Civic Intelligence

Good Samaritan Clinic

990 • Fiscal year 2014 • EIN 71-0863639

Jul 01, 2013 to Jun 30, 2014 • Filed on Dec 12, 2014

615 North B StreetFort Smith, AR 72901

(479) 783-0233

Siviq Scores

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

Liabilities / Assets

39th percentile

0.05x

Higher debt load relative to assets than 39% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Liabilities / Revenue

47th percentile

0.10x

Higher debt load relative to revenue than 47% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Net Margin

13th percentile

-22%

Higher net margin than 13% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Top Officer Pay

47th percentile

$56,520

Higher top officer pay than 47% of similar nonprofits.

Top officer pay equals 10.5% of source-year revenue.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

16th percentile

-6.9%

Faster asset growth than 16% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Revenue Growth

42nd percentile

1.1%

Faster revenue growth than 42% of similar nonprofits.

2014 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2013 to 2014

Assets

Down

$1,029,720

Down $75,794 (-6.9%) from 2013

Net Assets

Down

$978,432

Down $90,986 (-8.5%) from 2013

Liabilities

Up

$51,288

Up $15,192 (+42%) from 2013

Revenue

$537,771

No earlier filing loaded for comparison.

Expenses

Up

$653,878

Up $46,549 (+7.7%) from 2013

Net Income

-$116,107

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$1.5M$1.0M$500K$0Assets 2011: $1,173,879Liabilities 2011: $25,494Net Assets 2011: $1,148,3852011Assets 2012: $1,157,950Liabilities 2012: $29,152Net Assets 2012: $1,128,7982012Assets 2013: $1,105,514Liabilities 2013: $36,096Net Assets 2013: $1,069,4182013Assets 2014: $1,029,720Liabilities 2014: $51,288Net Assets 2014: $978,4322014Assets 2015: $800,567Liabilities 2015: $26,443Net Assets 2015: $774,1242015Assets 2017: $777,197Liabilities 2017: $26,288Net Assets 2017: $750,9092017Assets 2018: $731,843Liabilities 2018: $18,002Net Assets 2018: $713,8412018Assets 2019: $794,641Liabilities 2019: $22,878Net Assets 2019: $771,7632019Assets 2020: $936,293Liabilities 2020: $138,628Net Assets 2020: $797,6652020Assets 2021: $1,155,341Liabilities 2021: $66,852Net Assets 2021: $1,088,4892021Assets 2022: $1,163,112Liabilities 2022: $16,362Net Assets 2022: $1,146,7502022Assets 2024: $1,143,481Liabilities 2024: $33,172Net Assets 2024: $1,110,3092024

Highlighted filing

2014

Assets$1,029,720
Liabilities$51,288
Net Assets$978,432

Operations Trend

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

$2.0M$1.5M$1.0M$500K$0-$500KExpenses 2011: $563,2362011Expenses 2012: $606,4332012Expenses 2013: $607,3292013Revenue 2014: $537,771Expenses 2014: $653,878Net Income 2014: -$116,1072014Revenue 2015: $457,571Expenses 2015: $649,416Net Income 2015: -$191,8452015Revenue 2017: $677,123Expenses 2017: $597,986Net Income 2017: $79,1372017Revenue 2018: $488,697Expenses 2018: $535,223Net Income 2018: -$46,5262018Revenue 2019: $551,500Expenses 2019: $500,523Net Income 2019: $50,9772019Revenue 2020: $483,417Expenses 2020: $454,170Net Income 2020: $29,2472020Revenue 2021: $744,325Expenses 2021: $514,590Net Income 2021: $229,7352021Revenue 2022: $720,166Expenses 2022: $620,850Net Income 2022: $99,3162022Revenue 2024: $1,583,251Expenses 2024: $1,744,459Net Income 2024: -$161,2082024

Highlighted filing

2014

Revenue$537,771
Expenses$653,878
Net Income-$116,107
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
Dec 12, 2014
Return Version
2013v3.1
Gross Receipts
$537,771
Mission and Program Overview

Mission

To provide medical services and medications at reasonable costs to the working poor, un-insured, elderly, & homeless.

