Liabilities / Assets
63rd percentile
Higher debt load relative to assets than 63% of similar nonprofits.
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.01x
Liabilities / Revenue
65th percentile
Higher debt load relative to revenue than 65% of similar nonprofits.
Net Margin
82nd percentile
Higher net margin than 82% of similar nonprofits.
Top Officer Pay
76th percentile
Higher top officer pay than 76% of similar nonprofits.
Top officer pay equals 0.0% of source-year revenue.
Asset Growth
79th percentile
Faster asset growth than 79% of similar nonprofits.
Revenue Growth
76th percentile
Faster revenue growth than 76% of similar nonprofits.
Balance Sheet
Assets
Up$359,920
Up $88,042 (+32%) from 2016
Net Assets
Up$356,076
Up $87,776 (+33%) from 2016
Liabilities
Up$3,844
Up $266 (+7.4%) from 2016
Revenue And Expenses
Revenue
Up$320,484
Up $64,205 (+25%) from 2016
Expenses
Up$232,617
Up $28,134 (+14%) from 2016
Net Income
Up$87,867
Up $36,071 (+70%) from 2016
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jan 1, 2017 to Dec 31, 2017
- Signed
- May 8, 2018
- Return Version
- 2017v2.2
- Gross Receipts
- $320,484
Mission and Program Overview
Mission
Free medical clinic to surrounding areas
To provide fee medical and dental care to those in need
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Cash and Non-Interest-Bearing Accounts | $271,678 | $359,720 | ▲ $88,042 |
| Rtn Earn Endowment Incm Other Fnds | $268,300 | $356,076 | ▲ $87,776 |
| Prepaid Expenses and Deferred Charges | $200 | $200 | → $0 |
| Total Assets | $271,878 | $359,920 | ▲ $88,042 |
| Liabilities | |||
| Accounts Payable and Accrued Expenses | $3,578 | $3,844 | ▲ $266 |
| Total Liabilities | $3,578 | $3,844 | ▲ $266 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $268,300 | $356,076 | ▲ $87,776 |
| Total Liabilities and Net Assets / Fund Balance | $271,878 | $359,920 | ▲ $88,042 |
Compensation and Service Providers
Board Members and Trustees
| Name | Title |
|---|---|
| Wade Roof | Board Chairman |
| Brittany Long | Director |
| Carolyn Hartley | Director |
| Chris Goodman | Director |
| Emilio Perez | Director |
| Emily Suski | Director |
| Mari Gonzales | Director |
| Maria Patton | Director |
| Patti Smith | Director |
| Simons Hane | Director |
| Will Wright | Director |
| Marcia Lane | Secretary |
| Tim Monetti | Treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $320,484
- Program Service Revenue
- $0
- Investment Income
- $0
- Other Revenue
- $0
- All Other Contributions
- $201,188
- Change in Net Assets
- $87,867
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $147,399 |
| Other Expenses | $85,218 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $51,420 | $86,237 | $0 | $137,657 |
| Occupancy | $4,730 | $15,171 | $0 | $19,901 |
| Payroll Taxes | $1,000 | $8,742 | $0 | $9,742 |
| Insurance | $0 | $6,565 | $0 | $6,565 |
| All Other Expenses | $0 | $5,983 | $0 | $5,983 |
| Other Expenses | $0 | $3,440 | $0 | $3,440 |
| Conferences and Meetings | $0 | $388 | $0 | $388 |
| Fees for Services Accounting | $0 | $116 | $0 | $116 |
| Total Functional Expenses | $57,150 | $175,467 | $0 | $232,617 |
Fundraising, Events, and Gaming
- Fundraising activities
- No
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| 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
- Yes
- Annual disclosure for covered persons
- Yes
- Audit committee
- 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
- Yes
- Other officer compensation reviewed
- Yes
- Conflict-of-interest policy
- Yes
- 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 Clinic
- EIN
- 57-1109766
- Phone
- 8033588339
- Address
- PO BOX 158, LEXINGTON, SC 29071
Signing Officer
- Name
- Wade Roof
- Title
- Chairperson
- Phone
- 8033588339
- Signed
- 2018-05-08
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Wade Roof
- Formed
- 2008
- Legal Domicile
- Sc
- Voting Board Members
- 13
- Independent Board Members
- 13
- Employees
- 3
- Volunteers
- 12
Preparer
- Firm
- Cas Inc
- Address
- 167 West Court, Columbia, SC 29212
- Preparer
- Frank Clayton
- Phone
- 8033090066
Supplemental Narrative
Additional Explanations
Pt VI, Line 11B
“The 990 is emailed to all board members to review. The 990 is discussed in the next board meeting.”
