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NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS INC (EIN 56-2273242)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-15
IRS object ID
202333199349304318
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-15T08:53:28-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN521022232PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SNYDER COHN PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line111200 ROCKVILLE PIKE SUITE 415AddressLine1Txt
CityNORTH BETHESDACityNm
State AbbreviationMDStateAbbreviationCd
ZIP20852ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562273242EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL ASSOCIATION OF FREE ANDBusinessNameLine1Txt
Business Name Line2CHARITABLE CLINICS INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNATIBusinessNameControlTxt
Phone7036477427PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 DIAGONAL ROAD SUITE 600AddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP223142840ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNICOLE LAMOUREUXPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone7036477427PhoneNum
Signature2023-11-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstNICOLEPersonFirstNm
Person LastLAMOUREUXPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKEITH JENNINGSPreparerPersonNm
PTINP01319883PTIN
Phone3016526700PhoneNum
Preparation2023-11-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerNICOLE LAMOUREUXPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 DIAGONAL ROAD SUITE 600AddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP223142840ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$4,264,994GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NAFCCLINICS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2003FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionTO ENSURE THAT THE MEDICALLY UNDERSERVED HAVE ACCESS TO AFFORDABLE QUALITY HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee5TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,703,358PYContributionsGrantsAmt
CY Contributions Grants$3,382,370CYContributionsGrantsAmt
PY Program Service Revenue$616,955PYProgramServiceRevenueAmt
CY Program Service Revenue$716,693CYProgramServiceRevenueAmt
PY Investment Income$24,822PYInvestmentIncomeAmt
CY Investment Income$26,831CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,345,135PYTotalRevenueAmt
CY Total Revenue$4,125,894CYTotalRevenueAmt
PY Grants And Similar Paid$5,685,359PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,530,340CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$532,486PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$606,443CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$89,106CYTotalFundraisingExpenseAmt
PY Other Expenses$1,492,300PYOtherExpensesAmt
CY Other Expenses$1,156,912CYOtherExpensesAmt
PY Total Expenses$7,710,145PYTotalExpensesAmt
CY Total Expenses$5,293,695CYTotalExpensesAmt
PY Revenues Less Expenses$634,990PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,167,801CYRevenuesLessExpensesAmt
Total Assets BOY$2,287,397TotalAssetsBOYAmt
Total Assets EOY$2,875,563TotalAssetsEOYAmt
Total Liabilities BOY$483,859TotalLiabilitiesBOYAmt
Total Liabilities EOY$779,229TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,803,538NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,096,334NetAssetsOrFundBalancesEOYAmt
MissionBUILDING HEALTHY COMMUNITIES FOR ALL THROUGH QUALITY, EQUITABLE, ACCESSIBLE HEALTHCARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,028,724ExpenseAmt
Revenue$676,693RevenueAmt
DescTHE NAFC ANNUAL SYMPOSIUM AND ADDITIONAL EDUCATION SERVICES ARE THE ONLY NATIONAL MEETING SOLELY DEDICATED TO PROVIDING HEALTH EDUCATION AND TRAINING FOR NAFC STAFF AND VOLUNTEERS WHO PROVIDE HEALTH CARE TO THE MEDICALLY UNDERSERVED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,684,206ExpenseAmt
Grant$3,530,340GrantAmt
Revenue$40,000RevenueAmt
