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Nonprofiteer
← COLUMBUS FREE CLINIC

Form 990-EZ for tax year 2022

Filed by COLUMBUS FREE CLINIC.

Totals

Total revenue
$68,181
Total expenses
$67,710
Contributions and grants received
$68,181
Grants paid
not reported
Program service revenue
not reported
Membership dues (line 3)
not reported
Investment income (line 4)
not reported
Gain or loss on sale of assets (line 5c)
not reported
Gaming and fundraising events, net (line 6d)
not reported
Gross profit on inventory sales (line 7c)
not reported
Other revenue (line 8)
not reported
Total assets, end of year
$206,624
Total liabilities, end of year
not reported
Net assets or fund balances, end of year
$206,624
Program service expenses (Part III)
$67,710

Program services were 100.0% of total expenses calculated — Part III's total program service expenses over total expenses, both as filed.

Mission and programs · 2022

Primary exempt purpose

To provide quality, acute medical care at no cost to patients who seek health care at the Columbus Free Clinic while also providing clinical experiences for health care professional students who volunteer at the Columbus Free Clinic.

  • We provide educational opportunities and clinical experiences for the health professional students who volunteer at our clinic

    Expenses $16,096

  • We provide acute medical care at no cost to patients including primary care, specialty care, prescriptions, and labs. We served a total of 1504 patients in the fiscal year dealt with on this form

    Expenses $51,614

As filed on the 2022 return.

Listed in Part IV

  • Dr Chris Esber

    Lead Physician

    Total calculated
    $0
    Hours/week
    8
  • Dr Summit Shah

    Lead Physician

    Total calculated
    $0
    Hours/week
    8
  • Dr Kim Hooper

    Medical Director

    Total calculated
    $0
    Hours/week
    8
  • Dr Ean Bett

    Lead Physician

    Total calculated
    $0
    Hours/week
    8
  • Dr Robert Cooper

    Lead Physician

    Total calculated
    $0
    Hours/week
    8
  • Dr Howard Werman

    Lead Physician

    Total calculated
    $0
    Hours/week
    8
  • Susan Bowman-Burpee

    Lead Nurse Practitioner

    Total calculated
    $0
    Hours/week
    8
  • Courtney Shihabuddin

    Lead Nurse Practitioner

    Total calculated
    $0
    Hours/week
    8
  • Dr Andre Fernandes

    Lead Pharmacist

    Total calculated
    $0
    Hours/week
    8
  • Dr Lia Mahr

    Lead Physician

    Total calculated
    $0
    Hours/week
    8
  • Dr Laura Barnett

    Lead Psychiatrist

    Total calculated
    $0
    Hours/week
    8
  • Catherine Hechmer

    Social Work Lead

    Total calculated
    $0
    Hours/week
    8
  • Dr Charles Tweel

    Lead Physician

    Total calculated
    $0
    Hours/week
    8
  • Dr Anne Botti

    Lead Physician

    Total calculated
    $0
    Hours/week
    8
  • Dr Thomas Mason

    Assistant Medical Director

    Total calculated
    $10,000
    Compensation
    $10,000
    Benefit plans
    $0
    Expense account
    $0
    Hours/week
    20
  • Kandi Hughes

    Lead Nurse Practitioner

    Total calculated
    $0
    Hours/week
    8
  • Dr Bryn Koehler

    Director of Medical Education

    Total calculated
    $10,000
    Compensation
    $10,000
    Benefit plans
    $0
    Expense account
    $0
    Hours/week
    20

Compensation is as filed in Part IV of the Form 990-EZ: compensation, contributions to benefit plans, expense account, 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.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990_ez
Tax year
2022
Filed
15 August 2023
IRS schema version
2022v5.0
Source object
202332279349202253

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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