2024-11-26T16:30:53-06:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2023-01-01 562274174 CHARLOTTE COMMUNITY HEALTH CLINIC INC CHAR 7043166561 8401 MEDICAL PLAZA DRIVE SUITE 300 CHARLOTTE NC 28262 CAROLYN C ALLISON CEO 7043166561 2024-11-26 1 1 KATHERINE A WARLICK P02065266 7049985200 2024-11-26 2023 2024-10-15 13:58:12Z CAROLYN C ALLISON 8401 MEDICAL PLAZA DRIVE SUITE 300 CHARLOTTE NC 28262 8361945 0 X HTTP://CHARLOTTECOMMUNITYHEALTH.ORG/ X 2001 NC PROVIDE PREVENTATIVE AND PRIMARY CARE TO MEDICALLY UNDERSERVED COMMUNITIES IN MECKLENBURG COUNTY AND SURROUNDING AREAS. 16 16 100 8 0 0 7347657 6197192 1491620 2139977 1879 5299 34197 19477 8875353 8361945 0 0 0 0 4792875 5515734 0 0 60614 1938199 2874609 6731074 8390343 2144279 -28398 6560667 7294686 829924 1592341 5730743 5702345 X PROVIDE THE HIGHEST QUALITY, PATIENT-CENTERED HEALTH CARE SERVICES FOR LOW-INCOME AND OTHER UNDERSERVED INDIVIDUALS. 1 0 5845222 2139977 IN 2023, CCHC SIGNIFICANTLY EXPANDED ITS CLINICAL SERVICES TO BETTER SERVE THE COMMUNITY. THE ORGANIZATION OPENED EXPRESS CARE, AN URGENT CARE CLINIC, TO PROVIDE INCREASED ACCESS TO TARGETED NEIGHBORHOODS. ADDITIONALLY, CCHC INITIATED THE DEVELOPMENT OF TWO ADDITIONAL SATELLITE CLINICS: THE CATHCART PEDIATRIC CLINIC AND THE OPHELIA GARMON-BROWN CLINIC, WHICH WILL SERVE MIGRANT FAMILIES AND AN AGING POPULATION.TO ENHANCE ITS HIV CARE AND PREVENTION SERVICES, CCHC EXPANDED ITS TEAM TO INCLUDE TWO MEDICAL PROVIDERS AND DENTAL SERVICES, LEVERAGING RYAN WHITE FUNDING TO SUPPORT THIS GROWTH. THE ORGANIZATION ALSO IMPROVED ITS INSURANCE NAVIGATION SERVICES BY CROSS-TRAINING A COMMUNITY HEALTH WORKER TO ENHANCE CAPACITY, PARTICULARLY FOR SPANISH-SPEAKING PATIENTS.CCHC PARTNERED WITH THE LOCAL SCHOOL SYSTEM TO PROVIDE PRIMARY CARE AND DENTAL SERVICES TO MCKINNEY-VENTO ELIGIBLE STUDENTS. FURTHERMORE, THE ORGANIZATION EXPANDED ITS OPIOID ABUSE PROGRAM BY INCREASING PROVIDER CAPACITY AND ADDING A BEHAVIORAL HEALTH CONSULTANT. THE PROGRAM'S CENSUS GREW TO OVER 30 PATIENTS, WITH PLANS TO EXPAND FURTHER.TO INCREASE ACCESSIBILITY TO DENTAL CARE, CCHC DENTAL STAFF UTILIZED MOBILE DENTAL CLINICS TO PROVIDE ON-SITE CARE AT COMMUNITY EVENTS AND SCHOOLS.THROUGH THESE INITIATIVES, CCHC HAS MADE SUBSTANTIAL PROGRESS IN ADDRESSING THE HEALTHCARE NEEDS OF THE COMMUNITY, PARTICULARLY FOR VULNERABLE POPULATIONS. 5845222 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 0 0 0 0 0 1 1 0 0 0 1 25 0 100 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 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 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 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 TANIA ARCHER DIRECTOR 2.00 X 0 0 0 MARVIN CHIDDICK DIRECTOR 1.00 X 0 0 0 ERICA CORREA PATIENT REPRESENTATIVE 1.00 X 0 0 0 HILDA Y GRANADOS FLORES PATIENT REPRESENTATIVE 1.00 X 0 0 0 ANSLEY ROMERO PATIENT REPRESENTATIVE 1.00 X 0 0 0 JASMINE SUNAMI SANTOS CASTILLO PATIENT REPRESENTATIVE 1.00 X 0 0 0 DENEQUAL BROWN-SMITH CHIEF COMPLIANCE AND NURSI 40.00 X 109596 0 9170 CAROLYN C ALLISON CEO, CCHC 40.00 X 184708 0 0 LISA HOLMES COO, CCHC 40.00 X 153057 0 0 JOANNE TYO CFO 40.00 