2023-05-01T14:47:33-07:00 2022-06-30 990 2021-07-01 134228071 COMMUNITY HEALTH FREE CLINIC COMM 3193630416 947 14th Avenue SE Cedar Rapids IA 52401 Laura Wirth Treasurer 3193630416 2023-05-15 1 11 1 AAL2 2021 2023-04-26 12:10:37Z Laura Wirth 947 14th Ave SE Cedar Rapids IA 52401 5297774 0 X WWW.COMMUNITYHFC.ORG X 2002 IA TO ALLEVIATE HUMAN PAIN AND SUFFERING BY PROVIDING ACCESS TO AND THE DELIVERY OF COMPASSIONATE HEALTHCARE. 13 13 18 123 0 0 6540587 5253948 0 0 46785 43826 0 0 6587372 5297774 0 0 0 0 297867 318936 0 0 58249 6015791 4836121 6313658 5155057 273714 142717 3533193 3516367 0 0 3533193 3516367 TO ALLEVIATE HUMAN PAIN AND SUFFERING BY PROVIDING ACCESS TO AND THE DELIVERY OF COMPASSIONATE HEALTHCARE. 0 0 4936287 0 5253948 Provided Free Health Care Services, including medical, dental and vision care for underserved and uninsured individuals in need of health care. Approximately 106 new patients were seen per month. The total of new and existing individuals served during the year was 3,102 with over 15,052 services provided. The Community Health Free Clinic served individuals all over the East Central Iowa area. 0 0 0 4936287 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 2 0 0 18 1 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CO FL IL MN MO NJ NV WA WI X MARTY MILLER 3192002540 715 10TH AVENUE SE CEDAR RAPIDS IA 52401 DARLENE SCHMIDT CEO 40 0 X 79500 0 0 Darline Davermann Reid President 1 0 X X 0 0 0 JERRY TIEDT DIRECTOR 1 0 X 0 0 0 JOHN BANKS DIRECTOR 1.0 0 X X 0 0 0 GREG DEWOLF VICE PRESIDENT 1 0 X X 0 0 0 JEANETTE WERLING DIRECTOR 1 0 X 0 0 0 Sue Lowder SECRETARY 1.00 0 X X 0 0 0 Dennis Naughton Director 1.0 0 X 0 0 0 Kevin Techau Director 1 0 X 0 0 0 Dave Muller Director 1 0 X 0 0 0 LAURA WIRTH TREASURER 1 0 X X 0 0 0 Kelly Allsup Assistant Treasurer 1 0 X X 0 0 0 Terri Christoffersen Director 1 0 X 0 0 0 Aimee Traugh Director 1 0 X 0 0 0 79500 0 0 0 0 0 0 0 213316 0 0 0 23872 5016760 4280401 5253948 0 43756 0 0 43756 0 0 0 0 0 0 0 0 0 0 70 0 0 0 70 0 70 0 0 70 0 0 5297774 0 0 43826 79500 59625 15900 3975 0 0 0 0 216772 136668 57459 22645 22664 15016 5612 2036 10290 0 10290 0 7661 0 7661 0 15065 0 0 15065 28689 10024 16393 2272 36544 24212 9049 3283 41593 27558 10298 3737 58275 38610 14429 5236 13430 0 13430 0 Donated Goods 4280401 4280401 0 0 Medications 88964 88964 0 0 Medical Services 187620 187620 0 0 Other 67589 67589 0 0 5155057 4936287 160521 58249 113022 237712 407810 590647 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2070791 998742 1130323 1072049 1882038 1615959 3533193 3516367 0 0 0 0 0 0 0 0 0 0 0 0 X 3097185 2959996 436008 556371 3533193 3516367 3533193 3516367 X 142717 -159543 0 0 0 0 X 0 1 1 0 X 3761434 4234957 5054446 6540587 5253948 24845372 3761434 4234957 5054446 6540587 5253948 24845372 24845372 29054 38643 35169 26385 43756 173007 0 0 0 0 0 0 0 0 25018379 0 0.99308 0.99091 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1452292 166000 -120368 0 15747 7661 1474516 1067954 175000 230956 0 15069 6550 1452291 1081358 10000 -3598 0 13814 5992 1067954 1010118 40435 49560 0 12935 5820 1081358 749717 222211 55823 0 12611 5022 1010118 0.7 0.3 0 1 0 0 27160 27160 0 1825081 780192 1044889 0 0 0 0 0 218550 218550 0 0 0 0 0 1072049 Beneficial Interest in Assets Held at GCRCF 1474516 CSV Life Insurance 27563 Certificates of Deposit 113880 1615959 0 0 X 850171 -159542 0 0 0 -159542 1009713 7660 4280401 4288061 5297774 866995 0 0 0 0 0 866995 7661 4280401 4288062 5155057 Schedule D, Part V, Line 4 CHFC intends to use earnings from the endowment funds for long term financial support of the clinic. Schedule D, Part X, Line 2 The clinic is exempt from income taxes under sec 501(c)(3) of the IRS tax code and a similar section of the Iowa income tax law, which provides income tax exemptions for corporations organized and operated exclusively for religious or charitable or educational purposes. the IRS has classified the clinic as a private foundation. The organizationfiles information returns in the federal jurisdiction and follows the standard of evaluating uncertain tax positions. the organization has dertermined that it is not required to record a liability for uncertain tax positions. Schedule D, Part XI, Line 4b Donated medications are not included in the audited financial revenue and expenses. The estimated value of donated medications is included with the audited financials in a separate supplementary schedule of donated goods and services. The supplementary schedule is compiled by the clinic and is meant as a complement to the audited financials. Schedule D, Part XII, Line 4b Donated Medications $4,280,401 are not included in the audited financial statement of income and expense and change in net assets. These are instead included in an independent schedule of donated goods and services provided by the clinic with no audit opinion (on the schedule). The schedule is intended as a complement to the audited financials. Donated services are also not included in the audited financials or the 990 numbers, X 360 4280401 FMV 0 0 1 0 Schedule M, Part I, Line 20 Column B is an estimate of the number of donations in this category. Form 990, Part VI, Section B, Line 11b The federal form 990 is prepared by the clinic's Director of Finance and then reviewed by the CHFC board Treasurer; any necessary changes are made. the draft document is then sent to all board members for comment/review. Comments are addressed by the Director of Finance and Treasurer before the federal form 990 is filed with the IRS Form 990, Part VI, Section B, Line 12c Upon first being elected to the board of directors, appointed to a board committee or elected as an officer of CHFC, the board member, board committee, or officer is required to complete the conflict of interest disclosure statement and submit the statement to the board president. If the board president has concerns about any statement -he shall submit the statement to the executive committee of the chfc board of directors. each statement shall be resubmitted with any necessary changes each year or as additonal conflicts of interest arise. staements are retained by the executive director in chfc offices. Form 990, Part VI, Section B, Line 15 In April of each year a budget is prepared for the following fiscal year by the Director of Finance and CEO incorporated new goals, new programs and other expected changes including employee wage increases. A budget of projected income. expense and capital expenditures is presented along with a budget narrative to the Finance committee for their approval and then to the entire board for their final approval. Form 990, Part VI, Section C, Line 19 CHFC makes its governing documents, conflict of interest policy, and financial statements available to the public upon request either by hard copy or electronic format. Form 990, Part XI, Line 9 CHFC changed from accrual basis to cash basis effective June 30 2021. At that time - donated goods and services were moved to a separate independent schedule as a complement to the audited statements. Schedule B, Part I For contributions greater than 2% test. GCRCF consists of Quarton Fund and other Donor Advised Funds managed by GCRCF and designated for the benefit of CHFC. NovoNordisk supplies insulin and other brand name prescription medicine samples. Safe Net supplies prescription medications.