To provide medical services and medications at reasonable costs to the working poor, uninsured, elderly & homeless.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$310,146$356,616▲ $46,470
Savings and Temporary Cash Investments$485,472$301,661▼ $183,811
Land, Buildings, and Equipment, Net$146,284$197,829▲ $51,545
Cash and Non-Interest-Bearing Accounts$163,167$173,173▲ $10,006
Prepaid Expenses and Deferred Charges$445$441▼ $4
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$1,105,514$1,029,720▼ $75,794
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$36,096$51,288▲ $15,192
Total Liabilities$36,096$51,288▲ $15,192
Net Assets / Fund Balance
Unrestricted Net Assets$810,261$745,832▼ $64,429
Permanently Rstr Net Assets$173,721$173,721→ $0
Temporarily Rstr Net Assets$85,436$58,879▼ $26,557
Total Net Assets Fund Balance$1,069,418$978,432▼ $90,986
Total Liabilities and Net Assets / Fund Balance$1,105,514$1,029,720▼ $75,794

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$117,784$69,028$186,812
Other Land Buildings$80,045$96,275$176,320
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Evan BreedloveExecutive DirectorFT$56,520$56,520
Revenue and Support

Revenue Composition

Contributions and Grants
$478,232
Program Service Revenue
$31,402
Investment Income
$26,113
Other Revenue
$2,024
All Other Contributions
$478,232
Change in Net Assets
$-116,107

Audited Revenue Reconciliation

Revenue per Audited Statements
$537,771
Revenue Not Reported on Form 990
$25,121
Total Revenue per Audited Statements
$562,892
Total Revenue per Form 990
$537,771
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$437,249
Other Expenses$216,629
Total Fundraising Expense$24,262
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$259,663$23,902$15,215$298,780
Current Officers, Directors, Trustees, and Key Employees$51,998$4,522-$56,520
Other Employee Benefits$48,525$4,220-$52,745
Occupancy$28,299$2,461-$30,760
Payroll Taxes$25,549$2,336$1,319$29,204
Insurance$26,205$1,058-$27,263
All Other Expenses$16,542$2,893$3,894$23,329
Depreciation Depletion$17,364$1,510-$18,874
Fees for Services Other$11,385--$11,385
Other Expenses$9,495--$9,495
Advertising$3,221$613$3,834$7,668
Total Functional Expenses$586,101$43,515$24,262$653,878

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$653,878
Total Expenses per Audited Statements$653,878
Total Expenses per Form 990$653,878
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

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

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

The Board of Directors reviews the Form 990 prior to filing.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Potential board members are questioned of any potential conflicts of interest.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

The Clinic has the financials and the Form 990 available for inspection at their physical location.

Filing and Contact Details

Filer

EIN
71-0863639
Phone
4797830233

Signing Officer

Name
Michael Schluterman CPA
Title
Treasurer
Signed
2014-12-12
Discuss with paid preparer
Yes

Organization Details

Formed
2001
Legal Domicile
Ar
Voting Board Members
22
Independent Board Members
22
Employees
14

Preparer

Preparer
Marc Lux CPA
Phone
4796490888
Supplemental Narrative

Financial Statement Notes

Part V, Line 4: Intended uses of the endowment fund.

Provide additional support to the organization

Part X : FIN48 Footnote

Generally accepted accounting principles require tax effects from an uncertain tax position to be recognized in the financial statements only if the position is more likely than not to be sustained if the position were to be challenged by a taxing authority. The assessment of the tax position is based solely on the technical merits of the position, without regard to the likelihood that the tax position may be challenged. If an uncertain tax position meets the more-likely-than-not threshold, the largest amount of tax benefit that is greater than 50% likely to be recognized upon ultimate settlement with the taxing authority is recorded. The Clinic's primary tax positions relate to its status as a not-for-profit entity exempt from income taxes and classification of activities related to its exempt purpose. Management has evaluated the tax positions reflected in the Clinic's tax filings and does not believe that any material uncertain tax positions exist.

