Civic Intelligence

Good Samaritan Care Clinic

990 • Fiscal year 2017 • EIN 56-2418664

Jan 01, 2017 to Dec 31, 2017 • Filed on May 02, 2018

Organization Profile[email protected]
PO Box 160Mountain View, MO 65548

(417) 934-6500

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

26th percentile

0.00x

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

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Liabilities / Revenue

26th percentile

0.00x

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

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Net Margin

49th percentile

3.1%

Higher net margin than 49% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Top Officer Pay

59th percentile

$36,823

Higher top officer pay than 59% of similar nonprofits.

Top officer pay equals 6.3% of source-year revenue.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2017

Asset Growth

68th percentile

11%

Faster asset growth than 68% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Revenue Growth

59th percentile

9.4%

Faster revenue growth than 59% of similar nonprofits.

2017 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets26th percentile

Assets

Up

$176,603

Up $18,208 (+11%) from 2016

Net Assets

Up

$176,603

Up $18,208 (+11%) from 2016

Liabilities

Flat

$0

Flat from 2016

Revenue And Expenses
Liabilities / Revenue26th percentileNet Margin49th percentile

Revenue

Up

$581,357

Up $50,097 (+9.4%) from 2016

Expenses

Up

$563,147

Up $61,346 (+12%) from 2016

Net Income

Down

$18,210

Down $11,249 (-38%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth68th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$200K$150K$100K$50K$0Assets 2010: $199,839Liabilities 2010: $0Net Assets 2010: $199,8392010Assets 2011: $180,628Liabilities 2011: $0Net Assets 2011: $180,6282011Assets 2012: $128,699Liabilities 2012: $0Net Assets 2012: $128,6992012Assets 2013: $159,524Liabilities 2013: $0Net Assets 2013: $159,5242013Assets 2014: $115,891Liabilities 2014: $0Net Assets 2014: $115,8912014Assets 2015: $128,936Liabilities 2015: $0Net Assets 2015: $128,9362015Assets 2016: $158,395Liabilities 2016: $0Net Assets 2016: $158,3952016Assets 2017: $176,603Liabilities 2017: $0Net Assets 2017: $176,6032017Assets 2018: $151,535Liabilities 2018: $0Net Assets 2018: $151,5352018Assets 2019: $123,007Liabilities 2019: $0Net Assets 2019: $123,0072019Assets 2020: $134,406Liabilities 2020: $0Net Assets 2020: $134,4062020Assets 2021: $10,394Liabilities 2021: $0Net Assets 2021: $10,3942021Assets 2022: $0Net Assets 2022: $02022

Highlighted filing

2017

Assets$176,603
Liabilities$0
Net Assets$176,603
Open 2017 Filing

Operations Trend

Revenue Growth59th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$800K$600K$400K$200K$0-$200KExpenses 2010: $352,1832010Expenses 2011: $388,5422011Expenses 2012: $418,4072012Revenue 2013: $504,986Expenses 2013: $474,161Net Income 2013: $30,8252013Revenue 2014: $393,692Expenses 2014: $437,325Net Income 2014: -$43,6332014Revenue 2015: $495,238Expenses 2015: $482,193Net Income 2015: $13,0452015Revenue 2016: $531,260Expenses 2016: $501,801Net Income 2016: $29,4592016Revenue 2017: $581,357Expenses 2017: $563,147Net Income 2017: $18,2102017Revenue 2018: $572,231Expenses 2018: $597,299Net Income 2018: -$25,0682018Revenue 2019: $612,643Expenses 2019: $641,171Net Income 2019: -$28,5282019Revenue 2020: $442,466Expenses 2020: $431,067Net Income 2020: $11,3992020Revenue 2021: $322,992Expenses 2021: $447,005Net Income 2021: -$124,0132021Revenue 2022: $2Expenses 2022: $12,055Net Income 2022: -$12,0532022

Highlighted filing

2017

Revenue$581,357
Expenses$563,147
Net Income$18,210
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
May 2, 2018
Return Version
2017v2.2
Gross Receipts
$581,357
Mission and Program Overview

