2023-11-10T18:06:31-06:00 2022-12-31 930874157 GROVE MUELLER & SWANK PC 475 COTTAGE STREET NE SUITE 200 SALEM OR 97301 990 2022-01-01 203549992 SALEM FREE CLINICS SALE 5039908772 1300 BROADWAY ST NE 104 SALEM OR 97301 TRINA FOWLER CEO 5039908772 2023-11-01 1 TRINA FOWLER 999009999 0 LARRY E GRANT CPA P00145717 5035817788 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TRINA FOWLER 1300 BROADWAY ST NE 104 SALEM OR 97301 2053215 0 X WWW.SALEMFREECLINICS.ORG X 2005 OR SALEM FREE CLINICS EXISTS TO PROVIDE QUALITY, COMPASSIONATE HEALTHCARE AT NO COST TO THE UNINSURED IN OUR COMMUNITY AS AN EXPRESSION OF CHRIST'S LOVE. 11 10 18 278 0 0 759182 1426304 0 0 -1217 17450 1732 6295 759697 1450049 0 0 0 0 501336 630698 13640 14520 172738 339551 424545 854527 1069763 -94830 380286 1276245 2778237 40479 1201125 1235766 1577112 SALEM FREE CLINICS EXISTS TO PROVIDE QUALITY, COMPASSIONATE HEALTHCARE AT NO COST TO THE UNINSURED IN OUR COMMUNITY AS AN EXPRESSION OF CHRIST'S LOVE. 0 0 623007 OUR MEDICAL CLINIC SERVES THE UNINSURED POPULATION IN OUR COMMUNITY WHO LACK ACCESS TO BASIC PRIMARY CARE. ALTHOUGH WE SEE A WIDE VARIETY OF PRESENTING CONDITIONS, THE TOP THREE DIAGNOSES FOR OUR PATIENT POPULATION ARE MENTAL HEALTH, DIABETES AND HYPERTENSION. IN 2022, WE PROVIDED 2,777 PATIENT VISITS UTILIZING APPROXIMATELY 232 VOLUNTEERS. 64453 OUR DENTAL CLINIC SERVES THE UNINSURED POPULATION IN OUR COMMUNITY WHO LACK ACCESS TO BASIC DENTAL CARE. WE PROVIDE EXTRACTIONS FOR THOSE WHO HAVE SIGNIFICANT DENTAL ISSUES INCLUDING ABSCESS AND DECAY. WE ALSO PROVIDE DENTAL HYGIENE SERVICES THROUGH OUR PARTNERSHIP WITH OIT'S BACHELOR'S PROGRAM IN DENTAL HYGIENE AT CHEMEKETA COMMUNITY COLLEGE. GRADUATING SENIORS DO ROTATIONS AT OUR CLINIC AND PROVIDE PREVENTATIVE HYGIENE SERVICES FOR OUR UNINSURED PATIENTS. IN 2022, 490 DENTAL PATIENT VISITS WERE PROVIDED THROUGH THE SERVICE OF 15 VOLUNTEERS. 18622 OUR COUNSELING CLINIC SERVES THE UNINSURED POPULATION IN OUR COMMUNITY WHO LACK ACCESS TO COUNSELING SERVICES. WE PARTNER WITH CORBAN UNIVERSITY AND WESTERN OREGON UNIVERSITY WHO SEND THEIR GRADUATE LEVEL COUNSELING STUDENTS TO OUR CLINIC TO PROVIDE COUNSELING SERVICES. IN 2022, 2,370 CLIENT VISIT HOURS WERE PROVIDED THROUGH THE SERVICE OF 20 VOLUNTEERS. 706082 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 9 0 1 18 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 10 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 0 0 0 OR X THE ORGANIZATION 5039908772 1300 BROADWAY ST NE 104 SALEM OR 97301 MICHAEL COMPTON VICE PRESIDENT 2.00 X X 0 0 0 SHEA CORUM PRESIDENT 2.00 X X 0 0 0 LARRY GRANT TREASURER 2.00 X X 0 0 0 JAMES BYRKIT SECRETARY 2.00 X X 0 0 0 ANN ALWAY BOARD MEMBER 1.00 X 0 0 0 MARIO DIAZ BOARD MEMBER 1.00 X 0 0 0 BARBARA FLETCHER BOARD MEMBER 2.00 X 0 0 0 STEVE FOWLER BOARD MEMBER 2.00 X 0 0 0 LORI SCHELSKE BOARD MEMBER 1.00 X 0 0 0 GAYLE WITHNELL BOARD MEMBER 1.00 X 0 0 0 ANDREW CLARKE BOARD MEMBER 1.00 X 0 0 0 TRINA FOWLER CEO 45.00 X 91072 0 0 91072 0 0 0 0 0 0 0 130 48621 352421 1025132 58027 1426304 17450 17450 595209 595209 0 0 9080 48621 6019 3061 3061 5008 1938 3070 3070 REFUNDED EXPENSES 621400 164 164 164 1450049 164 0 23581 91072 22768 36429 31875 446917 316165 60409 70343 48844 30772 8792 9280 43865 27635 7896 8334 1484 1484 51309 51309 14520 14520 30121 27889 2232 10045 168 9877 52935 24933 7692 20310 10344 8871 737 736 109361 97445 7150 4766 20733 20733 8056 6617 576 863 36939 33614 1847 1478 11730 7697 4033 DRUG SUPPLIES 43828 43828 PROGRAM SUPPLIES AND ME 20426 20426 VOLUNTEER EXPENSES 17234 16521 357 356 1069763 706082 190943 172738 600 600 1065933 1501374 16762 11317 37576 40619 3714 10471 534488 404193 151660 130295 0 1083561 1276245 2778237 40479 66658 0 1134467 40479 1201125 X 1174765 1411491 61001 165621 1235766 1577112 1276245 2778237 X 380286 -38940 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 414254 333959 80295 120234 70234 50000 130295 EMPLOYEE RECEIVABLE 1086 ROU LEASE ASSET 1082475 1083561 ROU LEASE LIABILITY 1134467 1134467 X 2161880 703873 7958 711831 1450049 0 1450049 1781594 703873 7958 711831 1069763 0 1069763 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION (ASC) 740 INCOME TAXES. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURN FILINGS ARE SUBJECT TO POSSIBLE EXAMINATION BY THE TAXING AUTHORITIES UNTIL THE EXPIRATION OF THE RELATED STATUTES OF LIMITATIONS ON THOSE FILINGS. IN GENERAL, THE FEDERAL AND STATE FILINGS HAVE A THREE YEAR STATUTE OF LIMITATIONS. THE ORGANIZATION WOULD RECOGNIZE ACCRUED INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX PROVISIONS, IF ANY, AS PART OF THE INCOME TAX PROVISION. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS 7,958. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS 7,958. FUN RUN 57701 48621 9080 243 504 5272 57701 48621 9080 243 504 5272 6019 3061 X 27 8633 DONOR VALUE X 2 34258 DONOR VALUE X OTHER 88 8752 DONOR VALUE X OFFICE EQUIP. 1 3607 FAIR MARKET VALUE X GIFT CARDS 24 1829 DONOR VALUE X OFFICE SUPPLIES 1 948 DONOR VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 2 CEO TRINA FOWLER IS MARRIED TO BOARD MEMBER STEVE FOWLER. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE AND BOARD WILL REVIEW THE 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY WAS ADOPTED IN SEPTEMBER 2013. ANNUAL STATEMENTS FROM EACH BOARD MEMBER ARE ACCUMULATED AND REVIEWED BY THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIALS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: LEASE ADJUSTMENT -38,940. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR.