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← COMMONWEALTH HEALTH FREE CLINIC INC

Form 990 for tax year 2024

Filed by COMMONWEALTH HEALTH FREE CLINIC INC.

Totals

Total revenue
$1,063,888
Total expenses
$1,009,501
Contributions and grants received
$883,469
Grants paid
$0
Program service revenue
$180,033
Investment income
$95
Other revenue
$291
Total assets, end of year
$1,341,734
Total liabilities, end of year
$96,538
Net assets or fund balances, end of year
$1,245,196
Program services expenses (Part IX)
$991,738
Management and general expenses
$17,763
Fundraising expenses
$0
Program service expenses (Part III)
$991,738

Program services were 98.2% 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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $883,469

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 2a · Program service revenue: NET PATIENT SERVICE REVENUE

    total $180,033 · related or exempt $180,033 · unrelated business $0 · excluded $0

  • 2b · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2c · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2d · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2e · Program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $95 · related or exempt $0 · unrelated business $0 · excluded $95

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $0 · personal property $0

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 7a · Gross sales of assets other than inventory

    securities $0 · other assets $0

  • 7b · Less cost or other basis and sales expenses

    securities $0 · other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 7d · Net gain or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: gross income

    $0

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11a · Other revenue: MISCELLANEOUS REVENUE

    total $291 · related or exempt $0 · unrelated business $0 · excluded $291

  • 11b · Other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11c · Other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $291

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $150,874 · program services $150,874 · management and general $0 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 8 · Pension plan contributions

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 10 · Payroll taxes

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11c · Fees: accounting

    total $5,320 · program services $0 · management and general $5,320 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $705,424 · program services $697,902 · management and general $7,522 · fundraising $0

  • 12 · Advertising and promotion

    total $2,147 · program services $0 · management and general $2,147 · fundraising $0

  • 13 · Office expenses

    total $38,721 · program services $37,244 · management and general $1,477 · fundraising $0

  • 14 · Information technology

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $23,693 · program services $23,693 · management and general $0 · fundraising $0

  • 17 · Travel

    total $1,297 · program services $0 · management and general $1,297 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 20 · Interest

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $9,973 · program services $9,973 · management and general $0 · fundraising $0

  • 23 · Insurance

    total $32,346 · program services $32,346 · management and general $0 · fundraising $0

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $39,706 · program services $39,706 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,006,297 · end of year $1,120,278

  • 2 · Savings and temporary cash investments

    beginning of year $131,143 · end of year $130,841

  • 3 · Pledges and grants receivable

    beginning of year $45,217 · end of year $19,419

  • 4 · Accounts receivable

    beginning of year $30,125 · end of year $38,385

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $86,588

  • 10b · Land, buildings and equipment: accumulated depreciation

    $53,777

  • 10c · Land, buildings and equipment, net

    beginning of year $42,785 · end of year $32,811

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,764 · end of year $22,983

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $55,994 · end of year $73,555

  • 27 · Net assets without donor restrictions

    beginning of year $1,190,809 · end of year $1,245,196

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2024

Mission

THE COMMONWEALTH HEALTH FREE CLINIC PROVIDES BASIC MEDICAL AND DENTAL SERVICES FOR INDIVIDUALS WHO STRUGGLE WITH APPROPRIATE OR AFFORDABLE ACCESS TO HEALTHCARE.

  • COMMONWEALTH HEALTH FREE CLINIC, INC. ("CHFC") OPENED ON JANUARY 2, 1996 TO PROVIDE BASIC MEDICAL AND DENTAL DIAGNOSTIC AND TREATMENT SERVICES FOR THE UNINSURED AND UNDERINSURED OF SOUTH-CENTRAL KENTUCKY. CHFC ALSO SERVES INDIVIDUALS WHO MAY BE COVERED BY SOME FORM OF INSURANCE, BUT WHO ARE UNABLE TO ACCESS A PROVIDER FOR ACUTE OR CHRONIC HEALTH ISSUES. SEE SCHEDULE O FOR ADDITIONAL INFORMATION.

    Expenses $991,738 · Revenue $180,033

As filed on the 2024 return.

