Civic Intelligence

Good Samaritan Real Estate Inc

EIN 23-2447262 • 501(c)2 • York, PA

Profile

Good Samaritan Real Estate, Inc. leases non-residential real estate to affiliated exempt organizations.

PO Box 2767York, PA 17405

www.wellspan.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

78th percentile

0.57x

Higher debt load relative to assets than 78% of similar nonprofits.

501(c)2 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

65th percentile

1.88x

Higher debt load relative to revenue than 65% of similar nonprofits.

501(c)2 • $1M-$5M nonprofits • Source year 2016

Net Margin

68th percentile

40%

Higher net margin than 68% of similar nonprofits.

501(c)2 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

9th percentile

-14%

Faster asset growth than 9% of similar nonprofits.

501(c)2 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

49th percentile

2.7%

Faster revenue growth than 49% of similar nonprofits.

501(c)2 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Down

$0

Down $2,537,239 (-100%) from 2016

Liabilities

Down

$0

Down $1,452,793 (-100%) from 2016

Net Assets

Down

$0

Down $1,084,446 (-100%) from 2016

Revenue

Up

$800,716

Up $27,846 (+3.6%) from 2016

Expenses

Up

$1,885,162

Up $1,423,920 (+309%) from 2016

Net Income

Down

-$1,084,446

Down $1,396,074 (-448%) from 2016

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$3.0M$2.0M$1.0M$0Assets 2011: $3,336,846Liabilities 2011: $2,564,028Net Assets 2011: $772,8182011Assets 2012: $3,250,389Liabilities 2012: $2,477,571Net Assets 2012: $772,8182012Assets 2013: $3,132,244Liabilities 2013: $2,359,426Net Assets 2013: $772,8182013Assets 2014: $2,978,224Liabilities 2014: $2,205,406Net Assets 2014: $772,8182014Assets 2015: $2,933,271Liabilities 2015: $2,160,453Net Assets 2015: $772,8182015Assets 2016: $2,537,239Liabilities 2016: $1,452,793Net Assets 2016: $1,084,4462016Assets 2017: $0Liabilities 2017: $0Net Assets 2017: $02017

Highlighted filing

2017

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$2.0M$1.0M$0-$1.0M-$2.0MRevenue 2011: $662,564Expenses 2011: $400,751Net Income 2011: $261,8132011Revenue 2012: $695,127Expenses 2012: $432,450Net Income 2012: $262,6772012Revenue 2013: $717,055Expenses 2013: $421,731Net Income 2013: $295,3242013Revenue 2014: $739,531Expenses 2014: $394,634Net Income 2014: $344,8972014Revenue 2015: $752,446Expenses 2015: $427,182Net Income 2015: $325,2642015Revenue 2016: $772,870Expenses 2016: $461,242Net Income 2016: $311,6282016Revenue 2017: $800,716Expenses 2017: $1,885,162Net Income 2017: -$1,084,4462017

Highlighted filing

2017

Revenue$800,716
Expenses$1,885,162
Net Income-$1,084,446

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2016 to Jun 30, 2017
Signed
May 7, 2018
Return Version
2016v3.0
Gross Receipts
$800,716
Mission and Program Overview

Mission

Good Samaritan Real Estate, Inc. leases non-residential real estate to affiliated exempt organizations.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$2,333,783$0▼ $2,333,783
Cash and Non-Interest-Bearing Accounts$194,493$0▼ $194,493
Accounts Receivable$6,007$0▼ $6,007
Prepaid Expenses and Deferred Charges$2,956$0▼ $2,956
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Total Assets$2,537,239$0▼ $2,537,239
Other Assets Total-$0-
Liabilities
Other Liabilities$1,400,000--
Accounts Payable and Accrued Expenses$52,793--
Total Liabilities$1,452,793$0▼ $1,452,793
Net Assets / Fund Balance
Unrestricted Net Assets$1,084,446--
Total Net Assets Fund Balance$1,084,446$0▼ $1,084,446
Total Liabilities and Net Assets / Fund Balance$2,537,239$0▼ $2,537,239
Compensation and Service Providers

Board Members and Trustees

NameTitle
John Welch MDChairman
Robert LongoFormer President
Donald DreibelbisVice Chairman
Thomas HarlowPres./Director
Kevin MosserCEO-wsh
Michael O'ConnorCFO-wsh
Lisa DreibelbisFormer Secretary
Robert RichardsFormer Treasurer
Frederick WolfsonSecr/Treas
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$800,694
Investment Income
$22
Other Revenue
$0
Change in Net Assets
$-1,084,446

Audited Revenue Reconciliation

Revenue per Audited Statements
$800,716
Total Revenue per Audited Statements
$800,716
Total Revenue per Form 990
$800,716
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,588,881
Other Expenses$296,281
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,588,881--$1,588,881
Depreciation Depletion$127,095--$127,095
Interest$45,739--$45,739
Fees for Services Management-$35,000-$35,000
Insurance$11,710--$11,710
Other Expenses$11,178--$11,178
Fees for Services Accounting-$2,240-$2,240
All Other Expenses$499--$499
Office Expenses$7--$7
Total Functional Expenses$1,847,922$37,240$0$1,885,162

