2023-11-09T14:58:52-06:00 2022-12-31 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2022-01-01 223769296 CHARITABLE HEALTHCARE NETWORK INC CHAR 6149146458 88 EAST BROAD STREET 1475 COLUMBUS OH 43215 JASON KOMA EXECUTIVE DIRECTOR 6149146458 2023-11-08 1 JASON KOMA 999009999 0 JESSE YOUNG CPA P01236247 9373992000 2023-11-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JASON KOMA 88 EAST BROAD STREET 1475 COLUMBUS OH 43215 8288395 0 X WWW.OHIOFREECLINICS.ORG X 2002 OH TO IMPROVE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED PEOPLE IN OHIO, TO STRENGTHEN THE CAPACITY OF OHIO'S FREE CLINCS, TO BUILD A NETWORK AMONG FREE CLINICS AND TO BE AN ADVOCATE FOR FREE CLINICS AND THE PEOPLE THEY SERVE. 13 13 14 13 0 0 1195498 8097264 22855 26354 48 164037 418 740 1218819 8288395 935199 958638 0 0 240376 329626 0 0 11350 114853 281272 1290428 1569536 -71609 6718859 419675 7057421 168058 465323 251617 6592098 TO BE THE VOICE AND CONNECTOR FOR MEMBERS BY PROVIDING RESOURCES, EDUCATION AND ADVOCACY TO STRENGTHEN AND ENSURE HIGH QUALITY HEALTH CARE FOR PEOPLE WHO ARE VULNERABLE. 0 0 1362496 958638 27094 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. 0 0 VISTA PROGRAM: SERVICES TO STRENGTHEN AND SUPPLEMENT EFFORTS TO ELIMINATE POVERTY AND POVERTY-RELATED HUMAN, SOCIAL, AND ENVIRONMENTAL PROBLEMS. 1362496 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 14 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 5.00 X X 0 0 0 SUMMIT SHAH TREASURER 5.00 X X 0 0 0 CAPRI CAFARO DIRECTOR 5.00 X 0 0 0 ROB COOPER DIRECTOR 5.00 X 0 0 0 PAUL BAUMGARTNER DIRECTOR 5.00 X 0 0 0 JAIME PARSONS DIRECTOR 5.00 X 0 0 0 BRANDON CHAPMAN DIRECTOR 5.00 X 0 0 0 JOEL KESSEL DIRECTOR 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 CAROLE MERKLE DIRECTOR 5.00 X 0 0 0 DENISE LUCAS DIRECTOR 5.00 X 0 0 0 JASON KOMA EXECUTIVE DIRECTOR 40.00 X 67459 0 0 67459 0 0 0 0 0 0 0 25417 1424475 6647372 8097264 EDUCATION EVENT 900099 26354 26354 26354 164037 164037 MISCELLANEOUS INCOME 900099 740 740 740 8288395 27094 0 164037 958638 958638 67459 33730 30356 3373 230776 228275 2251 250 31391 27510 3493 388 142531 46400 91496 4635 14621 14621 50 50 5838 3747 1675 416 14926 14926 27718 6930 20788 5588 5588 31911 31911 2519 1259 1260 4608 4049 503 56 DUES AND SUBSCRIPTIONS 18023 18023 CONTRACT SERVICES 5580 2232 1116 2232 BANK CHARGES 2851 2851 EQUIPMENT 2789 2789 1719 100 1619 1569536 1362496 195690 11350 56581 893002 150071 94996 187000 202111 16929 16142 23365 16790 9094 6575 5785634 0 58961 419675 7057421 167027 169690 1031 235000 0 60633 168058 465323 X 251617 163274 6428824 251617 6592098 419675 7057421 6718859 -378378 0 X X 0 1 X 1 0 X 627863 798766 1898054 1195498 1453982 5974163 22976 28200 18333 22855 26354 118718 650839 826966 1916387 1218353 1480336 6092881 0 0 0 6092881 226 250 93 48 164037 164654 226 250 93 48 164037 164654 7400 6815 418 740 15373 658465 834031 1916480 1218819 1645113 6272908 0.97130 0.99560 0.02620 0.00010 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: DATE: 12/01/22 AMOUNT: 6643282. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1 1 50 50 0 PART II-B, LINE 1: SECURED FUNDING IN THE STATE BIENNIAL BUDGET THROUGH MEETINGS WITH KEY MEMBERS OF THE OHIO GENERAL ASSEMBLY. 6000000 -213833 533 5785634 1.00000 1 0 22975 16400 6575 390 390 0 6575 RIGHT OF USE LIABILITY 60633 60633 X 7910017 -378378 -378378 8288395 0 8288395 1569536 0 1569536 0 1569536 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. 