HIS HANDS MINISTRIES: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HIS HANDS MINISTRIES (EIN 39-1878606)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-07
IRS object ID
202203139349300135
Schema version
2021v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-07T21:02:13-07:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN391878606EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HIS HANDS MINISTRIESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHISHBusinessNameControlTxt
Phone3198622636PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11245 2nd Ave SEAddressLine1Txt
CityCedar RapidsCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52403ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBeth DisselkoenPersonNm
Person TitleTreasurerPersonTitleTxt
Phone3198622636PhoneNum
Signature2022-11-07SignatureDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer1TrustedCustomerCd
OOB Security Verification11OOBSecurityVerificationCd
Last Submission Rqr OOB1LastSubmissionRqrOOBCd
Authentication Assurance LevelAAL2AuthenticationAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1His Hands Free ClinicBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerBeth DisselkoenPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11245 2nd Ave SeAddressLine1Txt
CityCedar RapidsCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52403ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,584,523GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHisHandsClinic.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionThe primary purpose of the organization is to bring glory to God by meeting the physical, emotional, and spiritual needs of those without adequate resources.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee15TotalEmployeeCnt
Total Volunteers173TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,106,041PYContributionsGrantsAmt
CY Contributions Grants$1,582,935CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income-$31,019PYInvestmentIncomeAmt
CY Investment Income$598CYInvestmentIncomeAmt
PY Other Revenue$4,760PYOtherRevenueAmt
CY Other Revenue$990CYOtherRevenueAmt
PY Total Revenue$1,079,782PYTotalRevenueAmt
CY Total Revenue$1,584,523CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$360,791PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$423,079CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$34,291PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$47,047CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$183,079CYTotalFundraisingExpenseAmt
PY Other Expenses$407,809PYOtherExpensesAmt
CY Other Expenses$513,493CYOtherExpensesAmt
PY Total Expenses$802,891PYTotalExpensesAmt
CY Total Expenses$983,619CYTotalExpensesAmt
PY Revenues Less Expenses$276,891PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$600,904CYRevenuesLessExpensesAmt
Total Assets BOY$1,965,532TotalAssetsBOYAmt
Total Assets EOY$1,675,113TotalAssetsEOYAmt
Total Liabilities BOY$1,020,991TotalLiabilitiesBOYAmt
Total Liabilities EOY$129,668TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$944,541NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,545,445NetAssetsOrFundBalancesEOYAmt
MissionThe primary purpose of the organization is to bring glory to God by meeting the physical, emotional, and spiritual needs of those without adequate resources.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$713,830ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescHis Hands Ministries doing business as His Hands Free Clinic offers a wide variety of services designed to best fit the needs of our community. Services include medical, dental, chiropractic, women's health, mental health, prescription assistance, spiritual care, casework services, and durable medical equipment. All services are by appointment only. In 2021, the clinic had 1,572 general medical visits, 145 diabetes visits, 215 chiropractic visits, 110 physical therapy visits, 167 dental visits, 657 casework visits, and 41 optical visits. Volunteers gave 9,615 hours of service.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$713,830TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document8IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee15EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKimberly GreinerPersonNm
Phone3198622636PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11245 2nd Ave SEAddressLine1Txt
CityCedar RapidsCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52403ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerInd
Dawn Brouwers
Executive Director31.50Yes (X)$50,165$0$0
Phil Hershner
President4.50$0$0$0Yes (X)Yes (X)
Alan Bensema
Treasurer80$0$0$0Yes (X)Yes (X)
Ann Lawrence
Director1.50$0$0$0Yes (X)
Thomas Moore
Director10$0$0$0Yes (X)
Jonathan DeMildt
Director11.0$0$0$0Yes (X)
Beth Disselkoen
Director10$0$0$0Yes (X)
Donald Paynter
Director10$0$0$0Yes (X)
Lori Soppe
Secretary1.00$0$0$0Yes (X)Yes (X)
Mary Lehner
Director10$0$0$0Yes (X)
Ray Vasser
Director10$0$0$0Yes (X)
Kevin McCarville
Director1.800$0$0$0Yes (X)
Jill Helling
Vice President2.00$0$0$0Yes (X)Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$50,165TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$7,786FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$58,400GovernmentGrantsAmt
All Other Contributions$1,516,749AllOtherContributionsAmt
Noncash Contributions$285,553NoncashContributionsAmt
Total Contributions$1,582,935TotalContributionsAmt
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$598TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$598ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Reimbursed Expenses900099$540$540$0$0
