Civic Intelligence

Good Samaritan Care Clinic

990 • Fiscal year 2019 • EIN 56-2418664

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 03, 2020

Organization Profilewww.goodsamaritancareclinic.org
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

27th percentile

0.00x

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

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Liabilities / Revenue

28th percentile

0.00x

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

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Net Margin

28th percentile

-4.7%

Higher net margin than 28% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Top Officer Pay

65th percentile

$48,000

Higher top officer pay than 65% of similar nonprofits.

Top officer pay equals 7.8% of source-year revenue.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2019

Asset Growth

10th percentile

-19%

Faster asset growth than 10% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Revenue Growth

56th percentile

7.1%

Faster revenue growth than 56% of similar nonprofits.

2019 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2018 to 2019

Balance Sheet
Liabilities / Assets27th percentile

Assets

Down

$123,007

Down $28,528 (-19%) from 2018

Net Assets

Down

$123,007

Down $28,528 (-19%) from 2018

Liabilities

Flat

$0

Flat from 2018

Revenue And Expenses
Liabilities / Revenue28th percentileNet Margin28th percentile

Revenue

Up

$612,643

Up $40,412 (+7.1%) from 2018

Expenses

Up

$641,171

Up $43,872 (+7.3%) from 2018

Net Income

Down

-$28,528

Down $3,460 (-14%) from 2018

Historical Trend

Balance Sheet Trend

Asset Growth10th 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

2019

Assets$123,007
Liabilities$0
Net Assets$123,007
Open 2019 Filing

Operations Trend

Revenue Growth56th 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

2019

Revenue$612,643
Expenses$641,171
Net Income-$28,528
Open 2019 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 3, 2020
Return Version
2019v5.1
Gross Receipts
$612,643
Mission and Program Overview

Mission

Free medical/dental care to uninsured/working poor

To provide free, quality medical and dental services for the uninsured /low income, from a multiple county region in south central missouri, utilizing a volunteer professional staff.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$151,535$123,007▼ $28,528
Land, Buildings, and Equipment, Net$87,495$74,123▼ $13,372
Cash and Non-Interest-Bearing Accounts$49,409$40,311▼ $9,098
Savings and Temporary Cash Investments$14,631$8,573▼ $6,058
Total Assets$151,535$123,007▼ $28,528
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$151,535$123,007▼ $28,528
Total Liabilities and Net Assets / Fund Balance$151,535$123,007▼ $28,528

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$54,549$108,381$162,930
Equipment$19,574$131,605$151,179
Land$0--
Compensation and Service Providers
Top Officer Pay65th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Sheri NobleAdministratorFT$48,000$48,000

Board Members and Trustees

NameTitle
Charles Cantrell JdPresident
Barbara NydenBoard Member
Beverly DentonBoard Member
Gretchen CliburnBoard Member
Keith DavidBoard Member
Kurtis AbbeyBoard Member
Steve HockmanBoard Member
Tammie ConnerBoard Member
Deborah LewisSecretary
Maxine HorganTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$612,398
Program Service Revenue
$0
Investment Income
$207
Other Revenue
$38
All Other Contributions
$605,098
Change in Net Assets
$-28,528

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$579,760
Salaries, Compensation, and Employee Benefits$59,270
Grants and Similar Amounts Paid$2,141
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
All Other Expenses$105,779$0$0$105,779
Other Salaries and Wages$7,058$48,000$0$55,058
Occupancy$21,678$0$0$21,678
Depreciation Depletion$15,209$0$0$15,209
Other Expenses$10,218$0$0$10,218
Payroll Taxes$540$3,672$0$4,212
Information Technology$3,584$0$0$3,584
Office Expenses$2,556$0$0$2,556
Grants to Domestic Orgs$2,141--$2,141
Travel$863$0$0$863
Fees for Services Accounting$0$500$0$500
Fees for Services Management$0$86$0$86
Advertising$40$0$0$40
Total Functional Expenses$588,913$52,258$0$641,171
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
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 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
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
2020-11-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Sheri Noble
Formed
2004
Legal Domicile
Mo
Voting Board Members
10
Independent Board Members
10
Employees
3
Volunteers
100

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 526. 526. 0. 0.”

