Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI
Employer identification number
20-0902286
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
1,242,192
1,140,236
929,710
641,350
1,036,302
4,989,790
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
1,242,192
1,140,236
929,710
641,350
1,036,302
4,989,790
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
4,989,790
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
1,242,192
1,140,236
929,710
641,350
1,036,302
4,989,790
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
75,067
50,639
26,481
515
66,300
219,002
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
25,385
63,591
98,605
61,337
-16,835
232,083
11
Total support (Add lines 7 through 10).
5,440,875
12
Gross receipts from related activities, etc. (see instructions)
..................
12
118,041
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
91.710 %
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
92.910 %
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
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 to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
CENTER FOR CLOSING THE HEALTH GAP IN GREATER CINCINNATI
Employer identification number
20-0902286
Return Reference
Explanation
FORM 990, PAGE 2, PART III, LINE 4A
DEVELOPING ACTION PLANS, ADVOCACY SKILLS, THE IMPORTANCE OF COLLABORATIVE LEADERSHIP AND PROJECT SUSTAINABILITY. THE STUDENTS LEARN TO INFLUENCE, ENGAGE, AND MOBILIZE COMMUNITY MEMBERS ON THEIR BLOCK, THEIR CHURCH OR ORGANIZATION TO ADDRESS ISSUES IMPORTANT TO THE COMMUNITY. THEY ALSO LEARN HOW TO DEVELOP ACTION PLANS TO MAKE CHANGE ALONG WITH THE IMPORTANCE OF COLLABORATIVE LEADERSHIP AND WORKING WITH OTHERS. CEA HELD 1 CLASS THIS FISCAL YEAR. THE CLASS INCLUDED SIX-FOUR HOUR TRAINING SESSIONS OVER A THREE MONTH PERIOD. THE CLASS WAS DIVERSE IN AGE, GENDER, AND RACE. THE AMOUNT OF PREVIOUS TRAINING AND INVOLVEMENT IN THE COMMUNITY VARIED FROM NO INVOLVEMENT TO HIGHLY INVOLVED. THE HEALTH GAP'S FIRST ANNUAL BLACK MEN'S HEALTH CONFERENCE PROVED TO BE AN ENLIGHTENING EVENT FOR THE OVER 150 AFRICAN AMERICAN MEN ON SATURDAY, NOVEMBER 9, 2013 AT THE DRAKE CENTER. PARTICIPANTS CONSISTENTLY DESCRIBED THE EVENT AS 'INSPIRING' AND 'VERY INFORMATIVE.' THE KEYNOTE SPEAKER WAS BASKETBALL LEGEND OSCAR ROBERTSON. THERE WERE 4 WORKSHOPS FOCUSING ON DIABETES, PROSTATE HEALTH, CARDIOVASCULAR, AND SEXUALLY TRANSMITTED DISEASES. OTHER OUTREACH ACTIVITIES INCLUDE A WEEKLY NEWSPAPER COLUMN, LOCAL AND NATIONAL PRESENTATIONS, COMMUNITY WORKSHOPS, AND PROGRAM SPONSORSHIPS. THE HEALTH GAP ALSO PARTNERS IN COMMUNITY EVENTS TO PROMOTE THE HEALTH GAP'S PROGRAMS AND OTHER IMPORTANT HEALTH ISSUES. THOUSANDS OF PEOPLE WERE REACHED THROUGH THESE COMMUNITY EVENTS.
