Civic Intelligence

Westside Samaritans Clinic Inc

990 • Fiscal year 2014 • EIN 90-0786544

Jan 01, 2014 to Dec 31, 2014 • Filed on Jul 15, 2015

Organization ProfileWWW.SAMARITANSCLINIC.COM
10000 W Newberry RoadGainesville, FL 32606-5544

(352) 333-7700

Siviq Scores

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

Liabilities / Assets

92nd percentile

0.78x

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

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Liabilities / Revenue

81st percentile

0.10x

Higher debt load relative to revenue than 81% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Net Margin

13th percentile

-26%

Higher net margin than 13% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Top Officer Pay

95th percentile

$61,832

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 23.9% of source-year revenue.

2014 filings • 501(c)3 • <$500k nonprofits • Source year 2014

Asset Growth

7th percentile

-58%

Faster asset growth than 7% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Revenue Growth

97th percentile

285%

Faster revenue growth than 97% of similar nonprofits.

2014 filings • 501(c)3 • <$500k nonprofits • Annualized from 2013 to 2014

Balance Sheet
Liabilities / Assets92nd percentile

Assets

Down

$32,159

Down $44,066 (-58%) from 2013

Net Assets

$7,066

No earlier filing loaded for comparison.

Liabilities

Up

$25,093

Up $23,851 (+1920%) from 2013

Revenue And Expenses
Liabilities / Revenue81st percentileNet Margin13th percentile

Revenue

Up

$258,358

Up $191,230 (+285%) from 2013

Expenses

Up

$326,275

Up $301,008 (+1191%) from 2013

Net Income

Down

-$67,917

Down $109,778 (-262%) from 2013

Historical Trend

Balance Sheet Trend

Asset Growth7th percentile

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

$80K$60K$40K$20K$0Assets 2012: $17,732Liabilities 2012: $1,406Net Assets 2012: $16,3262012Assets 2013: $76,225Liabilities 2013: $1,2422013Assets 2014: $32,159Liabilities 2014: $25,093Net Assets 2014: $7,0662014Assets 2015: $30,848Liabilities 2015: $3,757Net Assets 2015: $27,0912015Assets 2016: $30,543Liabilities 2016: $6,540Net Assets 2016: $24,0032016Assets 2017: $35,746Liabilities 2017: $14,269Net Assets 2017: $21,4772017

Highlighted filing

2014

Assets$32,159
Liabilities$25,093
Net Assets$7,066
Open 2014 Filing

Operations Trend

Revenue Growth97th percentile

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

$400K$300K$200K$100K$0-$100KRevenue 2012: $29,277Expenses 2012: $12,951Net Income 2012: $16,3262012Revenue 2013: $67,128Expenses 2013: $25,267Net Income 2013: $41,8612013Revenue 2014: $258,358Expenses 2014: $326,275Net Income 2014: -$67,9172014Revenue 2015: $98,986Expenses 2015: $78,961Net Income 2015: $20,0252015Revenue 2016: $62,034Expenses 2016: $65,122Net Income 2016: -$3,0882016Revenue 2017: $97,840Expenses 2017: $100,366Net Income 2017: -$2,5262017

Highlighted filing

2014

Revenue$258,358
Expenses$326,275
Net Income-$67,917
Open 2014 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Jul 15, 2015
Return Version
2014v5.0
Gross Receipts
$258,358
Mission and Program Overview

Mission

Provide basic health care for those who cannot afford conventional health care. Thus group includes, but is not limited to, homeless, migrant workers, the disadvantaged students and the uninsured.

Public charity by means of medical care to indigent.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$35,792$20,123▼ $15,669
Land, Buildings, and Equipment, Net$0$11,189▲ $11,189
Prepaid Expenses and Deferred Charges-$847-
Accounts Receivable-$0-
Other Assets Total$40,433$0▼ $40,433
Total Assets$76,225$32,159▼ $44,066
Liabilities
Accounts Payable and Accrued Expenses$1,242$25,093▲ $23,851
Total Liabilities$1,242$25,093▲ $23,851
Net Assets / Fund Balance
Unrestricted Net Assets$74,983$7,066▼ $67,917
Total Net Assets Fund Balance$74,983$7,066▼ $67,917
Total Liabilities and Net Assets / Fund Balance$76,225$32,159▼ $44,066

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$11,189$5,511$16,700
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleBaseTotal
Jeffrey HaglundCEO and CFO$61,832$61,832

Board Members and Trustees

NameTitle
Roy KlossnerPresident
Phillip YoungVice President
Paul PenumudiBoard Member
Cara ClarkDental Director
Rebecca GriffinDirector
Brandon SasserMember
James DixonMember
Karyn ShanderMember
Kim JohnsonSecretary
Marvin HendrixTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$258,154
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$204
All Other Contributions
$236,297
Change in Net Assets
$-67,917

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 Supplies5$81,904
Total Noncash Contributions5$81,904

Audited Revenue Reconciliation

Revenue per Audited Statements
$258,358
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$113,306
Total Revenue per Audited Statements
$371,664
Total Revenue per Form 990
$258,358
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$189,926
Salaries, Compensation, and Employee Benefits$136,349
Total Fundraising Expense$1,066
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$61,832-$61,832
Other Salaries and Wages-$60,574-$60,574
Occupancy-$53,950-$53,950
Fees for Services Accounting-$11,074-$11,074
Payroll Taxes-$9,482-$9,482
Travel-$6,564-$6,564
Office Expenses$361$4,436-$4,797
Other Employee Benefits-$4,461-$4,461
Depreciation Depletion-$2,630-$2,630
Other Expenses$83,322$1,902-$1,902
All Other Expenses-$427$1,066$1,493
Insurance-$855-$855
Interest-$226-$226
Advertising-$222-$222
Total Functional Expenses$83,683$241,526$1,066$326,275

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$439,581
Expenses per Audited Statements$326,275
Total Expenses per Form 990$326,275
Expenses Not Reported on Form 990$113,306
Expenses Not Reported on Financial Statements$0
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
Audit committee
No
Backup withholding compliance
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11

“The ceo will review the form before filing and will present it to the board.”

Form 990, Part VI, Section C, Line 19

“The organization's governing documents will be available upon request.”

Filing and Contact Details

Filer

Filer Name
WESTSIDE SAMARITAN'S CLINIC INC
EIN
90-0786544
Phone
3523337700
Address
10000 W NEWBERRY ROAD, GAINESVILLE, FL 32606-5544

Signing Officer

Name
Jeffrey D Haglund
Title
CEO/CFO
Phone
3523337700
Signed
2015-07-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeffrey D Haglund
Formed
2012
Legal Domicile
Fl
Voting Board Members
11
Independent Board Members
11
Employees
13
Volunteers
295

Preparer

Firm
Carr Riggs & Ingram LLC
Address
4010 NW 25TH PLACE, GAINESVILLE, FL 32606
Preparer
Lorie Keegan CPA
Phone
3523726300
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

“The clinic is a not-for-profit organization that is exempt from income taxes under scetion 501(c)(3) of the internal revenue code. The clinic has determined that there are no uncertain tax positions that require recognition or disclosure in the accompanying financial statements.”

Raw XML AppendixShowing 400 of 405 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.

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IRS990/Desc0WESTSIDE SAMARITANS CLINIC SEEKS TO PROVIDE BASIC HEALTH CARE FOR THOSE WHO CANNOT AFFORD CONVENTIONAL HEALTH CARE. THIS GROUP INCLUDES, BUT IS NOT LIMITED TO, HOMELESS, MIGRANT WORKERS, THE DISADVANTAGED STUDENTS AND THE UNINSURED.IN 2014, THE CLINIC PROVIDED OVER 5000 PATIENTS WITH SERVICE AND EXPANDED SERVICES TO OBGYN. THE CLINIC WAS AWARDED FLORIDA ASSOCIATION OF FREE AND CHARITABLE CLINICS GRANT FOR THE PERIOD OF OCTOBER 15, 2014 THROUGH JUNE 30, 2015.
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IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2DENTAL DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4SECRETARY
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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE CLINIC IS A NOT-FOR-PROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SCETION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CLINIC HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART X, LINE 2:
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE CEO WILL REVIEW THE FORM BEFORE FILING AND WILL PRESENT IT TO THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S GOVERNING DOCUMENTS WILL BE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
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IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt010000 W NEWBERRY ROAD
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IRS990/WebsiteAddressTxt0WWW.SAMARITANSCLINIC.COM
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02016-02-25 16:41:14Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JEFFREY D HAGLUND
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO/CFO
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ReturnHeader/BusinessOfficerGrp/SignatureDt02015-07-15
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ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CARR RIGGS & INGRAM LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt04010 NW 25TH PLACE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0GAINESVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0FL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd032606
ReturnHeader/PreparerPersonGrp/PhoneNum03523726300
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0LORIE KEEGAN CPA

Document Assets

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Filings

Displayed year

2014 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$32,159
Liabilities
$25,093
Net assets
$7,066
Revenue
$258,358
Expenses
$326,275
Net income
-$67,917
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2017Detailed filing. Detailed filing data is available for this year.$0.36$0.14$0.21$0.98$1.00$0.03
2016Detailed filing. Detailed filing data is available for this year.$0.31$0.07$0.24$0.62$0.65$0.03
2015Detailed filing. Detailed filing data is available for this year.$0.31$0.04$0.27$0.99$0.79$0.20
2014Detailed filing. Detailed filing data is available for this year.$0.32$0.25$0.07$2.58$3.26$0.68
2013Summary only. Only limited summary data is available for this year.$0.76$0.01$0.67$0.25$0.42
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.18$0.01$0.16$0.29$0.13$0.16