Civic Intelligence

Lake Wales Free Clinic Inc

EIN 27-1006156 • 501(c)3

Profile

To operate a free medical clinic serving needy individuals in the greater lake wales florida area.

140 E Park Ave33853-4124
Siviq Scores

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

Liabilities / Assets

60th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

37th percentile

-4.1%

Higher net margin than 37% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

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

501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

25th percentile

-33%

Faster asset growth than 25% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets60th percentile

Assets

Down

$21,180

Down $10,474 (-33%) from 2012

Liabilities

Flat

$0

Flat from 2012

Net Assets

Down

$21,180

Down $10,474 (-33%) from 2012

Operations
Liabilities / Revenue62nd percentileNet Margin37th percentile

Revenue

$258,013

No earlier filing loaded for comparison.

Expenses

Up

$268,492

Up $86,448 (+47%) from 2012

Net Income

-$10,479

No earlier filing loaded for comparison.

Trend Graphs

Balance Sheet Trend

Asset Growth25th percentile

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

$40K$30K$20K$10K$0Assets 2011: $26,600Liabilities 2011: $0Net Assets 2011: $26,6002011Assets 2012: $31,654Liabilities 2012: $0Net Assets 2012: $31,6542012Assets 2013: $21,180Liabilities 2013: $0Net Assets 2013: $21,1802013

Highlighted filing

2013

Assets$21,180
Liabilities$0
Net Assets$21,180
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$300K$200K$100K$0-$100KExpenses 2011: $190,6412011Expenses 2012: $182,0442012Revenue 2013: $258,013Expenses 2013: $268,492Net Income 2013: -$10,4792013

Highlighted filing

2013

Revenue$258,013
Expenses$268,492
Net Income-$10,479
Open 2013 Filing

Filings

Most recent year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$21,180
Liabilities
$0
Net assets
$21,180
Revenue
$258,013
Expenses
$268,492
Net income
-$10,479
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2013Detailed filing. Detailed filing data is available for this year.$0.21$0.00$0.21$2.58$2.68$0.10
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.32$0.00$0.32$1.82
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.27$0.00$0.27$1.91
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Jul 31, 2014
Return Version
2013v3.1
Gross Receipts
$258,013
Mission and Program Overview

Mission

To operate a free medical clinic serving needy individuals in the greater lake wales florida area.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$9,112$6,529▼ $2,583
Total Assets$31,656$21,180▼ $10,476
Other Assets Total$22,544$14,651▼ $7,893
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Unrestricted Net Assets$31,656$21,180▼ $10,476
Total Net Assets Fund Balance$31,656$21,180▼ $10,476
Total Liabilities and Net Assets / Fund Balance$31,656$21,180▼ $10,476

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$6,529$6,458$12,987
Other Assets Org$14,651--
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Lee a Wheeler IiiDirector
Linda KimbroughDirector
Norman WhiteDirector
Revenue and Support

Revenue Composition

Contributions and Grants
$258,013
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$140,316
Change in Net Assets
$-10,479
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$172,807
Salaries, Compensation, and Employee Benefits$95,685
Total Fundraising Expense$4,784
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$76,548$14,353$4,784$95,685
All Other Expenses$44,020--$44,020
Occupancy$12,412--$12,412
Other Expenses$11,737--$11,737
Insurance$7,438--$7,438
Office Expenses$5,158$657-$5,815
Depreciation Depletion$2,583--$2,583
Travel$122--$122
Total Functional Expenses$248,698$15,010$4,784$268,492
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
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
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

“Form 990 is reviewed by the directors prior to filing.”

Form 990, Page 6, Part VI, Line 12C

“Directors affirm policy at annual meeting and discuss any related party transactions that may have occurred.”

Form 990, Page 6, Part VI, Line 19

“All governing documents available upon request.”

Filing and Contact Details

Filer

EIN
27-1006156
Phone
8636780319

Signing Officer

Name
Lee a Wheeler Iii
Title
Director
Phone
8636780319
Signed
2014-07-31
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lee a Wheeler Iii
Formed
2009
Legal Domicile
Fl
Voting Board Members
3
Independent Board Members
3
Employees
0
Volunteers
55

Preparer

Preparer
Lee a Wheeler Iii
Phone
8636767981
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

“Volunteers included 10 doctors, 3 arnp, 11 rn/lpn, and 31 non-medical volunteers. The medical personnel provide patient care and follow up services. Non-medical volunteers provided patient assistance,patient scheduling, office services, and facility maintenance.”

Form 990, Part V

“See general note regarding paid employee irs filings”

Form 990, Part IX, Line 24E

“Health voucher- prescript 8,585 0 0 medical supplies 8,346 0 0 pharmaceuticals 8,245 0 0 health voucher- clinical 8,193 0 0 health voucher- mow 4,232 0 0 health voucher- mental he 1,775 0 0 misc. 1,337 0 0 dues 1,088 0 0 licenses 685 0 0 biomedical waste disposal 640 0 0 imaging reports 617 0 0 educational materials 277 0 0”

Form 990, Part XI, Line 9

“ROUNDING ADJUSTMENT 3”

