2023-11-15T12:36:46-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2022-01-01 562274174 CHARLOTTE COMMUNITY HEALTH CLINIC INC CHAR 7043166561 8401 MEDICAL PLAZA DRIVE SUITE 300 CHARLOTTE NC 28262 CAROLYN C ALLISON CEO 7043166561 2023-11-15 1 CAROLYN ALLISON 999009999 0 JOHN NORMAN P01506766 7049985200 2023-11-15 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X CAROLYN C ALLISON 8401 MEDICAL PLAZA DRIVE SUITE 300 CHARLOTTE NC 28262 8875353 0 X HTTP://CHARLOTTECOMMUNITYHEALTH.ORG/ X 2001 NC PROVIDE PREVENTATIVE AND PRIMARY CARE TO MEDICALLY UNDERSERVED COMMUNITIES IN MECKLENBURG COUNTY AND SURROUNDING AREAS. 15 15 94 0 0 0 5008408 7347657 1346217 1491620 279 1879 21068 34197 6375972 8875353 0 0 3574099 4792875 0 86982 1796314 1938199 5370413 6731074 1005559 2144279 4027705 6560667 441241 829924 3586464 5730743 X PROVIDE THE HIGHEST QUALITY, PATIENT-CENTERED HEALTH CARE SERVICES FOR LOW-INCOME AND OTHER UNDERSERVED INDIVIDUALS. 0 0 4770100 1491620 OUR PRIMARY CARE BEHAVIORAL HEALTH (PCBH) MODEL IN WHICH PRIMARY CARE PROVIDERS AND LICENSED CLINICAL SOCIAL WORKERS WORK TOGETHER TO TREAT BEHAVIORAL HEALTH CONCERNS AS THEY ARISE DURING PRIMARY CARE VISITS HAS BEEN VERY SUCCESSFUL THIS YEAR. IT HAS PROVEN TO BE A MORE ACCESSIBLE AND EFFICIENT MANNER OF PROVIDING BEHAVIORAL HEALTH SERVICES TO OUR PATIENT POPULATION. OUR CARE MANAGEMENT TEAM INCLUDES TWO SOCIAL WORKERS, WITH ONE SPECIALIZING IN HIV CARE AND PREVENTION. OUR INSURANCE NAVIGATOR / PARALEGAL ASSISTS OUR PATIENTS WHO MAY QUALIFY FOR BENEFITS AND OTHER SPECIAL PROGRAMS. THIS POSITION WILL BE ESSENTIAL FOR OUR PATIENTS AS MEDICAID EXPANSION HAPPENS. OUR DENTAL STAFF CONTINUED THEIR SCHOOL-BASED ORAL HEALTH PROGRAM THAT SERVES ELEMENTARY-AGED STUDENTS AT SUGAR CREEK CHARTER SCHOOL WITH DENTAL CLEANINGS AND EDUCATION. WE UNDERTOOK SERVICING THE HIV POPULATION. THIS INCLUDES HAVING MORE ACCESS TO LAB TESTING, VACCINES, PHARMACY, AND COMMUNITY PARTNERS. WE PROVIDE PREVENTATIVE CARE TO THE HIGH- RISK HIV POPULATION. WE BEGAN CONSTRUCTION ON OUR NEW SATELLITE EXPRESS CARE CLINIC, WHICH WILL OPEN IN THE SECOND QUARTER OF 2023. THE CLINIC CONTINUES TO GROW AS WE PLAN TO OPEN ADDITIONAL SATELLITE CLINICS IN EAST CHARLOTTE OVER THE NEXT TWO YEARS. 