Miscellaneous Revenue900099$450$450$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$990OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,584,523TotalRevenueColumnAmt
Related Or Exempt Func Income$990RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$598ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$50,165TotalAmt
Program Services$12,541ProgramServicesAmt
Management And General$12,541ManagementAndGeneralAmt
Fundraising$25,083FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$330,747TotalAmt
Program Services$228,024ProgramServicesAmt
Management And General$36,171ManagementAndGeneralAmt
Fundraising$66,552FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$13,870TotalAmt
Program Services$8,698ProgramServicesAmt
Management And General$3,513ManagementAndGeneralAmt
Fundraising$1,659FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,297TotalAmt
Program Services$17,827ProgramServicesAmt
Management And General$3,679ManagementAndGeneralAmt
Fundraising$6,791FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,013TotalAmt
Management And General$2,013ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,800TotalAmt
Management And General$3,800ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$47,047TotalAmt
Fundraising$47,047FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$22,685TotalAmt
Fundraising$22,685FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,612TotalAmt
Program Services$8,089ProgramServicesAmt
Management And General$4,833ManagementAndGeneralAmt
Fundraising$3,690FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,201TotalAmt
Program Services$12,094ProgramServicesAmt
Management And General$8,930ManagementAndGeneralAmt
Fundraising$177FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$32,118TotalAmt
Program Services$28,585ProgramServicesAmt
Management And General$2,569ManagementAndGeneralAmt
Fundraising$964FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$143TotalAmt
Program Services$0ProgramServicesAmt
Management And General$143ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,157TotalAmt
Program Services$15,270ProgramServicesAmt
Management And General$1,373ManagementAndGeneralAmt
Fundraising$514FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$46,315TotalAmt
Program Services$41,221ProgramServicesAmt
Management And General$3,705ManagementAndGeneralAmt
Fundraising$1,389FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,986TotalAmt
Program Services$7,471ProgramServicesAmt
Management And General$2,432ManagementAndGeneralAmt
Fundraising$83FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Medications and Medical Program$317,107$317,107$0$0
Program and Volunteer Expense$10,093$9,593$500$0
Equipment$4,725$4,205$378$142
Fundraising - Other$6,128$0$0$6,128

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,410TotalAmt
Program Services$3,105ProgramServicesAmt
Management And General$130ManagementAndGeneralAmt
Fundraising$175FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$983,619TotalAmt
Program Services$713,830ProgramServicesAmt
Management And General$86,710ManagementAndGeneralAmt
Fundraising$183,079FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$202,612BOYAmt
EOY$363,145EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$598,820BOYAmt
EOY$241,802EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,908BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$34,811BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$123,490BOYAmt
EOY$121,274EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,123BOYAmt
EOY$1,076EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,138,870LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$194,439LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$986,749BOYAmt
EOY$944,431EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,019BOYAmt
EOY$3,385EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,965,532BOYAmt
EOY$1,675,113EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$27,591BOYAmt
EOY$9,668EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$935,000BOYAmt
EOY$120,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,400BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,020,991BOYAmt
EOY$129,668EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$845,277BOYAmt
EOY$1,425,124EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$99,264BOYAmt
EOY$120,321EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$944,541BOYAmt
EOY$1,545,445EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,965,532BOYAmt
EOY$1,675,113EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$600,904ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$536,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$883,240CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,001,837CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,106,041CurrentTaxYearMinus1YearAmt
Current Tax Year$1,582,935CurrentTaxYearAmt
Total$5,110,553TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$536,500CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$883,240CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,001,837CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,106,041CurrentTaxYearMinus1YearAmt
Current Tax Year$1,582,935CurrentTaxYearAmt
Total$5,110,553TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$5,110,553PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$67CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$84CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$79CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,155CurrentTaxYearMinus1YearAmt
