TY 2022 Form 990 Schedule O

efile Public Visual Render ObjectId: 202342519349300149 - Submission: 2023-09-08 TIN: 56-2439708

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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Attach to Form 990 or 990-EZ.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization

JEFFERSON COMMUNITY HEALTH
CARE CENTERS INC

Employer identification number

56-2439708

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11B	UPON COMPLETION, FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE WHO THEN MAKES RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD REVIEWS THE COMMITTEE REPORT AND ACCEPTS FORM 990 FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUAL DISCLOSURE STATEMENTS ARE COMPLETED. AT THE ANNUAL MEETING, ANY EVENT WHERE A CONFLICT MAY BE SUSPECTED IS IMMEDIATELY ADDRESSED.
FORM 990, PART VI, SECTION B, LINE 15	OUTSIDE DATA IS COMPILED WITH SALARY COMPARISONS, ALONG WITH REVIEWS OF OTHER ENTITIES' FORM 990 AND COMPARISON WITH LIKE-SIZED AND FUNDED COMMUNITY HEALTH CENTERS FOR THE BOARD'S CONSIDERATION.
FORM 990, PART VI, SECTION C, LINE 19	ALL INFORMATION IS AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11G	DENTAL/MEDICAL CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,869,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,869,364. CONSULTING: PROGRAM SERVICE EXPENSES 92,275. MANAGEMENT AND GENERAL EXPENSES 83,936. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,211. LAB FEES: PROGRAM SERVICE EXPENSES 44,737. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,737. OPERATIONS: PROGRAM SERVICE EXPENSES 217,588. MANAGEMENT AND GENERAL EXPENSES 197,924. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 415,512. UNIFORMS/LINEN: PROGRAM SERVICE EXPENSES 4,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,338. INTERPRETATIONS: PROGRAM SERVICE EXPENSES 9,533. MANAGEMENT AND GENERAL EXPENSES 8,671. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,204. HR SCREENING: PROGRAM SERVICE EXPENSES 7,064. MANAGEMENT AND GENERAL EXPENSES 6,425. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,489.
FORM 990, PART XII, LINE 2C:	THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR IN THE OVERSIGHT OR SELECTION PROCESSES FOR THE AUDIT THAT THE ORGANIZATION'S COMMITTEE USES.

Return Reference

Explanation

FORM 990, PART VI, SECTION B, LINE 11B

UPON COMPLETION, FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE WHO THEN MAKES RECOMMENDATION TO THE FULL BOARD. THE FULL BOARD REVIEWS THE COMMITTEE REPORT AND ACCEPTS FORM 990 FOR FILING.

FORM 990, PART VI, SECTION B, LINE 12C

ANNUAL DISCLOSURE STATEMENTS ARE COMPLETED. AT THE ANNUAL MEETING, ANY EVENT WHERE A CONFLICT MAY BE SUSPECTED IS IMMEDIATELY ADDRESSED.

FORM 990, PART VI, SECTION B, LINE 15

OUTSIDE DATA IS COMPILED WITH SALARY COMPARISONS, ALONG WITH REVIEWS OF OTHER ENTITIES' FORM 990 AND COMPARISON WITH LIKE-SIZED AND FUNDED COMMUNITY HEALTH CENTERS FOR THE BOARD'S CONSIDERATION.

FORM 990, PART VI, SECTION C, LINE 19

ALL INFORMATION IS AVAILABLE UPON REQUEST.

FORM 990, PART IX, LINE 11G

DENTAL/MEDICAL CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,869,364. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,869,364. CONSULTING: PROGRAM SERVICE EXPENSES 92,275. MANAGEMENT AND GENERAL EXPENSES 83,936. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,211. LAB FEES: PROGRAM SERVICE EXPENSES 44,737. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,737. OPERATIONS: PROGRAM SERVICE EXPENSES 217,588. MANAGEMENT AND GENERAL EXPENSES 197,924. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 415,512. UNIFORMS/LINEN: PROGRAM SERVICE EXPENSES 4,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,338. INTERPRETATIONS: PROGRAM SERVICE EXPENSES 9,533. MANAGEMENT AND GENERAL EXPENSES 8,671. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,204. HR SCREENING: PROGRAM SERVICE EXPENSES 7,064. MANAGEMENT AND GENERAL EXPENSES 6,425. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,489.

FORM 990, PART XII, LINE 2C:

THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR IN THE OVERSIGHT OR SELECTION PROCESSES FOR THE AUDIT THAT THE ORGANIZATION'S COMMITTEE USES.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2022

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