4770100 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 23 0 94 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X CAROLYN C ALLISON CEO 7043166561 8401 MEDICAL PLAZA DRIVE SUITE 300 CHARLOTTE NC 28262 HERBERT WILLIAM CLEGG II CHAIRPERSON 2.00 X X 0 0 0 DANIEL WALL TREASURER 2.00 X X 0 0 0 ANDREW DAS SECRETARY 1.00 X X 0 0 0 FRANCOIS MOUKETE PATIENT REPRESENTATIVE 1.00 X 0 0 0 LATONIGA SASS PATIENT REPRESENTATIVE 1.00 X 0 0 0 MICHELLA PALMER MEMBER 1.00 X 0 0 0 RUTH PEREZ PATIENT REPRESENTATIVE 1.00 X 0 0 0 DENISE COLTER PATIENT REPRESENTATIVE 1.00 X 0 0 0 JEROME WILLIAMS VICE CHAIRPERSON 1.00 X 0 0 0 ROBIN CANNE PATIENT REPRESENTATIVE 1.00 X 0 0 0 CAMILLE GRIMSLEY PATIENT REPRESENTATIVE 1.00 X 0 0 0 MELIDA BALDERA PATIENT REPRESENTATIVE 1.00 X 0 0 0 JOSE' PORTILLO-GAMERO PATIENT REPRESENTATIVE 1.00 X 0 0 0 TANIA ARCHER DIRECTOR 2.00 X 0 0 0 MARVIN CHIDDICK DIRECTOR 1.00 X 0 0 0 DENEQUAL BROWN-SMITH CHIEF COMPLIANCE AND NURSING OFFICER 40.00 X 0 0 0 CAROLYN C ALLISON CEO, CCHC 40.00 X 155625 0 812 LISA HOLMES COO, CCHC 40.00 X 117901 0 588 JOANNE TYO CFO 40.00 X 116449 0 17650 ANNE STEPTOE CHIEF MEDICAL OFFICER 40.00 X 207017 0 18760 QUIANA J ROBINSON MD 40.00 X 132386 0 5456 PEYMAN GHARAVIZADEH MD 40.00 X 118660 0 1917 848038 0 45183 6 0 1 0 0 4401023 2946634 59496 7347657 PATIENT FEES 621400 1186396 1186396 340B PHARMACY 456110 305224 305224 1491620 1879 1879 OTHER INCOME 900099 34197 34197 34197 8875353 1491620 0 36076 4041613 2849337 1139735 52541 49710 35046 14018 646 351117 247537 99015 4565 350435 244960 100289 5186 4833 4833 43271 43271 631511 482926 130445 18140 129772 96920 32332 520 75345 52581 19677 3087 373999 221359 152640 170190 143984 26206 36652 90 36562 MEDICAL SUPPLIES AND DR 276228 276228 PATIENT ASSISTANCE 60411 51120 7663 1628 NON-CAPITALIZED EQUIPME 18762 14603 4159 DUES, FEES, LICENSES 18571 9874 8028 669 98654 43535 55119 6731074 4770100 1873992 86982 961414 2450584 834950 483396 1559581 2491457 589 3511 135202 251034 1764921 884236 535969 880685 4027705 6560667 333641 545367 107600 82669 201888 441241 829924 X 1899209 3002310 1687255 2728433 3586464 5730743 4027705 6560667 X 2144279 0 X X 0 1 X 1 1 1 X 2662209 3431293 3711293 5008408 7347657 22160860 309456 612619 423505 1346217 1491620 4183417 2971665 4043912 4134798 6354625 8839277 26344277 0 0 0 26344277 2073 556 279 1879 4787 2073 556 279 1879 4787 45874 49637 11667 21068 34197 162443 3019612 4093549 4147021 6375972 8875353 26511507 0.99370 0.98990 0.00020 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 586408 409827 176581 752465 474409 278056 426048 426048 880685 X PART X, LINE 2: GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE AN ORGANIZATION TO RECOGNIZE A TAX BENEFIT OR EXPENSE FROM AN UNCERTAIN TAX POSITION IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT BELIEVES THE CLINIC HAD NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2022 OR 2021. X X X 0 0 0 0 0 0 0 0 0 ANNE STEPTOE CHIEF MEDICAL OFFICER 206876 0 0 0 141 0 0 0 18760 0 225777 0 0 0 