2012-03-01T15:40:53-08:00 2011-06-30 PRZYBYSZ & ASSOCIATES CPAS PC 4200 JENNY LIND SUITE B FORT SMITH AR 72901 990 2010-07-01 710863639 Good Samaritan Clinic GOOD 4797830233 615 North B Street Fort Smith AR 72901 Darrell Stovall 2012-03-01 Marc Lux CPA 2010 2016-02-24 21:20:13Z 393978 false false X www.good-sam-clinic.net X 2001 AR TO PROVIDE MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UNINUSRED,ELDERLY & HOMELESS 18 18 9 0 252060 348795 148065 29831 18169 14084 -3513 0 414781 392710 0 0 252236 285169 0 15127 261136 278067 513372 563236 -98591 -170526 1299835 1173879 19264 25494 1280571 1148385 TO PROVIDE MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UNINUSRED,ELDERLY & HOMELESS false false 513540 THE CLINIC PROVIDES MEDICAL SERVICES AND MEDICATIONS AT REASONABLE COSTS TO THE WORKING POOR, UNINUSRED,ELDERLY & HOMELESS 513540 true true false false false false false false false false true true 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 false false false true false false false false false false false false false true 0 0 false 9 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 Virginia R Kutait 1.00 X 0 0 0 Sister Rebecca Hendricks 1.00 X 0 0 0 Russ Aikman 1.00 X 0 0 0 Rosemary Wingfield 1.00 X 0 0 0 Ronnie Rouse 1.00 X 0 0 0 Rex Terry 1.00 X 0 0 0 Norma Basinger MD 1.00 X 0 0 0 Mike Thames 1.00 X 0 0 0 Kate Maurras 1.00 X 0 0 0 Judy Mc Gruder 2.00 X X 0 0 0 John VinsonPh D 2.00 X X 0 0 0 Joey Cole 1.00 X 0 0 0 Joel James 1.00 X 0 0 0 Diane Graham 1.00 X 0 0 0 Diane Arnold 1.00 X 0 0 0 Darrell Stovall 2.00 X X 0 0 0 Cathy Ulrich 1.00 X 0 0 0 Carolyn Mosley PhD 2.00 X X 0 0 0 0 false false false 0 348795 348795 Patient payments 29831 29831 29831 15352 15352 0 0 0 1268 -1268 -1268 -1268 0 0 0 0 392710 29831 14084 0 0 0 0 0 0 216526 191468 17322 7736 0 45521 41879 3642 23122 20372 1850 900 0 0 0 0 0 0 9334 9334 1699 713 136 850 0 0 0 21859 20110 1749 0 0 499 459 40 0 0 18784 17281 1503 15846 15169 677 Pharmaceutical supplies 12931 12931 Office supplies 12309 8247 985 3077 Medical supplies 38321 38321 Laboratory test supplies 56315 56315 Contract Labor 70478 64840 5638 19692 16101 1027 2564 563236 513540 34569 15127 124635 98814 753149 654867 44129 0 0 0 0 0 0 555 533 273564 113660 177300 159904 0 200067 259761 0 0 0 1299835 1173879 19264 25494 19264 25494 X 1092410 986164 44129 144032 162221 1280571 1148385 1299835 1173879 X -170526 38340 X true false true X false false X 300065 745383 408241 364413 348795 2166897 36940 31812 39115 35712 29831 173410 0 0 0 337005 777195 447356 400125 378626 2340307 0 0 2340307 42096 27962 -9260 18169 15352 94319 0 42096 27962 -9260 18169 15352 94319 0 0 379101 805157 438096 418294 393978 2434626 0.96130 0.97390 0.03870 0.02610 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 176717 48836 127881 96847 64824 32023 159904 259761 392710 563236 -170526 38340 38340 -132186 431050 38340 38340 392710 392710 563236 563236 563236 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 X 1 39378 false false false 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.