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Nonprofiteer
← GOOD SAMARITAN HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by GOOD SAMARITAN HEALTH SERVICES INC.

What the amendment changed

Compared with the return it replaced , filed 9 November 2023. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Total revenue
$1,000,388 changed to $922,787
Total expenses
$329,764 changed to $309,177
Contributions and grants received
$956,537 changed to $919,008
Other revenue
$40,072 changed to $0
Total assets, end of year
$1,535,617 changed to $1,516,620
Total liabilities, end of year
$335,993 changed to $327,491
Net assets or fund balances, end of year
$1,199,624 changed to $1,189,129
Program services expenses
$225,750 changed to $209,410
Management and general expenses
$85,087 changed to $93,522
Fundraising expenses
$18,927 changed to $6,245
Program service expenses (Part III)
$225,750 changed to $209,410

Totals

Total revenue
$922,787
Total expenses
$309,177
Contributions and grants received
$919,008
Grants paid
$0
Program service revenue
$0
Investment income
$3,779
Other revenue
$0
Total assets, end of year
$1,516,620
Total liabilities, end of year
$327,491
Net assets or fund balances, end of year
$1,189,129
Program services expenses (Part IX)
$209,410
Management and general expenses
$93,522
Fundraising expenses
$6,245
Program service expenses (Part III)
$209,410

Program services were 67.7% 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

    $325,792

  • 1e · Government grants (contributions)

    $31,689

  • 1f · All other contributions, gifts and grants

    $561,527

  • 3 · Investment income

    total $3,779 · related or exempt $3,779

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $82,869 · program services $41,435 · management and general $41,434

  • 7 · Other salaries and wages

    total $111,820 · program services $88,358 · management and general $23,462

  • 10 · Payroll taxes

    total $15,075 · program services $10,049 · management and general $5,026

  • 13 · Office expenses

    total $37,882 · program services $16,414 · management and general $21,468

  • 20 · Interest

    total $2,108 · program services $1,054 · management and general $1,054

  • 22 · Depreciation, depletion and amortization

    total $4,311 · program services $3,233 · management and general $1,078

  • 23 · Insurance

    total $7,650 · program services $7,650

  • 24a · Other expenses: PRECENTATIVE HEALTH

    total $25,150 · program services $25,150

  • 24b · Other expenses: PHARMACEUTICAL

    total $15,909 · program services $15,909

  • 24c · Other expenses: FUNDRAISER EXPENSES

    total $6,245 · fundraising $6,245

  • 24d · Other expenses: TAXES & LICENSES

    total $158 · program services $158

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $244,779 · end of year $192,790

  • 2 · Savings and temporary cash investments

    beginning of year $231,583 · end of year $884,887

  • 10a · Land, buildings and equipment: cost or other basis

    $118,378

  • 10b · Land, buildings and equipment: accumulated depreciation

    $62,349

  • 10c · Land, buildings and equipment, net

    beginning of year $68,997 · end of year $56,029

  • 15 · Other assets

    beginning of year $36,553 · end of year $382,914

  • 17 · Accounts payable and accrued expenses

    beginning of year $2,811 · end of year $4,384

  • 24 · Unsecured notes and loans payable

    beginning of year $40,072 · end of year $323,107

  • 27 · Net assets without donor restrictions

    beginning of year $539,029 · end of year $863,337

  • 28 · Net assets with donor restrictions

    end of year $325,792

Mission and programs · 2022

Mission

PROVIDE FREE MEDICAL SERVICES TO UNINSURED INDIVIDUALS

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $209,410

As filed on the 2022 return. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.

Listed in Part VII

  • Glenn Thomas

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    0

  • Greg Burks

    TREASURER

    Total calculated
    $0
    Hours/week
    0

  • Amy Fagan PhD

    PRESIDENT

    Total calculated
    $0
    Hours/week
    40

  • Elizabeth West

    VICE-CHAIRMAN

    Total calculated
    $0
    Hours/week
    0

  • Alice Rogers

    SECRETARY

    Total calculated
    $0
    Hours/week
    0

  • Barney Guyton PhD

    EX-OFFICIOS

    Total calculated
    $0
    Hours/week
    0

  • Sam Pace PhD

    EX-OFFICIOS

    Total calculated
    $0
    Hours/week
    0

  • Vernon Rayford MD

    MEDICAL DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Ed Holiday DDS

    DENTAL DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Shannon Bugg Rph

    PHARMACY DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Genie Alice Bruce

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Sally Kate Collins

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Roger Huey PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Maddin Hutto

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Shreka Knight

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Abby Hopkins

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Miles Huff

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Alli Monts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Allie Randle

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Chris Rogers

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Emilie Russell DMD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Sarah Yates

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Chauncey Godwin

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Dr Anne Haire

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Dr Frank Hodges

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Ryan Roper

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Ray Smith

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • Courtney Holcomb

    AD HOC MEMBER

    Total calculated
    $0
    Hours/week
    0

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
6 May 2024
IRS schema version
2022v5.0
Source object
202421449349300137

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