Skip to content
Nonprofiteer
← GOOD SAMARITAN CLINIC

Form 990 for tax year 2022

Filed by GOOD SAMARITAN CLINIC.

Totals

Total revenue
$809,837
Total expenses
$708,987
Contributions and grants received
$773,157
Grants paid
$0
Program service revenue
$90,744
Investment income
$23,633
Other revenue
-$77,697
Total assets, end of year
$1,275,720
Total liabilities, end of year
$15,980
Net assets or fund balances, end of year
$1,259,740
Program services expenses (Part IX)
$568,183
Management and general expenses
$76,902
Fundraising expenses
$63,902
Program service expenses (Part III)
$568,183

Program services were 80.1% 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.

  • 1c · Fundraising events

    $112,418

  • 1e · Government grants (contributions)

    $430

  • 1f · All other contributions, gifts and grants

    $660,309

  • 1g · Noncash contributions included above

    $159,887

  • 2a · Program service revenue: PATIENT PAYMENTS

    total $90,744 · related or exempt $90,744

  • 3 · Investment income

    total $26,251 · excluded $26,251

  • 7b · Less cost or other basis and sales expenses

    securities $2,618

  • 7c · Gain or loss

    securities -$2,618

  • 7d · Net gain or loss

    total -$2,618 · excluded -$2,618

  • 8a · Fundraising events: contributions included on line 1c

    $112,418

  • 8b · Fundraising events: direct expenses

    $77,733

  • 8c · Net income from fundraising events

    total -$77,733

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $36 · related or exempt $36

  • 11e · Other revenue, total

    $36

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $350,676 · program services $235,676 · management and general $57,500 · fundraising $57,500

  • 9 · Other employee benefits

    total $14,643 · program services $11,193 · management and general $3,450

  • 10 · Payroll taxes

    total $26,892 · program services $14,208 · management and general $6,342 · fundraising $6,342

  • 11g · Fees: other

    total $8,368 · program services $8,368

  • 12 · Advertising and promotion

    total $3,917 · program services $3,917

  • 13 · Office expenses

    total $865 · program services $825 · management and general $24 · fundraising $16

  • 16 · Occupancy

    total $83,109 · program services $80,842 · management and general $2,267

  • 17 · Travel

    total $1,916 · program services $1,864 · management and general $52

  • 22 · Depreciation, depletion and amortization

    total $26,788 · program services $26,057 · management and general $731

  • 23 · Insurance

    total $18,582 · program services $18,295 · management and general $287

  • 24a · Other expenses: IN-KIND EXPENSES

    total $126,887 · program services $126,887

  • 24b · Other expenses: MISCELLANEOUS

    total $17,643 · program services $17,162 · management and general $481

  • 24c · Other expenses: DUES & SUBSCRIPTIONS

    total $8,557 · program services $8,557

  • 24d · Other expenses: BOARD FUNCTIONS

    total $3,975 · management and general $3,975

  • 24e · All other expenses

    total $16,169 · program services $14,332 · management and general $1,793 · fundraising $44

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $704,955 · end of year $1,085,688

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,286 · end of year $3,869

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

    $560,267

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

    $374,104

  • 10c · Land, buildings and equipment, net

    beginning of year $170,375 · end of year $186,163

  • 12 · Investments: other securities

    beginning of year $285,496

  • 17 · Accounts payable and accrued expenses

    beginning of year $16,362 · end of year $15,980

  • 27 · Net assets without donor restrictions

    beginning of year $973,029 · end of year $1,259,740

  • 28 · Net assets with donor restrictions

    beginning of year $173,721

Mission and programs · 2022

Mission

TO PROVIDE MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UN-INSURED, ELDERLY, & HOMELESS.

Activities or mission (Part I)

TO BE A CHARITABLE HEALTHCARE MINISTRY FOR THE UNDERSERVED.

  • THE CLINIC PROVIDES MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UN-INSURED, ELDERLY, & HOMELESS.

    Expenses $568,183 · Revenue $90,744

As filed on the 2022 return.

Listed in Part VII

  • Rebecca Brown

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Mark Buergler

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Stephanie Davidson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Stephen Gebhart

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Dr Brandi Guthrey

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Melissa Hanesworth

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Tim Hearn

    PAST CHAIR

    Total calculated
    $0
    Hours/week
    0.5
  • Pat Hightower

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Christopher Hooks

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Dr David Hunton

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Bobbie Lamb

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Crystal Lougin

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    0.5
  • Harold Macdowell

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Victor Martinez

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Monica McGruder

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Dianne Meadors

    SECRETARY

    Total calculated
    $0
    Hours/week
    0.5
  • Tina Meek

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Nycole Oliver

    PAST CHAIR

    Total calculated
    $0
    Hours/week
    0.5
  • Stephanie Parson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Jay Richardson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Darrell Stovall

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Randy Strickland

    TREASURER

    Total calculated
    $0
    Hours/week
    0.5
  • Jennifer Terry

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Stan Vladamar

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Dawn Watts

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Stephanie Whitaker

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Holli Willis

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Dr Leslie Ziegler

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5
  • Scott Zuerker

    CHAIR

    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.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
27 March 2024
IRS schema version
2022v5.0
Source object
202430959349301458

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.