GOOD SAMARITAN COMMUNITY HEALTH INC: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SAMARITAN COMMUNITY HEALTH INC (EIN 20-1192339)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-11-11
- IRS object ID
- 201533159349300628
- Schema version
- 2014v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-11-11T08:19:17-06:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592005908 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FREUND KATZ GOLDSTON YOUNG & CO PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10729 SW 104TH STREET | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33176 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201192339 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN COMMUNITY | BusinessNameLine1Txt |
| Business Name Line2 | HEALTH INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 3055952769 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 SW 98TH STREET | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33156 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOSE R NERY MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 3055952769 | PhoneNum |
| Signature | 2015-11-06 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | STEVEN A YOUNG CPA | PreparerPersonNm |
| PTIN | P00206538 | PTIN |
| Phone | 3052791288 | PhoneNum |
| Preparation | 2015-11-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOSE NERY MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 SW 98TH STREET | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33156 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $115,902 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2004 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION OF GOOD SAMARITAN COMMUNITY HEALTH, INC. (GSCH) IS TO PROMOTE THE GOSPEL OF THE LORD JESUS CHRIST. GSCH PROVIDES PHYSICAL, EMOTIONAL AND SPIRITUAL AID TO HURTING PEOPLE IN OUR COMMUNITY AND OTHER AREAS IN THE WORLD WITH THE PURPOSE OF SHARING GOD'S LOVE THROUGH HIS SON, JESUS CHRIST. AS A PART OF ITS MISSION, GSCH ESTABLISHED AN OUTPATIENT MEDICAL CLINIC (MEDICAL CLINIC) TO PROVIDE LOW INCOME PERSONS ACCESS TO PRIMARY HEALTH CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CLINIC PROVIDES HIGH QUALITY, COST EFFICIENT, COMPASSIONATE HEALTH CARE SERVICES TO ALL, REGARDLESS OF RELIGION, CREED, RACE OR NATIONAL ORIGIN, INCLUDING, AS PERMITTED BY ITS RESOURCES, CHARITY CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 2 | TotalEmployeeCnt |
| Total Volunteers | 51 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $45,775 | PYContributionsGrantsAmt |
| CY Contributions Grants | $76,451 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $51,646 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $39,451 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $97,426 | PYTotalRevenueAmt |
| CY Total Revenue | $115,902 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,469 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $55,895 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,596 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $103,183 | PYOtherExpensesAmt |
| CY Other Expenses | $99,519 | CYOtherExpensesAmt |
| PY Total Expenses | $160,547 | PYTotalExpensesAmt |
| CY Total Expenses | $136,115 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$63,121 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$20,213 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $126,302 | TotalAssetsBOYAmt |
| Total Assets EOY | $106,712 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $623 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $126,302 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $106,089 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF GOOD SAMARITAN COMMUNITY HEALTH, INC. (GSCH) IS TO PROMOTE THE GOSPEL OF THE LORD JESUS CHRIST. GSCH PROVIDES PHYSICAL, EMOTIONAL AND SPIRITUAL AID TO HURTING PEOPLE IN OUR COMMUNITY AND OTHER AREAS IN THE WORLD WITH THE PURPOSE OF SHARING GOD'S LOVE THROUGH HIS SON, JESUS CHRIST. AS A PART OF ITS MISSION, GSCH ESTABLISHED AN OUTPATIENT MEDICAL CLINIC (MEDICAL CLINIC) TO PROVIDE LOW INCOME PERSONS ACCESS TO PRIMARY HEALTH CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CLINIC PROVIDES HIGH QUALITY, COST EFFICIENT, COMPASSIONATE HEALTH CARE SERVICES TO ALL, REGARDLESS OF RELIGION, CREED, RACE OR NATIONAL ORIGIN, INCLUDING, AS PERMITTED BY ITS RESOURCES, CHARITY CARE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $71,455 | ExpenseAmt |
| Revenue | $39,451 | RevenueAmt |
| Desc | GSCH'S MAIN ACTIVITY HAS BEEN THE OPERATION OF A MEDICAL CLINIC IN MIAMI AND NARANJA, FLORIDA. SINCE SEPTEMBER 2007, THE MEDICAL CLINIC HAS PRIMARILY PROVIDED CHARITY CARE MEDICAL SERVICES TO THOSE WITH NO MEDICAL INSURANCE OF ANY KIND AND WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES. PATIENTS HAVE BEEN CHARGED ON A SLIDING FEE SCALE WHICH ADJUSTS CHARGES BASED ON THE PATIENT'S FAMILY SIZE AND INCOME, IN RELATION TO THE FEDERAL POVERTY GUIDELINES. APPROXIMATELY 95% OF THE PATIENTS SERVED HAVE INCOME AT OR BELOW 200% OF THE FEDERAL POVERTY GUIDELINES AND ACCORDINGLY, THEIR FEES HAVE BEEN SIGNIFICANTLY LESS THAN THE VALUE PROVIDED. AN AVERAGE OF 200 PATIENTS A MONTH HAVE RECEIVED HEALTH CARE AT THE MEDICAL CLINIC. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $21,279 | ExpenseAmt |
