Civic Intelligence

Good Samaritan Free Clinic Inc.

EIN 05-0602031 • 501(c)3 • Martinsburg, WV

Pub. 78 Eligible

Profile

We provide medical services to uninsured and underinsured in our community. This year our mission included assisting the Rescue Mission with COVID testing and setting up appointments for COVID vaccinations.

PO Box 2353Martinsburg, WV 25402-2353

www.goodsamaritanfreeclinic.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

77th percentile

0.23x

Higher debt load relative to assets than 77% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Liabilities / Revenue

92nd percentile

1.06x

Higher debt load relative to revenue than 92% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Net Margin

19th percentile

-15%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Top Officer Pay

69th percentile

$55,000

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 49.3% of source-year revenue.

501(c)3 • $500k-$1M nonprofits • Source year 2024

Asset Growth

31st percentile

-3.8%

Faster asset growth than 31% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Revenue Growth

48th percentile

5.3%

Faster revenue growth than 48% of similar nonprofits.

501(c)3 • $500k-$1M nonprofits • Annualized from 2023 to 2024

Assets

Down

$513,023

Down $20,049 (-3.8%) from 2023

Liabilities

Down

$117,874

Down $3,187 (-2.6%) from 2023

Net Assets

Down

$395,149

Down $16,862 (-4.1%) from 2023

Revenue

Up

$111,670

Up $5,610 (+5.3%) from 2023

Expenses

Up

$128,532

Up $27,594 (+27%) from 2023

Net Income

Down

-$16,862

Down $21,984 (-429%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600K$400K$200K$0Assets 2011: $30,874Liabilities 2011: $02011Assets 2012: $59,680Liabilities 2012: $02012Assets 2013: $73,490Liabilities 2013: $02013Assets 2014: $68,251Liabilities 2014: $02014Assets 2015: $38,414Liabilities 2015: $02015Assets 2016: $31,534Liabilities 2016: $02016Assets 2017: $49,199Liabilities 2017: $02017Assets 2018: $59,053Liabilities 2018: $02018Assets 2019: $54,023Liabilities 2019: $02019Assets 2020: $106,862Liabilities 2020: $02020Assets 2021: $158,113Liabilities 2021: $0Net Assets 2021: $158,1132021Assets 2022: $531,003Liabilities 2022: $124,114Net Assets 2022: $406,8892022Assets 2023: $533,072Liabilities 2023: $121,061Net Assets 2023: $412,0112023Assets 2024: $513,023Liabilities 2024: $117,874Net Assets 2024: $395,1492024

Highlighted filing

2024

Assets$513,023
Liabilities$117,874
Net Assets$395,149

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$300K$200K$100K$0-$100KRevenue 2011: $44,083Expenses 2011: $37,919Net Income 2011: $6,1642011Revenue 2012: $64,665Expenses 2012: $35,859Net Income 2012: $28,8062012Revenue 2013: $40,861Expenses 2013: $27,052Net Income 2013: $13,8092013Revenue 2014: $33,131Expenses 2014: $37,170Net Income 2014: -$4,0392014Revenue 2015: $37,896Expenses 2015: $71,005Net Income 2015: -$33,1092015Revenue 2016: $50,040Expenses 2016: $56,920Net Income 2016: -$6,8802016Revenue 2017: $121,614Expenses 2017: $103,949Net Income 2017: $17,6652017Revenue 2018: $96,281Expenses 2018: $89,418Net Income 2018: $6,8632018Revenue 2019: $79,162Expenses 2019: $81,192Net Income 2019: -$2,0302019Revenue 2020: $150,469Expenses 2020: $97,618Net Income 2020: $52,8512020Revenue 2021: $144,043Expenses 2021: $92,792Net Income 2021: $51,2512021Revenue 2022: $351,325Expenses 2022: $106,054Net Income 2022: $245,2712022Revenue 2023: $106,060Expenses 2023: $100,938Net Income 2023: $5,1222023Revenue 2024: $111,670Expenses 2024: $128,532Net Income 2024: -$16,8622024

