Civic Intelligence

Good Samaritan Medical Clinic Inc

990 • Fiscal year 2016 • EIN 82-0549226

Jan 01, 2016 to Dec 31, 2016 • Filed on Jun 13, 2017

Organization ProfileN/A
139 Church StreetChester, SC 29706

(803) 385-6332

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

61st percentile

0.01x

Higher debt load relative to assets than 61% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

61st percentile

0.01x

Higher debt load relative to revenue than 61% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

12th percentile

-30%

Higher net margin than 12% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

92nd percentile

$47,740

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 26.2% of source-year revenue.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

17th percentile

-27%

Faster asset growth than 17% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

13th percentile

-40%

Faster revenue growth than 13% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Balance Sheet
Liabilities / Assets61st percentile

Assets

Down

$148,078

Down $54,498 (-27%) from 2015

Net Assets

Down

$147,005

Down $55,571 (-27%) from 2015

Liabilities

Up

$1,073

Up $1,073 from 2015

Revenue And Expenses
Liabilities / Revenue61st percentileNet Margin12th percentile

Revenue

Down

$182,334

Down $119,905 (-40%) from 2015

Expenses

Up

$237,905

Up $4,775 (+2.0%) from 2015

Net Income

Down

-$55,571

Down $124,680 (-180%) from 2015

Historical Trend

Balance Sheet Trend

Asset Growth17th percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600K$400K$200K$0-$200KAssets 2010: $141,464Liabilities 2010: $120,309Net Assets 2010: $21,1552010Assets 2011: $140,182Liabilities 2011: -$98Net Assets 2011: $140,2802011Assets 2012: $121,890Liabilities 2012: $2,260Net Assets 2012: $119,6302012Assets 2013: $143,002Liabilities 2013: $682Net Assets 2013: $142,3202013Assets 2014: $134,346Liabilities 2014: $879Net Assets 2014: $133,4672014Assets 2015: $202,576Liabilities 2015: $0Net Assets 2015: $202,5762015Assets 2016: $148,078Liabilities 2016: $1,073Net Assets 2016: $147,0052016Assets 2017: $123,583Liabilities 2017: $1,562Net Assets 2017: $122,0212017Assets 2018: $156,477Liabilities 2018: $2,308Net Assets 2018: $154,1692018Assets 2019: $186,333Liabilities 2019: $0Net Assets 2019: $186,3332019Assets 2020: $207,556Liabilities 2020: $157,577Net Assets 2020: $49,9792020Assets 2021: $376,316Liabilities 2021: $26,336Net Assets 2021: $349,9802021Assets 2022: $353,195Liabilities 2022: $126,378Net Assets 2022: $226,8172022Assets 2023: $424,616Liabilities 2023: $167,647Net Assets 2023: $256,9692023Assets 2024: $382,159Liabilities 2024: $119,101Net Assets 2024: $263,0582024

Highlighted filing

2016

Assets$148,078
Liabilities$1,073
Net Assets$147,005
Open 2016 Filing

Operations Trend

Revenue Growth13th percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400K$300K$200K$100K$0-$100KExpenses 2010: $240,0442010Expenses 2011: $245,2312011Revenue 2012: $227,202Expenses 2012: $247,852Net Income 2012: -$20,6502012Revenue 2013: $262,586Expenses 2013: $239,896Net Income 2013: $22,6902013Revenue 2014: $225,166Expenses 2014: $234,019Net Income 2014: -$8,8532014Revenue 2015: $302,239Expenses 2015: $233,130Net Income 2015: $69,1092015Revenue 2016: $182,334Expenses 2016: $237,905Net Income 2016: -$55,5712016Revenue 2017: $186,209Expenses 2017: $219,034Net Income 2017: -$32,8252017Revenue 2018: $207,571Expenses 2018: $225,365Net Income 2018: -$17,7942018Revenue 2019: $263,087Expenses 2019: $230,923Net Income 2019: $32,1642019Revenue 2020: $234,354Expenses 2020: $223,496Net Income 2020: $10,8582020Revenue 2021: $221,135Expenses 2021: $234,708Net Income 2021: -$13,5732021Revenue 2022: $273,020Expenses 2022: $281,776Net Income 2022: -$8,7562022Revenue 2023: $314,951Expenses 2023: $273,270Net Income 2023: $41,6812023Revenue 2024: $314,648Expenses 2024: $308,559Net Income 2024: $6,0892024

Highlighted filing

2016

Revenue$182,334
Expenses$237,905
Net Income-$55,571
Open 2016 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Jun 13, 2017
Return Version
2016v3.0
Gross Receipts
$182,334
Mission and Program Overview

