Form 990 for tax year 2022
Filed by GOOD SAMARITAN HEALTH CENTER INC.
Totals
- Total revenue
- $4,882,795
- Total expenses
- $5,104,378
- Contributions and grants received
- $3,368,181
- Grants paid
- $0
- Program service revenue
- $1,081,295
- Investment income
- $433,319
- Other revenue
- $0
- Total assets, end of year
- $13,147,561
- Total liabilities, end of year
- $199,276
- Net assets or fund balances, end of year
- $12,948,285
- Program services expenses (Part IX)
- $4,418,335
- Management and general expenses
- $370,325
- Fundraising expenses
- $315,718
- Program service expenses (Part III)
- $4,418,335
Program services were 86.6% 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.
-
1e · Government grants (contributions)
$149,159
-
1f · All other contributions, gifts and grants
$3,219,022
-
2a · Program service revenue: HEALTHCARE SERVICES
total $1,081,295 · related or exempt $1,081,295
-
3 · Investment income
total $433,319 · excluded $433,319
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
8c · Net income from fundraising events
total $0
-
9c · Net income from gaming
total $0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: OTHER REVENUE
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $153,326 · program services $153,326
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $2,479,240 · program services $2,147,010 · management and general $199,812 · fundraising $132,418
-
8 · Pension plan contributions
total $0
-
9 · Other employee benefits
total $304,898 · program services $266,420 · management and general $23,142 · fundraising $15,336
-
10 · Payroll taxes
total $215,287 · program services $188,118 · management and general $16,340 · fundraising $10,829
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $32,611 · management and general $32,611
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $33,566 · management and general $33,566
-
11g · Fees: other
total $325,408 · program services $232,537 · management and general $1,128 · fundraising $91,743
-
12 · Advertising and promotion
total $25,726 · program services $4,965 · fundraising $20,761
-
13 · Office expenses
total $159,243 · program services $139,145 · management and general $12,088 · fundraising $8,010
-
14 · Information technology
total $42,982 · program services $37,558 · management and general $3,262 · fundraising $2,162
-
15 · Royalties
total $0
-
16 · Occupancy
total $278,936 · program services $262,200 · management and general $5,579 · fundraising $11,157
-
17 · Travel
total $0
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $432,393 · program services $406,449 · management and general $8,648 · fundraising $17,296
-
23 · Insurance
total $71,889 · program services $62,818 · management and general $5,456 · fundraising $3,615
-
24a · Other expenses: SUPPLIES
total $422,226 · program services $422,226
-
24b · Other expenses: OTHER
total $84,115 · program services $53,399 · management and general $28,472 · fundraising $2,244
-
24c · Other expenses: CLIENT ASSISTANCE
total $39,617 · program services $39,617
-
24d · Other expenses: Postage and Shipping
total $2,915 · program services $2,547 · management and general $221 · fundraising $147
-
24e · All other expenses
total $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $1,234,688 · end of year $1,197,087
-
2 · Savings and temporary cash investments
beginning of year $680,413 · end of year $719,352
-
3 · Pledges and grants receivable
beginning of year $519,000 · end of year $204,099
-
4 · Accounts receivable
beginning of year $22,604 · end of year $187,931
-
5 · Loans and receivables from officers and key people
end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
beginning of year $15,006 · end of year $20,656
-
9 · Prepaid expenses and deferred charges
end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$11,688,210
-
10b · Land, buildings and equipment: accumulated depreciation
$5,780,847
-
10c · Land, buildings and equipment, net
beginning of year $6,324,645 · end of year $5,907,363
-
11 · Investments: publicly traded securities
beginning of year $6,190,978 · end of year $4,908,351
-
12 · Investments: other securities
end of year $0
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
beginning of year $2,722 · end of year $2,722
-
17 · Accounts payable and accrued expenses
beginning of year $253,300 · end of year $199,276
-
27 · Net assets without donor restrictions
beginning of year $13,293,010 · end of year $12,112,248
-
28 · Net assets with donor restrictions
beginning of year $1,443,746 · end of year $836,037
Mission and programs · 2022
Mission
Spreading Christs love through quality healthcare to those in need. We are a non-profit 501(c)(3) organization that is a health care home providing comprehensive primary care to low-income, uninsured individuals in greater metropolitan Atlanta.
Activities or mission (Part I)
The mission of the Organization is spreading Christs love through quality healthcare to those in need. The Organization provides comprehensive primary care to low-income, uninsured individuals in greater metropolitan Atlanta.
