Form 990 for tax year 2022
Filed by GOOD SAMARITAN HEALTH CENTER OF COBB INC.
Totals
- Total revenue
- $12,804,272
- Total expenses
- $11,737,675
- Contributions and grants received
- $11,008,849
- Grants paid
- $0
- Program service revenue
- $1,730,545
- Investment income
- $5,536
- Other revenue
- $59,342
- Total assets, end of year
- $6,888,651
- Total liabilities, end of year
- $296,521
- Net assets or fund balances, end of year
- $6,592,130
- Program services expenses (Part IX)
- $9,954,650
- Management and general expenses
- $1,692,851
- Fundraising expenses
- $90,174
- Program service expenses (Part III)
- $9,954,650
Program services were 84.8% 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)
$2,665,134
-
1f · All other contributions, gifts and grants
$8,343,715
-
1g · Noncash contributions included above
$6,269,499
-
2a · Program service revenue: MEDICAL PROGRAM REVENUES
total $846,842 · related or exempt $846,842
-
2b · Program service revenue: DENTAL PROGRAM REVENUES
total $568,564 · related or exempt $568,564
-
2c · Program service revenue: DISPENSARY REVENUES
total $259,847 · related or exempt $259,847
-
2d · Program service revenue: INSURANCE PAYMENTS
total $36,890 · related or exempt $36,890
-
2e · Program service revenue: BEHAVIORAL HEALTH
total $9,210 · related or exempt $9,210
-
2f · All other program service revenue
total $9,192 · related or exempt $9,192
-
4 · Income from investment of tax-exempt bond proceeds
total $5,536 · related or exempt $5,536
-
8a · Fundraising events: gross income
$111,780
-
8b · Fundraising events: direct expenses
$55,180
-
8c · Net income from fundraising events
total $56,600 · excluded $56,600
-
11a · Other revenue: OTHER
total $2,742 · related or exempt $2,742
-
11e · Other revenue, total
$2,742
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $366,184 · management and general $366,184
-
7 · Other salaries and wages
total $2,823,197 · program services $2,274,337 · management and general $471,515 · fundraising $77,345
-
9 · Other employee benefits
total $185,267 · program services $130,212 · management and general $46,318 · fundraising $8,737
-
10 · Payroll taxes
total $180,472 · program services $116,776 · management and general $59,604 · fundraising $4,092
-
11b · Fees: legal
total $87,754 · management and general $87,754
-
11c · Fees: accounting
total $81,174 · program services $18,362 · management and general $62,812
-
12 · Advertising and promotion
total $20,834 · management and general $20,834
-
13 · Office expenses
total $84,436 · program services $84,436
-
16 · Occupancy
total $30,496 · management and general $30,496
-
19 · Conferences, conventions and meetings
total $24,949 · management and general $24,949
-
22 · Depreciation, depletion and amortization
total $170,425 · program services $37,727 · management and general $132,698
-
23 · Insurance
total $58,791 · management and general $58,791
-
24a · Other expenses: PROFESSIONAL SERVICES
total $5,311,088 · program services $5,311,088
-
24b · Other expenses: DISPENSARY COSTS
total $1,044,451 · program services $1,044,451
-
24c · Other expenses: BAD DEBTS
total $270,307 · program services $270,307
-
24d · Other expenses: DENTAL SUPPLIES
total $246,633 · program services $246,633
-
24e · All other expenses
total $751,217 · program services $420,321 · management and general $330,896
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $2,724,560 · end of year $3,576,268
-
4 · Accounts receivable
beginning of year $25,818 · end of year $89,681
-
8 · Inventories for sale or use
beginning of year $12,514 · end of year $9,045
-
9 · Prepaid expenses and deferred charges
beginning of year $40,639 · end of year $47,451
-
10a · Land, buildings and equipment: cost or other basis
$4,716,468
-
10b · Land, buildings and equipment: accumulated depreciation
$1,550,262
-
10c · Land, buildings and equipment, net
beginning of year $2,931,351 · end of year $3,166,206
-
14 · Intangible assets
beginning of year $240
-
17 · Accounts payable and accrued expenses
beginning of year $123,601 · end of year $186,647
-
25 · Other liabilities
beginning of year $85,988 · end of year $109,874
-
27 · Net assets without donor restrictions
beginning of year $5,525,533 · end of year $5,940,010
-
28 · Net assets with donor restrictions
end of year $652,120
Mission and programs · 2022
Mission
THE ORGANIZATION'S MISSION IS TO SPREAD THE LOVE OF CHRIST BY PROVIDING QUALITY HEALTHCARE TO THOSE IN NEED.
-
THE ORGANIZATION PROVDIES PRIMARY MEDICAL, DENTAL AND COUNSELING SERVICES TO UNINSURED AND UNDERINSURED, WORKING POOR AND INDIGENT IN THE COMMUNITY. GOOD SAMARITAN'S FAMILY CENTERED APPROACH ENSURES THAT THEY DELIVER HIGH QUALITY AND PREVENTATIVE MEDICAL AND DENTAL SERVICES IN ADDITION TO COUNSELING, PHARMACEUTICAL, REFERRAL AND HEALTH EDUCATION PROGRAMS IN AN ATMOSPHERE OF DIGNITY, RESPECT, REGARDLESS OF RACE, ETHNICITY, RELIGION OR ABILTY TO PAY.
Expenses $9,954,650 · Revenue $1,738,823
As filed on the 2022 return.
Listed in Part VII
-
Dr Chris SmithDR CHRIS SMITH
CHAIRMAN OF BOARD
- Total calculated
- $0
- Hours/week
- 0
-
Rev Grant ColeREV GRANT COLE
SECRETARY
- Total calculated
- $0
- Hours/week
- 0
-
Greg GriggsGREG GRIGGS
TREASURER
- Total calculated
- $0
- Hours/week
- 0
-
Hicks PoorHICKS POOR
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Barry TeagueBARRY TEAGUE
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Lynda AusburnLYNDA AUSBURN
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Brenda GaskinsBRENDA GASKINS
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Anna Longacre MDANNA LONGACRE MD
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Jose VazquezJOSE VAZQUEZ
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Dr John SherrerDR JOHN SHERRER
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Chan WilkesCHAN WILKES
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Israel BrownISRAEL BROWN
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Hector Guzman-MorenoHECTOR GUZMAN-MORENO
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Enery Lucena VelezENERY LUCENA VELEZ
BOARD OF DIRECTORS
- Total calculated
- $0
- Hours/week
- 0
-
Cyrl KitchensCYRL KITCHENS
CEO
- Total calculated
- $220,485
- From this org
- $220,485
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $220,485
- Bonus
- $0
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $220,485
-
Gayle NelsonGAYLE NELSON
CFO
- Total calculated
- $145,699
- From this org
- $145,699
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Ji Won ParkJI WON PARK
DENTIST
- Total calculated
- $116,596
- From this org
- $116,596
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
Stephen ScottSTEPHEN SCOTT
PHYSICIAN
- Total calculated
- $133,417
- From this org
- $133,417
- From related orgs
- $0
- Other
- $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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 21 September 2023
- IRS schema version
- 2022v5.0
- Source object
- 202332689349301203
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