Civic Intelligence

Compassionate Health Center Inc

EIN 32-0237943 • 501(c)3 • Rochester, IN

Profile

The mission of compassionate health center is to provide underserved and uninsured adults of fulton county, indiana and surrounding areas with high quality integrated healthcare services. We endeavor to provide competent, accessible, and compassionate healthcare to those in need.

740 St Rd 25 NRochester, IN 46975

www.chcfulton.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

69th percentile

0.02x

Higher debt load relative to assets than 69% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

72nd percentile

0.02x

Higher debt load relative to revenue than 72% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

22nd percentile

-22%

Higher net margin than 22% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

94th percentile

$53,758

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 32.1% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

33rd percentile

-18%

Faster asset growth than 33% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

63rd percentile

9.4%

Faster revenue growth than 63% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Assets

Down

$165,479

Down $36,889 (-18%) from 2023

Liabilities

Down

$2,579

Down $2,835 (-52%) from 2023

Net Assets

Down

$162,900

Down $34,054 (-17%) from 2023

Revenue

Up

$167,407

Up $14,442 (+9.4%) from 2023

Expenses

Up

$203,813

Up $10,155 (+5.2%) from 2023

Net Income

Up

-$36,406

Up $4,287 (+11%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$400K$300K$200K$100K$0Assets 2012: $282,870Liabilities 2012: $2,674Net Assets 2012: $280,1962012Assets 2014: $359,162Liabilities 2014: $4,274Net Assets 2014: $354,8882014Assets 2015: $384,541Liabilities 2015: $3,503Net Assets 2015: $381,0382015Assets 2016: $394,915Liabilities 2016: $3,961Net Assets 2016: $390,9542016Assets 2017: $368,610Liabilities 2017: $2,653Net Assets 2017: $365,9572017Assets 2018: $342,059Liabilities 2018: $3,091Net Assets 2018: $338,9682018Assets 2019: $304,038Liabilities 2019: $2,698Net Assets 2019: $301,3402019Assets 2020: $278,967Liabilities 2020: $2,303Net Assets 2020: $276,6642020Assets 2021: $254,685Liabilities 2021: $2,898Net Assets 2021: $251,7872021Assets 2022: $236,585Liabilities 2022: $12,870Net Assets 2022: $223,7152022Assets 2023: $202,368Liabilities 2023: $5,414Net Assets 2023: $196,9542023Assets 2024: $165,479Liabilities 2024: $2,579Net Assets 2024: $162,9002024

Highlighted filing

2024

Assets$165,479
Liabilities$2,579
Net Assets$162,900

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$300K$200K$100K$0-$100KExpenses 2012: $141,9922012Revenue 2014: $188,449Expenses 2014: $157,273Net Income 2014: $31,1762014Revenue 2015: $176,691Expenses 2015: $150,541Net Income 2015: $26,1502015Revenue 2016: $178,248Expenses 2016: $154,762Net Income 2016: $23,4862016Revenue 2017: $140,184Expenses 2017: $164,727Net Income 2017: -$24,5432017Revenue 2018: $134,630Expenses 2018: $161,619Net Income 2018: -$26,9892018Revenue 2019: $138,070Expenses 2019: $175,677Net Income 2019: -$37,6072019Revenue 2020: $147,850Expenses 2020: $172,526Net Income 2020: -$24,6762020Revenue 2021: $141,477Expenses 2021: $166,354Net Income 2021: -$24,8772021Revenue 2022: $145,736Expenses 2022: $173,808Net Income 2022: -$28,0722022Revenue 2023: $152,965Expenses 2023: $193,658Net Income 2023: -$40,6932023Revenue 2024: $167,407Expenses 2024: $203,813Net Income 2024: -$36,4062024

Highlighted filing

2024

Revenue$167,407
Expenses$203,813
Net Income-$36,406

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 12, 2025
Return Version
2024v5.0
Gross Receipts
$172,072
Mission and Program Overview

