Civic Intelligence

Surry Area Free Clinic Inc

990EZ • Fiscal year 2013 • EIN 54-1715186

Jan 01, 2013 to Dec 31, 2013 • Filed on Aug 12, 2014

Organization ProfileWWW.SURRYFREECLINIC.ORG
474 Colonial Trail West23883

(757) 294-0132

Siviq Scores

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

Liabilities / Assets

89th percentile

0.57x

Higher debt load relative to assets than 89% of similar nonprofits.

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

Liabilities / Revenue

92nd percentile

0.50x

Higher debt load relative to revenue than 92% of similar nonprofits.

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

Net Margin

6th percentile

-64%

Higher net margin than 6% of similar nonprofits.

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

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

21st percentile

-19%

Faster asset growth than 21% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2011 to 2013

Revenue Growth

12th percentile

-38%

Faster revenue growth than 12% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2011 to 2013

Balance Sheet
Liabilities / Assets89th percentile

Assets

Down

$31,260

Down $5,368 (-15%) from 2012

Net Assets

Down

$13,304

Down $22,860 (-63%) from 2012

Liabilities

Up

$17,956

Up $17,492 (+3770%) from 2012

Revenue And Expenses
Liabilities / Revenue92nd percentileNet Margin6th percentile

Revenue

Down

$35,620

Down $50,038 (-58%) from 2012

Expenses

Down

$58,480

Down $36,769 (-39%) from 2012

Net Income

Down

-$22,860

Down $13,269 (-138%) from 2012

Historical Trend

Balance Sheet Trend

Asset Growth21st percentile

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

$60K$40K$20K$0Assets 2010: $50,624Liabilities 2010: $613Net Assets 2010: $50,0112010Assets 2011: $47,858Liabilities 2011: $2,103Net Assets 2011: $45,7552011Assets 2012: $36,628Liabilities 2012: $464Net Assets 2012: $36,1642012Assets 2013: $31,260Liabilities 2013: $17,956Net Assets 2013: $13,3042013Assets 2014: $39,208Liabilities 2014: $25,876Net Assets 2014: $13,3322014

Highlighted filing

2013

Assets$31,260
Liabilities$17,956
Net Assets$13,304
Open 2013 Filing

Operations Trend

Revenue Growth12th percentile

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

$100K$50K$0-$50KRevenue 2010: $48,988Expenses 2010: $57,103Net Income 2010: -$8,1152010Revenue 2011: $91,888Expenses 2011: $96,144Net Income 2011: -$4,2562011Revenue 2012: $85,658Expenses 2012: $95,249Net Income 2012: -$9,5912012Revenue 2013: $35,620Expenses 2013: $58,480Net Income 2013: -$22,8602013Revenue 2014: $51,773Expenses 2014: $51,745Net Income 2014: $282014

Highlighted filing

2013

Revenue$35,620
Expenses$58,480
Net Income-$22,860
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
Aug 12, 2014
Return Version
2013v3.1
Gross Receipts
$95,196
Mission and Program Overview

Mission

To provide medical, dental, and pharmaceutical services to working and income eligible uninsured citizens of surry, isle of wight, prince george, southampton, and sussex counties through the use of volunteers.

Program Services

DescriptionGrantsExpenses
PROVIDED MEDICAL CARE TO 175 INDIVIDUALS AND DENTAL CARE TO 15 INDIVIDUALS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD CARE DUE TO LACK OF INSURANCE OR INABILITY TO PAY. ALSO PROVIDED 1,932 PRESCRIPTION MEDICATIONS TO INCOME-ELIGIBLE, UNINSURED RECIPIENTS.$56,253-
Compensation and Service Providers
Top Officer PayScore unavailable

Employees

NameTitleFull / Part TimeBaseOtherTotal
TERRY D LEWISDirectorPT$0--
ROBERT PALMERVice Chairman-$0--
JAMES BROWNTreasurer-$0--
DANIEL BALTIMOREChairman-$0--
VALERIE PIERCESecretary-$0--
HENRY THOMPSONDirector-$0--
Fundraising, Events, and Gaming

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$53,556$53,556$6,356$47,200
Total Events$53,556$53,556$59,576$-6,020
Filing and Contact Details

Filer

EIN
54-1715186
Phone
7572940132

Signing Officer

Name
Terry D Lewis
Title
Director
Signed
2014-08-12
Discuss with paid preparer
Yes

