HIS HANDS MINISTRIES: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: HIS HANDS MINISTRIES (EIN 39-1878606)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-10-25
IRS object ID: 202132989349301528
Schema version: 2020v4.0
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-10-25T09:46:29-07:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	391878606	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HIS HANDS MINISTRIES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HISH	BusinessNameControlTxt
Phone	3198622636	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1245 2nd Ave SE	AddressLine1Txt
City	Cedar Rapids	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52403	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Alan Bensema	PersonNm
Person Title	Treasurer	PersonTitleTxt
Phone	3198622636	PhoneNum
Signature	2021-10-25	SignatureDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
OOB Security Verification	11	OOBSecurityVerificationCd
Last Submission Rqr OOB	1	LastSubmissionRqrOOBCd
Authentication Assurance Level	AAL2	AuthenticationAssuranceLevelCd
Profile Password Change	Yes (X)	ProfilePasswordChangeInd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	His Hands Free Clinic	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	Alan Bensema	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1245 2nd Ave SE	AddressLine1Txt
City	Cedar Rapids	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52403	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,286,706	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HisHandsClinic.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	The 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 Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	15	TotalEmployeeCnt
Total Volunteers	155	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,001,837	PYContributionsGrantsAmt
CY Contributions Grants	$1,106,041	CYContributionsGrantsAmt
PY Program Service Revenue	$0	PYProgramServiceRevenueAmt
CY Program Service Revenue	$0	CYProgramServiceRevenueAmt
PY Investment Income	$79	PYInvestmentIncomeAmt
CY Investment Income	-$31,019	CYInvestmentIncomeAmt
PY Other Revenue	-$34,617	PYOtherRevenueAmt
CY Other Revenue	$4,760	CYOtherRevenueAmt
PY Total Revenue	$967,299	PYTotalRevenueAmt
CY Total Revenue	$1,079,782	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$305,255	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$360,791	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$34,291	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$139,418	CYTotalFundraisingExpenseAmt
PY Other Expenses	$569,866	PYOtherExpensesAmt
CY Other Expenses	$407,809	CYOtherExpensesAmt
PY Total Expenses	$875,121	PYTotalExpensesAmt
CY Total Expenses	$802,891	CYTotalExpensesAmt
PY Revenues Less Expenses	$92,178	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$276,891	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,343,456	TotalAssetsBOYAmt
Total Assets EOY	$1,965,532	TotalAssetsEOYAmt
Total Liabilities BOY	$676,149	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,020,991	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$667,307	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$944,541	NetAssetsOrFundBalancesEOYAmt
Mission	The 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$582,023	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	His 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 2020, the clinic had 1,486 general medical visits, 145 diabetes visits, 101 medical consultation visits, 241 chiropractic visits, 10 mental health visits, 91 physical therapy visits, 129 dental visits, 473 casework visits, and 41 optical visits. Volunteers gave 5,924 hours of service.	Desc
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$0	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$582,023	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	Yes (1)	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	6	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	15	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Own Website	Yes (X)	OwnWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Dawn Brouwers	PersonNm
Phone	3198622636	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1245 2nd Ave SE	AddressLine1Txt
City	Cedar Rapids	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52403	ZIPCd

Field	Value	IRS element (for citing)
No Listed Persons Compensated	Yes (X)	NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Key EmployeeKeyEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd
Dawn Brouwers
Executive Director	31.5	Yes (X)	$47,586	$0	$0
Jill Helling
President	5		$0	$0	$0	Yes (X)	Yes (X)
Phil Hershner
Vice President	2		$0	$0	$0	Yes (X)	Yes (X)
Alan Bensema
Treasurer	8		$0	$0	$0	Yes (X)	Yes (X)
Ann Lawrence
Secretary	1		$0	$0	$0	Yes (X)	Yes (X)
Thomas Moore
Director	1		$0	$0	$0	Yes (X)
Johathan De Mildt
Director	1		$0	$0	$0	Yes (X)
Beth Disselkoen
Director	1		$0	$0	$0	Yes (X)
Donald Paynter
Director	1		$0	$0	$0	Yes (X)
Lori Soppe
Director	1		$0	$0	$0	Yes (X)
Mary Lehner
Director	1		$0	$0	$0	Yes (X)
Ray Vasser
Director	1		$0	$0	$0	Yes (X)
Kevin McCarville
Director	1		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$47,586	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$0	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$5,541	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$1,100,500	AllOtherContributionsAmt
Noncash Contributions	$138,775	NoncashContributionsAmt
Total Contributions	$1,106,041	TotalContributionsAmt
Total Program Service Revenue	$0	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,155	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$2,155	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$173,750	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$206,924	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$33,174	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$33,174	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$33,174	ExclusionAmt

