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Good Samaritan Hospital Free Clinic

Organization summary

Type of Nonprofit

Designated as a Organizations for any of the following purposes: religious, educational, charitable, scientific, literary, testing for public safety, fostering national or international amateur sports competition (as long as it doesn't provide athletic facilities or equipment), or the prevention of cruelty to children or animals.

Category: Health — General and Rehabilitative / Ambulatory Health Center, Community Clinic (NTEE)

Donations to this organization are tax deductible.

Summary charts: organization finances over time

Revenue
$1.66M (2023)

Expenses
$1.01M (2023)

Total Assets
$5.08M (2023)

Total Liabilities
$0 (2023)

Source: Form 990 tax filings from 2011 to 2023

Tax Filings by Year

Form 990 is an information return that most organizations claiming federal tax-exempt status must file yearly with the IRS. Nonprofit Explorer has IRS digitized Form 990 data for filings processed in 2012 and later. If this organization filed an amended return, it may not be reflected below. Duplicate download links may indicate a resubmission or amendment to this organization's original return. Form 990 data is from the IRS.

Fiscal Year Ending June
2023

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$1,663,514
Expenses
$1,007,874
Net Income
$655,640
Net Assets
$5,077,428
Notable Sources of Revenue Percent of Total Revenue
Contributions $1,663,514
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $5,077,428
Total Liabilities $0
Net Assets $5,077,428
Compensation
Key Employees and Officers Compensation Related Other
Mark Clement (Chairperson) $0 $2,238,265 $79,463
Andrew Devoe (Treasurer) $0 $1,284,173 $95,684
Marla Silliman (President) $0 $828,602 $69,799
John Ward (Trustee) $0 $775,177 $89,387
Steve Gracey (Secretary) $0 $675,796 $84,250
Linda Smith Berry (Executive Director) $0 $128,626 $26,596
Gail Donovan (Former Officer) $0 $582,038 $0
Mike Crofton (Former Officer) $0 $440,848 $89,005

Document Links

Fiscal Year Ending June
2022

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$1,112,457
Expenses
$963,840
Net Income
$148,617
Net Assets
$3,602,994
Notable Sources of Revenue Percent of Total Revenue
Contributions $1,112,457
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $3,602,994
Total Liabilities $0
Net Assets $3,602,994
Compensation
Key Employees and Officers Compensation Related Other
Mark Clement (Chairperson) $0 $1,992,249 $468,504
Andrew Devoe (Treasurer) $0 $903,565 $215,279
Marla Silliman (Trustee/President (Start 12/21)) $0 $733,798 $164,539
Kevin Joseph Md (Trustee (End 6/22)) $0 $830,392 $192,198
John Ward (President (End 11/21)/Trustee) $0 $698,413 $193,982
Steve Gracey (Secretary) $0 $655,772 $127,434
Linda Smith Berry (Executive Director) $0 $133,678 $19,201
Gail Donovan (Former Officer) $0 $119,729 $0
Mike Crofton (Former Officer) $0 $448,985 $120,625
Rob Cercek (Former Officer) $0 $232,595 $0

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Fiscal Year Ending June
2021

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$1,578,498
Expenses
$893,721
Net Income
$684,777
Net Assets
$2,853,355
Notable Sources of Revenue Percent of Total Revenue
Contributions $1,578,498
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $2,853,355
Total Liabilities $0
Net Assets $2,853,355
Compensation
Key Employees and Officers Compensation Related Other
Mark Clement (Chairperson) $0 $1,629,592 $390,312
Andrew Devoe (Treasurer) $0 $781,924 $206,182
Marla Silliman (Trustee) $0 $651,006 $163,398
Kevin Joseph Md (Trustee) $0 $762,578 $172,322
John Ward (President (Start 7/21)) $0 $593,670 $181,585
Steve Gracey (Secretary) $0 $580,022 $161,024
Linda Smith Berry (Executive Director) $0 $113,890 $21,141
Donna Nienaber Esq (Former Officer) $0 $710,689 $0
Gail Donovan (Former Officer) $0 $1,542,704 $37,815
Mike Crofton (Former Officer) $0 $397,639 $123,828

