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Nonprofiteer
← SAMARITAN HEALTH CENTER INC

Form 990 for tax year 2022

Filed by SAMARITAN HEALTH CENTER INC.

Totals

Total revenue
$1,084,387
Total expenses
$1,000,449
Contributions and grants received
$1,071,336
Grants paid
$0
Program service revenue
$10,703
Investment income
$0
Other revenue
$2,348
Total assets, end of year
$1,225,368
Total liabilities, end of year
$142,701
Net assets or fund balances, end of year
$1,082,667
Program services expenses (Part IX)
$942,856
Management and general expenses
$49,746
Fundraising expenses
$7,847
Program service expenses (Part III)
$942,856

Program services were 94.2% 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.

  • 1e · Government grants (contributions)

    $264,140

  • 1f · All other contributions, gifts and grants

    $807,196

  • 2a · Program service revenue: Patient Contributions

    total $10,703 · related or exempt $10,703

  • 11a · Other revenue: Interest and Other

    total $2,348 · related or exempt $2,348

  • 11e · Other revenue, total

    $2,348

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $404,093 · program services $391,970 · management and general $8,082 · fundraising $4,041

  • 11g · Fees: other

    total $120,263 · program services $89,925 · management and general $30,338

  • 12 · Advertising and promotion

    total $908 · management and general $908

  • 13 · Office expenses

    total $1,865 · program services $1,865

  • 14 · Information technology

    total $6,897 · program services $6,690 · management and general $138 · fundraising $69

  • 16 · Occupancy

    total $80,485 · program services $80,485

  • 22 · Depreciation, depletion and amortization

    total $11,853 · program services $5,927 · management and general $5,926

  • 23 · Insurance

    total $6,884 · program services $6,196 · management and general $688

  • 24a · Other expenses: Electronic Health Record

    total $5,589 · program services $5,589

  • 24b · Other expenses: Medical & Clinic Supplies

    total $15,594 · program services $15,594

  • 24c · Other expenses: Lab Services & Supplies

    total $326,823 · program services $326,823

  • 24d · Other expenses: Utilities

    total $2,681 · program services $2,600 · management and general $54 · fundraising $27

  • 24e · All other expenses

    total $16,514 · program services $9,192 · management and general $3,612 · fundraising $3,710

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $891,202 · end of year $912,612

  • 3 · Pledges and grants receivable

    end of year $91,266

  • 4 · Accounts receivable

    beginning of year $1,352 · end of year $2,122

  • 9 · Prepaid expenses and deferred charges

    end of year $1,646

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

    $153,183

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

    $61,095

  • 10c · Land, buildings and equipment, net

    beginning of year $103,941 · end of year $92,088

  • 15 · Other assets

    beginning of year $3,711 · end of year $125,634

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,477 · end of year $18,933

  • 25 · Other liabilities

    end of year $123,768

  • 27 · Net assets without donor restrictions

    beginning of year $940,129 · end of year $1,055,588

  • 28 · Net assets with donor restrictions

    beginning of year $58,600 · end of year $27,079

Mission and programs · 2022

Mission

To provide high quality health care services to uninsured and underserved patients in Durham, NC and surrounding areas.

  • Samaritan Health Center provides comprehensive, quality health care to adults and children. Services include medical, pediatric, HIV testing, vision testing and dental care without regard to the patients ability to pay. SHC had 2,675 patient encounters in 2022.

    Expenses $942,856 · Revenue $1,084,387

As filed on the 2022 return.

Listed in Part VII

  • Michael Dougherty

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Yancee Perez

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Susanne Meghdadpour

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Kimberly Monroe

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Yu-Lin Amy Lee

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Alicia Ramos

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Matthew Oettinger

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Paul Hlad

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Brandon Furlong

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Aaron McKethan

    Board Member

    Total calculated
    $0
    Hours/week
    1
  • Michelle Kirtley

    Vice Chair

    Total calculated
    $0
    Hours/week
    5
  • Lois Suruki

    Treasurer

    Total calculated
    $0
    Hours/week
    2
  • Edwina Gabriel

    Secretary

    Total calculated
    $0
    Hours/week
    2
  • Richard Chung

    Chair

    Total calculated
    $0
    Hours/week
    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
30 June 2023
IRS schema version
2022v5.0
Source object
202331889349301168

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