Pt VI, Line 12C
“Each board member signs a conflict of interest plolicy/statement. The conflict of interest policy is discussed periodically in board meetings. The policy states that board members are required to disclose any interests in a transaction or decision where they or a family member, their employer or close associates will receive a benefit or gain. It is also reiterated in the organizations code of ethics policy that all board members must sign. Board members must remove themselves from a meeting if a conflict of interest is possible.”
Pt VI, Line 15A
“Compensation studies are used and compared for our non-profit sector and the size of our organization based on our budget size. Guidestars compensation study was used in 2017. The personnel committee and board reviews the executive director and the psersonnel committee recommends a salary to the board for approval. The executive director reviews all other employees and makes recommendations to the personnnel committee who then makes a recommendation to the board for approval.”
Pt VI, Line 19
“Our governing documents & 990 are available upon request. They are typically requested by donors and are freely provided. Our 990 is available on guidestar.org. Additionally all of our governing documents, financials, meeting minutes & 990 are provided to our state free clinic association, scfca, for our bi-annual recertification process.”
Pt X
“In prior years the organization has not recorded and/or tracked purchases of equipment due to the limited size of its operations. The organization will identify all purchased assets and will record as a fixed asset along with associated accumulated depreciation on the form 990 beginning in 2018.”
Pt VI, Line 15B
“Compensation studies are used and compared for our non-profit sector and the size of our organization based on our budget size. Guidestars compensation study was used in 2016. The personnel committee reviews the executive director and recommends a salary to the board for approval. The executive director reviews all other employees and makes recommendations to the personnnel committee who then makes a recommendation to the board for approval.”
Form 990EZ, Part I, Line 16
“INSURANCE”
Form 990EZ, Part I, Line 16
“Medical equipment & supplies”
Form 990EZ, Part I, Line 16
“LICENSES & PERMITS”
Form 990EZ, Part I, Line 16
“DUES & SUBSCRIPTIONS”
Form 990EZ, Part I, Line 16
“CONFERENCES”
Form 990EZ, Part I, Line 16
“MILEAGE REIMBURSEMENT”
Form 990EZ, Part I, Line 16
“PAYROLL TAXES”
Form 990EZ, Part I, Line 16
“OFFICE SUPPLIES”
Form 990EZ, Part I, Line 16
“ADVERTISING”
Form 990EZ, Part I, Line 16
“PAYROLL PROCESSING”
Form 990EZ, Part II, Line 24
“SECURITY DEPOSITS”
Raw XML AppendixShowing 400 of 408 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.
| Path | # | Value |
|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 3844 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | false |
| IRS990/ActivityOrMissionDesc | 0 | TO PROVIDE FEE MEDICAL AND DENTAL CARE TO THOSE IN NEED |
| IRS990/AllOtherContributionsAmt | 0 | 201188 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | 5983 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | 5983 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | true |
| IRS990/AuditCommitteeInd | 0 | true |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | FRANK CLAYTON |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 8033090066 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 308 RAPIDS CT |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | COLUMBIA |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SC |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 29212 |
| IRS990/BusinessRlnWithFamMemInd | 0 | false |
| IRS990/BusinessRlnWithOfficerEntInd | 0 | false |
| IRS990/BusinessRlnWithOrgMemInd | 0 | false |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 271678 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 359720 |
| IRS990/ChangeToOrgDocumentsInd | 0 | false |
| IRS990/CollectionsOfArtInd | 0 | false |
| IRS990/CompDisqualPersonsGrp/FundraisingAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | false |
| IRS990/CompensationProcessCEOInd | 0 | true |
| IRS990/CompensationProcessOtherInd | 0 | true |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 388 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 388 |
| IRS990/ConflictOfInterestPolicyInd | 0 | true |
| IRS990/ConservationEasementsInd | 0 | false |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | false |
| IRS990/CreditCounselingInd | 0 | false |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 320484 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 0 |
