2025-11-17T14:21:11-05:00 2024-12-31 271180831 CERITY PARTNERS 310 RING RD ELIZABETHTOWN KY 42701 990EZ 2024-01-01 300042070 COMMUNITY HEALTH CLINIC INC COMM 2707639589 3046 DOLPHIN DR STE 100 ELIZABETHTOWN KY 42701 CHARLES DAVID PETERSON BOARD CHAIRMAN 2707639589 2025-11-16 false SARAH DURHAM P00955189 2709909000 2025-11-16 2024 2025-03-06 01:10:19Z X WWW.THECOMMUNITYHEALTHCLINIC.COM X X 83158 X 62120 3 21035 21035 83158 64522 1500 8462 16167 90651 -7493 14617 7124 X 14617 7124 14617 7124 14617 7124 X TO PROVIDE BASIC HEALTH CARE SERVICES TO THE UNINSURED, LOW-INCOME RESIDENTS OF HARDIN, LARUE, GRAYSON, BRECKENRIDGE AND MEADE COUNTIES OF KENTUCKY. ALL SERVICES ARE PROVIDED FREE OF CHARGE AND ARE AVAILABLE ONLY THOSE PERSONS MEETING CLINIC ELIGIBILITY REQUIREMENTS AND BEGIN WITH A MEDICAL OFFICE VISIT BY WHICH ADDITIONAL SERVICES MAY BE PROVIDED WITH A MEDICAL ORDER. A VOLUNTEER STAFF OF PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS PROVIDE MEDICAL OFFICE VISITS EVERY TUESDAY AND THURSDAY EVENING. 90651 HOME MEDICAL EQUIPMENT IS PROVIDED FREE OF CHARGE TO CLINIC PATIENTS WITH CERTAIN MEDICAL CONDITIONS, E.G. ASTHMA, SLEEP APNEA THE COMMUNITY HEALTH CLINIC HOSTS ITS OWN LICENSED PHARMACY PROVIDING PHARMACY SERVICES ORDERED DURING A MEDICAL OFFICE VISIT. THROUGH AN AFFILIATION WITH THE COLLEGE LIONS CLUB CLINIC PATIENTS MAY RECEIVE A REFERRAL FOR VISION CARE. THE COLLEGE LIONS CLUB PROVIDES VOUCHERS FOR LOCAL OPTOMETRY SERVICES AND BASIC EYEWEAR. THE CLINIC LAB IS CLIA WAIVED AND SPONSORED BY LAB CORP. VOLUNTEER LAB TECHNICIANS COLLECT SPECIMENS FOR LAB WORK. CLINIC PATIENTS MUST BE EVALUATED DURING A MEDICAL OFFICE VISIT FIRST BEFORE BEING REFERRED FOR DENTAL CARE. THE COMMUNITY HEALTH CLINIC VOLUNTEER DENTISTS PROVIDE BASIC DENTAL SERVICES. CERTAIN DIAGNOSTIC SERVICES ORDERED THROUGH A CLINIC OFFICE VISIT MAY BE MADE AVAILABLE FREE OF CHARGE. LOCAL SPECIALISTS PROVIDE EVALUATION AND RECOMMENDATIONS FOR CLINIC PATIENTS REFERRED FOR A ONE VISIT COURTESY CONSULTATION. SPECIALIST CONSULTATIONS UNAVAILABLE LOCALLY ARE REFERRED TO U OF L PHYSICIANS ASSOCIATES WHERE SERVICES ARE PROVIDED ON A SLIDING SCALE. 