2021-10-04T08:33:01-05:00 2020-12-31 521645472 WEIL AKMAN BAYLIN & COLEMAN PA 201 WEST PADONIA ROAD SUITE 600 TIMONIUM MD 210932186 990 2020-01-01 562273242 NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS INC NATI 7036477427 1800 DIAGONAL ROAD SUITE 600 ALEXANDRIA VA 22314 NICOLE LAMOUREUX BUSBY EXECUTIVE DIRECTOR 7036477427 2021-09-30 1 NICOLE LAMOUREUX BUSBY 999009999 ALLAN C SANDERS CPA P00919875 4105614411 2021-09-30 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z NICOLE LAMOUREUX 1800 DIAGONAL ROAD SUITE 600 ALEXANDRIA VA 22314 5733617 0 X WWW.NAFCCLINICS.ORG X 2003 VA TO ENSURE THAT THE MEDICALLY UNDERSERVED HAVE ACCESS TO AFFORDABLE QUALITY HEALTH CARE. 9 9 0 0 0 0 2818569 5600284 304092 103010 42284 30323 0 0 3164945 5733617 1838118 3969265 0 0 438807 450858 0 0 31543 714312 650954 2991237 5071077 173708 662540 823711 1425435 306996 254481 516715 1170954 CREATE AND MAINTAIN A NATIONAL ORGANIZATION FOR THE BENEFIT OF FREE CLINICS THROUGHOUT THE COUNTRY. 0 0 THE NAFC ANNUAL SYMPOSIUM IS 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. 4703019 CLINICS 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. 4703019 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA WV X THE ORGANIZATION 7036477427 1800 DIAGONAL ROAD SUITE 600 ALEXANDRIA VA 22314 ANGIE MCLAUGHLIN BOARD MEMBER 3.00 X 0 0 0 ARIANA GORDILLO DIRECTOR OF OUTREACH 40.00 X 0 0 0 BOBBY KAPUR MD BOARD MEMBER 3.00 X 0 0 0 ISI IKHAREBHA GREEN SECRETARY 3.00 X X 0 0 0 JOHANNA HENZ BOARD MEMBER 3.00 X 0 0 0 KERRY THOMPSON VICE PRESIDENT 40.00 X X 112568 0 0 LARRY ROBINS BOARD MEMBER 3.00 X 0 0 0 MAUREEN TOMOSCHUK VICE CHAIRMAN 3.00 X X 0 0 0 NANCY W HUDSON BOARD MEMBER 3.00 X 0 0 0 RANDY JORDAN BOARD MEMBER 3.00 X 0 0 0 SHANNON WATSON BOARD MEMBER 3.00 X 0 0 0 STEPHANIE NELSON GARRIS JD CHAIRMAN 3.00 X X 0 0 0 BETH ARMSTRONG TREASURER 3.00 X X 0 0 0 ADAM BRADLEY BOARD MEMBER 3.00 X 0 0 0 KAT MASTRANGELO BOARD MEMBER 3.00 X 0 0 0 NICOLE LAMOUREUX PRESIDENT/CHIEF EXECUTIVE 40.00 X 197032 0 0 309600 0 0 2 0 1 0 0 325372 5274912 5600284 SYMPOSIUM 621400 103010 103010 103010 17774 17774 12549 0 12549 12549 12549 5733617 103010 0 30323 3969265 3969265 405907 295194 88242 22471 44951 29035 13677 2239 280824 127088 153736 46260 22722 23025 513 1501 1280 221 107026 82781 17925 6320 9699 9677 22 707 707 3159 3159 7995 7995 SYMPOSIUM EXPENSE 122814 122814 TELEPHONE & WEBSITE 47653 33532 14121 BANK FEES 12821 12821 POSTAGE/SHIPPING 7051 6647 404 3444 2984 460 5071077 4703019 336515 31543 57186 264662 83298 290824 46467 58963 41239 207344 63046 47001 17097 16045 544354 553527 34070 34070 823711 1425435 135161 54714 10000 171835 189767 306996 254481 X 516715 1170954 516715 1170954 823711 1425435 662540 -8301 0 X 0 0 0 X 812984 1377807 3517698 3180507 4631838 13520834 812984 1377807 3517698 3180507 4631838 13520834 0 0 0 13520834 28644 16366 16704 42284 30323 134321 28644 16366 16704 42284 30323 134321 299573 299573 841628 1394173 3534402 3222791 4961734 13954728 0.96890 0.98680 0.00960 0.01320 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 29832 18455 11377 33213 28545 4668 16045 INVESTMENTS 553527 F 553527 X 5733617 0 5733617 0 5733617 5067643 0 5067643 3434 3434 5071077 PART X, LINE 