Civic Intelligence

Good Samaritan Clinic

990 • Fiscal year 2019 • EIN 71-0863639

Jul 01, 2018 to Jun 30, 2019 • Filed on Jan 13, 2020

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

50th percentile

0.03x

Higher debt load relative to assets than 50% of similar nonprofits.

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

Liabilities / Revenue

55th percentile

0.04x

Higher debt load relative to revenue than 55% of similar nonprofits.

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

Net Margin

62nd percentile

9.2%

Higher net margin than 62% of similar nonprofits.

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

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.

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

Asset Growth

62nd percentile

8.6%

Faster asset growth than 62% of similar nonprofits.

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

Revenue Growth

65th percentile

13%

Faster revenue growth than 65% of similar nonprofits.

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

Assets

Up

$794,641

Up $62,798 (+8.6%) from 2018

Net Assets

Up

$771,763

Up $57,922 (+8.1%) from 2018

Liabilities

Up

$22,878

Up $4,876 (+27%) from 2018

Revenue

Up

$551,500

Up $62,803 (+13%) from 2018

Expenses

Down

$500,523

Down $34,700 (-6.5%) from 2018

Net Income

Up

$50,977

Up $97,503 (+210%) from 2018

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

2019

Assets$794,641
Liabilities$22,878
Net Assets$771,763

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

2019

Revenue$551,500
Expenses$500,523
Net Income$50,977
Jump To
Filing Snapshot
Filing Period
Jul 1, 2018 to Jun 30, 2019
Signed
Jan 13, 2020
Return Version
2018v3.1
Gross Receipts
$551,500
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
Cash and Non-Interest-Bearing Accounts$187,290$370,422▲ $183,132
Investments Other Securities$405,689$296,340▼ $109,349
Land, Buildings, and Equipment, Net$135,338$126,945▼ $8,393
Prepaid Expenses and Deferred Charges$3,526$934▼ $2,592
Total Assets$731,843$794,641▲ $62,798
Liabilities
Accounts Payable and Accrued Expenses$18,002$22,878▲ $4,876
Total Liabilities$18,002$22,878▲ $4,876
Net Assets / Fund Balance
Unrestricted Net Assets$540,120$568,042▲ $27,922
Permanently Rstr Net Assets$173,721$173,721→ $0
Temporarily Rstr Net Assets-$30,000-
Total Net Assets Fund Balance$713,841$771,763▲ $57,922
Total Liabilities and Net Assets / Fund Balance$731,843$794,641▲ $62,798

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$44,597$192,539$237,136
Buildings$82,348$104,464$186,812
Other Securities$296,340--
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$497,485
Program Service Revenue
$47,122
Investment Income
$6,271
Other Revenue
$622
All Other Contributions
$322,277
Change in Net Assets
$50,977

Audited Revenue Reconciliation

Revenue per Audited Statements
$551,500
Revenue Not Reported on Form 990
$6,945
Total Revenue per Audited Statements
$558,445
Total Revenue per Form 990
$551,500
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$317,788
Other Expenses$182,735
Total Fundraising Expense$76,605
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$202,567$49,327$32,668$284,562
Advertising$3,509-$41,124$44,633
Payroll Taxes$17,387$4,038$2,746$24,171
Depreciation Depletion$23,208$651-$23,859
Insurance$18,697$274-$18,971
Occupancy$14,197$399-$14,596
All Other Expenses$7,895$3,191$28$11,114
Fees for Services Other$9,884--$9,884
Other Employee Benefits$8,685$370-$9,055
Other Expenses$4,406$212-$4,406
Office Expenses$2,053$59$39$2,151
Travel$157$4-$161
Total Functional Expenses$365,393$58,525$76,605$500,523

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$500,523
Total Expenses per Audited Statements$500,523
Total Expenses per Form 990$500,523
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$128,563---
Total Events$128,563---
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 19

The financials and form 990 are kept at the organization's physical location and made available upon request.

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
2020-01-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Steve Gebhart
Formed
2001
Legal Domicile
Ar
Voting Board Members
29
Independent Board Members
29
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.