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IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt200
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt210
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2256520
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt210
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt220
IRS990/Form990PartVIISectionAGrp/TitleTxt0Director
IRS990/Form990PartVIISectionAGrp/TitleTxt1Director
IRS990/Form990PartVIISectionAGrp/TitleTxt2Director
IRS990/Form990PartVIISectionAGrp/TitleTxt3Director
IRS990/Form990PartVIISectionAGrp/TitleTxt4Director
IRS990/Form990PartVIISectionAGrp/TitleTxt5Director
IRS990/Form990PartVIISectionAGrp/TitleTxt6Director
IRS990/Form990PartVIISectionAGrp/TitleTxt7Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt8Director
IRS990/Form990PartVIISectionAGrp/TitleTxt9Director
IRS990/Form990PartVIISectionAGrp/TitleTxt10Director
IRS990/Form990PartVIISectionAGrp/TitleTxt11Director
IRS990/Form990PartVIISectionAGrp/TitleTxt12Director
IRS990/Form990PartVIISectionAGrp/TitleTxt13Director
IRS990/Form990PartVIISectionAGrp/TitleTxt14Director
IRS990/Form990PartVIISectionAGrp/TitleTxt15Vice Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt16Director
IRS990/Form990PartVIISectionAGrp/TitleTxt17Director
IRS990/Form990PartVIISectionAGrp/TitleTxt18Director
IRS990/Form990PartVIISectionAGrp/TitleTxt19Director
IRS990/Form990PartVIISectionAGrp/TitleTxt20Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt21Director
IRS990/Form990PartVIISectionAGrp/TitleTxt22Executive Director
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/Form990TFiledInd0false
IRS990/FormationYr02001
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0false
IRS990/GainOrLossGrp/SecuritiesAmt019487
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt022
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt00
IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt019487
IRS990/GrossReceiptsAmt0537771
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IncmFromInvestBondProceedsGrp/TotalRevenueColumnAmt00
IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt022
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InformationTechnologyGrp/TotalAmt00
IRS990/InsuranceGrp/ManagementAndGeneralAmt01058
IRS990/InsuranceGrp/ProgramServicesAmt026205
IRS990/InsuranceGrp/TotalAmt027263
IRS990/IntangibleAssetsGrp/EOYAmt00
IRS990/InterestGrp/TotalAmt00
IRS990/InventoriesForSaleOrUseGrp/EOYAmt00
IRS990/InvestmentIncomeGrp/ExclusionAmt06626
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt06626
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0310146
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0356616
IRS990/InvestmentsProgramRelatedGrp/EOYAmt00
IRS990/InvestmentsPubTradedSecGrp/EOYAmt00
IRS990/InvestTaxExemptBondsInd0false
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0165303
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0146284
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0197829
IRS990/LandBldgEquipCostOrOtherBssAmt0363132
IRS990/LegalDomicileStateCd0AR
IRS990/LicensedMoreThanOneStateInd0false
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0false
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0To provide medical services and medications at reasonable costs to the working poor, uninsured, elderly & homeless.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt01069418
IRS990/NetAssetsOrFundBalancesEOYAmt0978432
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt019487
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt019487
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt00
IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt025121
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ManagementAndGeneralAmt02461
IRS990/OccupancyGrp/ProgramServicesAmt028299
IRS990/OccupancyGrp/TotalAmt030760
IRS990/OfficeExpensesGrp/TotalAmt00
IRS990/OfficerMailingAddressInd0false
IRS990/OnBehalfOfIssuerInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OrgFiledInLieuOfForm1041Ind0false
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt04220
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt048525
IRS990/OtherEmployeeBenefitsGrp/TotalAmt052745
IRS990/OtherExpensesGrp/Desc0Laboratory test supplies
IRS990/OtherExpensesGrp/Desc1Medical supplies
IRS990/OtherExpensesGrp/Desc2Pharmaceutical supplies
IRS990/OtherExpensesGrp/Desc3Diabetic expense
IRS990/OtherExpensesGrp/ProgramServicesAmt040210
IRS990/OtherExpensesGrp/ProgramServicesAmt128347
IRS990/OtherExpensesGrp/ProgramServicesAmt219298
IRS990/OtherExpensesGrp/ProgramServicesAmt39495
IRS990/OtherExpensesGrp/TotalAmt040210
IRS990/OtherExpensesGrp/TotalAmt128347
IRS990/OtherExpensesGrp/TotalAmt219298
IRS990/OtherExpensesGrp/TotalAmt39495
IRS990/OtherRevenueMiscGrp/Desc0Miscellaneous Income
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt02024
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt02024
IRS990/OtherRevenueTotalAmt02024
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt015215
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt023902
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0259663
IRS990/OtherSalariesAndWagesGrp/TotalAmt0298780
IRS990/OthNotesLoansReceivableNetGrp/EOYAmt00
IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt00
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt01319
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt02336
IRS990/PayrollTaxesGrp/ProgramServicesAmt025549
IRS990/PayrollTaxesGrp/TotalAmt029204
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0173721
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0173721

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.14$0.03$1.11$1.58$1.74$0.16
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.16$0.02$1.15$0.72$0.62$0.10
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.16$0.07$1.09$0.74$0.51$0.23
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.94$0.14$0.80$0.48$0.45$0.03
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.79$0.02$0.77$0.55$0.50$0.05
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.73$0.02$0.71$0.49$0.54$0.05
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.78$0.03$0.75$0.68$0.60$0.08
2015Detailed filing. Detailed filing data is available for this year.$0.80$0.03$0.77$0.46$0.65$0.19
2014Detailed filing. Detailed filing data is available for this year.$1.03$0.05$0.98$0.54$0.65$0.12
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.11$0.04$1.07$0.61
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.16$0.03$1.13$0.61
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.17$0.03$1.15$0.56
Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2014 filings • 501(c)3 • $1M-$5M nonprofits