Civic Intelligence

Good Samaritan Health Services Foundation of Lebanon Pa

990 • Fiscal year 2015 • EIN 23-2356151

Jul 01, 2014 to Jun 30, 2015 • Filed on May 16, 2016

Organization Profilewww.gshleb.org

View Organization Page

PO Box 1282Lebanon, PA 17042

(717) 270-7864

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

20th percentile

0.02x

Higher debt load relative to assets than 20% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Liabilities / Revenue

75th percentile

0.67x

Higher debt load relative to revenue than 75% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Net Margin

1st percentile

-211%

Higher net margin than 1% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Top Officer Pay

95th percentile

$524,111

Higher top officer pay than 95% of similar nonprofits.

Top officer pay equals 249.7% of source-year revenue.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Source year 2015

Asset Growth

2nd percentile

-38%

Faster asset growth than 2% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Revenue Growth

2nd percentile

-73%

Faster revenue growth than 2% of similar nonprofits.

2015 filings • 501(c)3 • $5M-$10M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets20th percentile

Assets

Down

$8,165,084

Down $5,090,113 (-38%) from 2014

Net Assets

Down

$8,024,934

Down $5,138,919 (-39%) from 2014

Liabilities

Up

$140,150

Up $48,806 (+53%) from 2014

Revenue And Expenses
Liabilities / Revenue75th percentileNet Margin1st percentile

Revenue

Down

$209,911

Down $560,214 (-73%) from 2014

Expenses

Up

$651,910

Up $75,188 (+13%) from 2014

Net Income

Down

-$441,999

Down $635,402 (-329%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth2nd percentile

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$15M$10M$5.0M$0-$5.0MAssets 2011: $13,313,365Liabilities 2011: $71,721Net Assets 2011: $13,241,6442011Assets 2012: $13,138,972Liabilities 2012: $119,746Net Assets 2012: $13,019,2262012Assets 2013: $13,293,298Liabilities 2013: $322,848Net Assets 2013: $12,970,4502013Assets 2014: $13,255,197Liabilities 2014: $91,344Net Assets 2014: $13,163,8532014Assets 2015: $8,165,084Liabilities 2015: $140,150Net Assets 2015: $8,024,9342015Assets 2016: $8,764,621Liabilities 2016: $81,634Net Assets 2016: $8,682,9872016Assets 2017: $2,836,478Liabilities 2017: $121,133Net Assets 2017: $2,715,3452017Assets 2018: $2,989,831Liabilities 2018: $96,887Net Assets 2018: $2,892,9442018Assets 2019: $3,367,442Liabilities 2019: $64,773Net Assets 2019: $3,302,6692019Assets 2020: $3,543,736Liabilities 2020: $99,244Net Assets 2020: $3,444,4922020Assets 2021: $3,974,886Liabilities 2021: $197,295Net Assets 2021: $3,777,5912021Assets 2022: $3,958,646Liabilities 2022: $88,611Net Assets 2022: $3,870,0352022Assets 2023: $4,281,045Liabilities 2023: $8,035Net Assets 2023: $4,273,0102023Assets 2024: $4,816,798Liabilities 2024: -$8,240Net Assets 2024: $4,825,0382024