Mission

The mission of compassionate health center is to provide underserved and uninsured adults of fulton county, indiana and surrounding areas with high quality integrated healthcare services. We endeavor to provide competent, accessible, and compassionate healthcare to those in need.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$139,945$148,943▲ $8,998
Investments in Publicly Traded Securities$49,212--
Cash and Non-Interest-Bearing Accounts$6,153$5,082▼ $1,071
Land, Buildings, and Equipment, Net-$4,092-
Total Assets$202,368$165,479▼ $36,889
Other Assets Total$7,058$7,362▲ $304
Liabilities
Accounts Payable and Accrued Expenses$5,414$2,579▼ $2,835
Total Liabilities$5,414$2,579▼ $2,835
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$189,896$155,538▼ $34,358
Net Assets With Donor Restrictions$7,058$7,362▲ $304
Total Net Assets Fund Balance$196,954$162,900▼ $34,054
Total Liabilities and Net Assets / Fund Balance$202,368$165,479▼ $36,889

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$4,092$8,840$12,932
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Mary KayExecutive DiPT$53,758$53,758

Board Members and Trustees

NameTitle
Debbie PotterPresident
Alan FisherBoard Member
Angela RamierzBoard Member
Deb WalshBoard Member
Laura RobertsBoard Member
Phil FryeBoard Member
Vicki WhiteBoard Member
Nancy WaggonerSecretary
Terry WardTreasurer
Curt HaussmannVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$138,609
Program Service Revenue
$0
Investment Income
$6,810
Other Revenue
$21,988
All Other Contributions
$123,609
Change in Net Assets
$-36,406
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$120,134
Other Expenses$83,679
Total Fundraising Expense$19,222
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$79,233$14,508$17,856$111,597
Fees for Services Other$39,427$219-$39,646
Occupancy$12,697$7,815-$20,512
Payroll Taxes$6,061$1,110$1,366$8,537
Information Technology$5,312$2,757-$8,069
Insurance-$3,114-$3,114
Office Expenses$1,153$1,758-$2,911
Fees for Services Accounting-$775-$775
Advertising$88$263-$351
Fees for Service Investment Mgmnt Fees-$251-$251
Other Expenses$224$301-$224
Depreciation Depletion$166--$166
Travel$50$51-$101
All Other Expenses$44$1-$45
Total Functional Expenses$149,225$35,366$19,222$203,813
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$26,228
Fundraising Direct Expenses$4,665
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Fundraising$26,228$26,228$4,665$21,563
Total Events$26,228$26,228$4,665$21,563
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Board of directors are provided copy of 990 for review. Upon approval by the board of directors, the executive director is given permission to sign and submit the tax return to the irs via e-file by the organization's tax preparer.

Form 990, Page 6, Part VI, Line 12C

Conflict of interest policy is required to be signed annually by all board members, the executive director, and the office manager.

Form 990, Page 6, Part VI, Line 15A

Board of directors review the compensation for the executive director on an annual basis and determine whether changes should be made based on the executive director's performance evaluation.

Form 990, Page 6, Part VI, Line 15B

Board of directors review the compensation for the nurse practitioner and office manager on an annual basis and determine whether changes should be made based on performance evaluations and input from the executive director.

Form 990, Page 6, Part VI, Line 19

Documents available upon request at entity's office during regular office hours.

Filing and Contact Details

Filer

Filer Name
Compassionate Health Center Inc
EIN
32-0237943
Phone
5742236080
Address
740 ST RD 25 N, ROCHESTER, IN 46975
Doing Business As
Compassionate Health Center

Signing Officer

Name
Mary Kay
Title
Executive Director
Phone
5742236080
Signed
2025-05-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Debbie Potter
Formed
2008
Legal Domicile
In
Voting Board Members
10
Independent Board Members
10
Employees
3
Volunteers
18

Preparer

Firm
REA LOGAN & CO LLC CPA'S
Address
825 N BROADWAY, PERU, IN 46970-1618
Preparer
Alan Smith CPA
Phone
7654738840
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

The mission of compassionate health center is to provide underserved and uninsured adults of fulton county, indiana and surrounding areas with high quality integrated healthcare services. We endeavor to provide competent, accessible, and compassionate healthcare to those in need.

