Skip to content
Nonprofiteer
← GOOD SAMARITAN HEALTH CENTER OF GWINNETT INC

Form 990 for tax year 2022

Filed by GOOD SAMARITAN HEALTH CENTER OF GWINNETT INC.

Totals

Total revenue
$4,174,639
Total expenses
$4,599,264
Contributions and grants received
$1,617,207
Grants paid
$0
Program service revenue
$2,542,129
Investment income
$10,352
Other revenue
$4,951
Total assets, end of year
$8,276,494
Total liabilities, end of year
$88,123
Net assets or fund balances, end of year
$8,188,371
Program services expenses (Part IX)
$3,897,124
Management and general expenses
$382,066
Fundraising expenses
$320,074
Program service expenses (Part III)
$3,897,124

Program services were 84.7% 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)

    $175,000

  • 1f · All other contributions, gifts and grants

    $1,442,207

  • 2a · Program service revenue: MEDICAL SERVICES

    total $2,542,129 · related or exempt $2,542,129

  • 3 · Investment income

    total $10,352 · related or exempt $10,352

  • 6a · Gross rents

    real property $4,950

  • 6c · Rental income or loss

    real property $4,950

  • 6d · Net rental income or loss

    total $4,950 · unrelated business $4,950

  • 11a · Other revenue: MISCELLANEOUS

    total $1 · related or exempt $1

  • 11e · Other revenue, total

    $1

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $3,026,762 · program services $2,481,113 · management and general $315,860 · fundraising $229,789

  • 9 · Other employee benefits

    total $49,644 · program services $40,977 · management and general $6,927 · fundraising $1,740

  • 10 · Payroll taxes

    total $254,913 · program services $215,716 · management and general $21,333 · fundraising $17,864

  • 11b · Fees: legal

    total $250 · fundraising $250

  • 11c · Fees: accounting

    total $12,000 · management and general $12,000

  • 11g · Fees: other

    total $22,249 · program services $14,473 · management and general $2,056 · fundraising $5,720

  • 12 · Advertising and promotion

    total $76,170 · program services $54,728 · management and general $1,352 · fundraising $20,090

  • 13 · Office expenses

    total $25,628 · program services $23,043 · fundraising $2,585

  • 16 · Occupancy

    total $104,795 · program services $100,322 · management and general $3,578 · fundraising $895

  • 22 · Depreciation, depletion and amortization

    total $268,117 · program services $254,711 · management and general $10,725 · fundraising $2,681

  • 23 · Insurance

    total $20,143 · program services $19,136 · management and general $806 · fundraising $201

  • 24a · Other expenses: SUPPLIES

    total $202,345 · program services $202,345

  • 24b · Other expenses: LABORATORY COSTS

    total $125,200 · program services $125,200

  • 24c · Other expenses: OTHER

    total $102,096 · program services $97,417 · management and general $172 · fundraising $4,507

  • 24d · Other expenses: SOFTWARE SUPPORT

    total $85,281 · program services $71,024 · management and general $485 · fundraising $13,772

  • 24e · All other expenses

    total $223,671 · program services $196,919 · management and general $6,772 · fundraising $19,980

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,419,388 · end of year $1,424,888

  • 2 · Savings and temporary cash investments

    beginning of year $1,023,011 · end of year $273,106

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

    $7,408,926

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

    $1,372,929

  • 10c · Land, buildings and equipment, net

    beginning of year $6,233,110 · end of year $6,035,997

  • 11 · Investments: publicly traded securities

    end of year $453,811

  • 12 · Investments: other securities

    end of year $44,176

  • 15 · Other assets

    beginning of year $20,821 · end of year $44,516

  • 17 · Accounts payable and accrued expenses

    beginning of year $75,638 · end of year $88,123

  • 27 · Net assets without donor restrictions

    beginning of year $8,571,366 · end of year $8,156,948

  • 28 · Net assets with donor restrictions

    beginning of year $49,326 · end of year $31,423

Mission and programs · 2022

Mission

GOOD SAMARITAN HEALTH CENTER OF GWINNETT, INC. WAS FORMED TO PROVIDE MEDICAL, DENTAL, HEALTH EDUCATION, COUNSELING AND SOCIAL SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITY IN GWINNETT COUNTY, GEORGIA.

  • PROVIDING MEDICAL, DENTAL, HEALTH EDUCATION, COUNSELING AND SOCIAL SERVICES TO THE MEDICALLY UNDERSERVED COMMUNITY IN GWINNETT COUNTY, GA

    Expenses $3,897,124 · Revenue $2,542,129

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Gregory Lang

    EXECUTIVE DI

    Total calculated
    $190,011
    From this org
    $190,011
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $147,511
    Bonus
    $42,500
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    $190,011

  • Jace Brooks

    DIRECTOR

    Total calculated
    $0

  • Lisa Brown

    SECRETARY

    Total calculated
    $0

  • Clayton Davis

    DIRECTOR

    Total calculated
    $0

  • Linda Delaney

    DIRECTOR

    Total calculated
    $0

  • Paul Hammonds

    DIRECTOR

    Total calculated
    $0

  • Latanya Hammonds-Odie

    DIRECTOR

    Total calculated
    $0

  • David Hern

    TREASURER

    Total calculated
    $0

  • Ken Massaroni

    CHAIR

    Total calculated
    $0

  • Mike Perez

    DIRECTOR

    Total calculated
    $0

  • Patty Thumann

    DIRECTOR

    Total calculated
    $0

  • Earl Williams

    DIRECTOR

    Total calculated
    $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. 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
27 March 2023
IRS schema version
2022v5.0
Source object
202301039349301535

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.