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Nonprofit · EIN 81-5300614

FORSYTH COMMUNITY PCC LLC

Tax-exempt · WINSTON SALEM, NC 27101

Financials

$350K$1.1M2023
Revenue Expenses · by fiscal year end
Financials of FORSYTH COMMUNITY PCC LLC by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
December 31, 2023990$349,937$1,050,475-$700,538$1,004,734$288,407$716,327
Financial details: 990 for the year ended December 31, 2023

Revenue

Contributions, gifts and grants
$144,816
Program service revenue
$198,773
Investment income
$6,348
Other revenue
$0

Expenses

Grants and similar amounts paid
$0
Salaries, compensation and benefits (total)
$0
Professional fundraising fees
$0
Occupancy
$81,218
Travel
$1,771
Depreciation
$107,924
Program services (functional)
$972,197
Management and general (functional)
$78,278

Balance sheet and other

Total assets, start of year
$736,528
Total assets, end of year
$1,004,734
Total liabilities, end of year
$288,407
Net assets, end of year
$716,327
Land, buildings and equipment
$216,324
Net assets without donor restrictions
$716,327
Gross receipts
$349,937
Employees
0
Volunteers
8
Year formed
2016
State of legal domicile
NC

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended December 31, 2023, highest compensation first.

NameTitleHours / weekCompensation
AMANDA BURTONTREAS
Trustee or director, Officer
0.2$0
CHRISTOPHER PROUTYTRUSTEE
Trustee or director
0.2$0
JOHN MANN MDVICE CHAIR (TO 12/31/23)
Trustee or director, Officer
0.2$0
JOYCE MOUNCESECR (TO 12/31/23)
Trustee or director, Officer
0.2$0
LIA ERICKSON MDTRUSTEE (TO 12/31/23)
Trustee or director
0.2$0
PAULA BIRDTRUSTEE (TO 12/31/23)
Trustee or director
0.2$0
RICHARD LORD MDCHAIR
Trustee or director, Officer
0.2$0
STEVEN SCOGGINTRUSTEE
Trustee or director
0.2$0

Address and contacts

Address (IRS master file)
650 HIGHLAND AVE STE 120, WINSTON SALEM, NC 27101-4367
In care of
% NOVANT MEDICAL GROUP INC MBR
Principal officer (990 for 2023)
RICHARD LORD MD, 650 N HIGHLAND AVE 120, WINSTON SALEM, NC 27101
Signed the 990
RICHARD LORD MD, BOARD CHAIR
Phone
(336) 277-2411

Mission

SEE SCHEDULE O

990 for the year ended December 31, 2023

Program accomplishments

  • THE ORGANIZATION IS A JOINT VENTURE BETWEEN FORSYTH MEMORIAL HOSPITAL, INC. AND WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER TO PROVIDE HEALTHCARE SERVICES IN FORSYTH COUNTY, NC. THE ORGANIZATION OPERATES A COMMUNITY CARE CLINIC, LOCATED IN A HISTORICALLY UNDERSERVED COMMUNITY, PROVIDING HEALTHCARE SERVICES AT NOMINAL FEES. DURING 2023, THE CLINIC HAD 21,018 OUTPATIENT ENCOUNTERS.
    Expenses $972,197 · revenue $198,773

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025December 31, 2025May 15, 2026Not on file
2024December 31, 2024May 15, 2025Not on file
2023December 31, 2023May 15, 2024990 on file

IRS record

EIN
81-5300614
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Hospital or medical research organization
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
2019
Accounting year ends
December
Files
Form 990 or 990-EZ
Assets (IRS master file)
$1,004,734
Income (IRS master file)
$349,937

Filing history

FormYear endedRevenueExpensesAssetsReturn
990December 2023$349,937$1,050,475$1,004,734XML
990December 2022$181,695$1,041,505$736,528IRS
990December 2021–––IRS
990December 2020–––IRS
990December 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 81-5300614).

Questions about FORSYTH COMMUNITY PCC LLC

What is the EIN of FORSYTH COMMUNITY PCC LLC?
The employer identification number (EIN) of FORSYTH COMMUNITY PCC LLC is 81-5300614.
Is FORSYTH COMMUNITY PCC LLC tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2019.
Are donations to FORSYTH COMMUNITY PCC LLC tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does FORSYTH COMMUNITY PCC LLC file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of FORSYTH COMMUNITY PCC LLC due?
The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did FORSYTH COMMUNITY PCC LLC last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended December 2023.
Who is the principal officer of FORSYTH COMMUNITY PCC LLC?
The 990 for the year ended December 31, 2023 names RICHARD LORD MD.
Who are the officers and directors of FORSYTH COMMUNITY PCC LLC?
The 990 for the year ended December 31, 2023 lists 8 people; 0 received compensation from the organization.
How much revenue does FORSYTH COMMUNITY PCC LLC have?
On its 990 for the year ended December 31, 2023 it reported revenue of $349,937, expenses of $1,050,475 and total assets of $1,004,734 at year end.

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