Mission

Providing medical services to the poor

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$134,180$84,487▼ $49,693
Land, Buildings, and Equipment, Net$68,396$63,591▼ $4,805
Total Assets$202,576$148,078▼ $54,498
Liabilities
Accounts Payable and Accrued Expenses-$1,073-
Total Liabilities$0$1,073▲ $1,073
Net Assets / Fund Balance
Unrestricted Net Assets$202,576$147,005▼ $55,571
Total Net Assets Fund Balance$202,576$147,005▼ $55,571
Total Liabilities and Net Assets / Fund Balance$202,576$148,078▼ $54,498

Asset Categories

AssetBook ValueDepreciationBasis
Leasehold Improvements$6,377$3,792$3,259
Buildings$55,934$46,105-
Other Land Buildings$-20,271$20,271-
Equipment$21,551$23,966-
Compensation and Service Providers
Top Officer Pay92nd percentile

Employees

NameTitleFull / Part TimeBaseTotal
John Hart IiiExecutive DirectorFT$47,740$47,740

Board Members and Trustees

NameTitle
Steve BishopPresident
Diane SimpsonBoard Member
Halstead Stone JrBoard Member
Sam StoneMedical Director
Linda HerronSecretary
John WilliamsTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$162,163
Program Service Revenue
$0
Investment Income
$14
Other Revenue
$20,157
All Other Contributions
$162,163
Change in Net Assets
$-55,571
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$187,014
Other Expenses$42,780
Grants and Similar Amounts Paid$8,111
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages-$113,121-$113,121
Current Officers, Directors, Trustees, and Key Employees-$47,740-$47,740
Occupancy-$17,069-$17,069
Other Employee Benefits-$14,765-$14,765
Payroll Taxes-$11,388-$11,388
Office Expenses-$8,599-$8,599
Grants to Domestic Individuals$8,111--$8,111
Fees for Services Accounting-$7,502-$7,502
Depreciation Depletion-$4,805-$4,805
Insurance-$3,046-$3,046
Travel-$136-$136
Other Expenses-$63-$63
Total Functional Expenses$8,111$229,794$0$237,905
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
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
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Members or stockholder classes and rights Part VI line 6

“Members are selected at random by a nominating committee.”

Member election for additional members Part VI line 7A

“Each board member has the right to nominate other persons for a position on the board when an openining occurs,”

Governing body decisions Part VI line 7B

“Each board member has a vote on any decisions to be made by the board.”

Form 990 governing body review Part VI line 11

“Upon presentation of form 990 the governing body reviews the form 990 for the prior years activities.”

CEO executive director top management comp Part VI line 15A

“Board decides compensation of employees.”

Other officer or key employee compensation Part VI line 15B

“Board members determine the compensation of all employees.”

Governing documents etc available to public Part VI line 19

“Governing documents, etc are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Good Samaritan Medical Clinic
EIN
82-0549226
Address
139 CHURCH STREET, CHESTER, SC 29706

Signing Officer

Name
John Hart Iii
Title
Executive Direc
Phone
8033856332
Signed
2017-06-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Hart Iii
Formed
2002
Legal Domicile
Sc
Voting Board Members
7
Independent Board Members
7
Employees
4

Preparer

Firm
S Wayne Goodyear
Address
PO Box 537, Chester, SC 29706
Preparer
S Wayne Goodyear
Phone
8033853154
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

“Accumulated depreciation had been incorrectly posted.”

Financial Statement Notes

Other revenues not included on Form 990 (Part XI, line 2D)

“Fees for copying $4,673city county bldg use $9,700”