FORM 990, PAGE 2, PART III, LINE 4D
11TH ANNUAL HEALTH EXPO - THE HEALTH GAP HELD ITS 11TH ANNUAL HEALTH EXPO ON APRIL 26, 2014 AT CINCINNATI'S WASHINGTON PARK. THIS YEAR OVER 15,000 PEOPLE ATTENDED THIS FREE EVENT. THIS WAS OUR LARGEST EXPO ATTENDANCE TO DATE. OUR EXPO PROMOTED AWARENESS ABOUT HEALTH DISPARITIES AND HEALTHY LIFE STYLES FOR FAMILIES. PARTICIPANTS RECEIVED INFORMATION ABOUT NUTRITION, PHYSICAL ACTIVITIES, AND RELATED TOPICS TO HELP THEM LEAD HEALTHIER LIVES. WE FEATURED A VARIETY OF FAMILY FRIENDLY ACTIVITIES INCLUDING: 20 FREE, COMPREHENSIVE HEALTH SCREENINGS. OVER 4,500 HEALTH SCREENINGS WERE PERFORMED ON 1,500 ADULTS AND CHILDREN; MOVIN' AND GROOVIN' STAGE WITH CONTINUOUS PHYSICAL FITNESS DEMONSTRATIONS. OVER 500 PEOPLE PARTICIPATED IN PHYSICAL ACTIVITIES HELD THROUGHOUT THE DAY; CHILDREN'S PAVILION FEATURES HEALTH SCREENINGS AND PHYSICAL FITNESS AND NUTRITION ACTIVITIES FOR AGES 2 TO 14; 50 EXHIBITORS; WOBBLE LINE DANCE COMPETITION. WE NOW HOLD THE GUINNESS WORLD RECORD FOR THE WORLD'S LARGEST WOBBLE LINE DANCE. 2,241 PARTICIPANTS HELPED SET THIS RECORD; SINGING COMPETITION; AND ENTERTAINMENT. WE COLLECTED DATA ON THE HEALTH OF THE PARTICIPANTS TO DETERMINE THEIR INTERESTS FOR FUTURE PROGRAMS. THROUGHOUT THE YEAR, EXPO ATTENDEES ARE INVITED TO PARTICIPATE IN OUR PROGRAMS AND ACTIVITIES. 1,000 ADULT PARTICIPANTS COMPLETE THE HEALTH SCREENING QUESTIONNAIRE. ADDITIONALLY, ATTENDEES COMPLETED 356 HEALTH EXPO SURVEYS, 287 MEN'S HEALTH SURVEYS, AND 250 CRADLE CINCINNATI (INFANT MORTALITY) SURVEYS. MT. AUBURN DO RIGHT BLOCK BY BLOCK PROGRAM - THE MT. AUBURN DO RIGHT BLOCK BY BLOCK MODEL IS A NEW INITIATIVE THAT BUILDS OFF OF THE SUCCESS OF OUR DO RIGHT CAMPAIGN, BUT ON A SMALLER BLOCK-BY-BLOCK SCALE. THIS PROGRAM WAS FUNDED BY COCA COLA AND THE HEALTH GAP. THE MT. AUBURN BLOCK-BY-BLOCK PILOT WAS COMPLETED. TWENTY-TWO PERSONS COMPLETED THE 12 WEEK PILOT PROGRAM. THE MT. AUBURN BLOCK PARTICIPANTS ARE CURRENTLY IN PHASE 2 OF THE PROGRAM. THE PURPOSE OF THE PROGRAM IS TO HELP FAMILIES EAT BETTER AND EXERCISE MORE TO IMPROVE THEIR OVERALL QUALITY OF LIFE. THE PROGRAM IS A NEIGHBORHOOD RESIDENT-LED, HOUSEHOLD FOCUSED, 12-WEEK BLOCK-BY-BLOCK INTERVENTION. THE 12-WEEK INTERVENTION IS DESIGNED TO IMPROVE DIET AND PHYSICAL ACTIVITY, AND TO INCREASE RESIDENTS' CONFIDENCE WITH ASKING FOR SUPPORT FOR CHANGES IN THE BUILT ENVIRONMENT THAT WILL SUPPORT HEALTHY BEHAVIORS. BEHAVIORAL GOALS WILL FOCUS ON INCREASING FRUIT AND VEGETABLE INTAKE TO > 5 SERVINGS/DAY, OBTAINING 3 STRUCTURED MEALS DAILY, DECREASING SCREEN TIME (OUTSIDE OF WORK OR SCHOOL) TO < 2 HOURS PER DAY, INCREASING MODERATE-TO-VIGOROUS PHYSICAL ACTIVITY TO > 1 HOUR PER DAY, AND REDUCING SUGAR-SWEETENED BEVERAGE INTAKE TO ALMOST NONE. THE ULTIMATE GOAL OF THIS WORK IS TO INCREASE HEALTHY FOOD ACCESS IN GREATER CINCINNATI TO REDUCE THE RISK OF CHILDHOOD OBESITY. NEXT FISCAL YEAR WE PLAN TO IMPLEMENT THE BLOCK PROGRAM WITH 75 PARTICIPANTS. DO RIGHT HEALTHY CORNER STORE NETWORK - THE HEALTH GAP RECEIVED A GRANT FROM THE GREATER CINCINNATI FOUNDATION FOR EXPANSION OF THE DO RIGHT HEALTHY CORNER STORE NETWORK. OUR GOAL IS TO INCREASE ACCESS TO HEALTHY FOOD CHOICES, AND THEREBY REDUCE UNHEALTHY DIETS THAT CONTRIBUTE TO HIGH RATES OF OBESITY FOUND WITHIN THE CITY OF CINCINNATI, SPECIFICALLY IN THE NEIGHBORHOOD OF AVONDALE AND OTHER FOOD DESERT AREAS. FOOD DESERTS ARE AREAS WHERE RESIDENTS SUFFER FROM LOW TO NO ACCESS TO HEALTHY FOOD CHOICES. BY INCREASING ACCESS TO HEALTHY FOODS, AND ACTIVELY TEACHING PEOPLE HEALTHY NUTRITION IDEAS, WE CAN STOP AND POTENTIALLY REVERSE THE OBESITY EPIDEMIC. WE CURRENTLY HAVE 8 DO RIGHT CORNER STORES IN AVONDALE, THE WEST END, WALNUT HILLS, AND CUMMINGSVILLE. WE PROVIDE THE STORES WITH SUPPORT THROUGH SPECIALIZED TRAININGS, AND MARKETING FOR THE NEWLY INTRODUCED PRODUCE. ADDITIONALLY, PARTICIPATING STORES RECEIVED DISPLAY MATERIALS, SIGNAGE TO ASSIST THEM WITH SELLING FRESH FRUITS AND VEGETABLES, AND OTHER HEALTHY FOODS, AND HEALTHY RECIPES AND FOOD TIPS FOR THEIR CUSTOMERS. WE ALSO HOST IN STORE COOKING DEMONSTRATIONS AND NUTRITION EDUCATION. OVER 550 PERSONS WERE EDUCATED AT THE STORES' NUTRITION TABLES. BASED ON EVIDENCE TO-DATE, THE CONCEPT HAS BEEN EFFECTIVE. THE HEALTH GAP IS CURRENTLY WORKING TO EXPAND THE CORNER STORE NETWORK TO THE FOLLOWING SIX NEIGHBORHOODS: 1) UPPER PRICE HILL, 2) BOND HILL, 3) NORTHSIDE, 4) MT. AUBURN, 5) WESTWOOD, & 6) FAIRMOUNT AFTER WE CONDUCT FOOD ASSESSMENTS IN EACH OF THESE NEIGHBORHOODS. CHOICE NEIGHBORHOODS IMPLEMENTATION GRANT - THE HEALTH GAP IS CONTRACTING WITH THE COMMUNITY BUILDERS, INC. ON THE CHOICE NEIGHBORHOODS IMPLEMENTATION GRANT FUNDED BY THE UNITED STATES DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT. THIS 5 YEAR GRANT INCLUDES NUMEROUS PARTNERS AND WILL IMPLEMENT A TRANSFORMATIVE PLAN FOR COMPREHENSIVE AND SUSTAINABLE REVITALIZATION FOR THE CINCINNATI NEIGHBORHOOD OF AVONDALE. WE ARE A HEALTH PARTNER AND WILL BE PROVIDING PROGRAMS TO IMPROVE AVONDALE CHOICE RESIDENTS' HEALTH BEHAVIORS, NUTRITION, AND COMMUNITY ENGAGEMENT SKILLS. MT. AUBURN PHYSICAL ACTIVITY ENVIRONMENT IMPROVEMENT - THE HEALTH GAP RECEIVED A PLANNING GRANT FROM INTERACT FOR HEALTH TO DEVELOP AN ACTION PLAN FOR THE MT. AUBURN NEIGHBORHOOD TO INCREASE AND MAINTAIN ACCESS TO ACTIVITY SPACES FOR RESIDENTS. WE ARE COLLABORATING WITH COMMUNITY STAKEHOLDERS TO DEVELOP THEM THIS PLAN.
FORM 990, PAGE 6, PART VI, LINE 2
DINSMORE & SHOHL, LLP DINSMORE & SHOHL, LLP PARTNER PARTNER PARTNERS IN LAW FIRM
FORM 990, PAGE 6, PART VI, LINE 11B
AN ELECTRONIC COPY OF THE FORM 990 WILL BE DISTRIBUTED TO EACH BOARD MEMBER PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12C
BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT.
FORM 990, PAGE 6, PART VI, LINE 19
THESE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PAGE 12, PART XII, LINE 2C
THE OPERATING COMMITTEE OVERSEES THE AUDIT PROCESS, JUST AS IN PRIOR YEARS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.