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Nonprofiteer
← GOOD SAMARITAN HEALTH CLINIC OF CULLMAN INC

Form 990 for tax year 2023

Filed by GOOD SAMARITAN HEALTH CLINIC OF CULLMAN INC.

Totals

Total revenue
$7,191,701
Total expenses
$6,579,921
Contributions and grants received
$7,183,398
Grants paid
$0
Program service revenue
$8,303
Investment income
$0
Other revenue
$0
Total assets, end of year
$3,637,144
Total liabilities, end of year
$4,667
Net assets or fund balances, end of year
$3,632,477
Program services expenses (Part IX)
$6,522,452
Management and general expenses
$38,909
Fundraising expenses
$18,560
Program service expenses (Part III)
$6,522,452

Program services were 99.1% 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

    $557,279

  • 1f · All other contributions, gifts and grants

    $6,626,119

  • 1g · Noncash contributions included above

    $6,191,414

  • 2a · Program service revenue: Lab tests

    total $8,303 · unrelated business $0 · excluded $0

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

    $557,279

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $82,485 · program services $72,463 · management and general $6,599 · fundraising $3,423

  • 7 · Other salaries and wages

    total $223,928 · program services $203,309 · management and general $17,914 · fundraising $2,705

  • 10 · Payroll taxes

    total $24,531 · program services $22,078 · management and general $1,962 · fundraising $491

  • 16 · Occupancy

    total $30,840 · program services $27,756 · management and general $2,467 · fundraising $617

  • 24a · Other expenses: Donated labor

    total $34,954 · program services $34,954 · management and general $0 · fundraising $0

  • 24b · Other expenses: Special events

    total $10,671 · program services $0 · management and general $0 · fundraising $10,671

  • 24c · Other expenses: Workmens comp

    total $1,443 · program services $1,299 · management and general $116 · fundraising $28

  • 24d · Other expenses: Insurance

    total $9,102 · program services $8,192 · management and general $728 · fundraising $182

  • 24e · All other expenses

    total $6,161,967 · program services $6,152,401 · management and general $9,123 · fundraising $443

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $285,826 · end of year $727,933

  • 2 · Savings and temporary cash investments

    beginning of year $398,588 · end of year $500,000

  • 8 · Inventories for sale or use

    beginning of year $2,340,656 · end of year $2,409,211

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

    $107,294

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

    $107,294

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,373 · end of year $4,667

  • 27 · Net assets without donor restrictions

    beginning of year $3,020,697 · end of year $3,132,477

  • 28 · Net assets with donor restrictions

    end of year $500,000

Mission and programs · 2023

Mission

Provide direct care medical service free of charge

  • Provide free of charge direct care medical services

    Expenses $6,522,452 · Revenue $7,191,701

As filed on the 2023 return.

Listed in Part VII

  • Jolanda Hutson

    Clinic Administrator

    Total calculated
    $82,485
    From this org
    $82,485
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Zach Lee

    Chair

    Total calculated
    $0
    Hours/week
    4

  • Michael Au

    Vice Chair

    Total calculated
    $0
    Hours/week
    4

  • Tommy Warhurst

    Secretary

    Total calculated
    $0
    Hours/week
    4

  • Heather Ashley

    Member

    Total calculated
    $0
    Hours/week
    2

  • Charna Brown

    Member

    Total calculated
    $0
    Hours/week
    2

  • Kelsie Butler

    Member

    Total calculated
    $0
    Hours/week
    2

  • Adam Clark

    Member

    Total calculated
    $0
    Hours/week
    2

  • Susan Copeland

    Member

    Total calculated
    $0
    Hours/week
    2

  • Matt Garmon

    Member

    Total calculated
    $0
    Hours/week
    2

  • Dr Wes Hoskyns

    Member

    Total calculated
    $0
    Hours/week
    2

  • Maria Steele

    Member

    Total calculated
    $0
    Hours/week
    2

  • Mike McCurley

    Member

    Total calculated
    $0
    Hours/week
    2

  • Pastor Joe McnULTY

    Member

    Total calculated
    $0
    Hours/week
    2

  • Marla Steele

    Member

    Total calculated
    $0
    Hours/week
    2

  • Paula Waters

    Member

    Total calculated
    $0
    Hours/week
    2

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
13 May 2024
IRS schema version
2023v5.1
Source object
202443069349301669

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