2016-02-22T08:16:53-06:00 2015-06-30 202759879 PRZYBYSZ & ASSOCIATES CPAS PC 4200 JENNY LIND RD STE B FORT SMITH AR 72901 990 2014-07-01 710863639 GOOD SAMARITAN CLINIC GOOD 4797830233 615 NORTH B STREET FORT SMITH AR 72901 MICHAEL SCHLUTERMAN CPA TREASURER 4797830233 2016-02-22 true MARC LUX CPA P00588449 4796490888 2016-02-22 2014 2016-08-17 19:52:53Z EVAN BREEDLOVE 457571 false X WWW.GOOD-SAM-CLINIC.NET X 2001 AR TO PROVIDE MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UN-INSURED, ELDERLY, & HOMELESS. 17 17 13 0 478232 407093 31402 26442 26113 22497 2024 1539 537771 457571 0 0 437249 429841 0 59727 209035 219575 646284 649416 -108513 -191845 1029720 800567 43694 26443 986026 774124 TO PROVIDE MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UN-INSURED, ELDERLY, & HOMELESS. false false 547044 THE CLINIC PROVIDES MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UN-INSURED, ELDERLY, & HOMELESS. 547044 true true false false false false false false false false true true false false false true true false false false false false false false false 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 13 true false false false false false false false false false false X 17 17 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 NORMA BASINGER MD DIRECTOR 1.00 X 0 0 0 JENNIFER THOMAS RN MS CHAIRPERSON 2.00 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 GAEVON HOOVER DIRECTOR 1.00 X 0 0 0 MICHAEL SCHLUTERMAN CPA CO-TREASURER 1.00 X X 0 0 0 CAROLYN MOSLEY PHD DIRECTOR 1.00 X 0 0 0 GARY BLAN DIRECTOR 1.00 X 0 0 0 RUSS AIKMAN DIRECTOR 1.00 X 0 0 0 HAROLD MACDOWELL DIRECTOR 1.00 X 0 0 0 STEVEN BRIGANCE DIRECTOR 1.00 X 0 0 0 REX TERRY VICE CHAIRMA 2.00 X X 0 0 0 DIANE ARNOLD DIRECTOR 1.00 X 0 0 0 JEANNE LEDBETTER DIRECTOR 1.00 X 0 0 0 GRANT PRUITT DIRECTOR 1.00 X 0 0 0 JANEEN KUECK DIRECTOR 1.00 X 0 0 0 AARON ABERNATHY DIRECTOR 1.00 X 0 0 0 false false false 407093 407093 PATIENT PAYMENTS 26442 26442 26442 6617 6617 15880 15880 15880 15880 MISCELLANEOUS INCOME 1539 1539 1539 457571 27981 22497 351731 305566 28138 18027 49739 45760 3979 28371 24538 2270 1563 13096 13096 3871 1829 2042 3077 1292 246 1539 22983 21144 1839 795 731 64 26038 23955 2083 23695 22975 720 CONSULTING SERVICES 35000 35000 LABORATORY TEST SUPPLIES 32306 32306 MEDICAL SUPPLIES 28182 28182 OFFICE SUPPLIES 6225 4171 498 1556 24307 21499 2808 649416 547044 42645 59727 173173 66429 301661 202205 441 620 367906 191341 197829 176565 356616 354748 1029720 800567 43694 26443 43694 26443 X 753426 529893 58879 70510 173721 173721 986026 774124 1029720 800567 -191845 -20057 X true X true X true false X 348795 556763 482186 482186 407093 2277023 29831 25750 32533 32533 27981 148628 378626 582513 514719 514719 435074 2425651 2425651 15352 10174 10238 10238 6617 52619 15352 10174 10238 10238 6617 52619 393978 592687 524957 524957 441691 2478270 0.97880 0.97390 0.02000 0.03000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 186812 76490 110322 181094 114851 66243 176565 ARKANSAS COMMUNITY FOUNDATION 354748 F 354748 X 437514 -20057 -20057 457571 457571 649416 649416 649416 SCHEDULE D, PAGE 3, PART X GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION TO BE RECOGNIZED IN THE FINANCIAL STATMENTS 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 POSTION, WITHOUT REGARD TO THE LIKLIHOOD 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 DOES NOT BELIEVE THAT ANY MATERIAL UNCERTAIN TAX POSITIONS EXIST. 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.