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Nonprofiteer
← COWETA SAMARITAN CLINIC INC

Form 990 for tax year 2022

Filed by COWETA SAMARITAN CLINIC INC.

Totals

Total revenue
$7,369,315
Total expenses
$7,656,352
Contributions and grants received
$7,469,534
Grants paid
$0
Program service revenue
$0
Investment income
-$265,956
Other revenue
$165,737
Total assets, end of year
$1,819,910
Total liabilities, end of year
$9,352
Net assets or fund balances, end of year
$1,810,558
Program services expenses (Part IX)
$7,423,116
Management and general expenses
$129,432
Fundraising expenses
$103,804
Program service expenses (Part III)
$7,423,116

Program services were 97.0% 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

    $7,469,534

  • 1g · Noncash contributions included above

    $6,931,787

  • 3 · Investment income

    total -$265,956 · related or exempt -$265,956

  • 8a · Fundraising events: gross income

    $209,277

  • 8b · Fundraising events: direct expenses

    $43,540

  • 8c · Net income from fundraising events

    total $165,737

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $608,818 · program services $448,434 · management and general $96,156 · fundraising $64,228

  • 9 · Other employee benefits

    total $1,256 · program services $929 · management and general $196 · fundraising $131

  • 10 · Payroll taxes

    total $47,253 · program services $34,940 · management and general $7,388 · fundraising $4,925

  • 11c · Fees: accounting

    total $8,800 · management and general $8,800

  • 12 · Advertising and promotion

    total $23,549 · fundraising $23,549

  • 13 · Office expenses

    total $17,279 · program services $13,823 · management and general $2,592 · fundraising $864

  • 16 · Occupancy

    total $172,791 · program services $155,512 · management and general $10,367 · fundraising $6,912

  • 22 · Depreciation, depletion and amortization

    total $4,857 · program services $4,681 · management and general $132 · fundraising $44

  • 23 · Insurance

    total $12,319 · program services $9,855 · management and general $2,464

  • 24a · Other expenses: PATIENT CARE

    total $6,743,678 · program services $6,743,678

  • 24b · Other expenses: VOLUNTEERS

    total $13,523 · program services $10,818 · fundraising $2,705

  • 24c · Other expenses: CORPORATE AND GOVERNANCE

    total $2,229 · program services $446 · management and general $1,337 · fundraising $446

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $479,337 · end of year $352,231

  • 4 · Accounts receivable

    beginning of year $21,920 · end of year $47,010

  • 9 · Prepaid expenses and deferred charges

    beginning of year $5,528 · end of year $5,528

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

    $114,835

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

    $114,835

  • 10c · Land, buildings and equipment, net

    beginning of year $4,857

  • 11 · Investments: publicly traded securities

    beginning of year $1,295,464 · end of year $1,115,141

  • 12 · Investments: other securities

    beginning of year $300,000 · end of year $300,000

  • 17 · Accounts payable and accrued expenses

    beginning of year $9,511 · end of year $8,387

  • 25 · Other liabilities

    end of year $965

  • 27 · Net assets without donor restrictions

    beginning of year $1,852,518 · end of year $1,469,470

  • 28 · Net assets with donor restrictions

    beginning of year $245,077 · end of year $341,088

Mission and programs · 2022

Mission

THE CLINIC PROVIDES FREE MEDICAL AND DENTAL CARE TO RESIDENTS OF COWETA COUNTY, AGES 19 AND OVER, WHO HAVE NO HEALTH INSURANCE AND WHOSE HOUSEHOLD INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL.

Activities or mission (Part I)

THE CLINIC PROVIDES FREE MEDICAL AND DENTAL CARE TO RESIDENTS OF COWETA COUNTY, AGES 19 AND OLDER, WHO HAVE NO HEALTH INSURANCE AND WHOSE HOUSEHOLD INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL.

  • 2022 WAS THE CLINIC'S 11TH FULL YEAR OF OPERATION. DURING THE YEAR THE CLINIC HAD 3,356 PATIENT VISITS. AT YEAR END THE CLINIC'S PATIENT BASE WAS 2042 INDIVIDUALS, ROUGHLY 415 OF WHOM ARE ACTIVE. VOLUNTEER PHYSICIANS, A NURSE PRACTITIONER AND A PHYSICIANS ASSISTANT PROVIDE PRIMARY MEDICAL CARE TO CLINIC PATIENTS, THE MAJORITY OF WHOM HAVE ONE OR MORE CHRONIC DISEASES. THE CLINIC'S TOP DIAGNOSES ARE HYPERTENSION, HYPERLIPIDEMIA, DIABETES, DEPRESSION, OBESITY AND BREATHING DISORDERS. IN ADDITION TO THE DIRECT PATIENT CARE, THE CLINIC ASSISTS PATIENTS IN SECURING EXPENSIVE MEDICATIONS AND INSULIN AT NO CHARGE THROUGH THE PATIENT ASSISTANCE PROGRAMS OF THE MAJOR DRUG COMPANIES; AND NUTRITIONISTS HELP PATIENTS WITH DIET INFORMATION. VOLUNTEER DENTISTS PROVIDE BASIC RESTORATIVE THREE EVENINGS A MONTH AT AN OFFSITE LOCATION. A COMMUNITY CASE MANAGER MEETS WITH NEW PATIENTS TO HELP ADDRESS SOCIOECONOMIC NEEDS.

    Expenses $7,423,116

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

Listed in Part VII

  • Kelly Hines

    EXECUTIVE DI

    Total calculated
    $142,730
    From this org
    $142,730
    From related orgs
    $0
    Other
    $0
    Hours/week
    40
  • Tracy Behm

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Regina Brigman-Lake

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Wesley Budd

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Bob Coggin

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Tom Moynahan DMD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Beth Headley

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • David Jones

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Bobby Lee

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Cliff Cranford MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Kay Crosby MD

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    16
  • Mike Robertson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Steve Swope

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • Mark Whitlock

    VICE CHAIRMA

    Total calculated
    $0
    Hours/week
    1
  • Keith Winn

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Bo Wren

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Anne Yancey

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

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
18 July 2023
IRS schema version
2022v5.0
Source object
202322209349301232

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