2024-04-29T09:45:26-05:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 600 3RD AVENUE SE SUITE 300 CEDAR RAPIDS IA 52401 990 2022-07-01 420960955 IOWA CITY FREE MEDICAL CLINIC IOWA 3193379727 2440 TOWNCREST DRIVE IOWA CITY IA 52240 JEAN KNEPPER CHAIR 3193379727 2024-04-25 1 JEAN KNEPPER 999009999 0 DAVID LITTLE P01480921 3193632697 2024-04-24 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z JEAN KNEPPER 2440 TOWNCREST DRIVE IOWA CITY IA 52240 756728 0 X WWW.FREEMEDICALCLINIC.ORG X 1971 IA WE BELIEVE THAT ACCESS TO AFFORDABLE HEALTH CARE IS A BASIC HUMAN NECESSITY, AND WE STRIVE TO PROVIDE THE WIDEST RANGE OF MEDICAL AND DENTAL SERVICES POSSIBLE TO THE PEOPLE IN THE IOWA CITY AND SURROUNDING COMMUNITY WHO WOULD NOT OTHERWISE HAVE ACCESS TO CARE. 14 14 27 1500 0 0 885083 679572 0 0 20578 12336 227 17 905888 691925 0 4722 0 0 649032 593254 0 0 43207 0 203817 649032 801793 256856 -109868 1492100 1405615 385168 325467 1106932 1080148 WE BELIEVE THAT ACCESS TO AFFORDABLE HEALTH CARE IS A BASIC HUMAN NECESSITY, AND WE STRIVE TO PROVIDE THE WIDEST RANGE OF MEDICAL AND DENTAL SERVICES POSSIBLE TO THE PEOPLE IN THE IOWA CITY AND SURROUNDING COMMUNITY WHO WOULD NOT OTHERWISE HAVE ACCESS TO CARE. 0 0 572160 4722 0 IN FY 23, WE OFFERED 5,691 CHRONIC, ACUTE, SPECIALTY AND DENTAL APPOINTMENTS THROUGH WHICH 1,159 UNINSURED AND UNDERINSURED PATIENTS RECEIVED SERVICE FOR 11,714 DIFFERENT ISSUES FREE OF CHARGE. 572160 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 0 0 0 0 0 0 0 0 0 1 3 0 27 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X JENNIE SCHMIDT 3193379727 2440 TOWNCREST DRIVE IOWA CITY IA 52240 KNEPPER JEAN CHAIR 1.00 X X 0 0 0 RHODES ANN VICE CHAIR 1.00 X X 0 0 0 LANGGUTH BRAD TREASURER 1.00 X X 0 0 0 YOUNG RACHEL SECRETARY 1.00 X X 0 0 0 BERGUS GEORGE DIRECTOR 1.00 X 0 0 0 CONRAD SUZANNE DIRECTOR 1.00 X 0 0 0 ENGELDINGER JANE DIRECTOR 1.00 X 0 0 0 FIELDS MARTY DIRECTOR 1.00 X 0 0 0 KEESE BRANDON DIRECTOR 1.00 X 0 0 0 NAIR ROHIT DIRECTOR 1.00 X 0 0 0 PATTON MARK DIRECTOR 1.00 X 0 0 0 PENA TAHUANTY DIRECTOR 1.00 X 0 0 0 PETTIT- MAJEWSKI DANIELLE DIRECTOR 1.00 X 0 0 0 STURGELL KATIE DIRECTOR 1.00 X 0 0 0 SCHMIDT JENNIE EXECUTIVE DIRECTOR- STARTED MAR 2023 40.00 X 23300 0 1953 VINOGRADE BARBARA EXECUTIVE DIRECTOR- LEFT MAR 2023 40.00 X 86832 0 14813 110132 0 16766 0 0 0 0 0 128987 154136 396449 679572 19286 19286 57853 64803 -6950 -6950 -6950 MESCELLANEOUS REVENUE 900099 17 17 17 691925 0 0 12353 1000 1000 3722 3722 153229 107260 38307 7662 363425 254397 90857 18171 14873 10411 3718 744 24175 16923 6044 1208 37552 26287 9388 1877 12158 12158 2468 2468 22860 22860 682 682 10886 7620 2721 545 12151 8506 3037 608 11569 8099 2893 577 28328 19830 7082 1416 22525 