Civic Intelligence

Ashe County Free Medical Clinic

EIN 13-4314059 • 501(c)3 • Jefferson, NC

Profile

The Clinic provides free medical services to low income individuals ages 19 to 64. The clinic served 400 patients in 2015

P O Box 1506Jefferson, NC 28640
Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2016

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on the latest valid filing.

Source year 2016

Net Margin

6th percentile

-237%

Higher net margin than 6% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

86th percentile

$14,000

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 16.9% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

40th percentile

-13%

Faster revenue growth than 40% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $204,558 (-100%) from 2015

Liabilities

-

No earlier filing loaded for comparison.

Net Assets

Down

$0

Down $204,558 (-100%) from 2015

Operations
Liabilities / RevenueScore unavailableNet Margin6th percentile

Revenue

Down

$82,893

Down $11,894 (-13%) from 2015

Expenses

Up

$279,687

Up $184,596 (+194%) from 2015

Net Income

Down

-$196,794

Down $196,490 (-64635%) from 2015

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$300K$200K$100K$0Assets 2011: $235,105Liabilities 2011: $4632011Assets 2012: $196,205Liabilities 2012: $3,5282012Assets 2013: $191,166Liabilities 2013: $3,1902013Assets 2014: $202,362Liabilities 2014: $2,7682014Assets 2015: $204,558Liabilities 2015: $0Net Assets 2015: $204,5582015Assets 2016: $0Net Assets 2016: $02016

Highlighted filing

2016

Assets$0
Liabilities-
Net Assets$0
Open 2016 Filing

Operations Trend

Revenue Growth40th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KRevenue 2011: $88,701Expenses 2011: $120,770Net Income 2011: -$32,0692011Revenue 2012: $61,274Expenses 2012: $103,239Net Income 2012: -$41,9652012Revenue 2013: $95,071Expenses 2013: $99,772Net Income 2013: -$4,7012013Revenue 2014: $115,493Expenses 2014: $103,875Net Income 2014: $11,6182014Revenue 2015: $94,787Expenses 2015: $95,091Net Income 2015: -$3042015Revenue 2016: $82,893Expenses 2016: $279,687Net Income 2016: -$196,7942016

Highlighted filing

2016

Revenue$82,893
Expenses$279,687
Net Income-$196,794
Open 2016 Filing

Filings

Most recent year

2016 • Form 990EZDetailed filing. Detailed filing data is available for this year.

Open filing
Assets
$0
Liabilities
-
Net assets
$0
Revenue
$82,893
Expenses
$279,687
Net income
-$196,794
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2016Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.83$2.80$1.97
2015Detailed filing. Detailed filing data is available for this year.$2.05$0.00$2.05$0.95$0.95$0.00
2014Summary only. Only limited summary data is available for this year.$2.02$0.03$1.15$1.04$0.12
2013Summary only. Only limited summary data is available for this year.$1.91$0.03$0.95$1.00$0.05
2012Summary only. Only limited summary data is available for this year.$1.96$0.04$0.61$1.03$0.42
2011Summary only. Only limited summary data is available for this year.$2.35$0.00$0.89$1.21$0.32
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Feb 13, 2017
Return Version
2016v3.0
Gross Receipts
$82,893
Mission and Program Overview

Mission

To provide free medical care to the poor/uninsured of Ashe County NC

Program Services

DescriptionGrantsExpenses
Providing medical care to the poor/uninsured of Ashe County NC Provided 1200 visits$45,229$217,293
Compensation and Service Providers
Top Officer Pay86th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Greg BolacExecutive DirectorPT$14,000-$14,000
Ed BakerDirector-$0--
Walt DavisDirector-$0--
Sue HamptonDirector-$0--
Cam KeziahDirector-$0--
Scott DavisDirector-$0--
Harold ParksDirector-$0--
Richard BlackburnDirector-$0--
Nancy KautzDirector-$0--
Filing and Contact Details

Filer

Filer Name
Ashe County Free Medical Clinic
EIN
13-4314059
In Care Of
% Greg Bolac
Phone
3368464649
Address
P O Box 1506, Jefferson, NC 28640

Signing Officer

Name
Greg Bolac
Title
Executive Director
Phone
3369770276
Signed
2017-02-13
Supplemental Narrative

Additional Explanations

Part I, line 8

“| Other Revenues:, Amount:| Misc contributions from individuals., $30460| misc donations, $804|”

Part I, line 16

“| Other Expenses:, Amount:| elec med reords, $7200.00| insurance, $995.00| misc admin exp, $11788.00| marketing, $3227.00| medical expense, $187966.00| medicines, $4910.00| recon adjustment, $1157.00|”

Part I, line 20

“| Description:, Explanation:, Amount:| net donation of equipment, at closing equipment was donated, $-7764|”

Part II, line 24

“| Asset Name:, BOY Amount:, EOY Amount:| Organization's share of assets, $7764, 0|”

Raw XML Appendix184 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.

