Hope Family Health, Good Samaritan Free Clinic in Rock Island, Illinois (IL)
Table of contents:
| Hope Family Health, Good Samaritan Free Clinic | |
| Employer Identification Number (EIN) | 320024376 |
| Name of Organization | Hope Family Health |
| Secondary Name | Good Samaritan Free Clinic |
| In Care of Name | James A Lehman Md |
| Address | 2570 24th St Ste 127, Rock Island, IL 61201-5394 |
| Subsection | Charitable Organization |
| Ruling Date | 10/2002 |
| Deductibility | Contributions are deductible |
| Foundation | Organization which receives a substantial part of its support from a governmental unit or the general public |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2013 |
| Assets | $25,000 to $99,999 |
| Income | $10,000 to $24,999 |
| Filing Requirement | 990 - Required to file Form 990-N - Income less than $25,000 per year |
| Asset Amount | $40,265 |
| Amount of Income | $11,376 |
| Form 990 Revenue Amount | $11,376 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: Health Support Services |
Non-representatives - add comments:
Amount of income in 2013: $11,376 (it was $12,418 in 2012)
| This organization: | $11,376 |
| Other organizations performing similar types of work: | $120,401 |
Assets in 2013: $40,265 (it was $64,182 in 2012)
| Hope Family Health, Good Samaritan Free Clinic: | $40,265 |
| Other organizations performing similar types of work: | $72,612 |
Expenses in 2013: $33,744
| Hope Family Health, Good Samaritan Free Clinic: | $33,744 |
| Other organizations performing similar types of work: | $96,831 |
Income to expenses ratio in 2013: 0.3
| Hope Family Health, Good Samaritan Free Clinic: | 0.3 |
| Other organizations performing similar types of work: | 1.2 |
Grants share in income in 2013: 76.3%
| This organization: | 76.3% |
| Other organizations performing similar types of work: | 99.2% |
Revenue for 2013
Support schedule
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $70,384 | $12,418 | $11,376 |
| Contributions, gifts, grants, and similar amounts received | $70,129 | $12,392 | $8,684 |
| Program service revenue including government fees and contracts | $0 | $0 | $0 |
| Membership dues and assessments | $0 | $0 | $0 |
| Investment income | $214 | $26 | $1,257 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $0 |
| Net income/loss from gaming and fundraising events | $0 | $0 | $0 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $41 | $0 | $1,435 |
| Total expenses | $33,464 | $55,226 | $33,744 |
| Total net assets | $104,466 | $61,658 | $39,290 |
| Excess/Deficit for the year | $36,920 | $-42,808 | $-22,368 |
| Net assets or fund balances at beginning of year | $67,546 | $104,466 | $61,658 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $61,658 | $39,290 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $106,432 | $64,182 | $40,265 |
| Total liabilities | $1,966 | $2,524 | $975 |
| Net assets or fund balances | $104,466 | $61,658 | $39,290 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No | |
| Were any significant changes made to the organizing or governing documents? | No | No | |
| Did the organization have unrelated business gross income of $1,000 or more during the year from business activities | No | No | No |
| Has the organization filed a Form 990-T for the year? | No | No | |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No | |
| Amount of political expenditures, direct or indirect | $0 | $0 | |
| Did the organization file Form 1120-POL for this year? | No | No | |
| Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were any such loans made in a prior year and still outstanding at the end of the tax year covered by this return? | No | No | |
| Total amount involved | $0 | $0 | |
| Initiation fees and capital contributions | $0 | $0 | $0 |
| Gross receipts for public use of club facilities | $0 | $0 | $0 |
