Totals
- Total revenue
- $4,270,527
- Total expenses
- $3,446,335
- Contributions and grants received
- $4,111,995
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $65,445
- Other revenue
- $93,087
- Total assets, end of year
- $4,907,070
- Total liabilities, end of year
- $7,937
- Net assets or fund balances, end of year
- $4,899,133
- Program services expenses (Part IX)
- $3,150,828
- Management and general expenses
- $160,043
- Fundraising expenses
- $135,464
- Program service expenses (Part III)
- $3,150,828
Program services were 91.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1c · Fundraising events
$561,932
-
1e · Government grants (contributions)
$246,103
-
1f · All other contributions, gifts and grants
$3,303,960
-
1g · Noncash contributions included above
$1,379,419
-
3 · Investment income
total $67,755 · excluded $67,755
-
7b · Less cost or other basis and sales expenses
other assets $2,310
-
7c · Gain or loss
other assets -$2,310
-
7d · Net gain or loss
total -$2,310 · excluded -$2,310
-
8a · Fundraising events: gross income
$112,639
-
8a · Fundraising events: contributions included on line 1c
$561,932
-
8b · Fundraising events: direct expenses
$105,332
-
8c · Net income from fundraising events
total $7,307 · excluded $7,307
-
11a · Other revenue: CONTRACT SERVICES & RE
total $85,780 · related or exempt $85,780
-
11e · Other revenue, total
$85,780
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $159,537 · program services $55,838 · management and general $55,838 · fundraising $47,861
-
7 · Other salaries and wages
total $1,082,155 · program services $1,022,766 · management and general $21,166 · fundraising $38,223
-
9 · Other employee benefits
total $154,385 · program services $138,956 · management and general $8,486 · fundraising $6,943
-
10 · Payroll taxes
total $93,243 · program services $81,121 · management and general $5,595 · fundraising $6,527
-
11g · Fees: other
total $194,773 · program services $141,363 · management and general $51,691 · fundraising $1,719
-
13 · Office expenses
total $9,992 · program services $8,992 · management and general $500 · fundraising $500
-
16 · Occupancy
total $124,563 · program services $123,047 · management and general $758 · fundraising $758
-
19 · Conferences, conventions and meetings
total $7,321 · program services $7,321
-
22 · Depreciation, depletion and amortization
total $75,805 · program services $64,434 · management and general $10,613 · fundraising $758
-
23 · Insurance
total $8,373 · program services $6,699 · management and general $837 · fundraising $837
-
24a · Other expenses: SUPPLIES
total $1,420,700 · program services $1,420,700
-
24b · Other expenses: MISCELLANEOUS
total $53,662 · program services $20,353 · management and general $3,265 · fundraising $30,044
-
24c · Other expenses: MEMBERSHIP FEES
total $31,858 · program services $31,858
-
24d · Other expenses: REPAIRS & MAINTENANCE
total $25,069 · program services $23,167 · management and general $951 · fundraising $951
-
24e · All other expenses
total $4,899 · program services $4,213 · management and general $343 · fundraising $343
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $3,501,059 · end of year $4,355,600
-
10a · Land, buildings and equipment: cost or other basis
$732,702
-
10b · Land, buildings and equipment: accumulated depreciation
$475,519
-
10c · Land, buildings and equipment, net
beginning of year $292,930 · end of year $257,183
-
15 · Other assets
beginning of year $297,286 · end of year $294,287
-
17 · Accounts payable and accrued expenses
beginning of year $16,334 · end of year $7,937
-
27 · Net assets without donor restrictions
beginning of year $3,779,655 · end of year $4,344,198
-
28 · Net assets with donor restrictions
beginning of year $295,286 · end of year $554,935
Mission and programs · 2022
Mission
THE CHARLOTTESVILLE FREE CLINC'S MISSION IS TO PROVIDE A VOLUNTEER-DRIVEN, COMMUNITY HEALTH SUPPORT SYSTEM THAT PROVIDES HIGH-QUALITY MEDICAL, MENTAL HEALTH, VISION, AND DENTAL SERVICES TO LOW-INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS WHO HAVE NO OTHER OPTIONS FOR CARE, AT NO COST TO PATIENTS.
