2026-07-23T15:21:57-05:00 2025-12-31 413051183 NICHOLS CAULEY ADVISORY GROUP LLC 1300 BELLEVUE AVENUE DUBLIN GA 310214152 990 2025-01-01 320045238 GOOD SAMARITAN HEALTH CENTER OF COBB INC GOOD 7704193120 1605 ROBERTA DR SW MARIETTA GA 300083855 GAYLE NELSON CEO 7704193120 2026-07-22 1 GREGORY M CHAPMAN P01019632 4782751163 2026-07-22 2025 2025-03-06 01:10:19Z GAYLE NELSON 1605 ROBERTA DR SW MARIETTA GA 300083855 11620817 0 X WWW.GOODSAMCOBB.ORG X 2002 GA THE ORGANIZATION'S MISSION IS TO SPREAD THE LOVE OF CHRIST BY PROVIDING QUALITY HEALTHCARE TO THOSE IN NEED. 10 10 74 42 0 0 11392421 9525053 1826281 1893114 120572 67945 47568 123503 13386842 11609615 0 0 0 0 4329338 3980646 0 0 52352 10270330 9529643 14599668 13510289 -1212826 -1900674 8721842 6913678 214770 307280 8507072 6606398 THE ORGANIZATION'S MISSION IS TO SPREAD THE LOVE OF CHRIST BY PROVIDING QUALITY HEALTHCARE TO THOSE IN NEED. 0 0 11262132 1941432 THE ORGANIZATION PROVDIES PRIMARY MEDICAL, DENTAL AND COUNSELING SERVICES TO UNINSURED AND UNDERINSURED, WORKING POOR AND INDIGENT IN THE COMMUNITY. GOOD SAMARITAN'S FAMILY CENTERED APPROACH ENSURES THAT THEY DELIVER HIGH QUALITY AND PREVENTATIVE MEDICAL AND DENTAL SERVICES IN ADDITION TO COUNSELING, PHARMACEUTICAL, REFERRAL AND HEALTH EDUCATION PROGRAMS IN AN ATMOSPHERE OF DIGNITY, RESPECT, REGARDLESS OF RACE, ETHNICITY, RELIGION OR ABILTY TO PAY. 11262132 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 4 0 74 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 GA X GAYLE NELSON 7704193120 1605 ROBERTA DR SW MARIETTA GA 300083855 DR CHRIS SMITH CHAIRMAN OF BOARD 0.00 X 0 0 0 REV GRANT COLE SECRETARY 0.00 X 0 0 0 GREG GRIGGS TREASURER 0.00 X 0 0 0 LYNDA AUSBURN BOARD OF DIRECTORS 0.00 X 0 0 0 BRENDA GASKINS BOARD OF DIRECTORS 0.00 X 0 0 0 ANNA LONGACRE MD BOARD OF DIRECTORS 0.00 X 0 0 0 DR JOHN SHERRER BOARD OF DIRECTORS 0.00 X 0 0 0 MASHONDOLA VALDRY BOARD OF DIRECTORS 0.00 X 0 0 0 ALBERTO SCHIRMER BOARD OF DIRECTORS 0.00 X 0 0 0 JOSE VAZQUEZ BOARD OF DIRECTORS 0.00 X 0 0 0 GAYLE NELSON CEO 40.00 X 224732 0 0 IVY GOOLSBY EMPLOYEE 40.00 X 121154 0 0 DAVID MOISE EMPLOYEE 40.00 X 102794 0 0 JOSHUA NELSON DIRECTOR OF OPERATIONS 40.00 X 115848 0 0 THELMA SPEARS DIRECTOR OF DENTAL SERVICES 40.00 X 208692 0 0 773220 0 0 5 0 1 0 0 1612408 7912645 7213171 9525053 MEDICAL PROGRAM REVENUES 621300 801361 801361 DENTAL PROGRAM REVENUES 621300 694603 694603 DISPENSARY REVENUES 621300 289602 289602 INSURANCE PAYMENTS 621300 102035 102035 MEDICARE AND MEDICAID 621300 5393 5393 120 120 1893114 67945 67945 86387 11202 75185 75185 OTHER 621300 48318 48318 48318 11609615 1941432 0 143130 224732 224732 3420941 2381598 995210 44133 119149 58747 55350 5052 215824 123028 89629 3167 23690 23690 90298 49906 40392 23168 23168 140829 140829 46782 46782 23665 23665 316427 40091 276336 79297 79297 PROFESSIONAL SERVICES 3799648 3799648 DISPENSARY COSTS 3488361 3488361 BAD DEBTS 515381 515381 DENTAL SUPPLIES 283709 283709 698388 380834 317554 13510289 11262132 2195805 52352 1478817 464085 1701828 1217570 208781 146918 11863 14855 55736 27664 7403130 2360544 5264817 5042586 8721842 6913678 145206 160269 69564 147011 214770 307280 X 8507072 6606398 8507072 6606398 8721842 6913678 -1900674 0 X 0 1 X 1 1 1 X 9776048 11008849 13638445 11392421 9525053 55340816 1542047 1733287 1842089 1827412 1941432 8886267 11318095 12742136 15480534 13219833 11466485 64227083 0 0 0 64227083 709 5536 40382 120572 67945 235144 709 5536 40382 120572 67945 235144 11318804 12747672 15520916 13340405 11534430 64462227 0.99640 0.99630 0.00360 0.00260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 402595 402595 5513975 1242183 4271792 1486560 1118361 368199 5042586 ACCRUED LEAVE 147011 147011 X 11620817 0 11620817 -11202 -11202 11609615 13521491 11202 11202 13510289 0 13510289 PART X, LINE 2: GOOD SAMARITAN HEALTH CENTER OF COBB, INC. IS ORGANIZED AS A GEORGIA NONPROFIT CORPORATIONS AND HAS BEEN RECOGNIZED BY THE IRS AS EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC SECTION 501(A) AS AN ORGANIZATION DESCRIBED IN IRC SECTION 501(C)(3), QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION, AND HAS BEEN DETERMINED NOT TO BE A PRIVATE FOUNDATION. THE ORGANIZATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, IT IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO OUR EXEMPT PURPOSES. WE HAVE DETERMINED THAT WE ARE NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAVE NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990T) WITH THE IRS. THE ORGANIZATION BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FORM 990 IS SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER IT IS FILED. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSE -11,202. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSE 11,202. GOLF TOURNAMENT 86387 86387 11202 86387 86387 11202 11202 75185 0 0 0 0 0 0 0 0 0 GAYLE NELSON CEO 224732 0 0 0 0 0 0 0 0 0 224732 0 0 0 THELMA SPEARS DIRECTOR OF DENTAL SERVICES 208692 0 0 0 0 0 0 0 0 0 208692 0 0 0 X MEDICAL SERVICES 0 7213171 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B RETURN WILL BE REVIEWED PRIOR TO FILING FORM 990, PART VI, SECTION B, LINE 12C THE OFFICERS, DIRECTORS AND KEY EMPLOYEES MUST SIGN THE DISCLOSURE FORM ANNUALLY. THESE FORMS ARE MATCHED AGAINST A LIST OF SUCH PEOPLE. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE BOARD RESEARCHES AND PROVIDES INFORMATION TO MAKE A RECOMMENDATION TO THE FULL BOARD FOR THE SALARY AND BENEFITS OF HIGHLY COMPENSATED EMPLOYEES AND CONSULTANTS BASED ON A REVIEW OF COMPARABLE DATA. THE BOARD THEN DOCUMENTS HOW IT REACHED ITS DECISION. FORM 990, PART VI, SECTION C, LINE 19 WEBSITE