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$1,885,162
Expenses Not Reported on Financial Statements$1,588,881
Expenses per Audited Statements$296,281
Total Expenses per Audited Statements$296,281
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Grant-WellSpan PropertiesYork, PA501(c)(3)Merge 501(c) together$0
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

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-Partner WelchLease to WellSpanNo$285,000
-Partner WolfsonLease Lab BuildingNo$186,031

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
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
Yes
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
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents

Effective June 30, 2017, Good Samaritan Real Estate merged with WellSpan Properties. The surviving entity is WellSpan Properties.

Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder

Good Samaritan Hospital, a nonprofit corporation is the sole member of Good Samaritan Real Estate, Inc

Form 990, Part VI, Line 7A: How Members or Shareholders Elect Governing Body

The Board of Directors of the Organization (Board) shall be elected by the Board of Directors of the Member. The Member shall determine annually the number of Directors, which shall in no event be less than one (1) person, nor more than six (6) persons. Nominations for Directors to the Member's Nominating Committee for Directors.The person who serves as President of the Member shall be a Director of the Organization.All Directors shall be selected for their experience, relevant areas of interest and expertise, and ability and willingness to participate actively and effectively in fulfilling the Board of Directors' responsibilities without conflicting interests.

Form 990, Part VI, Line 7B: Describe Decisions of Governing Body Approval by Members or Shareholders

The Member may, with respect to the Organization, initiate and implement any of the following actions, and if any of the following actions are otherwise initiated by the Organization, such action shall not become effective unless approved by the Member:a) Approval of the adoption, amendment or revocation of the Corporation's Articles of Incorporation and/or Bylaws;b) Approval of all fundamental transactions involving the Organization, including the reorganization, merger, sale of all or substantially all of the assets of the Organization or the dissolution of the Organization;c) Approval of investment of the Organization's assets other than in accordance with a WellSpan approved investment policy;d) Incurrence or issuance of debt in excess of limits established by a WellSpan policy that may be in effect from time to time;e) The transfer or sale of assets in excess of limits established by WellSpan policy that may be in effect from time to time;f) Approval of the Corporation's operating and capital budgets;g) Approval of capital expenditures in excess of WellSpan's approved budgeth) The requirement that the Member make any capital contributions to the Organization;i) Appointment and reappointment of individuals to serve on the Organization's Board of Directors and appointment and reappointment of the Organization's officers;j) Removal of the Organization's directors and officers, with or without cause;k) Approval of any outside legal counsel that may be recommended by the Organization for the Organization's local needs or activities;l) Adoption of or changes to the Organization's statement of mission and vision, strategic and operating plans, or any changes thereto;m) Approval of the creation by the Organization of any new (or changes to existing) lines of business, sites of business, subsidiary organizations and/or participation in partnerships or joint ventures;n) Any change or transfer of the Member's membership interest in the Organization or the creation or issuance of any additional membership interests in the Organization.

Form 990, Part VI, Line 11B: Form 990 Review Process

Management provided an electronic copy of the form 990 to each voting member of the organization's governing body, prior to its filing with the IRS. The organization's finance management team provided a presentation to the Audit Committee on the organization's 990 return.

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

Officers, directors, and key employees fill out a WellSpan Health Conflict of Interest Disclosure Statement questionnaire annually. The questionnaire is administered by the Internal Audit Department of WellSpan Health, the Parent Company.There shall be full disclosure by any Director having a business or personal interest or relationship which may be in conflict with the interests of the Corporation. After such disclosure the Director shall abide by the determination of the Board of Directors as to whether a conflict exists, the extent to which, if at all, the Director will be permitted to be present during the Board of Directors' discussion of the matter in which the Director may be interested, and whether the Director will be permitted to participate in such discussion and cast a vote in such matter.

Form 990, Part VI, Line 15B: Compensation Review and Approval Process for Officers and Key Employees