DescCLINICS ESTABLISH AND MAINTAIN SERVICES THAT SUPPORT AND BENEFIT THE WORK OF THE MEMBERS IN THEIR EFFORTS TO PROVIDE HEALTH CARE TO THE UNINSURED AND UNDERINSURED.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$4,712,930TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee5EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldALStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldARStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldGAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKSStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldKYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMDStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNMStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldSCStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldTNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldUTStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVTStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldVAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWVStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7036477427PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11800 DIAGONAL ROAD SUITE 600AddressLine1Txt
CityALEXANDRIACityNm
State AbbreviationVAStateAbbreviationCd
ZIP223142840ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEPHANIE NELSON GARRIS JD
CHAIRMAN3.00Yes (X)Yes (X)$0$0$0
MAUREEN TOMOSCHUK
VICE CHAIRMAN3.00Yes (X)Yes (X)$0$0$0
BETH ARMSTRONG
TREASURER3.00Yes (X)Yes (X)$0$0$0
ISI IKHAREBHA GREEN
SECRETARY3.00Yes (X)Yes (X)$0$0$0
DR HINA AZAM
BOARD MEMBER3.00Yes (X)$0$0$0
ADAM BRADLEY
BOARD MEMBER3.00Yes (X)$0$0$0
GISELA BRETONES
BOARD MEMBER3.00Yes (X)$0$0$0
NANCY W HUDSON
BOARD MEMBER3.00Yes (X)$0$0$0
AVONTE JACKSON
BOARD MEMBER3.00Yes (X)$0$0$0
BOBBY KAPUR
BOARD MEMBER3.00Yes (X)$0$0$0
KAT MASTRANGELO
BOARD MEMBER3.00Yes (X)$0$0$0
ANGIE MCLAUGHLIN
BOARD MEMBER3.00Yes (X)$0$0$0
LARRY S ROBINS
BOARD MEMBER3.00Yes (X)$0$0$0
SHANNON WATSON
BOARD MEMBER3.00Yes (X)$0$0$0
NICOLE LAMOUREUX
CHIEF EXECUTIVE OFFICER40.00Yes (X)$196,032$0$5,881
KERRY THOMPSON
VICE PRESIDENT40.00$135,000$0$9,531Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$331,032TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$15,412TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MWW GROUP LLCBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 67186AddressLine1Txt
CityNEWARKCityNm
State AbbreviationNJStateAbbreviationCd
ZIP071016602ZIPCd
FieldValueIRS element (for citing)
ServicesPUBLIC RELATIONSServicesDesc
Compensation$153,539CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$3,382,370AllOtherContributionsAmt
Total Contributions$3,382,370TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEMBERSHIP DUES621400$413,588$413,588
SYMPOSIUM621400$263,105$263,105
BIOGEN621400$40,000$40,000
FieldValueIRS element (for citing)
Total Program Service Revenue$716,693TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,077TotalRevenueColumnAmt
Exclusion$28,077ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$137,854SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$139,100SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,246SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,246TotalRevenueColumnAmt
Exclusion-$1,246ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,125,894TotalRevenueColumnAmt
Related Or Exempt Func Income$716,693RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26,831ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,530,340TotalAmt
Program Services$3,530,340ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$163,338TotalAmt
Program Services$127,631ProgramServicesAmt
Management And General$12,784ManagementAndGeneralAmt
Fundraising$22,923FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$380,953TotalAmt
Program Services$255,729ProgramServicesAmt
Management And General$120,556ManagementAndGeneralAmt
Fundraising$4,668FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$62,152TotalAmt
Program Services$44,595ProgramServicesAmt
Management And General$14,336ManagementAndGeneralAmt
Fundraising$3,221FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$402,575TotalAmt
Program Services$201,101ProgramServicesAmt
Management And General$148,254ManagementAndGeneralAmt
Fundraising$53,220FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$100,396TotalAmt
Program Services$23,128ProgramServicesAmt
Management And General$77,268ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,181TotalAmt