CAROLYN C ALLISON CEO, CCHC 155476 0 149 0 0 0 0 0 812 0 156437 0 0 0 X 11201 56586 FAIR MARKET VAUE X OFFICE FURNITURE AND SUPPLIES 2 2360 RETAIL PRICE X MISCELLANEOUS 51 550 RETAIL PRICE 0 1 0 FORM 990, PART VI, SECTION A, LINE 1A EXECUTIVE COMMITTEE. THE OFFICERS OF THE BOARD OF DIRECTORS, AS PROVIDED IN ARTICLE IV, SECTION 1, TOGETHER WITH SUCH OTHER DIRECTORS AS THE BOARD OF DIRECTORS SHALL APPOINT, SHALL CONSTITUTE THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AND SHALL HAVE AND EXERCISE THE AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE BUSINESS OF THE CORPORATION BETWEEN THE MEETINGS OF THE BOARD, EXCEPT TO THE EXTENT DELEGATED BY THE BOARD OF DIRECTORS TO THE CHIEF EXECUTIVE OFFICER. THE EXECUTIVE COMMITTEE CONSISTS OF BOARD CHAIR, VICE CHAIR, BOARD SECRETARY, BOARD TREASURER AND THREE ADDITIONAL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PRESENTED TO THE BOARD OF DIRECTORS THE 990 FOR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C QUALITY AND COMPLIANCE COMMITTEE. THE QUALITY AND COMPLIANCE COMMITTEE SHALL CONSIST OF AT LEAST (3) DIRECTORS. THE QUALITY AND COMPLIANCE COMMITTEE SHALL BE RESPONSIBLE FOR OPERATING AND MONITORING THE COMPLIANCE PROGRAM OF THE CORPORATION AND FOR MONITORING AND MAKING RECOMMENDATIONS FOR THE IMPLEMENTATION AND IMPROVEMENT OF THE QUALITY ASSURANCE/QUALITY IMPROVEMENT PROGRAM OF THE ORGANIZATION, INCLUDING WITHOUT LIMITATION PERIODIC QUALITY OF CARE AND COMPLIANCE AUDITS. FORM 990, PART VI, SECTION B, LINE 15 POWERS OF THE BOARD. THE BOARD OF DIRECTORS SHALL HAVE POWER AND AUTHORITY TO CARRY ON THE AFFAIRS OF THE CORPORATION AND IN SO DOING MAY ELECT OR APPOINT ALL NECESSARY OFFICERS OF THE CORPORATION; SHALL HIRE, ESTABLISH THE TERMS OF EMPLOYMENT (INCLUDING COMPENSATION AND DUTIES), EVALUATE, DISCIPLINE AND TERMINATE THE CHIEF EXECUTIVE OFFICER OF THE CORPORATION AS FURTHER SET FORTH BELOW; XI. DEVELOP TERMS AND CONDITIONS FOR EMPLOYMENT OF THE CHIEF EXECUTIVE OFFICER, SELECT AND DISMISS THE CHIEF EXECUTIVE OFFICER, AND EVALUATE THE CHIEF EXECUTIVE OFFICER'S PERFORMANCE NOT LESS THAN ANNUALLY; COMPARABLE SALARY DATA IS OBTAINED FROM THE NACHC AND NCCHCA FOR CONSIDERATION BY THE BOARD OF DIRECTORS. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022 FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC. FORM 990 PART XII, LINE 2C NO CHANGES SINCE PRIOR YEAR. CHARLOTTE COMMUNITY HEALTH CLINIC FOUNDATION INC 8401 MEDICAL PLAZA DRIVE SUITE 300 CHARLOTTE NC 28262 473598283 SUPPORTING ORGANIZATION NC 501(C)(3) LINE 12B, II CHARLOTTE COMMUNITY HEALTH CLINIC 1 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0