2024-10-28T12:40:39-05:00 2023-12-31 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2023-01-01 223769296 CHARITABLE HEALTHCARE NETWORK INC CHAR 6149146458 88 EAST BROAD STREET 1475 COLUMBUS OH 43215 JASON KOMA EXECUTIVE DIRECTOR 6149146458 2024-10-28 1 0 RENEA R IRICK P01586814 9373992000 2024-10-28 2023 2024-10-15 13:58:12Z JASON KOMA 88 EAST BROAD STREET 1475 COLUMBUS OH 43215 2691531 0 X WWW.OHIOFREECLINICS.ORG X 2002 OH TO STRENGTHEN AND ENSURE HIGH-QUALITY HEALTH CARE FOR PEOPLE WHO ARE VULNERABLE 13 13 18 16 0 0 8097264 2443889 26354 30783 164037 215901 740 958 8288395 2691531 958638 1741554 0 0 329626 614898 0 0 9355 281272 209196 1569536 2565648 6718859 125883 7057421 7992570 465323 445672 6592098 7546898 TO STRENGTHEN AND ENSURE HIGH-QUALITY HEALTH CARE FOR PEOPLE WHO ARE VULNERABLE 0 0 2215704 1741554 31741 COLLECT AND DISTRIBUTE FUNDS TO FREE CLINICS. PROMOTE NETWORKING AND INFORMATION SHARING AMONG OHIO FREE CLINICS, TO ADVOCATE ON BEHALF OF FREE CLINICS AND THE PEOPLE THEY SERVE AND TO MANAGE THE FREE CLINIC DATA. 2215704 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 11 0 1 18 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JASON KOMA 6149146458 88 EAST BROAD STREET 1475 COLUMBUS OH 43215 ISI GREEN PRESIDENT 5.00 X X 0 0 0 JIM BENNEDICT VICE PRESIDENT - THROUGH 5/23 5.00 X X 0 0 0 PAUL BAUMGARTNER VICE CHAIR 5.00 X X 0 0 0 JOEL KESSEL TREASURER 5.00 X X 0 0 0 CAROLE MERCKLE SECRETARY 5.00 X X 0 0 0 CAPRI CAFARO DIRECTOR 5.00 X 0 0 0 JOSH CERNETIC DIRECTOR 5.00 X 0 0 0 RUSTY CURINGTON DIRECTOR 5.00 X 0 0 0 JAIME PARSONS DIRECTOR - THROUGH 5/23 5.00 X 0 0 0 BRANDON CHAPMAN DIRECTOR - THROUGH 5/23 5.00 X 0 0 0 SUE MEYER DIRECTOR 5.00 X 0 0 0 LINDA SMITH BERRY DIRECTOR 5.00 X 0 0 0 ANDY PRIDAY DIRECTOR 5.00 X 0 0 0 DENISE LUCAS DIRECTOR 5.00 X 0 0 0 SUMMIT SHAH DIRECTOR 5.00 X 0 0 0 ROB COOPER DIRECTOR - THROUGH 5/23 5.00 X 0 0 0 JASON KOMA EXECUTIVE DIRECTOR 40.00 X 145727 0 13115 145727 0 13115 1 0 1 0 0 31100 2333192 79597 2443889 EDUCATION EVENT 900099 30783 30783 30783 164259 164259 51642 0 51642 51642 51642 MISCELLANEOUS INCOME 900099 958 958 958 2691531 31741 0 215901 1741554 1741554 158842 63537 87701 7604 363739 286078 77661 92317 61762 29212 1343 25000 25000 27600 27600 11075 11075 15278 15278 2764 783 1901 80 11906 11906 23114 5779 17335 21870 21870 38365 38365 2139 642 1497 2793 1868 884 41 MISCELLANEOUS 12435 12185 250 DUES AND SUBSCRIPTIONS 7565 7565 EQUIPMENT 3109 1612 1497 CONTRACT SERVICES 2560 1713 810 37 1623 105 1518 2565648 2215704 340589 9355 893002 140894 94996 552733 202111 446647 16142 11601 23365 18929 6575 4436 5785634 6800627 58961 35632 7057421 7992570 169690 409880 235000 60633 35792 465323 445672 X 163274 1065593 6428824 6481305 6592098 7546898 7057421 7992570 125883 828917 0 X X 0 1 X 1 0 X 798766 1898054 1195498 1453982 2443889 7790189 28200 18333 22855 26354 30783 126525 826966 1916387 1218353 1480336 2474672 7916714 0 0 0 7916714 250 93 48 164037 215901 380329 250 93 48 164037 215901 380329 6815 418 740 958 8931 834031 1916480 1218819 1645113 2691531 8305974 0.95310 0.97130 0.04580 0.02620 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1 1 11075 11075 0 PART II-B, LINE 1: SECURED FUNDING IN THE STATE BIENNIAL BUDGET THROUGH MEETINGS WITH KEY MEMBERS OF THE OHIO GENERAL ASSEMBLY. 5785634 1014993 2507 6798120 6000000 -213833 533 5785634 1.00000 1 0 22975 18539 4436 390 390 0 4436 RIGHT OF USE LIABILITY 35792 35792 X 3505170 828917 -15278 813639 2691531 0 2691531 2550370 -15278 -15278 2565648 0 2565648 PART X, LINE 2: OHIO ASSOCIATION OF FREE CLINICS IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE ASSOCIAITON'S TAX-EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE ASSOCIATION'S REPORTING RETURNS ARE SUBJECT TO AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES. NO INCOME TAX PROVISION HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS AS THE ASSOCIATION HAS DETERMINED IT DOES NOT HAVE UNRELATED BUSINESS INCOME SUBJECT TO TAXATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES -15,278. PART XII, LINE 2D - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES -15,278. 