| IRS990/CYInvestmentIncomeAmt | 0 | 0 |
| IRS990/CYOtherExpensesAmt | 0 | 85218 |
| IRS990/CYOtherRevenueAmt | 0 | 0 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 87867 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 147399 |
| IRS990/CYTotalExpensesAmt | 0 | 232617 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 320484 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | false |
| IRS990/DeductibleArtContributionInd | 0 | false |
| IRS990/DeductibleNonCashContriInd | 0 | false |
| IRS990/DelegationOfMgmtDutiesInd | 0 | false |
| IRS990/Desc | 0 | GOOD SAMRITAN CLINIC PROVIDES HEALTH EDUCATION WORKSHOPS THAT TEACH THOSE WITH HYPERTENSION OR PRE-HYPERTENSION HOW TO IMPROVE THEIR HEALTH BY FOLLOWING TREATMENT MODALITIES: MEDICATION, DIET CHANGES, EXERCISES. THE GSC HAS A LONG RUNNING DIABETIC PROGRAM DEDICATED TO HELPING ITS PATIENTS CONTROL THEIR DIABETES AND LEAD HEALTHIER LIVES ABOUT 20% OF OUR POPULATION HAS BEEN DIAGNOSED WITH DIABETES AND IN ADDITION TO FREQUENT FOLLOW-UP VISITS AND LAB WORK THE CLINIC PROVIDES PATIENTS WITH NUTRITION EDUCATION AND GLUCOMETERS. THE CLINIC ALSO WORKS CLOSELY WITH PATIENTS WHO USE INSULIN AND ASSISTS IN EDUCATION AROUND TREATMENTS AND MEDICATONS AS WELL AS LIFESTYLE CHANGES. |
| IRS990/DescribedInSection501c3Ind | 0 | true |
| IRS990/DisregardedEntityInd | 0 | false |
| IRS990/DocumentRetentionPolicyInd | 0 | true |
| IRS990/DonorAdvisedFundInd | 0 | false |
| IRS990/ElectionOfBoardMembersInd | 0 | false |
| IRS990/EmployeeCnt | 0 | 3 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | true |
| IRS990/EngagedInExcessBenefitTransInd | 0 | false |
| IRS990/ExpenseAmt | 0 | 25000 |
| IRS990/FamilyOrBusinessRlnInd | 0 | false |
| IRS990/FederalGrantAuditRequiredInd | 0 | false |
| IRS990/FeesForServicesAccountingGrp/FundraisingAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 116 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 116 |
| IRS990/ForeignActivitiesInd | 0 | false |
| IRS990/ForeignFinancialAccountInd | 0 | false |
| IRS990/ForeignOfficeInd | 0 | false |
| IRS990/Form8282PropertyDisposedOfInd | 0 | false |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 1.00 |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/InstitutionalTrusteeInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | WADE ROOF |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | TIM MONETTI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | MARCIA LANE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | EMILIO PEREZ |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | BRITTANY LONG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | CAROLYN HARTLEY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | CHRIS GOODMAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | EMILY SUSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | SIMONS HANE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MARI GONZALES |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | MARIA PATTON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | PATTI SMITH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | WILL WRIGHT |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | SECRETARY |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | DIRECTOR |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 2008 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | false |
| IRS990/FSAuditedInd | 0 | false |
| IRS990/FundraisingActivitiesInd | 0 | false |
| IRS990/GamingActivitiesInd | 0 | false |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 13 |
| IRS990/GovernmentGrantsAmt | 0 | 119296 |
| IRS990/GrantAmt | 0 | 25000 |
| IRS990/GrantsToIndividualsInd | 0 | false |
| IRS990/GrantsToOrganizationsInd | 0 | false |
| IRS990/GrantToRelatedPersonInd | 0 | false |
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| IRS990/IndependentVotingMemberCnt | 0 | 13 |
| IRS990/IndoorTanningServicesInd | 0 | false |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXInd | 0 | X |
| IRS990/InsuranceGrp/FundraisingAmt | 0 | 0 |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 6565 |
| IRS990/InsuranceGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 6565 |
| IRS990/InvestmentInJointVentureInd | 0 | false |
| IRS990/IRPDocumentCnt | 0 | 4 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LegalDomicileStateCd | 0 | SC |
| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LobbyingActivitiesInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | true |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
