- Contacts with other clinics for the working uninsured showed that the need was critical, especially in Wilson County, where no such clinic existed.
- Clinics in Davidson County track persons coming for care from Wilson County because of the unmet need there.
- The Wilson County Health Department confirmed the need particularly in the western part of the county where they are not adequately serving due to their service overload.
- Hospital administrators confirmed that their emergency rooms are overloaded with charity care, with Summit Medical Center providing over $4 million charity care in the first quarter of the year.
- The elementary school principal at WA Wright School in Mt. Juliet, TN confirmed that 50% of the children there are on the federal lunch program since they are coming from low income families from the West Wilson County area.
- The Mt. Juliet Chamber of Commerce did a survey that revealed a substantial number of businesses that do not offer insurance and/or who have employees with no health insurance.
Based on this background information, a team of 8 persons met weekly in the summer of 2007 to formulate the mission/objectives/structure of Charis Health Center. Charis charges an office visit fee of $25. Charis believes if patients contribute toward their healthcare, they will become more accountable for their health.