Mission

Free medical/dental care to uninsured/working poor

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$158,395$176,603▲ $18,208
Land, Buildings, and Equipment, Net$99,747$100,941▲ $1,194
Cash and Non-Interest-Bearing Accounts$58,648$60,683▲ $2,035
Savings and Temporary Cash Investments-$14,979-
Total Assets$158,395$176,603▲ $18,208
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$158,395$176,603▲ $18,208
Total Liabilities and Net Assets / Fund Balance$158,395$176,603▲ $18,208

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$44,322$113,400$157,722
Leasehold Improvements$56,619$93,925$150,544
Compensation and Service Providers
Top Officer Pay59th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Sheri NobleAdministratorFT$36,823$36,823

Board Members and Trustees

NameTitle
Charles Cantrell JdPresident
Beverly DentonBoard Member
Glenn DavisBoard Member
Keith DavidBoard Member
Keith David RphBoard Member
Kurtis AbbeyBoard Member
Steve HockmanBoard Member
Tammie ConnerBoard Member
Deborah LewisSecretary
Maxine HorganTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$581,246
Program Service Revenue
$0
Investment Income
$111
Other Revenue
$0
All Other Contributions
$548,357
Change in Net Assets
$18,210

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$503,841
Salaries, Compensation, and Employee Benefits$56,366
Grants and Similar Amounts Paid$2,940
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$103,366$16$0$103,382
Current Officers, Directors, Trustees, and Key Employees$0$36,823$0$36,823
Occupancy$21,107$0$0$21,107
Depreciation Depletion$11,753$7,440$0$19,193
Other Salaries and Wages$15,564$0$0$15,564
Other Expenses$10,286$0$0$10,286
Office Expenses$7,464$18$0$7,482
Payroll Taxes$1,162$2,817$0$3,979
Foreign Grants$2,940--$2,940
Advertising$1,093$0$0$1,093
Fees for Services Accounting$0$450$0$450
Travel$236$0$0$236
Conferences and Meetings$0$77$0$77
Total Functional Expenses$515,506$47,641$0$563,147
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
Backup withholding compliance
Yes
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
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Good Samaritan Care Clinic
EIN
56-2418664
Phone
4179346500
Address
PO BOX 160, MOUNTAIN VIEW, MO 65548

Signing Officer

Name
Sheri Noble
Title
Director
Phone
4179346500
Signed
2018-05-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sheri Noble
Formed
2004
Legal Domicile
Mo
Voting Board Members
9
Independent Board Members
9
Employees
4
Volunteers
145

Preparer

Firm
Miller Accounting
Address
230 W 1ST ST, MOUNTAIN VIEW, MO 65548
Preparer
Wynona Miller
Phone
4179346132
Supplemental Narrative

Additional Explanations

Pt VI, Line 1A

“Copies are given to all board members”

Pt VI, Line 19

“990 tax returns are available at the clinic”

Pt XI

“Line 10 rounding difference”

Pt VI, Line 11B

“Copies are given to all board members”

Form 990, Part IX, Line 24E

“Dues & fees 256. 256. 0. 0.”

Form 990, Part IX, Line 24E

“Corporate registration 16. 0. 16. 0.”

Form 990, Part IX, Line 24E

“Patient services 1897. 1897. 0. 0.”

Form 990, Part IX, Line 24E

“Benefit expense 1801. 1801. 0. 0.”

Form 990, Part IX, Line 24E

“Insurance d&o 1853. 1853. 0. 0.”

Form 990, Part IX, Line 24E

“Insurance malpractice 3675. 3675. 0. 0.”

Form 990, Part IX, Line 24E

“Volunteer prof staff 91956. 91956. 0. 0.”

Form 990, Part IX, Line 24E

“Repairs & maintenance 270. 270. 0. 0.”

Form 990, Part IX, Line 24E

“Meals & entertainment 40. 40. 0. 0.”

Form 990, Part IX, Line 24E

“Insurance liability 778. 778. 0. 0.”

Form 990, Part IX, Line 24E

“NITROGEN 840. 840. 0. 0.”

