2024-05-08T10:24:39-05:00 2023-06-30 310800053 CLARK SCHAEFER HACKETT & CO 14 EAST MAIN STREET SUITE 500 SPRINGFIELD OH 45502 990 2022-07-01 311596731 HEALTH PARTNERS FREE CLINIC HEAL 9373320894 1300 NORTH COUNTY ROAD 25A TROY OH 45373 NATE COUNTS TREASURER 9373320894 2024-05-08 1 NATE COUNTS 999009999 0 RENEA R IRICK P01586814 9373992000 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z NATE COUNTS 1300 NORTH COUNTY ROAD 25A TROY OH 45373 2242624 0 X HEALTHPARTNERSCLINIC.ORG X 1998 OH TO INCREASE THE AVAILABILITY OF HEALTH CARE FOR THE UNINSURED AND UNDER-SERVED IN MIAMI COUNTY, OHIO BY PROVIDING A CLINIC FOR ALL AGES, STAFFED BY HEALTH CARE PROFESSIONALS. 9 9 16 34 0 0 2355552 2226387 0 0 95 64 -1185 13389 2354462 2239840 0 0 0 0 516432 448020 0 0 5883 2049425 1697203 2565857 2145223 -211395 94617 754694 853563 8354 9028 746340 844535 TO INCREASE THE AVAILABILITY OF HEALTH CARE FOR THE UNINSURED AND UNDER-SERVED IN MIAMI COUNTY, OHIO BY PROVIDING A CLINIC FOR ALL AGES, STAFFED BY HEALTH CARE PROFESSIONALS. 0 0 2038344 0 HEALTH PARTNERS FREE CLINIC OPERATES A HEALTH CLINIC FOR THE UNINSURED AND UNDER-SERVED FAMILIES OF MIAMI COUNTY UTILIZING VOLUNTEER DOCTORS, NURSES, AND LAY PEOPLE. LAB TESTS AND PRESCRIPTIONS ARE PAID FOR AS APPROPRIATE. HEALTH PARTNERS FREE CLINIC INCORPORATED IN 1998 AND IS NOW PROVIDING ITS 25TH FULL YEAR OF MEDICAL SERVICES TO THE COMMUNITY. APPROXIMATELY 603 INDIVIDUALS HAVE RECEIVED TREATMENT THROUGH THE WEEKLY CLINICS. DURING 2022, MORE THAN $2.1 MILLION WORTH OF HEALTH CARE WAS GIVEN AT NO EXPENSE TO THE PATIENT. VOLUNTEERS PROVIDED IN-KIND CONTRIBUTIONS OF NEARLY 1500 HOURS OF THEIR TIME. THE DOLLAR VALUE OF THE PROFESSIONAL STAFF (DOCTORS AND NURSES) WAS $75,692 FOR THIS YEAR. 2038344 1 1 0 0 0 0 0 0 0 0 1 0 0 0 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 1 0 1 16 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JUSTIN COBY 9373320894 1300 NORTH COUNTY ROAD 25-A TROY OH 45373 KARA FOSTER CHAIR 2.00 X X 0 0 0 SUSAN HEMM VICE-CHAIR 2.00 X X 0 0 0 NATE COUNTS TREASURER 2.00 X X 0 0 0 DIANA SWEIGART SECRETARY 2.00 X X 0 0 0 CATHY ODA DIRECTOR 2.00 X 0 0 0 RAY NICHOLS DIRECTOR 2.00 X 0 0 0 ALLISON FAY DIRECTOR 2.00 X 0 0 0 TIM REED DIRECTOR 2.00 X 0 0 0 TOM WEISSBROD DIRECTOR 2.00 X 0 0 0 DEBORAH MILLER EXECUTIVE DIRECTOR 40.00 X 83436 0 0 JOSH KLEPINGER MEDICAL DIRECTOR 40.00 X 14950 0 0 98386 0 0 0 0 0 0 0 2226387 1510745 2226387 64 64 0 2784 -2784 -2784 MISC REVENUE 900099 16173 16173 16173 2239840 0 0 13453 98386 17852 80534 304284 304284 45350 36280 9070 23578 22399 1179 5883 5883 20252 19239 1013 13016 12365 651 33509 26807 6702 8901 8456 445 CLINIC SUPPLIES 1494570 1494570 PRESCRIPTIONS AND CLINI 42145 42145 REPAIR AND MAINTENANCE 28045 26643 1402 DIAGNOSTIC TESTING 11565 11565 15739 15739 2145223 2038344 100996 5883 10144 147146 60514 8536 51000 63125 15167 2062 12349 1134369 527569 630534 606800 440 440 754694 853563 8354 9028 8354 9028 X 736340 719535 10000 125000 746340 844535 754694 853563 94617 3578 0 X X 0 1 X 1 0 X 991853 1349608 1298940 2355552 2226387 8222340 991853 1349608 1298940 2355552 2226387 8222340 0 0 0 8222340 2650 337 3243 95 64 6389 2650 337 3243 95 64 6389 19149 2010 16173 37332 994503 1369094 1304193 2355647 2242624 8266061 0.99470 0.99590 0.00080 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 160303 160303 808359 383446 424913 165707 144123 21584 606800 X 2302141 59517 2784 62301 2239840 0 2239840 2203946 55939 2784 58723 2145223 0 2145223 PART X, LINE 2: INCOME TAXES AND UNCERTAIN TAX POSITIONS: HEALTH PARTNERS FREE CLINIC IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. HOWEVER, INCOME FROM CERTAIN ACTIVITIES NOT DIRECTLY RELATED TO THE CLINIC'S TAX EXEMPT PURPOSE IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE CLINIC'S REPORTING RETURNS ARE SUBJECT TO AUDIT BY FEDERAL AND STATE TAXING AUTHORITIES. NO INCOME TAX PROVISION HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS AS THE CLINIC HAS DETERMINED IT DOES NOT HAVE UNRELATED BUSINESS INCOME SUBJECT TO TAXATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING COSTS 2,784. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING COSTS 2,784. X 5429 1510744 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS APPROVES THE FEDERAL FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C REVIEWED AT BOARD MEETINGS FORM 990, PART VI, SECTION B, LINE 15 PREPARED IN ACCORDANCE WITH APPROVED POLICIES FORM 990, PART VI, SECTION C, LINE 18 IRS FILINGS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST OF THE ORGANIZATION. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE MADE AVAILABLE UPON REQUEST IN ACCORDANCE WITH THE APPROVED POLICIES. FORM 990, PART XII, LINE 2C: THE BOARD OF DIRECTORS SELECTS AN INDEPENDENT ACCOUNTING FIRM TO CONDUCT THE AUDIT OF THE FINANCIAL STATEMENTS AND PROVIDE OVERSIGHT FOR THE WORK THAT IS CONDUCTED. THIS REPRESENTS NO CHANGE IN THE PROCESS FROM PROCEDURES CONDUCTED IN PRIOR PERIODS.