Field	Value	IRS element (for citing)
Contri Rpt Fundraising Event	$0	ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Net Insurance Damage Proceeds	900099	$3,147	$0	$0	$3,147
Other Miscellaneous Income	900099	$998	$0	$0	$998
Reimbursed Expenses	900099	$615	$0	$0	$615

Miscellaneous Revenue MiscellaneousRevenueGrp

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

Field	Value	IRS element (for citing)
Other Revenue Total	$4,760	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,079,782	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	-$26,259	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$47,586	TotalAmt
Program Services	$11,896	ProgramServicesAmt
Management And General	$11,896	ManagementAndGeneralAmt
Fundraising	$23,794	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$279,165	TotalAmt
Program Services	$207,752	ProgramServicesAmt
Management And General	$18,167	ManagementAndGeneralAmt
Fundraising	$53,246	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,781	TotalAmt
Program Services	$6,794	ProgramServicesAmt
Management And General	$2,105	ManagementAndGeneralAmt
Fundraising	$882	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$24,259	TotalAmt
Program Services	$16,307	ProgramServicesAmt
Management And General	$2,232	ManagementAndGeneralAmt
Fundraising	$5,720	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,654	TotalAmt
Management And General	$1,654	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,300	TotalAmt
Management And General	$4,300	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$34,291	TotalAmt
Fundraising	$34,291	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,938	TotalAmt
Program Services	$5,938	ProgramServicesAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$12,013	TotalAmt
Fundraising	$12,013	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,132	TotalAmt
Program Services	$8,339	ProgramServicesAmt
Management And General	$5,954	ManagementAndGeneralAmt
Fundraising	$4,839	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$23,235	TotalAmt
Program Services	$11,515	ProgramServicesAmt
Management And General	$11,497	ManagementAndGeneralAmt
Fundraising	$223	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$46,972	TotalAmt
Program Services	$41,939	ProgramServicesAmt
Management And General	$3,660	ManagementAndGeneralAmt
Fundraising	$1,373	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$154	TotalAmt
Management And General	$154	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$31,177	TotalAmt
Program Services	$27,748	ProgramServicesAmt
Management And General	$2,494	ManagementAndGeneralAmt
Fundraising	$935	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,289	TotalAmt
Program Services	$26,957	ProgramServicesAmt
Management And General	$2,423	ManagementAndGeneralAmt
Fundraising	$909	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$19,201	TotalAmt
Program Services	$9,510	ProgramServicesAmt
Management And General	$9,219	ManagementAndGeneralAmt
Fundraising	$472	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medications/Medical Supplies	$181,084	$181,084	$0	$0
Furnishings and Equipment	$20,335	$18,098	$1,627	$610
Staff Training and Hiring	$4,068	$0	$4,068	$0
Program and Volunteer Supplies	$8,146	$8,146	$0	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$111	TotalAmt
Fundraising	$111	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$802,891	TotalAmt
Program Services	$582,023	ProgramServicesAmt
Management And General	$81,450	ManagementAndGeneralAmt
Fundraising	$139,418	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$253,250	BOYAmt
EOY	$202,612	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$90,469	BOYAmt
EOY	$598,820	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$7,722	BOYAmt
EOY	$14,908	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$34,811	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$129,112	BOYAmt
EOY	$123,490	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,194	BOYAmt
EOY	$1,123	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,134,873	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$148,124	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$858,209	BOYAmt
EOY	$986,749	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,500	BOYAmt
EOY	$3,019	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,343,456	BOYAmt
EOY	$1,965,532	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$26,149	BOYAmt
EOY	$27,591	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$650,000	BOYAmt
EOY	$935,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
EOY	$58,400	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$676,149	BOYAmt
EOY	$1,020,991	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$592,295	BOYAmt
EOY	$845,277	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$75,012	BOYAmt
EOY	$99,264	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$667,307	BOYAmt
EOY	$944,541	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,343,456	BOYAmt
EOY	$1,965,532	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$276,891	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$343	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	Yes (1)	AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
FS Audited	0	FSAuditedInd
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$540,265	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$536,500	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$883,240	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,001,837	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,106,041	CurrentTaxYearAmt
Total	$4,067,883	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$540,265	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$536,500	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$883,240	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,001,837	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,106,041	CurrentTaxYearAmt
Total	$4,067,883	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$4,067,883	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$67	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$84	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$79	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,155	CurrentTaxYearAmt
Total	$2,387	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$64	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$180	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$963	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,387	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,760	CurrentTaxYearAmt
Total	$7,354	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$4,077,624	TotalSupportAmt
Public Support CY170	0.99761	PublicSupportCY170Pct
Public Support PY170	0.9992	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part II, Line 10	FormAndLineReferenceDesc
Explanation	Other Income consists of net insurance damage proceeds, sale of furnishings, reimbursed expenses and shared costs.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$893,838	OtherCostOrOtherBasisAmt
Depreciation	$20,020	DepreciationAmt
Book Value	$873,818	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

