Providence Medical Clinic Inc in Red Bank, New Jersey (NJ)
Table of contents:
| Providence Medical Clinic Inc | |
| Employer Identification Number (EIN) | 223519446 |
| Name of Organization | Providence Medical Clinic Inc |
| In Care of Name | A Sweany |
| Address | One Harding Road, Red Bank, NJ 07701-2018 |
| Activities | Health clinic |
| Subsection | Charitable Organization, Educational Organization |
| Ruling Date | 02/1998 |
| Deductibility | Contributions are deductible |
| Foundation | Hospital or medical research organization |
| Organization | Corporation |
| Exempt Organization Status | Unconditional Exemption |
| Tax Period | 12/2013 |
| Assets | $10,000 to $24,999 |
| Income | $1 to $9,999 |
| Filing Requirement | 990 - Required to file Form 990-N - Income less than $25,000 per year |
| Asset Amount | $21,794 |
| Amount of Income | $5,392 |
| Form 990 Revenue Amount | $3,629 |
| National Taxonomy of Exempt Entities (NTEE) | Health - General and Rehabilitative: Ambulatory Health Center, Community Clinic |
Non-representatives - add comments:
Amount of income in 2013: $5,392 (it was $93,311 in 2012)
| This organization: | $5,392 |
| Other organizations performing similar types of work: | $3,354,681 |
Assets in 2013: $21,794 (it was $55,173 in 2012)
| Providence Medical Clinic Inc: | $21,794 |
| Other organizations performing similar types of work: | $2,201,764 |
Expenses in 2013: $31,082
| This organization: | $31,082 |
| Other organizations performing similar types of work: | $3,381,198 |
Income to expenses ratio in 2013: 0.2
| This organization: | 0.2 |
| Other organizations performing similar types of work: | 1.0 |
Grants share in income in 2013: 148.6%
| Providence Medical Clinic Inc: | 148.6% |
| Other organizations performing similar types of work: | 6.7% |
Revenue for 2013
Support schedule
| Revenue, Expenses, and Changes in Net Assets or Fund Balances | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total revenue | $68,416 | $87,672 | $3,629 |
| Contributions, gifts, grants, and similar amounts received | $67,805 | $65,409 | $5,391 |
| Program service revenue including government fees and contracts | $0 | $0 | $0 |
| Membership dues and assessments | $0 | $0 | $0 |
| Investment income | $611 | $29 | $1 |
| Gain/Loss from sale of assets other than inventory | $0 | $0 | $-1,763 |
| Gross amount from sale of assets other than inventory | $0 | $0 | $0 |
| Less: cost or other basis and sales expenses | $0 | $0 | $1,763 |
| Net income/loss from gaming and fundraising events | $0 | $22,234 | $0 |
| Gross profit/loss from sales of inventory | $0 | $0 | $0 |
| Other revenue | $0 | $0 | $0 |
| Total expenses | $163,819 | $153,057 | $31,082 |
| Total net assets | $114,632 | $49,247 | $21,794 |
| Excess/Deficit for the year | $-95,403 | $-65,385 | $-27,453 |
| Net assets or fund balances at beginning of year | $210,035 | $114,632 | $49,247 |
| Other changes in net assets or fund balances | $0 | $0 | $0 |
| Net assets or fund balances at end of year | $114,632 | $49,247 | $21,794 |
| Balance Sheets | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Total assets | $125,946 | $55,173 | $21,794 |
| Total liabilities | $11,314 | $5,926 | $0 |
| Net assets or fund balances | $114,632 | $49,247 | $21,794 |
| Other Information | |||
| 2011 | 2012 | 2013 | |
|---|---|---|---|
| Did the organization engage in any significant activity not previously reported to the IRS? | No | No | No |
| Were any significant changes made to the organizing or governing documents? | No | 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 | No |
| Did the organization undergo a liquidation, dissolution, termination, or significant disposition of net assets during the year? | No | No | No |
| Amount of political expenditures, direct or indirect | $0 | $0 | $0 |