2: THE ASSOCIATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITION TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ASSOCIATION FILES ITS FORMS 990 IN THE U.S. FEDERAL JURISDICTION AND VARIOUS STATES. THE ASSOCIATION IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2015. PART XI, LINE 4B - OTHER ADJUSTMENTS: STOCK SALES PART XII, LINE 2D - OTHER ADJUSTMENTS: BOOK TO TAX DEPRECIATION 1 UBI CARITAS 4442 HIGHLAND AVE BEAUMONT TX 77705 760558225 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. IBN SINA FOUNDATION INC 11226 SOUTH WILCREST DR HOUSTON TX 77099 760698464 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. TOMAGWA MINISTRIES INC 455 SCHOOL SUITE 30 TOMBALL TX 77375 760280324 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. CHRIST CLINIC INC 2207 SHAWNEE CT FORT COLLINS CO 805251849 455300042 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. SAN JOSE CLINIC 2615 FANNIN STREET HOUSTON TX 77002 760373703 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. TEXAS INTERNATIONAL INSTITUTE OF HEALTH PROFESSIONALS 8121 BROADWAY ST SUITE 103 HOUSTON TX 77061 461267820 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. CASA EL BUEN SAMARITANO 4265 SAN FELIPE 110 HOUSTON TX 77027 371546805 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. PEDI PLACE 502 S OLD ORCHARD LANE SUITE 126 LEWISVILLE TX 75067 752512752 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. UNITED HEALTH PARTNERS 6846 ANTOINE DRIVE HOUSTON TX 77091 611757254 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. ST VINCENT DE PAUL CHARITABLE PHARMACY 1125 BANK STREET CINCINNATI OH 45214 300272954 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. BEACON CHARITABLE PHARMACY 408 9TH ST SW SUITE 150 CANTON OH 44707 200797475 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. LAKE COUNTY FREE CLINIC 54 S STATE ST STE 302 PAINESVILLE OH 44077 341081191 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. LUKE'S HOUSE A CLINIC FOR HOPE AND HEALING 143 CHURCH ST PHOENIXVILLE PA 19460 233072363 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. HANDS TOGETHER FAMILY HEALTH CENTER INC 1960 W BYPASS RD STE 175 HUMBLE TX 77388 473286543 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. SMITHVILLE COMMUNITY CLINIC 300 LYNCH ST SMITHVILLE TX 78957 204515999 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. HEALTH PARTNERS FREE CLINIC 1300 N COUNTY RD 25A TROY OH 45373 311596731 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. PHYSICIANS CARECONNECTION 1390 DUBLIN RD COLUMBUS OH 43215 311373719 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. HELPING HANDS HEALTH AND WELLNESS CENTER 5100 KARL RD COLUMBUS OH 43229 205937457 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. LA CLINICA LATINASPANISH FREE CLINIC 2231 N HIGH ST COLUMBUS OH 43201 205260283 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. OHIO UNIVERSITY 1 OHIO UNIVERSITY ATHENS OH 45701 316402113 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. CLEVELAND IBN SINA CLINIC 9362 SAGAMORE CIRCLE STRONGSVILLE OH 44136 834347692 501(C)(3) PENDING TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. THE COMMUNITY FOUNDATION OF UT 2257 SOUTH 1100 