X 148308 0 9170 ALAGUSIVAKUMARI RAMESHBABU CHIEF MEDICAL OFFICER 29.00 X 112049 0 0 MARIE ADELE KRISTENSEN NURSE PRACTITIONER 35.00 X 151186 0 0 TRACY JAMES COWDEN CONTROLLER 40.00 X 108846 0 6925 967750 0 25265 7 0 1 0 0 4544929 1652263 6197192 PATIENT FEES 621400 1403781 1403781 340B PHARMACY 456110 736196 736196 2139977 5299 5299 OTHER INCOME 900099 19477 19477 19477 8361945 2139977 0 24776 X 4693004 3149445 1503017 40542 423388 284133 135597 3658 399342 267996 127896 3450 25815 25815 65785 65785 1119566 938258 171062 10246 104986 48611 56091 284 115772 77132 36326 2314 463322 381408 81914 212185 144508 67677 43051 443 42608 MEDICAL SUPPLIES AND DR 386754 386754 PATIENT ASSISTANCE 80619 79409 1210 NON-CAPITALIZED EQUIPME 41685 18360 23325 DUES, FEES, LICENSES 17656 11027 6509 120 197413 57738 139675 8390343 5845222 2484507 60614 2450584 1588974 483396 864879 2491457 2255327 3511 7972 251034 249247 3424708 1096421 880685 2328287 6560667 7294686 545367 731909 82669 22383 201888 838049 829924 1592341 X 3002310 3117063 2728433 2585282 5730743 5702345 6560667 7294686 -28398 0 X X 0 0 1 0 X 3431293 3711293 5008408 7347657 6197192 25695843 612619 423505 1346217 1491620 2139977 6013938 4043912 4134798 6354625 8839277 8337169 31709781 0 0 0 31709781 556 279 1879 5299 8013 556 279 1879 5299 8013 49637 11667 21068 34197 19477 136046 4093549 4147021 6375972 8875353 8361945 31853840 0.99550 0.99370 0.00030 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 49,637. 2020 AMOUNT: $ 11,667. 2021 AMOUNT: $ 21,068. 2022 AMOUNT: $ 34,197. 2023 AMOUNT: $ 19,477. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1055234 518609 536625 912077 577812 334265 1457397 1457397 2328287 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, 2023 OR 2022. X X X X 0 0 0 0 0 0 0 0 0 CAROLYN C ALLISON CEO, CCHC 183208 0 1500 0 0 0 0 0 0 0 184708 0 0 0 JOANNE TYO CFO 148308 0 0 0 0 0 0 0 9170 0 157478 0 0 0 LISA HOLMES COO, CCHC 123802 0 29255 0 0 0 0 0 0 0 153057 0 0 0 MARIE ADELE KRISTENSEN NURSE PRACTITIONER 112435 0 38751 0 0 0 0 0 0 0 151186 0 0 0 FORM 990, PART III, LINE 2 THE ORGANIZATION OPENED EXPRESS CARE, AN URGENT CARE CLINIC, TO PROVIDE INCREASED ACCESS TO TARGETED NEIGHBORHOODS. ADDITIONALLY, CCHC INITIATED THE DEVELOPMENT OF TWO ADDITIONAL SATELLITE CLINICS: THE CATHCART PEDIATRIC CLINIC AND THE OPHELIA GARMON-BROWN CLINIC, WHICH WILL SERVE MIGRANT FAMILIES AND AN AGING POPULATION. 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 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 2023. 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 IX, LINE 11G CONTRACTUAL SERVICES: PROGRAM SERVICE EXPENSES 808,888. MANAGEMENT AND GENERAL EXPENSES 135,298. FUNDRAISING EXPENSES 9,036. TOTAL EXPENSES 953,222. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 129,370. MANAGEMENT AND GENERAL EXPENSES 35,764. FUNDRAISING EXPENSES 1,210. TOTAL EXPENSES 166,344. FORM 990 PART XII, LINE 2C NO CHANGES SINCE PRIOR YEAR. FORM 990, PART XII, LINE 3B: THE ORGANIZATION'S SINGLE AUDIT WAS IN PROCESS BUT HAD NOT BEEN FINALIZED WHEN THE 990 WAS FILED. 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