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

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$159,735	OtherCostOrOtherBasisAmt
Depreciation	$128,104	DepreciationAmt
Book Value	$31,631	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

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

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$986,749	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	PPP Loan Payable	Desc
Amt	$58,400	Amt

Field	Value	IRS element (for citing)
Total Liability	$58,400	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4

The 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 2

As 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, 2020 and 2019, 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 of disclosure of tax positions taken or expected to be taken that are not certain to be realized. Management annually reviews its tax position and has determined that there are no material uncertain tax positions that require recognition in the financial statements at December31, 2020 and 2019.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agrmt Prof Fundraising Acty	Yes (1)	AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

Organization Business Name OrganizationBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Amperage Inc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6711 Chancellor Dr	AddressLine1Txt
City	Cedar Falls	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	50613	ZIPCd

Field	Value	IRS element (for citing)
Activity	Performed Readiness Study in preparation for capital campaign. Provides consulting for all aspects of capital campaign. As of December 31, 2020, the capital campaign had not officially begun.	ActivityTxt
Fundraiser Control Of Funds	0	FundraiserControlOfFundsInd
Gross Receipts	$0	GrossReceiptsAmt
Retained By Contractor	$34,291	RetainedByContractorAmt
Net To Organization	-$34,291	NetToOrganizationAmt

Field	Value	IRS element (for citing)
Total Gross Receipts	$0	TotalGrossReceiptsAmt
Total Retained By Contractors	$34,291	TotalRetainedByContractorsAmt
Total Net To Organization	-$34,291	TotalNetToOrganizationAmt
Licensed States	AZ	LicensedStatesCd
Licensed States	DE	LicensedStatesCd
Licensed States	IA	LicensedStatesCd
Licensed States	ID	LicensedStatesCd
Licensed States	IN	LicensedStatesCd
Licensed States	MI	LicensedStatesCd
Licensed States	MT	LicensedStatesCd
Licensed States	NE	LicensedStatesCd
Licensed States	NJ	LicensedStatesCd
Licensed States	SD	LicensedStatesCd
Licensed States	TX	LicensedStatesCd
Licensed States	VT	LicensedStatesCd
Licensed States	WY	LicensedStatesCd

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Noncash Contributions Rpt F990	$1,271	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	155	ContributionCnt
Noncash Contributions Rpt F990	$134,843	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Office Supplies	Desc
Contribution	15	ContributionCnt
Noncash Contributions Rpt F990	$2,661	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (1)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, Line 11b	A complete draft of the Form 990 is reviewed by management and forwarded to all board members. Board members are given 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 12c	The board and staff are covered by the Conflict of Interest Policy. Board members complete and sign a Conflict of Interest Statement in January of 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 the potential conflict is an actual conflict.
Form 990, Part VI, Section B, Line 15	The 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 19	The governing documents, Conflict of Interest Policy, and financial statements are available to the public upon request.