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Nonprofiteer
← GOOD SAMARITAN HEALTH SERVICES INC

Form 990 for tax year 2023

Filed by GOOD SAMARITAN HEALTH SERVICES INC.

Totals

Total revenue
$647,138
Total expenses
$353,042
Contributions and grants received
$636,379
Grants paid
$0
Program service revenue
$0
Investment income
$10,759
Other revenue
$0
Total assets, end of year
$1,484,692
Total liabilities, end of year
$1,248
Net assets or fund balances, end of year
$1,483,444
Program services expenses (Part IX)
$216,978
Management and general expenses
$118,824
Fundraising expenses
$17,240
Program service expenses (Part III)
$216,978

Program services were 61.5% 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

    $341,242

  • 1e · Government grants (contributions)

    $31,689

  • 1f · All other contributions, gifts and grants

    $263,448

  • 3 · Investment income

    total $10,759 · related or exempt $10,759

  • 11a · Other revenue: MISCELLANEOUS RECEIPTS

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $97,730 · program services $48,865 · management and general $48,865

  • 7 · Other salaries and wages

    total $103,779 · program services $72,347 · management and general $31,432

  • 10 · Payroll taxes

    total $15,253 · program services $9,152 · management and general $6,101

  • 11c · Fees: accounting

    total $15,296 · management and general $15,296

  • 12 · Advertising and promotion

    total $1,787 · program services $1,430 · fundraising $357

  • 13 · Office expenses

    total $6,597 · program services $3,299 · management and general $3,298

  • 16 · Occupancy

    total $18,551 · program services $16,127 · management and general $2,424

  • 20 · Interest

    total $2,724 · program services $2,724

  • 22 · Depreciation, depletion and amortization

    total $20,592 · program services $15,444 · management and general $5,148

  • 23 · Insurance

    total $9,864 · program services $9,864

  • 24a · Other expenses: PREVENTATIVE HEALTH SCREENS

    total $16,740 · program services $16,740

  • 24b · Other expenses: PHARMACEUTICAL SUPPLIES

    total $15,494 · program services $15,494

  • 24c · Other expenses: FUNDRAISER EXPENSE

    total $16,883 · fundraising $16,883

  • 24d · Other expenses: SPECIAL FUNCTIONS

    total $1,588 · program services $1,270 · management and general $318

  • 24e · All other expenses

    total $10,164 · program services $4,222 · management and general $5,942

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $192,790 · end of year $200,080

  • 2 · Savings and temporary cash investments

    beginning of year $884,887 · end of year $672,542

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

    $687,686

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

    $82,942

  • 10c · Land, buildings and equipment, net

    beginning of year $56,029 · end of year $604,744

  • 15 · Other assets

    beginning of year $382,914 · end of year $7,326

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,384 · end of year $1,248

  • 24 · Unsecured notes and loans payable

    beginning of year $323,107

  • 27 · Net assets without donor restrictions

    beginning of year $863,337 · end of year $1,056,848

  • 28 · Net assets with donor restrictions

    beginning of year $325,792 · end of year $426,596

Mission and programs · 2023

Mission

PROVIDE FREE MEDICAL SERVICES TO UNINSURED INDIVIDUALS.

  • Withheld by Nonprofiteer: this text may name a private individual.

    Expenses $216,978

As filed on the 2023 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

  • SARAH YATES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • VERNON RAYFORD

    MEDICAL DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • SHREKA KNIGHT

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • RANDALL ALLIE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • CHRIS ROGERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • ALLI MONTS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • FRANK HODGES

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • RYAN ROPER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • RAY SMITH

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • MILES HUFF

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • CHAUNCEY GODWIN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • ANNE HAIRE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • VALARIE DELGADILLO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • ED HOLIDAY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • SALLY KATE COLLINS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • SAM PACE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • GENIE ALICE BRUCE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • ALICE ROGERS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • ELIZABETH WEST

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • MADDIN HUTTO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • ROGER HUEY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0

  • HANNAH MAHARREY

    PRESIDENT-EXEC DIR

    Total calculated
    $0
    Hours/week
    40

  • GLENN THOMAS

    CHAIR

    Total calculated
    $0
    Hours/week
    0

  • CATHY FITZPATRICK

    TREASURER

    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
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202423179349305017

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