Highlighted filing

2015

Assets$8,165,084
Liabilities$140,150
Net Assets$8,024,934
Open 2015 Filing

Operations Trend

Revenue Growth2nd percentile

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$10M$5.0M$0-$5.0M-$10MRevenue 2011: $264,603Expenses 2011: $635,428Net Income 2011: -$370,8252011Revenue 2012: $263,069Expenses 2012: $636,462Net Income 2012: -$373,3932012Expenses 2013: $605,7142013Revenue 2014: $770,125Expenses 2014: $576,722Net Income 2014: $193,4032014Revenue 2015: $209,911Expenses 2015: $651,910Net Income 2015: -$441,9992015Revenue 2016: $1,587,310Expenses 2016: $1,025,610Net Income 2016: $561,7002016Revenue 2017: $1,713,268Expenses 2017: $7,738,179Net Income 2017: -$6,024,9112017Revenue 2018: $3,312,330Expenses 2018: $3,134,731Net Income 2018: $177,5992018Revenue 2019: $1,608,860Expenses 2019: $1,199,135Net Income 2019: $409,7252019Revenue 2020: $1,364,049Expenses 2020: $1,222,226Net Income 2020: $141,8232020Revenue 2021: $2,331,531Expenses 2021: $1,998,432Net Income 2021: $333,0992021Revenue 2022: $3,025,136Expenses 2022: $2,344,456Net Income 2022: $680,6802022Revenue 2023: $261,155Expenses 2023: $536,980Net Income 2023: -$275,8252023Revenue 2024: $1,989,252Expenses 2024: $1,881,898Net Income 2024: $107,3542024

Highlighted filing

2015

Revenue$209,911
Expenses$651,910
Net Income-$441,999
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 16, 2016
Return Version
2014v6.0
Gross Receipts
$209,911
Mission and Program Overview

Mission

The purpose of the Foundation is to support the program & equipment needs of the Good Samaritan Health System, the Good Samaritan Hospital and its tax exempt corporation entities, in accordance with their missions.

To support the program & equipment needs of the good samaritan health system, the good samaritan hospital, & its tax exempt corporation entities in accordance with their missions.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$10,432,400$5,995,016▼ $4,437,384
Cash and Non-Interest-Bearing Accounts$633,935$23,984▼ $609,951
Savings and Temporary Cash Investments$5,000$0▼ $5,000
Prepaid Expenses and Deferred Charges$4,928$778▼ $4,150
Land, Buildings, and Equipment, Net$606$107▼ $499
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0$0→ $0
Investments in Publicly Traded Securities$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$13,255,197$8,165,084▼ $5,090,113
Other Assets Total$2,178,328$2,145,199▼ $33,129
Liabilities
Accounts Payable and Accrued Expenses$56,762$108,859▲ $52,097
Other Liabilities$34,582$31,291▼ $3,291
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$91,344$140,150▲ $48,806
Net Assets / Fund Balance
Unrestricted Net Assets$13,163,853$8,024,934▼ $5,138,919
Permanently Rstr Net Assets$0$0→ $0
Temporarily Rstr Net Assets$0$0→ $0
Total Net Assets Fund Balance$13,163,853$8,024,934▼ $5,138,919
Total Liabilities and Net Assets / Fund Balance$13,255,197$8,165,084▼ $5,090,113

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$107$38,732$38,839
Leasehold Improvements-$8,860$8,860
Other Assets Org$2,145,199--
Other Securities$5,995,016--
Compensation and Service Providers
Top Officer Pay95th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jason TroutVice President of DevelopmentFT$148,214$41,305$189,519

Board Members and Trustees

NameTitle
John P Welch MDChairman/trustee
Dennis ShaltersPast Chairman/Trustee
Donald H DreibelbisFirst Vice Chairman/trustee
robert j funksecond vice chairman/trustee
Robert J LongoPres/Asst sec&trea/Trustee/CEO
Jane juppenlatzsecretary/trustee
frederick s wolfsontreasurer/trustee
Bryan G Pilkington MDTrustee
Carol BleckerTrustee
Deborah T WeaverTrustee
Evelyn C ColonTrustee
Frederick C LaurenzoTrustee
Galen G WeaberTrustee
Julie ZinsserTrustee
Paul R Digiacomo MDTrustee
Robert HoffmanTrustee
Robert J PhillipsTrustee
William E SchaefferTrustee
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$20,684
Other Revenue
$189,227
Change in Net Assets
$-441,999

