Civic Intelligence

Good Samaritan Hospital Auxiliary

990 • Fiscal year 2013 • EIN 23-7049599

Jan 01, 2013 to Dec 31, 2013 • Filed on May 16, 2014

Organization ProfileN/A
1 Good Samaritan Way62864

(618) 242-5447

Siviq Scores

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

Liabilities / Assets

78th percentile

0.12x

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

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

83rd percentile

0.12x

Higher debt load relative to revenue than 83% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

35th percentile

-2.5%

Higher net margin than 35% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$0

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

28th percentile

-11%

Faster asset growth than 28% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Balance Sheet
Liabilities / Assets78th percentile

Assets

Down

$84,618

Down $10,293 (-11%) from 2012

Net Assets

Down

$74,410

Down $2,157 (-2.8%) from 2012

Liabilities

Down

$10,208

Down $8,136 (-44%) from 2012

Revenue And Expenses
Liabilities / Revenue83rd percentileNet Margin35th percentile

Revenue

$87,489

No earlier filing loaded for comparison.

Expenses

Down

$89,646

Down $30,172 (-25%) from 2012

Net Income

-$2,157

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth28th percentile

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

$200K$150K$100K$50K$0Assets 2010: $87,808Liabilities 2010: $10,252Net Assets 2010: $77,5562010Assets 2011: $74,668Liabilities 2011: $8,469Net Assets 2011: $66,1992011Assets 2012: $94,911Liabilities 2012: $18,344Net Assets 2012: $76,5672012Assets 2013: $84,618Liabilities 2013: $10,208Net Assets 2013: $74,4102013Assets 2014: $102,102Liabilities 2014: $46,895Net Assets 2014: $55,2072014Assets 2015: $97,481Liabilities 2015: $30,118Net Assets 2015: $67,3632015Assets 2016: $109,488Liabilities 2016: $33,010Net Assets 2016: $76,4782016Assets 2017: $62,052Liabilities 2017: $2,638Net Assets 2017: $59,4142017Assets 2018: $52,887Liabilities 2018: $1,956Net Assets 2018: $50,9312018Assets 2019: $156,928Liabilities 2019: $0Net Assets 2019: $156,9282019Assets 2020: $129,936Liabilities 2020: $0Net Assets 2020: $129,9362020Assets 2021: $73,225Liabilities 2021: $0Net Assets 2021: $73,2252021Assets 2022: $41,089Liabilities 2022: $0Net Assets 2022: $41,0892022Assets 2024: $38,451Liabilities 2024: $0Net Assets 2024: $38,4512024

Highlighted filing

2013

Assets$84,618
Liabilities$10,208
Net Assets$74,410
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$200K$100K$0-$100KExpenses 2010: $100,7422010Expenses 2011: $148,3082011Expenses 2012: $119,8182012Revenue 2013: $87,489Expenses 2013: $89,646Net Income 2013: -$2,1572013Revenue 2014: $75,232Expenses 2014: $94,435Net Income 2014: -$19,2032014Revenue 2015: $72,061Expenses 2015: $59,905Net Income 2015: $12,1562015Revenue 2016: $83,933Expenses 2016: $74,818Net Income 2016: $9,1152016Revenue 2017: $85,160Expenses 2017: $102,224Net Income 2017: -$17,0642017Revenue 2018: $59,164Expenses 2018: $67,647Net Income 2018: -$8,4832018Revenue 2019: $118,155Expenses 2019: $12,158Net Income 2019: $105,9972019Revenue 2020: -$22,492Expenses 2020: $4,500Net Income 2020: -$26,9922020Revenue 2021: $33,289Expenses 2021: $90,000Net Income 2021: -$56,7112021Revenue 2022: $58,864Expenses 2022: $91,000Net Income 2022: -$32,1362022Revenue 2024: $53,393Expenses 2024: $55,967Net Income 2024: -$2,5742024

Highlighted filing

2013

Revenue$87,489
Expenses$89,646
Net Income-$2,157
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
May 16, 2014
Return Version
2013v3.1
Gross Receipts
$246,184
Mission and Program Overview

Mission

The good samaritan hospital auxiliary's primary purpose is to promote and advance the mission of the health center through activities approved by the governing board.(inform public of health center's program and activities, provide various services to the health center and its patients, and promote fund-raising projects.)

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$75,881$56,478▼ $19,403
Inventories for Sale or Use$19,030$28,140▲ $9,110
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$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-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$94,911$84,618▼ $10,293
Other Assets Total-$0-
Liabilities
Accounts Payable and Accrued Expenses$18,344$10,208▼ $8,136
Total Liabilities$18,344$10,208▼ $8,136
Net Assets / Fund Balance
Unrestricted Net Assets$73,348$71,191▼ $2,157
Temporarily Rstr Net Assets$3,219$3,219→ $0
Total Net Assets Fund Balance$76,567$74,410▼ $2,157
Total Liabilities and Net Assets / Fund Balance$94,911$84,618▼ $10,293
Compensation and Service Providers
Top Officer Pay73rd percentile

Board Members and Trustees

NameTitle
Robert BrownPresident
Jane Byars1st VICE PRES
Judith Heitmeyer2nd VICE PRES
Brad ForsbergMember at Large
Cleo HoltMember at Large
Linda HoffmanMember at Large
Sharon HortonMember at Large
Eloise MorrisSecretary
Marcia SpillerTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$65
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$87,424
All Other Contributions
$65
Change in Net Assets
$-2,157
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$88,030
Other Expenses$1,616
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$83,030--$83,030
Grants to Domestic Individuals$5,000--$5,000
Fees for Services Accounting-$1,392-$1,392
Office Expenses$97$97-$194
Other Expenses-$30-$30
Total Functional Expenses$88,127$1,519$0$89,646
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
43-0653587--Assist with purchase of piano$82,245
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$3,830
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
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
No
Backup withholding compliance
No
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
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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

“The officers of the governing board review the Form 990 prior to its filing with the Internal Revenue Service.”