Listed in Part VII

  • Dr Mark Yurchisin

    CHAIRMAN

    Total calculated
    $2,740
    From this org
    $0
    From related orgs
    $2,740
    Other
    $0
    Hours/week
    2

  • Dr Michael Hubbard

    VICE CHAIR

    Total calculated
    $2,740
    From this org
    $0
    From related orgs
    $2,740
    Other
    $0
    Hours/week
    2

  • Mr David Gray

    EXECUTIVE VICE PRESIDENT

    Total calculated
    $503,354
    From this org
    $0
    From related orgs
    $453,850
    Other
    $49,504
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $438,718 related
    Bonus
    $0
    Other
    $0 + $15,132 related
    Deferred
    $0 + $10,350 related
    Nontaxable benefits
    $0 + $39,154 related
    Filer's total
    $0 + $503,354 related

  • Mr Joe Natcher

    SECRETARY

    Total calculated
    $2,740
    From this org
    $0
    From related orgs
    $2,740
    Other
    $0
    Hours/week
    2 + 4 related

  • Ms Connie D Smith

    CEO / PRESIDENT

    Total calculated
    $1,486,205
    From this org
    $0
    From related orgs
    $1,353,837
    Other
    $132,368
    Hours/week
    2 + 52 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,071,288 related
    Bonus
    $0
    Other
    $0 + $282,549 related
    Deferred
    $0 + $109,015 related
    Nontaxable benefits
    $0 + $23,353 related
    Filer's total
    $0 + $1,486,205 related

  • Dr Josh Phillips

    DIRECTOR / DENTIST

    Total calculated
    $173,040
    From this org
    $150,874
    From related orgs
    $0
    Other
    $22,166
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $150,874
    Bonus
    $0
    Other
    $0
    Deferred
    $4,509
    Nontaxable benefits
    $17,657
    Filer's total
    $173,040

  • Mrs Cathy Bishop

    DIRECTOR

    Total calculated
    $2,740
    From this org
    $0
    From related orgs
    $2,740
    Other
    $0
    Hours/week
    2 + 4 related

  • Mr Wade Stone

    EXECUTIVE VICE PRESIDENT

    Total calculated
    $546,106
    From this org
    $0
    From related orgs
    $465,735
    Other
    $80,371
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $462,702 related
    Bonus
    $0
    Other
    $0 + $3,034 related
    Deferred
    $0 + $62,114 related
    Nontaxable benefits
    $0 + $18,257 related
    Filer's total
    $0 + $546,106 related

  • Ms Katrina Wood

    EVP / CHIEF NURSING OFFICER

    Total calculated
    $406,156
    From this org
    $0
    From related orgs
    $317,031
    Other
    $89,125
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $312,590 related
    Bonus
    $0
    Other
    $0 + $4,442 related
    Deferred
    $0 + $55,616 related
    Nontaxable benefits
    $0 + $33,509 related
    Filer's total
    $0 + $406,157 related

  • Ms Michele W Lawless

    EXECUTIVE VICE PRESIDENT / CFO

    Total calculated
    $651,472
    From this org
    $0
    From related orgs
    $540,323
    Other
    $111,149
    Hours/week
    2 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $533,495 related
    Bonus
    $0
    Other
    $0 + $6,828 related
    Deferred
    $0 + $107,269 related
    Nontaxable benefits
    $0 + $3,880 related
    Filer's total
    $0 + $651,472 related

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
CERTAIN EXECUTIVES OF COMMONWEALTH HEALTH CORPORATION PARTICIPATE IN A SUPPLEMENTAL RETIREMENT PLAN. THE CURRENT YEAR INCREASE IN THE ACCRUED BENEFIT, AS ACTUARIALLY DETERMINED, IS REPORTED AS COMPENSATION. THE FOLLOWING ARE THE INDIVIDUALS PARTICIPATING IN THE PLAN AND THE CURRENT YEAR INCREASES REPORTED AS COMPENSATION: CONNIE SMITH $258,909 WADE STONE $ -0-
Schedule J, Part I, Line 3
THE CEO IS COMPENSATED BY COMMONWEALTH HEALTH CORPORATION (CHC), A RELATED ORGANIZATION. CHC USES THE FOLLOWING METHODS TO ESTABLISH THE COMPENSATION OF THE CEO: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • MED PLAZA PTRS LTD

    N/A · REAL ESTATE · KY · share of income $0 · share of assets $0

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2024
Filed
16 February 2026
IRS schema version
2024v5.1
Source object
202620479349300922

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