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IRS-authorized e-file provider · not the IRS

Nonprofit · EIN 30-0042070

COMMUNITY HEALTH CLINIC INC

Tax-exempt · ELIZABETHTOWN, KY 42701

Financials

$127K$167K2023$83K$91K2024
Revenue Expenses · by fiscal year end
Financials of COMMUNITY HEALTH CLINIC INC by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
December 31, 2024990-EZ$83,158$90,651-$7,493$7,124–$7,124
December 31, 2023990$126,853$167,148-$40,295$14,617$0$14,617
Financial details: 990-EZ for the year ended December 31, 2024

Revenue

Contributions, gifts and grants
$62,120
Investment income
$3
Net income from fundraising events
$21,035

Expenses

Compensation of officers, directors and key employees
$0
Salaries, compensation and benefits (total)
$64,522
Professional fees and payments to contractors
$1,500
Occupancy
$8,462
Other expenses
$16,167
Program services (functional)
$90,651

Balance sheet and other

Total assets, start of year
$14,617
Total assets, end of year
$7,124
Total liabilities, end of year
–
Net assets, end of year
$7,124
Cash, savings and investments
$7,124
Gross receipts
$83,158

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990-EZ for the year ended December 31, 2024, highest compensation first.

NameTitleHours / weekCompensation
DAVID ZOELLERCO-MEDICAL D2$0
SYED QUADRICO-MEDICAL D2$0
CHARLES DAVID PETERSONBOARD CHAIRM2$0
DIANE LOGSDONBOARD MEMBER2$0
BRYCE SHUMATEBOARD MEMBER2$0
SAADIA QURESHIBOARD MEMBER2$0
STEVE WHITEBOARD MEMBER2$0
TIMOTHY SUTHERLANDBOARD MEMBER2$0
MICHAEL HARMONTREASURER2$0
MARTY SUTHERLANDBOARD MEMBER2$0
ROBERT KRAUSMANBOARD MEMBER2$0
RICHARD SEITHERBOARD MEMBER2$0
990 for the year ended December 31, 2023: 14 people
NameTitleHours / weekCompensation
JESSICA DAILEYEXECUTIVE DI
Trustee or director, Officer
40$45,113
VENUS CORNETTEEXECUTIVE DI
Trustee or director, Officer
30$1,832
DAVID ZOELLERCO-MEDICAL D
Trustee or director, Officer
2$0
SYED QUADRICO-MEDICAL D
Trustee or director, Officer
2$0
CHARLES DAVID PETERSONBOARD CHAIRM
Trustee or director, Officer
2$0
DIANE LOGSDONBOARD MEMBER
Trustee or director
2$0
BRYCE SHUMATEBOARD MEMBER
Trustee or director
2$0
SAADIA QURESHIBOARD MEMBER
Trustee or director
2$0
STEVE WHITEBOARD MEMBER
Trustee or director
2$0
TIMOTHY SUTHERLANDBOARD MEMBER
Trustee or director
2$0
MICHAEL HARMONTREASURER
Trustee or director, Officer
2$0
MARTY SUTHERLANDBOARD MEMBER
Trustee or director
2$0
ROBERT KRAUSMANBOARD MEMBER
Trustee or director
2$0
RICHARD SEITHERBOARD MEMBER
Trustee or director
2$0

Address and contacts

Address (IRS master file)
3046 DOLPHIN DR STE 100, ELIZABETHTOWN, KY 42701-7182
In care of
% BRYCE SHUMATE
Signed the 990-EZ
CHARLES DAVID PETERSON, BOARD CHAIRMAN
Phone
(270) 763-9589
Return prepared by
CERITY PARTNERS

Mission

TO PROVIDE BASIC HEALTH CARE SERVICES TO THE UNINSURED, LOW-INCOME RESIDENTS OF HARDIN, LARUE, GRAYSON, BRECKENRIDGE AND MEADE COUNTIES OF KENTUCKY.