| Desc | AS OF AUGUST 2011 GSCH HAS BEEN INVOLVED IN SHORT-TERM MISSION TRIPS TO NICARAGUA, CENTRAL AMERICA, WITH THE PURPOSE OF SPREADING THE LOVE OF JESUS CHRIST , WHILE PROVIDING NEEDY PEOPLE LIVING IN REMOTE RURAL AREAS WITH FREE MEDICAL CARE, MEDICINES AND MEDICAL SUPPLIES, PLUS DONATED SHOES AND CLOTHING. AS OF DECEMBER 31, 2014 FIFTEEN MISSION TRIPS HAVE BEEN CARRIED OUT, WITH A TOTAL OF OVER 5,000 MEDICAL CONSULTS. NICARAGUA IS THE POOREST COUNTRY IN CENTRAL AMERICA AND THE SECOND POOREST IN THE WESTERN HEMISPHERE. UNDEREMPLOYMENT AND POVERTY ARE WIDESPREAD. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROVIDE ASSISTANCE TO THE POOR, DISTRESSED AND UNDERPRIVILEGED. FOUR GRANTS WERE MADE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $35,684 | ExpenseAmt |
| Desc | OTHER PROGRAM SERVICES, EXPENSES IS FOR DEPRECIATION OF FIXED ASSETS USED IN THE MEDICAL CLINIC WHICH IS REPORTED IN FORM 990, PART III, LINE 4A. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $35,684 | TotalOtherProgSrvcExpenseAmt |
| Total Program Service Expenses | $128,418 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 2 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | FL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBORA NERY | PersonNm |
| Phone | 3055952769 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O 7701 SW 98TH STREET | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33156 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JONAS MOSTAFA | |||||||
| VP | 20.00 | 40.00 | Yes (X) | Yes (X) | $0 | $38,343 | $0 |
| JOSE CASELLA | |||||||
| DIRECTOR | 20.00 | 40.00 | Yes (X) | $0 | $30,115 | $0 | |
| JOSE NERY MD | |||||||
| PRESIDENT | 20.00 | 40.00 | Yes (X) | Yes (X) | $0 | $18,803 | $414 |
| JAZMIN ANDRADE | |||||||
| ASSISTANT TR | 20.00 | 20.00 | Yes (X) | Yes (X) | $5,139 | $0 | $0 |
| DEBRA NERY RN | |||||||
| TREASURER | 20.00 | 20.00 | Yes (X) | Yes (X) | $150 | $0 | $0 |
| CARLOS ANDRADE | |||||||
| SECRETARY | 1.00 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| CARLOS SIMOES | |||||||
| DIRECTOR | 1.00 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| GEORGE INOUE | |||||||
| DIRECTOR | 1.00 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| ROBERTO RIGUERO | |||||||
| 1.00 | 1.50 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,289 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $87,261 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $414 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| All Other Contributions | $76,451 | AllOtherContributionsAmt |
| Noncash Contributions | $21,162 | NoncashContributionsAmt |
| Total Contributions | $76,451 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $39,451 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,451 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $39,451 | TotalProgramServiceRevenueAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $39,451 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,240 | TotalAmt |
| Program Services | $30,670 | ProgramServicesAmt |
| Management And General | $2,570 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,356 | TotalAmt |
| Program Services | $3,087 | ProgramServicesAmt |
| Management And General | $269 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $495 | TotalAmt |
| Program Services | $247 | ProgramServicesAmt |
| Management And General | $248 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,684 | TotalAmt |
| Program Services | $35,684 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MISSION TRIPS MEDICINE | $21,162 | $21,162 |
| MOBILE HEALTH UNIT AUTO | $13,258 | $13,258 |
| INSURANCE | $6,983 | $6,983 |
| CLINIC EXPENSES | $6,042 | $6,042 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,895 | TotalAmt |
| Program Services | $11,285 | ProgramServicesAmt |
| Management And General | $4,610 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $136,115 | TotalAmt |
| Program Services | $128,418 | ProgramServicesAmt |
| Management And General | $7,697 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,147 | BOYAmt |
| EOY | $19,374 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $866 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $347,713 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $261,241 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,155 | BOYAmt |
| EOY | $86,472 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,302 | BOYAmt |
| EOY | $106,712 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $623 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $623 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,302 | BOYAmt |