Highlighted filing

2024

Revenue$111,670
Expenses$128,532
Net Income-$16,862

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$5.13$1.18$3.95$1.12$1.29$0.17
2023Detailed filing. Detailed filing data is available for this year.$5.33$1.21$4.12$1.06$1.01$0.05
2022Detailed filing. Detailed filing data is available for this year.$5.31$1.24$4.07$3.51$1.06$2.45
2021Detailed filing. Detailed filing data is available for this year.$1.58$0.00$1.58$1.44$0.93$0.51
2020Summary only. Only limited summary data is available for this year.$1.07$0.00$1.50$0.98$0.53
2019Summary only. Only limited summary data is available for this year.$0.54$0.00$0.79$0.81$0.02
2018Summary only. Only limited summary data is available for this year.$0.59$0.00$0.96$0.89$0.07
2017Summary only. Only limited summary data is available for this year.$0.49$0.00$1.22$1.04$0.18
2016Summary only. Only limited summary data is available for this year.$0.32$0.00$0.50$0.57$0.07
2015Summary only. Only limited summary data is available for this year.$0.38$0.00$0.38$0.71$0.33
2014Summary only. Only limited summary data is available for this year.$0.68$0.00$0.33$0.37$0.04
2013Summary only. Only limited summary data is available for this year.$0.73$0.00$0.41$0.27$0.14
2012Summary only. Only limited summary data is available for this year.$0.60$0.00$0.65$0.36$0.29
2011Summary only. Only limited summary data is available for this year.$0.31$0.00$0.44$0.38$0.06
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Aug 20, 2025
Return Version
2024v5.1
Gross Receipts
$111,670
Mission and Program Overview

Mission

We provide medical services to uninsured and underinsured in our community. This year our mission included assisting the Rescue Mission with COVID testing and setting up appointments for COVID vaccinations.

We provide medical services to uninsured and underinsured in our community. This year our mission included assisting the Rescue Mission with healthcare for their residents as well as seeing patientst our clinic.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$163,795$160,431▼ $3,364
Loans From Officers Directors$116,325$112,949▼ $3,376
Cash and Non-Interest-Bearing Accounts$351,078$85,917▼ $265,161
Savings and Temporary Cash Investments$5,749$6,472▲ $723
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Total Assets$533,072$513,023▼ $20,049
Other Assets Total$12,450$260,203▲ $247,753
Liabilities
Accounts Payable and Accrued Expenses$4,736$4,925▲ $189
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$121,061$117,874▼ $3,187
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$224,461$393,068▲ $168,607
Net Assets With Donor Restrictions$187,550$2,081▼ $185,469
Total Net Assets Fund Balance$412,011$395,149▼ $16,862
Total Liabilities and Net Assets / Fund Balance$533,072$513,023▼ $20,049

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$126,431$8,130-
Land$34,000--
Other Assets Org$260,203--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Karen NewellDirectorPT$55,000$55,000
Karen ShantzNursePT$9,464$9,464

Board Members and Trustees

NameTitle
Trent ShermanPresident
Karla PerrellSecretary
Diana CarpenterTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$110,946
Program Service Revenue
$0
Investment Income
$724
Other Revenue
$0
All Other Contributions
$106,310
Change in Net Assets
$-16,862
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$70,096
Other Expenses$58,436
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$63,086$7,010$0$70,096
Information Technology$5,122$5,121$0$10,243
Interest$3,852$428$0$4,280
Depreciation Depletion$3,028$336$0$3,364
Fees for Services Accounting$0$3,000$0$3,000
Office Expenses$0$2,191$0$2,191
Advertising$1,790$199$0$1,989
Insurance$1,744$194$0$1,938
All Other Expenses$0$1,266$0$1,266
Other Expenses$894$99$0$993
Total Functional Expenses$107,921$20,611$0$128,532
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Gaming Direct Expenses$0
Gaming Gross Income$0
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$116,325$112,949▼ $3,376
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Part VI, Line 11B

No review was or will be conducted

Part VI, Line 19

Will make documents available upon request

Filing and Contact Details

Filer

Filer Name
Good Samaritan Free Clinic Inc
EIN
05-0602031
In Care Of
% Diana L Carpenter
Phone
3042618310
Address
PO BOX 2353, MARTINSBURG, WV 25402-2353
Doing Business As
Good Samaritan Free Healthcare