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| IRS990/MethodOfAccountingCashInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | true |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROVIDE FEE MEDICAL AND DENTAL CARE TO THOSE IN NEED |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 268300 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 356076 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 0 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 15171 |
| IRS990/OccupancyGrp/ProgramServicesAmt | 0 | 4730 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 19901 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrgDoesNotFollowSFAS117Ind | 0 | X |
| IRS990/OtherExpensesGrp/Desc | 0 | MEDICAL EQUIP&SUPPLIES |
| IRS990/OtherExpensesGrp/Desc | 1 | DUES& SUBSCRIPTIONS |
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| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 48825 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 3440 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 0 | 0 |
| IRS990/OtherExpensesGrp/ProgramServicesAmt | 1 | 0 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 48825 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 3440 |
| IRS990/OtherSalariesAndWagesGrp/FundraisingAmt | 0 | 0 |
| IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt | 0 | 86237 |
| IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt | 0 | 51420 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 137657 |
| IRS990/OtherWebsiteInd | 0 | X |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | false |
| IRS990/PayrollTaxesGrp/FundraisingAmt | 0 | 0 |
| IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt | 0 | 8742 |
| IRS990/PayrollTaxesGrp/ProgramServicesAmt | 0 | 1000 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 9742 |
| IRS990/PoliciesReferenceChaptersInd | 0 | true |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 200 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 200 |
| IRS990/PrincipalOfficerNm | 0 | WADE ROOF |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | THE GOOD SAMARITAN CLINIC HAS A LONG RUNNING PROGRAM DEDICATED TO HELPING IT PATIENTS CONTROL THEIR DIABAETES AND LEAD HEALTHIER LIVES. ABOUT 20% OF OUR PATIENT POPULATION HAS BEEN DIAGNOSED WITH DIABETES AND IN ADDITION TO FREQUENT FOLLOW UP VISITS AND LAB WORK THE CLINIC PROVIDES PATIENTS WITH NUTRITION EDUCATION AND GLUCOMETERS. THE CLINIC ALSO WORKS CLOSELY WITH PATIENTS WHO USE INSULIN AND ASSISTS IN EDUCATION AROUND TREATMENTS AND MEDICATIONS AS WELL AS LIFESTYLE CHANGES. |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 17150 |
| IRS990/ProgSrvcAccomActy2Grp/GrantAmt | 0 | 17150 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | THE CLINIC HAS THREE VOLUNTEER GYENCOLOGISTS ON STAFF WHO SERVE OUR FEMALE PATIENTS GYNECOLOGICAL` CARE TWO DAYS EACH MONTH AND HAS A PARTNERSHIP WITH USC FAMILY MEDICINE TO OFFER MONTHLY PRENATAL CARE TO OUR PATIENT POULATION AT OUR WEST COLUMBIA LOCATION. THIS PARTNETSHIP BEGINS WITH CONSULTS BETWEEN DOCTORS AND PATIENTS FOR THE FIRST TWO TRIMESTERS UNTIL PATIENTS TRANSFER TO USC FAMILY MEDICINE'S OFFICES FOR THEIR THIRS TRIMESTER AND DELIVER. OUR GYNECOLOGY SERVICES INCLUDE ROUTINE PAP SMEARS |
| IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt | 0 | 15000 |
| IRS990/ProgSrvcAccomActy3Grp/GrantAmt | 0 | 15000 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYContributionsGrantsAmt | 0 | 256279 |
| IRS990/PYExcessBenefitTransInd | 0 | false |
| IRS990/PYOtherExpensesAmt | 0 | 94066 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 51796 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 110417 |
| IRS990/PYTotalExpensesAmt | 0 | 204483 |
| IRS990/PYTotalRevenueAmt | 0 | 256279 |
| IRS990/QuidProQuoContributionsInd | 0 | false |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | false |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 87867 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | false |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | false |
| IRS990/ReportOtherAssetsInd | 0 | false |
| IRS990/ReportOtherLiabilitiesInd | 0 | false |
| IRS990/ReportProgramRelatedInvstInd | 0 | false |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/BOYAmt | 0 | 268300 |
| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 356076 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 320484 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 256279 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 185756 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 163405 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 146626 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 1072550 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 1.00000 |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 1.00000 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 1072550 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 0 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 320484 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 256279 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 185756 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 163405 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 146626 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 1072550 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 1072550 |
| IRS990/ScheduleBRequiredInd | 0 | true |
| IRS990/ScheduleJRequiredInd | 0 | false |
| IRS990/ScheduleORequiredInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE 990 IS EMAILED TO ALL BOARD MEMBERS TO REVIEW. THE 990 IS DISCUSSED IN THE NEXT BOARD MEETING. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | EACH BOARD MEMBER SIGNS A CONFLICT OF INTEREST PLOLICY/STATEMENT. THE CONFLICT OF INTEREST POLICY IS DISCUSSED PERIODICALLY IN BOARD MEETINGS. THE POLICY STATES THAT BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY INTERESTS IN A TRANSACTION OR DECISION WHERE THEY OR A FAMILY MEMBER, THEIR EMPLOYER OR CLOSE ASSOCIATES WILL RECEIVE A BENEFIT OR GAIN. IT IS ALSO REITERATED IN THE ORGANIZATIONS CODE OF ETHICS POLICY THAT ALL BOARD MEMBERS MUST SIGN. BOARD MEMBERS MUST REMOVE THEMSELVES FROM A MEETING IF A CONFLICT OF INTEREST IS POSSIBLE. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | COMPENSATION STUDIES ARE USED AND COMPARED FOR OUR NON-PROFIT SECTOR AND THE SIZE OF OUR ORGANIZATION BASED ON OUR BUDGET SIZE. GUIDESTARS COMPENSATION STUDY WAS USED IN 2017. THE PERSONNEL COMMITTEE AND BOARD REVIEWS THE EXECUTIVE DIRECTOR AND THE PSERSONNEL COMMITTEE RECOMMENDS A SALARY TO THE BOARD FOR APPROVAL. THE EXECUTIVE DIRECTOR REVIEWS ALL OTHER EMPLOYEES AND MAKES RECOMMENDATIONS TO THE PERSONNNEL COMMITTEE WHO THEN MAKES A RECOMMENDATION TO THE BOARD FOR APPROVAL. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | OUR GOVERNING DOCUMENTS & 990 ARE AVAILABLE UPON REQUEST. THEY ARE TYPICALLY REQUESTED BY DONORS AND ARE FREELY PROVIDED. OUR 990 IS AVAILABLE ON GUIDESTAR.ORG. ADDITIONALLY ALL OF OUR GOVERNING DOCUMENTS, FINANCIALS, MEETING MINUTES & 990 ARE PROVIDED TO OUR STATE FREE CLINIC ASSOCIATION, SCFCA, FOR OUR BI-ANNUAL RECERTIFICATION PROCESS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | IN PRIOR YEARS THE ORGANIZATION HAS NOT RECORDED AND/OR TRACKED PURCHASES OF EQUIPMENT DUE TO THE LIMITED SIZE OF ITS OPERATIONS. THE ORGANIZATION WILL IDENTIFY ALL PURCHASED ASSETS AND WILL RECORD AS A FIXED ASSET ALONG WITH ASSOCIATED ACCUMULATED DEPRECIATION ON THE FORM 990 BEGINNING IN 2018. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | COMPENSATION STUDIES ARE USED AND COMPARED FOR OUR NON-PROFIT SECTOR AND THE SIZE OF OUR ORGANIZATION BASED ON OUR BUDGET SIZE. GUIDESTARS COMPENSATION STUDY WAS USED IN 2016. THE PERSONNEL COMMITTEE REVIEWS THE EXECUTIVE DIRECTOR AND RECOMMENDS A SALARY TO THE BOARD FOR APPROVAL. THE EXECUTIVE DIRECTOR REVIEWS ALL OTHER EMPLOYEES AND MAKES RECOMMENDATIONS TO THE PERSONNNEL COMMITTEE WHO THEN MAKES A RECOMMENDATION TO THE BOARD FOR APPROVAL. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 6 | INSURANCE |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 7 | MEDICAL EQUIPMENT & SUPPLIES |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 8 | LICENSES & PERMITS |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 9 | DUES & SUBSCRIPTIONS |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 10 | CONFERENCES |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 11 | MILEAGE REIMBURSEMENT |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 12 | PAYROLL TAXES |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 13 | OFFICE SUPPLIES |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 14 | ADVERTISING |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 15 | PAYROLL PROCESSING |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 16 | SECURITY DEPOSITS |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Pt VI, Line 11b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Pt VI, Line 12c |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Pt VI, Line 15a |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Pt VI, Line 19 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Pt X |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Pt VI, Line 15b |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 6 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 7 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 8 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 9 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 10 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 11 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 12 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 13 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 14 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 15 | Form 990EZ, Part I, Line 16 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 16 | Form 990EZ, Part II, Line 24 |
