What the money did, then where it came from.
The year ended 30 June 2025: 1,400 patients, 5,200 visits, $134 a visit. Income and expenses that add up on this page, donated medication valued separately with its method, and the filings — three 990s, the review, the IRS letter — as labelled samples.
The numbers, each with its method
People with at least one visit between 1 July 2024 and 30 June 2025, counted once each from the clinic record. Dental-day walk-ins who never registered are not included.
Every visit with a clinician in FY2025, plus dental-day patients seen. Nurse-only visits, medication pick-ups and phone calls are not counted.
Total expenses ($698,000) divided by 5,200 visits. Cash cost only: volunteer time is not valued and donated medication is not included.
Medication received through manufacturers' patient-assistance programs, valued at the manufacturer's stated wholesale price on the day it was dispensed. Shown separately from revenue and expenses, on the page and in the sample 990.
Hours signed in on the session sheet by licensed volunteers (physicians, NPs and PAs, nurses, pharmacists, dentists and hygienists) in FY2025. Counted, not valued in dollars.
Of patients with a hypertension diagnosis and at least two visits in FY2025, the share whose last reading was under 140/90. A clinic measure, not a claim about anyone's health.
No method, no number. The clinic publishes what it can count from its own record and says how; it makes no claims about outcomes it cannot know.
The year
Patients pay nothing, so there is no fee line. The hospital grant is the one restricted income line: it pays operating costs quarterly. Forty-six cents of every dollar is the four staff who keep sixty volunteers scheduled, credentialed and supplied.
Donated medication
Received through manufacturers’ patient-assistance programs and dispensed from the medication room.
How it is valued: at the manufacturer’s stated wholesale price on the day each item was dispensed, from the medication-room log. Not retail, not what a pharmacy would charge, not what a patient would have paid.
Why it is not in the totals on the left: added in, it would make a $720,000 clinic look like a $2.4 million one and hide what the cash actually did. It is reported as a non-cash contribution in Schedule M of the sample 990, and the review notes it the same way. Volunteer clinician hours (6,100) are counted, never valued in dollars.
The building is rented from the county at a rate set in 1998 and reviewed every five years; the difference from a market rent is not valued either.
Three 990s, the review, the letter
The three most recent Form 990s are listed by themselves; older years drop off. A clinic this size has a review, not an audit, and says so. Every document is a labelled sample: the clinic is invented, and so are the figures.
What each one says
Form 990, Part I is the one-page summary: what came in, what went out, what is left. Part IX splits every dollar into program, management and fundraising. Part III is the story in words: patients, visits, dental days. Schedule M is where the donated medication lives, valued and separate.
The review is what a clinic this size has instead of an audit: an accountant checks the statements without the full audit procedures, and says so on the first page.
The IRS letter is what makes gifts deductible. The sample presents what the letter states in the clinic’s own typography, on purpose, so that nobody can mistake a demonstration document for a government one.
What $74,000 pays for
Rent to the county, electricity and heat, the phone line, and the insurance the clinic carries itself: property, general liability, and malpractice for the staff nurse and for any volunteer whose work falls outside FTCA deeming. That is the line marked the building in the year above, about a tenth of every dollar.
The mobile dental unit is rented four Saturdays a year and sits in the dental-day line on the Services page, not here.