Program Services$1,714ProgramServicesAmt
Management And General$467ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$126,587TotalAmt
Program Services$70,240ProgramServicesAmt
Management And General$51,273ManagementAndGeneralAmt
Fundraising$5,074FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,891TotalAmt
Program Services$37,825ProgramServicesAmt
Management And General$66ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,325TotalAmt
Management And General$12,325ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,516TotalAmt
Management And General$10,516ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
SYMPOSIUM$347,218$347,218
TELEPHONE AND WEBSITE$112,380$68,673$43,707
POSTAGE AND SHIPPING$4,843$4,736$107

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,293,695TotalAmt
Program Services$4,712,930ProgramServicesAmt
Management And General$491,659ManagementAndGeneralAmt
Fundraising$89,106FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$538,605BOYAmt
EOY$1,789,377EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$826,273BOYAmt
EOY$67,077EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$52,005EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$146,048BOYAmt
EOY$15,200EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$24,620BOYAmt
EOY$56,256EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$45,403LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$30,371LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,190BOYAmt
EOY$15,032EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$692,378BOYAmt
EOY$671,313EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,283BOYAmt
EOY$209,303EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,287,397BOYAmt
EOY$2,875,563EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$220,994BOYAmt
EOY$195,952EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$10,000BOYAmt
EOY$195,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$252,865BOYAmt
EOY$186,345EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$201,932EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$483,859BOYAmt
EOY$779,229EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,803,538BOYAmt
EOY$1,663,600EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$432,734EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,803,538BOYAmt
EOY$2,096,334EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,287,397BOYAmt
EOY$2,875,563EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,167,801ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$66,532NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$1,527,129PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,517,698CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,180,507CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,631,838CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,108,792CurrentTaxYearMinus1YearAmt
Current Tax Year$3,475,267CurrentTaxYearAmt
Total$21,914,102TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year$716,693CurrentTaxYearAmt
Total$716,693TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,517,698CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,180,507CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,631,838CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,108,792CurrentTaxYearMinus1YearAmt
Current Tax Year$4,191,960CurrentTaxYearAmt
Total$22,630,795TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$22,630,795PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,704CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,335CurrentTaxYearMinus1YearAmt
Current Tax Year$35,138CurrentTaxYearAmt
Total$149,784TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,704CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,284CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,323CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$25,335CurrentTaxYearMinus1YearAmt
Current Tax Year$35,138CurrentTaxYearAmt
Total$149,784TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$299,573CurrentTaxYearMinus2YearsAmt
