Civic Intelligence

Good Samaritan Hospital Free Clinic

EIN 27-3893817 • 501(c)3 • Cincinnati, OH

Profile

To provide free health care to those who don't have health insurance nor have medicaid coverage.

625 Eden Park Drive 7th FloorCincinnati, OH 45202

n/A

Siviq Scores

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

Liabilities / Assets

19th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

20th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

29th percentile

-4.6%

Higher net margin than 29% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

100th percentile

$2,292,310

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 231.0% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

21st percentile

-6.7%

Faster asset growth than 21% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

8th percentile

-40%

Faster revenue growth than 8% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Down

$4,739,220

Down $338,208 (-6.7%) from 2023

Liabilities

Flat

$0

Flat from 2023

Net Assets

Down

$4,739,220

Down $338,208 (-6.7%) from 2023

Revenue

Down

$992,554

Down $670,960 (-40%) from 2023

Expenses

Up

$1,037,767

Up $29,893 (+3.0%) from 2023

Net Income

Down

-$45,213

Down $700,853 (-107%) from 2023

Trend Graphs

Balance Sheet Trend

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

$6.0M$4.0M$2.0M$0Assets 2012: $999,207Liabilities 2012: $0Net Assets 2012: $999,2072012Assets 2013: $973,552Liabilities 2013: $0Net Assets 2013: $973,5522013Assets 2014: $742,889Liabilities 2014: $0Net Assets 2014: $742,8892014Assets 2015: $763,757Liabilities 2015: $0Net Assets 2015: $763,7572015Assets 2016: $488,525Liabilities 2016: $0Net Assets 2016: $488,5252016Assets 2017: $415,434Liabilities 2017: $0Net Assets 2017: $415,4342017Assets 2018: $256,523Liabilities 2018: $0Net Assets 2018: $256,5232018Assets 2019: $119,024Liabilities 2019: $0Net Assets 2019: $119,0242019Assets 2020: $2,117,631Liabilities 2020: $5,666Net Assets 2020: $2,111,9652020Assets 2021: $2,853,355Liabilities 2021: $0Net Assets 2021: $2,853,3552021Assets 2022: $3,602,994Liabilities 2022: $0Net Assets 2022: $3,602,9942022Assets 2023: $5,077,428Liabilities 2023: $0Net Assets 2023: $5,077,4282023Assets 2024: $4,739,220Liabilities 2024: $0Net Assets 2024: $4,739,2202024

Highlighted filing

2024

Assets$4,739,220
Liabilities$0
Net Assets$4,739,220

Operations Trend

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

$2.0M$1.5M$1.0M$500K$0-$500KExpenses 2012: $227,4392012Expenses 2013: $417,4822013Revenue 2014: $382,505Expenses 2014: $613,168Net Income 2014: -$230,6632014Revenue 2015: $632,726Expenses 2015: $611,858Net Income 2015: $20,8682015Revenue 2016: $381,551Expenses 2016: $656,783Net Income 2016: -$275,2322016Revenue 2017: $568,311Expenses 2017: $641,402Net Income 2017: -$73,0912017Revenue 2018: $560,075Expenses 2018: $718,986Net Income 2018: -$158,9112018Revenue 2019: $601,342Expenses 2019: $738,841Net Income 2019: -$137,4992019Revenue 2020: $693,972Expenses 2020: $818,662Net Income 2020: -$124,6902020Revenue 2021: $1,578,498Expenses 2021: $893,721Net Income 2021: $684,7772021Revenue 2022: $1,112,457Expenses 2022: $963,840Net Income 2022: $148,6172022Revenue 2023: $1,663,514Expenses 2023: $1,007,874Net Income 2023: $655,6402023Revenue 2024: $992,554Expenses 2024: $1,037,767Net Income 2024: -$45,2132024

Highlighted filing

2024

Revenue$992,554
Expenses$1,037,767
Net Income-$45,213

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2023 to Jun 30, 2024
Signed
May 13, 2025
Return Version
2023v6.0
Gross Receipts
$992,554
Mission and Program Overview

Mission

To provide free health care to those who don't have health insurance nor have medicaid coverage.