Raw XML Appendix385 raw XML fields

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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IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0DRUGS DOCTOR EXAMS X-RAYS
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0DETAIL RECORDS ARE KEPT ON EACH CASE AS TO THEIR NEEDS.
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt1DID NOT KEEP A TOTAL.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Monitoring procedures (Part I, line 2)
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc1Estimate calculation (Part III, column b)
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0MEMBERS ARE SELECTED AT RANDOM BY A NOMINATING COMMITTEE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EACH BOARD MEMBER HAS THE RIGHT TO NOMINATE OTHER PERSONS FOR A POSITION ON THE BOARD WHEN AN OPENINING OCCURS,
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH BOARD MEMBER HAS A VOTE ON ANY DECISIONS TO BE MADE BY THE BOARD.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3UPON PRESENTATION OF FORM 990 THE GOVERNING BODY REVIEWS THE FORM 990 FOR THE PRIOR YEARS ACTIVITIES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4BOARD DECIDES COMPENSATION OF EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5BOARD MEMBERS DETERMINE THE COMPENSATION OF ALL EMPLOYEES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6GOVERNING DOCUMENTS, ETC ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7ACCUMULATED DEPRECIATION HAD BEEN INCORRECTLY POSTED.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Members or stockholder classes and rights Part VI line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Member election for additional members Part VI line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Governing body decisions Part VI line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Explanation of other changes in net assets or fund balances Part XI line 9
IRS990/SchoolOperatingInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0SC
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TotalAssetsEOYAmt0148078
IRS990/TotalAssetsGrp/BOYAmt0202576
IRS990/TotalAssetsGrp/EOYAmt0148078
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0162163
IRS990/TotalEmployeeCnt04
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0229794
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt08111
IRS990/TotalFunctionalExpensesGrp/TotalAmt0237905
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt01073
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt01073
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0202576
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0147005
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt08111
IRS990/TotalReportableCompFromOrgAmt047740
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt020171
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0182334
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0202576
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0148078
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/ManagementAndGeneralAmt0136
IRS990/TravelGrp/TotalAmt0136
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0202576
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0147005
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0PO BOX 611
IRS990/USAddress/CityNm0YORK
IRS990/USAddress/StateAbbreviationCd0SC
IRS990/USAddress/ZIPCd029745
IRS990/VotingMembersGoverningBodyCnt07
IRS990/VotingMembersIndependentCnt07
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JOHN HART III
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIREC
ReturnHeader/BusinessOfficerGrp/PhoneNum08033856332
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-06-13
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GOOD SAMARITAN MEDICAL CLINIC
ReturnHeader/Filer/BusinessNameControlTxt0GOOD
ReturnHeader/Filer/EIN0820549226
ReturnHeader/Filer/USAddress/AddressLine1Txt0139 CHURCH STREET
ReturnHeader/Filer/USAddress/CityNm0CHESTER
ReturnHeader/Filer/USAddress/StateAbbreviationCd0SC
ReturnHeader/Filer/USAddress/ZIPCd029706
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0BCB3C681D9365546CD44F594CE4EE4D45F8C237F
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0BCB3C681D9365546CD44F594CE4EE4D45F8C237F
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId05736702017166atquipj
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02017-06-15
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt0162.254.46.108
ReturnHeader/FilingSecurityInformation/IPDt02017-06-15
ReturnHeader/FilingSecurityInformation/IPTm009:39:57
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0570530938
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0S Wayne Goodyear
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0PO Box 537
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Chester
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0SC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd029706
ReturnHeader/PreparerPersonGrp/PhoneNum08033853154
ReturnHeader/PreparerPersonGrp/PreparationDt02017-06-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0S Wayne Goodyear
ReturnHeader/PreparerPersonGrp/SelfEmployedInd0X
ReturnHeader/ReturnTs02017-06-14T15:53:54-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-01-01
ReturnHeader/TaxPeriodEndDt02016-12-31
ReturnHeader/TaxYr02016

Document Assets

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Filings

Displayed year

2016 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$148,078
Liabilities
$1,073
Net assets
$147,005
Revenue
$182,334
Expenses
$237,905
Net income
-$55,571
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$3.82$1.19$2.63$3.15$3.09$0.06
2023Detailed filing. Detailed filing data is available for this year.$4.25$1.68$2.57$3.15$2.73$0.42
2022Detailed filing. Detailed filing data is available for this year.$3.53$1.26$2.27$2.73$2.82$0.09
2021Detailed filing. Detailed filing data is available for this year.$3.76$0.26$3.50$2.21$2.35$0.14
2020Detailed filing. Detailed filing data is available for this year.$2.08$1.58$0.50$2.34$2.23$0.11
2019Detailed filing. Detailed filing data is available for this year.$1.86$0.00$1.86$2.63$2.31$0.32
2018Detailed filing. Detailed filing data is available for this year.$1.56$0.02$1.54$2.08$2.25$0.18
2017Detailed filing. Detailed filing data is available for this year.$1.24$0.02$1.22$1.86$2.19$0.33
2016Detailed filing. Detailed filing data is available for this year.$1.48$0.01$1.47$1.82$2.38$0.56
2015Detailed filing. Detailed filing data is available for this year.$2.03$0.00$2.03$3.02$2.33$0.69
2014Detailed filing. Detailed filing data is available for this year.$1.34$0.01$1.33$2.25$2.34$0.09
2013Detailed filing. Detailed filing data is available for this year.$1.43$0.01$1.42$2.63$2.40$0.23
2012Summary only. Only limited summary data is available for this year.$1.22$0.02$1.20$2.27$2.48$0.21
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.40$0.00$1.40$2.45
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.41$1.20$0.21$2.40