Total$299,573TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,534,402CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,222,791CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,961,734CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,134,127CurrentTaxYearMinus1YearAmt
Current Tax Year$4,227,098CurrentTaxYearAmt
Total$23,080,152TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98050PublicSupportCY509Pct
Public Support PY5090.97870PublicSupportPY509Pct
Investment Income CY0.00650InvestmentIncomeCYPct
Investment Income PY0.00650InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$32,253OtherCostOrOtherBasisAmt
Depreciation$18,380DepreciationAmt
Book Value$13,873BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,150OtherCostOrOtherBasisAmt
Depreciation$11,991DepreciationAmt
Book Value$1,159BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$15,032TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTSDesc
Book Value$671,313BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$671,313TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
WEBSITE DEVELOPMENT COSTS$16,041
SECURITY DEPOSIT$8,680
RIGHT OF USE ASSETS$183,882
DUE FROM OTHERS$700
FieldValueIRS element (for citing)
Total Book Value Other Assets$209,303TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITIESDesc
Amt$201,932Amt
FieldValueIRS element (for citing)
Total Liability$201,932TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$4,128,761TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$66,532NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$69,399DonatedServicesAndUseFcltsAmt
Revenue Not Reported$2,867RevenueNotReportedAmt
Revenue Subtotal$4,125,894RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,125,894TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,363,092TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$69,397DonatedServicesUseFcltsAmt
Expenses Not Reported$69,397ExpensesNotReportedAmt
Expenses Subtotal$5,293,695ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,293,695TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ASSOCIATION ACCOUNTS FOR THE EFFECT OF ANY UNCERTAIN TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" THRESHOLD TO THE RECOGNITION OF TAX POSITIONS BEING SUSTAINED BASED ON THE TECHNICAL MERITS OF THE POSITION UNDER SCRUTINY BY THE APPLICABLE TAXING AUTHORITY. IF A TAX POSITION OR POSITIONS ARE DEEMED TO RESULT IN UNCERTAINTIES OF THOSE POSITIONS, THE UNRECOGNIZED TAX EFFECT IS ESTIMATED BASED ON A "CUMULATIVE PROBABILITY ASSESSMENT" THAT AGGREGATES THE ESTIMATED TAX LIABILITY FOR UNCERTAIN TAX POSITIONS. INTEREST AND PENALTIES, IF ANY, ARE ACCRUED AS A COMPONENT OF GENERAL AND ADMINISTRATIVE EXPENSES WHEN ASSESSED. THE ASSOCIATION HAS IDENTIFIED ITS TAX STATUS AS A TAX-EXEMPT ENTITY UNDER SECTION 501(C)(3) AND ITS DETERMINATION THAT IT HAS NO UNRELATED BUSINESS INCOME AS TAX POSITIONS; HOWEVER, THE ASSOCIATION HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN AN UNCERTAINTY REQUIRING RECOGNITION. INCOME TAX YEARS ENDED PRIOR TO DECEMBER 31, 2019 ARE NO LONGER SUBJECT TO AUDIT BY TAXING AUTHORITIES.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (122 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
ARLINGTON FREE CLINIC
2921 11TH STREETSOUTH ARLINGTONVA22204541671883501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CITY ON A HILL HEALTH CLINIC
100 PINE STZEELANDMI49464203901260501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
COMMUNITY ADVANCED PRACTICE NURSES
173 BOULEVARD NEATLANTAGA303121468582435328501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
COMMUNITYHEALTH
2611 W CHICAGO AVECHICAGOIL60622363831793501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
GRACE CLINIC OF YADKIN VALLEY
948 JOHNSON RIDGE RDELKINNC28621760800084501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
HEAL THE CITY FREE CLINIC
P O BOX 2556AMARILLOTX79105465694050501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
HEALTHNET OF ROCK COUNTY INC
23 W MILWAUKEE ST STE 201JANESVILLEWI53548391778804501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
JEWISH FAMILY SERVICE OF COLORADO
3201 S TAMARAC DRDENVERCO802314360840402701501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
MATTHEWS FREE MEDICAL CLINIC
196 S TRADE ST MATTHEWSMATTHEWSNC281055772510468874501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
