Civic Intelligence

Olympic Peninsula Community Clinic

990 • Fiscal year 2020 • EIN 01-0590704

Jan 01, 2020 to Dec 31, 2020 • Filed on May 10, 2021

819 GeorgianaPort Angeles, WA 98362

(360) 457-4431

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Down

$522,445

Down $57,213 (-9.9%) from 2019

Net Assets

Down

$251,912

Down $66,425 (-21%) from 2019

Liabilities

Up

$270,533

Up $9,212 (+3.5%) from 2019

Revenue And Expenses

Revenue

Down

$551,078

Down $78,021 (-12%) from 2019

Expenses

Down

$617,503

Down $41,442 (-6.3%) from 2019

Net Income

Down

-$66,425

Down $36,579 (-123%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2011: $155,947Liabilities 2011: $3,480Net Assets 2011: $152,4672011Assets 2012: $184,845Liabilities 2012: $5,155Net Assets 2012: $179,6902012Assets 2014: $141,701Liabilities 2014: $10,260Net Assets 2014: $131,4412014Assets 2015: $509,937Liabilities 2015: $292,373Net Assets 2015: $217,5642015Assets 2016: $713,774Liabilities 2016: $278,020Net Assets 2016: $435,7542016Assets 2017: $668,236Liabilities 2017: $272,311Net Assets 2017: $395,9252017Assets 2018: $615,003Liabilities 2018: $266,820Net Assets 2018: $348,1832018Assets 2019: $579,658Liabilities 2019: $261,321Net Assets 2019: $318,3372019Assets 2020: $522,445Liabilities 2020: $270,533Net Assets 2020: $251,9122020Assets 2020: $548,118Liabilities 2020: $267,129Net Assets 2020: $280,9892020Assets 2021: $1,430,215Liabilities 2021: $257,088Net Assets 2021: $1,173,1272021Assets 2022: $1,307,162Liabilities 2022: $256,396Net Assets 2022: $1,050,7662022Assets 2023: $1,327,509Liabilities 2023: $251,658Net Assets 2023: $1,075,8512023Assets 2024: $1,515,287Liabilities 2024: $235,959Net Assets 2024: $1,279,3282024

Highlighted filing

2020

Assets$522,445
Liabilities$270,533
Net Assets$251,912

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$4.0M$3.0M$2.0M$1.0M$0-$1.0MExpenses 2011: $267,1922011Expenses 2012: $454,0402012Revenue 2014: $658,461Expenses 2014: $704,539Net Income 2014: -$46,0782014Revenue 2015: $607,315Expenses 2015: $521,192Net Income 2015: $86,1232015Revenue 2016: $694,263Expenses 2016: $507,696Net Income 2016: $186,5672016Revenue 2017: $431,506Expenses 2017: $471,335Net Income 2017: -$39,8292017Revenue 2018: $475,711Expenses 2018: $523,453Net Income 2018: -$47,7422018Revenue 2019: $629,099Expenses 2019: $658,945Net Income 2019: -$29,8462019Revenue 2020: $551,078Expenses 2020: $617,503Net Income 2020: -$66,4252020Revenue 2020: $1,211,889Expenses 2020: $1,262,711Net Income 2020: -$50,8222020Revenue 2021: $1,953,685Expenses 2021: $1,061,547Net Income 2021: $892,1382021Revenue 2022: $1,369,417Expenses 2022: $1,450,778Net Income 2022: -$81,3612022Revenue 2023: $2,538,349Expenses 2023: $2,513,264Net Income 2023: $25,0852023Revenue 2024: $3,333,816Expenses 2024: $3,130,339Net Income 2024: $203,4772024

Highlighted filing

2020

Revenue$551,078
Expenses$617,503
Net Income-$66,425
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
May 10, 2021
Return Version
2020v4.1
Gross Receipts
$551,078
Mission and Program Overview

Mission

To improve the quality of life for people on the Olympic Peninsula by providing for the health and wellness of the medically underserved.