Balance Sheet Detail
LineBeginningEndChange
Assets
Other Assets Total$5,077,428$4,739,220▼ $338,208
Total Assets$5,077,428$4,739,220▼ $338,208
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets With Donor Restrictions$3,594,065$3,301,069▼ $292,996
Net Assets Without Donor Restrictions$1,483,363$1,438,151▼ $45,212
Total Net Assets Fund Balance$5,077,428$4,739,220▼ $338,208
Total Liabilities and Net Assets / Fund Balance$5,077,428$4,739,220▼ $338,208

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$4,739,220--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$3,594,065$0▲ $107,854$500,851$3,201,068
2022$2,775,271$870,381▲ $60,851$112,438$3,594,065
2021$2,174,246$650,000▲ $112,438$161,413$2,775,271
2020$2,117,630-▲ $161,413$104,797$2,174,246
2019--▲ $89,133$-2,028,497$2,117,630
Compensation and Service Providers

Board Members and Trustees

NameTitle
Mark ClementChairperson
Marla SillimanPresident
Linda Smith-berryExecutive Director
John WardTrustee
Steve GraceySecretary
Andrew DevoeTreasurer (end 2/24)
Revenue and Support

Revenue Composition

Contributions and Grants
$992,554
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$972,554
Change in Net Assets
$-45,213
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$1,023,722
Grants and Similar Amounts Paid$14,045
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Occupancy$66,081--$66,081
Grants to Domestic Individuals$14,045--$14,045
Office Expenses$5,081--$5,081
All Other Expenses$3,316--$3,316
Other Expenses$3,181--$3,181
Advertising$3,002--$3,002
Information Technology$2,076--$2,076
Conferences and Meetings$906--$906
Fees for Services Other$46--$46
Total Functional Expenses$1,037,767$0$0$1,037,767
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
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
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

The sole member of the good samaritan hospital free clinic shall be trihealth, inc.

Form 990, Part VI, Section A, Line 7A

Pursuant to article ii, section 2.2 of the code of regulations of the good samaritan hospital free clinic ("clinic"), the sole member of the corporation shall elect the trustees of the clinic.

Form 990, Part VI, Section A, Line 7B

Trihealth, inc., the sole member of the good samaritan free clinic ("clinic"), has the ability to approve the decisions of the clinic's governing body that are reserved to it by ohio law.

Form 990, Part VI, Section B, Line 11B

Members of the board are provided an electronic copy of this form 990 prior to filing. However, for the protection of donor privacy, schedule b - schedule of contributors was removed from the copy provided to the board. Subsequent to presentation to the board, the organization files the return making any non-substantive changes necessary to effect e-filing. Any such non-substantive changes are not submitted to the board.

Form 990, Part VI, Section B, Line 12C

All board members are required to annually disclose certain financial interests and fiduciary relationships. The executive committee and corporate counsel review responses, conduct further investigation, if necessary, and determine when a conflict exists with respect to a certain transaction. If a conflict exists, the transaction is not to be entered into unless alternatives are fully investigated and, in their absence, the board, without participation of the interested member(s), determines that the transaction is in the best interest of the organization. Plans to manage the conflict during the relationship are implemented. All discussions are appropriately documented. All directors and managers, which include officers and key employees, are required to annually disclose any circumstances, including family and business relationships, that may cause a conflict of interest for the organization. These responses are reviewed and acted upon by a conflict of interest committee.

Form 990, Part VI, Section C, Line 19

The good samaritan hospital free clinic's governing documents, conflicts of interest policy and financial statements are available upon request.

Form 990, Part VII, Section A - Average Hours Per Week

The officers and directors for the good samaritan hospital free clinic provide services to trihealth, inc. (a related organization who paid the individuals) and its subsidiaries/affiliates ("trihealth") as an entire system. Hours worked, including their duties as officers and directors of the filing organization, are not tracked on an entity by entity basis, thus the average hours per week disclosed are estimates to show that the time spent by these individuals relate mostly to them fulfilling their duties as full-time, 60 hours-per-week employees of trihealth versus their duties as officers and directors of the filing organization. In addition, the compensation reported on form 990, part vii was paid to these individuals in fulfillment of their duties as employees of trihealth.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Hospital Free Clinic
EIN
27-3893817
Phone
5135696575
Address
625 EDEN PARK DRIVE 7TH FLOOR, CINCINNATI, OH 45202
Doing Business As
Good Samaritan Hospital Free Health Center

Signing Officer

Name
Michael Crofton
Title
VP Finance
Phone
5135696577
Signed
2025-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Marla Silliman
Formed
2010
Legal Domicile
Oh
Voting Board Members
3
Independent Board Members
0
Employees
0
Volunteers
170

Preparer

Firm
Deloitte Tax Llp
Address
111 MONUMENT CIRCLE SUITE 4200, INDIANAPOLIS, IN 46204-5108
Preparer
Shawna M Jansons
Phone
3174648600
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

The good samaritan hospital free clinic is dedicated to providing excellent primary health care at no charge to those who are unable to afford adequate health insurance coverage and do not have medicaid coverage, or who are otherwise in need, regardless of race, gender or religion.

