2013-01-30T07:47:21-08:00 2012-06-30 PRZYBYSZ & ASSOCIATES CPAS PC 4200 JENNY LIND SUITE B FORT SMITH AR 72901 990 2011-07-01 710863639 Good Samaritan Clinic GOOD 4797830233 615 North B Street Fort Smith AR 72901 Darrell Stovall 2013-01-30 true Marc Lux CPA 4796490888 2011 2016-02-25 16:41:14Z 592687 false false X www.good-sam-clinic.net X 2001 AR Good Samaritan Clinic is an ecumenical health care ministry that seeks to reclaim the bibilical and historical commitment of the church to care for the poor through the use of volunteer services of health care professionals. 18 18 12 0 348795 551542 29831 25750 14084 8716 5221 392710 591229 0 0 285169 383387 0 19946 278067 223046 563236 606433 -170526 -15204 1173879 1157950 25494 29152 1148385 1128798 Good Samaritan Clinic is an ecumenical health care ministry that seeks to reclaim the bibilical and historical commitment of the church to care for the poor through the use of volunteer services of health care professionals. false false 548933 The clinic provides on-site affordable health care for the working poor, children, the elderly, as well as the homeless. In addition to medical care, the clinic provides counseling, health education, and preventive care. 548933 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 false false false false true 0 0 false 12 true false false false false false false false false false false false 0 false false false false false false false false false false false X 18 18 false false false false false false false true false false false false true true true true true true false false false false AR X The Organization 4797830233 615 North B Street Fort Smith AR 72901 X Diane Arnold 1.00 X 0 0 0 GaeVon Hoover 1.00 X 0 0 0 John Vinson 2.00 X X 0 0 0 Rev Cathy Ulrich 1.00 X 0 0 0 Mike Thames 1.00 X 0 0 0 Darrell Stovall 2.00 X X 0 0 0 Rosemary Wingfield 1.00 X 0 0 0 Rex Terry 1.00 X 0 0 0 Judy Mc Gruder 2.00 X X 0 0 0 Leslie Ziegler 1.00 X 0 0 0 Russ Aikman 1.00 X 0 0 0 Sister Rebecca Hendricks 1.00 X 0 0 0 Carolyn Mosley PhD 2.00 X X 0 0 0 Diane Graham 1.00 X 0 0 0 Joel James 1.00 X 0 0 0 Judy Boreham 1.00 X 0 0 0 Ronnie Rouse 1.00 X 0 0 0 Norma Basinger MD 1.00 X 0 0 0 0 false false false 0 551542 551542 Patient payments 25750 25750 25750 10174 10174 0 0 0 1458 -1458 -1458 -1458 0 0 0 Miscellaneous Income 5221 5221 5221 591229 30971 8716 0 0 0 0 0 0 300278 266286 24022 9970 0 58488 53809 4679 24621 21561 1970 1090 0 0 0 0 0 0 9938 9938 4072 1710 326 2036 0 0 0 22296 20512 1784 245 225 20 0 0 0 0 17077 15711 1366 18869 18290 579 Office supplies 15030 10070 1202 3758 Pharmaceutical supplies 17107 17107 Laboratory test supplies 39738 39738 Medical supplies 57576 57576 21098 16400 1606 3092 606433 548933 37554 19946 98814 184124 654867 552617 0 0 0 0 0 0 533 572 273564 130737 159904 142827 0 259761 277810 0 0 0 1173879 1157950 25494 29152 25494 29152 X 986164 955687 390 162221 172721 1148385 1128798 1173879 1157950 X -15204 -4383 X true true true X false false X 745383 408241 364413 348795 556763 2423595 31812 39115 35712 29831 25750 162220 0 0 0 777195 447356 400125 378626 582513 2585815 0 0 2585815 27962 -9260 18169 15352 10174 62397 0 27962 -9260 18169 15352 10174 62397 0 0 805157 438096 418294 393978 592687 2648212 0.97640 0.96130 0.02360 0.03870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 176717 55025 121692 96847 75712 21135 142827 277810 591229 606433 -15204 -4383 -4383 -19587 586846 -4383 -4383 591229 591229 606433 606433 606433 Part X Part X : FIN48 Footnote 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. Part V, Line 4 Part V, Line 4: Intended uses of the endowment fund. Provide additional support to the organization Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The Clinic has the financials and the Form 990 available for inspection at their physical location. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Potential board members are questioned of any potential conflicts of interest. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process The Board of Directors reviews the Form 990 prior to filing.