990-EZ for the year ended December 31, 2024

Program accomplishments

  • ALL SERVICES ARE PROVIDED FREE OF CHARGE AND ARE AVAILABLE ONLY THOSE PERSONS MEETING CLINIC ELIGIBILITY REQUIREMENTS AND BEGIN WITH A MEDICAL OFFICE VISIT BY WHICH ADDITIONAL SERVICES MAY BE PROVIDED WITH A MEDICAL ORDER. A VOLUNTEER STAFF OF PHYSICIANS, PHYSICIAN ASSISTANTS, AND NURSE PRACTITIONERS PROVIDE MEDICAL OFFICE VISITS EVERY TUESDAY AND THURSDAY EVENING.
    Expenses $90,651
  • HOME MEDICAL EQUIPMENT IS PROVIDED FREE OF CHARGE TO CLINIC PATIENTS WITH CERTAIN MEDICAL CONDITIONS, E.G. ASTHMA, SLEEP APNEA
  • THE COMMUNITY HEALTH CLINIC HOSTS ITS OWN LICENSED PHARMACY PROVIDING PHARMACY SERVICES ORDERED DURING A MEDICAL OFFICE VISIT.
  • THROUGH AN AFFILIATION WITH THE COLLEGE LIONS CLUB CLINIC PATIENTS MAY RECEIVE A REFERRAL FOR VISION CARE. THE COLLEGE LIONS CLUB PROVIDES VOUCHERS FOR LOCAL OPTOMETRY SERVICES AND BASIC EYEWEAR. THE CLINIC LAB IS CLIA WAIVED AND SPONSORED BY LAB CORP. VOLUNTEER LAB TECHNICIANS COLLECT SPECIMENS FOR LAB WORK. CLINIC PATIENTS MUST BE EVALUATED DURING A MEDICAL OFFICE VISIT FIRST BEFORE BEING REFERRED FOR DENTAL CARE. THE COMMUNITY HEALTH CLINIC VOLUNTEER DENTISTS PROVIDE BASIC DENTAL SERVICES. CERTAIN DIAGNOSTIC SERVICES ORDERED THROUGH A CLINIC OFFICE VISIT MAY BE MADE AVAILABLE FREE OF CHARGE. LOCAL SPECIALISTS PROVIDE EVALUATION AND RECOMMENDATIONS FOR CLINIC PATIENTS REFERRED FOR A ONE VISIT COURTESY CONSULTATION. SPECIALIST CONSULTATIONS UNAVAILABLE LOCALLY ARE REFERRED TO U OF L PHYSICIANS ASSOCIATES WHERE SERVICES ARE PROVIDED ON A SLIDING SCALE.

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025December 31, 2025May 15, 2026Not on file
2024December 31, 2024May 15, 2025990-EZ on file
2023December 31, 2023May 15, 2024990 on file

File the 2025 990-EZ for COMMUNITY HEALTH CLINIC INC

Due May 15, 2026 · e-filed with the IRS by 990.tax, an IRS-authorized e-file provider

IRS record

EIN
30-0042070
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Publicly supported organization (170(b)(1)(A)(vi))
Donations deductible (Pub 78)
Public charity, 50% deduction limit
Exempt since
2002
Accounting year ends
December
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E32)
Assets (IRS master file)
$7,124
Income (IRS master file)
$83,158

Filing history

FormYear endedRevenueExpensesAssetsReturn
990-EZDecember 2024$83,158$90,651$7,124IRS
990December 2023$126,853$167,148$14,617XML
990December 2022$222,191$262,881$54,912IRS
990December 2021–––IRS
990December 2020–––IRS
990December 2018–––IRS
990December 2017–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 30-0042070).

Questions about COMMUNITY HEALTH CLINIC INC

What is the EIN of COMMUNITY HEALTH CLINIC INC?
The employer identification number (EIN) of COMMUNITY HEALTH CLINIC INC is 30-0042070.
Is COMMUNITY HEALTH CLINIC INC tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2002.
Are donations to COMMUNITY HEALTH CLINIC INC tax-deductible?
Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
Which annual return does COMMUNITY HEALTH CLINIC INC file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of COMMUNITY HEALTH CLINIC INC due?
The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did COMMUNITY HEALTH CLINIC INC last file with the IRS?
The latest return in the IRS public files is the 990-EZ for the year ended December 2024.
Who are the officers and directors of COMMUNITY HEALTH CLINIC INC?
The 990-EZ for the year ended December 31, 2024 lists 12 people; 0 received compensation from the organization.
How much revenue does COMMUNITY HEALTH CLINIC INC have?
On its 990-EZ for the year ended December 31, 2024 it reported revenue of $83,158, expenses of $90,651 and total assets of $7,124 at year end.

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