Raw XML AppendixShowing 400 of 427 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0581357
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0158395
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0176603
IRS990/SavingsAndTempCashInvstGrp/EOYAmt014979
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0581357
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0531260
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0495238
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0393692
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0504986
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt02506533
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00
IRS990ScheduleA/InvestmentIncomePYPct00.00000
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal170Amt00
IRS990ScheduleA/PublicSupportTotal509Amt02506533
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0581357
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0531260
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0495238
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0393692
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0504986
IRS990ScheduleA/Total509Grp/TotalAmt02506533
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02506533
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt044322
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0113400
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0157722
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt056619
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt093925
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0150544
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0100941
IRS990/ScheduleJRequiredInd0false
IRS990ScheduleM/AnyPropertyThatMustBeHeldInd0false
IRS990ScheduleM/ReviewProcessUnusualNCGiftsInd0false
IRS990ScheduleM/ThirdPartiesUsedInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0COPIES ARE GIVEN TO ALL BOARD MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1990 TAX RETURNS ARE AVAILABLE AT THE CLINIC
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2LINE 10 ROUNDING DIFFERENCE
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3COPIES ARE GIVEN TO ALL BOARD MEMBERS
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4DUES & FEES 256. 256. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5CORPORATE REGISTRATION 16. 0. 16. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6PATIENT SERVICES 1897. 1897. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7BENEFIT EXPENSE 1801. 1801. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8INSURANCE D&O 1853. 1853. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9INSURANCE MALPRACTICE 3675. 3675. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10VOLUNTEER PROF STAFF 91956. 91956. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11REPAIRS & MAINTENANCE 270. 270. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12MEALS & ENTERTAINMENT 40. 40. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt13INSURANCE LIABILITY 778. 778. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt14NITROGEN 840. 840. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Pt VI, Line 1a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Pt VI, Line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Pt XI
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Pt VI, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc9Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc10Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc11Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc12Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc13Form 990, Part IX, Line 24e
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc14Form 990, Part IX, Line 24e
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0158395
IRS990/TotalAssetsEOYAmt0176603
IRS990/TotalAssetsGrp/BOYAmt0158395
IRS990/TotalAssetsGrp/EOYAmt0176603
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0581246
IRS990/TotalEmployeeCnt04
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt047641
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0515506
IRS990/TotalFunctionalExpensesGrp/TotalAmt0563147
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0158395
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0176603
IRS990/TotalProgramServiceExpensesAmt0515506
IRS990/TotalReportableCompFromOrgAmt036823
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0111
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0581357
IRS990/TotalVolunteersCnt0145
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0158395
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0176603
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/FundraisingAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt00
IRS990/TravelGrp/ProgramServicesAmt0236
IRS990/TravelGrp/TotalAmt0236
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0RR2 BOX 2754
IRS990/USAddress/CityNm0BIRCH TREE
IRS990/USAddress/StateAbbreviationCd0MO
IRS990/USAddress/ZIPCd065483
IRS990/VotingMembersGoverningBodyCnt09
IRS990/VotingMembersIndependentCnt09
IRS990/WebsiteAddressTxt0[email protected]
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02019-02-21 02:37:17Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0SHERI NOBLE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0DIRECTOR
ReturnHeader/BusinessOfficerGrp/PhoneNum04179346500
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-05-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GOOD SAMARITAN CARE CLINIC
ReturnHeader/Filer/BusinessNameControlTxt0GOOD

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$176,603
Liabilities
$0
Net assets
$176,603
Revenue
$581,357
Expenses
$563,147
Net income
$18,210
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2022Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$0.12$0.12
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.10$0.00$0.10$3.23$4.47$1.24
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.34$0.00$1.34$4.42$4.31$0.11
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.23$0.00$1.23$6.13$6.41$0.29
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.52$0.00$1.52$5.72$5.97$0.25
2017Detailed filing. Detailed filing data is available for this year.$1.77$0.00$1.77$5.81$5.63$0.18
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.58$0.00$1.58$5.31$5.02$0.29
2015Detailed filing. Detailed filing data is available for this year.$1.29$0.00$1.29$4.95$4.82$0.13
2014Detailed filing. Detailed filing data is available for this year.$1.16$0.00$1.16$3.94$4.37$0.44
2013Detailed filing. Detailed filing data is available for this year.$1.60$0.00$1.60$5.05$4.74$0.31
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.29$0.00$1.29$4.18
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.81$0.00$1.81$3.89
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.00$0.00$2.00$3.52