| EOY | $106,089 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,302 | BOYAmt |
| EOY | $106,089 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $126,302 | BOYAmt |
| EOY | $106,712 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$20,213 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,179 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $180,149 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,775 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $76,450 | CurrentTaxYearAmt |
| Total | $599,389 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $94,179 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $180,149 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202,836 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $45,775 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $76,450 | CurrentTaxYearAmt |
| Total | $599,389 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $288,013 | SubstantialContributorsTotAmt |
| Public Support Total170 | $311,376 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $21 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5 | CurrentTaxYearMinus1YearAmt |
| Total | $33 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $599,422 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $172,644 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.51950 | PublicSupportCY170Pct |
| Public Support PY170 | 0.50890 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $347,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $261,241 | DepreciationAmt |
| Book Value | $86,472 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $86,472 | TotalBookValueLandBuildingsAmt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | NICARAGUA, CENTRAL AMERICA | RegionTxt |
| Offices | 1 | OfficesCnt |
| Type Of Activities Conducted | PROGRAM SERVICES | TypeOfActivitiesConductedTxt |
| Specific Services Provided | MISSIONS AND MEDICAL | SpecificServicesProvidedTxt |
| Region Total Expenditures | $21,279 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 1 | SubtotalOfficesCnt |
| Total Office | 1 | TotalOfficeCnt |
| Subtotal Spent | $21,279 | SubtotalSpentAmt |
| Total Spent | $21,279 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE F, PAGE 1, PART I, LINE 3 | NICARAGUA, CENTRAL AMERICA 21,279 0 |
| SCHEDULE F, PAGE 5, PART V | SCHEDULE F, STATEMENT OF ACTIVITIES OUTSIDE THE UNITED STATES PART 1, LINE 3, COLUMN F, TOTAL EXPEDITURES. ACCOUNTING METHOD USED: ACCRUAL. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE MISSION OF GOOD SAMARITAN COMMUNITY HEALTH, INC. (GSCH) IS TO PROMOTE THE GOSPEL OF THE LORD JESUS CHRIST. GSCH PROVIDES PHYSICAL, EMOTIONAL AND SPIRITUAL AID TO HURTING PEOPLE IN OUR COMMUNITY AND OTHER AREAS IN THE WORLD WITH THE PURPOSE OF SHARING GOD'S LOVE THROUGH HIS SON, JESUS CHRIST. AS A PART OF ITS MISSION, GSCH ESTABLISHED AN OUTPATIENT MEDICAL CLINIC (MEDICAL CLINIC) TO PROVIDE LOW INCOME PERSONS ACCESS TO PRIMARY HEALTH CARE SERVICES REGARDLESS OF THEIR ABILITY TO PAY. THE MEDICAL CLINIC PROVIDES HIGH QUALITY, COST EFFICIENT, COMPASSIONATE HEALTH CARE SERVICES TO ALL, REGARDLESS OF RELIGION, CREED, RACE OR NATIONAL ORIGIN, INCLUDING, AS PERMITTED BY ITS RESOURCES, CHARITY CARE. |
| FORM 990, PAGE 2, PART III, LINE 4D | OTHER PROGRAM SERVICES, EXPENSES IS FOR DEPRECIATION OF FIXED ASSETS USED IN THE MEDICAL CLINIC WHICH IS REPORTED IN FORM 990, PART III, LINE 4A. |
| FORM 990, PAGE 6, PART VI, LINE 2 | JOSE NERY, MD DEBRA NERY, RN PRESIDENT TREASURER MARRIED CARLOS ANDRADE JAZMIN ANDRADE SECRETARY DIRECTOR MARRIED |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COMPLETE COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | BOARD APPROVAL IS REQUIRED. COMPARABILTY DATA IS USED TO DETERMINE COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | BOARD APPROVAL IS REQUIRED. COMPARABLITY DATA IS USED TO DETERMINE COMPENSATION. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 24E | MEDICAL RECORD 3,630 0 0 CONTRACT LABOR 1,345 1,345 0 TELEPHONE 1,285 1,285 0 LICENSE AND TAXES 1,798 0 0 MILEAGE REIMB, CLINIC 1,320 0 0 OFFICE 617 618 0 COMPUTER AND INTERNET 530 531 0 DUES AND SUBSCRIPTIONS 429 430 0 MEALS AND ENTERTAINMENT 132 133 0 ADVERTISING & PROMOTIONAL 0 260 0 MISSION TRIPS 117 0 0 REPAIRS AND MAINTENANCE 75 0 0 BANK CHARGES 7 8 0 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KENDALL BRAZILIAN CHURCH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7701 SW 98TH STREET | AddressLine1Txt |
| City | MIAMI | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 33156 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 650502139 | EIN |
| Primary Activities | CHURCH | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Exempt Code Section | 501 C3 | ExemptCodeSectionTxt |
| Public Charity Status | 1 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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