POCATELLO FREE CLINIC

Address
429 WASHINGTON
POCATELLO, ID 83201
Contact
Phone: +1 (208) 233-6245
Nonprofit
NTEE: E32 - Ambulatory Health Center, Community Clinic
EIN: 82-0351133

Mission

TO PROVIDE FREE, QUALITY HEALTH CARE TO THE UNINSURED/UNDER-SERVED POPULATION IN OUR COMMUNITY.
 20162015201420132012
Basic features of the organization
Year of formation1971
Subsection code03
PF filing required0    
Metropolitan statistical area6340
Form of organization
AssociationTrue
Human resources, including compensation
Summary compensation info
Sum of reportable (W2/1099) compensation    $969.00
Number of employees    0
Personnel
Allen, Vicky
Title PAST PRESIDEMEMBERMEMBERMEMBER
Name of key/compensated person VICKY ALLENVICKY ALLENVICKY ALLENVICKY ALLEN
Position of compensated person
Current officer    True
Officer, director, trustee, or key employee TrueTrueTrue 
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Baron, Kathleen
Title MEMBER   
Name of key/compensated person KATHLEEN BARON   
Officer, director, trustee, or key employee True   
Reportable compensation from org $0.00   
Boe, Roger
TitleMEMBERMEMBER   
Name of key/compensated personDR ROGER BOEDR ROGER BOE   
Officer, director, trustee, or key employeeTrueTrue   
Reportable compensation from org$0.00$0.00   
Bolinger, Alex
TitleMEMBERMEMBERMEMBERMEMBER 
Name of key/compensated personALEX BOLINGERALEX BOLINGERALEX BOLINGERALEX BOLINGER 
Officer, director, trustee, or key employeeTrueTrueTrueTrue 
Reportable compensation from org$0.00$0.00$0.00$0.00 
Cash, Maggie
Title  MEMBERMEMBERMEMBER
Name of key/compensated person  MAGGIE CASHMAGGIE CASHMAGGIE CASH
Position of compensated person
Current officer    True
Officer, director, trustee, or key employee  TrueTrue 
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Cucio, Nate
TitleMEMBER    
Name of key/compensated personNATE CUCIO    
Officer, director, trustee, or key employeeTrue    
Reportable compensation from org$0.00    
Fowler, Randall
TitleMEDICAL DIREMEDICAL DIRE   
Name of key/compensated personDR RANDALL FOWLERDR RANDALL FOWLER   
Officer, director, trustee, or key employeeTrueTrue   
Reportable compensation from org$0.00$0.00   
Gustaves, Jenn
Title  TREASURERTREASURERTREASURER
Name of key/compensated person  JENN GUSTAVESJENN GUSTAVESJENN GUSTAVES
Position of compensated person
Current officer    True
Officer, director, trustee, or key employee  TrueTrue 
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Hong, Mindy
Title EXECUTIVE DI   
Name of key/compensated person MINDY HONG   
Officer, director, trustee, or key employee True   
Reportable compensation from org $0.00   
Hurley, Steve
Title  PRESIDENTPRESIDENTPRESIDENT
Name of key/compensated person  STEVE HURLEYSTEVE HURLEYSTEVE HURLEY
Position of compensated person
Current officer    True
Officer, director, trustee, or key employee  TrueTrue 
Reportable compensation from org  $0.00$0.00$969.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Iasonides, John
TitleTREASURERTREASURERVICE PRESIDEVICE PRESIDEVICE PRESIDE
Name of key/compensated personJOHN IASONIDESJOHN IASONIDESJOHN IASONIDESJOHN IASONIDESJOHN IASONIDES
Position of compensated person
Current officer    True
Officer, director, trustee, or key employeeTrueTrueTrueTrue 
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Jacobsen, Grace
TitleMEMBERMEMBERMEMBERMEMBERMEMBER
Name of key/compensated personGRACE JACOBSENGRACE JACOBSENGRACE JACOBSENGRACE JACOBSENGRACE JACOBSEN
Position of compensated person
Current officer    True
Officer, director, trustee, or key employeeTrueTrueTrueTrue 
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Long, Meg
Title MEMBERMEMBERMEMBERMEMBER
Name of key/compensated person MEG LONGMEG LONGMEG LONGMEG LONG
Position of compensated person
Current officer    True
Officer, director, trustee, or key employee TrueTrueTrue 
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Man, Maggie
Title  MEMBERMEMBERMEMBER
Name of key/compensated person  MAGGIE MANMAGGIE MANMAGGIE MAN
Position of compensated person
Current officer    True
Officer, director, trustee, or key employee  TrueTrue 
Reportable compensation from org  $0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Olsen, Kathy
TitleMEMBERSHIP DMEMBERSHIP DSECRETARYSECRETARYSECRETARY
Name of key/compensated personKATHY OLSENKATHY OLSENKATHY OLSENKATHY OLSENKATHY OLSEN
Position of compensated person
Current officer    True
Officer, director, trustee, or key employeeTrueTrueTrueTrue 