20682 1843 CLINIC SUPPLIES 39132 39132 REPAIRS AND MAINTENANCE 16512 11559 4128 825 CLIENT ASSISTANCE 13872 13872 CELEBRATION EVENTS 8892 8892 1782 1782 801793 572160 186426 43207 187880 386580 91174 11275 12636 954998 355236 604031 599762 477578 526799 1492100 1405615 41931 17770 325467 325467 385168 325467 X 1100617 1052728 6315 27420 1106932 1080148 1492100 1405615 -109868 40230 42854 0 X X 0 1 X 1 0 X 629041 568169 760497 885083 679572 3522362 629041 568169 760497 885083 679572 3522362 57276 3465086 9432 9091 9575 14322 19286 61706 1060 20 50 27 17 1174 3585242 0.96650 0.98420 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2018 AMOUNT: $ 1,060. 2019 AMOUNT: $ 20. 2020 AMOUNT: $ 50. 2021 AMOUNT: $ 27. 2022 AMOUNT: $ 17. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 112480 112480 737713 355236 382477 104805 104805 599762 X 729687 40230 40230 689457 2468 2468 691925 799325 0 799325 2468 2468 801793 PART X, LINE 2: THE CLINIC IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTION OF THE IOWA INCOME TAX LAW, WHICH PROVIDES INCOME TAX EXEMPTION FOR CORPORATIONS ORGANIZED AND OPERATED EXCLUSIVELY FOR RELIGIOUS, CHARITABLE, OR EDUCATIONAL PURPOSES. THE IRS HAS NOT CLASSIFIED THE CLINIC AS A PRIVATE FOUNDATION. THE CLINIC FILES INFORMATIONAL RETURNS IN THE U.S. FEDERAL JURISDICTION AND FOLLOWS THE STANDARD FOR EVALUATING UNCERTAIN TAX POSITIONS. THE CLINIC HAS DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO UNCERTAIN TAX POSITIONS. FORM 990, PART VI, SECTION B, LINE 11B THE CLINIC'S FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS, OFFICERS, AND MANAGEMENT ARE REQUIRED TO COMPLETE A QUESTIONNAIRE ANNUALLY THAT COVERS CONFLICTS OF INTEREST ISSUES, AND WHICH ALSO SERVE AS A REMINDER OF THE IMPORTANCE OF OBSERVING PROHIBITIONS AGAINST CONFLICTS IN INTEREST. FORM 990, PART VI, SECTION B, LINE 15 BOARD OF DIRECTORS' PERSONNEL COMMITTEE CONDUCTS ANNUAL REVIEW OF EXECUTIVE DIRECTOR, AT WHICH TIME EXECUTIVE DIRECTOR'S SALARY IS DETERMINED, BASED ON SALARY HISTORY, MARKET CONDITIONS, AND BUDGET CONDITIONS. BOARD OF DIRECTORS' PERSONNEL COMMITTEE AUTHORIZES EXECUTIVE DIRECTOR TO CONDUCT ANNUAL REVIEWS AND NEGOTIATE SALARIES OF REMAINING EMPLOYEES, WHICH ALSO ARE BASED ON SALARY HISTORY, MARKET CONDITIONS, AND BUDGET CONDITIONS. FORM 990, PART VI, SECTION C, LINE 19 THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 1: BEGINNING JULY 1, 2022, THE CLINIC CHANGED ITS METHOD OF ACOUNTING TO A MODIFIED CASH BASIS OF ACCOUNTING, WHICH IS A COMPREHENSIVE BASIS OF ACCOUNTING OTHER THAN GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. FORM 990, PART XII, LINE 2C: THE PROCESS FOR SELECTING AN INDEPENDENT ACCOUNTING FIRM HAS NOT CHANGED FROM THE PRIOR YEAR.