Audited Revenue Reconciliation

Revenue per Audited Statements
$209,911
Total Revenue per Audited Statements
$209,911
Total Revenue per Form 990
$209,911
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$518,288
Other Expenses$133,622
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$152,985$103,330-$256,315
Current Officers, Directors, Trustees, and Key Employees$188,580--$188,580
Other Employee Benefits$30,438$10,907-$41,345
Advertising$35,427--$35,427
Fees for Services Management-$28,620-$28,620
Payroll Taxes$17,399$6,234-$23,633
Fees for Services Accounting-$16,265-$16,265
Office Expenses$13,227$1,470-$14,697
Other Expenses$10,744$1,195$0$11,939
Occupancy$10,169$1,130-$11,299
Pension Plan Contributions$6,195$2,220-$8,415
Insurance-$4,730-$4,730
Fees for Services Other-$1,476-$1,476
Travel$614$68-$682
Depreciation Depletion$450$50-$500
Total Functional Expenses$473,416$178,494$0$651,910

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$651,910
Total Expenses per Audited Statements$651,910
Total Expenses per Form 990$651,910
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Due to Affiliates$31,291
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No
Filing and Contact Details

Filer

Filer Name
Good Samaritan Health Services Foundation
EIN
23-2356151
In Care Of
% DAVID RIZZUTO
Phone
7172707864
Address
PO BOX 1282, Lebanon, PA 17042

Signing Officer

Name
Michael F O'Connor
Title
Chief Financial Officer
Phone
7178512706
Signed
2016-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jane E Hyde
Formed
1985
Legal Domicile
Pa
Voting Board Members
18
Independent Board Members
17
Employees
3
Volunteers
16

Preparer

Firm
Grant Thornton Llp
Address
2001 MARKET STREET SUITE 700, PHILADELPHIA, PA 19103
Preparer
Russlee Armstrong
Phone
2155614200
Supplemental Narrative

Additional Explanations

Review of Form 990

“Form 990, Part VI, Section B, Line 11a An external accounting firm prepares the form 990 for the Good Samaritan Health Services Foundation with the assistance of accounting and finance personnel. The accounting and finance personnel and the chief financial officer of the Health System then review the completed form 990. The completed Form 990 will be provided to the full board.”

Conflict of Interest Policy

“Form 990, Part VI, Section B, Line 12c The Good Samaritan Health Services Foundation has a compliance officer that is responsible for monitoring and enforcing the compliance of policies. the board members sign a conflict of interest statement every year which states what organizations or businesses he or she is the owner, officer, member or employee. If an issue is brought to the board and there is a conflict of interest with one of the board members, the board member would remove himself/herself from the discussion and abstain from voting on the issue.”

Compensation

“Form 990, Part VI, Section B, Lines 15a & 15b The Good Samaritan Health Services Foundation does not compensate the CEO, or other top management officials, they are compensated by Good Samaritan Hospital, a related tax-exempt organization. The compensation committee of Good Samaritan Hospital hires an independent compensation consultant to establish the CEO's compensation and compose the contract. The compensation committee presents the information to the board for discussion. The deliberation and compensation decision are documented in the committee and/or Board meetings minutes.”

Governing Documents

“Form 990, Part VI, Section C, Line 19 The governing documents, conflict of interest policy and audited financial statements are available upon request.”

Reconciliation of Net Assets

“Part XI, Line 9 Transfer to Affiliates $3,541,000 Other adjustments 1,155,920 ---------- Total $4,696,920”

Financial Statement Notes

Fin 48 (ASC 740) Footnote

“Schedule D, Part X, Line 2 GOOD SAMARITAN HEALTH SERVICES FOUNDATION FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTIES IN INCOME TAX POSITIONS WHICH REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. GSHSF DOES NOT BELIEVE ITS CONSOLIDATED FINANCIAL STATEMENTS INCLUDE ANY MATERIAL UNCERTAIN TAX POSITIONS. AT JUNE 30, 2015, GSHSF'S TAX YEARS ENDED JUNE 30, 2012 THROUGH 2015 FOR THE FEDERAL TAX JURISDICTION REMAIN OPEN.”