EAST STE 205 SALT LAKE CITY UT 84106 743211770 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. CHARITABLE PHARMACY OF CENTRAL OHIO INC 200 E LIVINGSTON AVENUE COLUMBUS OH 43215 270147099 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. COLUMBUS FREE CLINIC 2231 N HIGH ST COLUMBUS OH 43201 010575698 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. LORAIN COUNTY FREE CLINIC INC 3323 PEARL AVENUE LORAIN OH 44055 341506180 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. CHARITABLE HEALTHCARE NETWORK INCOHIO ASSOC OF FREE CLINICS 88 E BROAD ST STE 1475 COLUMBUS OH 43215 223769296 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. SLO NOOR FOUNDATION A NON-PROFIT CORPORATION 3071 S HIGUERA ST STE 110 SAN LUIS OBISPO CA 93401 271412176 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. HOPE CLINIC OF MCKINNEY 103 E LAMAR ST MCKINNEY TX 75069 813813928 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTERDEAC CLINIC MEDICAL CENTER BLVD WINSTON SALEM NC 27157 510190238 501(C)(3) TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. CENTER FOR HEALING & HOPE 902 S MAIN GOSHEN IN 46527 020560511 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INDIVIDUALS. PART I, LINE 2: GRANT 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. THEN, WE MAKE A REPORT SUMMARIZING THE FUNDS STATUS. X X 0 0 0 0 0 0 0 0 0 NICOLE LAMOUREUX PRESIDENT/CHIEF EXECUTIVE 197032 0 0 0 0 0 0 0 0 0 197032 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE 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 7A THE MEMBERS ELECT OFFICERS AT THE ANNUAL MEETING OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B DURING THE IRS'S DEVELOPMENT OF THIS FORM, THE AICPA SUGGESTED THAT COMPLIANCE AND FIDUCIARY DUTIES WOULD BE BEST MET IF A NON-PROFIT BOARD OF DIRECTORS, AUDIT COMMITTEE OR OTHER APPROPRIATE COMMITTEE RECEIVED CONFIRMATION FROM THE PARTY OR PARTIES RESPONSIBLE FOR FILING THE TAX RETURN THAT IT HAD BEEN PREPARED BY A QUALIFIED PERSON(S) OR FIRM AND HAD BEEN FILED IN A TIMELY MANNER, RATHER THAN REVIEWING THE FORM IN LINE-BY-LINE DETAIL WITH MANAGEMENT. WE ARE CONCERNED THAT THE VAST MAJORITY OF NON-PROFIT BOARD MEMBERS ARE NOT IN A POSITION TO REVIEW A FORM 990 AND FURTHER CONCERNED AS TO WHAT A REQUEST OF THIS NATURE MAY IMPLY ABOUT COMPLIANCE. MOST NON-PROFITS HIRE CPA FIRMS OR OTHER TAX PROFESSIONALS TO PREPARE FORMS 990 AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE BOARD OR AUDIT COMMITTEE'S ROLE THEN IS TO EVALUATE THE COMPETENCY OF THE PERSON(S) OR FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. WE HAVE TAKEN THESE STEPS WITH OUR BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE 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 15 THERE IS AN EXECUTIVE COMMITTEE ESTABLISHED WHO REVIEWS AND SETS THE GOALS FOR THE CEO POSITION. THE CEO IS THEN ASSESSED AND EVALUATED ANNUALLY BASED ON THESE GOALS. THE COMMITTEE RESEARCHES INDUSTRY WAGE REPORTS AND ANNUALLY REVIEWS SALARY LEVELS FOR COMPARABILITY. OTHER TOP MANAGEMENT POSITIONS ARE REVIEWED BY THE BOARD MEMBERS BASED ON ANNUAL GOAL CRITERIA. FORM 990, PART VI, SECTION C, LINE 19 ALL DOCUMENTS ARE MADE AVAILABLE AT THE OFFICES OF THE ORGANIZATION UPON REQUEST.