Preparer

Preparer
Deborah a Curran
Phone
7573573861
Supplemental Narrative

Additional Explanations

Other Expenses.1002

“Office Expenses $1302”

Other Expenses.1005

“Travel $198”

Other Expenses.1007

“Conferences, Conventions, and Meetings $50”

Other Expenses.1009

“Depreciation $378”

Other Expenses.1012

“Insurance $1636”

Other Expenses.1

“Medication $20728”

Other Expenses.2

“TELEPHONE $3357”

Other Expenses.3

“INTERNET $1959”

Other Expenses.4

“Dental Services $1320”

Other Expenses.5

“Fees $1069”

Other Expenses.6

“CUSTODIAN $320”

Other Expenses.7

“DUES $260”

Other Expenses.9

“Penalties $143”

Other Expenses.10

“LICENSES AND FEES $125”

Other Expenses.11

“Supplies $114”

Other Expenses.12

“BANK CHARGES $77”

Other Expenses.20

“Medical Records Fee Reimb $-180”

Other Assets.1002

“Furniture and Fixtures - Beginning $1729 Furniture and Fixtures - Ending $1350”

Total Liabilities.1006

“Payable to Officers, Directors, Etc. - Beginning $0 Payable to Officers, Directors, Etc. - Ending $16400”

Total Liabilities.1

“Payroll Liabilities - Beginning $464 Payroll Liabilities - Ending $1101”

Total Liabilities.2

“Bank overdraft - Beginning $0 Bank overdraft - Ending $455”

