAmt	1	7000
IRS990/OtherExpensesGrp/ProgramServicesAmt	2	6000
IRS990/OtherExpensesGrp/ProgramServicesAmt	3	4305
IRS990/OtherExpensesGrp/TotalAmt	0	14944
IRS990/OtherExpensesGrp/TotalAmt	1	7000
IRS990/OtherExpensesGrp/TotalAmt	2	6000
IRS990/OtherExpensesGrp/TotalAmt	3	4305
IRS990/OtherLiabilitiesGrp/BOYAmt	0	1
IRS990/OtherRevenueMiscGrp/Desc	0	FEES
IRS990/OtherRevenueMiscGrp/Desc	1	REIMBURSEMENT
IRS990/OtherRevenueTotalAmt	0	0
IRS990/OtherSalariesAndWagesGrp/TotalAmt	0	0
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt	0	0
IRS990/PartialLiquidationInd	0	false
IRS990/PaymentsToAffiliatesGrp/TotalAmt	0	0
IRS990/PayPremiumsPrsnlBnftCntrctInd	0	false
IRS990/PayrollTaxesGrp/ProgramServicesAmt	0	1019
IRS990/PayrollTaxesGrp/TotalAmt	0	1019
IRS990/PensionPlanContributionsGrp/TotalAmt	0	0
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt	0	0
IRS990/PoliticalCampaignActyInd	0	false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt	0	0
IRS990/ProfessionalFundraisingInd	0	false
IRS990/ProhibitedTaxShelterTransInd	0	false
IRS990/PYContributionsGrantsAmt	0	174900
IRS990/PYExcessBenefitTransInd	0	false
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt	0	0
IRS990/PYOtherExpensesAmt	0	144697
IRS990/PYRevenuesLessExpensesAmt	0	-5570
IRS990/PYSalariesCompEmpBnftPaidAmt	0	35773
IRS990/PYTotalExpensesAmt	0	180470
IRS990/PYTotalRevenueAmt	0	174900
IRS990/QuidProQuoContributionsInd	0	false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt	0	0
IRS990/RcvFndsToPayPrsnlBnftCntrctInd	0	false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt	0	0
IRS990/ReconcilationRevenueExpnssAmt	0	-26976
IRS990/RegularMonitoringEnfrcInd	0	false
IRS990/RelatedEntityInd	0	false
IRS990/RelatedOrganizationCtrlEntInd	0	false
IRS990/ReportInvestmentsOtherSecInd	0	false
IRS990/ReportLandBuildingEquipmentInd	0	false
IRS990/ReportOtherAssetsInd	0	false
IRS990/ReportOtherLiabilitiesInd	0	false
IRS990/ReportProgramRelatedInvstInd	0	false
IRS990/RoyaltiesGrp/TotalAmt	0	0
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt	0	0
IRS990/SavingsAndTempCashInvstGrp/EOYAmt	0	0
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt	0	0
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt	0	33417
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt	0	70321
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt	0	93363
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt	0	127801
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt	0	96636
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt	0	421538
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt	0	0
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt	0	0
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt	0	0
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt	0	0
IRS990ScheduleA/InvestmentIncomeCYPct	0	0.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt	0	0
IRS990ScheduleA/OtherIncome509Grp/TotalAmt	0	0
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt	0	0
IRS990ScheduleA/PubliclySupportedOrg509a2Ind	0	X
IRS990ScheduleA/PublicSupportCY509Pct	0	1.00000
IRS990ScheduleA/PublicSupportPY509Pct	0	1.00000
IRS990ScheduleA/PublicSupportTotal509Amt	0	421538
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt	0	0
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt	0	0
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind	0	X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt	0	33417
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt	0	70321
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt	0	93363
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt	0	127801
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt	0	96636
IRS990ScheduleA/Total509Grp/TotalAmt	0	421538
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt	0	33417
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt	0	70321
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt	0	93363
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt	0	127801
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt	0	96636
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt	0	421538
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	true
IRS990/ScheduleJRequiredInd	0	false
IRS990ScheduleN/AssetsDistributedInd	0	true
IRS990ScheduleN/AttorneyGeneralNotifiedInd	0	false
IRS990ScheduleN/BondLiabilitiesDischargedInd	0	false
IRS990ScheduleN/BondsOutstandingInd	0	false
IRS990ScheduleN/DirectorOfSuccessorInd	0	false
IRS990ScheduleN/EmployeeOfSuccessorInd	0	false
IRS990ScheduleN/LiabilitiesPaidInd	0	true
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/AssetsDistriOrExpnssPaidDesc	0	St. Nicolas Foundation
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt	0	2016-11-18
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt	0	7000
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt	0	501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt	0	PO Box 3111
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm	0	Paducah
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/StateAbbreviationCd	0	KY
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/ZIPCd	0	42002
IRS990ScheduleN/OwnerOfSuccessorInd	0	false
IRS990ScheduleN/ReceiveCompensationInd	0	false
IRS990ScheduleN/RequiredToNotifyAGInd	0	false
IRS990/ScheduleORequiredInd	0	false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	0	No review was or will be conducted.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	1	No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	2	CONTRACT LABOR: Column (A) - Total = $743; Column (B) - Program Services = $743; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	3	Dues and Subscriptions: Column (A) - Total = $245; Column (B) - Program Services = $245; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	4	Internet Fees: Column (A) - Total = $360; Column (B) - Program Services = $360; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	5	Janitorial: Column (A) - Total = $138; Column (B) - Program Services = $138; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	6	LICENSES/PERMITS: Column (A) - Total = $150; Column (B) - Program Services = $150; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	7	MEDICAL WASTE: Column (A) - Total = $340; Column (B) - Program Services = $340; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	8	Other Expenses: Column (A) - Total = $1734; Column (B) - Program Services = $1734; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	9	Other Expenses-Closing: Column (A) - Total = $453; Column (B) - Program Services = $453; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	10	Postage and Shipping: Column (A) - Total = $286; Column (B) - Program Services = $286; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	11	REIMBURSEMENT: Column (A) - Total = $2124; Column (B) - Program Services = $2124; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	12	TELEPHONE: Column (A) - Total = $1469; Column (B) - Program Services = $1469; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt	13	Volunteer Expense: Column (A) - Total = $342; Column (B) - Program Services = $342; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	0	Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	1	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	2	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	3	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	4	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	5	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	6	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	7	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	8	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	9	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	10	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	11	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	12	Form 990, Part IX, Line 24e: Other Expenses
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc	13	Form 990, Part IX, Line 24e: Other Expenses
IRS990/SchoolOperatingInd	0	false
IRS990/SignificantChangeInd	0	false
IRS990/SignificantNewProgramSrvcInd	0	false
IRS990/SubjectToProxyTaxInd	0	false
IRS990/TaxableDistributionsInd	0	false
IRS990/TaxablePartyNotificationInd	0	false
IRS990/TaxExemptBondsInd	0	false
IRS990/TempOrPermanentEndowmentsInd	0	false
IRS990/TerminateOperationsInd	0	true
IRS990/TotalAssetsBOYAmt	0	29375
IRS990/TotalAssetsEOYAmt	0	0
IRS990/TotalAssetsGrp/BOYAmt	0	29375
IRS990/TotalAssetsGrp/EOYAmt	0	0
IRS990/TotalCompGreaterThan150KInd	0	false
IRS990/TotalContributionsAmt	0	33417
IRS990/TotalEmployeeCnt	0	0
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt	0	0

Document Assets

No mirrored PDF or thumbnail assets are attached yet.