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Nonprofiteer
← GOOD SAMARITAN CLINIC OF WEST VOLUSIA COUNTY

Form 990 for tax year 2023

Filed by GOOD SAMARITAN CLINIC OF WEST VOLUSIA COUNTY.

Totals

Total revenue
$412,636
Total expenses
$451,013
Contributions and grants received
$392,884
Grants paid
$0
Program service revenue
$0
Investment income
$19,752
Other revenue
$0
Total assets, end of year
$1,780,915
Total liabilities, end of year
$78,400
Net assets or fund balances, end of year
$1,702,515
Program services expenses (Part IX)
$391,077
Management and general expenses
$17,762
Fundraising expenses
$42,174
Program service expenses (Part III)
$391,077

Program services were 86.7% 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.

  • 1c · Fundraising events

    $126,327

  • 1f · All other contributions, gifts and grants

    $266,557

  • 1g · Noncash contributions included above

    $16,051

  • 3 · Investment income

    total $19,752 · unrelated business $0 · excluded $0

  • 7a · Gross sales of assets other than inventory

    other assets $0

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    other assets $0

  • 7d · Net gain or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 8a · Fundraising events: contributions included on line 1c

    $126,327

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $67,810 · program services $61,029 · management and general $6,781 · fundraising $0

  • 10 · Payroll taxes

    total $5,804 · program services $5,224 · management and general $580 · fundraising $0

  • 11c · Fees: accounting

    total $8,805 · program services $4,403 · management and general $4,402 · fundraising $0

  • 11f · Fees: investment management

    total $5,375 · program services $5,375 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $7,667 · program services $7,385 · management and general $282 · fundraising $0

  • 12 · Advertising and promotion

    total $1,185 · program services $1,185 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $3,305 · program services $2,974 · management and general $331 · fundraising $0

  • 14 · Information technology

    total $14,942 · program services $13,448 · management and general $1,494 · fundraising $0

  • 16 · Occupancy

    total $34,503 · program services $34,503 · management and general $0 · fundraising $0

  • 20 · Interest

    total $4,751 · program services $4,751 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $13,542 · program services $13,542 · management and general $0 · fundraising $0

  • 24a · Other expenses: PRINTING

    total $1,015 · program services $1,015 · management and general $0 · fundraising $0

  • 24b · Other expenses: BANK & CREDIT CARD FEES

    total $1,113 · program services $0 · management and general $1,113 · fundraising $0

  • 24c · Other expenses: SECURITY

    total $1,195 · program services $1,195 · management and general $0 · fundraising $0

  • 24d · Other expenses: FUNDRAISING SUPPLIES/EXPENSES

    total $42,174 · program services $0 · management and general $0 · fundraising $42,174

  • 24e · All other expenses

    total $237,827 · program services $235,048 · management and general $2,779 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $194,018 · end of year $182,094

  • 2 · Savings and temporary cash investments

    beginning of year $29,681 · end of year $0

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

    $639,804

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

    $212,284

  • 10c · Land, buildings and equipment, net

    beginning of year $439,721 · end of year $427,520

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $1,044,067 · end of year $1,167,046

  • 14 · Intangible assets

    beginning of year $3,795 · end of year $2,455

  • 15 · Other assets

    beginning of year $3,395 · end of year $1,800

  • 23 · Secured mortgages and notes payable

    beginning of year $83,557 · end of year $77,144

  • 25 · Other liabilities

    beginning of year $0 · end of year $1,256

  • 31 · Retained earnings, endowment or other funds

    beginning of year $1,631,120 · end of year $1,702,515

Mission and programs · 2023

Mission

PRIMARY CARE FREE CLINIC

  • TO PROVIDE PRIMARY MEDICAL CARE TO THE UNINSURED OF THE COMMUNITY THROUGH A NETWORK OF APPROMITATELY 75 VOLUNTEERS AND VOLUNTEER PROVIDERS.

    Expenses $391,077 · Revenue $149,117

As filed on the 2023 return.

Listed in Part VII

  • Shelley Spore

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Mary Jo Jackson

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Shannon Yannone

    TREASURER

    Total calculated
    $0
    Hours/week
    2

  • Mary Delouis RN

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Kyle Glass

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Rhonda Monti

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Fabiola Fairgrieve

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Maria Valdevia

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Barbara Girtman

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Zoe Paiva Aprn

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Bill Feyk

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Jeff Waters

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

  • Frank Francis

    BOARD OF DIRECTORS

    Total calculated
    $0
    Hours/week
    2

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
24 June 2024
IRS schema version
2023v5.1
Source object
202402349349300315

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