-
The Good Samaritan Health Center provides comprehensive primary medical care for the medically underserved working poor, uninsured, and homeless. Services are provided by staff and volunteer medical professionals. Medical services provided include comprehensive pediatric and adult primary care, diagnostic and referral services, mammograms, laboratory services, vaccines, well prenatal care, internal medicine, chronic disease management, and nutrition counseling. Specialty care services are also provided and include cardiology, gastroenterology, pulmonology, gynecology, diabetes foot care, ophthalmology, optometry, orthopedics, and radiology. Specialty clinics are offered for prosthetics and orthotics and for pediatric developmental care.The Good Samaritan Health Center provides comprehensive primary dental care for the underserved working poor, uninsured, and homeless. Services are provided by staff and volunteer dental professionals. Dental services include preventative and restorative care including general family and preventative dentistry, endodontics, oral surgery, and prosthodontics. The Good Samaritan Health Center provides mental health counseling care for the underserved working poor, uninsured, and homeless. Services are provided by staff licensed professional counselors and volunteer mental health professionals. Services include individual and family mental health counseling, play therapy, and group therapy.The Good Samaritan Health Center provides health education for the underserved working poor, uninsured, and homeless. Health education is provided by a staff registered dietitian, staff and volunteer healthcare professionals, and graduate student programs. Health education services include healthy cooking classes in an on-site teaching kitchen, diabetes education and management courses, and childbirth education.The Good Samaritan Health Center provides fresh produce and food access services for those facing food insecurity in a food desert community. The produce is planted and harvested by state farmers onsite at the 1-acre urban farm and sold at the onsite farmers market. The market accepts payment in the form of cash, credit, or SNAP/EBT benefits. The cost of market items are subsidized by philanthropy to keep prices affordable for shoppers at or below 200% of the federal poverty level.To quality for services, patients must be uninsured with a household income at or below 200% of the federal poverty level or eligible for Medicaid/Medicare. Patients pay for services on a reduced sliding fee scale that is based on income and household size. Those who are unable to pay receive care at no charge.
Expenses $4,418,335 · Revenue $1,081,295
As filed on the 2022 return.
Listed in Part VII
-
Kahina KingKAHINA KING
DENTAL DIRECTOR
- Total calculated
- $183,361
- From this org
- $179,606
- From related orgs
- $0
- Other
- $3,755
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $179,606
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- $3,755
- Filer's total
- $183,361
-
Breanna LathropBREANNA LATHROP
COO
- Total calculated
- $154,908
- From this org
- $151,871
- From related orgs
- $0
- Other
- $3,037
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $151,871
- Bonus
- not reported
- Other
- not reported
- Deferred
- $3,037
- Nontaxable benefits
- not reported
- Filer's total
- $154,908
-
DR MELLISSA SANCHEZ quiros
Family Physician
- Total calculated
- $153,987
- From this org
- $145,290
- From related orgs
- $0
- Other
- $8,697
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $145,290
- Bonus
- not reported
- Other
- not reported
- Deferred
- $2,912
- Nontaxable benefits
- $5,785
- Filer's total
- $153,987
-
Heather KerseyHEATHER KERSEY
CHIEF DEV OFFICER
- Total calculated
- $118,518
- From this org
- $112,913
- From related orgs
- $0
- Other
- $5,605
- Hours/week
- 40
-
William Warren IVWILLIAM WARREN IV
Controller
- Total calculated
- $0
- Hours/week
- 40
-
Peyton McWhirterPEYTON MCWHIRTER
Chairman
- Total calculated
- $0
- Hours/week
- 1
-
Ben WillsBEN WILLS
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 1
-
Jeffrey AdamsJEFFREY ADAMS
Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Glenn WarrenGLENN WARREN
Secretary
- Total calculated
- $0
- Hours/week
- 1
-
Kathryn B MillerKATHRYN B MILLER
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Studie YoungSTUDIE YOUNG
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Matt ColeMATT COLE
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Mark Bryant Chandler SrMARK BRYANT CHANDLER SR
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
James WellmanJAMES WELLMAN
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Dan CallahanDAN CALLAHAN
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Doug WilliamsDOUG WILLIAMS
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Kirk McAlpin JrKIRK MCALPIN JR
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Keri NorisKERI NORIS
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Dr Monica ParkerDR MONICA PARKER
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
David PattilloDAVID PATTILLO
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
William HoytWILLIAM HOYT
Director
- Total calculated
- $0
- Hours/week
- 0.5
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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Written employment contract
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313069349300716
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.