2023-10-23T07:49:31-04:00 2023-06-30 200221868 BARNES BROCK CORNWELL & PAINTER PLC 908 EDEN WAY N STE 201 CHESAPEAKE VA 233202640 990 2022-07-01 541850915 OLIVET MEDICAL MINISTRY INC OLIV 7578860608 1620 OLD WILLIAMSBURG RD YORKTOWN VA 23690 LINWOOD SHAWN NELSON TREASURER 7578860608 2023-09-10 true LINWOOD NELSON 999009999 false KIMBERLY C PAINTER CPA P00294115 7579615017 2023-09-19 2022 2023-04-26 12:10:37Z LACKEY CLINIC LINWOOD SHAWN NELSON 1620 OLD WILLIAMSBURG ROAD YORKTOWN VA 23690 9651650 false X WWW.LACKEYCLINIC.ORG X 1993 VA PROVIDES FREE MEDICAL SERVICES (MEDICAL MANAGEMENT OF ACUTE AND CHRONIC HEALTH CONDITIONS INCLUDING HYPERTENSION, DIABETES, ELEVATED CHOLESTEROL, ORAL HEALTH, AND BEHAVIORAL MENTAL HEALTH) (CONTINUED ON SCHEDULE O) 18 18 43 346 0 8734168 9340417 100106 121285 3225 31955 110463 133460 8947962 9627117 0 0 1640925 1821284 0 105617 7239293 7988691 8880218 9809975 67744 -182858 5086470 5069495 1927940 2022495 3158530 3047000 X LACKEY CLINIC'S MISSION IS TO PROVIDE SKILLED, COMPASSIONATE HEALTH CARE AND COUNSELING TO THE MEDICALLY DISADVANTAGED IN A MANNER THAT HONORS THE NAME OF JESUS CHRIST. (CONTINUED ON SCHEDULE O) false false 9481424 9595162 THE CLINIC IS A 10,000 SQ. FT. MODERN FACILITY WITH 9 MEDICAL EXAM ROOMS, 5 DENTAL OPERATORIES AND 1 VISION CARE ROOM, 43 FULL AND PART-TIME STAFF, AND 1,262 PATIENTS. WE NOT ONLY IMPROVE THE HEALTH OF OUR PATIENTS, BUT ALSO THE HEALTH OF OUR COMMUNITY. WE TAKE CARE OF OUR OWN RESIDENTS BY PROVIDING HEALTH CARE TO THE UNINSURED. WE HELP REDUCE MEDICAL EMERGENCIES, EMERGENCY ROOM VISITS, ACUTE HOSPITALIZATIONS, AND TAXPAYER BURDENS. TO QUALIFY FOR CARE, PATIENT INCOME MUST BE AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTY LEVEL (43,740 FOR A SINGLE INDIVIDUAL, 59,160 FOR A FAMILY OF TWO, AND 90,000 FOR A FAMILY OF FOUR), (CONTINUED ON SCHEDULE O) 9481424 true true false false false false false false false false true true false false true true true false false false false false false false true false false false false false false false false false false false false false true false false false false false false false false true 16 0 43 true false false false false false false false false false false false false false false X 18 18 false false false false false false false true true false false true true true true true true true true false VA X X BOOKKEEPER 7578860608 1620 OLD WILLIAMSBURG RD YORKTOWN VA 23690 ROBERT TOPPING CHAIR 2.00 X X 0 0 0 NATHAN MORTIER ESQ VICE CHAIR 2.00 X X 0 0 0 DR CHRISTOPHER CULP SECRETARY 2.00 X X 0 0 0 LINWOOD SHAWN NELSON TREASURER 2.00 X X 0 0 0 OLIVER AGUILAR DIRECTOR 1.00 X 0 0 0 PETER STEVE APOSTOLES MD DIRECTOR 1.00 X 0 0 0 MARIA BROOKS DIRECTOR 1.00 X 0 0 0 JEREMY CONRAD DIRECTOR 1.00 X 0 0 0 RUTH N EGIPCIACO DIRECTOR 1.00 X 0 0 0 LEE FOLSOM DIRECTOR 1.00 X 0 0 0 JOE HARROW DIRECTOR 1.00 X 0 0 0 REV JAYMORLE INGRAM DIRECTOR 1.00 X 0 0 0 RODNEY JACKSON DIRECTOR 1.00 X 0 0 0 CHERYL LUNDIN DIRECTOR 1.00 X 0 0 0 PAUL MAIER DIRECTOR 1.00 X 0 0 0 KEITH PERCIC DIRECTOR 1.00 X 0 0 0 DAVE RUDY DIRECTOR 1.00 X 0 0 0 CRISTINA WINEINGER DIRECTOR 1.00 X 0 0 0 LARRY TRUMBORE JR CEO 40.00 X 108493 0 0 108493 1 false false false 50512 26000 9263905 7548975 9340417 DONATION FOR SERVICES 121285 121285 121285 31955 31955 155284 24533 130751 MISCELLANEOUS INCOME 2709 2709 2709 9627117 153240 2709 108493 92219 10849 5425 1487139 1264068 148714 74357 28361 24107 2836 1418 75615 64272 7562 3781 121676 103424 12168 6084 63591 40225 23366 6744 6744 22829 22829 21624 21624 31740 31740 9660 9660 68397 65661 2052 684 20065 20065 PRESCRIPTIONS FILLED 7520983 7520983 MEDICAL/DENTAL/PHARMACY 110205 110205 DUES AND SUBSCRIPTIONS 28707 28707 DONATED SUPPLIES 27992 27992 56154 33643 8643 13868 9809975 9481424 222934 105617 4769 4569 893988 749275 90335 79714 3899 3427 1349128 1436547 23690 33584 2304299 773626 1583012 1530673 1137649 1231706 5086470 5069495 88812 85948 490000 500000 1349128 1436547 1927940 2022495 X 3029096 3047000 129434 3158530 3047000 5086470 5069495 -182858 71328 X false true X true false X 8133864 9089598 9217265 8734168 9340417 44515312 8133864 9089598 9217265 8734168 9340417 44515312 44515312 2275 10130 1308 409 2709 16831 44532143 1138980 0.99960 0.99970 X PART II, LINE 10 14,122 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 385309 385309 1566015 494766 1071249 352975 278860 74115 1530673 MUTUAL FUNDS 1231706 F 1231706 DEFERRED REVENUE - IN KIND 1436547 1436547 X 10134060 71328 435615 506943 9627117 9627117 10245590 435615 435615 9809975 9809975 SCHEDULE D, PAGE 3, PART X LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 FOOTNOTE: THE ORGANIZATION ADOPTED THE RECOGNITION REQUIREMENTS FOR UNCERTAIN INCOME TAX POSITIONS AS REQUIRED BY GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, WITH NO CUMULATIVE EFFECT ADJUSTMENT REQUIRED. INCOME TAX BENEFITS ARE RECOGNIZED FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A RETURN, ONLY WHEN IT IS DETERMINED THAT THE INCOME TAX POSITION WILL MORE- LIKELY-THAN-NOT BE SUSTAINED UPON EXAMINATION BY TAXING AUTHORITIES. THE ORGANIZATION HAS ANALYZED THE TAX POSITIONS TAKEN IN ITS FILINGS WITH THE INTERNAL REVENUE SERVICE. THE ORGANIZATION BELIEVES THAT ITS INCOME TAX FILING POSITIONS WILL BE SUSTAINED UPON EXAMINATION AND DOES NOT ANTICIPATE ANY ADJUSTMENTS THAT WOULD RESULT IN A MATERIAL ADVERSE AFFECT ON THE ORGANIZATION'S FINANCIAL CONDITION, RESULTS OF OPERATIONS OR CASH FLOWS. ACCORDINGLY, THE ORGANIZATION HAS NOT RECORDED ANY RESERVES, OR RELATED ACCRUALS FOR INTEREST AND PENALTIES FOR UNCERTAIN INCOME TAX POSITIONS AT JUNE 30, 2023. SCHEDULE D, PAGE 4, PART XIII THE ORGANIZATION'S FEDERAL RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) FOR FISCAL YEARS ENDED 2023, 2022, 2021, AND 2020, ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY, FOR THREE YEARS AFTER THEY WERE FILED. VARIOUS EVENTS 155284 155284 24533 155284 155284 24533 24533 130751 X 1 27992 X PHARMACEUTICALS 1 7520983 false true false FORM 990 (CONTINUED FROM FROM 990 PART 1 LINE 1)TO APPROXIMATELY 1,262 LOW INCOME INDIVIDUALS (10,987 VISITS) IN THE WILLIAMSBURG, JAMES CITY COUNTY, YORK COUNTY, POQUOSON, HAMPTON AND NEWPORT NEWS, VIRGINIA COMMUNITIES. OF THE CLINIC'S PATIENTS, 95% HAVE A CHRONIC CONDITION, AND HALF HAVE FOUR OR MORE CHRONIC CONDITIONS. (CONTINUED 990 PAGE 2 PART III LINE 4A) AND THEY MUST BE UNABLE TO OBTAIN HEALTH INSURANCE THROUGH EITHER PUBLIC (FEDERAL HEALTH CARE EXCHANGE, MEDICAID, MEDICARE, OR THE MILITARY)OR PRIVATE MEANS. IN FISCAL YEAR 2023, LACKEY CLINIC SERVED AS A MEDICAL AND DENTAL HOME TO 1,262 PATIENTS, PROVIDED 10,987 PATIENT VISITS, AND DISPENSED 24,268 PRESCRIPTIONS WITH A VALUE OF 7,520,983. FORM 990, PART III (CONTINUED FORM 990 PAGE 2 PART III LINE 1) OUR CLINIC PROVIDES A COMPASSIONATE AND CONSISTENT MEDICAL HOME; PATIENTS ARE TREATED WITH DIGNITY AND RESPECT, AND HAVE THE OPPORTUNITY TO TAKE THE TIME THEY NEED TO EXPLAIN ALL OF THEIR ACUTE AND CHRONIC HEALTH ISSUES TO CLINICAL PROVIDERS. LACKEY CLINIC TURNS NO ONE AWAY FOR A LACK OF FINANCIAL MEANS TO PAY FOR THEIR CARE. LACKEY IS A PLACE OF HOPE, HEALING, AND HELP. MANY OF LACKEY'S PATIENTS ARRIVE FEELING OVERWHELMED WITH THEIR LIFE CIRCUMSTANCES. THEY HAVE NOT HAD A DESIGNATED FAMILY PHYSICIAN OVERSEEING THEIR HEALTH, AND SUBSEQUENTLY ENDED UP GOING FROM ONE URGENT CARE CENTER OR EMERGENCY ROOM TO ANOTHER BEFORE FINDING THEIR WAY TO THE CLINIC. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS DISTRIBUTED ELECTRONICALLY TO THE MEMBERS OF THE GOVERNING BOARD IN ADVANCE TO BEING FILED. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICT OF INTEREST POLICY IS SIGNED BY BOARD MEMBERS DURING ORIENTATION, AND THEN ON AN ANNUAL BASIS. KEY EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO BECOME FAMILIAR WITH THE POLICY AND DISCLOSE ANY CONFLICTS OF INTEREST. FORM 990, PAGE 6, PART VI, LINE 15A TO DETERMINE CEO AND TOP MANAGEMENT'S SALARIES, THE BOARD (EXECUTIVE COMMITTEE) REVIEWS THE SALARY COMPENSATION STUDIES PERFORMED BY THE VIRGINIA ASSOCIATION OF FREE AND CHARITABLE CLINICS (VAFCC) AND DETERMINES THE ANNUAL SALARY OR INCREASE. FORM 990, PAGE 6, PART VI, LINE 15B EXECUTIVE DIRECTOR AND MEDICAL DIRECTOR GIVE RECOMMENDATIONS TO THE BOARD AND THEY MAKE FINAL DECISIONS ON SALARY OR INCREASES. FORM 990, PAGE 6, PART VI, LINE 19 THE CLINIC'S GOVERNING DOCUMENTS ARE AVAILABLE IN THE ADMINISTRATIVE OFFICE FOR THE PUBLIC'S INSPECTION DURING NORMAL BUSINESS HOURS.