STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

COMMUNITY HEALTH FREE CLINIC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH FREE CLINIC (EIN 13-4228071)
Tax period
2013-07-01 to 2014-06-30
Filed
2014-11-12
IRS object ID
201403219349301420
Schema version
2013v3.0
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)
Return2014-11-12T08:08:01-07:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN134228071EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Community Health Free ClinicBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone3193630416PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1947 14th Avenue SEAddressLine1
CityCedar RapidsCity
StateIAState
ZIP Code52401ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPatricia BarnesPersonNm
Person TitleTreasurerPersonTitleTxt
Phone3193630416PhoneNum
Signature2014-11-13SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPatricia BarnesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1947 14th Avenue SEAddressLine1
CityCedar RapidsCity
StateIAState
ZIP Code52401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,526,997GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.COMMUNITYHFC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2002FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE TO THE UNINSURED AND UNDER-SERVED OF EAST CENTRAL IOWA THROUGH MODEL COMMUNITY PARTNERSHIPSActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee38TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,856,182PYContributionsGrantsAmt
CY Contributions Grants$2,462,172CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$35,390PYInvestmentIncomeAmt
CY Investment Income$22,755CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue-$6,229CYOtherRevenueAmt
PY Total Revenue$2,891,572PYTotalRevenueAmt
CY Total Revenue$2,478,698CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$582,976PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$519,571CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$108,971CYTotalFundraisingExpenseAmt
PY Other Expenses$2,408,588PYOtherExpensesAmt
CY Other Expenses$1,900,448CYOtherExpensesAmt
PY Total Expenses$2,991,564PYTotalExpensesAmt
CY Total Expenses$2,420,019CYTotalExpensesAmt
PY Revenues Less Expenses-$99,992PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$58,679CYRevenuesLessExpensesAmt
Total Assets BOY$3,239,405TotalAssetsBOYAmt
Total Assets EOY$3,352,752TotalAssetsEOYAmt
Total Liabilities BOY$38,010TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,840TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$3,201,395NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$3,326,912NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HEALTH CARE TO THE UNINSURED AND UNDER-SERVED OF EAST CENTRAL IOWA THROUGH MODEL COMMUNITY PARTNERSHIPS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,145,265ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescPROVIDED FREE HEALTH CARE SERVICES, INCLUDING MEDICAL, DENTAL AND VISION FOR ANY UNDER-SERVED OR UNINSURED INDIVIDUAL IN NEED OF HEALTH CARE. APPROXIMATELY 300 NEW PATIENTS WERE SEEN PER MONTH. THE AVERAGE TOTAL OF NEW AND EXISTING INDIVIDUALS SERVED DURING THE YEAR WAS 21,726. THE COMMUNITY HEALTH FREE CLINIC PROUDLY SERVICES INDIVIDUALS ALL OVER THE EAST CENTRAL IOWA AREA.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,145,265TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
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 Document6IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee38EmployeeCnt
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
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 Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCOStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldFLStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMNStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldMOStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldWIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMELISSA DOYLEPersonNm
Phone3192211585PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1715 10TH AVENUE SEAddressLine1
CityCEDAR RAPIDSCity
StateIAState
ZIP Code52401ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DAVID MULLER MD
PRESIDENT10Yes (X)Yes (X)$0$0$0
TAMI MITCHELL
VICE-PRESIDENT10Yes (X)Yes (X)$0$0$0
SISTER SUSAN O'CONNOR
SECRETARY10Yes (X)Yes (X)$0$0$0
PATRICIA BARNES
TREASURER10Yes (X)Yes (X)$0$0$0
MILTON AUNAN
DIRECTOR10Yes (X)$0$0$0
KEVIN CRIST
DIRECTOR10Yes (X)$0$0$0
CATHY GULLICKSON
DIRECTOR10Yes (X)$0$0$0
GREG HAYES MD
DIRECTOR10Yes (X)$0$0$0
REED JAKSICH
DIRECTOR10Yes (X)$0$0$0
AMY JOHNSON BOYLE
DIRECTOR10Yes (X)$0$0$0
MARK MARZ DDS
DIRECTOR10Yes (X)$0$0$0
DAVID MORTON
DIRECTOR10Yes (X)$0$0$0
MICHAEL SUNDALL
DIRECTOR10Yes (X)$0$0$0
BRANDT WORLEY
DIRECTOR10Yes (X)$0$0$0
DARLENE SCHMIDT
CEO55Yes (X)$64,237$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$64,237TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$247,936FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$36,818FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$31,936GovernmentGrantsAmt
All Other Contributions$2,145,482AllOtherContributionsAmt
Noncash Contributions$1,586,910NoncashContributionsAmt
Total Contributions$2,462,172TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,550TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$21,550ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,585SecuritiesAmt
Other$1,620OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$3,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,585SecuritiesAmt
Other-$1,380OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,205TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,205ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$39,070FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$36,818ContriRptFundraisingEventAmt
Fundraising Direct Expenses$45,299FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,229TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$6,229ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,478,698TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$16,526ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$65,189TotalAmt
Program Services$26,076ProgramServicesAmt
Management And General$22,816ManagementAndGeneralAmt
Fundraising$16,297FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$417,450TotalAmt
Program Services$310,494ProgramServicesAmt
Management And General$54,586ManagementAndGeneralAmt
Fundraising$52,370FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$36,932TotalAmt
Program Services$25,748ProgramServicesAmt
Management And General$5,931ManagementAndGeneralAmt
Fundraising$5,253FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$14,750TotalAmt
Program Services$0ProgramServicesAmt
Management And General$14,750ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,162TotalAmt
Program Services$0ProgramServicesAmt
Management And General$4,162ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,600TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$7,600FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$57,830TotalAmt
Program Services$28,822ProgramServicesAmt
Management And General$23,451ManagementAndGeneralAmt
Fundraising$5,557FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$54,430TotalAmt
Program Services$37,957ProgramServicesAmt
Management And General$8,729ManagementAndGeneralAmt
Fundraising$7,744FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$28,852TotalAmt
Program Services$20,120ProgramServicesAmt
Management And General$4,627ManagementAndGeneralAmt
Fundraising$4,105FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$49,848TotalAmt
Program Services$34,762ProgramServicesAmt
Management And General$7,994ManagementAndGeneralAmt
Fundraising$7,092FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,408TotalAmt
Program Services$0ProgramServicesAmt
Management And General$15,408ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DONATED GOODS$1,566,849$1,566,849$0$0
MEDICATIONS$125,849$125,849$0$0
MEDICAL SERVICES$55,291$55,291$0$0
REGISTRATION FEES$1,833$1,278$294$261

