Providence Medical Clinic Of Kingsport in Kingsport, Tennessee (TN)
Table of contents:
| Providence Medical Clinic Of Kingsport | |
| Employer Identification Number (EIN) | 264547646 |
| Name of Organization | Providence Medical Clinic Of Kingsport |
| In Care of Name | Marvin Cameron |
| Address | PO BOX 1323, Kingsport, TN 37662-1323 |
| Subsection | Charitable Organization |
| Ruling Date | 06/2011 |
| Deductibility | Contributions are deductible |
| Foundation | Hospital or medical research organization |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2013 |
| Assets | $1 to $9,999 |
| Income | $25,000 to $99,999 |
| Filing Requirement | 990 (all other) or 990EZ return |
| Asset Amount | $3,455 |
| Amount of Income | $81,755 |
| Form 990 Revenue Amount | $72,379 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: Ambulatory Health Center, Community Clinic |
Non-representatives - add comments:
Amount of income in 2013: $81,755 (it was $74,758 in 2012)
| This organization: | $81,755 |
| Other organizations performing similar types of work: | $270,653 |
Assets in 2013: $3,455 (it was $1,698 in 2012)
| Providence Medical Clinic Of Kingsport: | $3,455 |
| Other organizations performing similar types of work: | $190,546 |
Expenses in 2013: $67,508
| Providence Medical Clinic Of Kingsport: | $67,508 |
| Other organizations performing similar types of work: | $250,316 |
Income to expenses ratio in 2013: 1.2
| This organization: | 1.2 |
| Other organizations performing similar types of work: | 0.9 |
Grants share in income in 2013: 87.9%
| Providence Medical Clinic Of Kingsport: | 87.9% |
| Other organizations performing similar types of work: | 98.8% |
Revenue for 2013
Support schedule
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $65,237 | $65,873 | $72,379 |
| Contributions, gifts, grants, and similar amounts received | $57,870 | $55,494 | $63,590 |
| Program service revenue including government fees and contracts | $780 | $0 | $0 |
| Membership dues and assessments | $0 | $0 | $0 |
| Investment income | $10 | $13 | $14 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $0 |
| Net income/loss from gaming and fundraising events | $6,577 | $10,366 | $8,775 |
| Gross income from gaming | $0 | $0 | $0 |
| Gross income from fundraising events | $14,887 | $19,251 | $18,151 |
| Less: direct expenses from gaming and fundraising events | $8,310 | $8,885 | $9,376 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Total expenses | $59,614 | $69,797 | $67,508 |
| Total net assets | $5,623 | $1,698 | $3,455 |
| Excess/Deficit for the year | $5,623 | $-3,924 | $4,871 |
| Net assets or fund balances at beginning of year | $0 | $5,622 | $-1,416 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $1,699 | $6,569 | |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $5,623 | $1,698 | $3,455 |
| Total liabilities | $0 | $0 | $0 |
| Net assets or fund balances | $5,623 | $1,698 | $3,455 |
| 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 | $160,875 |
| Subtotal | $160,875 |
| Gifts, grants, contributions, and membership fees received | $160,875 |
| 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 | $160,912 |
| Public support | $160,875 |
| Subtotal | $37 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | $37 |
| 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 | $0 |
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| Organizations performing similar types of work | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | West Cecil Health Center Inc | 49 Rock Springs Rd, Conowingo, MD 21918-1352 | MD | 2008-12 | $4,273,877 |
| 2 | Valley Baptist Service Corporation | 2101 Pease St, Harlingen, TX 78550-8307 | TX | 2001-09 | $1,742,623 |
| 3 | Roane County Medical Center | 1420 Centerpoint Blvd Bldg C, Knoxville, TN 37932-1960 | TN | 2009-09 | $43,702,544 |
| 4 | The Stern Cardiovascular Foundation Inc | 8060 Wolf River Blvd, Germantown, TN 38138-1727 | TN | 2014-07 | $32,625,472 |
| 5 | Boston Baskin Cancer Foundation Inc | 1770 Kirby Pkwy Ste 215, Memphis, TN 38138-7405 | TN | 2014-07 | $17,247,752 |
| 6 | Baptist Cancer Center Physicians Foundation Inc | 6029 Walnut Grove, Memphis, TN 38120-2112 | TN | 2014-07 | $9,742,921 |
| 7 | Memphis Lung Physicians Foundation Inc | 6025 Walnut Grove Rd Ste 508, Memphis, TN 38120-2125 | TN | 2014-07 | $9,602,348 |
| 8 | Integrity Oncology Foundation Inc | 6286 Briarcrest Ave Ste 308, Memphis, TN 38120-4023 | TN | 2014-07 | $6,848,043 |
| 9 | East Tennessee Radiation Therapy Services Llc | 6450 Provision Cares Way, Knoxville, TN 37909-2544 | TN | 2013-03 | $1,305,300 |
| 10 | The Medicine And Education Group | 620 W Main St, Lebanon, TN 37087-3473 | TN | 2011-06 | $491,627 |
| 11 | Volunteers In Medicine Chattanooga Inc | 5705 Marlin Rd Ste 1400, Chattanooga, TN 37411-5653 | TN | 2004-04 | $389,076 |
| 12 | Putnam County Rural Health Clinic Inc | PO BOX 175, Baxter, TN 38544-0175 | TN | 2000-09 | $353,216 |
| 13 | Free Medical Clinic Of Oak Ridge Inc | 116 E Division Rd, Oak Ridge, TN 37830-6906 | TN | 2011-06 | $320,586 |
| 14 | High Forest Health Group | 120 Kittrell St, Hohenwald, TN 38462-1363 | TN | 2013-03 | $299,247 |
| 15 | Servolution Health Services Inc | 245 Powell Valley School Ln, Speedwell, TN 37870-7431 | TN | 2012-07 | $277,096 |
| 16 | Faith Health Center | 510 Carriage House Dr, Jackson, TN 38305-2279 | TN | 2011-03 | $236,070 |
| 17 | Trinity Health Ministries Inc | 1127 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | TN | 2007-11 | $225,314 |
| 18 | We Care Individual & Family Service Center Inc | PO BOX 307, Dayton, TN 37321-0307 | TN | 1996-02 | $144,278 |
| 19 | Rural Health Clinic Of Thecumberlands Inc, Diana Gustafson | 9400 Sparta Hwy, Crossville, TN 38572-7282 | TN | 2007-05 | $110,102 |
| 20 | Madison Christian Medical Clinic | 320 Hospital Dr, Madison, TN 37115-4287 | TN | 2009-08 | $98,648 |
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