Civic Intelligence

Good Samaritan Clinic

990 • Fiscal year 2016 • EIN 71-0863639

Jul 01, 2015 to Jun 30, 2016 • Filed on Feb 14, 2017

Organization ProfileWWW.GOOD-SAM-CLINIC.NET
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

45th percentile

0.02x

Higher debt load relative to assets than 45% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Liabilities / Revenue

47th percentile

0.03x

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

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Net Margin

15th percentile

-19%

Higher net margin than 15% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Top Officer Pay

49th percentile

$0

Higher top officer pay than 49% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2016

Asset Growth

11th percentile

-16%

Faster asset growth than 11% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Revenue Growth

68th percentile

14%

Faster revenue growth than 68% of similar nonprofits.

2016 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets45th percentile

Assets

Down

$672,537

Down $128,030 (-16%) from 2015

Net Assets

Down

$656,354

Down $117,770 (-15%) from 2015

Liabilities

Down

$16,183

Down $10,260 (-39%) from 2015

Revenue And Expenses
Liabilities / Revenue47th percentileNet Margin15th percentile

Revenue

Up

$520,847

Up $63,276 (+14%) from 2015

Expenses

Down

$622,104

Down $27,312 (-4.2%) from 2015

Net Income

Up

-$101,257

Up $90,588 (+47%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth11th percentile

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 2016: $672,537Liabilities 2016: $16,183Net Assets 2016: $656,3542016Assets 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

2016

Assets$672,537
Liabilities$16,183
Net Assets$656,354
Open 2016 Filing

Operations Trend

Revenue Growth68th percentile

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 2016: $520,847Expenses 2016: $622,104Net Income 2016: -$101,2572016Revenue 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

2016

Revenue$520,847
Expenses$622,104
Net Income-$101,257
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Feb 14, 2017
Return Version
2015v3.0
Gross Receipts
$520,847
Mission and Program Overview

Mission

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

To be a charitable healthcare ministry for the underserved.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$354,748$342,767▼ $11,981
Savings and Temporary Cash Investments$202,205--
Cash and Non-Interest-Bearing Accounts$66,429$167,780▲ $101,351
Land, Buildings, and Equipment, Net$176,565$156,716▼ $19,849
Prepaid Expenses and Deferred Charges$620$5,274▲ $4,654
Total Assets$800,567$672,537▼ $128,030
Liabilities
Accounts Payable and Accrued Expenses$26,443$16,183▼ $10,260
Total Liabilities$26,443$16,183▼ $10,260
Net Assets / Fund Balance
Unrestricted Net Assets$591,061$479,068▼ $111,993
Permanently Rstr Net Assets$173,721$173,721→ $0
Temporarily Rstr Net Assets$9,342$3,565▼ $5,777
Total Net Assets Fund Balance$774,124$656,354▼ $117,770
Total Liabilities and Net Assets / Fund Balance$800,567$672,537▼ $128,030

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$53,630$133,539$187,169
Buildings$103,086$83,726$186,812
Other Securities$342,767--
Compensation and Service Providers
Top Officer Pay49th percentile

Board Members and Trustees

NameTitle
Jennifer ThomasChairperson
Steven BriganceVice Chairpe
Ben ShipleyDirector
Brad LewisDirector
Charlotte SheradenDirector
Dale BrunkDirector
Diane ArnoldDirector
Don HutchingsDirector
Jeanne LedbetterDirector
Lynn CurryDirector
Mark BuerglerDirector
Mary DewittDirector
Pat HightowerDirector
Sr Judith Marie KeithDirector
Tim HearnDirector
Victor MartinezDirector
Darrell StovallCo-treasurer
Patricia FellnerCo-treasurer
Sarah GarlowSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$476,052
Program Service Revenue
$33,721
Investment Income
$8,362
Other Revenue
$2,712
All Other Contributions
$326,059
Change in Net Assets
$-101,257

Audited Revenue Reconciliation

Revenue per Audited Statements
$520,847
Revenue Not Reported on Form 990
$-16,513
Total Revenue per Audited Statements
$504,334
Total Revenue per Form 990
$520,847
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$407,172
Other Expenses$214,932
Total Fundraising Expense$47,378
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$288,081$26,691$18,871$333,643
Other Employee Benefits$41,453$3,605-$45,058
Advertising$6,511-$22,654$29,165
Payroll Taxes$24,477$2,278$1,716$28,471
Depreciation Depletion$23,850$2,074-$25,924
All Other Expenses$19,340$4,229-$23,569
Occupancy$21,380$1,859-$23,239
Insurance$18,371$318-$18,689
Fees for Services Other$12,556--$12,556
Office Expenses$2,081$396$4,137$6,614
Other Expenses$5,648$708-$5,648
Travel$665$58-$723
Total Functional Expenses$532,510$42,216$47,378$622,104

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$622,104
Total Expenses per Audited Statements$622,104
Total Expenses per Form 990$622,104
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Various Events$75,118---
Total Events$75,118---
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
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“The board of directors reviews the form 990 prior to filing.”

Form 990, Page 6, Part VI, Line 12C

“Potential board members are questioned of any potential conflicts of inter est.”

Form 990, Page 6, Part VI, Line 18

“The clinic has the financials and the form 990 available for inspection at their physical location.”

Form 990, Page 6, Part VI, Line 19

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name
Good Samaritan Clinic
EIN
71-0863639
Phone
4797830233
Address
615 NORTH B STREET, FORT SMITH, AR 72901

Signing Officer

Name
Shelby E Breedlove
Title
Executive Director
Phone
4797830233
Signed
2017-02-14
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jennifer Thomas
Formed
2001
Legal Domicile
Ar
Voting Board Members
19
Independent Board Members
19
Employees
12

Preparer

Firm
Przybysz & Associates Cpas Pc
Address
4200 JENNY LIND RD STE B, FORT SMITH, AR 72901
Preparer
Marc Lux CPA
Phone
4796490888
Supplemental Narrative

Financial Statement Notes

Schedule D, Page 3, Part X

“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.”

Raw XML AppendixShowing 400 of 517 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/OtherExpensesGrp/Desc1MEDICAL SUPPLIES
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IRS990/OtherRevenueTotalAmt02712
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt018871
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IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
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IRS990/PayrollTaxesGrp/ProgramServicesAmt024477
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IRS990/PoliticalCampaignActyInd0false
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IRS990/PrincipalOfficerNm0JENNIFER THOMAS
IRS990/ProfessionalFundraisingInd0false
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IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0407093
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt022497
IRS990/PYOtherExpensesAmt0219575
IRS990/PYOtherRevenueAmt01539
IRS990/PYProgramServiceRevenueAmt026442
IRS990/PYRevenuesLessExpensesAmt0-191845
IRS990/PYSalariesCompEmpBnftPaidAmt0429841
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IRS990/PYTotalRevenueAmt0457571
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IRS990/ReconcilationRevenueExpnssAmt0-101257
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0true
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt033721
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0202205
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IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0482186
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Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$672,537
Liabilities
$16,183
Net assets
$656,354
Revenue
$520,847
Expenses
$622,104
Net income
-$101,257
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
2016Detailed filing. Detailed filing data is available for this year.$0.67$0.02$0.66$0.52$0.62$0.10
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