Form 990 for tax year 2022
Filed by GOOD SAMARITAN HEALTH SERVICES INC.
This return was superseded by a later amendment. matched by us It is kept because history is preserved rather than replaced.
What the amendment changed
Compared with the latest return for 2022 , filed 6 May 2024. matched by us Only the Part I totals and the names listed in Part VII 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 revenue
- $1,000,388 changed to $922,787
- Total expenses
- $329,764 changed to $309,177
- Contributions and grants received
- $956,537 changed to $919,008
- Other revenue
- $40,072 changed to $0
- Total assets, end of year
- $1,535,617 changed to $1,516,620
- Total liabilities, end of year
- $335,993 changed to $327,491
- Net assets or fund balances, end of year
- $1,199,624 changed to $1,189,129
- Program services expenses
- $225,750 changed to $209,410
- Management and general expenses
- $85,087 changed to $93,522
- Fundraising expenses
- $18,927 changed to $6,245
- Program service expenses (Part III)
- $225,750 changed to $209,410
Totals
- Total revenue
- $1,000,388
- Total expenses
- $329,764
- Contributions and grants received
- $956,537
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $3,779
- Other revenue
- $40,072
- Total assets, end of year
- $1,535,617
- Total liabilities, end of year
- $335,993
- Net assets or fund balances, end of year
- $1,199,624
- Program services expenses (Part IX)
- $225,750
- Management and general expenses
- $85,087
- Fundraising expenses
- $18,927
- Program service expenses (Part III)
- $225,750
Program services were 68.5% 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.
-
1a · Federated campaigns
$667,743
-
1e · Government grants (contributions)
$31,689
-
1f · All other contributions, gifts and grants
$257,105
-
3 · Investment income
total $3,779 · related or exempt $3,779
-
11a · Other revenue: MISCELLANEOUS RECIPETS
total $40,072 · related or exempt $40,072
-
11e · Other revenue, total
$40,072
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $82,869 · program services $41,435 · management and general $41,434
-
7 · Other salaries and wages
total $111,820 · program services $83,865 · management and general $27,955
-
10 · Payroll taxes
total $15,075 · program services $10,049 · management and general $5,026
-
11a · Fees: management
total $9,600 · management and general $9,600
-
12 · Advertising and promotion
total $188 · program services $188
-
13 · Office expenses
total $19,638 · program services $19,638
-
14 · Information technology
total $7,388 · program services $7,388
-
16 · Occupancy
total $2,023 · program services $2,023
-
20 · Interest
total $2,107 · program services $2,107
-
22 · Depreciation, depletion and amortization
total $6,522 · program services $5,450 · management and general $1,072
-
23 · Insurance
total $7,632 · program services $7,632
-
24a · Other expenses: PRECENTATIVE HEALTH
total $25,535 · program services $25,535
-
24b · Other expenses: FUNDRAISER EXPENSES
total $18,927 · fundraising $18,927
-
24c · Other expenses: PHARMACEUTICAL
total $18,912 · program services $18,912
-
24d · Other expenses: BANK CHARGES
total $1,370 · program services $1,370
-
24e · All other expenses
total $158 · program services $158
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $244,779 · end of year $192,790
-
2 · Savings and temporary cash investments
beginning of year $231,583 · end of year $884,887
-
10a · Land, buildings and equipment: cost or other basis
$218,737
-
10b · Land, buildings and equipment: accumulated depreciation
$161,230
-
10c · Land, buildings and equipment, net
beginning of year $68,997 · end of year $57,507
-
15 · Other assets
beginning of year $36,553 · end of year $400,433
-
17 · Accounts payable and accrued expenses
beginning of year $2,811 · end of year $12,886
-
24 · Unsecured notes and loans payable
beginning of year $40,072 · end of year $323,107
-
27 · Net assets without donor restrictions
beginning of year $539,029 · end of year $1,199,624
Mission and programs · 2022
Mission
PROVIDE FREE MEDICAL SERVICES TO UNINSURED INDIVIDUALS
-
Withheld by Nonprofiteer: this text may name a private individual.
Expenses $225,750
As filed on the 2022 return. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.
Listed in Part VII
-
Glenn ThomasGLENN THOMAS
CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0
-
Greg BurksGREG BURKS
TREASURER
- Total calculated
- $0
- Hours/week
- 0
-
Amy Fagan PhDAMY FAGAN PHD
PRESIDENT
- Total calculated
- $0
- Hours/week
- 40
-
Elizabeth WestELIZABETH WEST
VICE-CHAIRMAN
- Total calculated
- $0
- Hours/week
- 0
-
Alice RogersALICE ROGERS
SECRETARY
- Total calculated
- $0
- Hours/week
- 0
-
Barney Guyton PhDBARNEY GUYTON PHD
EX-OFFICIOS
- Total calculated
- $0
- Hours/week
- 0
-
Sam Pace PhDSAM PACE PHD
EX-OFFICIOS
- Total calculated
- $0
- Hours/week
- 0
-
Vernon Rayford MDVERNON RAYFORD MD
MEDICAL DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Ed Holiday DDSED HOLIDAY DDS
DENTAL DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Shannon Bugg RphSHANNON BUGG RPH
PHARMACY DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Genie Alice BruceGENIE ALICE BRUCE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Sally Kate CollinsSALLY KATE COLLINS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Roger Huey PhDROGER HUEY PHD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Maddin HuttoMADDIN HUTTO
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Shreka KnightSHREKA KNIGHT
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Abby HopkinsABBY HOPKINS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Miles HuffMILES HUFF
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Alli MontsALLI MONTS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Allie RandleALLIE RANDLE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Chris RogersCHRIS ROGERS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Emilie Russell DMDEMILIE RUSSELL DMD
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Sarah YatesSARAH YATES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Chauncey GodwinCHAUNCEY GODWIN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Dr Anne HaireDR ANNE HAIRE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Dr Frank HodgesDR FRANK HODGES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Ryan RoperRYAN ROPER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Ray SmithRAY SMITH
DIRECTOR
- Total calculated
- $0
- Hours/week
- 0
-
Courtney HolcombCOURTNEY HOLCOMB
AD HOC MEMBER
- Total calculated
- $0
- Hours/week
- 0
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
- 9 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333149349303393
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