Form 990, Part III, Line 4A

In the early 2000s, it was identified that more than 12,000 uninsured people that lived in price hill, a suburb of cincinnati, ohio, and its surrounding area had difficulty accessing regular health care. These individuals often waited three to six months for an appointment at a health clinic or went to a hospital emergency department to receive episodic care. This diverse community included a large number of working poor who earn too much to qualify for public assistance programs such as medicaid, but too little to afford health insurance. To address this need, trihealth, inc., an organization recognized by the internal revenue service ("irs") as exempt from federal income tax under internal revenue code section ("irc sec.") 501(a) as an organization described in irc sec. 501(c)(3), opened the good samaritan hospital free clinic in january, 2011 and operates under the name good samaritan free health center ("center"). The center exemplifies the trihealth inc. Mission to improve the health status of the people it serves by providing a full range of health-related services including prevention, wellness and education. Since its opening, the center has helped thousands of uninsured, non medicaid/medicare eligible adults find a medical home where they are able to receive regular primary health care. The center provides adult non-emergency primary medical care (no obstetrics) as well as various specialties for people who have been pre-qualified and fall within poverty guidelines. Services include: * dental care * gastroenterological care * gynecological care * mammograms * physical therapy * rheumatology services * sick visits * chronic disease care the center has office hours six days a week and visits are by appointment only, with most patients referred by the nearby santa maria community services, also an organization recognized by the irs as exempt from federal income tax under irc sec. 501(a) as an organization described in irc sec. 501(c)(3). The afore-mentioned pre-screening of patients is performed by the center as well as community health workers of the santa maria community services and trihealth outreach ministries. This allows for the engagement of social workers and health care workers who are already directly involved with the underserved community. The center is solely funded through philanthropic dollars and as such does not receive any reimbursement for its services from the patients, third party payors including any governmental payors or any other person or entity. The clinic provides these health care services through the service of volunteer physicians and other licensed practitioners. On average, over 14,000 appointments are scheduled annually with, on average, 9,200 kept resulting in approximately $1,940,000 in free healthcare to the community for the 2023 tax year. The services were provided through, on average, 170 volunteers donating, on average, 7,000 hours annually. Please note that for those appointments that are not kept, center personnel spend a significant amount of time following up with those individuals to determine the reason.

FORM 990, PART XI, LINE 9:

Change in endowment funds held by outside organization -292,995.

Form 990, Part I, Line 6

During the tax year, the good samaritan hospital free clinic benefited from, on average, 7,000 volunteer hours which were provided, on average, by 170 volunteers.

Form 990, Part XII, Line 2C

The financial statements of the good samaritan hospital free clinic are audited as part of trihealth, inc. And its subsidiaries and affiliates ("trihealth"). Trihealth has a committee that assumes the responsibility for oversight of the audit of both its and its subsidiaries and affiliates financial statements as well as the selection of the independent auditor. During the tax year, there was not a change in the process of audit oversight and/or selection of an independent auditor by trihealth.

Financial Statement Notes

PART V, LINE 4:

Investment proceeds from endowmnet funds are used to support programs at the good samaritan hospital free clinic.

PART X, LINE 2:

The financial statements of good samaritan hospital free clinic are audited as part of trihealth and its subsidiaries and affiliates ("trihealth"). Following is the text of the footnote to the audited combined financial statements of trihealth that reports its and its subsidiaries and affiliates liability, if applicable, for certain tax positions under asc 740-10-25: trihealth completed an analysis of uncertain tax positions and determined that no amounts were required to be recognized in the combined financial statements at june 30, 2024 or 2023.

Part V, Line 3B

The endowment funds of the good samaritan hospital free clinic ("clinic") are held by the good samanaritan hospital foundation of cincinnati, inc. ("foundation"). The foundation is part of the trihealth system, as is the clinic, but does not meet the requirements of being considered a related organization for form 990 purposes.

