2022-10-26T14:23:13-05:00 2021-12-31 990 2021-01-01 912129853 Fredericksburg Community Health Center The Good Samaritan Center % John D Willome FRED 8309908651 140 Idustrial Loop Ste 100 Fredericksburg TX 78624 JOHN D WILLOME Executive Director 8309908651 2022-10-26 JOHN WILLOME XXX-XX-XXXX 1 IAL1 2021 2022-09-23 18:48:47Z The Good Samaritan Center JOHN D WILLOME 608 Courtney St Fredericksburg TX 78624 1901684 false X www.goodsamfbg.org X 2002 TX To provide a safe Christcentered environment that gives our patients quality coordinated and affordable healthcare 15 15 15 50 0 1707730 1714530 108114 136246 7193 2792 48116 48116 1871153 1901684 0 0 799967 877444 0 91051 806319 826915 1606286 1704359 264867 197325 2142902 2460375 4374 72201 2138528 2388174 The mission of the Good Samaritan Center is to provide a safe, Christ- Centered environment that gives our patients quality, coordinated and affordable healthcare. false false 1397574 140000 106646 The Center provides medical appointments and specialist referrals for over 1,000 unduplicated individuals who are low-income and uninsured. We serve Gillespie, Blanco, Kimble and Llano Counties as well as the towns of Comfort and Brady. Medical services also include prescription assistance, financial assistance in acquiring complicated medical procedures, one-on-one diabetes education, public health screenings, and home visits. Partnerships include Hill Country Memorial Health System, nearly every specialist in town, Methodist Healthcare Ministries, Prevent Blindness Texas, and the Kidney Fdn of Texas. We also address nutrition by parntering with First Baptist Church to host the monthly food truck from Central Texas Food Bank. 255654 28934 The Center provides basic dental care, including fillings, extractions and cleanings for 550 unduplicated low-income, uninsured individuals. We employ a part-time dentist three days a week, and then enjoy the volunteer services of four local dentists and two local hygienists on the fourth day. 51131 665 The Center offers patients the opportunity to meet with a bilingual LPC. Patients often have circumstances in their lives when they need to meet with a counselor and work through the challenges they have face, are facing, or a combination of both. 1704359 true true false false false false false false false false true false false true false false true false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false true 24 0 true 15 true false false false false false false false false false false X 15 15 false false false false false false false true true false false true true true true true true true true false X The Good Samaritan Center 8309908651 140 Industrial Loop Ste Ste 100 Fredericksburg TX 78624 SHARON JOSEPH Board President 1.000 X 0 0 0 PHILIP MAPLE Board President 1.000 X 0 0 0 JAMES HEUPEL Board Secretary 1.000 X 0 0 0 ANN HOCH Board Member 1.000 X 0 0 0 JILL CARR Board Member 1.000 X 0 0 0 RUTHANN HOOVER Board Member 1.000 X 0 0 0 BRENNA NANCE Board Member 1.000 X 0 0 0 KENDRA PESEK Board Member 1.000 X 0 0 0 CYNTHIA SCROGGINS Board Treasurer 1.000 X 0 0 0 MARCUS VIDRINE Board Vice President 1.000 X 0 0 0 JOHN D WILLOME Executive Director 40.00 X 121200 0 0 LAURA GRANT Board Member 1.000 X 0 0 0 JOHN R KOTHMANN Board Member 1.000 X 0 0 0 JACK B POUNDS Board Member 1.000 X 0 0 0 JOHN YOUNGBLOOD Board Member 1.000 X 0 0 0 HILARIO VILLA Board Member 1.000 X 0 0 0 121200 2 false false false RACHEL MYERS PO Box 1411 Marble Falls TX 78654 Medical Doctor Services 172280 Hill Country Memorial Hosp PO Box 835 Fredericksburg TX 78624 Lab and Imaging Services 34293 PATRICIA GARZA 1700 Signey Baker St Ste 30 Kerrville TX 78028 Therapeutic Counseling 28800 South TX Radiology Group PO Box 29490 San Antonio TX 78229 Radiological Reading 24978 Quest Diagnostics PO Box 822510 Philadelphia PA 19182 Lab work for patients 22994 1 1714530 397797 1714530 Patient Appt Fees 621110 74129 74129 Labs Imaging Fees 621500 61793 61793 Requested Records 621110 324 324 136246 2792 2792 48116 48116 48116 48116 0 1901684 187154 118000 23600 59000 35400 676864 607581 42195 27088 821 731 45 45 32211 20701 9246 2264 49548 44096 2743 2709 8062 8062 12672 12672 96741 37729 50305 8707 10675 7357 1152 2166 2974 2852 122 55213 5228 49985 25849 9633 16216 Utilities 17726 17726 Outside Medical Services 104696 104696 Clinical Supplies & Services 94510 94510 In-Kind Contributions 397797 366489 31308 1704359 1325203 288105 91051 229125 216983 646651 878308 20430 1310265 568593 714751 741672 552375 602982 2142902 2460375 4374 4374 67827 4374 72201 X 2987 2987 2135541 2385187 2138528 2388174 2142902 2460375 X 197325 52322 X true true true false X 1422950 1321826 1562779 1430229 1714530 7452314 1422950 1321826 1562779 1430229 1714530 7452314 3085420 4366894 55799 55462 58571 55308 50908 276048 7728362 677535 0.56505 0.55671 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false 552375 37087 52321 38801 602982 486970 31702 33703 552375 424578 22378 40014 486970 403555 16800 10623 6400 424578 363579 20350 29626 10000 403555 0.75000 0.25000 72162 72162 1205174 550040 655134 32929 18553 14376 741672 Operating Endowment 341239 Designated Operating Endowment 105440 Building Maintenance Endowment 156303 602982 1901684 1901684 1901684 1704359 1704359 1704359 Lab & Image 351341 Half Retail Valu false false false Part VI Line 11b The form is provided to the board. They are given 10 days to review and Part VI Line 11b comment. Then the form is submitted. Part VI Line 12c If a member has a conflict they are excluded from the vote. If the con- Part VI Line 12c flict is serious, they are asked to resign from the board. Part VI Line 15a or b Executive Director, 2021. Part VI Line 19 Available upon request by asking the executive director for a copy. Part XI Line 9 Net returns on endowed funds held by Community Foundation Part XI Line 9 of the Texas Hill Country Part VI: 11b The Center distributes the 990 and accompaning schedules to the board, Part VI: 11b giving them 10 days to respond before submitting to the IRS. Part VI: 12c If a board member is found to have a conflict of interest regarding a Part VI: 12c specific issue, the board member is asked to excuse themselves from the Part VI: 12c room and abstain from voting on the issue. Part VI: 15a or b The ED completes a self-evaluation. A board committee reviews it and Part VI: 15a or b performs its own evaluation. The entire board votes on the committee's Part VI: 15a or b recommendation Part VI: 19 Available upon request Part XI: Line 9 Net returns on endowed funds held at the Community Foundation Part XI: Line 9 of the Texas Hill Country