2024-09-13T10:51:45-05:00 2023-12-31 521022232 SNYDER COHN PC 11200 ROCKVILLE PIKE SUITE 415 NORTH BETHESDA MD 20852 990 2023-01-01 562273242 NATIONAL ASSOCIATION OF FREE AND CHARITABLE CLINICS INC NATI 7036477427 1800 DIAGONAL ROAD SUITE 600 ALEXANDRIA VA 223142840 NICOLE LAMOUREUX PRESIDENT/CEO 7036477427 2024-09-11 1 1 KEITH JENNINGS P01319883 3016526700 2024-09-11 2023 2024-08-08 14:25:15Z NICOLE LAMOUREUX 1800 DIAGONAL ROAD SUITE 600 ALEXANDRIA VA 223142840 3920556 0 X WWW.NAFCCLINICS.ORG X 2003 VA TO ENSURE THAT THE MEDICALLY UNDERSERVED HAVE ACCESS TO AFFORDABLE QUALITY HEALTH CARE. 14 14 7 14 0 0 3382370 3091531 716693 717465 26831 109432 0 0 4125894 3918428 3530340 1416926 0 0 606443 752867 0 0 97806 1156912 1562589 5293695 3732382 -1167801 186046 2875563 2651824 779229 381040 2096334 2270784 BUILDING HEALTHY COMMUNITIES FOR ALL THROUGH QUALITY, EQUITABLE, ACCESSIBLE HEALTHCARE. 0 0 1390158 717465 THE 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. 1628209 1416926 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. 3018367 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 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 8 0 1 7 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AR CA FL GA IL KS KY MD MA MI MN NH NJ NM NY NC OR PA RI SC TN UT VT VA WV WI X THE ORGANIZATION 7036477427 1800 DIAGONAL ROAD SUITE 600 ALEXANDRIA VA 223142840 MAUREEN TOMOSCHUK CHAIRMAN 3.00 X X 0 0 0 ISI IKHAREBHA GREEN VICE CHAIRMAN 3.00 X X 0 0 0 AVONTE JACKSON TREASURER 3.00 X X 0 0 0 GISELA BRETONES SECRETARY 3.00 X X 0 0 0 STEPHANIE GARRIS BOARD MEMBER 3.00 X 0 0 0 REBECCA DELORENZO BOARD MEMBER 3.00 X 0 0 0 HINA AZAM BOARD MEMBER 3.00 X 0 0 0 ADAM BRADLEY BOARD MEMBER 3.00 X 0 0 0 DONNEY JOHN BOARD MEMBER 3.00 X 0 0 0 DR BOBBY KAPUR BOARD MEMBER 3.00 X 0 0 0 KAT MASTRANGELO BOARD MEMBER 3.00 X 0 0 0 ANGIE MCLAUGHLIN BOARD MEMBER 3.00 X 0 0 0 AMANDA MISSEY BOARD MEMBER 3.00 X 0 0 0 NADINE SINGH BOARD MEMBER 3.00 X 0 0 0 NICOLE LAMOUREUX CHIEF EXECUTIVE OFFICER 40.00 X 205833 0 5881 KERRY THOMPSON VICE PRESIDENT 40.00 X 145833 0 10396 351666 0 16277 2 0 1 0 MWW GROUP LLC PO BOX 67186 NEWARK NJ 071016602 PUBLIC RELATIONS 124494 1 100158 2991373 3091531 MEMBERSHIP DUES 621400 445622 445622 SYMPOSIUM 621400 271843 271843 717465 87526 87526 24034 2128 21906 21906 21906 3918428 717465 0 109432 X 1416926 1416926 211714 167420 15224 29070 443445 305485 134120 3840 97708 58463 35164 4081 476125 208148 219977 48000 138709 83422 55287 23820 15145 8675 131663 74357 52057 5249 64276 63980 296 17312 17312 10564 10564 SYMPOSIUM 551249 551249 TELEPHONE AND WEBSITE 141327 67982 65779 7566 MEETINGS (BOARD) 4249 3716 533 POSTAGE AND SHIPPING 3295 2074 1221 3732382 3018367 616209 97806 1789377 77667 67077 943642 52005 730200 15200 3615 56256 41867 52701 38516 15032 14185 671313 733855 209303 106793 2875563 2651824 195952 93454 195000 0 186345 185995 201932 101591 779229 381040 X 1663600 920786 432734 1349998 2096334 2270784 2875563 2651824 186046 -11596 0 X X 0 1 X 1 0 X 3180507 4631838 7108792 3475267 3091531 21487935 716693 717465 1434158 3180507 4631838 7108792 4191960 3808996 22922093 0 0 0 22922093 42284 30323 25335 35138 87526 220606 42284 30323 25335 35138 87526 220606 299573 299573 3222791 4961734 7134127 4227098 3896522 23442272 0.97780 0.98050 0.00940 0.00650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39551 25366 14185 13150 13150 0 14185 INVESTMENTS 733855 F 733855 LEASE LIABILITIES 101591 101591 X 3923261 -11596 16429 4833 3918428 0 3918428 3748811 16429 16429 3732382 0 3732382 PART X, LINE 2: THE 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, 2020 ARE NO LONGER SUBJECT TO AUDIT BY TAXING AUTHORITIES. 