1 ASHLAND CHRISTIAN HEALTH CENTER 380 E 4TH STREET ASHLAND OH 44805 421595274 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS ASIAN AMERICAN COMMUNITY SERVICES 2231 N HIGH STREET FIRST FLOOR COLUMBUS OH 43201 310898833 501(C)(3) 19435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS BEACON CHARITABLE PHARMACY 408 9TH STREET SW 1450 CANTON OH 44707 200797475 501(C)(3) 12585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS BREATHING ASSOCIATION FREE LUNG HEALTH CLINIC 1520 OLD HENDERSON ROAD COLUMBUS OH 432203639 314387540 501(C)(3) 14585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS BY THE WAY INC 1029 S BROAD STREET LANCASTER OH 43130 262934275 501(C)(3) 9438 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS CHARITABLE PHARMACY OF CENTRAL OHIO 200 E LIVINGSTON AVE COLUMBUS OH 43215 270147099 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS CLEVELAND IBN SINA CLINIC 6055 W 130TH STREET PARMA OH 44130 834347692 501(C)(3) 19435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COLUMBUS CANCER CLINIC 1699 W MOUND ST COLUMBUS OH 43223 314379494 501(C)(3) 12585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COLUMBUS FREE CLINIC 2231 N HIGH STREET COLUMBUS OH 43201 010575698 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COMMUNITY CARE FREE MEDICAL CLINIC 2150 S BYRNE RD TOLEDO OH 43614 274077912 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COMPASSION MEDICAL CLINIC OF WILLIAMS COUNTY 614 E EDGERTON ST BRYAN OH 43506 204352598 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS COMPASSIONATE CARE OF SHELBY COUNTY 124 N OHIO AVENUE SIDNEY OH 45365 208479583 501(C)(3) 12585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS DWELL COMMUNITY CHURCH FREE CLINIC 1390 COMMUNITY PARK DR COLUMBUS OH 43229 501(C)(3) 5847 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS FAITHFUL SERVANTS FREE CLINIC 65 COMMUNITY ROAD SUITE F TALLMADGE OH 44278 454734159 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS FREE CLINIC OF FULTON COUNTY PO BOX 173 WAUSEON OH 43567 020792665 501(C)(3) 14907 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) 14093 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS GOOD NEIGHBOR HOUSE 627 E FIRST STREET DAYTON OH 45402 311374154 501(C)(3) 19435 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) 19435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS GRACE CLINIC OF DELAWARE 40 S FRANKLIN ST DELAWARE OH 43015 270415624 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HALIM CLINIC 6855 SPRING VALLEY DR HOLLAND OH 43528 831212020 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HARTVILLE MIGRANT COUNCIL PO BOX 682 HARTVILLE OH 44632 340899100 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HEALTH PARTNERS FREE CLINIC 1300 N COUNTY RD 25A TROY OH 45373 311596731 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HELPING HANDS HEALTH & WELLNESS CENTER 1420 MORSE ROAD COLUMBUS OH 43229 205937457 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS HOPE CLINIC OF ROSS COUNTY 610 CENTRAL CENTER CHILLICOTHE OH 45601 452390821 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LA CLINICA LATINA 2231 N HIGH STREET COLUMBUS OH 43201 860893491 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LAKE COUNTY FREE CLINIC 54 SOUTH STATE STREET SUITE 302 PAINESVILLE OH 44077 341081191 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LICKING COUNTY COMMUNITY HEALTH CLINIC 144 B W MAIN STREET NEWARK OH 43055 311340169 501(C)(3) 