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← CHARLOTTESVILLE FREE CLINIC

Form 990 for tax year 2023

Filed by CHARLOTTESVILLE FREE CLINIC.

Totals

Total revenue
$4,166,332
Total expenses
$3,882,768
Contributions and grants received
$4,044,601
Grants paid
$0
Program services expenses (Part IX)
$3,541,062
Management and general expenses
$184,688
Fundraising expenses
$157,018
Program service expenses (Part III)
$3,541,062

Program services were 91.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JONATHAN B LEIST

    DENTIST

    Total calculated
    $188,298
    From this org
    $178,316
    From related orgs
    $0
    Other
    $9,982
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $170,066
    Bonus
    $8,000
    Other
    $250
    Deferred
    $5,172
    Nontaxable benefits
    $4,810
    Filer's total
    $188,298

  • SUSAN SHERMAN

    FORMER EXECUTIVE DIRECTOR

    Total calculated
    $161,761
    From this org
    $150,761
    From related orgs
    $0
    Other
    $11,000
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $126,425
    Bonus
    $24,336
    Other
    $0
    Deferred
    $3,813
    Nontaxable benefits
    $7,187
    Filer's total
    $161,761

  • PATRICIA POLGAR-BAILEY

    FAMILY NURSE PRACTITIONER

    Total calculated
    $146,020
    From this org
    $130,841
    From related orgs
    $0
    Other
    $15,179
    Hours/week
    40

  • MEGHAN HINGER

    CEO OF CLINIC OPERATIONS

    Total calculated
    $109,912
    From this org
    $106,904
    From related orgs
    $0
    Other
    $3,008
    Hours/week
    40

  • WILLA BARNHARDT

    CEO OF DEVELOPMENT AND FINANCE

    Total calculated
    $91,603
    From this org
    $80,573
    From related orgs
    $0
    Other
    $11,030
    Hours/week
    40

  • WILL KNIGHT

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • JACK KAYTON

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • MICHAEL BROOKS

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • SANDHYA CHHABRA

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • KARA COMER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TRACY DOWNS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • TED HORN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • MAX LUNA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DAVID SCHMITT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • AMIT SHAHANE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • KIMBERLY SKELLY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • NATE TRICKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • GREGG WINSTON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202511359349309631

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