2017-02-14T06:14:02-06:00 2016-06-30 202759879 PRZYBYSZ & ASSOCIATES CPAS PC 4200 JENNY LIND RD STE B FORT SMITH AR 72901 990 2015-07-01 710863639 GOOD SAMARITAN CLINIC GOOD 4797830233 615 NORTH B STREET FORT SMITH AR 72901 SHELBY E BREEDLOVE EXECUTIVE DIRECTOR 4797830233 2017-02-14 true MARC LUX CPA P00588449 4796490888 2017-02-14 2015 2021-01-29 14:40:06Z JENNIFER THOMAS PO BOX 17000 FORT SMITH AR 72917 520847 false X WWW.GOOD-SAM-CLINIC.NET X 2001 AR TO BE A CHARITABLE HEALTHCARE MINISTRY FOR THE UNDERSERVED. 19 19 12 0 407093 476052 26442 33721 22497 8362 1539 2712 457571 520847 0 0 429841 407172 0 47378 219575 214932 649416 622104 -191845 -101257 800567 672537 26443 16183 774124 656354 TO PROVIDE MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UN-INSURED, ELDERLY, & HOMELESS. false false 532510 33721 THE CLINIC PROVIDES MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UN-INSURED, ELDERLY, & HOMELESS. 532510 true true false false false false false false false false true true false false false true true false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false true 1 0 true 12 true false false false false false false false false false false false false X 19 19 false false false false false false false true true false false true true true true true true false false false AR X X THE ORGANIZATION 4797830233 615 NORTH B STREET FORT SMITH AR 72901 X JENNIFER THOMAS CHAIRPERSON 1.00 X X 0 0 0 PATRICIA FELLNER CO-TREASURER 1.00 X X 0 0 0 SR JUDITH MARIE KEITH DIRECTOR 1.00 X 0 0 0 STEVEN BRIGANCE VICE CHAIRPE 1.00 X X 0 0 0 DIANE ARNOLD DIRECTOR 1.00 X 0 0 0 JEANNE LEDBETTER DIRECTOR 1.00 X 0 0 0 DARRELL STOVALL CO-TREASURER 1.00 X X 0 0 0 VICTOR MARTINEZ DIRECTOR 1.00 X 0 0 0 SARAH GARLOW SECRETARY 1.00 X X 0 0 0 DALE BRUNK DIRECTOR 1.00 X 0 0 0 MARY DEWITT DIRECTOR 1.00 X 0 0 0 MARK BUERGLER DIRECTOR 1.00 X 0 0 0 BEN SHIPLEY DIRECTOR 1.00 X 0 0 0 BRAD LEWIS DIRECTOR 1.00 X 0 0 0 LYNN CURRY DIRECTOR 1.00 X 0 0 0 TIM HEARN DIRECTOR 1.00 X 0 0 0 PAT HIGHTOWER DIRECTOR 1.00 X 0 0 0 DON HUTCHINGS DIRECTOR 1.00 X 0 0 0 CHARLOTTE SHERADEN DIRECTOR 1.00 X 0 0 0 false false false 75118 74875 326059 6075 476052 PATIENT PAYMENTS 33721 33721 33721 6774 6774 1588 1588 1588 1588 75118 MISCELLANEOUS INCOME 2712 2712 2712 520847 36433 8362 333643 288081 26691 18871 45058 41453 3605 28471 24477 2278 1716 12556 12556 29165 6511 22654 6614 2081 396 4137 23239 21380 1859 723 665 58 25924 23850 2074 18689 18371 318 LABORATORY TEST SUPPLIES 30247 30247 MEDICAL SUPPLIES 29702 29702 CONTRACT LABOR 8856 8148 708 PROGRAM SUPPLIES 5648 5648 23569 19340 4229 622104 532510 42216 47378 66429 167780 202205 620 5274 373981 217265 176565 156716 354748 342767 800567 672537 26443 16183 26443 16183 X 591061 479068 9342 3565 173721 173721 774124 656354 800567 672537 -101257 -16513 X true X true X true false X 556763 482186 482186 407093 476052 2404280 25750 32533 32533 27981 36433 155230 582513 514719 514719 435074 512485 2559510 2559510 10174 10238 10238 6617 6774 44041 10174 10238 10238 6617 6774 44041 592687 524957 524957 441691 519259 2603551 0.98310 0.97880 0.02000 0.02000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 186812 83726 103086 187169 133539 53630 156716 ARKANSAS COMMUNITY FOUNDATION 342767 F 342767 X 504334 -16513 -16513 520847 520847 622104 622104 622104 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. MANAGEMENT HAS EVALUATED THE TAX POSITIONS REFLECTED IN THE CLINIC'S TAX FILINGS AND DOES NOT BELIEVE THAT ANY MATERIAL UNCERTAIN TAX POSITIONS EXIST. VARIOUS EVENTS 75118 75118 75118 75118 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 18 THE CLINIC HAS THE FINANCIALS AND THE FORM 990 AVAILABLE FOR INSPECTION AT THEIR PHYSICAL LOCATION. FORM 990, PAGE 6, PART VI, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC.