2024-05-15T13:14:03-05:00 2023-06-30 540618213 HANTZMON WIEBEL LLP PO BOX 1408 CHARLOTTESVILLE VA 22902 990 2022-07-01 251922019 ORANGE COUNTY FREE CLINIC INC ORAN 5406720793 P O BOX 441 ORANGE VA 22960 MARY BETH MADISON CPA 5406720793 2024-05-08 1 MARY BETH MADISON XXX-XX-XXXX 0 P FRANK BERRY P00322544 4342962156 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARY BETH MADISON P O BOX 441 ORANGE VA 22960 860313 0 X WWW.ORANGECOUNTYFREECLINIC.COM X 2006 VA THE ORANGE COUNTY FREE CLINIC IS DEDICATED TO THE BELIEF THAT EVERYONE SHOULD HAVE ACCESS TO HEALTH CARE SERVICES. OUR MISSION IS TO PROVIDE PRIMARY MEDICAL CARE TO CITIZENS OF ORANGE COUNTY WHO DO NOT HAVE THE RESOURCES TO OBTAIN THESE BASIC HEALTH CARE NEEDS. CLIENTS MUST BE UNINSURED OR UNDERINSURED AND HAVE INCOMES AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL. MEDICAL CARE, PRESCRIPTIONS AND LIMITED DENTAL SERVICES ARE AVAILABLE. 13 13 13 13 0 0 627151 806630 0 0 10389 11333 0 22250 637540 840213 0 0 0 0 451285 504718 0 0 66699 129637 149372 580922 654090 56618 186123 637238 822738 3132 2509 634106 820229 ORANGE COUNTY FREE CLINIC'S MISSION IS TO PROVIDE PRIMARY MEDICAL CARE TO CITIZENS OF ORANGE COUNTY WHO DO NOT HAVE RESOURCES TO OBTAIN THESE BASIC HEALTH CARE NEEDS. 0 0 555600 THE ORANGE COUNTY FREE CLINIC (CLINIC) PROVIDES BASIC HEALTH CARE TO QUALIFYING INDIVIDUALS, THOSE THAT ARE UNINSURED OR UNDERINSURED AND HAVE INCOMES AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL.THE CLINIC ENCOURAGES PATIENTS TO SEEK TREATMENT EARLY BEFORE SMALL PROBLEMS BECOME LARGE PROBLEMS. THE SERVICES ARE PROVIDED BY APPROXIMATELY 76 VOLUNTEERS FROM THROUGHOUT THE COMMUNITY INCLUDING MEDICAL STAFF AND OTHER HEALTH PROFESSIONALS FROM LOCAL HOSPITALS AND OTHER COMMUNITY HEALTH FACILITIES.ON-SITE SERVICES INCLUDE MEDICAL AND NURSING ASSISTANCE FOR MEDICAL CARE, PRESCRIPTIONS AND LIMITED DENTAL SERVICES. 555600 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 13 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 VA X MARY BETH MADISON TREASURER 5406723202 324 JEFFERSON ST ORANGE VA 22960 DR RANDOLPH MERRICK PRESIDENT 5.00 X X 0 0 0 BARRY BARR VICE PRESIDENT 5.00 X X 0 0 0 EVE BARGMANN SECRETARY 5.00 X X 0 0 0 MARY BETH MADISON TREASURER 5.00 X X 0 0 0 DORIS HERNANDEZ DIRECTOR 1.00 X 0 0 0 JAMES DOUGLAS PONTON DIRECTOR 1.00 X 0 0 0 JAMES COLLINS DIRECTOR 1.00 X 0 0 0 RON TAYLOR DIRECTOR 1.00 X 0 0 0 REV RICHARD L CLORE DIRECTOR 1.00 X 0 0 0 FRANK THOMAS III DIRECTOR 1.00 X 0 0 0 RAY PALMER DIRECTOR 1.00 X 0 0 0 DAVID SCIBAL DIRECTOR 1.00 X 0 0 0 PHILIP STRANGE DIRECTOR 1.00 X 0 0 0 DORREN BROWN EXECUTIVE DIRECTOR 40.00 X 53667 0 0 53667 0 0 0 0 0 0 0 52750 25500 728380 806630 11333 11333 42350 52750 20100 22250 22250 840213 0 0 33583 53667 42934 10733 411725 359366 267 52092 39326 34185 841 4300 11500 11500 33131 24849 4141 4141 1389 473 458 458 1082 368 357 357 5587 4414 1117 56 1209 907 151 151 PRESCRIPTIONS 39156 39156 SUPPLIES 20280 19711 455 114 MEMBERSHIPS & ASSOCIATI 15413 15413 PRINTING & PUBLICATIONS 7547 3774 3773 13078 10050 1771 1257 654090 555600 31791 66699 426973 607037 166925 177948 79705 43952 41340 35753 2000 2000 637238 822738 3132 2509 3132 2509 X 598919 737139 35187 83090 634106 820229 637238 822738 186123 0 X X 0 1 X 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52955 24259 28696 26750 19693 7057 35753 860313 20100 20100 840213 0 840213 674190 20100 20100 654090 0 654090 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 20,100. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 20,100. SPRING GALA 81139 52750 28389 11891 3440 GOLF TOURNAMENT 13961 13961 4769 95100 52750 42350 11891 8209 20100 22250 FORM 990, PART VI, SECTION B, LINE 11B INFORMATION RETURN WILL BE AVAILABLE FOR ALL BOARD MEMBERS TO REVIEW AND SUBMIT CONCERNS PRIOR TO FILING. FORM 990, PART VI, SECTION C, LINE 18 COPIES OF FORM 1023 AND ANNUAL FILINGS OF FORM 990 ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICE. IN ADDITION, COPIES OF RECENT FORM 990 FILINGS ARE AVAIBLE TO THE PUBLIC AT THE GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 ORGANIZATION GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE DISCRETION OF THE ORGANIZATION. FORM 990, PART XII, LINE 1: MODIFIED CASH BASIS OF ACCOUNTING