Volunteer health care services

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$509,789$508,534▼ $1,255
Cash and Non-Interest-Bearing Accounts$31,724--
Savings and Temporary Cash Investments$38,145$13,911▼ $24,234
Total Assets$579,658$522,445▼ $57,213
Liabilities
Mortgage Notes Payable Secured by Investment Property$261,006$255,513▼ $5,493
Accounts Payable and Accrued Expenses$315$15,020▲ $14,705
Total Liabilities$261,321$270,533▲ $9,212
Net Assets / Fund Balance
Total Net Assets Fund Balance$318,337$251,912▼ $66,425
Total Liabilities and Net Assets / Fund Balance$579,658$522,445▼ $57,213

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$385,215$52,350$437,565
Equipment$44,919$126,586$171,505
Land$78,400-$78,400
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jackson WilliamsPresident
Dr Gerald StephanzVice President
Bonnie BulachBoard Member
Dr Greg RoyackBoard Member
Jason ViadaBoard Member
Mike FrenchBoard Member
Sheila EverettBoard Member
Suzanne DebeyBoard Member
Jillian MungerSecretary
Thomas HightowerTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$551,078
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$473,731
Change in Net Assets
$-66,425
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$407,253
Other Expenses$210,250
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$357,153--$357,153
Fees for Services Other$51,195--$51,195
Other Expenses$46,136--$46,136
Payroll Taxes$29,927--$29,927
Depreciation Depletion$25,824--$25,824
Other Employee Benefits$19,693--$19,693
Office Expenses$11,736--$11,736
Interest$8,706--$8,706
Fees for Services Accounting$8,200--$8,200
Travel$7,644--$7,644
Occupancy$7,585--$7,585
Insurance$6,477--$6,477
Fees for Services Legal$1,215--$1,215
Pension Plan Contributions$480--$480
Advertising$235--$235
Total Functional Expenses$617,503$0$0$617,503
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Line 11B

The form 990 is prepared by a cpa. A draft copy of the form 990 is presented to the board of directors for review. Any changes proposed by the board are incorporated into the final copy before submission to the irs.

Part VI, Line 12C

At each board meeting the prsident asks the board members if anyone has a conflict of interest with any agenda item. Board members are expected to identiby themselves and exclude themselves from any discussion or any action that the board may take.

Part VI, Line 19

Documents are available upon request.

Filing and Contact Details

Filer

Filer Name
Olympic Peninsula Community
EIN
01-0590704
Phone
3604574431
Address
819 GEORGIANA, PORT ANGELES, WA 98362

Signing Officer

Name
Mike French
Title
Board Member
Phone
3604574431
Signed
2021-05-10
Discuss with paid preparer
No

Organization Details

Principal Officer
Mike French
Formed
2004
Legal Domicile
Wa
Voting Board Members
10
Independent Board Members
10
Employees
11
Volunteers
32

Preparer

Firm
Garnero Smith Hurd Miller
Address
432 E 8TH ST, PORT ANGELES, WA 98362
Preparer
Stuart Smith
Phone
3604570436
Supplemental Narrative

Additional Explanations

Part III, Line 4A

Volunteer provided adult primary healthcare provided at no cost to those who are uninsured, underinsured, or have no access to health care.