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

“The officers of the governing board make the organizations' governing documents, conflict of interest policy, and financial reports available to the public upon request.”

Filing and Contact Details

Filer

EIN
23-7049599
Phone
6182425447

Signing Officer

Name
Marcia Spiller
Title
Treasurer
Signed
2014-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Robert Brown
Formed
1969
Legal Domicile
Il
Voting Board Members
10
Independent Board Members
10
Employees
1
Volunteers
80

Preparer

Preparer
Phyllis Silger
Phone
6182442666
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IRS990/ReportProgramRelatedInvstInd0false
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/Contribution35ControlledInd0false
IRS990ScheduleA/ContributionControllerInd0false
IRS990ScheduleA/ContributionFamilyInd0false
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0430653587
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeDesc07
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt082530
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine10GOOD SAMARITAN REGIONAL HEALTH CENT
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrgNotifiedInd0true
IRS990ScheduleA/SupportedOrgInformationGrp/USOrganizedInd0true
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType3FuncIntInd0X
IRS990ScheduleA/SupportSumAmt082530
IRS990/ScheduleBRequiredInd0false
IRS990ScheduleI/GrantRecordsMaintainedInd0true
IRS990ScheduleI/RecipientTable/CashGrantAmt082245
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt0285
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0Piano Tapes
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0Assist with purchase of piano
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine10GOOD SAM REGIONAL HEALTH CENT
IRS990ScheduleI/RecipientTable/RecipientEIN0430653587
IRS990ScheduleI/RecipientTable/USAddress/AddressLine101 SAMARITAN WAY
IRS990ScheduleI/RecipientTable/USAddress/City0MT VERNON
IRS990ScheduleI/RecipientTable/USAddress/State0IL
IRS990ScheduleI/RecipientTable/USAddress/ZIPCode062864
IRS990ScheduleI/RecipientTable/ValuationMethodUsedDesc0Cost
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The officers of the governing board review the Form 990 prior to its filing with the Internal Revenue Service.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE OFFICERS OF THE GOVERNING BOARD MAKE THE ORGANIZATIONS' GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL REPORTS AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990ScheduleR/AssetExchangeInd0false
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd0false
IRS990ScheduleR/AssetSaleToOtherOrgInd0false
IRS990ScheduleR/DivRelatedOrganizationInd0false
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd0true
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd0false
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine10GOOD SAMARITAN REGIONAL HEALTH CENTER
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0430653587
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(c)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0HOSPITAL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt07, TYPE III- FI
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine101 GOOD SAMARITAN WAY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/City0MTVERNON
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/State0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCode062864
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd0false
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd0false
IRS990ScheduleR/PaidEmployeesSharingInd0false
IRS990ScheduleR/PerformOfServicesByOtherOrgInd0false
IRS990ScheduleR/PerformOfServicesForOthOrgInd0false
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd0false
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd0false
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd0false
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd0false
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd0false
IRS990ScheduleR/SharingOfFacilitiesInd0false
IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt082530
IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt0Cash & NonCash
IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine10GOOD SAMARITAN REGIONAL HEALTH CENTER
IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt0c
IRS990ScheduleR/TransferFromOtherOrgInd0false
IRS990ScheduleR/TransferToOtherOrgInd0false
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt03219
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt03219
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt094911
IRS990/TotalAssetsEOYAmt084618
IRS990/TotalAssetsGrp/BOYAmt094911
IRS990/TotalAssetsGrp/EOYAmt084618
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt065
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt01519
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt088127
IRS990/TotalFunctionalExpensesGrp/TotalAmt089646
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt018344
IRS990/TotalLiabilitiesEOYAmt010208
IRS990/TotalLiabilitiesGrp/BOYAmt018344
IRS990/TotalLiabilitiesGrp/EOYAmt010208
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt076567
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt074410
IRS990/TotalProgramServiceExpensesAmt088127
IRS990/TotalProgramServiceRevenueAmt00
IRS990/TotalRevenueGrp/ExclusionAmt087424
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt087489
IRS990/TotalVolunteersCnt080
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt094911
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt084618
IRS990/TransactionWithControlEntInd0false
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt073348
IRS990/UnrestrictedNetAssetsGrp/EOYAmt071191
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine106 HILLCREST DR
IRS990/USAddress/City0MTVERNON
IRS990/USAddress/State0IL
IRS990/USAddress/ZIPCode062864
IRS990/VotingMembersGoverningBodyCnt010
IRS990/VotingMembersIndependentCnt010
IRS990/WebsiteAddressTxt0N/A

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2013 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$84,618
Liabilities
$10,208
Net assets
$74,410
Revenue
$87,489
Expenses
$89,646
Net income
-$2,157
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.38$0.00$0.38$0.53$0.56$0.03
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.41$0.00$0.41$0.59$0.91$0.32
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.73$0.00$0.73$0.33$0.90$0.57
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.30$0.00$1.30$0.22$0.05$0.27
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.57$0.00$1.57$1.18$0.12$1.06
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.53$0.02$0.51$0.59$0.68$0.08
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.62$0.03$0.59$0.85$1.02$0.17
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.09$0.33$0.76$0.84$0.75$0.09
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.97$0.30$0.67$0.72$0.60$0.12
2014Detailed filing. Detailed filing data is available for this year.$1.02$0.47$0.55$0.75$0.94$0.19
2013Detailed filing. Detailed filing data is available for this year.$0.85$0.10$0.74$0.87$0.90$0.02
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.95$0.18$0.77$1.20
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.75$0.08$0.66$1.48
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.88$0.10$0.78$1.01