| IRS990/SchoolOperatingInd | 0 | false |
| IRS990/SignificantChangeInd | 0 | false |
| IRS990/SignificantNewProgramSrvcInd | 0 | false |
| IRS990/SubjectToProxyTaxInd | 0 | false |
| IRS990/TaxablePartyNotificationInd | 0 | false |
| IRS990/TaxExemptBondsInd | 0 | false |
| IRS990/TempOrPermanentEndowmentsInd | 0 | false |
| IRS990/TerminateOperationsInd | 0 | false |
| IRS990/TotalAssetsBOYAmt | 0 | 271878 |
| IRS990/TotalAssetsEOYAmt | 0 | 359920 |
| IRS990/TotalAssetsGrp/BOYAmt | 0 | 271878 |
| IRS990/TotalAssetsGrp/EOYAmt | 0 | 359920 |
| IRS990/TotalCompGreaterThan150KInd | 0 | false |
| IRS990/TotalContributionsAmt | 0 | 320484 |
| IRS990/TotalEmployeeCnt | 0 | 3 |
| IRS990/TotalFunctionalExpensesGrp/FundraisingAmt | 0 | 0 |
| IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt | 0 | 175467 |
| IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt | 0 | 57150 |
| IRS990/TotalFunctionalExpensesGrp/TotalAmt | 0 | 232617 |
| IRS990/TotalGrossUBIAmt | 0 | 0 |
| IRS990/TotalLiabilitiesBOYAmt | 0 | 3578 |
| IRS990/TotalLiabilitiesEOYAmt | 0 | 3844 |
| IRS990/TotalLiabilitiesGrp/BOYAmt | 0 | 3578 |
| IRS990/TotalLiabilitiesGrp/EOYAmt | 0 | 3844 |
| IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt | 0 | 268300 |
| IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt | 0 | 356076 |
| IRS990/TotalProgramServiceExpensesAmt | 0 | 57150 |
| IRS990/TotalRevenueGrp/TotalRevenueColumnAmt | 0 | 320484 |
| IRS990/TotalVolunteersCnt | 0 | 12 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt | 0 | 271878 |
| IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt | 0 | 359920 |
| IRS990/TypeOfOrganizationCorpInd | 0 | X |
| IRS990/UnrelatedBusIncmOverLimitInd | 0 | false |
| IRS990/UponRequestInd | 0 | X |
| IRS990/USAddress/AddressLine1Txt | 0 | PO BOX 158 |
| IRS990/USAddress/CityNm | 0 | LEXINGTON |
| IRS990/USAddress/StateAbbreviationCd | 0 | SC |
| IRS990/USAddress/ZIPCd | 0 | 29071 |
| IRS990/VotingMembersGoverningBodyCnt | 0 | 13 |
| IRS990/VotingMembersIndependentCnt | 0 | 13 |
| IRS990/WebsiteAddressTxt | 0 | N/A |
| IRS990/WhistleblowerPolicyInd | 0 | true |
| ReturnHeader/BuildTS | 0 | 2018-06-14 16:35:46Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | true |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | WADE ROOF |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | CHAIRPERSON |
| ReturnHeader/BusinessOfficerGrp/PhoneNum | 0 | 8033588339 |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2018-05-08 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | GOOD SAMARITAN CLINIC |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | GOOD |
| ReturnHeader/Filer/EIN | 0 | 571109766 |
| ReturnHeader/Filer/PhoneNum | 0 | 8033588339 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | PO BOX 158 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | LEXINGTON |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | SC |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 29071 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId | 0 | 32E3462B226480AEE30B00E2A980DDDFFD0EA2A1 |
| ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId | 0 | 32E3462B226480AEE30B00E2A980DDDFFD0EA2A1 |
| ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd | 0 | P |
| ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt | 0 | 24.168.196.56 |
| ReturnHeader/FilingSecurityInformation/IPDt | 0 | 2018-05-15 |
| ReturnHeader/FilingSecurityInformation/IPTimezoneCd | 0 | PD |
| ReturnHeader/FilingSecurityInformation/IPTm | 0 | 12:35:22 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | Cas Inc |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 167 West Court |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | Columbia |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | SC |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 29212 |
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.
- Assets
- $359,920
- Liabilities
- $3,844
- Net assets
- $356,076
- Revenue
- $320,484
- Expenses
- $232,617
- Net income
- $87,867