Civic Intelligence

Good Samaritan Clinic

990 • Fiscal year 2020 • EIN 71-0863639

Jul 01, 2019 to Jun 30, 2020 • Filed on Nov 12, 2020

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

65th percentile

0.15x

Higher debt load relative to assets than 65% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Liabilities / Revenue

76th percentile

0.29x

Higher debt load relative to revenue than 76% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Net Margin

50th percentile

6.1%

Higher net margin than 50% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Top Officer Pay

51st percentile

$0

Higher top officer pay than 51% of similar nonprofits.

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

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Asset Growth

67th percentile

18%

Faster asset growth than 67% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Revenue Growth

35th percentile

-12%

Faster revenue growth than 35% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets65th percentile

Assets

Up

$936,293

Up $141,652 (+18%) from 2019

Net Assets

Up

$797,665

Up $25,902 (+3.4%) from 2019

Liabilities

Up

$138,628

Up $115,750 (+506%) from 2019

Revenue And Expenses
Liabilities / Revenue76th percentileNet Margin50th percentile

Revenue

Down

$483,417

Down $68,083 (-12%) from 2019

Expenses

Down

$454,170

Down $46,353 (-9.3%) from 2019

Net Income

Down

$29,247

Down $21,730 (-43%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth67th 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

2020

Assets$936,293
Liabilities$138,628
Net Assets$797,665
Open 2020 Filing

Operations Trend

Revenue Growth35th 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

2020

Revenue$483,417
Expenses$454,170
Net Income$29,247
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Nov 12, 2020
Return Version
2019v5.0
Gross Receipts
$490,967
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$370,422$532,454▲ $162,032
Investments Other Securities$296,340$279,437▼ $16,903
Land, Buildings, and Equipment, Net$126,945$111,214▼ $15,731
Prepaid Expenses and Deferred Charges$934$13,188▲ $12,254
Total Assets$794,641$936,293▲ $141,652
Liabilities
Deferred Revenue-$68,206-
Mortgage Notes Payable Secured by Investment Property-$56,700-
Accounts Payable and Accrued Expenses$22,878$13,722▼ $9,156
Total Liabilities$22,878$138,628▲ $115,750
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$568,042$598,944▲ $30,902
Net Assets With Donor Restrictions$203,721$198,721▼ $5,000
Total Net Assets Fund Balance$771,763$797,665▲ $25,902
Total Liabilities and Net Assets / Fund Balance$794,641$936,293▲ $141,652

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$35,132$202,004$237,136
Buildings$76,082$110,730$186,812
Other Securities$279,437--
Compensation and Service Providers
Top Officer Pay51st percentile

Board Members and Trustees

NameTitle
Tim HearnBoard Chair
Nycole OliverBoard Vice C
Beth WatsonDirector
Bobbie LambDirector
Crystal LouginDirector
Darrell StovallDirector
Dr Brandi GuthreyDirector
Dr Leslie ZieglerDirector
Dr Steve NelsonDirector
Harold MacdowellDirector
Jay RichardsonDirector
Jennifer ThomasDirector
Keith BrownDirector
Laura HoodDirector
Lisa HeamDirector
Mark BuerglerDirector
Micheal LagerDirector
Pat HightowerDirector
Renee ParkerDirector
Sarah GarlowDirector
Scott ZuerkerDirector
Sonya HallDirector
Stan VladamarDirector
Stephanie ParsonDirector
Steve GebhartDirector
Tina MeekDirector
Victor MartinezDirector
Rebecca BrownSecretary
Randy StricklandTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$423,664
Program Service Revenue
$54,905
Investment Income
$4,406
Other Revenue
$442
All Other Contributions
$421,284
Change in Net Assets
$29,247

Audited Revenue Reconciliation

Revenue per Audited Statements
$483,417
Revenue Not Reported on Form 990
$-3,345
Total Revenue per Audited Statements
$480,072
Total Revenue per Form 990
$483,417
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$300,647
Other Expenses$153,523
Total Fundraising Expense$45,561
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$187,015$40,353$40,353$267,721
Payroll Taxes$15,375$2,984$2,984$21,343
Insurance$20,046$279-$20,325
Occupancy$19,526$548-$20,074
All Other Expenses$14,165$3,083$70$17,318
Depreciation Depletion$15,302$429-$15,731
Other Employee Benefits$10,361$1,222-$11,583
Fees for Services Other$8,512--$8,512
Other Expenses$6,227--$6,227
Advertising$2,380-$2,098$4,478
Office Expenses$2,951$84$56$3,091
Travel$39$1-$40
Total Functional Expenses$359,626$48,983$45,561$454,170

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$454,170
Total Expenses per Audited Statements$454,170
Total Expenses per Form 990$454,170
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
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 35% controlled entity
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, 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
2020-11-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Tim Hearn
Formed
2001
Legal Domicile
Ar
Voting Board Members
29
Independent Board Members
29
Employees
15

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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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/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt23TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt26DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt27DIRECTOR
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IRS990/NoListedPersonsCompensatedInd0X
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IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt084
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IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
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IRS990/OtherExpensesGrp/Desc0REPAYMENT OF GRANT MONIES
IRS990/OtherExpensesGrp/Desc1LABORATORY TEST SUPPLIES
IRS990/OtherExpensesGrp/Desc2MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc3PHARMACEUTICAL SUPPLIES
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IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt034645

Document Assets

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Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$936,293
Liabilities
$138,628
Net assets
$797,665
Revenue
$483,417
Expenses
$454,170
Net income
$29,247
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
2020Detailed filing. Detailed filing data is available for this year.$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