Raw XML Appendix221 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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IRS990EZ/BooksInCareOfDetail/USAddress/City0SURRY
IRS990EZ/BooksInCareOfDetail/USAddress/State0VA
IRS990EZ/BooksInCareOfDetail/USAddress/ZIPCode023883
IRS990EZ/CashSavingsAndInvestmentsGrp/BOYAmt04989
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt30
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/CompensationAmt50
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm0TERRY D LEWIS
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm1ROBERT PALMER
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm2JAMES BROWN
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IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm4VALERIE PIERCE
IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm5HENRY THOMPSON
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt0Director
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt1Vice Chairman
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt2Treasurer
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt3Chairman
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt4Secretary
IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt5Director
IRS990EZ/OperateHospitalInd0false
IRS990EZ/Organization501c3Ind0X
IRS990EZ/OrganizationDissolvedEtcInd0false
IRS990EZ/OrganizationFiled990TInd0false
IRS990EZ/OrganizationHadUBIInd0false
IRS990EZ/OtherAssetsTotalDetail/BOYAmt01729
IRS990EZ/OtherAssetsTotalDetail/EOYAmt01350
IRS990EZ/OtherExpensesTotalAmt032856
IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt0NONE
IRS990EZ/PartVIOfCompOfHghstPdEmplTxt0NONE
IRS990EZ/PoliticalCampaignActyInd0false
IRS990EZ/PrimaryExemptPurposeTxt0TO PROVIDE MEDICAL, DENTAL, AND PHARMACEUTICAL SERVICES TO WORKING AND INCOME ELIGIBLE UNINSURED CITIZENS OF SURRY, ISLE OF WIGHT, PRINCE GEORGE, SOUTHAMPTON, AND SUSSEX COUNTIES THROUGH THE USE OF VOLUNTEERS.
IRS990EZ/PrintingPublicationsPostageAmt0148
IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt0PROVIDED MEDICAL CARE TO 175 INDIVIDUALS AND DENTAL CARE TO 15 INDIVIDUALS WHO WOULD NOT OTHERWISE BE ABLE TO AFFORD CARE DUE TO LACK OF INSURANCE OR INABILITY TO PAY. ALSO PROVIDED 1,932 PRESCRIPTION MEDICATIONS TO INCOME-ELIGIBLE, UNINSURED RECIPIENTS.
IRS990EZ/ProgramSrvcAccomplishmentGrp/GrantsAndAllocationsAmt056253
IRS990EZ/ProhibitedTaxShelterTransInd0false
IRS990EZ/RelatedOrganizationCtrlEntInd0false
IRS990EZ/RelatedOrgSect527OrgInd0false
IRS990EZ/SalariesOtherCompEmplBnftAmt021276
IRS990EZ/SchoolOperatingInd0false
IRS990EZ/SpecialEventsDirectExpensesAmt059576
IRS990EZ/SpecialEventsNetIncomeLossAmt0-6020
IRS990EZ/SubjectToProxyTaxInd0false
IRS990EZ/SumOfTotalLiabilitiesGrp/BOYAmt0464
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IRS990EZ/TanningServicesProvidedInd0false
IRS990EZ/TotalExpensesAmt058480
IRS990EZ/TotalProgramServiceExpensesAmt056253
IRS990EZ/TotalRevenueAmt035620
IRS990EZ/TransactionWithControlEntInd0false
IRS990EZ/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990EZ/TypeOfOrganizationCorpInd0X
IRS990EZ/WebsiteAddressTxt0WWW.SURRYFREECLINIC.ORG
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt041596
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt072641
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt068109
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt036817
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt071633
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0290796
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IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt02222
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt0-6020
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt012595
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt022988
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt011206
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt06435
IRS990ScheduleA/OtherIncome170Grp/TotalAmt047204
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.85470
IRS990ScheduleA/PublicSupportPY170Pct00.82610
IRS990ScheduleA/PublicSupportTotal170Amt0290796
IRS990ScheduleA/SubstantialContributorsTotAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft170Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt041596
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt071633
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IRS990ScheduleA/TotalSupportAmt0340222
IRS990ScheduleA/UnrelatedBusinessNetIncm170Grp/TotalAmt00
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
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt059576
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt032000
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt032000
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt014375
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt014375
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt053556
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt053556
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt053556
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt053556
IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent1Amt0FUNDRAISING GALA
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-6020
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt06356
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt06356
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt06845
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt06845
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Office Expenses $1302
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Travel $198
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2Conferences, Conventions, and Meetings $50
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Depreciation $378
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4Insurance $1636
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Medication $20728
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6TELEPHONE $3357
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7INTERNET $1959
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8Dental Services $1320
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9Fees $1069
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10CUSTODIAN $320
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11DUES $260
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12Penalties $143
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13LICENSES AND FEES $125
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14Supplies $114
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt15BANK CHARGES $77
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt16Medical Records Fee Reimb $-180
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt17Furniture and Fixtures - Beginning $1729 Furniture and Fixtures - Ending $1350
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt18Payable to Officers, Directors, Etc. - Beginning $0 Payable to Officers, Directors, Etc. - Ending $16400
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt19Payroll Liabilities - Beginning $464 Payroll Liabilities - Ending $1101
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt20Bank overdraft - Beginning $0 Bank overdraft - Ending $455
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Other Expenses.1002
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Other Expenses.1005
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Other Expenses.1007
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Other Expenses.1009
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Other Expenses.1012
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Other Expenses.1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Other Expenses.2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Other Expenses.3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Other Expenses.4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Other Expenses.5
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Other Expenses.6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Other Expenses.7
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Other Expenses.9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Other Expenses.10
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Other Expenses.11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc15Other Expenses.12
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc16Other Expenses.20
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc17Other Assets.1002
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc18Total Liabilities.1006
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc19Total Liabilities.1
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc20Total Liabilities.2
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0TERRY D LEWIS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Director
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-08-12
ReturnHeader/Filer/BusinessName/BusinessNameLine10SURRY AREA FREE CLINIC INC
ReturnHeader/Filer/BusinessNameControlTxt0SURR
ReturnHeader/Filer/EIN0541715186
ReturnHeader/Filer/PhoneNum07572940132
ReturnHeader/Filer/USAddress/AddressLine10474 COLONIAL TRAIL WEST
ReturnHeader/Filer/USAddress/City0SURRY
ReturnHeader/Filer/USAddress/State0VA
ReturnHeader/Filer/USAddress/ZIPCode023883
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10Beale & Curran PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine101801 South Church Street
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0Smithfield
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0VA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0234301858
ReturnHeader/PreparerPersonGrp/PhoneNum07573573861
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DEBORAH A CURRAN
ReturnHeader/ReturnTs02014-08-12T10:57:00-07:00
ReturnHeader/ReturnTypeCd0990EZ
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

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

Open filing
Assets
$31,260
Liabilities
$17,956
Net assets
$13,304
Revenue
$35,620
Expenses
$58,480
Net income
-$22,860
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$39.2$25.9$13.3$51.8$51.7$0.03
2013Detailed filing. Detailed filing data is available for this year.$31.3$18.0$13.3$35.6$58.5$22.9
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$36.6$0.46$36.2$85.7$95.2$9.59
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$47.9$2.10$45.8$91.9$96.1$4.26
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$50.6$0.61$50.0$49.0$57.1$8.12