MOUNTAIN HOPE GOOD SHEPHERD CLINIC INC
PO BOX 5937SEVIERVILLETN37864621747037501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
POINT WASHINGTON MEDICAL CLINIC INC
1290 N CO HWY 395SANTA ROSA BEACHFL32459831125021501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
REFUGE CLINIC
2349 RICHMOND ROAD SUITE 220LEXINGTONKY40502371547506501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SALEM FREE CLINICS
1300 BROADWAY ST NE STE 104SALEMOR97301203549992501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SHEPHERD'S CLINIC
2800 KIRK AVEBALTIMOREMD21218521739001501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SMITHVILLE COMMUNITY CLINIC
PO BOX 38 300 LYNCH STREETSMITHVILLETX78957204515999501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
ST LUKE'S FREE MEDICAL CLINIC
PO BOX 3466SPARTANBURGSC29304570943232501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
TEMPLE COMMUNITY CLINIC
1905 CURTIS B ELLIOTT DRIVETEMPLETX76501742634500501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
THE HEALTH HUT
310 WEST MISSISSIPPI AVERUSTONLA71270273764078501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
UNIVERSAL MEDICAL INSTITUTE INC
99 NW 183RD ST SUITE 133AMIAMIFL33027850504960501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
VIM BERKSHIRES
777 MAIN STREET SUITE 4GREAT BARRINGTONMA01230900140004501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
VOLUNTEERS IN MEDICINE - PA
190 N PENNSYLVANIA AVEWILKES BARREPA18702203531527501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
C-ASSIST
30260 CHERRY HILLGARDEN CITYMI48135813386484501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CARELINK OF NORTHWEST GEORGIA INC
PO BOX 182DALLASGA30132475094465501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CATHOLIC CHARITIES OF CENTRAL FLORIDA
1819 N SEMORAN BLVDORLANDOFL32807591214353501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CENTRE VOLUNTEERS IN MEDICINE
2520 GREEN TECH DRIVE SUITE DSTATE COLLEGEPA16803251897969501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CHICAGO WOMEN'S HEALTH CENTER
1025 WEST SUNNYSIDE AVE 201CHICAGOIL60640362922469501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
COMMUNITY HEALTH CLINIC INC
1113 WOODLAND DRELIZABETHTOWNKY42701300042070501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
FREE CLINIC OF CENTRAL VIRGINIA INC
1016 MAIN STREETLYNCHBURGVA24504541420756501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
FREE CLINIC OF ROCKINGHAM COUNTY INC
PO BOX 2668REIDSVILLENC27323562003143501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
GEORGIA CHARITABLE CARE NETWORK INC
PO BOX 133224ATLANTAGA30333800100336501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
GRATIS HEALTHCARE
PO BOX 644FRANKLINMA02038311741660501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
ILLINOIS ASSOCIATION OF FREE AND CHARITABLE CLINICS
42 STEPHEN STREET 416LEMONTIL60439201942444501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
LAHAI HEALTH
19820 SCRIBER LAKE RD 2LYNNWOODWA98036331052418501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
LIFESPRING COMMUNITY HEALTH
1042 EAST 3RD STREET SUITE 200CHATTANOOGATN37403273856741501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
MEMPHIS MUSLIM MEDICAL SERVICES INC
1055 STRATFORD ROADMEMPHISTN38122412153994501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
OPEN ARMS HEALTH CLINIC INC
3311 LITTLE ROADARLINGTONTX76016450621201501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
PEOPLE'S HEALTH & WELLNESS CLINIC
PO BOX 544BARREVT05641030343290501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SOUTH COUNTY COMMUNITY CLINIC DBA INTERFAITH COMMUNITY CLINIC
101 PINE MANOR WAYOAK RIDGE NORTHTX77385752634623501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
THE COMMUNITY CLINIC OF SOUTHWEST MISSOURI
701 S JOPLIN AVENUEJOPLINMO64801431643962501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
THE LUKE PROJECT 52 CLINIC (DBA THE LUKE CLINIC)
9615 MAIN ST SUITE BWHITMORE LAKEMI48189812779813501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
TRS HEALTH INC
3727 GREENBRIAR DR STE 114STAFFORDTX77477842546001501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
