Civic Intelligence

Salem Free Clinics

990 • Fiscal year 2013 • EIN 20-3549992

Jan 01, 2013 to Dec 31, 2013 • Filed on Oct 17, 2014

1300 Broadway St NE97301

(503) 990-8772

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

41st percentile

0.02x

Higher debt load relative to assets than 41% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Liabilities / Revenue

43rd percentile

0.02x

Higher debt load relative to revenue than 43% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Net Margin

38th percentile

-0.6%

Higher net margin than 38% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Top Officer Pay

82nd percentile

$75,321

Higher top officer pay than 82% of similar nonprofits.

Top officer pay equals 10.5% of source-year revenue.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2013

Asset Growth

41st percentile

-0.3%

Faster asset growth than 41% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Revenue Growth

72nd percentile

20%

Faster revenue growth than 72% of similar nonprofits.

2013 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2012 to 2013

Assets

Down

$797,290

Down $2,111 (-0.3%) from 2012

Net Assets

Down

$780,535

Down $4,653 (-0.6%) from 2012

Liabilities

Up

$16,755

Up $2,542 (+18%) from 2012

Revenue

Up

$719,078

Up $118,313 (+20%) from 2012

Expenses

Up

$723,731

Up $205,243 (+40%) from 2012

Net Income

Down

-$4,653

Down $86,930 (-106%) from 2012

Historical Trend

Balance Sheet Trend

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

$3.0M$2.0M$1.0M$0Assets 2012: $799,401Liabilities 2012: $14,213Net Assets 2012: $785,1882012Assets 2013: $797,290Liabilities 2013: $16,755Net Assets 2013: $780,5352013Assets 2014: $701,452Liabilities 2014: $7,722Net Assets 2014: $693,7302014Assets 2015: $708,897Liabilities 2015: $11,098Net Assets 2015: $697,7992015Assets 2016: $751,504Liabilities 2016: $21,591Net Assets 2016: $729,9132016Assets 2017: $920,248Liabilities 2017: $34,941Net Assets 2017: $885,3072017Assets 2018: $1,078,823Liabilities 2018: $21,617Net Assets 2018: $1,057,2062018Assets 2019: $1,202,541Liabilities 2019: $22,320Net Assets 2019: $1,180,2212019Assets 2020: $1,361,912Liabilities 2020: $31,316Net Assets 2020: $1,330,5962020Assets 2021: $1,276,245Liabilities 2021: $40,479Net Assets 2021: $1,235,7662021Assets 2022: $2,778,237Liabilities 2022: $1,201,125Net Assets 2022: $1,577,1122022Assets 2023: $2,690,624Liabilities 2023: $1,151,377Net Assets 2023: $1,539,2472023Assets 2024: $2,620,915Liabilities 2024: $1,122,534Net Assets 2024: $1,498,3812024

Highlighted filing

2013

Assets$797,290
Liabilities$16,755
Net Assets$780,535

Operations Trend

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

$2.0M$1.5M$1.0M$500K$0-$500KRevenue 2012: $600,765Expenses 2012: $518,488Net Income 2012: $82,2772012Revenue 2013: $719,078Expenses 2013: $723,731Net Income 2013: -$4,6532013Revenue 2014: $566,738Expenses 2014: $653,543Net Income 2014: -$86,8052014Revenue 2015: $595,301Expenses 2015: $591,232Net Income 2015: $4,0692015Revenue 2016: $586,073Expenses 2016: $553,959Net Income 2016: $32,1142016Revenue 2017: $700,515Expenses 2017: $545,118Net Income 2017: $155,3972017Revenue 2018: $869,369Expenses 2018: $697,470Net Income 2018: $171,8992018Revenue 2019: $866,359Expenses 2019: $743,344Net Income 2019: $123,0152019Revenue 2020: $963,080Expenses 2020: $812,705Net Income 2020: $150,3752020Revenue 2021: $759,697Expenses 2021: $854,527Net Income 2021: -$94,8302021Revenue 2022: $1,450,049Expenses 2022: $1,069,763Net Income 2022: $380,2862022Revenue 2023: $1,344,905Expenses 2023: $1,382,770Net Income 2023: -$37,8652023Revenue 2024: $1,492,968Expenses 2024: $1,533,834Net Income 2024: -$40,8662024

Highlighted filing

2013

Revenue$719,078
Expenses$723,731
Net Income-$4,653
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Oct 17, 2014
Return Version
2013v3.1
Gross Receipts
$746,981
Mission and Program Overview

Mission

Salem free clinics exist to provide hope and healing to the uninsured in our community as an expression of christ's love.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$341,645$373,586▲ $31,941
Savings and Temporary Cash Investments$298,477$313,038▲ $14,561
Inventories for Sale or Use$139,487$88,702▼ $50,785
Pledges and Grants Receivable$17,500$13,000▼ $4,500
Cash and Non-Interest-Bearing Accounts$1,200$6,357▲ $5,157
Prepaid Expenses and Deferred Charges$1,092$2,607▲ $1,515
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Total Assets$799,401$797,290▼ $2,111
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$14,213$16,755▲ $2,542
Total Liabilities$14,213$16,755▲ $2,542
Net Assets / Fund Balance
Unrestricted Net Assets$732,881$727,392▼ $5,489
Temporarily Rstr Net Assets$52,307$53,143▲ $836
Total Net Assets Fund Balance$785,188$780,535▼ $4,653
Total Liabilities and Net Assets / Fund Balance$799,401$797,290▼ $2,111

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$319,016$100,086$419,102
Equipment$54,570$20,849$75,419
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Todd GouldExecutive DirectorFT$64,477$10,844$75,321

