Civic Intelligence

Good Samaritan Clinic

990 • Fiscal year 2022 • EIN 71-0863639

Jul 01, 2021 to Jun 30, 2022 • Filed on Feb 14, 2023

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

33rd percentile

0.01x

Higher debt load relative to assets than 33% of similar nonprofits.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2022

Liabilities / Revenue

32nd percentile

0.02x

Higher debt load relative to revenue than 32% of similar nonprofits.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2022

Net Margin

62nd percentile

14%

Higher net margin than 62% of similar nonprofits.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2022

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.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2022

Asset Growth

48th percentile

0.7%

Faster asset growth than 48% of similar nonprofits.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2021 to 2022

Revenue Growth

35th percentile

-3.2%

Faster revenue growth than 35% of similar nonprofits.

2022 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2021 to 2022

Assets

Up

$1,163,112

Up $7,771 (+0.7%) from 2021

Net Assets

Up

$1,146,750

Up $58,261 (+5.4%) from 2021

Liabilities

Down

$16,362

Down $50,490 (-76%) from 2021

Revenue

Down

$720,166

Down $24,159 (-3.2%) from 2021

Expenses

Up

$620,850

Up $106,260 (+21%) from 2021

Net Income

Down

$99,316

Down $130,419 (-57%) from 2021

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

2022

Assets$1,163,112
Liabilities$16,362
Net Assets$1,146,750

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

2022

Revenue$720,166
Expenses$620,850
Net Income$99,316
Jump To
Filing Snapshot
Filing Period
Jul 1, 2021 to Jun 30, 2022
Signed
Feb 14, 2023
Return Version
2021v4.0
Gross Receipts
$720,166
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$629,636$704,955▲ $75,319
Investments Other Securities$335,302$285,496▼ $49,806
Land, Buildings, and Equipment, Net$178,749$170,375▼ $8,374
Prepaid Expenses and Deferred Charges$11,654$2,286▼ $9,368
Total Assets$1,155,341$1,163,112▲ $7,771
Liabilities
Mortgage Notes Payable Secured by Investment Property$56,744--
Accounts Payable and Accrued Expenses$10,108$16,362▲ $6,254
Total Liabilities$66,852$16,362▼ $50,490
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$914,768$973,029▲ $58,261
Net Assets With Donor Restrictions$173,721$173,721→ $0
Total Net Assets Fund Balance$1,088,489$1,146,750▲ $58,261
Total Liabilities and Net Assets / Fund Balance$1,155,341$1,163,112▲ $7,771

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$47,521$219,499$267,020
Buildings$122,854$127,818$250,672
Other Securities$285,496--
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$603,963
Program Service Revenue
$99,111
Investment Income
$8,283
Other Revenue
$8,809
All Other Contributions
$419,835
Change in Net Assets
$99,316

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 Table630$68,923
Total Noncash Contributions630$68,923

Audited Revenue Reconciliation

Revenue per Audited Statements
$720,166
Revenue Not Reported on Form 990
$-41,055
Total Revenue per Audited Statements
$679,111
Total Revenue per Form 990
$720,166
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$371,691
Other Expenses$249,159
Total Fundraising Expense$99,968
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$235,821$48,500$48,500$332,821
Advertising$17,971-$45,911$63,882
Occupancy$25,575$717-$26,292
Payroll Taxes$14,598$5,388$5,388$25,374
Depreciation Depletion$19,193$538-$19,731
Insurance$17,493$288-$17,781
All Other Expenses$10,785$6,531-$17,316
Other Employee Benefits$10,586$2,910-$13,496
Fees for Services Other$9,844--$9,844
Office Expenses$4,751$136$91$4,978
Other Expenses$4,084$117$78$4,279
Total Functional Expenses$455,757$65,125$99,968$620,850

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$620,850
Total Expenses per Audited Statements$620,850
Total Expenses per Form 990$620,850
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$124,634---
Total Events$124,634---
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
2023-02-14
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
19

Preparer

Firm
Prz Cpas & Advisors
Address
4200 JENNY LIND RD STE B, FORT SMITH, AR 72901
Preparer
Marc Lux CPA
Phone
4796490888
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IRS990/Form990PartVIISectionAGrp/TitleTxt1SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6PAST CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt14DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt15DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt16DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt17DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt18DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt19BOARD CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt20DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt21DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt22DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt23TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt24DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt25DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt26DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt27DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt28DIRECTOR
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IRS990/FormationYr02001
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IRS990/FSAuditedInd0true
IRS990/FundraisingActivitiesInd0true
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IRS990/GainOrLossGrp/SecuritiesAmt01457
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IRS990/GoverningBodyVotingMembersCnt030
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IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt01457
IRS990/GrossReceiptsAmt0720166
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IRS990/IncludeFIN48FootnoteInd0false
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IRS990/IndependentVotingMemberCnt030
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IRS990/InsuranceGrp/ManagementAndGeneralAmt0288
IRS990/InsuranceGrp/ProgramServicesAmt017493
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IRS990/LandBldgEquipCostOrOtherBssAmt0517692
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IRS990/LocalChaptersInd0false
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IRS990/MembersOrStockholdersInd0false
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IRS990/OtherExpensesGrp/Desc0IN-KIND EXPENSES
IRS990/OtherExpensesGrp/Desc1DUES & SUBSCRIPTIONS
IRS990/OtherExpensesGrp/Desc2LABORATORY TEST SUPPLIES
IRS990/OtherExpensesGrp/Desc3OFFICE SUPPLIES
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IRS990/OtherExpensesGrp/ProgramServicesAmt068923
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IRS990/OtherExpensesGrp/ProgramServicesAmt27052
IRS990/OtherExpensesGrp/ProgramServicesAmt34084
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IRS990/OtherExpensesGrp/TotalAmt34279
IRS990/OtherRevenueMiscGrp/Desc0MISCELLANEOUS INCOME
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IRS990/PrincipalOfficerNm0NYCOLE OLIVER
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IRS990/ProgramServiceRevenueGrp/Desc0PATIENT PAYMENTS
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Document Assets

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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
2022Detailed filing. Detailed filing data is available for this year.$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