Civic Intelligence

Safe Harbor Free Clinic

990 • Fiscal year 2016 • EIN 26-3825107

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 15, 2017

7209 265th Street Ste 203Stanwood, WA 98282

(425) 870-7384

Siviq Scores

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

Liabilities / Assets

42nd percentile

0.02x

Higher debt load relative to assets than 42% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

35th percentile

0.01x

Higher debt load relative to revenue than 35% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

29th percentile

-5.1%

Higher net margin than 29% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

18th percentile

-8.6%

Faster asset growth than 18% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

12th percentile

-30%

Faster revenue growth than 12% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Assets

Down

$276,414

Down $25,963 (-8.6%) from 2015

Net Assets

Down

$271,528

Down $27,437 (-9.2%) from 2015

Liabilities

Up

$4,886

Up $1,474 (+43%) from 2015

Revenue

Down

$539,047

Down $226,382 (-30%) from 2015

Expenses

Down

$566,484

Down $406,711 (-42%) from 2015

Net Income

Up

-$27,437

Up $180,329 (+87%) from 2015

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2013: $200,416Liabilities 2013: $7,142Net Assets 2013: $193,2742013Assets 2014: $508,870Liabilities 2014: $2,139Net Assets 2014: $506,7312014Assets 2015: $302,377Liabilities 2015: $3,412Net Assets 2015: $298,9652015Assets 2016: $276,414Liabilities 2016: $4,886Net Assets 2016: $271,5282016Assets 2017: $534,693Liabilities 2017: $24,654Net Assets 2017: $510,0392017Assets 2018: $383,823Liabilities 2018: $2,943Net Assets 2018: $380,8802018Assets 2019: $547,905Liabilities 2019: $3,580Net Assets 2019: $544,3252019Assets 2020: $717,382Liabilities 2020: $3,224Net Assets 2020: $714,1582020Assets 2021: $1,059,138Liabilities 2021: $3,506Net Assets 2021: $1,055,6322021Assets 2022: $1,154,520Liabilities 2022: $12,945Net Assets 2022: $1,141,5752022Assets 2023: $1,236,109Liabilities 2023: $8,921Net Assets 2023: $1,227,1882023Assets 2024: $1,312,186Liabilities 2024: $9,727Net Assets 2024: $1,302,4592024

Highlighted filing

2016

Assets$276,414
Liabilities$4,886
Net Assets$271,528

Operations Trend

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

$1.5M$1.0M$500K$0-$500KRevenue 2013: $680,517Expenses 2013: $610,048Net Income 2013: $70,4692013Revenue 2014: $1,071,433Expenses 2014: $757,976Net Income 2014: $313,4572014Revenue 2015: $765,429Expenses 2015: $973,195Net Income 2015: -$207,7662015Revenue 2016: $539,047Expenses 2016: $566,484Net Income 2016: -$27,4372016Revenue 2017: $712,337Expenses 2017: $473,826Net Income 2017: $238,5112017Revenue 2018: $1,262,422Expenses 2018: $1,468,856Net Income 2018: -$206,4342018Revenue 2019: $807,388Expenses 2019: $643,943Net Income 2019: $163,4452019Revenue 2020: $711,710Expenses 2020: $541,877Net Income 2020: $169,8332020Revenue 2021: $1,021,245Expenses 2021: $685,632Net Income 2021: $335,6132021Revenue 2022: $777,748Expenses 2022: $690,592Net Income 2022: $87,1562022Revenue 2023: $667,533Expenses 2023: $591,040Net Income 2023: $76,4932023Revenue 2024: $677,691Expenses 2024: $601,207Net Income 2024: $76,4842024

Highlighted filing

2016

Revenue$539,047
Expenses$566,484
Net Income-$27,437
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 15, 2017
Return Version
2016v3.0
Gross Receipts
$557,358
Mission and Program Overview

Mission

To provide quality and respectful free health care and referral services to address the physical, emotional, and spiritual needs in a safe and welcoming environment; this includes continuing care and education regarding diabetes, hypertension, and general wellness.

To provide quality and respectful free health care and referral services to address the physical, emotional, and spiritual needs in a safe and welcoming environment.

Balance Sheet Detail
LineBeginningEndChange
Assets
Inventories for Sale or Use$104,898$112,558▲ $7,660
Land, Buildings, and Equipment, Net$114,760$110,097▼ $4,663
Savings and Temporary Cash Investments$82,719$39,027▼ $43,692
Cash and Non-Interest-Bearing Accounts-$13,453-
Total Assets$302,377$276,414▼ $25,963
Other Assets Total-$1,279-
Liabilities
Other Liabilities$2,412$2,922▲ $510
Accounts Payable and Accrued Expenses$1,000$1,964▲ $964
Total Liabilities$3,412$4,886▲ $1,474
Net Assets / Fund Balance
Unrestricted Net Assets$298,965$271,528▼ $27,437
Total Net Assets Fund Balance$298,965$271,528▼ $27,437
Total Liabilities and Net Assets / Fund Balance$302,377$276,414▼ $25,963

