Civic Intelligence

Good Samaritan Clinic

990 • Fiscal year 2021 • EIN 71-0863639

Jul 01, 2020 to Jun 30, 2021 • Filed on Feb 17, 2022

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

48th percentile

0.06x

Higher debt load relative to assets than 48% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Liabilities / Revenue

50th percentile

0.09x

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

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Net Margin

75th percentile

31%

Higher net margin than 75% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Top Officer Pay

39th percentile

$0

Higher top officer pay than 39% of similar nonprofits.

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

2021 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2021

Asset Growth

72nd percentile

23%

Faster asset growth than 72% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Revenue Growth

78th percentile

54%

Faster revenue growth than 78% of similar nonprofits.

2021 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2020 to 2021

Balance Sheet
Liabilities / Assets48th percentile

Assets

Up

$1,155,341

Up $219,048 (+23%) from 2020

Net Assets

Up

$1,088,489

Up $290,824 (+36%) from 2020

Liabilities

Down

$66,852

Down $71,776 (-52%) from 2020

Revenue And Expenses
Liabilities / Revenue50th percentileNet Margin75th percentile

Revenue

Up

$744,325

Up $260,908 (+54%) from 2020

Expenses

Up

$514,590

Up $60,420 (+13%) from 2020

Net Income

Up

$229,735

Up $200,488 (+685%) from 2020

Historical Trend

Balance Sheet Trend

Asset Growth72nd 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

2021

Assets$1,155,341
Liabilities$66,852
Net Assets$1,088,489
Open 2021 Filing

Operations Trend

Revenue Growth78th 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

2021

Revenue$744,325
Expenses$514,590
Net Income$229,735
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Feb 17, 2022
Return Version
2020v4.0
Gross Receipts
$744,325
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$532,454$629,636▲ $97,182
Investments Other Securities$279,437$335,302▲ $55,865
Land, Buildings, and Equipment, Net$111,214$178,749▲ $67,535
Prepaid Expenses and Deferred Charges$13,188$11,654▼ $1,534
Total Assets$936,293$1,155,341▲ $219,048
Liabilities
Deferred Revenue$68,206--
Mortgage Notes Payable Secured by Investment Property$56,700$56,744▲ $44
Accounts Payable and Accrued Expenses$13,722$10,108▼ $3,614
Total Liabilities$138,628$66,852▼ $71,776
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$598,944$914,768▲ $315,824
Net Assets With Donor Restrictions$198,721$173,721▼ $25,000
Total Net Assets Fund Balance$797,665$1,088,489▲ $290,824
Total Liabilities and Net Assets / Fund Balance$936,293$1,155,341▲ $219,048

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$48,012$210,248$258,260
Buildings$130,737$117,337$248,074
Other Securities$335,302--
Compensation and Service Providers
Top Officer Pay39th percentile

Board Members and Trustees

NameTitle
Nycole OliverBoard Chair
Scott ZuerkerVice Chair
Beth WatsonDirector
Bobbie LambDirector
Christopher HooksDirector
Crystal LouginDirector
Darrell StovallDirector
Dianne MeadorsDirector
Dr Brandi GuthreyDirector
Dr David HuntonDirector
Dr Leslie ZieglerDirector
Harold MacdowellDirector
Jay RichardsonDirector
Jennifer TerryDirector
Jennifer ThomasDirector
Keith BrownDirector
Laura HoodDirector
Melissa HanesworthDirector
Monica McgruderDirector
Pat HightowerDirector
Rev Mike LagerDirector
Stan VladamarDirector
Stephanie DavidsonDirector
Stephanie ParsonsDirector
Stephen GebhartDirector
Tim HearnDirector
Tina MeekDirector
Victor MartinezDirector
Rebecca BrownSecretary
Randy StricklandTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$665,601
Program Service Revenue
$65,465
Investment Income
$11,757
Other Revenue
$1,502
All Other Contributions
$468,355
Change in Net Assets
$229,735

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported Amount
Other Non Cash Contri Table1$50,975
Total Noncash Contributions1$50,975

Audited Revenue Reconciliation

Revenue per Audited Statements
$744,325
Revenue Not Reported on Form 990
$61,089
Total Revenue per Audited Statements
$805,414
Total Revenue per Form 990
$744,325
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$308,432
Other Expenses$206,158
Total Fundraising Expense$58,884
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$182,917$44,135$44,135$271,187
Occupancy$48,652$1,365-$50,017
Payroll Taxes$11,900$4,889$4,889$21,678
Insurance$18,968$275-$19,243
All Other Expenses$13,374$3,119$60$16,553
Other Employee Benefits$12,919$2,648-$15,567
Advertising$5,744-$9,753$15,497
Depreciation Depletion$14,446$405-$14,851
Fees for Services Other$10,505--$10,505
Other Expenses$8,034--$8,034
Office Expenses$2,458$70$47$2,575
Total Functional Expenses$398,800$56,906$58,884$514,590

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$514,590
Total Expenses per Audited Statements$514,590
Total Expenses per Form 990$514,590
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
Best Night of T$135,101---
Total Events$135,101---
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
2022-02-17
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nycole Oliver
Formed
2001
Legal Domicile
Ar
Voting Board Members
30
Independent Board Members
30
Employees
10

Preparer

Firm
Prz Cpas & Advisors
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/TitleTxt4DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt26DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt27DIRECTOR
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IRS990/ProgramServiceRevenueGrp/Desc0PATIENT PAYMENTS

Document Assets

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Filings

Displayed year

2021 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$1,155,341
Liabilities
$66,852
Net assets
$1,088,489
Revenue
$744,325
Expenses
$514,590
Net income
$229,735
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