90651 DAVID ZOELLER CO-MEDICAL D 2.00 0 SYED QUADRI CO-MEDICAL D 2.00 0 CHARLES DAVID PETERSON BOARD CHAIRM 2.00 0 DIANE LOGSDON BOARD MEMBER 2.00 0 BRYCE SHUMATE BOARD MEMBER 2.00 0 SAADIA QURESHI BOARD MEMBER 2.00 0 STEVE WHITE BOARD MEMBER 2.00 0 TIMOTHY SUTHERLAND BOARD MEMBER 2.00 0 MICHAEL HARMON TREASURER 2.00 0 MARTY SUTHERLAND BOARD MEMBER 2.00 0 ROBERT KRAUSMAN BOARD MEMBER 2.00 0 RICHARD SEITHER BOARD MEMBER 2.00 0 false false false false false false false false false KY TREASURER 3046 WOODLAND DR ELIZABETHTOWN KY 42701 2707639589 false false false false false false false false false false false NONE NONE true X 148510 261695 178408 113009 62120 763742 148510 261695 178408 113009 62120 763742 763742 221 114 50 17 3 405 21035 21035 785182 167614 0.97270 0.99890 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false 21035 false 21035 21035 true false false false TREASURER 3046 WOODLAND DR ELIZABETHTOWN KY 42701 false false FORM 990-EZ, PART I, LINE 16 EXPENSES OFFICE 877 INSURANCE EXPENSES 1,642 SHREDDING 547 PAYROLL FEES 369 MEDICAL WASTE DISPOSAL 2,800 MERCHANT PROCESSING ACCOU 1,259 MISCELLANEOUS 298 REFUNDS 2,100 CONTRACTORS 5,240 FEES 304 TAXES 731 TOTAL 16,167 FORM 990-EZ, PART II, LINE 24 145,178 145,178 LESS ACCUMULATED DEPRECIATION 145,178 145,178 TOTAL 0 0 FORM 990-EZ, PART III TO PROVIDE BASIC HEALTH CARE SERVICES TO THE UNINSURED, LOW-INCOME RESIDENTS OF HARDIN, LARUE, GRAYSON, BRECKENRIDGE AND MEADE COUNTIES OF KENTUCKY. FORM 990-EZ, PART III, LINE 28 ALL SERVICES ARE PROVIDED FREE OF CHARGE AND ARE AVAILABLE ONLY THOSE PERSONS MEETING CLINIC ELIGIBILITY REQUIREMENTS AND BEGIN WITH A MEDICAL OFFICE VISIT BY WHICH ADDITIONAL SERVICES MAY BE PROVIDED WITH A MEDICAL ORDER. A VOLUNTEER STAFF OF PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS PROVIDE MEDICAL OFFICE VISITS EVERY TUESDAY AND THURSDAY EVENING. FORM 990-EZ, PART III, LINE 31 THROUGH AN AFFILIATION WITH THE COLLEGE LIONS CLUB CLINIC PATIENTS MAY RECEIVE A REFERRAL FOR VISION CARE. THE COLLEGE LIONS CLUB PROVIDES VOUCHERS FOR LOCAL OPTOMETRY SERVICES AND BASIC EYEWEAR. THE CLINIC LAB IS CLIA WAIVED AND SPONSORED BY LAB CORP. VOLUNTEER LAB TECHNICIANS COLLECT SPECIMENS FOR LAB WORK. CLINIC PATIENTS MUST BE EVALUATED DURING A MEDICAL OFFICE VISIT FIRST BEFORE BEING REFERRED FOR DENTAL CARE. THE COMMUNITY HEALTH CLINIC VOLUNTEER DENTISTS PROVIDE BASIC DENTAL SERVICES. CERTAIN DIAGNOSTIC SERVICES ORDERED THROUGH A CLINIC OFFICE VISIT MAY BE MADE AVAILABLE FREE OF CHARGE. LOCAL SPECIALISTS PROVIDE EVALUATION AND RECOMMENDATIONS FOR CLINIC PATIENTS REFERRED FOR A ONE VISIT COURTESY CONSULTATION. SPECIALIST CONSULTATIONS UNAVAILABLE LOCALLY ARE REFERRED TO U OF L PHYSICIANS ASSOCIATES WHERE SERVICES ARE PROVIDED ON A SLIDING SCALE.