Current Tax Year$598CurrentTaxYearAmt
Total$2,983TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$180CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$963CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,387CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,760CurrentTaxYearMinus1YearAmt
Current Tax Year$990CurrentTaxYearAmt
Total$8,280TotalAmt
FieldValueIRS element (for citing)
Total Support$5,121,816TotalSupportAmt
Public Support CY1700.99780PublicSupportCY170Pct
Public Support PY1700.99761PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10FormAndLineReferenceDesc
ExplanationOther Income consists of reimbursed expenses for records provided to the State of Iowa and patient participation in university studies.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,019BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$392InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$26AdministrativeExpensesAmt
End Year Balance$3,385EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,500BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$600InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$81AdministrativeExpensesAmt
End Year Balance$3,019EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,500BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$2,500EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,500BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$2,500EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$2,500ContributionsAmt
Investment Earnings Or Losses$0InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$2,500EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$81,300OtherCostOrOtherBasisAmt
Book Value$81,300BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$897,835OtherCostOrOtherBasisAmt
Depreciation$59,895DepreciationAmt
Book Value$837,940BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$159,735OtherCostOrOtherBasisAmt
Depreciation$134,544DepreciationAmt
Book Value$25,191BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$944,431TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt
Total Liability$0TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4The endowment fund was established to assist the Organization with general operations as well as programmatic activity depending upon where the greatest need is at any given time.
Schedule D, Part X, Line 2As a 501(c)(3) organization, the Organization is exempt from federal and state income taxes except for taxes that may result from unrelated business activities. At December 31, 2021 and 2020, the Organization has determined that there are no unrelated business activities for which income taxes would be due. Accordingly, no provision for income taxes has been recorded in the accompanying financial statements. Accounting standards prescribe recognition thresholds and measurement principles for the financial statement disclosure of tax positions taken or expected to be taken that are not certain to be realized. Management annually reviews its tax positions and has determined that there are not material uncertain tax positions that require recognition in the financial statements at December 31, 2021 and 2020.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

FieldValueIRS element (for citing)
Business Name Line1Amerperage IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16711 Chancellor DrAddressLine1Txt
CityCedar FallsCityNm
State AbbreviationIAStateAbbreviationCd
ZIP50613ZIPCd
FieldValueIRS element (for citing)
ActivityProvides consulting for all aspects of capital campaign.ActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$661,583GrossReceiptsAmt
Retained By Contractor$47,047RetainedByContractorAmt
Net To Organization$614,536NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$661,583TotalGrossReceiptsAmt
Total Retained By Contractors$47,047TotalRetainedByContractorsAmt
Total Net To Organization$614,536TotalNetToOrganizationAmt
Licensed StatesCALicensedStatesCd
Licensed StatesIALicensedStatesCd
Licensed StatesMNLicensedStatesCd

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$5,538NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution155ContributionCnt
Noncash Contributions Rpt F990$274,580NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)Office Supplies25$4,465Fair Market Value
Yes (X)Furniture1$970Fair Market Value
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11bA complete draft of the Form 990 is reviewed by management and forwarded to all board members. Board members are given the opportunity to review and provide comments to the Board President and Treasurer. If changes are made as part of the review process, the updated draft is forwarded to all voting board members prior to filing the return with the IRS.
Form 990, Part VI, Section B, Line 12cThe board and staff are covered by the Conflict of Interest Policy. Board members complete and sign a Conflict of Interest Statement in January each year. Potential conflicts are reported to the Executive Director and Board President. The Board, excluding any potentially conflicted member, makes the final determination as to whether the potential conflict is an actual conflict.
Form 990, Part VI, Section B, Line 15The Board meets, discusses and votes on the appropriate compensation of the Executive Director. The deliberations and decisions are documented in the board minutes.
Form 990, Part VI, Section C, Line 19The governing documents, Conflict of Interest Policy, and financial statements are available to the public upon request.

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