1 ANNE KASTOR BROOKLYN FREE CLINIC MSC 1219 450 CLARKSON AVE BROOKLYN NY 112032098 562273242 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED CARE RING 601 E FIFTH STREET SUITE 140 CHARLOTTE NC 28202 560621073 501(C)(3) 50000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED COMMUNITYHEALTH 2611 W CHICAGO AVE CHICAGO IL 60622 363831793 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED GRACE MEDICAL HOME INC 1417 E CONCORD STREET ORLANDO FL 32803 261817966 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED GRASSROOTS HEALTHCARE FOUNDATION 743 E TABOR AVE FAIRFIELD CA 94533 FAIRFIELD CA 94533 320600776 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED GREENVILLE FREE MEDICAL CLINIC PO BOX 8993 GREENVILLE SC 29604 570855205 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED HELPING HANDS OF MIDDLE & WEST TENNESSEE 1408 NORTH HIGHLAND AVENUE JACKSON TN 38301 811043752 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED LESTONNAC FREE CLINIC 1215 E CHAPMAN ORANGE CA 92866 953499011 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED LIFESPRING COMMUNITY HEALTH 1042 EAST 3RD STREET SUITE 200 CHATTANOOGA TN 37403 273856741 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED MATTHEW 25 INC 413 E JEFFERSON BLVDFORT WAYNE FORT WAYNE IN 46845 351484951 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED MIDVALE COMMUNITY BUILDING COMMUNITY INC 49 WEST CENTER STREET 1 MIDVALE UT 84047 460548747 501(C)(3) 40000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED NAPA ACUPUNCTURE PRACTICE 411 FREEWAY DR NAPA CA 945585869 814145087 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED OHIO VALLEY HEALTH CENTER 423 SOUTH ST STEUBENVILLE OH 43952 203924355 501(C)(3) 50000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED PHYSICIANS CARECONNECTION 1390 DUBLIN RD COLUMBUS OH 43215 311373719 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED POINT WASHINGTON MEDICAL CLINIC INC 1290 N CO HWY 395 SANTA ROSA BEACH FL 32459 831125021 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED SHEPHERD'S CLINIC 2800 KIRK AVE BALTIMORE MD 21218 521739001 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED ST VINCENT DE PAUL CHARITABLE PHARMACY 1125 BANK STREET CINCINNATI OH 45214 300272954 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED SYMBA CENTER 20601 HWY 18 SUITE 171 APPLE VALLEY CA 92307 843729902 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED TOLEDOLUCAS COUNTY CARENET 3231 CENTRAL PARK W STE 200 TOLEDO OH 43617 431986672 501(C)(3) 25000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED VIM BERKSHIRES 777 MAIN STREET SUITE 4 GREAT BARRINGTON MA 01230 900140004 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED VOLUNTEERS IN MEDICINE SAN FRANCISCO - DBA CLINIC BY THE BAY 4877 MISSION ST SAN FRANCISCO CA 94112 262593712 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED WEST VIRGINIA HEALTH RIGHT INC 1520 WASHINGTON STREET EAST CHARLESTON WV 25311 311066881 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED CARIDAD CENTER INC 645 WEST BOYNTON BEACH BLVD BOYNTON BEACH FL 33472 650149423 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED CHRIST CLINIC 25722 KINGSLAND BLVD STE 101 KATY TX 77494 900789318 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED CLINICA TEPATIKNIGHTS LANDING ONE HEALTH CENTER 1820 J STREET SACRAMENTO CA 95811 942324682 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED COMMUNITY VOLUNTEERS IN MEDICINE 300B LAWRENCE DRIVE WEST CHESTER PA 19380 232944553 501(C)(3) 50000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED DOWNTOWN CLINIC 611 S 2ND STREET LARAMIE WY 82070 830326354 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED GRACE CLINIC 800 W CANAL DR KENNEWICK WA 99336 770592408 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED ICNA RELIEF USA 3650 SAVANNAH PLACE DUKUTH GA 300964898 043810161 501(C)(3) 