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North Carolina · Nonprofit

NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC

NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC (North Carolina) receives grants from 13 organizations whose IRS filings report $3,580,152 to it, the largest being NORTH CAROLINA COMMUNITY FOUNDATION ($2,500,000). 5 of them have funded it in more than one year, and 80% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.

Revenue FY2024
$6.4M
Funders on record
13
Grants received
$3.6M
Net assets
$2.3M
5/13 repeat fundersgrants exceed reported revenue in one year
01What it does

What North Carolina Association of Free and Charitable Clinics Inc does

Mission

We support and advocate for our member organizations to provide healthcare for the uninsured and underinsured of north carolina.

As stated on its FY2024 Form 990.

Programs

  1. To improve access to free health clinics and pharmacies for the uninsured and underinsured people of north carolina.

    $288,677 spentof which $68,380 as grants
    5% of program spending
  2. Coronavirus state and local fiscal recovery funds - provide funds for member clinics to provide necessary and appropriate relief from the effects of covid-19.

    $180,999 spent
    3% of program spending
  3. Nc directed grant sl 2023-134 - provide funds to enable the organization to provide health care services and other supports to uninsured and underinsured patients across north carolina.

    $5,274,514 spentof which $5,000,658 as grants
    92% of program spending

The 3 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $5,744,190.

02The organization over time

The organization over time

Each line starts at 100 in 2019, so what you read is the shape rather than the size: 150 means half as much again as 2019, 50 means half. The number beside each label in the key is where it ended. The shaded band is where the middle 50% of its peers' revenue would sit, given their growth.

100 = 20192019 Revenue 100 ($1.7M) Expenses 100 ($1.5M) Net assets 100 ($758k)2020 Revenue 945 ($16M) Expenses 686 ($10M) Net assets 820 ($6.2M)2021 Revenue 17 ($278k) Expenses 307 ($4.7M) Net assets 248 ($1.9M)2022 Revenue 614 ($10M) Expenses 693 ($11M) Net assets 208 ($1.6M)2023 Revenue 392 ($6.6M) Expenses 421 ($6.4M) Net assets 237 ($1.8M)2024 Revenue 383 ($6.4M) Expenses 395 ($6.0M) Net assets 297 ($2.3M)
201920202021202220232024
Revenue (383)Expenses (395)Net assets (297)Peer revenue range

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2019 to 2020, from $830k to $7.7M (+821%).

$830k
$7.7M
$1.9M
$4.9M
$4.8M
$6.8M
201920202021202220232024
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2019 5% · 2020 78% · 2022 92% · 2023 89% · 2024 87%. Grants only. Government contracts and fees sit inside program revenue.

99% of NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC’s revenue is contributions — more reliant on donations than three-quarters of its peers (51% for the typical peer).

This organization
Typical peer · 8,611 orgs

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 2 of the last 6 reported years ran a deficit.

$157k
’19
$5.4M
’20
−$4.4M
’21
−$245k
’22
$175k
’23
$414k
’24
11
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Chief executive

April Cook

CEO

Board chair

Krista Woolly

Chair

As listed on its FY2024 Form 990.

201920202021202220232024
Listed111111131214
Joined·+0+2+4+3+2
No longer listed·02240
03Who funds it

Who funds it, year by year

2017 → 2023: the base broadened from 1 funder to 5 funders, grant income rose $19k → $157k.

3 of 13 of your funders are donor-advised or pass-through sponsors (tagged DAF) — 80% of grant dollars received. That money is really individual donors directing a sponsor; the institutions to cultivate are the non-DAF funders.

From the IRS filings of NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC’s funders (the co-funder graph). Top 12 of 13 funders by total. Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC leans on a few funders — its largest provides 70% of grant income and the top three 87%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

94% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC.

70%
largest funder
87%
top three
~2
effective funders

Largest funder’s share by year: 2017 100% · 2019 100% · 2020 100% · 2021 91% · 2022 84% · 2023 41% — diversifying over time.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How long its funders stay

40% of NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC's funders are still giving 2 years after their first grant; 38% give in more than one year at all.

first grant+1y+2y

Share of funders still giving k years after their first recorded grant, pooled across every acquisition cohort. A funder counts as retained in a year only if it made a grant that year. Measured to FY2023, the last fiscal year that has finished arriving — a funder cannot be counted as lapsed in a year most filers have not reached.

Where its funders are

80% of NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC's grant income arrives through donor-advised or pass-through sponsors, whose addresses record where the money is held rather than where the donor is. Of the $727k that is directly attributable, 78% of it comes from North Carolina funders.

CT
CA
NC

In-state vs out-of-state, by year

’17
’20
’21
’22
’23
North Carolina out of state home

Funder states come from each funder’s own filing. $2.9M arriving through sponsors registered in 1 state is excluded from the map and the split above: a sponsor holds money on a donor’s behalf, so its registered address would place those dollars somewhere no donor need ever have been. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Against its field

NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC holds deeper cash reserves than three-quarters of the 8,121 health nonprofits its size.

Operating margin6% · above the median
Months of reserve11.2mo · top quartile
Revenue growth (annualized)31% · top quartile

this organization peer median middle 50% of peers· 8,121 health nonprofits $1M–$10M, FY2024

Organizations like NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In North Carolina

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

96% of spending goes to programs.

Program 96%Management 2%Fundraising 2%

Governance

12
board members
100%
independent
✓Conflict-of-interest policy✓Whistleblower policy–Document retention✓Board reviewed the 990✓Audited financials

Public support

99%

Share of support from the public (Schedule A) — the basis for its public-charity status.

Footprint & structure

Files a return copy in 1 state

NC

Screen this organization

A dated, signed PDF of the compliance screen for NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

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Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC?
NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC (North Carolina) receives grants from 13 organizations whose IRS filings report $3,580,152 to it, the largest being NORTH CAROLINA COMMUNITY FOUNDATION ($2,500,000). 5 of them have funded it in more than one year, and 80% of the money arrives through donor-advised or pass-through sponsors rather than from an institution directly.
How many funders does NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC have?
IRS filings report 13 organizations giving $3,580,152 in grants to NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC, 5 of which have funded it in more than one year.
Who is the largest funder of NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC?
NORTH CAROLINA COMMUNITY FOUNDATION is the largest funder on record, with $2,500,000 in grants. The full list of funders is on this page.
How can an organization like NORTH CAROLINA ASSOCIATION OF FREE AND CHARITABLE CLINICS INC find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in North Carolina. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2019–2024), and the filings of 13 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing