Form 990 for tax year 2022
Filed by SAMARITAN HEALTH CLINIC OF PICKENS COUNTY.
Totals
- Total revenue
- $443,804
- Total expenses
- $453,113
- Contributions and grants received
- $369,188
- Grants paid
- $175,670
- Program service revenue
- $7,271
- Investment income
- $239
- Other revenue
- $67,106
- Total assets, end of year
- $530,145
- Total liabilities, end of year
- $10,322
- Net assets or fund balances, end of year
- $519,823
- Program services expenses (Part IX)
- $413,127
- Management and general expenses
- $30,844
- Fundraising expenses
- $9,142
- Program service expenses (Part III)
- $413,127
Program services were 91.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1a · Federated campaigns
$1,042
-
1e · Government grants (contributions)
$11,429
-
1f · All other contributions, gifts and grants
$356,717
-
1g · Noncash contributions included above
$171,923
-
2a · Program service revenue: PRESCRIPTIONS AND OTHER
total $5,845 · related or exempt $5,845
-
2b · Program service revenue: CLIENT RECORDS FEES
total $1,426 · related or exempt $1,426
-
3 · Investment income
total $239 · excluded $239
-
8a · Fundraising events: gross income
$76,660
-
8b · Fundraising events: direct expenses
$9,554
-
8c · Net income from fundraising events
total $67,106 · excluded $67,106
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $3,747 · program services $3,747
-
2 · Grants to domestic individuals
total $171,923 · program services $171,923
-
5 · Compensation of officers, directors and key employees
total $76,450 · program services $71,099 · management and general $5,351
-
7 · Other salaries and wages
total $92,066 · program services $85,621 · management and general $6,445
-
10 · Payroll taxes
total $12,955 · program services $12,048 · management and general $907
-
11c · Fees: accounting
total $3,805 · management and general $3,805
-
11g · Fees: other
total $8,371 · management and general $8,371
-
12 · Advertising and promotion
total $14,208 · program services $7,104 · fundraising $7,104
-
13 · Office expenses
total $1,969 · program services $1,438 · management and general $492 · fundraising $39
-
16 · Occupancy
total $24,000 · program services $22,320 · management and general $1,680
-
17 · Travel
total $446 · program services $112 · management and general $312 · fundraising $22
-
23 · Insurance
total $11,125 · program services $11,125
-
24a · Other expenses: OFFICE EQUIPMENT
total $7,543 · program services $7,543
-
24b · Other expenses: OTHER MEDICAL AND PHARMACY
total $17,794 · program services $17,794
-
24c · Other expenses: DUES AND SUBSCRIPTIONS
total $2,069 · management and general $1,169 · fundraising $900
-
24d · Other expenses: LICENSES AND TAXES
total $2,913 · program services $874 · management and general $2,039
-
24e · All other expenses
total $1,729 · program services $379 · management and general $273 · fundraising $1,077
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $328,515 · end of year $320,312
-
2 · Savings and temporary cash investments
beginning of year $30,347 · end of year $30,446
-
9 · Prepaid expenses and deferred charges
beginning of year $8,136 · end of year $6,786
-
12 · Investments: other securities
beginning of year $186,614 · end of year $172,601
-
17 · Accounts payable and accrued expenses
beginning of year $10,468 · end of year $10,322
-
27 · Net assets without donor restrictions
beginning of year $535,173 · end of year $511,450
-
28 · Net assets with donor restrictions
beginning of year $7,971 · end of year $8,373
Mission and programs · 2022
Mission
TO PROVIDE FREE MEDICAL CARE AND DISCOUNT PRESCRIPTIONS TO THOSE IN NEED IN PICKENS COUNTY
-
TO PROVIDE FREE MEDICAL CARE AND DISCOUNT PRESCRIPTIONS TO THOSE IN NEED IN PICKENS COUNTY
Expenses $413,127 · Grants $3,747 · Revenue $7,271
As filed on the 2022 return.
Listed in Part VII
-
Lori BuckheisterLORI BUCKHEISTER
DIRECTOR
- Total calculated
- $53,367
- From this org
- $53,367
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Nicki DunnNICKI DUNN
ASST DIRECTOR
- Total calculated
- $22,083
- From this org
- $22,083
- From related orgs
- $0
- Other
- $0
- Hours/week
- 20
-
Geanice HoltonGEANICE HOLTON
BOARD MEMBERMEDICAL DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Darian ByrdDARIAN BYRD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Sean HintonSEAN HINTON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Debbie HermanDEBBIE HERMAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Bridgette TinsleyBRIDGETTE TINSLEY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Alex C DyeALEX C DYE
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Brian FinleyBRIAN FINLEY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Kristi FortnerKRISTI FORTNER
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Stephen RoachSTEPHEN ROACH
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Mel ThompsonMEL THOMPSON
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
Todd MerrissTODD MERRISS
CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Ruth RiceRUTH RICE
SECRETARY
- Total calculated
- $0
- Hours/week
- 1
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 7 July 2023
- IRS schema version
- 2022v5.0
- Source object
- 202321889349301027
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