Path#Value
IRS990EZ/ActivitiesNotPreviouslyRptInd0false
IRS990EZ/BooksInCareOfDetail/PersonNm0Greg Bolac
IRS990EZ/BooksInCareOfDetail/PhoneNum03369770276
IRS990EZ/BooksInCareOfDetail/USAddress/AddressLine1Txt0P O Box 1506
IRS990EZ/BooksInCareOfDetail/USAddress/CityNm0Jefferson
IRS990EZ/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NC
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCd028640
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt0196794
IRS990EZ/CashSavingsAndInvestmentsGrp/EOYAmt00
IRS990EZ/ChgMadeToOrgnzngDocNotRptInd0false
IRS990EZ/ContributionsGiftsGrantsEtcAmt045229
IRS990EZ/DonorAdvisedFndsInd0false
IRS990EZ/EngagedInExcessBenefitTransInd0false
IRS990EZ/ExcessOrDeficitForYearAmt0-196794
IRS990EZ/FeesAndOtherPymtToIndCntrctAmt01568
IRS990EZ/FiledScheduleAInd0true
IRS990EZ/ForeignFinancialAccountInd0false
IRS990EZ/ForeignOfficeInd0false
IRS990EZ/Form1120PolFiledInd0false
IRS990EZ/Form990TotalAssetsGrp/BOYAmt0204558
IRS990EZ/Form990TotalAssetsGrp/EOYAmt00
IRS990EZ/GrossReceiptsAmt082893
IRS990EZ/InfoInScheduleOPartIIIInd0X
IRS990EZ/InfoInScheduleOPartIIInd0X
IRS990EZ/InfoInScheduleOPartIInd0X
IRS990EZ/LobbyingActivitiesInd0false
IRS990EZ/MadeLoansToFromOfficersInd0false
IRS990EZ/MethodOfAccountingCashInd0X
IRS990EZ/NetAssetsOrFundBalancesBOYAmt0204558
IRS990EZ/NetAssetsOrFundBalancesEOYAmt00
IRS990EZ/NetAssetsOrFundBalancesGrp/BOYAmt0204558
IRS990EZ/NetAssetsOrFundBalancesGrp/EOYAmt00
IRS990EZ/OccupancyRentUtltsAndMaintAmt09789
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt02
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt11
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt21
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt31
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt41
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt51
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt61
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt71
IRS990EZ/OfficerDirectorTrusteeEmplGrp/AverageHrsPerWkDevotedToPosRt820
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt814000
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/EmployeeBenefitProgramAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt00
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt10
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt20
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt30
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt40
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt60
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt70
IRS990EZ/OfficerDirectorTrusteeEmplGrp/ExpenseAccountOtherAllwncAmt80
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0Ed Baker
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1Walt Davis
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2Sue Hampton
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm3Cam Keziah
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4Scott Davis
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5Harold Parks
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm6Richard Blackburn
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm7Nancy Kautz
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm8Greg Bolac
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt6Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt7Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt8Executive Director
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt07764
IRS990EZ/OtherAssetsTotalDetail/EOYAmt00
IRS990EZ/OtherChangesInNetAssetsAmt0-7764
IRS990EZ/OtherExpensesTotalAmt0217243
IRS990EZ/OtherRevenueTotalAmt031264
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0To provide free medical care to the poor/uninsured of Ashe County NC
IRS990EZ/PrintingPublicationsPostageAmt0620
IRS990EZ/ProgramServiceRevenueAmt06400
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0Providing medical care to the poor/uninsured of Ashe County NC Provided 1200 visits
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt045229
IRS990EZ/ProgramSrvcAccomplishmentGrp/ProgramServiceExpensesAmt0217293
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt050467
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/StatesWhereCopyOfReturnIsFldCd0NC
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt0279687
IRS990EZ/TotalProgramServiceExpensesAmt0217293
IRS990EZ/TotalRevenueAmt082893
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0| S.No:, Amount:, Description:| 1, $30460, Misc contributions from individuals.| 2, $804, misc donations|
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt1| S.No:, Year:, Amount:, Description:| 1, 2015, $24992, Misc contributions| 2, 2014, $18771, Misc Contributions| 3, 2013, $20648, Misc Contributions| 4, 2012, $16499, Misc contributions|
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Part II, line 10
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc1Part II, line 10
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt045229
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt044237
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt055623
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt044608
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0189697
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt00
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt031264
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt024992
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt018771
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt020648
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt016499
IRS990ScheduleA/OtherIncome170Grp/TotalAmt0112174
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.5003
IRS990ScheduleA/PublicSupportPY170Pct00.4163
IRS990ScheduleA/PublicSupportTotal170Amt0151029
IRS990ScheduleA/SubstantialContributorsTotAmt038668
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt045229
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt044237
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt055623
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt044608
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt00
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0189697
IRS990ScheduleA/TotalSupportAmt0301871
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0| Other Revenues:, Amount:| Misc contributions from individuals., $30460| misc donations, $804|
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1| Other Expenses:, Amount:| elec med reords, $7200.00| insurance, $995.00| misc admin exp, $11788.00| marketing, $3227.00| medical expense, $187966.00| medicines, $4910.00| recon adjustment, $1157.00|
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2| Description:, Explanation:, Amount:| net donation of equipment, at closing equipment was donated, $-7764|
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3| Asset Name:, BOY Amount:, EOY Amount:| Organization's share of assets, $7764, 0|
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, line 8
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Part I, line 16
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Part I, line 20
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Part II, line 24
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/PersonNm0Greg Bolac
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Executive Director
ReturnHeader/BusinessOfficerGrp/PhoneNum03369770276
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-02-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Ashe County Free Medical Clinic
ReturnHeader/Filer/BusinessNameControlTxt0ASHE
ReturnHeader/Filer/EIN0134314059
ReturnHeader/Filer/InCareOfNm0% Greg Bolac
ReturnHeader/Filer/PhoneNum03368464649
ReturnHeader/Filer/USAddress/AddressLine1Txt0P O Box 1506
ReturnHeader/Filer/USAddress/CityNm0Jefferson
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NC
ReturnHeader/Filer/USAddress/ZIPCd028640
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt08.40.51.72
ReturnHeader/FilingSecurityInformation/IPDt02017-02-13
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ES
ReturnHeader/ReturnTs02017-02-13T04:29:02-05:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

No mirrored PDF or thumbnail assets are attached yet.