1 ASHLAND CHRISTIAN HEALTH CENTER 380 E 4TH STREET ASHLAND OH 44805 421595274 501(C)(3) 32360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS ASIAN AMERICAN COMMUNITY SERVICES 2231 N HIGH STREET FIRST FLOOR COLUMBUS OH 43201 310898833 501(C)(3) 29708 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS BEACON CHARITABLE PHARMACY 408 9TH STREET SW 1450 CANTON OH 44707 200797475 501(C)(3) 20858 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS BREATHING ASSOCIATION FREE LUNG HEALTH CLINIC 1520 OLD HENDERSON ROAD COLUMBUS OH 432203639 314387540 501(C)(3) 17360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS CHARITABLE PHARMACY OF CENTRAL OHIO 200 E LIVINGSTON AVE COLUMBUS OH 43215 270147099 501(C)(3) 33360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS CLEVELAND IBN SINA CLINIC 6055 W 130TH STREET PARMA OH 44130 834347692 501(C)(3) 20708 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COLUMBUS CANCER CLINIC 1699 W MOUND ST COLUMBUS OH 43223 314379494 501(C)(3) 7294 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COLUMBUS FREE CLINIC 2231 N HIGH STREET COLUMBUS OH 43201 010575698 501(C)(3) 37860 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COMMUNITY CARE FREE MEDICAL CLINIC 2150 S BYRNE RD TOLEDO OH 43614 274077912 501(C)(3) 37887 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COMMUNITY OF HOPE FREE HEALTH CLINIC 306 BUSH ST TOLEDO OH 43604 921948217 501(C)(3) 7414 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COMPASSION MEDICAL CLINIC OF WILLIAMS COUNTY 614 E EDGERTON ST BRYAN OH 43506 204352598 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COMPASSIONATE CARE OF SHELBY COUNTY 124 N OHIO AVENUE SIDNEY OH 45365 208479583 501(C)(3) 20858 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS DWELL COMMUNITY CHURCH FREE CLINIC 1390 COMMUNITY PARK DR COLUMBUS OH 43229 501(C)(3) 11681 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS EVA WOMEN'S CLINIC 715 E BUCHTEL AVE AKRON OH 44305 501(C)(3) 10775 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS FAITHFUL SERVANTS FREE CLINIC 65 COMMUNITY ROAD SUITE F TALLMADGE OH 44278 454734159 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS FREE CLINIC OF FULTON COUNTY PO BOX 173 WAUSEON OH 43567 020792665 501(C)(3) 24733 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS FREE CLINIC OF MEDINA COUNTY 970 E WASHINGTON STREET SUITE 104 MEDINA OH 44256 300092944 501(C)(3) 19858 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS GOOD NEIGHBOR HOUSE 627 E FIRST STREET DAYTON OH 45402 311374154 501(C)(3) 33208 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS GOOD SAMARITAN FREE HEALTH CENTER 619 OAK STREET -ACCOUNTING 3 WEST CINCINNATI OH 45206 273893817 501(C)(3) 28708 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS GRACE CLINIC OF DELAWARE 40 S FRANKLIN ST DELAWARE OH 43015 270415624 501(C)(3) 43360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HALIM CLINIC 6855 SPRING VALLEY DR HOLLAND OH 43528 831212020 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HARTVILLE MIGRANT COUNCIL PO BOX 682 HARTVILLE OH 44632 340899100 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HEALTH PARTNERS FREE CLINIC 1300 N COUNTY RD 25A TROY OH 45373 311596731 501(C)(3) 39360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HELPING HANDS HEALTH & WELLNESS CENTER 1420 MORSE ROAD COLUMBUS OH 43229 205937457 501(C)(3) 37360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HOPE CLINIC OF ROSS COUNTY 610 CENTRAL CENTER CHILLICOTHE OH 45601 452390821 501(C)(3) 33360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LA CLINICA LATINA 2231 N HIGH STREET COLUMBUS OH 43201 860893491 501(C)(3) 32360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LAKE COUNTY FREE CLINIC 54 SOUTH STATE STREET SUITE 302 PAINESVILLE OH 44077 341081191 501(C)(3) 37360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LICKING COUNTY COMMUNITY HEALTH CLINIC 144 B W MAIN STREET NEWARK OH 43055 311340169 501(C)(3) 29708 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LIFECARE ALLIANCE 1699 W MOUND ST COLUMBUS OH 43223 314379494 501(C)(3) 25914 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LIVING WELL CLINIC 215 S ALLISON AVE PO BOX 15 XENIA OH 45385 274307745 501(C)(3) 