Providence Medical Clinic Of Kingsport
Organization summary
Type of Nonprofit
Designated as a Organizations for any of the following purposes: religious, educational, charitable, scientific, literary, testing for public safety, fostering national or international amateur sports competition (as long as it doesn't provide athletic facilities or equipment), or the prevention of cruelty to children or animals.
Category: Health — General and Rehabilitative / Ambulatory Health Center, Community Clinic (NTEE)
Donations to this organization are tax deductible.
Summary charts: organization finances over time
Revenue $426k (2023)
Expenses $386k (2023)
Total Assets $275k (2023)
Total Liabilities $0 (2023)
Tax Filings by Year
Form 990 is an information return that most organizations claiming federal tax-exempt status must file yearly with the IRS. Nonprofit Explorer has IRS digitized Form 990 data for filings processed in 2012 and later. If this organization filed an amended return, it may not be reflected below. Duplicate download links may indicate a resubmission or amendment to this organization's original return. Form 990 data is from the IRS.
Fiscal Year Ending Dec.
2023
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $419,932 |
98.5%
|
| Program Services | $0 | |
| Investment Income | $6,262 |
1.5%
|
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $0 | |
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $275,239 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Related | Other |
|---|---|---|---|
| Kimberly Hart (Office Admin) | $52,829 | $0 | $0 |
| Kim Hart (Office Admin) | $52,829 | $0 | $0 |
| Loyce Ardemagn (President) | $0 | $0 | $0 |
Document Links
990
Filed on May 6, 2024Primary tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2022
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $360,776 |
100%
|
| Program Services | $0 | |
| Investment Income | $0 | |
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $0 | |
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $235,467 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Related | Other |
|---|---|---|---|
| Kimberly Hart (Director) | $7,309 | $0 | $0 |
| Kimberly Hart (Office Admin) | $7,309 | $0 | $0 |
| Loyce Ardemagn (President) | $0 | $0 | $0 |
Document Links
990
Filed on May 8, 2023Primary tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2021
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $327,181 |
100%
|
| Program Services | $0 | |
| Investment Income | $0 | |
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $0 | |
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $212,278 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Related | Other |
|---|---|---|---|
| Dannie Dingus (Office Admin) | $52,000 | $0 | $0 |
| Loyce Ardemagn (President) | $0 | $0 | $0 |
| Diana Meredith (Vice President) | $0 | $0 | $0 |
Document Links
990
Filed on May 6, 2022Primary tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2020
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $0 | |
| Program Services | $0 | |
| Investment Income | $0 | |
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $0 | |
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $222,420 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Related | Other |
|---|---|---|---|
| Leigh A Hogue (Office Admin) | $22,084 | $0 | $0 |
| James Tackett (President) | $0 | $0 | $0 |
| Diana Meredith (Vice President) | $0 | $0 | $0 |
Document Links
990
Filed on May 4, 2021Primary tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2019
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $371,143 |
100%
|
| Program Services | $0 | |
| Investment Income | $0 | |
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $168,724 |
56.5%
|
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $148,933 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Related | Other |
|---|---|---|---|
| M Campbell (Office Admin) | $48,060 | $0 | $0 |
| Jim Tackett (President) | $0 | $0 | $0 |
| Diana Meredith (Vice President) | $0 | $0 | $0 |
Document Links
990
Filed on May 6, 2020Primary tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2018
Extracted Financial Data
Extracted Financial Data from Form 990
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $286,738 |
100%
|
| Program Services | $0 | |
| Investment Income | $0 | |
| Bond Proceeds | $0 | |
| Royalties | $0 | |
| Rental Property Income | $0 | |
| Net Fundraising | $0 | |
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Notable Expenses | Percent of Total Expenses | |
|---|---|---|
| Executive Compensation | $161,144 |
54.7%
|
| Professional Fundraising Fees | $0 | |
| Other Salaries and Wages | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $166 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Related | Other |
|---|---|---|---|
| M Campbell (Office Admin) | $46,900 | $0 | $0 |
| James Tackett (President) | $0 | $0 | $0 |
| Diana Meridith (Vice President) | $0 | $0 | $0 |
Document Links
990
Filed on May 10, 2019Primary tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2017
Extracted Financial Data
Extracted Financial Data from 990-EZ
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $175,745 |
92.4%
|
| Program Services | $0 | |
| Investment Income | $0 | |
| Net Fundraising | $14,413 |
7.6%
|
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $7,830 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Other |
|---|---|---|
| James Jones (President) | $0 | $0 |
| Diana Meredith (Vice President) | $0 | $0 |
| Brenda Hitch (Secretary) | $0 | $0 |
Document Links
990-EZ
Filed on April 27, 2018Short form tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2016
Extracted Financial Data
Extracted Financial Data from 990-EZ
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $96,574 |
89.6%
|
| Program Services | $0 | |
| Investment Income | $0 | |
| Net Fundraising | $11,179 |
10.4%
|
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $28,809 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Other |
|---|---|---|
| James Jones (President) | $0 | $0 |
| Jeannette Blazier (Vice President) | $0 | $0 |
| F Allan Kelly (Secretary) | $0 | $0 |
Document Links
990-EZ
Filed on April 26, 2017Short form tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2015
Extracted Financial Data
Extracted Financial Data from 990-EZ
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $93,277 |
88.0%
|
| Program Services | $0 | |
| Investment Income | $0 | |
| Net Fundraising | $12,718 |
12.0%
|
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $36,677 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Other |
|---|---|---|
| James Jones (President) | $0 | $0 |
| Jeannette Blazier (Vice President) | $0 | $0 |
| F Allan Kelly (Secretary) | $0 | $0 |
Document Links
990-EZ
Filed on April 20, 2016Short form tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2014
Extracted Financial Data
Extracted Financial Data from 990-EZ
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $61,174 |
84.1%
|
| Program Services | $0 | |
| Investment Income | $0 | |
| Net Fundraising | $11,546 |
15.9%
|
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $929 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Other |
|---|---|---|
| James Jones (President) | $0 | $0 |
| Jeannette Blazier (Vice President) | $0 | $0 |
| F Allan Kelly (Secretary) | $0 | $0 |
Document Links
990-EZ
Filed on May 5, 2015Short form tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2013
Extracted Financial Data
Extracted Financial Data from 990-EZ
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $63,590 |
87.9%
|
| Program Services | $0 | |
| Investment Income | $14 |
0.0%
|
| Net Fundraising | $8,775 |
12.1%
|
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $3,455 | |
| Total Liabilities | $0 |
Compensation
| Key Employees and Officers | Compensation | Other |
|---|---|---|
| James Jones (President) | $0 | $0 |
| Jeannette Blazier (Vice President) | $0 | $0 |
| F Allan Kelly (Secretary) | $0 | $0 |
Document Links
990-EZ
Filed on May 1, 2014Short form tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2012
Extracted Financial Data
Extracted Financial Data from 990-EZ
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $55,494 |
84.2%
|
| Program Services | $0 | |
| Investment Income | $13 |
0.0%
|
| Net Fundraising | $10,366 |
15.7%
|
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $1,698 | |
| Total Liabilities | $0 |
Document Links
990-EZ
Short form tax return for a nonprofit’s activities, finances, and governance
Fiscal Year Ending Dec.
2011
Extracted Financial Data
Extracted Financial Data from 990-EZ
| Notable Sources of Revenue | Percent of Total Revenue | |
|---|---|---|
| Contributions | $57,870 |
88.7%
|
| Program Services | $780 |
1.2%
|
| Investment Income | $10 |
0.0%
|
| Net Fundraising | $6,577 |
10.1%
|
| Sales of Assets | $0 | |
| Net Inventory Sales | $0 | |
| Other Revenue | $0 |
| Assets/Debt | ||
|---|---|---|
| Total Assets | $5,623 | |
| Total Liabilities | $0 |
Document Links
990-EZ
Short form tax return for a nonprofit’s activities, finances, and governance
About This Data
Nonprofit Explorer includes summary data for nonprofit tax returns and full Form 990 documents, in both PDF and digital formats.
The summary data contains information processed by the IRS during the 2012-2019 calendar years; this generally consists of filings for the 2011-2018 fiscal years, but may include older records. This data release includes only a subset of what can be found in the full Form 990s.
In addition to the raw summary data, we link to PDFs and digital copies of full Form 990 documents wherever possible. This consists of separate releases by the IRS of Form 990 documents processed by the agency, which we update regularly.
We also link to copies of audits nonprofit organizations that spent $750,000 or more in Federal grant money in a single fiscal year since 2016. These audits are copied from the Federal Audit Clearinghouse.