50000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED INTERFAITH HEALTH CENTER 315 GILL AVENUE KNOXVILLE TN 37917 581947641 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED LATINO LEADERSHIP INC 8617 E COLONIAL DR STE 1600 ORLANDO FL 32817 593702613 501(C)(3) 70000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED LLOYD F MOSS FREE CLINIC 1201 SAM PERRY BLVD FREDERICKSBURG VA 22401 541677934 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED MIAMI RESCUE MISSION CLINIC 2016 NW 1ST AVE MIAMI FL 331274902 451481860 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED NOVA SCRIPTSCENTRAL 6400 ARLINGTON BLVD STE 120 FALLS CHURCH VA 220422349 651275162 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED OSCEOLA COUNTY COUNCIL ON AGING 700 GENERATION POINT KISSIMMEE FL 34744 591595398 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED POCATELLO FREE CLINIC 1001 N 7TH AVENUE STE 155 POCATELLO ID 83201 820351133 501(C)(3) 25000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED PONCE MEDICAL SCHOOL FOUNDATION INC PO BOX 7004 PONCE PR 007327004 660379122 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED PRESBYTERIAN COUNSELING CENTER 430 BRADDOCK AVE DAYTONA BEACH FL 32118 592750846 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED SAMARITAN HEALTH AND WELLNESS CENTER INC 643 CAPE CORAL PARKWAY EAST CAPE CORAL FL 33904 460922358 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED SAVIE HEALTH 111 OCEAN AVE 2 LOMPOC CA 93436 861668790 501(C)(3) 50000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED ST MARY'S HEALTH CLINIC 1884 RANDOLPH AVE ST PAUL MN 55105 411760632 501(C)(3) 50000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED SUNDARI FOUNDATION INC 217 NORTHWEST 15TH ST MIAMI FL 33136 810652266 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED THE CHARITABLE HEALTHCARE NETWORK 88 EAST BROAD STREET STE 1475 COLUMBUS OH 43215 223769296 501(C)(3) 10000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED THE FREE MEDICAL CLINIC 1875 HARDEN ST COLUMBIA SC 29204 570779279 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED THE OLYMPIA FREE CLINIC PO BOX 6310 OLYMPIA WA 98507 271606329 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED UCSD STUDENT-RUN FREE CLINIC PROJECT PO BOX 741539 LOS ANGELES CA 900751539 501(C)(3) 30000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED UNIVERSITY OF SOUTH ALABAMA STUDENT RUN FREE CLINIC 258 JACKSON BLVD MOBILE AL 36609 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED VIRGINIA B ANDES VOLUNTEER COMMUNITY CLINIC INC 21297 OCEAN BLVD PORT CHARLOTTE FL 33952 650958642 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED YALE UNIVERSITY PO BOX 1873 NEW HAVEN CT 065081973 060646973 501(C)(3) 20000 0 TO PROVIDE FINANCIAL ASSISTANCE WITH HEALTHCARE TO UNINSURED AND UNDERINSURED 49 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. A REPORT IS MADE TO SUMMARIZE THE FUNDS STATUS. X X 0 0 0 0 0 0 0 0 0 NICOLE LAMOUREUX CHIEF EXECUTIVE OFFICER 205833 0 0 0 0 0 5881 0 0 0 211714 0 0 0 KERRY THOMPSON VICE PRESIDENT 145833 0 0 0 0 0 3900 0 6496 0 156229 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 THE 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 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 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 19 ALL DOCUMENTS ARE MADE AVAILABLE AT THE OFFICES OF THE ORGANIZATION. FORM 990, PART IX, LINE 11G BANK, MERCHANT, AND LICENSE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 23,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,567. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 208,148. MANAGEMENT AND GENERAL EXPENSES 196,410. FUNDRAISING EXPENSES 48,000. TOTAL EXPENSES 452,558. PART XII, LINE 2C PROCESS HAS REMAINED UNCHANGED SINCE PRIOR YEAR.