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$110,097$35,635$145,732
Compensation and Service Providers

Board Members and Trustees

NameTitle
Tim PoetzlPresident
Jimmy Grierson MdTrustee
Keith YarterTrustee
Mike SchickTrustee
Robert WickstromTrustee
Teri LindgrenTrustee
Trena HoweTrustee
Betty MetzSecretary
Greg GildayTreasurer
Randall ThompsonVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$484,246
Program Service Revenue
$0
Investment Income
$13
Other Revenue
$54,788
All Other Contributions
$473,746
Change in Net Assets
$-27,437

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 Amount
Drugs and Medical Supplies1$348,325
Total Noncash Contributions1$348,325
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$450,652
Salaries, Compensation, and Employee Benefits$115,832
Total Fundraising Expense$29,953
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$31,985$53,309$21,324$106,618
Occupancy$51,959$7,144$543$59,646
Depreciation Depletion$13,029$685-$13,714
All Other Expenses$5,907$4,666$876$11,449
Payroll Taxes$2,764$4,607$1,843$9,214
Office Expenses$707$2,042$2,749$5,498
Fees for Services Other-$5,119-$5,119
Other Expenses$2,436-$2,437$4,873
Insurance$1,327$148-$1,475
Travel-$182$181$363
Fees for Services Accounting-$81-$81
Total Functional Expenses$458,548$77,983$29,953$566,484
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$73,099
Fundraising Direct Expenses$18,311
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Dinner Auction$73,099$73,099$18,311$54,788
Total Events$73,099$73,099$18,311$54,788
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Taxes Payable$2,906
Penalties & Interest Payable$16
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Backup withholding compliance
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

Form 990, Page 6, Part VI, Line 11B

No review was or will be conducted.

Form 990, Page 6, Part VI, Line 19

No documents available to the public

Filing and Contact Details

Filer

Filer Name
Safe Harbor Free Clinic
EIN
26-3825107
Phone
4258707384
Address
7209 265TH STREET STE 203, STANWOOD, WA 98282

Signing Officer

Name
Jimmy Grierson Md
Title
Trustee
Phone
4258707384
Signed
2017-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jimmy Grierson Md
Formed
2009
Legal Domicile
Wa
Voting Board Members
10
Independent Board Members
10
Employees
11

Preparer

Firm
Terry W Greer Inc Ps
Address
PO BOX 879, STANWOOD, WA 98292
Preparer
Terry W Greer CPA
Phone
3606299420
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

To provide quality and respectful free health care and referral services to address the physical, emotional, and spiritual needs in a safe and welcoming environment; this includes continuing care and education regarding diabetes, hypertension, and general wellness.

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IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART III, LINE 12
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt02992871
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IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt0186
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt06
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0192
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/InvestmentIncomePYPct00.00000
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IRS990ScheduleA/OtherIncome509Grp/TotalAmt0458
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IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt116
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0TAXES PAYABLE
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc1PENALTIES & INTEREST PAYABLE
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IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt073099
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IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt018311
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt018311
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IRS990ScheduleM/DrugsAndMedicalSuppliesGrp/NonCashCheckboxInd0X
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IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0TO PROVIDE QUALITY AND RESPECTFUL FREE HEALTH CARE AND REFERRAL SERVICES TO ADDRESS THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS IN A SAFE AND WELCOMING ENVIRONMENT; THIS INCLUDES CONTINUING CARE AND EDUCATION REGARDING DIABETES, HYPERTENSION, AND GENERAL WELLNESS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1NO REVIEW WAS OR WILL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2NO DOCUMENTS AVAILABLE TO THE PUBLIC
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
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IRS990/TotalFunctionalExpensesGrp/TotalAmt0566484
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt03412
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IRS990/TotalLiabilitiesGrp/BOYAmt03412
IRS990/TotalLiabilitiesGrp/EOYAmt04886
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0298965
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0271528
IRS990/TotalProgramServiceExpensesAmt0421200
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt013
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0539047
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0302377
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0276414
IRS990/TravelGrp/FundraisingAmt0181
IRS990/TravelGrp/ManagementAndGeneralAmt0182
IRS990/TravelGrp/TotalAmt0363
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0298965
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0271528
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt07209 265TH STREET STE 203
IRS990/USAddress/CityNm0STANWOOD
IRS990/USAddress/StateAbbreviationCd0WA
IRS990/USAddress/ZIPCd098292
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0WWW.SAFEHARBORFREECLINIC.ORG
IRS990/WhistleblowerPolicyInd0true
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JIMMY GRIERSON MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TRUSTEE
ReturnHeader/BusinessOfficerGrp/PhoneNum04258707384
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0SAFE HARBOR FREE CLINIC
ReturnHeader/Filer/BusinessNameControlTxt0SAFE
ReturnHeader/Filer/EIN0263825107

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