Form 990, Part IX, Line 24E

“Patient services 3272. 3272. 0. 0.”

Form 990, Part IX, Line 24E

“Insurance d&o 1728. 1728. 0. 0.”

Form 990, Part IX, Line 24E

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

Form 990, Part IX, Line 24E

“Volunteer prof staff 91700. 91700. 0. 0.”

Form 990, Part IX, Line 24E

“Timeclock service 120. 120. 0. 0.”

Form 990, Part IX, Line 24E

“Public volunteer relations 3116. 3116. 0. 0.”

Form 990, Part IX, Line 24E

“Postage 1048. 1048. 0. 0.”

Form 990, Part IX, Line 24E

“Other supplies 594. 594. 0. 0.”

Raw XML AppendixShowing 400 of 457 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/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt03672
IRS990/PayrollTaxesGrp/ProgramServicesAmt0540
IRS990/PayrollTaxesGrp/TotalAmt04212
IRS990/PoliticalCampaignActyInd0false
IRS990/PrincipalOfficerNm0SHERI NOBLE
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0572045
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0785
IRS990/PYInvestmentIncomeAmt0186
IRS990/PYOtherExpensesAmt0535522
IRS990/PYRevenuesLessExpensesAmt0-25068
IRS990/PYSalariesCompEmpBnftPaidAmt060992
IRS990/PYTotalExpensesAmt0597299
IRS990/PYTotalRevenueAmt0572231
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-28528
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0612643
IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt0151535
IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt0123007
IRS990/SavingsAndTempCashInvstGrp/BOYAmt014631
IRS990/SavingsAndTempCashInvstGrp/EOYAmt08573
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0612643
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0566713
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0581357
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0531260
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0495238
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt02787211
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearAmt0207
IRS990ScheduleA/GrossInvestmentIncome509Grp/CurrentTaxYearMinus1YearAmt0186
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt0393
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt0207
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt0186
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt0393
IRS990ScheduleA/InvestmentIncomeCYPct00.00010
IRS990ScheduleA/InvestmentIncomePYPct00.00010
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00
IRS990ScheduleA/PublicSupportCY509Pct00.99990
IRS990ScheduleA/PublicSupportPY509Pct00.99990
IRS990ScheduleA/PublicSupportTotal509Amt02787211
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0612643
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0566713
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0581357
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0531260
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0495238
IRS990ScheduleA/Total509Grp/TotalAmt02787211
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt02787604
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleD/EquipmentGrp/BookValueAmt019574
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0131605
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0151179
IRS990ScheduleD/LandGrp/BookValueAmt00
IRS990ScheduleD/LandGrp/InvestmentCostOrOtherBasisAmt00
IRS990ScheduleD/LeaseholdImprovementsGrp/BookValueAmt054549
IRS990ScheduleD/LeaseholdImprovementsGrp/DepreciationAmt0108381
IRS990ScheduleD/LeaseholdImprovementsGrp/OtherCostOrOtherBasisAmt0162930
IRS990ScheduleD/TotalBookValueLandBuildingsAmt074123
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 526. 526. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5PATIENT SERVICES 3272. 3272. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6INSURANCE D&O 1728. 1728. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7INSURANCE MALPRACTICE 3675. 3675. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8VOLUNTEER PROF STAFF 91700. 91700. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt9TIMECLOCK SERVICE 120. 120. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt10PUBLIC VOLUNTEER RELATIONS 3116. 3116. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt11POSTAGE 1048. 1048. 0. 0.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt12OTHER SUPPLIES 594. 594. 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
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0151535
IRS990/TotalAssetsEOYAmt0123007
IRS990/TotalAssetsGrp/BOYAmt0151535
IRS990/TotalAssetsGrp/EOYAmt0123007
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0612398
IRS990/TotalEmployeeCnt03
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt052258
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0588913
IRS990/TotalFunctionalExpensesGrp/TotalAmt0641171
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0151535
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0123007
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0588913
IRS990/TotalReportableCompFromOrgAmt048000
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt0245
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0612643

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2019 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$123,007
Liabilities
$0
Net assets
$123,007
Revenue
$612,643
Expenses
$641,171
Net income
-$28,528
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
2019Detailed filing. Detailed filing data is available for this year.$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
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$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