Document Links

Fiscal Year Ending June
2020

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$693,972
Expenses
$818,662
Net Income
-$124,690
Net Assets
$2,111,965
Notable Sources of Revenue Percent of Total Revenue
Contributions $693,972
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $2,117,631
Total Liabilities $5,666
Net Assets $2,111,965
Compensation
Key Employees and Officers Compensation Related Other
Mark Clement (Chairperson) $0 $1,481,585 $346,875
Rob Cercek (President (End 10/19)) $0 $643,972 $129,240
Andrew Devoe (Treasurer) $0 $737,448 $176,417
Marla Silliman (Trustee) $0 $613,397 $135,315
Kevin Joseph Md (Trustee (Start 7/19)) $0 $692,349 $157,176
Steve Gracey (Secretary) $0 $534,649 $141,312
Gail Donovan (Former Officer) $0 $903,818 $199,356
Mike Crofton (Former Officer) $0 $366,377 $113,843

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Fiscal Year Ending June
2019

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$601,342
Expenses
$738,841
Net Income
-$137,499
Net Assets
$119,024
Notable Sources of Revenue Percent of Total Revenue
Contributions $601,342
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $119,024
Total Liabilities $0
Net Assets $119,024
Compensation
Key Employees and Officers Compensation Related Other
Mark Clement (Chairman) $0 $1,463,838 $316,037
Gail Donovan (President (End 6/19)) $0 $928,244 $200,684
Rob Cercek (Trustee) $0 $624,765 $152,151
Andrew Devoe (Treasurer) $0 $772,272 $170,726
Marla Silliman (Trustee) $0 $433,044 $64,724
Steve Gracey (Secretary) $0 $450,171 $125,258
Donna Nienaber Esq (Former Officer) $0 $361,585 $31,808
Mike Crofton (Former Officer) $0 $394,919 $118,485
John Prout (Former Officer) $0 $1,853,100 $0
Gerald Oliphant (Former Officer) $0 $1,192,978 $0
John Robinson Md (Former Officer) $0 $250,188 $0

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Fiscal Year Ending June
2018

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$560,075
Expenses
$718,986
Net Income
-$158,911
Net Assets
$256,523
Notable Sources of Revenue Percent of Total Revenue
Contributions $560,075
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $256,523
Total Liabilities $0
Net Assets $256,523
Compensation
Key Employees and Officers Compensation Related Other
Mark Clement (Chairman) $0 $1,443,430 $315,687
Gail Donovan (President) $0 $924,940 $201,973
Will Groneman (Trustee (End 11/17)) $0 $774,497 $221,077
Mike Crofton (Treasurer (End 9/17)) $0 $393,249 $117,173
Rob Cercek (Trustee (Start 11/17)) $0 $504,445 $130,947
Andrew Devoe (Treasurer (Start 9/17)) $0 $804,513 $132,225
Marla Silliman (Trustee (Start 5/18)) $0 $0 $0
Steve Gracey (Secretary (Start 7/17)) $0 $382,265 $90,360
Donna Nienaber Esq (Former Officer) $0 $394,836 $59,278
John Prout (Former Officer) $0 $252,304 $0

Document Links

Fiscal Year Ending June
2017

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$568,311
Expenses
$641,402
Net Income
-$73,091
Net Assets
$415,434
Notable Sources of Revenue Percent of Total Revenue
Contributions $568,311
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $415,434
Total Liabilities $0
Net Assets $415,434
Compensation
Key Employees and Officers Compensation Related Other
Donna Nienaber Esq (Secretary (End 7/16)) $0 $505,664 $119,664
Mark Clement (Chairman) $0 $1,289,284 $276,073
Gail Donovan (President) $0 $895,557 $133,654
Will Groneman (Trustee) $0 $759,158 $202,031
Mike Crofton (Treasurer) $0 $533,255 $130,762
John Prout (Former Officer) $0 $1,389,908 $24,109
Gerald Oliphant (Former Officer) $0 $558,601 $16,915
John Robinson Md (Former Officer) $0 $264,258 $39,921

Document Links

Fiscal Year Ending June
2016

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$381,551
Expenses
$656,783
Net Income
-$275,232
Net Assets
$488,525
Notable Sources of Revenue Percent of Total Revenue
Contributions $381,551
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $488,525
Total Liabilities $0
Net Assets $488,525
Compensation
Key Employees and Officers Compensation Related Other
John Prout (Chairman) $0 $2,429,327 $43,760
Gerald Oliphant (President (End 9/15)) $0 $704,803 $132,198
John Robinson Md (Treasurer (End 3/16)) $0 $416,898 $85,959
Mark Clement (Trustee) $0 $516,747 $61,675
Donna Nienaber Esq (Secretary) $0 $490,116 $134,995