This organization does not directly compensate any employees. The following procedure is followed by our parent company and affiliates in setting compensation. The Compensation Committee of WellSpan Health is responsible for rewarding and reinforcing key executives for the achievement of annual and long-term performance objectives. The Compensation Committee shall consist of not more than six (6) persons, of whom two (2) shall be the Chairman and Vice Chairman of the Board of the Corporation, and the remaining members shall be such other persons as may be appointed by the Chairman of the Board of the Corporation, with the approval of the Board of Directors; provided, however, that the Compensation Committee shall not include any persons who are employed by the System. The Chairman of the Board of Gettysburg Hospital shall participate. The role of the Compensation Committee is to set the Executive Compensation Philosophy for the system and ensure adherence, evaluate performance and establish compensation for the WellSpan President, evaluate team performance of the executive team and establish awards, review and approve senior executive base salary ranges, and oversee employed physician compensation programs. The Committee will approve salary ranges for each executive position and review incumbent salaries annually. The Committee will be responsible for reviewing the President's salary each year, and if warranted, authorizing an adjustment to maintain competitiveness. The President will have the authority to make salary adjustments for subordinate positions. The Committee is responsible for approving and authorizing payment of the performance awards. The Committee will approve and authorize payment of the President's performance awards. Integrated Healthcare Strategies, Inc., based in Minneapolis Minnesota is the external consultant to the committee. This consultant focuses exclusively on executive and physician compensation in the health care industry. In summary, the executive and physician compensation review process consists of the following: 1) Cash compensation reviewed annually 2) Cash compensation reviewed by external consultant biennially 3) external total compensation (cash, incentives, benefits, perquisites) reviewed by external consultant periodically 4) Process is integrated with compensation analysis for other WellSpan positions 5) Committee decisions are documented in minutes maintained in Human Resources.

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

Governing documents, policies, and financial statements are available upon request.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Real Estate Inc
EIN
23-2447262
Phone
7178513055
Address
PO BOX 2767, YORK, PA 17405

Signing Officer

Name
Michael O'Connor
Title
CFO
Signed
2018-05-07
Discuss with paid preparer
No

Organization Details

Principal Officer
Kevin Mosser MD
Formed
1986
Legal Domicile
Pa
Voting Board Members
4
Independent Board Members
1
Employees
0
Volunteers
3

Preparer

Firm
WellSpan Health
Address
3350 WHITEFORD ROAD, YORK, PA 17402
Preparer
See Attached
Phone
7038930600
Supplemental Narrative

Additional Explanations

Client Note 1

Client Note 1 - Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543

Form 990, Part III, Line 3: Ceased Conducting or Significant Changes To Services

Effective June 30, 2017, Good Samaritan Real Estate merged with WellSpan Properties. The surviving entity is WellSpan Properties.

Signature Block - Paid Preparer Explanation

Paid Preparer ExplanationDue to a software limitation, we wish to clarify that WellSpan Health is the ERO.The paid preparer is:BDO USA, LLP13-53815908401 Greensboro Drive, Suite 800McLean, VA 22102(703) 893-0600The preparers name is Jeffrey Schragg, PTIN P00234543

Financial Statement Notes

Part X : FIN48 Footnote

In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2017.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0In June 2006, the Financial Accounting Standards Board (FASB) issued Interpretation NO. 48, Accounting for Uncertainty in Income Taxes-an interpretation of FASB Statement NO. 109, Accounting for Income Taxes (FIN 48), which creates a single model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing the minimum recognition threshold a tax position is required to meet before being recognized in the financial statements. Under the requirements of FIN 48, tax-exempt organizations could now be required to record an obligation as the result of a tax position they have historically taken or various tax exposure items. Prior to FIN 48, the determination of when to record a liability for tax exposure was based on whether a liability was considered probable and reasonably estimable in accordance with SFAS No.5, Accounting for Contingencies. On July 1, 2007, the parent company, WellSpan Health, adopted FIN 48. WellSpan Health determined that it does not have any uncertain tax positions through June 30, 2017.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X : FIN48 Footnote
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IRS990ScheduleI/RecipientTable/CashGrantAmt00
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(c)(3)
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt01588881
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0Buildings
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Merge 501(c) together
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0Grant-WellSpan Properties
IRS990ScheduleI/RecipientTable/RecipientEIN0222842252
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0PO Box 2767
IRS990ScheduleI/RecipientTable/USAddress/CityNm0York
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0PA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd017405
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0Book Value
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0Pursuant to the May 19th 2017 Merger Resolution, Good Samaritan Real Estate Inc and WellSpan Properties merged into WellSpan Properties, a 501(c)(3) corporation. This merger is in accordance with the Affiliation Agreement between Good Samaritan Hospital and WellSpan Health, the parent of all WellSpan entities, in order to combine all real estate companies under the umbrella of WellSpan Health Care Services.WellSpan Health Care Services, a 501 (c)(3) corportion is the parent company of WellSpan Properties, a 501(c)(3) corporation, whose purpose is to develop medical centers and lease to exempt affiliates of WellSpan Health. WellSpan Properties was formed by WellSpan Health (WSH) as a means of handling real estate transactions for facilities to be used in furthering WSH's mission of improving access to coordinated, high-quality, cost effective and compassionate healthcare services.WellSpan Health, a 501(c)(3) corporation is the parent company of WellSpan Health Care Services.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Additional Supplemental Information
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Kevin Mosser
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1Lisa Dreibelbis
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Michael O'Connor
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm3Robert Longo
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm4Robert Richards
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm5Thomas Harlow
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0CEO-WSH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Former Secretary
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2CFO-WSH
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt3Former President
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt4Former Treasurer
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt5Pres./Director
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt0Shanda Enterprises
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0Partner Wolfson
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IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1Lease to WellSpan
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(c)(3)

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