Raw XML Appendix294 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
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IRS990/ActivityOrMissionDesc0TO OPERATE A FREE MEDICAL CLINIC SERVING NEEDY INDIVIDUALS IN THE GREATER LAKE WALES FLORIDA AREA.
IRS990/AllOtherContributionsAmt0140316
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IRS990/BooksInCareOfDetail/PhoneNum08636766678
IRS990/BooksInCareOfDetail/USAddress/AddressLine10140 E PARK AVE
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IRS990/Desc0OPERATED A MEDICAL CLINIC PROVIDING FREE SERVICES TO NEEDY INDIVIDUALS. THE CLINIC IS OPEN TWO NIGHTS PER WEEK AND FOR THE YEAR WE HAD 1,017 PATIENT VISITS REPRESENTING 717 INDIVIDUAL PATIENTS. ADDITIONALLY WE PROVIDED 53,741 OF MEDICAL VOUCHERS TO INDIVIDUALS FOR MEDICATIONS OR SPECIALIZED MEDICAL OR DENTAL CARE THAT WAS BEYOND THE SCOPE OF SERVICES OFFERED BY THE CLINIC.VOLUNTEERS INCLUDED 10 DOCTORS, 3 ARNP, 11 RN/LPN, AND 31 NON-MEDICAL. THESE INVIDIUALS DONATED 1,285 VOLUNTEER HOURS TO CLINIC OPERATIONS.
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IRS990/Form990ProvidedToGvrnBodyInd0false
IRS990/FormationYr02009
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IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0false
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt03
IRS990/GovernmentGrantsAmt0117697
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0258013
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt03
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartIXInd0X
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IRS990/InsuranceGrp/ProgramServicesAmt07438
IRS990/InsuranceGrp/TotalAmt07438
IRS990/InvestmentInJointVentureInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt06458
IRS990/LandBldgEquipBasisNetGrp/BOYAmt09112
IRS990/LandBldgEquipBasisNetGrp/EOYAmt06529
IRS990/LandBldgEquipCostOrOtherBssAmt012987
IRS990/LegalDomicileStateCd0FL
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
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IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt031656
IRS990/NetAssetsOrFundBalancesEOYAmt021180
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ProgramServicesAmt012412
IRS990/OccupancyGrp/TotalAmt012412
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0657
IRS990/OfficeExpensesGrp/ProgramServicesAmt05158
IRS990/OfficeExpensesGrp/TotalAmt05815
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt022544
IRS990/OtherAssetsTotalGrp/EOYAmt014651
IRS990/OtherChangesInNetAssetsAmt03
IRS990/OtherExpensesGrp/Desc0LABORATORY FEES
IRS990/OtherExpensesGrp/Desc1IMAGING
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IRS990/OtherExpensesGrp/ProgramServicesAmt037972
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IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt076548
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IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd0false
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0LEE A WHEELER III
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0187098
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IRS990/PYOtherExpensesAmt0110172
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IRS990/ReconcilationRevenueExpnssAmt0-10479
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IRS990/RelatedOrganizationCtrlEntInd0false
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IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0258013
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0VOLUNTEERS INCLUDED 10 DOCTORS, 3 ARNP, 11 RN/LPN, AND 31 NON-MEDICAL VOLUNTEERS. THE MEDICAL PERSONNEL PROVIDE PATIENT CARE AND FOLLOW UP SERVICES. NON-MEDICAL VOLUNTEERS PROVIDED PATIENT ASSISTANCE,PATIENT SCHEDULING, OFFICE SERVICES, AND FACILITY MAINTENANCE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SEE GENERAL NOTE REGARDING PAID EMPLOYEE IRS FILINGS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2FORM 990 IS REVIEWED BY THE DIRECTORS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DIRECTORS AFFIRM POLICY AT ANNUAL MEETING AND DISCUSS ANY RELATED PARTY TRANSACTIONS THAT MAY HAVE OCCURRED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ALL GOVERNING DOCUMENTS AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5HEALTH VOUCHER- PRESCRIPT 8,585 0 0 MEDICAL SUPPLIES 8,346 0 0 PHARMACEUTICALS 8,245 0 0 HEALTH VOUCHER- CLINICAL 8,193 0 0 HEALTH VOUCHER- MOW 4,232 0 0 HEALTH VOUCHER- MENTAL HE 1,775 0 0 MISC. 1,337 0 0 DUES 1,088 0 0 LICENSES 685 0 0 BIOMEDICAL WASTE DISPOSAL 640 0 0 IMAGING REPORTS 617 0 0 EDUCATIONAL MATERIALS 277 0 0
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6ROUNDING ADJUSTMENT 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, PART I, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART V
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART IX, LINE 24E
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6FORM 990, PART XI, LINE 9
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IRS990/USAddress/ZIPCode0338534124
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ReturnHeader/BuildTS02015-11-30 17:44:51Z
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ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum08636780319
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-07-31
ReturnHeader/Filer/BusinessName/BusinessNameLine10LAKE WALES FREE CLINIC INC
ReturnHeader/Filer/BusinessNameControlTxt0LAKE
ReturnHeader/Filer/EIN0271006156
ReturnHeader/Filer/PhoneNum08636780319
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ReturnHeader/Filer/USAddress/State0FL
ReturnHeader/Filer/USAddress/ZIPCode0338534124
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0590673514
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10BUNTING TRIPP & INGLEY LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine10230 EAST TILLMAN AVENUE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0LAKE WALES
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0338533714
ReturnHeader/PreparerPersonGrp/PhoneNum08636767981
ReturnHeader/PreparerPersonGrp/PreparationDt02014-08-07
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LEE A WHEELER III
ReturnHeader/ReturnTs02014-08-07T10:11:33-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

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