Signing Officer

Name
Diana Carpenter
Title
Treasurer
Signed
2025-08-20

Organization Details

Principal Officer
Diana L Carpenter
Formed
2003
Legal Domicile
Wv
Voting Board Members
8
Independent Board Members
8
Employees
2
Volunteers
0
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IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt08130
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0163795
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0160431
IRS990/LandBldgEquipCostOrOtherBssAmt0168561
IRS990/LegalDomicileStateCd0WV
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt00
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LessRentalExpensesGrp/PersonalAmt00
IRS990/LessRentalExpensesGrp/RealAmt00
IRS990/LoanOutstandingInd0false
IRS990/LoansFromOfficersDirectorsGrp/BOYAmt0116325
IRS990/LoansFromOfficersDirectorsGrp/EOYAmt0112949
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembershipDuesAmt00
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingCashInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MiscellaneousRevenueGrp/ExclusionAmt00
IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt00
IRS990/MiscellaneousRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/MissionDesc0We provide medical services to uninsured and underinsured in our community. This year our mission included assisting the Rescue Mission with healthcare for their residents as well as seeing patients at our clinic.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
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IRS990/NetAssetsOrFundBalancesEOYAmt0395149
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IRS990/NetGainOrLossInvestmentsGrp/UnrelatedBusinessRevenueAmt00
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt00
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IRS990/NetIncmFromFundraisingEvtGrp/UnrelatedBusinessRevenueAmt00
IRS990/NetIncomeFromGamingGrp/ExclusionAmt00
IRS990/NetIncomeFromGamingGrp/RelatedOrExemptFuncIncomeAmt00
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IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/UnrelatedBusinessRevenueAmt00
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0224461
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0393068
IRS990/NoncashContributionsAmt00
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/FundraisingAmt00
IRS990/OccupancyGrp/ManagementAndGeneralAmt00
IRS990/OccupancyGrp/ProgramServicesAmt00
IRS990/OccupancyGrp/TotalAmt00
IRS990/OfficeExpensesGrp/FundraisingAmt00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt02191
IRS990/OfficeExpensesGrp/ProgramServicesAmt00
IRS990/OfficeExpensesGrp/TotalAmt02191
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt012450
IRS990/OtherAssetsTotalGrp/EOYAmt0260203
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt00
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt00
IRS990/OtherEmployeeBenefitsGrp/TotalAmt00
IRS990/OtherExpensesGrp/Desc0Donation to Rescue Mission
IRS990/OtherExpensesGrp/Desc1Medication and Medical Supplies
IRS990/OtherExpensesGrp/Desc2Utilities
IRS990/OtherExpensesGrp/Desc3Repair and Maintenance
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IRS990/OtherExpensesGrp/FundraisingAmt30
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IRS990/OtherExpensesGrp/ManagementAndGeneralAmt2767
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt399
IRS990/OtherExpensesGrp/ProgramServicesAmt016000
IRS990/OtherExpensesGrp/ProgramServicesAmt15501
IRS990/OtherExpensesGrp/ProgramServicesAmt26904
IRS990/OtherExpensesGrp/ProgramServicesAmt3894
IRS990/OtherExpensesGrp/TotalAmt016000
IRS990/OtherExpensesGrp/TotalAmt15501
IRS990/OtherExpensesGrp/TotalAmt27671
IRS990/OtherExpensesGrp/TotalAmt3993
IRS990/OtherLiabilitiesGrp/BOYAmt00
IRS990/OtherLiabilitiesGrp/EOYAmt00
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IRS990/OtherRevenueMiscGrp/UnrelatedBusinessRevenueAmt20
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IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/FundraisingAmt00
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IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt00
IRS990/PayrollTaxesGrp/ProgramServicesAmt00
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/FundraisingAmt00
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt00
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IRS990/PledgesAndGrantsReceivableGrp/BOYAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt00
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/PrincipalOfficerNm0Diana L Carpenter
IRS990/PriorPeriodAdjustmentsAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/ExclusionAmt00
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IRS990/ProgramServiceRevenueGrp/ExclusionAmt40
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt00
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IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt10
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt20
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt30
IRS990/ProgramServiceRevenueGrp/UnrelatedBusinessRevenueAmt40

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