Document Links

Fiscal Year Ending June
2015

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$632,726
Expenses
$611,858
Net Income
$20,868
Net Assets
$763,757
Notable Sources of Revenue Percent of Total Revenue
Contributions $632,726
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $763,757
Total Liabilities $0
Net Assets $763,757
Compensation
Key Employees and Officers Compensation Related Other
John Prout (Chairman) $0 $1,899,621 $469,213
Gerald Oliphant (President) $0 $722,085 $162,794
John Robinson Md (Treasury) $0 $425,790 $104,283
Donna Nienaber Esq (Secretary) $0 $559,897 $164,078
Lori Uphaus (Executive Director (End 10/14)) $0 $213,362 $92,511

Document Links

Fiscal Year Ending June
2014

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$382,505
Expenses
$613,168
Net Income
-$230,663
Net Assets
$742,889
Notable Sources of Revenue Percent of Total Revenue
Contributions $382,505
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $742,889
Total Liabilities $0
Net Assets $742,889
Compensation
Key Employees and Officers Compensation Related Other
John Prout (Chairman) $0 $1,455,153 $328,652
Gerald Oliphant (President) $0 $657,505 $152,110
John Robinson Md (Secretary/Treasury) $0 $386,049 $94,986
Lori Uphaus (Executive Director) $0 $183,200 $55,126

Document Links

Fiscal Year Ending June
2013

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$391,827
Expenses
$417,482
Net Income
-$25,655
Net Assets
$973,552
Notable Sources of Revenue Percent of Total Revenue
Contributions $391,827
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $973,552
Total Liabilities $0
Net Assets $973,552

Document Links

Fiscal Year Ending June
2012

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$851,874
Expenses
$227,439
Net Income
$624,435
Net Assets
$999,207
Notable Sources of Revenue Percent of Total Revenue
Contributions $851,874
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $999,207
Total Liabilities $0
Net Assets $999,207

Document Links

Fiscal Year Ending June
2011

Extracted Financial Data

Extracted Financial Data from Form 990
Revenue
$467,000
Expenses
$92,228
Net Income
$374,772
Net Assets
$374,772
Notable Sources of Revenue Percent of Total Revenue
Contributions $467,000
100%
Program Services $0
Investment Income $0
Bond Proceeds $0
Royalties $0
Rental Property Income $0
Net Fundraising $0
Sales of Assets $0
Net Inventory Sales $0
Other Revenue $0
Notable Expenses Percent of Total Expenses
Executive Compensation $0
Professional Fundraising Fees $0
Other Salaries and Wages $0
Assets/Debt
Total Assets $374,772
Total Liabilities $0
Net Assets $374,772

Document Links

About This Data

Nonprofit Explorer includes summary data for nonprofit tax returns and full Form 990 documents, in both PDF and digital formats.

The summary data contains information processed by the IRS during the 2012-2019 calendar years; this generally consists of filings for the 2011-2018 fiscal years, but may include older records. This data release includes only a subset of what can be found in the full Form 990s.

In addition to the raw summary data, we link to PDFs and digital copies of full Form 990 documents wherever possible. This consists of separate releases by the IRS of Form 990 documents processed by the agency, which we update regularly.

We also link to copies of audits nonprofit organizations that spent $750,000 or more in Federal grant money in a single fiscal year since 2016. These audits are copied from the Federal Audit Clearinghouse.

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Every organization that has been recognized as tax exempt by the IRS has to file Form 990 every year, unless they make less than $200,000 in revenue and have less than $500,000 in assets, in which case they have to file form 990-EZ. Organizations making less than $50,000 don’t have to file either form but do have to let the IRS they’re still in business via a Form 990N "e-Postcard."

Nonprofit Explorer has organizations claiming tax exemption in each of the 27 subsections of the 501(c) section of the tax code, and which have filed a Form 990, Form 990EZ or Form 990PF. Taxable trusts and private foundations that are required to file a form 990PF are also included. Small organizations filing a Form 990N "e-Postcard" are not included in this data.

Types of Nonprofits

There are 27 nonprofit designations based on the numbered subsections of section 501(c) of the tax code. See the list »

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