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$82,254TotalAmt
Program Services-$87,981ProgramServicesAmt
Management And General$3,035ManagementAndGeneralAmt
Fundraising$2,692FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,420,019TotalAmt
Program Services$2,145,265ProgramServicesAmt
Management And General$165,783ManagementAndGeneralAmt
Fundraising$108,971FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$139,886BOYAmt
EOY$150,626EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$315,757BOYAmt
EOY$356,746EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$209,005BOYAmt
EOY$232,770EOYAmt

Accounts Receivable AccountsReceivableGrp

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

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$292,027BOYAmt
EOY$393,204EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,707BOYAmt
EOY$4,774EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,005,556LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$630,208LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,425,197BOYAmt
EOY$1,375,348EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$853,826BOYAmt
EOY$839,284EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,239,405BOYAmt
EOY$3,352,752EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,010BOYAmt
EOY$25,840EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

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

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,010BOYAmt
EOY$25,840EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,553,648BOYAmt
EOY$2,640,785EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$350,657BOYAmt
EOY$388,537EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$297,090BOYAmt
EOY$297,590EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,201,395BOYAmt
EOY$3,326,912EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,239,405BOYAmt
EOY$3,352,752EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$58,679ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$66,838NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,050,743CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,167,212CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,943,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,856,182CurrentTaxYearMinus1YearAmt
Current Tax Year$2,462,172CurrentTaxYearAmt
Total$14,479,543TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,050,743CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,167,212CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,943,234CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,856,182CurrentTaxYearMinus1YearAmt
Current Tax Year$2,462,172CurrentTaxYearAmt
Total$14,479,543TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$7,789SubstantialContributorsTotAmt
Public Support Total170$14,471,754PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,285CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,056CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,305CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$26,722CurrentTaxYearMinus1YearAmt
Current Tax Year$21,551CurrentTaxYearAmt
Total$91,919TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$39,070CurrentTaxYearAmt
Total$39,070TotalAmt
FieldValueIRS element (for citing)
Total Support$14,610,532TotalSupportAmt
Public Support CY1700.99050PublicSupportCY170Pct
Public Support PY1700.9923PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10FormAndLineReferenceDesc
ExplanationGross Receipts from Fundraising Events $39,070ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$643,514BeginningYearBalanceAmt
Contributions$500ContributionsAmt
Investment Earnings Or Losses$86,748InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$12,145OtherExpendituresAmt
Administrative Expenses$4,162AdministrativeExpensesAmt
End Year Balance$714,455EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$633,854BeginningYearBalanceAmt
Contributions$550ContributionsAmt
Investment Earnings Or Losses$75,182InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$61,783OtherExpendituresAmt
Administrative Expenses$4,289AdministrativeExpensesAmt
End Year Balance$643,514EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$387,335BeginningYearBalanceAmt
Contributions$247,581ContributionsAmt
Investment Earnings Or Losses$2,179InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$3,241AdministrativeExpensesAmt
End Year Balance$633,854EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$301,409BeginningYearBalanceAmt
Contributions$28,948ContributionsAmt
Investment Earnings Or Losses$59,831InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$2,853AdministrativeExpensesAmt
End Year Balance$387,335EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$239,667BeginningYearBalanceAmt
Contributions$34,491ContributionsAmt
Investment Earnings Or Losses$30,009InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$2,758AdministrativeExpensesAmt
End Year Balance$301,409EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.4165BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.5835PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$31,040OtherCostOrOtherBasisAmt
Book Value$31,040BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,730,677OtherCostOrOtherBasisAmt
Depreciation$391,045DepreciationAmt
Book Value$1,339,632BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$243,839OtherCostOrOtherBasisAmt
Depreciation$239,163DepreciationAmt
Book Value$4,676BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,375,348TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTEREST IN ASSETS BY COMMUNITY FOUNDATION$714,455
CASH SURRENDER VALUE OF LIFE INSURANCE$19,809
LONG-TERM CERTIFICATES OF DEPOSIT$104,251
MARKETABLE SECURITIES$769
FieldValueIRS element (for citing)
Total Book Value Other Assets$839,284TotalBookValueOtherAssetsAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,481,608TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$66,838NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$3,894,935DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$45,299OtherRevenueAmt
Revenue Not Reported$4,007,072RevenueNotReportedAmt
Revenue Subtotal$2,474,536RevenueSubtotalAmt
Investment Expenses Not Incld$4,162InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$4,162RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,478,698TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$6,356,091TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$3,894,935DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$45,299OtherExpensesIncludedAmt
Expenses Not Reported$3,940,234ExpensesNotReportedAmt
Expenses Subtotal$2,415,857ExpensesSubtotalAmt
Investment Expenses Not Incld2$4,162InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$4,162ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,420,019TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4CHFC INTENDS TO USE THE EARNINGS FROM THE ENDOWMENT FUNDS FOR LONG-TERM FINANCIAL SUPPORT OF THE CLINIC.
Schedule D, Part X, Line 2THE ORGANIZATION HAS DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS.
Schedule D, Part XI, Line 2dFundraising Event Expenses ($45,299)
Schedule D, Part XII, Line 2dFundraising Event Expenses ($45,299)