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IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt01663514
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt04584
IRS990/PYInvestmentIncomeAmt00
IRS990/PYOtherExpensesAmt01003290
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0655640
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt01007874
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01663514
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-45213
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd01
IRS990/RelatedOrganizationsAmt020000
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0992554
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt01663514
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt01112457
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt01578498
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0693972
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt06040995
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.72960
IRS990ScheduleA/PublicSupportPY170Pct00.68380
IRS990ScheduleA/PublicSupportTotal170Amt04407466
IRS990ScheduleA/SubstantialContributorsTotAmt01633529
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0992554
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt01663514
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt01112457
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt01578498
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0693972
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt06040995
IRS990ScheduleA/TotalSupportAmt06040995
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt03594065
IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt00
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt03201068
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt0107854
IRS990ScheduleD/CYEndwmtFundGrp/OtherExpendituresAmt0500851
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt02775271
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt0870381
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt03594065
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt060851
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/OtherExpendituresAmt0112438
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt02174246
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/ContributionsAmt0650000
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt02775271
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0112438
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/OtherExpendituresAmt0161413
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt02117630
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt02174246
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0161413
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/OtherExpendituresAmt0104797
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt02117630
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt089133
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/OtherExpendituresAmt0-2028497
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd01
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt04739220
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0RECEIVEABLE FROM RELATED ORGANIZATIONS
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct00.96630
IRS990ScheduleD/RelatedOrgListSchRInd00
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0INVESTMENT PROCEEDS FROM ENDOWMNET FUNDS ARE USED TO SUPPORT PROGRAMS AT THE GOOD SAMARITAN HOSPITAL FREE CLINIC.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1THE FINANCIAL STATEMENTS OF GOOD SAMARITAN HOSPITAL FREE CLINIC ARE AUDITED AS PART OF TRIHEALTH AND ITS SUBSIDIARIES AND AFFILIATES ("TRIHEALTH"). FOLLOWING IS THE TEXT OF THE FOOTNOTE TO THE AUDITED COMBINED FINANCIAL STATEMENTS OF TRIHEALTH THAT REPORTS ITS AND ITS SUBSIDIARIES AND AFFILIATES LIABILITY, IF APPLICABLE, FOR CERTAIN TAX POSITIONS UNDER ASC 740-10-25: TRIHEALTH COMPLETED AN ANALYSIS OF UNCERTAIN TAX POSITIONS AND DETERMINED THAT NO AMOUNTS WERE REQUIRED TO BE RECOGNIZED IN THE COMBINED FINANCIAL STATEMENTS AT JUNE 30, 2024 OR 2023.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2THE ENDOWMENT FUNDS OF THE GOOD SAMARITAN HOSPITAL FREE CLINIC ("CLINIC") ARE HELD BY THE GOOD SAMANARITAN HOSPITAL FOUNDATION OF CINCINNATI, INC. ("FOUNDATION"). THE FOUNDATION IS PART OF THE TRIHEALTH SYSTEM, AS IS THE CLINIC, BUT DOES NOT MEET THE REQUIREMENTS OF BEING CONSIDERED A RELATED ORGANIZATION FOR FORM 990 PURPOSES.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART X, LINE 2:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART V, LINE 3B
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.03370
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt04739220
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt014045
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0TRANSPORTATION FARE FOR PATIENTS IN NEED IN ORDER TO GET TO AND/OR GET FROM AN APPOINTMENT.
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt0700
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE GOOD SAMARITAN HOSPITAL FREE CLINIC PAYS FOR THE TRANSPORTATION DIRECTLY.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt0606615
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt1273587
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt2193011
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt3183544
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt4166459
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt518073
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt01575958
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1786423
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2618637
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt3630713
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt4537042
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt5107097
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt047735
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt147606
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt250543
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt355871
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt446545
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt59016
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt025018
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt139877
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt232717
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt312596
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt439254
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt511068
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt036984
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt161631
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt238463
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt346558
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt441234
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt57915
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MARK CLEMENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1ANDREW DEVOE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2JOHN WARD
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3MARLA SILLIMAN
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4STEVE GRACEY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5LINDA SMITH-BERRY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CHAIRPERSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1TREASURER (END 2/24)
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2TRUSTEE
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3PRESIDENT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt5EXECUTIVE DIRECTOR
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt30
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt40
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt50
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt02292310
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt11209124
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2933371
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt3929282
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt4830534
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt5153169

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