WEST VIRGINIA HEALTH RIGHT INC
1520 WASHINGTON STREET EASTCHARLESTONWV25311311066881501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
WORRY FREE COMMUNITY
1701 BLOOMINGDALE RDGLENDALE HEIGHTSIL60139474911621501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
MEDICAL UNIVERSITY OF SOUTH CAROLINA FOUNDATION
PO BOX 250450CHARLESTONSC29425576028985501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
GREENVILLE FREE MEDICAL CLINIC
PO BOX 8993GREENVILLESC29604570855205501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
HEALTH ALLIANCE FOR THE UNINSURED
3000 UNITED FOUNDERS BLVD STE 244OKLAHOMA CITYOK73112261789292501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
TXACC
PO BOX 684127AUSTINTX78768331115138501(C)(3)$15,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
VAFCC
1401 LIBBIE AVENUE SUITE 104RICHMONDVA23226541802019501(C)(3)$15,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
WHEELING HEALTH RIGHT INC
61-29TH STWHEELINGWV26003311149085501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
4TH SECOND
839 VALLE VISTA AVEVALLEJOCA94590273215926501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
BERKELEY COMMUNITY HEALTH PROJECT
2339 DURANT AVEBERKELEYCA94704941697002501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CALIFORNIA ASSOCIATION OF FREE AND CHARITABLE CLINICS
2752 ABEJORRO STCARLSBADCA92009202198446501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CENTER FOR FAMILY HEALTH AND EDUCATION INC
8727 VAN NUYS BLVD STE 101PANORAMA CITYCA91402270224623501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CLINICA TEPATI
1820 J STREETSACRAMENTOCA95811942324682501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
COACHELLA VALLEY VOLUNTEERS IN MEDICINE
PO BOX 10090INDIOCA92202263312826501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
COMMUNITY SERVICE EDUCATION AND RESEARCH FUND OF SEDMS
5380 ELVAS AVE SUITE 101SACRAMENTOCA95819237003581501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CONEJO FREE CLINIC
80 E HILLCREST DRIVE SUITE 102THOUSAND OAKSCA91360953177953501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
GRASSROOTS HEALTHCARE FOUNDATION
743 E TABOR AVE FAIRFIELD CA 94533FAIRFIELDCA94533320600776501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
HEALING GROVE HEALTH CENTER INC A SOCIAL PURPOSE CORPORATION
226 W ALMA AVE SUITE 10SAN JOSECA95110844194962501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
INLAND EMPIRE FREE CLINIC
1501 VIOLET ST OFFICE 386COLTONCA92324871142032501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
NADEZHDA HEALTH PROJECT
1 SHIELDS AVENUE CSI BOX 795DAVISCA95616822852928501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
NAPA ACUPUNCTURE PRACTICE
411 FREEWAY DRNAPACA945585869814145087501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
POINT LOMA NAZARENE UNIVERSITY HEALTH PROMOTION CENTER
4101 UNIVERSITY AVESAN DIEGOCA92105951644035501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SAN FRANCISCO FREE CLINIC
4900 CALIFORNIA STREETSAN FRANCISCOCA94118943186248501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SOUTHERN CALIFORNIA CARE COMMUNITY
120 N ASH STESCONDIDOCA92027850858493501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
THE WILLOW CLINIC
1200 NORTH B STREETSACRAMENTOCA95814800721010501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
UMI COMMUNITY IMAGING CLINIC
24901 VIA VERDELAGUNA NIGUELCA92677832309570501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
VIDA MOBILE CLINIC
10718 WHITE OAK AVE UNIT 6GRANADA HILLSCA913444628814209248501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
WOMEN AND INFANTS MOBILE HEALTH
1 GRAND AVESAN LUIS OBISPOCA93407951648180501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
ROTACARE BAY AREA INC
514 VALLEY WAYMILPITASCA95035770328723501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SLO NOOR FOUNDATION A NON-PROFIT CORPORATION
1428 PHILLIPS LN STE 203SAN LUIS OBISPOCA93401271412176501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SYMBA CENTER
20601 HWY 18 SUITE 171APPLE VALLEYCA92307843729902501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
VOLUNTEERS IN MEDICINE SAN FRANCISCO - DBA CLINIC BY THE BAY