| Did the organization file Form 1120-POL for this year? | No | 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 | No |
| Total amount involved | $0 | $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 | No |
| At any time during the tax year, was the organization a party to a prohibited tax shelter transaction? | No | No | No |
| Reason for Public Charity Status (for 2013) | |
| The organization is not a private foundation because it is: | An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi) |
| Number of organizations supported | 0 |
| Sum of amounts of support | $0 |
| Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (for 2009 - 2013) | |
| 2009 - 2013 Total | |
|---|---|
| Public Support | $445,351 |
| Subtotal Support | $445,351 |
| Gifts, grants, contributions, and membership fees received | $445,351 |
| 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 |
| The portion of total contributions by each person (other than a governmental unit or publicly supported organization) that exceeds 2% of the total support | $0 |
| Total Support | $450,628 |
| Public Support | $445,351 |
| Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources | $5,277 |
| Net income from unrelated business activities, whether or not the business is regularly carried on | $0 |
| Other income. Do not include gain or loss from the sale of capital assets | $0 |
| Gross receipts from related activities, etc. | $0 |
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| Organizations performing similar types of work | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Warren Clinic Inc | 6600 S Yale Ave Ste 400, Tulsa, OK 74136-3319 | OK | 1988-10 | $143,384,904 |
| 2 | Urban Health Plan Inc | 1231 Lafayette Ave Sub-Basement, Bronx, NY 10474-5331 | NY | 1979-02 | $78,625,576 |
| 3 | University Medical Diagnostic Associates Inc | 545 Barnhill Drive Room 336, Indianapolis, IN 46202-5112 | IN | 1971-06 | $57,700,577 |
| 4 | Spirit Physician Services Inc | 205 Grandview Ave, Camp Hill, PA 17011-1708 | PA | 1997-04 | $57,411,772 |
| 5 | Saint Lukes Medical Group | 6750 Antioch Rd Ste 210, Overland Park, KS 66204-1260 | KS | 1994-12 | $57,212,140 |
| 6 | Adventist Health California Medical Foundation | 2100 Douglas Blvd, Roseville, CA 95661 | CA | 1997-07 | $53,229,536 |
| 7 | Santa Rosa Community Health Centers | 3569 Round Barn Circle, Santa Rosa, CA 95403-5781 | CA | 1996-02 | $43,330,468 |
| 8 | Sunrise Community Health | 2930 11th Ave, Evans, CO 80620-1011 | CO | 1975-03 | $39,026,051 |
| 9 | Shasta Community Health Center | 1035 Placer St, Redding, CA 96001-1125 | CA | 1992-10 | $35,761,700 |
| 10 | Virginia Garcia Memorial Health Center | PO BOX 568, Cornelius, OR 97113-0568 | OR | 1978-11 | $35,385,550 |
| 11 | Newark Community Health Centers Inc | 741 Broadway, Newark, NJ 07104-4309 | NJ | 1987-02 | $24,970,950 |
| 12 | Camcare Health Corp | 817 Federal St, Camden, NJ 08103-1539 | NJ | 1984-06 | $22,567,772 |
| 13 | Zufall Health Center Inc | 17 S Warren St, Dover, NJ 07801-4506 | NJ | 1991-11 | $13,094,748 |
| 14 | Osborn Family Health Center Of Our Lady Of Lourdes Medical Center | 1600 Haddon Ave, Camden, NJ 08103-3101 | NJ | 1946-03 | $2,430,141 |
| 15 | Saint Clares Community Care Inc | 66 Ford Road, Denville, NJ 07834-1379 | NJ | 1946-03 | $2,239,416 |
| 16 | American Academy Of Ambulatory Nursing Adm | PO BOX 56, Pitman, NJ 08071-0056 | NJ | 1986-03 | $1,356,442 |
| 17 | Hudson County Medical Group Inc | 5300 Bergenline Ave, W New York, NJ 07093-5616 | NJ | 1996-02 | $620,902 |
| 18 | Providence Medical Clinic Inc | One Harding Road, Red Bank, NJ 07701-2018 | NJ | 1998-02 | $5,392 |
| 19 | Events To Empower Humanity Inc | 438 Connecticut Ave, Trenton, NJ 08629-1203 | NJ | 1993-02 | $0 |
| 20 | Somerset Community Care Corporation | 110 Rehill Avenue, Somerville, NJ 08876 | NJ | 1995-06 | $0 |
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