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1COLOR RUN-5KNameOfEvent1Amt
Gross Receipts Event1$75,888GrossReceiptsEvent1Amt
Charitable Contri Event1$36,818CharitableContriEvent1Amt
Gross Revenue Event1$39,070GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$0NonCashPrizesEvent1Amt
Rent Facility Costs Event1$0RentFacilityCostsEvent1Amt
Food And Beverage Event1$0FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$45,299OtherDirectExpensesEvent1Amt
Food And Beverage Other Events$0FoodAndBeverageOtherEventsAmt
Entertainment Other Events$0EntertainmentOtherEventsAmt
Gross Receipts Total$75,888GrossReceiptsTotalAmt
Charitable Contributions Tot$36,818CharitableContributionsTotAmt
Gross Revenue Total Events$39,070GrossRevenueTotalEventsAmt
Cash Prizes Total Events$0CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$0NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$0RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$0FoodAndBeverageTotalEventsAmt
Entertainment Total Events$0EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$45,299OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$45,299DirectExpenseSummaryEventsAmt
Net Income Summary-$6,229NetIncomeSummaryAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$779NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution911095ContributionCnt
Noncash Contributions Rpt F990$1,566,849NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescCSV-Life Ins PolDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$19,282NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule M, Part I, Line 9COLUMN B - IS THE NUMBER OF DONORS.
Schedule M, Part I, Line 20LINE 20 COLUMN B IS AN ESTIMATED QUANTITY OF MEDICINES DONATED.
Schedule M, Part I, Lines 25-28LINE 25 - COLUMN B IS THE NUMBER OF DONORS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bTHE FEDERAL FORM 990 IS PREPARED BY THE DIRECTOR OF FINANCE AND THEN REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM AS WELL AS THE COMMUNITY HEALTH FREE CLINIC'S(CHFC) BOARD TREASURER; ANY NECESSARY CHANGES ARE THEN MADE TO THE RETURN. THE FEDERAL FORM 990 IS THEN MARKED DRAFT UNTIL APPROVED BY THE CHFC'S BOARD OF DIRECTORS. THE DRAFT DOCUMENT IS SENT TO ALL BOARD MEMBERS BY ELECTRONIC MAIL FOR THEIR REVIEW AND COMMENT. COMMENTS BY THE BOARD MEMBERS, IF ANY, WILL BE ADDRESSED BY THE DIRECTOR OF FINANCE AND TREASURER BEFORE THE FEDERAL FORM 990 IS FILED WITH THE IRS.