Raw XML AppendixShowing 400 of 731 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm3John P Welch MD
IRS990/Form990PartVIISectionAGrp/PersonNm4Donald H Dreibelbis
IRS990/Form990PartVIISectionAGrp/PersonNm5robert j funk
IRS990/Form990PartVIISectionAGrp/PersonNm6Jane juppenlatz
IRS990/Form990PartVIISectionAGrp/PersonNm7frederick s wolfson
IRS990/Form990PartVIISectionAGrp/PersonNm8Evelyn C Colon
IRS990/Form990PartVIISectionAGrp/PersonNm9Paul R Digiacomo MD
IRS990/Form990PartVIISectionAGrp/PersonNm10Frederick C Laurenzo
IRS990/Form990PartVIISectionAGrp/PersonNm11Robert J Phillips
IRS990/Form990PartVIISectionAGrp/PersonNm12Galen G Weaber
IRS990/Form990PartVIISectionAGrp/PersonNm13Bryan G Pilkington MD
IRS990/Form990PartVIISectionAGrp/PersonNm14Carol Blecker
IRS990/Form990PartVIISectionAGrp/PersonNm15William E Schaeffer
IRS990/Form990PartVIISectionAGrp/PersonNm16Deborah T Weaver
IRS990/Form990PartVIISectionAGrp/PersonNm17Julie Zinsser
IRS990/Form990PartVIISectionAGrp/PersonNm18JASON TROUT
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IRS990/Form990PartVIISectionAGrp/TitleTxt2Pres/Asst sec&trea/Trustee/ceo
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IRS990/Form990PartVIISectionAGrp/TitleTxt4First Vice Chairman/trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt5second vice chairman/trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt6secretary/trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt7treasurer/trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt8Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt9Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt10Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt11Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt12Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt13Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt14Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt15Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt16Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt17Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt18Vice President of Development
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IRS990/MissionDesc0THE GOOD SAMARITAN HEALTH SERVICES FOUNDATION (GSHSF) FULLY SUPPORTS THE PROGRAM AND EQUIPMENT NEEDS OF THE GOOD SAMARITAN HEALTH SYSTEM, THE GOOD SAMARITAN HOSPITAL, AND ITS NOT-FOR-PROFIT CORPORATE ENTITIES IN ACCORDANCE WITH THEIR MISSIONS.
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IRS990/NetAssetsOrFundBalancesEOYAmt08024934
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IRS990/OperateHospitalInd0false
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Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$8,165,084
Liabilities
$140,150
Net assets
$8,024,934
Revenue
$209,911
Expenses
$651,910
Net income
-$441,999
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4.82$0.01$4.83$1.99$1.88$0.11
2023Detailed filing. Detailed filing data is available for this year.$4.28$0.01$4.27$0.26$0.54$0.28
2022Detailed filing. Detailed filing data is available for this year.$3.96$0.09$3.87$3.03$2.34$0.68
2021Detailed filing. Detailed filing data is available for this year.$3.97$0.20$3.78$2.33$2.00$0.33
2020Detailed filing. Detailed filing data is available for this year.$3.54$0.10$3.44$1.36$1.22$0.14
2019Detailed filing. Detailed filing data is available for this year.$3.37$0.06$3.30$1.61$1.20$0.41
2018Detailed filing. Detailed filing data is available for this year.$2.99$0.10$2.89$3.31$3.13$0.18
2017Detailed filing. Detailed filing data is available for this year.$2.84$0.12$2.72$1.71$7.74$6.02
2016Detailed filing. Detailed filing data is available for this year.$8.76$0.08$8.68$1.59$1.03$0.56
2015Detailed filing. Detailed filing data is available for this year.$8.17$0.14$8.02$0.21$0.65$0.44
2014Detailed filing. Detailed filing data is available for this year.$13.3$0.09$13.2$0.77$0.58$0.19
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.3$0.32$13.0$0.61
2012Summary only. Only limited summary data is available for this year.$13.1$0.12$13.0$0.26$0.64$0.37
2011Summary only. Only limited summary data is available for this year.$13.3$0.07$13.2$0.26$0.64$0.37