Reportable compensation from org$0.00$0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Pasquella, Kristina
TitleEXECUTIVE DI    
Name of key/compensated personKRISTINA PASQUELLA    
Officer, director, trustee, or key employeeTrue    
Reportable compensation from org$0.00    
Thomsen, Debbie
Title MEMBERMEMBERMEMBERMEMBER
Name of key/compensated person DEBBIE THOMSENDEBBIE THOMSENDEBBIE THOMSENDEBBIE THOMSEN
Position of compensated person
Current officer    True
Officer, director, trustee, or key employee TrueTrueTrue 
Reportable compensation from org $0.00$0.00$0.00$0.00
Other comp, non-reportable, from org and related orgs    $0.00
Corresponding comp from related orgs
Reportable compensation from related orgs     $0.00
Whitney, Edward
TitlePRESIDENTPRESIDENT   
Name of key/compensated personEDWARD WHITNEYEDWARD WHITNEY   
Officer, director, trustee, or key employeeTrueTrue   
Reportable compensation from org$0.00$0.00   
Woodhouse, Meg
TitleMEMBER    
Name of key/compensated personMEG LONG WOODHOUSE    
Officer, director, trustee, or key employeeTrue    
Reportable compensation from org$0.00    
Purpose: mission, activities, & accomplishments
Mission or significant activities    TO PROVIDE FREE, QUALITY HEALTH CARE TO THE UNINSURED/UNDER-SERVED POPULATION IN OUR COMMUNITY.
Primary exempt purposeTO PROVIDE FREE, QUALITY HEALTH CARE TO THE UNINSURED/UNDER-SERVED POPULATION IN OUR COMMUNITY.TO PROVIDE FREE, QUALITY HEALTH CARE TO THE UNINSURED/UNDER-SERVED POPULATION IN OUR COMMUNITY.TO PROVIDE FREE, QUALITY HEALTH CARE TO THE UNINSURED/UNDER-SERVED POPULATION IN OUR COMMUNITY.TO PROVIDE FREE, QUALITY HEALTH CARE TO THE UNINSURED/UNDER-SERVED POPULATION IN OUR COMMUNITY. 
Program service expenses, total$136,812.00$154,853.00$126,012.00$60,928.00$13,805.00
Programs, including revenue & expenses
MEDICAL, DENTAL, CHIROPRACTIC SERVICES AND PRESCRIPTION ASSISTANCE.
Program expenses    $13,805.00
Program revenue    $66,004.00
Program description    MEDICAL, DENTAL, CHIROPRACTIC SERVICES AND PRESCRIPTION ASSISTANCE.
Financial data
Revenue
Total revenue$165,420.00$171,155.00$158,358.00$98,158.00$66,004.00
Revenue from contributions (total) $135,463.00$158,358.00$98,136.00$65,977.00
Investment income, current yr   $22.00$27.00
Total revenue from grants, etc., current yr    $65,977.00
Total unrelated business revenue    $0.00
Other revenue, current yr    $0.00
Program service revenue (total) $35,692.00$0.00$0.00$0.00
Gross receipts    $66,004.00
Sources of contributions
Revenue from federated campaigns    $23,722.00
Revenue from gov't grants    $30,000.00
Revenue from all other contributions    $12,255.00
Other types of revenue
Income from dividends, interest, and similar investments    $27.00
Net rental income $0.00$0.00 $0.00
Expense categories (totals)
Total functional expenses: sum of all    $45,156.00
Total functional expenses: program service     $13,805.00
Total functional expenses: management and general    $31,124.00
Total functional expenses: fundraising    $227.00
Fees for services
Fundraising service fees (total)    $0.00
Assets and liabilities
Total assets$75,134.00$75,457.00$80,142.00$67,177.00$65,657.00
Total assets, beginning of year$75,457.00$80,142.00$67,177.00$65,657.00$45,158.00
Total liabilities$260.00$2,750.00$2,096.00$2,614.00$0.00
Total liabilities, beginning of year$2,750.00$2,096.00$2,614.00 $349.00
Net assets$74,874.00$72,707.00$78,046.00$64,563.00$65,657.00
Net assets, beginning of year    $44,809.00
Cash: non-interest bearing    $65,025.00
Cash: non-interest bearing, beginning of year    $44,090.00
Other financial variables
Revenue less expenses    $20,848.00
Advertising (total)    $91.00
Total net assets or fund balances    $65,657.00
Depreciation, depletion, amortization    $220.00
Governance and accountability
Number of voting members    10
Number of independent voting members    10
Accrual accountingTrueTrueTrueTrueTrue
Tax year start date2016-01-012015-01-012014-01-012013-01-012012-01-01
Tax year end date2016-12-012015-12-012014-12-012013-12-012012-12-01
Metadata about the filing
E-return type: 990, 990EZ, or 990PF990EZ990EZ990EZ990EZ990
Date e-filing submitted2017-08-232016-11-082015-10-022014-08-292013-07-12
IRS schema version2016v3.02015v2.12014v5.02013v3.12012v2.1
Filing identifier201731009349200818201622299349200522201512299349200621201420919349200607201330609349300863
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