2024-04-30T15:01:31-05:00 2023-06-30 620713250 KRAFTCPAS PLLC 6136 SHALLOWFORD ROAD 101 CHATTANOOGA TN 374217214 990EZ 2022-07-01 570930442 COMMUNITY HEALTH FOUNDATION OF FAIRFIELD JOHN A MARTIN PRIMARY HEALTH CARE COMM 8036356099 56 US HWY 321 BYPASS NORTH WINNSBORO SC 29180 MARK SHAFFER MEDICAL DIRECTOR 8036356099 2024-04-30 1 MARK SHAFFER 999009999 1 FRANCES E LEAHY P00713593 4238947400 2024-04-30 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X X N/A X X 63869 X 63869 63869 1124 10834 1563 353 19512 33386 30483 225883 0 256366 X 148171 187448 77955 68918 226126 256366 243 0 225883 256366 X OPERATION OF A MEDICAL CLINIC IN A RURAL AREA. THE ORGANIZATION PREVIOUSLY OPERATED AN ACADEMIC CLINICAL CENTER IN A RURAL AREA TO DELIVER HEALTH CARE TO A DEFINED POPULATION. OPERATIONS CEASED IN JANUARY 2022 WHEN PRISMA HEALTH ASSUMED OPERATIONS, HOWEVER, ONGOING COLLECTIONS CONTINUED THROUGH 2022 AND 2023. 0 13010 13010 MARK SHAFFER MEDICAL DIRECTOR 1.00 0 0 0 KIMBERLY SEIBLES CHAIR 1.00 0 0 0 LESS HALL MD DIRECTOR 1.00 0 0 0 DORIS LEITNER DIRECTOR 1.00 0 0 0 THOMAS CHANDLER PHD DIRECTOR 1.00 0 0 0 BERTHA GOINS DIRECTOR 1.00 0 0 0 SHERYL MITCHELL DIRECTOR 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SC MARK SHAFFER MD 56 US HWY 321 BYPASS NORTH WINNSBORO SC 29180 8036356099 0 0 0 0 0 0 0 0 0 0 NONE 0 NONE 0 1 X 24743 190700 215443 1042371 893402 727906 612693 63869 3340241 1067114 893402 918606 612693 63869 3555684 0 0 0 3555684 148 81 6 2 237 148 81 6 2 237 1067262 893483 918612 612695 63869 3555921 0.99990 0.99990 0.00010 0.00010 X FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: DEPRECIATION. AMOUNT: 9,037. DESCRIPTION: BANK CHARGES. AMOUNT: 642. DESCRIPTION: INSURANCE. AMOUNT: 1,408. DESCRIPTION: EDUCATION MATERIALS. AMOUNT: 217. DESCRIPTION: MEALS. AMOUNT: 200. DESCRIPTION: PROFESSIONAL DEVELOPMENT. AMOUNT: 50. DESCRIPTION: GENERAL OFFICE SUPPLIES. AMOUNT: 184. DESCRIPTION: COMPUTER EXPENSE. AMOUNT: 7,774. TOTAL TO FORM 990-EZ, LINE 16: 19,512. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: OTHER DEPRECIABLE ASSETS. BEG. OF YEAR AMOUNT: 77,955. END OF YEAR AMOUNT: 68,918. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.