Form 990 for tax year 2022
Filed by GOOD SAMARITAN PHARMACY & HEALTH SERVICES INC.
Totals
- Total revenue
- $1,192,200
- Total expenses
- $942,330
- Contributions and grants received
- $1,173,328
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $2,846
- Other revenue
- $16,026
- Total assets, end of year
- $752,269
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $752,269
- Program services expenses (Part IX)
- $882,318
- Management and general expenses
- $60,012
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $882,318
Program services were 93.6% 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.
-
1f · All other contributions, gifts and grants
$1,173,328
-
1g · Noncash contributions included above
$965,123
-
3 · Investment income
total $2,846 · excluded $2,846
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
8a · Fundraising events: gross income
$16,196
-
8b · Fundraising events: direct expenses
$535
-
8c · Net income from fundraising events
total $15,661
-
9c · Net income from gaming
total $0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: Arlo Cameras
total $155 · excluded $155
-
11b · Other revenue: Medical Records
total $210 · related or exempt $210
-
11e · Other revenue, total
$365
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $89,108 · program services $79,207 · management and general $9,901
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $0
-
8 · Pension plan contributions
total $0
-
9 · Other employee benefits
total $0
-
10 · Payroll taxes
total $6,917 · program services $5,879 · management and general $1,038
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $0
-
11c · Fees: accounting
total $863 · management and general $863
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $904 · program services $690 · management and general $214
-
12 · Advertising and promotion
total $385 · management and general $385
-
13 · Office expenses
total $14,437 · management and general $14,437
-
14 · Information technology
total $7,182 · program services $7,047 · management and general $135
-
15 · Royalties
total $0
-
16 · Occupancy
total $28,600 · management and general $28,600
-
17 · Travel
total $0
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $0
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $84 · management and general $84
-
23 · Insurance
total $3,391 · management and general $3,391
-
24a · Other expenses: Pharmacy Medications
total $786,699 · program services $786,699
-
24b · Other expenses: Pharmacy Supplies
total $1,646 · program services $1,646
-
24c · Other expenses: Volunteer Appreciation
total $1,480 · program services $1,067 · management and general $413
-
24d · Other expenses: Membership Dues
total $375 · management and general $375
-
24e · All other expenses
total $259 · program services $83 · management and general $176
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $116,830 · end of year $171,284
-
2 · Savings and temporary cash investments
end of year $0
-
3 · Pledges and grants receivable
end of year $0
-
4 · Accounts receivable
end of year $0
-
5 · Loans and receivables from officers and key people
end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
beginning of year $294,747 · end of year $481,471
-
9 · Prepaid expenses and deferred charges
end of year $0
-
10a · Land, buildings and equipment: cost or other basis
$49,311
-
10b · Land, buildings and equipment: accumulated depreciation
$49,136
-
10c · Land, buildings and equipment, net
beginning of year $259 · end of year $175
-
11 · Investments: publicly traded securities
beginning of year $97,153 · end of year $91,139
-
12 · Investments: other securities
end of year $0
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
beginning of year $2,200 · end of year $8,200
-
27 · Net assets without donor restrictions
beginning of year $511,189 · end of year $752,269
Mission and programs · 2022
Mission
Provide free medication and medical services to uninsured financially needy members of our community so as to positively affect their health and quality of life.
-
Provide free medication and medical services to uninsured financially needy members of our community so as to positively affect their health and quality of life.
Expenses $882,318 · Grants $141,375 · Revenue $1,104,253
As filed on the 2022 return.
Listed in Part VII
-
Luldes Serrano
Director
- Total calculated
- $66,008
- From this org
- $66,008
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Kelly Scolaro
Pharmacist
- Total calculated
- $23,100
- From this org
- $23,100
- From related orgs
- $0
- Other
- $0
- Hours/week
- 8
-
George Forcier
President
- Total calculated
- $0
- Hours/week
- 25
-
Marcus Campbell
Director
- Total calculated
- $0
- Hours/week
- 2
-
Julie Wilkinson
Secretary
- Total calculated
- $0
- Hours/week
- 2
-
Sheeba Mesghali
Director
- Total calculated
- $0
- Hours/week
- 10
-
William Palace
Vice President
- Total calculated
- $0
- Hours/week
- 20
-
Luldes Serrano
Director
- Total calculated
- $0
- Hours/week
- 40
-
Kathleen Hitchcock
Treasurer
- Total calculated
- $0
- Hours/week
- 20
-
Matt Haas
Director
- Total calculated
- $0
- Hours/week
- 10
-
Kelly Scolaro
Director
- Total calculated
- $0
- Hours/week
- 8
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
- 14 May 2023
- IRS schema version
- 2022v5.0
- Source object
- 202311349349300836
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