19435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LIFECARE ALLIANCE 1699 W MOUND ST COLUMBUS OH 43223 314379494 501(C)(3) 6850 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LIVING WELL CLINIC 215 S ALLISON AVE PO BOX 15 XENIA OH 45385 274307745 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS LORAIN COUNTY FREE CLINIC INC 3323 PEARL AVENUE LORAIN OH 44055 341506180 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS MEDWORKS 1950 RICHMOND ROAD TR205 LYNDHURST OH 44124 263858369 501(C)(3) 9439 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS MIDLOTHIAN FREE HEALTH CLINIC INC 388 E MIDLOTHIAN BLVD YOUNGSTOWN OH 44507 010887315 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS NEW LIFE COMMUNITY OUTREACH 25 WEST 5TH AVENUE COLUMBUS OH 43201 352386294 501(C)(3) 14585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS OHIO UNIVERSITY HERITAGE COMMUNITY CLINIC 16 W GREEN DR ATHENS OH 45701 954814550 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS OHIO VALLEY HEALTH CENTER 1 ROSS PARK BLVD STE 202 STUEBENVILLE OH 43952 203924355 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS OPPORTUNITY PARISH ECUMENICAL NEIGHBORHOOD MINISTRY FREE CLINIC 941 PRINCETON AVENUE AKRON OH 44311 341046107 501(C)(3) 25170 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) 12585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS PHYSICIANS CARE CONNECTION 1390 DUBLIN ROAD COLUMBUS OH 43215 311373719 501(C)(3) 14585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS PREGNANCY SUPPORT CENTER OF STARK COUNTY 4500 22ND ST NW CANTON OH 44706 341461765 501(C)(3) 14585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS RISING SUNS NON-PROFIT PHARMACY 86 COLUMBUS CIRCLE STE 104G ATHENS OH 45701 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS SALAAM CLINIC 1925 ST CLAIR AVE NE CLEVELAND OH 44114 261368320 501(C)(3) 14585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS ST MARY'S CONNECT 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS ST VINCENT DE PAUL CHARITABLE PHARMACY 1125 BANK ST CINCINNATI OH 45214 310537510 501(C)(3) 18289 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS STOWE MISSION DENTAL AND VISION CLINIC 888 PARSONS AVE COLUMBUS OH 43206 320326645 501(C)(3) 14585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS STUDENT RUN FREE CLINIC - NEOMED PO BOX 95 ROOTSTOWN OH 44272 341919613 501(C)(3) 18289 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS THE NEIGHBORHOOD FREE CLINIC 306 N BUSH STREET TOLEDO OH 43604 271052744 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS TOLDEOLUCAS COUNTY CARENET 3231 CENTRAL PARK WEST SUITE 200 TOLEDO OH 43617 431986672 501(C)(3) 21435 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) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VICTORY MINISTRIES 4142 WESTERVILLE ROAD COLUMBUS OH 43224 311117522 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VINEYARD COMMUNITY CENTER 15187 PALMER ROAD ETNA OH 43068 310954398 501(C)(3) 14585 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VINEYARD FREE HEALTH CLINICS 6000 COOPER ROAD WESTERVILLE OH 43081 753210233 501(C)(3) 9438 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VIOLA STARTZMAN FREE CLINIC 1874 CLEVELAND ROAD WOOSTER OH 44691 341758151 501(C)(3) 21435 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS VOCALIZE COLUMBUS 557 S GRANT AVE COLUMBUS OH 43206 853528926 501(C)(3) 10366 0 TO PROVIDE SERVICES TO UNINSURED PATIENTS 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.