4877 MISSION STSAN FRANCISCOCA94112262593712501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
JEWISH COMMUNITY FREE CLINIC
50 MONTGOMERY DRIVESANTA ROSACA95405943386103501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
DESERT ROSE TRAUMA RECOVERY
15431 ANACAPA RD STE HVICTORVILLECA92392204172018501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
WESTMINSTER FREE CLINIC
2673 SAN MIGUEL CIRCLETHOUSAND OAKSCA81360770563241501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
LESTONNAC FREE CLINIC
1215 E CHAPMANORANGECA92866953499011501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CLARA'S HOUSE
2700 L STREETSACRAMENTOCA95819611591265501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
JACKSON FREE CLINIC
925 MARTIN LUTHER KING JR DRIVEJACKSONMS39203640945749501(C)(3)$43,570$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SISTERS IN BIRTH
5839 S PEAR ORCHARD ROADJACKSONMS39211812072883501(C)(3)$43,570$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
FREE CLINIC ASSOCIATION OF PENNSYLVANIA
2520 GREEN TECH DRIVESTATE COLLEGEPA16803260099669501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
THE GOOD SAMARITAN HEALTH CENTER
1015 DONALD LEE HOLLOWELL PARKWAYATLANTAGA30329582373395501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CARE RING
601 E FIFTH STREET SUITE 140CHARLOTTENC28202560621073501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
GRACE MEDICAL HOME INC
1417 E CONCORD STREETORLANDOFL32803261817966501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
IBN SINA FOUNDATION INC
11226 SOUTH WILCREST DRHOUSTONTX77099501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
IMANI CLINIC
2425 ALHAMBRA BLVDSACRAMENTOCA95817352505613501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
LUKE PROJECT - 52 CLINIC INCORPORATED
9615 MAIN ST SUITE BWHITMORE LAKEMI48189812779813501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
PREMIER MOBILE HEALTH SERVICES
10676 COLONIAL BLVD STE 20FORT MYERSFL339138715825372657501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
UNR STUDENT OUTREACH CLINIC
745 W MOANA LANERENONV89509942781749501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
UBI CARITAS
4450 HIGHLAND AVEBEAUMONTTX77705760558225501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
UBUNTU BLACK FAMILY WELLNESS COLLECTIVE
2611 GOVERNOR PRINTZ BLVDWILMINGTONDE19802844324815501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
WAY FREE MEDICAL CLINIC INC
479 HOUSTON STGREEN COVE SPRINGSFL320432411760828154501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
HELPING HANDS OF MIDDLE & WEST TENNESSEE
1408 NORTH HIGHLAND AVENUEJACKSONTN38301811043752501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CHARITABLE PHARMACY OF CENTRAL OHIO
200 E LIVINGSTON AVECOLUMBUSOH43215270147099501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
LA CLINICA LATINA
2231 N HIGH STREETCOLUMBUSOH43201205260283501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
MATTHEW 25 INC
413 E JEFFERSON BLVDFORT WAYNEFORT WAYNEIN46845501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
MIDVALE COMMUNITY BUILDING COMMUNITY INC
49 W CENTER STREETMIDVALEUT84047501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
RHODE ISLAND FREE CLINIC
655 BROAD STREET 3RD FLOORPROVIDENCERI02907501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
THE HEALTH WAGON
PO BOX 7070WISEVA24293501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
STUDENT OUTREACH TO AREA RESIDENTS LLC
4209 ST RT 44ROOTSTOWNOH44272464173762501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
MIDVALE COMMUNITY BUILDING COMMUNITY INC
49 WEST CENTER STREET 1MIDVALEUT84047501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
THE BREATHING ASSOCIATION
788 MOUNT VERNON AVENUECOLUMBUSOH43203314387540501(C)(3)$10,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
MEDICAL MISSION ADVENTURES
425 SIERRA MADRE VILLA AVEPASADENACA91107501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CHARITABLE HEALTHCARE NETWORK
88 E BROAD ST STE 1475COLUMBUSOH43215223769296501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
CHARITABLE PHARMACY OF CENTRAL OHIO