Board Members and Trustees

NameTitle
Barbara FletcherPresident
John RatzlaffVice-Chair
Ann AlwayBoard Member
Dave PedersonBoard Member
Gayle WithnellBoard Member
Jim ByrkitBoard Member
Matt LucasBoard Member
Sara WallaceBoard Member
Steve FowlerBoard Member
Sue KeithBoard Member
Walt EdmondsBoard Member
Mike ComptonSecretary
Larry GrantTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$728,263
Program Service Revenue
$0
Investment Income
$827
Other Revenue
$-10,012
All Other Contributions
$659,860
Change in Net Assets
$-4,653

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Drugs and Medical Supplies-$61,505Donor Value
Other Non Cash Contri Table1$35,000Donor Value
Other Non Cash Contri Table1$10,000donor value
Securities Publicly Traded1$4,640Published Value
Other Non Cash Contri Table1$600Donor Value
Other Non Cash Contri Table1$363donor value
Total Noncash Contributions5$112,108-

Audited Revenue Reconciliation

Revenue per Audited Statements
$719,078
Revenue Not Reported on Form 990
$1,392,733
Total Revenue per Audited Statements
$2,111,811
Total Revenue per Form 990
$719,078
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$417,447
Salaries, Compensation, and Employee Benefits$306,284
Total Fundraising Expense$132,816
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$136,871$12,258$55,157$204,286
Occupancy$81,870$1,799$6,298$89,967
Current Officers, Directors, Trustees, and Key Employees$43,200$3,868$17,409$64,477
Depreciation Depletion$32,385$2,636$2,636$37,657
Insurance$35,189$2,246-$37,435
Payroll Taxes$16,935$1,517$6,825$25,277
All Other Expenses$9,411$534$11,688$21,633
Office Expenses$15,240$2,070$1,505$18,815
Other Employee Benefits$10,530$1,102$612$12,244
Other Expenses$12,120$2,154$27,903$12,120
Fees for Services Accounting-$9,517-$9,517
Information Technology$5,829$128$448$6,405
Travel$1,023$660$1,617$3,300
Fees for Services Other-$2,336-$2,336
Total Functional Expenses$548,090$42,825$132,816$723,731

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$2,095,806
Expenses Not Reported on Form 990$1,372,075
Expenses per Audited Statements$723,731
Total Expenses per Form 990$723,731
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$26,403
Fundraising Gross Income$6,590
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$38,748$6,590$26,403$-19,813
Total Events$38,748$6,590$26,403$-19,813
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Trina D FowlerSee BelowEmploymentNo$21,367

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
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

Form 990, Part VI, Line 11B: Form 990 Review Process

The complete 990 is reviewed by the finance committee and the board reviews the public disclosure copy (excluding names and addresses of donors on Schedule B) of the 990 prior to filing.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

The conflict of interest policy is monitored and enforced by the executive committee. Annual statements from each board member are accumulated and reviewed by the executive committee.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

The Organization makes its governing documents and financials available upon request.

Filing and Contact Details

Filer

EIN
20-3549992
Phone
5039908772

Signing Officer

Name
Barbara Fletcher
Title
President
Signed
2014-10-17
Discuss with paid preparer
Yes

Organization Details

Formed
2005
Legal Domicile
Or
Voting Board Members
13
Independent Board Members
13
Employees
9
Volunteers
310

Preparer

Preparer
Aden L Kuenzi
Phone
5033997306
Supplemental Narrative

Financial Statement Notes

Part X : FIN48 Footnote

The organization may enter into transactions that may be subject to income tax on unrelated business income. Tax positions to consider include, but are not limited to: (1) characterization of the organization's activities as related or unrelated to its exempt purpose, and (2) the organization's allocation of revenue or expenses between activities that relate to its exempt purpose and those that are allocated to unrelated business income. Even if the organization was not subject to income taxes on potential unrelated business income, it still has a tax position as to whether it qualifies as a tax-exempt nonprofit entity.

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IRS990/Desc0our clinic serves the uninsured population in our community who lack access to basic primary care. the top three diagnoses for our patient population are mental health, diabetes and hypertension. we have over 300 volunteers who donate their time to serve those in need. In 2013, approximately 3,000 patients were served.
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IRS990/Form990PartVIISectionAGrp/PersonNm0BARBARA FLETCHER
IRS990/Form990PartVIISectionAGrp/PersonNm1JOHN RATZLAFF
IRS990/Form990PartVIISectionAGrp/PersonNm2MIKE COMPTON
IRS990/Form990PartVIISectionAGrp/PersonNm3LARRY GRANT
IRS990/Form990PartVIISectionAGrp/PersonNm4ANN ALWAY
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President
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IRS990/Form990PartVIISectionAGrp/TitleTxt7Board Member
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IRS990/Form990PartVIISectionAGrp/TitleTxt10Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt11Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt12Board Member
IRS990/Form990PartVIISectionAGrp/TitleTxt13Executive Dir.
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IRS990/MissionDesc0Salem free clinics exist to provide hope and healing to the uninsured in our community as an expression of christ's love.
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IRS990/PrincipalOfcrBusinessAddress/BusinessNameLine10BARBARA FLETCHER
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IRS990/ProgSrvcAccomActy2Grp/Desc0our Counseling clinic serves the uninsured population in our community who lack access to counseling services. we have a partnership with corban university who sends their graduate level counseling students to our clinic to provide counseling services. we have 40 volunteers who donate their time to serve our clients in need. in 2013, approximately 1,200 patients were served.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt027405
IRS990/ProgSrvcAccomActy3Grp/Desc0Our 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 have over 40 volunteers who donate their time to serve those in need. in 2013, approximately 200 patients were served.
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