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IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt23DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt26DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt27DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt28DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr02001
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0true
IRS990/FundraisingAmt0128563
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt029
IRS990/GovernmentGrantsAmt046645
IRS990/GrantsToIndividualsInd0false
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossReceiptsAmt0551500
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0true
IRS990/IndependentAuditFinclStmtInd0true
IRS990/IndependentVotingMemberCnt029
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt0274
IRS990/InsuranceGrp/ProgramServicesAmt018697
IRS990/InsuranceGrp/TotalAmt018971
IRS990/InvestmentIncomeGrp/ExclusionAmt06271
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt06271
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt0405689
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt0296340
IRS990/IRPDocumentCnt02
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0297003
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0135338
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0126945
IRS990/LandBldgEquipCostOrOtherBssAmt0423948
IRS990/LegalDomicileStateCd0AR
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0TO PROVIDE MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UN-INSURED, ELDERLY, & HOMELESS.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt0713841
IRS990/NetAssetsOrFundBalancesEOYAmt0771763
IRS990/NetUnrlzdGainsLossesInvstAmt06945
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NoncashContributionsAmt07000
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ManagementAndGeneralAmt0399
IRS990/OccupancyGrp/ProgramServicesAmt014197
IRS990/OccupancyGrp/TotalAmt014596
IRS990/OfficeExpensesGrp/FundraisingAmt039
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt059
IRS990/OfficeExpensesGrp/ProgramServicesAmt02053
IRS990/OfficeExpensesGrp/TotalAmt02151
IRS990/OfficerMailingAddressInd0false
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt0370
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt08685
IRS990/OtherEmployeeBenefitsGrp/TotalAmt09055
IRS990/OtherExpensesGrp/Desc0LABORATORY TEST SUPPLIES
IRS990/OtherExpensesGrp/Desc1MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc2MISCELLANEOUS
IRS990/OtherExpensesGrp/Desc3DUES & SUBSCRIPTIONS
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt0212
IRS990/OtherExpensesGrp/ProgramServicesAmt023351
IRS990/OtherExpensesGrp/ProgramServicesAmt121839
IRS990/OtherExpensesGrp/ProgramServicesAmt27558
IRS990/OtherExpensesGrp/ProgramServicesAmt34406
IRS990/OtherExpensesGrp/TotalAmt023351
IRS990/OtherExpensesGrp/TotalAmt121839
IRS990/OtherExpensesGrp/TotalAmt27770
IRS990/OtherExpensesGrp/TotalAmt34406
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS INCOME
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IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt0622
IRS990/OtherRevenueTotalAmt0622
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt032668
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt049327
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0202567
IRS990/OtherSalariesAndWagesGrp/TotalAmt0284562
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt02746
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt04038
IRS990/PayrollTaxesGrp/ProgramServicesAmt017387
IRS990/PayrollTaxesGrp/TotalAmt024171
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0173721
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0173721
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt03526
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0934
IRS990/PrincipalOfficerNm0STEVE GEBHART
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0PATIENT PAYMENTS
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt047122
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt047122
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0432246
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt017875
IRS990/PYOtherExpensesAmt0170912
IRS990/PYProgramServiceRevenueAmt038576
IRS990/PYRevenuesLessExpensesAmt0-46526
IRS990/PYSalariesCompEmpBnftPaidAmt0364311
IRS990/PYTotalExpensesAmt0535223
IRS990/PYTotalRevenueAmt0488697
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt050977
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0true
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0497485
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0432246
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0613188
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0476052
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0407093
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt02426064
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt06271
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt06484
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt06935
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt06774
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt06617
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt033081
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0186673
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.98620
IRS990ScheduleA/PublicSupportPY170Pct00.98590
IRS990ScheduleA/PublicSupportTotal170Amt02425247
IRS990ScheduleA/SubstantialContributorsTotAmt0817
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0497485
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0432246
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0613188

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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
2019Detailed filing. Detailed filing data is available for this year.$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