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Nonprofiteer
← CHARLOTTE COMMUNITY HEALTH CLINIC INC

Form 990 for tax year 2022

Filed by CHARLOTTE COMMUNITY HEALTH CLINIC INC.

Totals

Total revenue
$8,875,353
Total expenses
$6,731,074
Contributions and grants received
$7,347,657
Grants paid
$0
Program services expenses (Part IX)
$4,770,100
Management and general expenses
$1,873,992
Fundraising expenses
$86,982
Program service expenses (Part III)
$4,770,100

Program services were 70.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • HERBERT WILLIAM CLEGG II

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    2

  • DANIEL WALL

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • ANDREW DAS

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • FRANCOIS MOUKETE

    PATIENT REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    1

  • LATONIGA SASS

    PATIENT REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    1

  • MICHELLA PALMER

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • RUTH PEREZ

    PATIENT REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    1

  • DENISE COLTER

    PATIENT REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    1

  • JEROME WILLIAMS

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1

  • ROBIN CANNE

    PATIENT REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    1

  • CAMILLE GRIMSLEY

    PATIENT REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    1

  • MELIDA BALDERA

    PATIENT REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    1

  • JOSE' PORTILLO-GAMERO

    PATIENT REPRESENTATIVE

    Total calculated
    $0
    Hours/week
    1

  • TANIA ARCHER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • MARVIN CHIDDICK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • DENEQUAL BROWN-SMITH

    CHIEF COMPLIANCE AND NURSING OFFICER

    Total calculated
    $0
    Hours/week
    40

  • CAROLYN C ALLISON

    CEO, CCHC

    Total calculated
    $156,437
    From this org
    $155,625
    From related orgs
    $0
    Other
    $812
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $155,476
    Bonus
    $149
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $812
    Filer's total
    $156,437

  • LISA HOLMES

    COO, CCHC

    Total calculated
    $118,489
    From this org
    $117,901
    From related orgs
    $0
    Other
    $588
    Hours/week
    40

  • JOANNE TYO

    CFO

    Total calculated
    $134,099
    From this org
    $116,449
    From related orgs
    $0
    Other
    $17,650
    Hours/week
    40

  • ANNE STEPTOE

    CHIEF MEDICAL OFFICER

    Total calculated
    $225,777
    From this org
    $207,017
    From related orgs
    $0
    Other
    $18,760
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $206,876
    Bonus
    $0
    Other
    $141
    Deferred
    $0
    Nontaxable benefits
    $18,760
    Filer's total
    $225,777

  • QUIANA J ROBINSON

    MD

    Total calculated
    $137,842
    From this org
    $132,386
    From related orgs
    $0
    Other
    $5,456
    Hours/week
    40

  • PEYMAN GHARAVIZADEH

    MD

    Total calculated
    $120,577
    From this org
    $118,660
    From related orgs
    $0
    Other
    $1,917
    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 — 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 · Written employment contract
  • 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.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202303199349312475

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