32360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LORAIN COUNTY FREE CLINIC INC 3323 PEARL AVENUE LORAIN OH 44055 341506180 501(C)(3) 32360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS MEDWORKS 1950 RICHMOND ROAD TR205 LYNDHURST OH 44124 263858369 501(C)(3) 21858 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS MIDLOTHIAN FREE HEALTH CLINIC INC 388 E MIDLOTHIAN BLVD YOUNGSTOWN OH 44507 010887315 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS NEW LIFE COMMUNITY OUTREACH 25 WEST 5TH AVENUE COLUMBUS OH 43201 352386294 501(C)(3) 21510 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS OHIO UNIVERSITY HERITAGE COMMUNITY CLINIC 16 W GREEN DR ATHENS OH 45701 954814550 501(C)(3) 33860 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS OHIO VALLEY HEALTH CENTER 1 ROSS PARK BLVD STE 202 STUEBENVILLE OH 43952 203924355 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS OPEN ARMS FREE CLINIC 205 COMMERCE CT ELKHORN WI 53121 454475625 501(C)(3) 40716 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS OXFORD COLLEGE CORNER CLINIC (DBA OXFORD FREE CLINIC) PO BOX 390 OXFORD OH 45056 204253386 501(C)(3) 24708 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS PHYSICIANS CARE CONNECTION 1390 DUBLIN ROAD COLUMBUS OH 43215 311373719 501(C)(3) 25010 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS PREGNANCY SUPPORT CENTER OF STARK COUNTY 4500 22ND ST NW CANTON OH 44706 341461765 501(C)(3) 13528 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS REACH OUT OF MONTGOMERY COUNTY 25 E FORAKER ST DAYTON OH 45409 311434282 501(C)(3) 7414 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS RISING SUNS NON-PROFIT PHARMACY 86 COLUMBUS CIRCLE STE 104G ATHENS OH 45701 501(C)(3) 34360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS SALAAM CLINIC 1925 ST CLAIR AVE NE CLEVELAND OH 44114 261368320 501(C)(3) 28510 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS ST MARY'S CONNECT 501(C)(3) 38360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS ST VINCENT DE PAUL CHARITABLE PHARMACY 1125 BANK ST CINCINNATI OH 45214 310537510 501(C)(3) 200860 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS STOWE MISSION DENTAL AND VISION CLINIC 888 PARSONS AVE COLUMBUS OH 43206 320326645 501(C)(3) 21510 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS STUDENT RUN FREE CLINIC - NEOMED PO BOX 95 ROOTSTOWN OH 44272 341919613 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS THE NEIGHBORHOOD FREE CLINIC 306 N BUSH STREET TOLEDO OH 43604 271052744 501(C)(3) 23946 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS TOLDEOLUCAS COUNTY CARENET 3231 CENTRAL PARK WEST SUITE 200 TOLEDO OH 43617 431986672 501(C)(3) 25833 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS TUSCARAWAS CLINIC FOR THE WORKING UNINSURED 420 REEVES AVENUE SUITE D DOVER OH 44622 208456793 501(C)(3) 32360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VICTORY MINISTRIES 4142 WESTERVILLE ROAD COLUMBUS OH 43224 311117522 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VINEYARD COMMUNITY CENTER 15187 PALMER ROAD ETNA OH 43068 310954398 501(C)(3) 21510 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VINEYARD FREE HEALTH CLINICS 6000 COOPER ROAD WESTERVILLE OH 43081 753210233 501(C)(3) 22358 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VIOLA STARTZMAN FREE CLINIC 1874 CLEVELAND ROAD WOOSTER OH 44691 341758151 501(C)(3) 31360 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VOCALIZE COLUMBUS 557 S GRANT AVE COLUMBUS OH 43206 853528926 501(C)(3) 25683 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS 0 0 0 0 0 0 0 0 0 JASON KOMA EXECUTIVE DIRECTOR 145727 0 0 0 0 0 4500 0 8615 0 158842 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS ELECT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B BOARD MEMBERS RECEIVE A COPY OF THE 990 AND APPROVE IT BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, THE BOARD OF DIRECTORS AND ITS OFFICERS, WILL COMPLETE A QUESTIONNAIRE TO ASSIST THE ORGANIZATION WITH DETERMINING THAT THEY ARE IN COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OFFICERS RESEARCH, DELIBERATE, AND APPROVE COMPENSATION FOR THE EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED.