Form 990 for tax year 2022
Filed by SAMARITAN HEALTH AND WELLNESS CENTER INC.
Totals
- Total revenue
- $853,996
- Total expenses
- $1,019,256
- Contributions and grants received
- $363,538
- Grants paid
- $0
- Program service revenue
- $487,246
- Investment income
- $1,432
- Other revenue
- $1,780
- Total assets, end of year
- $488,382
- Total liabilities, end of year
- $146,073
- Net assets or fund balances, end of year
- $342,309
- Program services expenses (Part IX)
- $909,898
- Management and general expenses
- $102,194
- Fundraising expenses
- $7,164
- Program service expenses (Part III)
- $909,898
Program services were 89.3% 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)
$151,672
-
1f · All other contributions, gifts and grants
$211,866
-
2a · Program service revenue: MEDICAL, LAB AND HEALTH
total $487,246 · related or exempt $487,246
-
3 · Investment income
total $1,432 · excluded $1,432
-
11a · Other revenue: OTHER INCOME
total $1,780 · related or exempt $1,780
-
11e · Other revenue, total
$1,780
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $153,926 · program services $123,141 · management and general $29,246 · fundraising $1,539
-
7 · Other salaries and wages
total $570,069 · program services $542,875 · management and general $26,567 · fundraising $627
-
10 · Payroll taxes
total $58,865 · program services $54,156 · management and general $4,120 · fundraising $589
-
11c · Fees: accounting
total $14,466 · management and general $14,466
-
12 · Advertising and promotion
total $3,665 · program services $2,500 · management and general $1,165
-
13 · Office expenses
total $15,992 · program services $10,940 · management and general $4,332 · fundraising $720
-
14 · Information technology
total $7,694 · program services $3,240 · management and general $2,438 · fundraising $2,016
-
16 · Occupancy
total $84,282 · program services $77,539 · management and general $5,900 · fundraising $843
-
19 · Conferences, conventions and meetings
total $1,082 · program services $600 · management and general $482
-
22 · Depreciation, depletion and amortization
total $1,004 · program services $924 · management and general $70 · fundraising $10
-
23 · Insurance
total $25,769 · program services $23,405 · management and general $2,296 · fundraising $68
-
24a · Other expenses: LAB SERVICES
total $51,906 · program services $51,906
-
24b · Other expenses: DUES, LICENSES & FEES
total $13,267 · program services $7,477 · management and general $5,790
-
24c · Other expenses: REIMBURSEMENTS
total $7,669 · program services $5,650 · management and general $1,959 · fundraising $60
-
24d · Other expenses: MEDICAL SUPPLIES
total $4,530 · program services $4,530
-
24e · All other expenses
total $5,070 · program services $1,015 · management and general $3,363 · fundraising $692
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $265,931 · end of year $134,458
-
2 · Savings and temporary cash investments
beginning of year $162,300 · end of year $163,474
-
3 · Pledges and grants receivable
beginning of year $88,422 · end of year $40,222
-
4 · Accounts receivable
beginning of year $8,763 · end of year $7,200
-
9 · Prepaid expenses and deferred charges
beginning of year $28,547 · end of year $30,466
-
10a · Land, buildings and equipment: cost or other basis
$19,940
-
10b · Land, buildings and equipment: accumulated depreciation
$15,447
-
10c · Land, buildings and equipment, net
beginning of year $5,497 · end of year $4,493
-
15 · Other assets
end of year $108,069
-
17 · Accounts payable and accrued expenses
beginning of year $51,891 · end of year $21,868
-
19 · Deferred revenue
end of year $13,475
-
25 · Other liabilities
end of year $110,730
-
27 · Net assets without donor restrictions
beginning of year $481,741 · end of year $315,118
-
28 · Net assets with donor restrictions
beginning of year $25,828 · end of year $27,191
Mission and programs · 2022
Mission
THE MISSION OF THE SAMARITAN HEALTH AND WELLNESS CENTER, INC. IS TO RECLAIM THE HEALING MINISTRY OF JESUS CHRIST BY PROVIDING AFFORDABLE, PROFESSIONAL PRIMARY HEALTH CARE AND COUNSELING FOR THE WORKING UNINSURED AND UNDER INSURED IN LEE COUNTY FLORIDA.
Activities or mission (Part I)
TO SERVE THE UNINSURED AND UNDER-INSURED IN LEE COUNTY IN A CHRIST-CENTERED ENVIRONMENT WITH THE KNOWLEDGE THAT JESUS CHRIST IS THE ONLY HEALER.
-
SAMARITAN HEALTH AND WELLNESS CENTER, INC. IS A CHRIST-CENTERED FAMILY MEDICAL INTEGRATED BEHAVIORAL HEALTH CLINIC PROVIDING AFFORDABLE HEALTHCARE AND COUNSELING FOR UNINSURED AND UNDER INSURED MEN, WOMEN, AND CHILDREN LIVING IN SOUTHWEST FLORIDA AND BEYOND. EVERYONE IS WELCOME TO COME FOR CARE, AND SMALL FEES FOR SERVICE ARE CHARGED. NO INSURANCE IS REQUIRED OR BILLED. THESE FEES MAKE UP APPROXIMATELY 50% OF THE OPERATING BUDGET WITH THE REMAINDER COMING FROM GRANTS AND DONATIONS FROM INDIVIDUALS, CHURCHES, SMALL BUSINESSES, COMMUNITY ORGANIZATIONS, AND FOUNDATIONS. THE CENTER OPENED IN NOVEMBER 2014 WITH ONE NURSE PRACTITIONER AND ONE FRONT OFFICE STAFF MEMBER. THE FIRST WEEK OF OPERATION, 40 UNINSURED PATIENTS BECAME PART OF THE PATIENT BASE AND RECEIVED CARE. SAMARITAN NOW HAS A STAFF OF THREE FULL-TIME AND ONE PART-TIME NURSE PRACTITIONERS, ONE FULL-TIME MENTAL HEALTH/CLINICAL PASTORAL COUNSELOR, ONE SOCIAL WORKER, TWO MEDICAL ASSISTANTS, FRONT OFFICE STAFF, AND A BOOKKEEPER. SAMARITAN PROVIDES SERVICES TO OVER 9,000 MEN, WOMEN AND CHILDREN.
Expenses $909,898 · Revenue $487,246
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
SUSAN HOOK
EXECUTIVE DI
- Total calculated
- $153,926
- From this org
- $153,926
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $153,926
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- not reported
- Filer's total
- $153,926
-
TOM COTTRELL
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
BRETT FURLONG
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
STEVEN HOOK
DIRECTOR
- Total calculated
- $0
- Hours/week
- 2
-
DAN O'BERSKI
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
HILLARY TOLMEN
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
JOANNE UYENO
DIRECTOR
- 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. 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
- 3 · Approval by the board or compensation committee
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
- 15 February 2024
- IRS schema version
- 2022v5.0
- Source object
- 202420539349300337
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