Civic Intelligence

Good Samaritan Clinic

990 • Fiscal year 2018 • EIN 71-0863639

Jul 01, 2017 to Jun 30, 2018 • Filed on Dec 06, 2018

Organization ProfileWWW.GOODSAMARITANFS.COM
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

47th percentile

0.02x

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

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Liabilities / Revenue

52nd percentile

0.04x

Higher debt load relative to revenue than 52% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Net Margin

21st percentile

-9.5%

Higher net margin than 21% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Top Officer Pay

50th percentile

$0

Higher top officer pay than 50% of similar nonprofits.

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

2018 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2018

Asset Growth

25th percentile

-5.8%

Faster asset growth than 25% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Revenue Growth

11th percentile

-28%

Faster revenue growth than 11% of similar nonprofits.

2018 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets47th percentile

Assets

Down

$731,843

Down $45,354 (-5.8%) from 2017

Net Assets

Down

$713,841

Down $37,068 (-4.9%) from 2017

Liabilities

Down

$18,002

Down $8,286 (-32%) from 2017

Revenue And Expenses
Liabilities / Revenue52nd percentileNet Margin21st percentile

Revenue

Down

$488,697

Down $188,426 (-28%) from 2017

Expenses

Down

$535,223

Down $62,763 (-10%) from 2017

Net Income

Down

-$46,526

Down $125,663 (-159%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth25th 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 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

2018

Assets$731,843
Liabilities$18,002
Net Assets$713,841
Open 2018 Filing

Operations Trend

Revenue Growth11th 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 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

2018

Revenue$488,697
Expenses$535,223
Net Income-$46,526
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2017 to Jun 30, 2018
Signed
Dec 6, 2018
Return Version
2017v2.3
Gross Receipts
$488,697
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$382,481$405,689▲ $23,208
Cash and Non-Interest-Bearing Accounts$256,872$187,290▼ $69,582
Land, Buildings, and Equipment, Net$135,686$135,338▼ $348
Prepaid Expenses and Deferred Charges$2,158$3,526▲ $1,368
Total Assets$777,197$731,843▼ $45,354
Liabilities
Accounts Payable and Accrued Expenses$26,288$18,002▼ $8,286
Total Liabilities$26,288$18,002▼ $8,286
Net Assets / Fund Balance
Unrestricted Net Assets$566,988$540,120▼ $26,868
Permanently Rstr Net Assets$173,721$173,721→ $0
Temporarily Rstr Net Assets$10,200--
Total Net Assets Fund Balance$750,909$713,841▼ $37,068
Total Liabilities and Net Assets / Fund Balance$777,197$731,843▼ $45,354

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$46,723$174,948$221,671
Buildings$88,615$98,197$186,812
Other Securities$405,689--
Compensation and Service Providers
Top Officer Pay50th percentile

Board Members and Trustees

NameTitle
Victor MartinezChairperson
Sonya HallVice Chairsp
Beth WatsonDirector
Charlotte SheradenDirector
Jeanne LedbetterDirector
Jennifer ThomasDirector
Joel JohnsonDirector
Laura HoodDirector
Lynn CurryDirector
Maria NealDirector
Mark BuerglerDirector
Mark MyersDirector
Pat HightowerDirector
Randy StricklandDirector
Renee ParkerDirector
Sr Judith Marie KeithDirector
Stephanie WhitakerDirector
Steve GebhartDirector
Steven BriganceDirector
Darrell StovallCo-treasurer
Tim HearnCo-treasurer
Sarah GarlowSecretary
Revenue and Support

Revenue Composition

Contributions and Grants
$432,246
Program Service Revenue
$38,576
Investment Income
$17,875
Other Revenue
$0
All Other Contributions
$264,583
Change in Net Assets
$-46,526

Audited Revenue Reconciliation

Revenue per Audited Statements
$488,697
Revenue Not Reported on Form 990
$9,458
Total Revenue per Audited Statements
$498,155
Total Revenue per Form 990
$488,697
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$364,311
Other Expenses$170,912
Total Fundraising Expense$66,927
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$242,854$25,142$46,273$314,269
Depreciation Depletion$27,183$2,364-$29,547
Payroll Taxes$20,132$2,092$3,922$26,146
Other Employee Benefits$21,984$1,912-$23,896
Insurance$22,953$812-$23,765
Occupancy$18,952$1,648-$20,600
Advertising$5,289-$13,571$18,860
Fees for Services Other$10,393--$10,393
All Other Expenses$6,892$1,870-$8,762
Other Expenses$4,136$682$2,131$4,136
Office Expenses$865$165$1,030$2,060
Travel$267$23-$290
Total Functional Expenses$431,586$36,710$66,927$535,223

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$535,223
Total Expenses per Audited Statements$535,223
Total Expenses per Form 990$535,223
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$65,863---
Total Events$65,863---
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
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
Patti Kimbrough
Title
Executive Director
Phone
4797830233
Signed
2018-12-06
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Victor Martinez
Formed
2001
Legal Domicile
Ar
Voting Board Members
22
Independent Board Members
22
Employees
13

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. The clinic has analyzed its tax positions taken for filings with the internal revenue service. It believes that its filing positions will be sustained upon examination and does not anticipate any adjustments that would result in a material adverse effect on its financial condition, results of operations, or cash flows. The clinic's tax years for 2015, 2016 and 2017 are subject to examination by the internal revenue service as of june 30, 2018.”

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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/PayPremiumsPrsnlBnftCntrctInd0false
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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$731,843
Liabilities
$18,002
Net assets
$713,841
Revenue
$488,697
Expenses
$535,223
Net income
-$46,526
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
2018Detailed filing. Detailed filing data is available for this year.$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