200 E LIVINGSTON AVECOLUMBUSOH43215270147099501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
COLUMBUS FREE CLINIC
2231 N HIGH STCOLUMBUSOH43201501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
GOOD NEIGHBOR HOUSE
627 EAST FIRST STREETDAYTONOH45402311374154501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
GRACE CLINICS OF OHIO
PO BOX 444DELAWAREOH43015270415624501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
HELPING HANDS HEALTH AND WELLNESS CENTER
5100 KARL RDCOLUMBUSOH43229205937457501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
LAKE COUNTY FREE CLINIC
125 E ERIE STREET LOWER LEVELPAINESVILLEOH44077341081191501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
LIVING WELL CLINIC
1160 N MONROE DRXENIAOH45385274307745501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
OHIO LATINO HEALTHCARE NETWORK
2231 N HIGH STCOLUMBUSOH43201205260283501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
OHIO VALLEY HEALTH CENTER
423 SOUTH STSTEUBENVILLEOH43952203924355501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
PHYSICIANS CARECONNECTION
1390 DUBLIN RDCOLUMBUSOH43215311373719501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
REACH OUT OF MONTGOMERY COUNTY
25 E FORAKERDAYTONOH45409311434292501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
RISING SUNS NON - PROFIT PHARMACY
PO BOX 193ATHENSOH45701842852530501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SOAR STUDENT RUN FREE CLINIC LLC AT NEOMED CLINICAL INITIATIVES
4209 STATE ROUTE 44ROOTSTOWNOH44272464173762501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
SALAAM CLEVELAND DBA SALAAM CLINIC
1925 ST CLAIR AVE NECLEVELANDOH44114261368320501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
ST VINCENT DE PAUL CHARITABLE PHARMACY
1125 BANK STREETCINCINNATIOH45214300272954501(C)(3)$30,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
THE BREATHING ASSOCIATION
788 MOUNT VERNON AVECOLUMBUSOH43203314387540501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
VIOLA STARTZMAN CLINIC
1874 CLEVELAND RDWOOSTEROH44691341758151501(C)(3)$25,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
TOLEDOLUCAS COUNTY CARENET
3231 CENTRAL PARK W STE 200TOLEDOOH43617431986672501(C)(3)$20,000$0TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED
FieldValueIRS element (for citing)
Total501c3 Org122Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationGRANT FUNDING CLINICS MUST SIGN A LETTER THAT STATES THEY UNDERSTAND THE REQUIREMENTS OF THE GRANT AND THEY MUST REPORT TWO TIMES A YEAR USING AN ELECTRONIC PORTAL. A REPORT IS MADE TO SUMMARIZE THE FUNDS STATUS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonNICOLE LAMOUREUXPersonNm
TitleCHIEF EXECUTIVE OFFICERTitleTxt
Base Compensation Filing Org$196,032BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$5,881DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$201,913TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE MEMBERSHIP IS COMPOSED OF FREE CLINICS AROUND THE COUNTRY THAT PAY DUES TO BE A MEMBER. THE BOARD IS ELECTED AT AN ANNUAL MEETING OF THE MEMBERSHIP OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS ELECT OFFICERS AT THE ANNUAL MEETING OF THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS ARE PROVIDED WITH A DRAFT OF THE 990 AND GIVEN A PERIOD OF TIME FOR REVIEW AND COMMENTS PRIOR TO THE FILING OF THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD MUST SIGN THE CONFLICT OF INTEREST FORM AND BOARD COMMITMENT FORM ANNUALLY AND RETURN TO THE NAFC STAFF.
FORM 990, PART VI, SECTION B, LINE 15THERE IS AN EXECUTIVE COMMETTEE ESTABLISHED WHO REVIEWS AND SETS THE GOALS FOR THE CEO POSITION. THE CEO IS THEN ASSESSED AND EVALUATED ANNUALLY BASED ON GOALS. THE COMMITTEE RESEARCHES INDUSTRY WAGE REPORTS AND ANNUALLY REVIEWS SALARY LEVELS FOR COMPARABILITY. OTHER TOP MANAGEMENT POSITIONS ARE REVIEWED BY BOARD MEMBERS BASED ON ANNUAL GOAL CRITERIA.
FORM 990, PART VI, SECTION C, LINE 19ALL DOCUMENTS ARE MADE AVAILABLE AT THE OFFICES OF THE ORGANIZATION.
PART XI LINE 8PRIOR PERIOD ADJUSTMENT LISTED REPRESENTS PRIMARILY GRANTS THAT SHOULD HAVE BEEN RECORDED IN PREVIOUS YEARS' UNDER GAAP. THESE GRANTS ARE INCLUDED IN THIS YEAR'S SCHEDULE B AS THEY WERE NOT ON LAST YEAR'S FORM 990.