Form 990, Part VI, Section B, Line 12cUPON FIRST BEING ELECTED TO THE BOARD OF DIRECTORS, APPOINTED TO A BOARD COMMITTEE OR ELECTED AS AN OFFICER OF CHFC, THE BOARD MEMBER, BOARD COMMITTEE MEMBER OR OFFICER IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST DISCLOSURE STATEMENT AND SUBMIT THE STATEMENT TO THE BOARD PRESIDENT. IF THE BOARD PRESIDENT HAS CONCERNS ABOUT ANY STATEMENT, HE/SHE SHALL SUBMIT THE STATEMENT TO THE EXECUTIVE COMMITTEE OF THE CHFC BOARD OF DIRECTORS. EACH STATEMENT SHALL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR OR AS ANY ADDITIONAL CONFLICTS OF INTEREST ARISE. STATEMENTS ARE RETAINED BY THE EXECUTIVE DIRECTOR IN CHFC'S OFFICE.
Form 990, Part VI, Section B, Line 15IN JULY OF EACH YEAR, THE CEO/CLINIC EXECUTIVE DIRECTOR(CED) DRAFTS A LIST OF ANNUAL GOALS & OBJECTIVES AND PROVIDES IT TO THE PRESIDENT OF THE BOARD OF DIRECTORS(BOD). THE BOD REVIEWS THE GOALS & OBJECTIVES AT THE ANNUAL BEGINNING OF THE FISCAL YEAR MEETING IN JULY. ANY MODIFICATIONS SUGGESTED ARE INCORPORATED AS APPROPRIATE AND THE BENCHMARK FOR THE FISCAL YEAR IS FINALIZED IN JUNE (END OF FISCAL YEAR). CEO/CED PROVIDES THE PRESIDENT OF THE BOD WITH A DOCUMENT THAT DETAILS HIS/HER PERFORMANCE AGAINST THE ANNUAL GOALS & OBJECTIVES APPROVED IN THE PRIOR JULY. AFTER A FACE-TO-FACE REVIEW WITH THE CEO/CED, THE PRESIDENT OF THE BOD ASSIGNS THE PERFORMANCE REVIEW AN OVERALL GRADE OF (A) FAILS TO MEET EXPECTATIONS, (B) MEETS EXPECTATIONS OR (C) EXCEEDS EXPECTATIONS. DURING JUNE AND JULY THE PRESIDENT OF THE BOD CALLS UPON ONE OR MORE BUSINESSES IN THE AREA TO LEARN WHAT COMPARABLE SALARY AND WAGE CHANGES ARE BEING CONSIDERED IN THE AREA FOR THE NEXT FISCAL YEAR AND DETERMINES THE SPECIFIC SALARY CHANGES APPROPRIATE FOR CHFC BASED UPON THE CEO/CED'S PERFORMANCE, PROGRESS OF THE ORGANIZATION AND BUDGETARY CONSTRAINTS (NORMALLY STATED AS X% TO Y% INCREASE). THE BOARD PRESIDENT SEEKS CONCURRENCE OF THE EXECUTIVE COMMITTEE (WITHOUT THE INVOLVEMENT OF THE CEO/CED) FOR THE OVERALL GRADE AND SUGGESTED SALARY INCREASE. THE CEO/CED'S OVERALL GRADE AND SALARY INCREASE ARE VOTED ON BY THE BOD'S. THE SPECIFICS OF THE SALARY INCREASE ARE NOT DOCUMENTED IN BOARD MEETING MINUTES TO PROVIDE THE CEO/CED WITH CONFIDENTIALITY. THE PRESIDENT'S COMMUNICATION WITH THE EXECUTIVE COMMITTEE AND THE FOLLOW-UP COMMUNICATION WITH THE TREASURER ARE SUFFICIENT DOCUMENTATION. SALARY CHANGES BECOME EFFECTIVE THE FIRST OF THE FISCAL DAY OF THE YEAR. THIS PROCESS WAS LAST COMPLETED JULY OF 2013. FORM 990, PART VI, SECTION B, LINE 15B THERE IS NOT A PROCESS FOR DETERMINING COMPENSATION OF THE CHFC'S OTHER OFFICERS OR KEY EMPLOYEES BECAUSE CHFC DOES NOT HAVE ANY OTHER EMPLOYEES THAT MEET THE DEFINITION OF EITHER POSITION.
Form 990, Part VI, Section C, Line 19CHFC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST EITHER BY HARD COPY OR ELECTRONIC FORMAT.