Form 990 for tax year 2023
Filed by GOOD SAMARITAN HEALTH CLINIC OF PASCO INC.
Totals
- Total revenue
- $650,239
- Total expenses
- $728,584
- Contributions and grants received
- $523,741
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $331
- Other revenue
- $126,167
- Total assets, end of year
- $1,238,609
- Total liabilities, end of year
- $27,970
- Net assets or fund balances, end of year
- $1,210,639
- Program services expenses (Part IX)
- $600,080
- Management and general expenses
- $54,657
- Fundraising expenses
- $73,847
- Program service expenses (Part III)
- $600,080
Program services were 82.4% 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
$18,368
-
1e · Government grants (contributions)
$125,700
-
1f · All other contributions, gifts and grants
$379,673
-
3 · Investment income
total $331 · excluded $331
-
8a · Fundraising events: gross income
$172,203
-
8b · Fundraising events: direct expenses
$52,203
-
8c · Net income from fundraising events
total $120,000
-
11a · Other revenue: MISCELLANEOUS - OTHER
total $6,167 · related or exempt $6,167
-
11e · Other revenue, total
$6,167
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $60,116 · program services $48,093 · management and general $4,809 · fundraising $7,214
-
7 · Other salaries and wages
total $343,274 · program services $274,619 · management and general $27,462 · fundraising $41,193
-
10 · Payroll taxes
total $34,428 · program services $27,543 · management and general $2,754 · fundraising $4,131
-
11c · Fees: accounting
total $9,600 · program services $7,680 · management and general $768 · fundraising $1,152
-
11g · Fees: other
total $44,044 · program services $40,599 · management and general $1,378 · fundraising $2,067
-
13 · Office expenses
total $13,381 · program services $8,006 · management and general $1,780 · fundraising $3,595
-
14 · Information technology
total $6,245 · program services $4,371 · management and general $937 · fundraising $937
-
16 · Occupancy
total $39,651 · program services $31,720 · management and general $3,672 · fundraising $4,259
-
17 · Travel
total $1,172 · program services $176 · management and general $469 · fundraising $527
-
19 · Conferences, conventions and meetings
total $1,877 · program services $1,314 · management and general $375 · fundraising $188
-
20 · Interest
total $640 · management and general $640
-
22 · Depreciation, depletion and amortization
total $60,618 · program services $48,493 · management and general $4,850 · fundraising $7,275
-
23 · Insurance
total $13,008 · program services $10,406 · management and general $2,602
-
24a · Other expenses: PHARMACEUTICALS
total $70,398 · program services $70,398
-
24b · Other expenses: OTHER
total $8,595 · program services $6,877 · management and general $1,460 · fundraising $258
-
24c · Other expenses: PROGRAM SUPPLIES
total $6,538 · program services $6,538
-
24d · Other expenses: FAFCC FEES (DUES)
total $5,765 · program services $4,612 · management and general $461 · fundraising $692
-
24e · All other expenses
total $9,234 · program services $8,635 · management and general $240 · fundraising $359
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $348,713 · end of year $297,371
-
3 · Pledges and grants receivable
beginning of year $35,340
-
9 · Prepaid expenses and deferred charges
beginning of year $32,175 · end of year $59,120
-
10a · Land, buildings and equipment: cost or other basis
$1,557,974
-
10b · Land, buildings and equipment: accumulated depreciation
$849,956
-
10c · Land, buildings and equipment, net
beginning of year $665,132 · end of year $708,018
-
12 · Investments: other securities
beginning of year $161,847 · end of year $174,100
-
17 · Accounts payable and accrued expenses
beginning of year $4,818 · end of year $3,032
-
19 · Deferred revenue
beginning of year $1,000
-
24 · Unsecured notes and loans payable
beginning of year $25,475 · end of year $24,938
-
27 · Net assets without donor restrictions
beginning of year $1,050,067 · end of year $1,036,539
-
28 · Net assets with donor restrictions
beginning of year $161,847 · end of year $174,100
Mission and programs · 2023
Mission
TO PROVIDE TOP QUALITY PRIMARY MEDICAL AND DENTAL SERVICES FREE OF CHARGE TO ELIGIBLE RESIDENTS OF PASCO COUNTY, FLORIDA
-
THE ORGANIZATION IS COMMITTED TO PROVIDING TOP QUALITY MEDICAL AND DENTAL SERVICES TO PASCO COUNTY, FLORIDA RESIDENTS WHO DO NOT QUALIFY FOR PUBLIC ASSISTANCE AND CANNOT PURCHASE PRIVATE HEALTH INSURANCE. IN 2023, 3,456 PATIENTS RECEIVED SERVICES, INCLUDING DENTAL, AT THE CLINIC AND OVER 6,000 PRESCRIPTIONS WERE FILLED AT THE IN-HOUSE PHARMACY.
Expenses $600,080
As filed on the 2023 return.
Listed in Part VII
-
Mike SingerMIKE SINGER
EXECUTIVE DI
- Total calculated
- $90,116
- From this org
- $90,116
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Terri Haffner ArnpTERRI HAFFNER ARNP
CHAIR
- Total calculated
- $0
- Hours/week
- 3
-
Yvonne Kelly Montell Ed DYVONNE KELLY MONTELL ED D
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Anna Farrell EsqANNA FARRELL ESQ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Shelly May Johnson EsqSHELLY MAY JOHNSON ESQ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Angie GardnerANGIE GARDNER
SECRETARY
- Total calculated
- $0
- Hours/week
- 3
-
Shannon Henrici - JonesSHANNON HENRICI - JONES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Elizabeth KuhnELIZABETH KUHN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Alene A Wright MDALENE A WRIGHT MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Andrew Wilson MDANDREW WILSON MD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Paul Manuel PEPAUL MANUEL PE
TREASURER
- Total calculated
- $0
- Hours/week
- 3
-
Juli Skillman RdnJULI SKILLMAN RDN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Nelson Ohihoin RphNELSON OHIHOIN RPH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
Jennifer SelkJENNIFER SELK
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 3
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
- 2023
- Filed
- 15 July 2024
- IRS schema version
- 2023v5.0
- Source object
- 202442149349301664
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.