| Did the organization engage in any section 4958 excess benefit transaction during the year, or did it engage in an excess benefit transaction in a prior year that has not been reported on any of its prior Forms 990 or 990-EZ? | No | No | |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No | |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | An organization that normally receives: (1) more than 33 1/3 % of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3 % of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975 |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
| Support Schedule for Organizations Described in Section 509(a)(2) (for 2009 - 2013) | |
| 2009 - 2013 Total | |
|---|---|
| Public support | $232,438 |
| Subtotal | $232,438 |
| Gifts, grants, contributions, and membership fees received | $232,438 |
| Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | $0 |
| Gross receipts from activities that are not an unrelated trade or business under section 513 | $0 |
| Tax revenues levied for the organization's benefit and either paid to or expended on its behalf | $0 |
| The value of services or facilities furnished by a governmental unit to the organization without charge | $0 |
| Less | $0 |
| Amounts received from disqualified persons | $0 |
| Amounts received from other than disqualified persons that exceed the greater of $5,000 or 1% of the total support | $0 |
| Total support | $235,924 |
| Public support | $232,438 |
| Subtotal | $2,051 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | $2,051 |
| Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 | $0 |
| Net income from unrelated business activities, whether or not the business is regularly carried on | $0 |
| Other income | $1,435 |
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| Organizations performing similar types of work | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | St George Wellness Center | 15430 West Ave, Orland Park, IL 60462-4661 | IL | 2001-08 | $4,060,889 |
| 2 | Thomas Cellini Huntington Sfoundation Inc | 3019 E End Ave, S Chicago Hts, IL 60411-5508 | IL | 2006-12 | $955,419 |
| 3 | Global Health Initiative At Chicago Lake Shore Medical Associa | 420 E Superior No 9th Fl, Chicago, IL 60611-4494 | IL | 2009-08 | $800,013 |
| 4 | Senior Care Network Inc | 1520 Kensington Rd Ste 110, Oak Brook, IL 60523-2140 | IL | 2003-03 | $552,949 |
| 5 | Hatzalah Chicago | 8170 Mccormick Blvd Ste 204, Skokie, IL 60076-2914 | IL | 2010-08 | $424,463 |
| 6 | Docare International | 142 E Ontario Street, Chicago, IL 60611-2874 | IL | 2001-05 | $125,293 |
| 7 | Victory Reins Nfp | 11900 W Offner Rd, Peotone, IL 60468 | IL | 2007-09 | $111,368 |
| 8 | Royal Service Children Foundation | 401 North Wabash Avenue Suite 44a, Chicago, IL 60611 | IL | 2006-03 | $96,845 |
| 9 | Hooves To Heal Nfp | PO BOX 691, Marengo, IL 60152-0691 | IL | 2010-10 | $93,630 |
| 10 | A Big Blast Project | 2210 Linneman St, Glenview, IL 60025-4168 | IL | 2011-09 | $71,990 |
| 11 | Life Matters Media | 517 N Racine Ave, Chicago, IL 60642 | IL | 2012-02 | $65,158 |
| 12 | Collaborative Underserved Relief And Education Foundation | 2434 Wolf Rd, Westchester, IL 60154-5634 | IL | 2011-05 | $55,392 |
| 13 | Allenforce | PO BOX 481, Plainfield, IL 60544-0481 | IL | 2013-04 | $31,865 |
| 14 | Solutions For Illinois Mental Health Authorities | 132 South Water St Suite 604, Decatur, IL 62523 | IL | 2008-10 | $25,591 |
| 15 | Alex Novak Health Fund | 26w380 Churchill Rd, Winfield, IL 60190 | IL | 2014-07 | $25,187 |
| 16 | Great Bowel Movement Inc | 115 W Second St, Manteno, IL 60950-1150 | IL | 2012-10 | $17,862 |
| 17 | Restorative Medicine Foundation | 1713 Central St, Evanston, IL 60201-1507 | IL | 2015-01 | $10,912 |
| 18 | Chicago Childrens Wellness Foundation Nfp | 1746 W Henderson St Apt 3, Chicago, IL 60657-1047 | IL | 2011-03 | $9,672 |
| 19 | Blackfeet Volunteer Medical Corps Nfp | 3 N Old Creek Rd, Palos Hills, IL 60465 | IL | 2015-02 | $5,275 |
| 20 | Americas Guardian Angels | 16711 Ellis, South Holland, IL 60473 | IL | 2011-12 | $3,977 |
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