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Nonprofiteer
← GOOD SAMARITAN MEDICAL CLINIC

Form 990 for tax year 2022

Filed by GOOD SAMARITAN MEDICAL CLINIC.

What the amendment changed

Compared with the return it replaced , filed 13 February 2024. 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 expenses
$281,776 changed to $284,308
Total assets, end of year
$353,195 changed to $352,201
Total liabilities, end of year
$126,378 changed to $26,432
Net assets or fund balances, end of year
$226,817 changed to $325,769
Program services expenses
$236,287 changed to $250,888
Management and general expenses
$37,002 changed to $24,933
Program service expenses (Part III)
$236,287 changed to $250,888

Totals

Total revenue
$273,020
Total expenses
$284,308
Contributions and grants received
$266,484
Grants paid
$0
Program service revenue
$0
Investment income
$0
Other revenue
$6,536
Total assets, end of year
$352,201
Total liabilities, end of year
$26,432
Net assets or fund balances, end of year
$325,769
Program services expenses (Part IX)
$250,888
Management and general expenses
$24,933
Fundraising expenses
$8,487
Program service expenses (Part III)
$250,888

Program services were 88.2% 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.

  • 1f · All other contributions, gifts and grants

    $266,484

  • 11a · Other revenue: FEES FOR COPYING

    total $428 · related or exempt $428

  • 11b · Other revenue: MISC INCOME

    total $6,088 · related or exempt $6,088

  • 11c · Other revenue: INT

    total $20 · related or exempt $20

  • 11e · Other revenue, total

    $6,536

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $49,357 · program services $41,953 · management and general $4,936 · fundraising $2,468

  • 7 · Other salaries and wages

    total $120,379 · program services $102,322 · management and general $12,038 · fundraising $6,019

  • 9 · Other employee benefits

    total $25,097 · program services $25,097

  • 11c · Fees: accounting

    total $12,069 · program services $12,069

  • 11g · Fees: other

    total $13,800 · program services $13,800

  • 13 · Office expenses

    total $11,744 · program services $11,744

  • 22 · Depreciation, depletion and amortization

    total $7,959 · management and general $7,959

  • 23 · Insurance

    total $5,831 · program services $5,831

  • 24a · Other expenses: UTILITIES

    total $10,561 · program services $10,561

  • 24b · Other expenses: BUILDING EXPENSES

    total $20,523 · program services $20,523

  • 24c · Other expenses: DUES SUBSCRIPTIONS LICENSE

    total $1,681 · program services $1,681

  • 24d · Other expenses: MEDICATIONS LAB SERVICES

    total $5,005 · program services $5,005

  • 24e · All other expenses

    total $302 · program services $302

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $132,460 · end of year $90,686

  • 2 · Savings and temporary cash investments

    end of year $25,619

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

    $362,815

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

    $126,919

  • 10c · Land, buildings and equipment, net

    beginning of year $243,856 · end of year $235,896

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,539 · end of year $1,539

  • 25 · Other liabilities

    beginning of year $24,797 · end of year $24,893

  • 27 · Net assets without donor restrictions

    beginning of year $349,980 · end of year $325,769

Mission and programs · 2022

Mission

PROVIDING MEDICAL SERVICES TO THE POOR.

  • TO PROVIDE MEDICINES, DOCTOR EXAMS AND X-RAYS FOR THE POOR.

    Expenses $250,888 · Revenue $273,020

As filed on the 2022 return.

Listed in Part VII

  • John Hart III

    EXECUTIVE DIRECTOR

    Total calculated
    $49,357
    From this org
    $49,357
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Diane Simpson

    BOARDMEMBER

    Total calculated
    $0
    Hours/week
    1
  • Halsted Stone Jr

    BOARDMEMBER

    Total calculated
    $0
    Hours/week
    1
  • Frankie Johnson

    BOARDMEMBER

    Total calculated
    $0
    Hours/week
    1
  • Betty Wishert

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Sam Stone

    MEDICAL DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • Steve Bishop

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1
  • John Williams

    TREASURER

    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
4 April 2024
IRS schema version
2022v5.0
Source object
202420969349300712

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