Activities or mission (Part I)
THE CHARLOTTESVILLE FREE CLINIC'S MISSION IS TO:1. PROVIDE A COMMUNITY HEALTH SUPPORT SYSTEM THAT PROVIDES HIGH-QUALITY MEDICAL, MENTAL HEALTH, VISION, AND DENTAL SERVICES TO LOW-INCOME, UNINSURED, AND UNDERINSURED INDIVIDUALS WHO HAVE NO OTHER OPTION FOR CARE, AT NO COST TO PATIENTS.2. PROVIDE PRACTICAL EXPERIENCE FOR CURRENT AND FUTURE HEALTH CARE PROFESSIONALS.3. HASTEN, THROUGH EDUCATION AND ADVOCACY, THE CREATION OF A COMPREHENSIVE POLICY FOR ACCESS TO HEALTH CARE.
-
THE CHARLOTTESVILLE FREE CLINIC (CLINIC) PROVIDES MEDICAL CARE, DENTAL CARE AND PHARMACEUTICALS TO QUALIFYING INDIVIDUALS WHO DO NOT QUALIFY FOR MEDICARE AND/OR MEDICAID, AND ARE UNINSURED OR UNDERINSURED. THE CLINIC RECEIVED SUPPORT IN THE FORM OF DONATED SERVICES AND FACILITIES. THE DONATED SERVICES, VALUED AT $467,464 WERE PROVIDED BY HEALTH CARE PROFESSIONALS, PHARMACISTS, LAB TECHNICIANS AND OTHER PROFESSIONALS. THE DONATED FACILITY WAS VALUED AT $43,000 AND DONATED PHARMACEUTICALS WERE VALUED AT $1,300242. THE CLINIC ENCOURAGES PATIENTS TO SEEK TREATMENT EARLY BEFORE SMALL PROBLEMS BECOME LARGE PROBLEMS. THE SERVICES ARE PROVIDED BY APPROXIMATELY 997 VOLUNTEERS FROM THROUGHOUT THE COMMUNITY INCLUDING MEDICAL STAFF AND OTHER HEALTH PROFESSIONALS FROM LOCAL HOSPITALS AND OTHER COMMUNITY HEALTH FACILITIES. ON-SITE SERVICES INCLUDE MEDICAL AND NURSING ASSISTANCE FOR PRIMARY CARE, MENTAL HEALTH ISSUES, BASIC LAB TESTING, INDIVIDUAL AND GROUP HEALTH EDUCATION PROGRAMS, DENTAL SERVICES, AND A FULLY LICENSED PHARMACY. REFERRAL SERVICES INCLUDE COMPREHENSIVE LAB TESTING, RADIOLOGY SERVICES AND OTHER MEDICAL SPECIALTY SERVICES. ALL SERVICES, SUPPLIES AND MEDICATION ARE PROVIDED FREE OF CHARGE.
Expenses $3,150,828
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
David SchmittDAVID SCHMITT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Jack KaytonJACK KAYTON
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Michael BrooksMICHAEL BROOKS
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Will KnightWILL KNIGHT
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Tracy DownsTRACY DOWNS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Ted HornTED HORN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Max LunaMAX LUNA
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kara ComerKARA COMER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Amit ShahaneAMIT SHAHANE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Nate TrickerNATE TRICKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kimberly SkellyKIMBERLY SKELLY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Sandhya ChhabraSANDHYA CHHABRA
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
Gregg WinstonGREGG WINSTON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Susan ShermanSUSAN SHERMAN
EXECUTIVE DIRECTOR
- Total calculated
- $164,776
- From this org
- $154,603
- From related orgs
- $0
- Other
- $10,173
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $154,603
- Bonus
- $0
- Other
- $0
- Deferred
- $3,978
- Nontaxable benefits
- $6,195
- Filer's total
- $164,776
-
Jonathan B LeistJONATHAN B LEIST
DENTIST
- Total calculated
- $180,570
- From this org
- $163,806
- From related orgs
- $0
- Other
- $16,764
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $163,806
- Bonus
- $0
- Other
- $0
- Deferred
- $4,794
- Nontaxable benefits
- $11,970
- Filer's total
- $180,570
-
Patricia Polgar-BaileyPATRICIA POLGAR-BAILEY
FAMILY NURSE PRACTITIONER
- Total calculated
- $145,042
- From this org
- $123,749
- From related orgs
- $0
- Other
- $21,293
- Hours/week
- 40
-
Meghan HingerMEGHAN HINGER
DIRECTOR OF MEDICAL CLINIC OPERATIONS
- Total calculated
- $111,022
- From this org
- $100,577
- From related orgs
- $0
- Other
- $10,445
- Hours/week
- 40
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, and on a Form 990-PF Part VIII's — 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
None.
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
- 2022
- Filed
- 13 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202441349349301314
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