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Nonprofiteer
← GOOD SAMARITAN CLINIC INC

Form 990 for tax year 2022

Filed by GOOD SAMARITAN CLINIC INC.

Totals

Total revenue
$3,376,664
Total expenses
$2,754,261
Contributions and grants received
$3,270,673
Grants paid
$0
Program service revenue
$87,418
Investment income
$165
Other revenue
$18,408
Total assets, end of year
$2,657,868
Total liabilities, end of year
$367,790
Net assets or fund balances, end of year
$2,290,078
Program services expenses (Part IX)
$2,568,807
Management and general expenses
$152,073
Fundraising expenses
$33,381
Program service expenses (Part III)
$2,568,807

Program services were 93.3% 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)

    $957,609

  • 1f · All other contributions, gifts and grants

    $2,313,064

  • 1g · Noncash contributions included above

    $1,853,304

  • 2a · Program service revenue: PHARMACY PATIENT INCOM

    total $56,464 · related or exempt $56,464

  • 2b · Program service revenue: MEDICAL VISIT PATIENT

    total $30,321 · related or exempt $30,321

  • 2c · Program service revenue: MEDICAL RECORDS

    total $633 · related or exempt $633

  • 3 · Investment income

    total $165 · excluded $165

  • 8a · Fundraising events: gross income

    $18,408

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $18,408 · excluded $18,408

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $711,351 · program services $581,853 · management and general $104,822 · fundraising $24,676

  • 9 · Other employee benefits

    total $1,147 · program services $953 · management and general $194

  • 10 · Payroll taxes

    total $55,522 · program services $45,162 · management and general $8,386 · fundraising $1,974

  • 11g · Fees: other

    total $13,716 · program services $8,882 · management and general $4,441 · fundraising $393

  • 13 · Office expenses

    total $48,013 · program services $44,055 · management and general $2,624 · fundraising $1,334

  • 16 · Occupancy

    total $21,073 · program services $18,965 · management and general $1,054 · fundraising $1,054

  • 17 · Travel

    total $25,385 · program services $24,931 · management and general $454

  • 19 · Conferences, conventions and meetings

    total $12,481 · program services $11,139 · management and general $1,342

  • 20 · Interest

    total $10,413 · program services $6,942 · management and general $3,471

  • 22 · Depreciation, depletion and amortization

    total $51,792 · program services $34,528 · management and general $17,264

  • 23 · Insurance

    total $12,648 · program services $10,664 · management and general $1,118 · fundraising $866

  • 24a · Other expenses: MEDICATIONS DISPENSED

    total $1,723,901 · program services $1,723,901 · management and general $0 · fundraising $0

  • 24b · Other expenses: SUPPLIES

    total $54,382 · program services $49,649 · management and general $4,733 · fundraising $0

  • 24c · Other expenses: MISCELLANEOUS

    total $6,607 · program services $1,693 · management and general $2,000 · fundraising $2,914

  • 24d · Other expenses: DUES/LICENSES

    total $5,150 · program services $5,150 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $680 · program services $340 · management and general $170 · fundraising $170

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $398,004 · end of year $671,670

  • 3 · Pledges and grants receivable

    beginning of year $53,800 · end of year $103,400

  • 4 · Accounts receivable

    beginning of year $137,269 · end of year $63,241

  • 8 · Inventories for sale or use

    beginning of year $775,856 · end of year $909,500

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

    $1,085,057

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

    $175,000

  • 10c · Land, buildings and equipment, net

    beginning of year $712,100 · end of year $910,057

  • 17 · Accounts payable and accrued expenses

    beginning of year $27,337 · end of year $36,905

  • 23 · Secured mortgages and notes payable

    beginning of year $382,017 · end of year $330,885

  • 27 · Net assets without donor restrictions

    beginning of year $701,307 · end of year $1,172,197

  • 28 · Net assets with donor restrictions

    beginning of year $966,368 · end of year $1,117,881

Mission and programs · 2022

Mission

THE GOOD SAMARITAN CLINIC IS AN INTERDENOMINATIONAL CHRISTIAN MISSION PROVIDING FREE MEDICAL CARE, MEDICATIONS AND PASTORAL SUPPORT TO RESIDENTS OF BURKE COUNTY, NC WHO ARE WITHOUT GOVERNMENTAL ASSISTANCE, PRIVATE INSURANCE OR THE FINANCIAL RESOURCES TO AFFORD SUCH CARE.

Activities or mission (Part I)

CHRISTIAN MEDICAL CLINIC FOR THE MEDICALLY NEEDY AND WORKING POOR OF BURKE COUNTY, NC.

  • PROVIDE MEDICAL SERVICES TO RESIDENTS WITHOUT PRIVATE INSURANCE OR OTHER FINANCIAL RESOURCES.

    Expenses $672,176 · Revenue $30,321

  • PROVIDE PHARMACEUTICALS TO THOSE RESIDENTS WITHOUT MEDICAL INSURANCE OR OTHER FINANCIAL RESOURCES.

    Expenses $1,896,332 · Revenue $57,097

  • PROVIDE DENTAL CARE TO THOSE RESIDENTS WITHOUT INSURANCE OR OTHER FINANCIAL RESOURCES.

    Expenses $299

As filed on the 2022 return.

Listed in Part VII

  • Todd Carswell

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • David Parker

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Vicki Shuping

    SECRETARY

    Total calculated
    $0
    Hours/week
    0
  • Scott Whisnant

    TREASURER

    Total calculated
    $0
    Hours/week
    0
  • Brandi Behlke

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Will Cannon

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    0
  • Kim Edhegard

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • David Anderson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Drew Thomas

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Susan McCracken

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Ryan Morgan

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0
  • Stephanie Smith

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Deedra Epley

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Sara Hudson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Ed Hollar

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • David Rust

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    0
  • Sherri Fisher

    EXECUTIVE DIRECTOR

    Total calculated
    $107,637
    From this org
    $107,637
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

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
22 March 2023
IRS schema version
2022v5.0
Source object
202310849349300316

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