Raw XML Appendix365 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0VOLUNTEER PROVIDED ADULT PRIMARY HEALTHCARE PROVIDED AT NO COST TO THOSE WHO ARE UNINSURED, UNDERINSURED, OR HAVE NO ACCESS TO HEALTH CARE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FORM 990 IS PREPARED BY A CPA. A DRAFT COPY OF THE FORM 990 IS PRESENTED TO THE BOARD OF DIRECTORS FOR REVIEW. ANY CHANGES PROPOSED BY THE BOARD ARE INCORPORATED INTO THE FINAL COPY BEFORE SUBMISSION TO THE IRS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2AT EACH BOARD MEETING THE PRSIDENT ASKS THE BOARD MEMBERS IF ANYONE HAS A CONFLICT OF INTEREST WITH ANY AGENDA ITEM. BOARD MEMBERS ARE EXPECTED TO IDENTIBY THEMSELVES AND EXCLUDE THEMSELVES FROM ANY DISCUSSION OR ANY ACTION THAT THE BOARD MAY TAKE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0PART III, LINE 4A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3PART VI, LINE 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TaxExemptInterestAmt00
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0579658
IRS990/TotalAssetsEOYAmt0522445
IRS990/TotalAssetsGrp/BOYAmt0579658
IRS990/TotalAssetsGrp/EOYAmt0522445
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0551078
IRS990/TotalEmployeeCnt011
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0617503
IRS990/TotalFunctionalExpensesGrp/TotalAmt0617503
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0261321
IRS990/TotalLiabilitiesEOYAmt0270533
IRS990/TotalLiabilitiesGrp/BOYAmt0261321
IRS990/TotalLiabilitiesGrp/EOYAmt0270533
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0318337
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0251912
IRS990/TotalProgramServiceExpensesAmt0617503
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0551078
IRS990/TotalVolunteersCnt032
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0579658
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0522445
IRS990/TravelGrp/ProgramServicesAmt07644
IRS990/TravelGrp/TotalAmt07644
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0710 ESTES CT
IRS990/USAddress/CityNm0Port Angeles
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd098363
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0WWW.VIMOCLINIC.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0MIKE FRENCH
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0BOARD MEMBER
ReturnHeader/BusinessOfficerGrp/PhoneNum03604574431
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-05-10
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0OLYMPIC PENINSULA COMMUNITY
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0CLINIC
ReturnHeader/Filer/BusinessNameControlTxt0VOLU
ReturnHeader/Filer/EIN0010590704
ReturnHeader/Filer/PhoneNum03604574431
ReturnHeader/Filer/USAddress/AddressLine1Txt0819 GEORGIANA
ReturnHeader/Filer/USAddress/CityNm0PORT ANGELES
ReturnHeader/Filer/USAddress/StateAbbreviationCd0WA
ReturnHeader/Filer/USAddress/ZIPCd098362
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0911308065
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Garnero Smith Hurd Miller
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0432 E 8TH ST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PORT ANGELES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0WA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd098362
ReturnHeader/PreparerPersonGrp/PhoneNum03604570436
ReturnHeader/PreparerPersonGrp/PreparationDt02021-11-16
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0Stuart Smith
ReturnHeader/ReturnTs02021-11-17T00:54:29Z
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MIKE
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0FRENCH
ReturnHeader/TaxPeriodBeginDt02020-01-01
ReturnHeader/TaxPeriodEndDt02020-12-31
ReturnHeader/TaxYr02020

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.52$0.24$1.28$3.33$3.13$0.20
2023Detailed filing. Detailed filing data is available for this year.$1.33$0.25$1.08$2.54$2.51$0.03
2022Detailed filing. Detailed filing data is available for this year.$1.31$0.26$1.05$1.37$1.45$0.08
2021Detailed filing. Detailed filing data is available for this year.$1.43$0.26$1.17$1.95$1.06$0.89
2020Detailed filing. Detailed filing data is available for this year.$0.55$0.27$0.28$1.21$1.26$0.05
2020Detailed filing. Detailed filing data is available for this year.$0.52$0.27$0.25$0.55$0.62$0.07
2019Detailed filing. Detailed filing data is available for this year.$0.58$0.26$0.32$0.63$0.66$0.03
2018Summary only. Only limited summary data is available for this year.$0.62$0.27$0.35$0.48$0.52$0.05
2017Summary only. Only limited summary data is available for this year.$0.67$0.27$0.40$0.43$0.47$0.04
2016Summary only. Only limited summary data is available for this year.$0.71$0.28$0.44$0.69$0.51$0.19
2015Summary only. Only limited summary data is available for this year.$0.51$0.29$0.22$0.61$0.52$0.09
2014Detailed filing. Detailed filing data is available for this year.$0.14$0.01$0.13$0.66$0.70$0.05
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.18$0.01$0.18$0.45
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.16$0.00$0.15$0.27