Form 990, Part IX, Line 11G

Contracted services 39,427 219 0

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt01110
IRS990/PayrollTaxesGrp/ProgramServicesAmt06061
IRS990/PayrollTaxesGrp/TotalAmt08537
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0DEBBIE POTTER
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0136858
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt0-1301
IRS990/PYOtherExpensesAmt082011
IRS990/PYOtherRevenueAmt017408
IRS990/PYRevenuesLessExpensesAmt0-40693
IRS990/PYSalariesCompEmpBnftPaidAmt0111647
IRS990/PYTotalExpensesAmt0193658
IRS990/PYTotalRevenueAmt0152965
IRS990/ReconcilationRevenueExpnssAmt0-36406
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0139945
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0148943
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0MISCELLANEOUS REVENUE 1,408
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART II, LINE 10
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0138609
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0136858
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0143654
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0110605
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0136564
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0666290
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt06810
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt0-1301
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0-14802
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt015497
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt03198
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt09402
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt096964
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt0425
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt0384
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt0469
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt0357
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt0198
IRS990ScheduleA/OtherIncome170Grp/TotalAmt01833
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.98340
IRS990ScheduleA/PublicSupportPY170Pct00.98170
IRS990ScheduleA/PublicSupportTotal170Amt0666290
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0138609
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0136858
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0143654
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0110605
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0136564
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0666290
IRS990ScheduleA/TotalSupportAmt0677525
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/EquipmentGrp/BookValueAmt04092
IRS990ScheduleD/EquipmentGrp/DepreciationAmt08840
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt012932
IRS990ScheduleD/TotalBookValueLandBuildingsAmt04092
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt04665
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0FUNDRAISING
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt026228
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt026228
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt026228
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt026228
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt021563
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt04665
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt04665
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE MISSION OF COMPASSIONATE HEALTH CENTER IS TO PROVIDE UNDERSERVED AND UNINSURED ADULTS OF FULTON COUNTY, INDIANA AND SURROUNDING AREAS WITH HIGH QUALITY INTEGRATED HEALTHCARE SERVICES. WE ENDEAVOR TO PROVIDE COMPETENT, ACCESSIBLE, AND COMPASSIONATE HEALTHCARE TO THOSE IN NEED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BOARD OF DIRECTORS ARE PROVIDED COPY OF 990 FOR REVIEW. UPON APPROVAL BY THE BOARD OF DIRECTORS, THE EXECUTIVE DIRECTOR IS GIVEN PERMISSION TO SIGN AND SUBMIT THE TAX RETURN TO THE IRS VIA E-FILE BY THE ORGANIZATION'S TAX PREPARER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2CONFLICT OF INTEREST POLICY IS REQUIRED TO BE SIGNED ANNUALLY BY ALL BOARD MEMBERS, THE EXECUTIVE DIRECTOR, AND THE OFFICE MANAGER.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3BOARD OF DIRECTORS REVIEW THE COMPENSATION FOR THE EXECUTIVE DIRECTOR ON AN ANNUAL BASIS AND DETERMINE WHETHER CHANGES SHOULD BE MADE BASED ON THE EXECUTIVE DIRECTOR'S PERFORMANCE EVALUATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4BOARD OF DIRECTORS REVIEW THE COMPENSATION FOR THE NURSE PRACTITIONER AND OFFICE MANAGER ON AN ANNUAL BASIS AND DETERMINE WHETHER CHANGES SHOULD BE MADE BASED ON PERFORMANCE EVALUATIONS AND INPUT FROM THE EXECUTIVE DIRECTOR.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5DOCUMENTS AVAILABLE UPON REQUEST AT ENTITY'S OFFICE DURING REGULAR OFFICE HOURS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6CONTRACTED SERVICES 39,427 219 0
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 15B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART IX, LINE 11G
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0IN
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0202368
IRS990/TotalAssetsEOYAmt0165479
IRS990/TotalAssetsGrp/BOYAmt0202368
IRS990/TotalAssetsGrp/EOYAmt0165479
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0138609
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt019222
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt035366
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0149225
IRS990/TotalFunctionalExpensesGrp/TotalAmt0203813
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt05414
IRS990/TotalLiabilitiesEOYAmt02579
IRS990/TotalLiabilitiesGrp/BOYAmt05414
IRS990/TotalLiabilitiesGrp/EOYAmt02579
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0196954
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0162900
IRS990/TotalProgramServiceExpensesAmt0149225
IRS990/TotalReportableCompFromOrgAmt053758
IRS990/TotalRevenueGrp/ExclusionAmt07235
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0167407
IRS990/TotalVolunteersCnt018
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0202368
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0165479
IRS990/TravelGrp/ManagementAndGeneralAmt051
IRS990/TravelGrp/ProgramServicesAmt050
IRS990/TravelGrp/TotalAmt0101
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02413 S 925 E
IRS990/USAddress/CityNm0ROCHESTER
IRS990/USAddress/StateAbbreviationCd0IN
IRS990/USAddress/ZIPCd046975
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0WWW.CHCFULTON.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0MARY KAY

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