Liabilities / Assets
Score unavailable
Liabilities-to-assets requires both liabilities and assets on this filing.
Good Samaritan Physician Services
990EZ • Fiscal year 2020 • EIN 25-1832359
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
No value available
Liabilities / Revenue
Score unavailable
Liabilities-to-revenue requires both liabilities and revenue on this filing.
Net Margin
Score unavailable
Net margin requires both revenue and expenses on this filing.
Top Officer Pay
76th percentile
Higher top officer pay than 76% of similar nonprofits.
Asset Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Revenue Growth
Score unavailable
A valid growth rate could not be computed from the available filing history.
Balance Sheet
Assets
Flat$0
Flat from 2019
Net Assets
Flat$0
Flat from 2019
Liabilities
-
No earlier filing loaded for comparison.
Revenue And Expenses
Revenue
Flat$0
Flat from 2019
Expenses
-
No earlier filing loaded for comparison.
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Jul 1, 2019 to Jun 30, 2020
- Signed
- May 14, 2021
- Return Version
- 2019v5.0
Mission and Program Overview
Mission
Good Samaritan Physician Services' mission is improving the health of patients and our communities as a multi-specialty group, built on a foundation of primary care and prevention, and coordinated within a comprehensive system of care to deliver exceptional and affordable health services. Good Samaritan Physician Services provides care without regard for an individual's health status or ability to pay.
Program Services
| Description | Grants | Expenses |
|---|---|---|
| Good Samaritan Physician Services is a non-profit group of physician practices that provides preventive services, primary care, as well as specialty services to the residents of Lebanon County and surrounding communities.See WellSpan Health - 2020 Community Benefit Report located at https://www.wellspan.org/about/wellspan-in-the-community/ | - | - |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| Larry Miller | Director | - | $0 | - | - |
| Harris Baderak DO | Director | - | $0 | - | - |
| Maria Royce | Director | - | $0 | - | - |
| Joe Crosswhite | Director | - | $0 | - | - |
| Almira Contractor MD | Dir.Start 11/19 | - | $0 | - | - |
| Ed Tadajweski MD | Dir.Start 11/19 | - | $0 | - | - |
| Michael O'Connor | CFO-Wsh | - | $0 | - | - |
| Jeff Lobach | Director | - | $0 | - | - |
| Lee Maddox MD | Director | - | $0 | - | - |
| Angie Heiland MD | Chairman | - | $0 | - | - |
| Robert Pargament MD | Director | - | $0 | - | - |
| Gilbert Sager | Director | - | $0 | - | - |
| Mark Smith MD | Vice Chair | - | $0 | - | - |
| Karen Jones MD | Pres/Secretary | - | $0 | - | - |
| Roxanna Gapstur | Pres. & CEO-Wsh | - | $0 | - | - |
Insider Transactions and Loans
Interested-Person Transactions
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Partner Lobach | Legal Serv WSH affil | No | $1,617,798 |
| - | Sr VP Crosswhite | Banking Fees WSH affiliat | No | $343,091 |
Filing and Contact Details
Filer
- Filer Name
- Good Samaritan Physician Services
- EIN
- 25-1832359
- Phone
- 7178513055
- Address
- PO BOX 2767, YORK, PA 17405
Signing Officer
- Name
- Laura Buczkowski
- Title
- CFO
- Signed
- 2021-05-14
- Discuss with paid preparer
- No
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 Marc Berger, PTIN P01871563”
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 Marc Berger, PTIN P01871563”
Raw XML Appendix181 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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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/PersonNm | 12 | Mark Smith MD |
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| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 4 | Dir.start 11/19 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 5 | Dir.start 11/19 |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 6 | CFO-WSH |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 7 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 8 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 9 | Chairman |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 10 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 11 | Director |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 12 | Vice Chair |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 13 | Pres/Secretary |
| IRS990EZ/OfficerDirectorTrusteeEmplGrp/TitleTxt | 14 | Pres. & CEO-WSH |
| IRS990EZ/OperateHospitalInd | 0 | false |
| IRS990EZ/Organization501c3Ind | 0 | X |
| IRS990EZ/OrganizationDissolvedEtcInd | 0 | false |
| IRS990EZ/OrganizationHadUBIInd | 0 | false |
| IRS990EZ/PartVIHghstPdCntrctProfSrvcTxt | 0 | NONE |
| IRS990EZ/PartVIOfCompOfHghstPdEmplTxt | 0 | NONE |
| IRS990EZ/PoliticalCampaignActyInd | 0 | false |
| IRS990EZ/PrimaryExemptPurposeTxt | 0 | Good Samaritan Physician Services' mission is improving the health of patients and our communities as a multi-specialty group, built on a foundation of primary care and prevention, and coordinated within a comprehensive system of care to deliver exceptional and affordable health services. Good Samaritan Physician Services provides care without regard for an individual's health status or ability to pay. |
| IRS990EZ/ProgramSrvcAccomplishmentGrp/DescriptionProgramSrvcAccomTxt | 0 | Good Samaritan Physician Services is a non-profit group of physician practices that provides preventive services, primary care, as well as specialty services to the residents of Lebanon County and surrounding communities.See WellSpan Health - 2020 Community Benefit Report located at https://www.wellspan.org/about/wellspan-in-the-community/ |
| IRS990EZ/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990EZ/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990EZ/ScheduleBNotRequiredInd | 0 | X |
| IRS990EZ/SchoolOperatingInd | 0 | false |
| IRS990EZ/SpecialEventsDirectExpensesAmt | 0 | 0 |
| IRS990EZ/StatesWhereCopyOfReturnIsFldCd | 0 | PA |
| IRS990EZ/SubjectToProxyTaxInd | 0 | false |
| IRS990EZ/TanningServicesProvidedInd | 0 | false |
| IRS990EZ/TaxImposedOnOrganizationMgrAmt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4911Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4912Amt | 0 | 0 |
| IRS990EZ/TaxImposedUnderIRC4955Amt | 0 | 0 |
| IRS990EZ/TaxReimbursedByOrganizationAmt | 0 | 0 |
| IRS990EZ/TotalRevenueAmt | 0 | 0 |
| IRS990EZ/TransactionWithControlEntInd | 0 | false |
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| IRS990EZ/TypeOfOrganizationCorpInd | 0 | X |
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| IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/First5Years509Ind | 0 | X |
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| IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt | 0 | 65248373 |
| IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/InvestmentIncomeCYPct | 0 | 0.00000 |
| IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/OtherIncome509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Post1975UBTIGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/PubliclySupportedOrg509a2Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY509Pct | 0 | 0.00000 |
| IRS990ScheduleA/PublicSupportTotal509Amt | 0 | 74661489 |
| IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt | 0 | 0 |
| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt | 0 | 4990318 |
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| IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt | 0 | 27027557 |
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| IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt | 0 | 27027557 |
| IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt | 0 | 74661489 |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt | 0 | Barley Snyder LLC |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/BusinessName/BusinessNameLine1Txt | 1 | M & T Bank |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt | 0 | Partner Lobach |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt | 1 | Sr VP Crosswhite |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd | 0 | false |
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| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc | 0 | Legal Serv WSH affil |
| IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc | 1 | Banking Fees WSH affiliat |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | 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 Marc Berger, PTIN P01871563 |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 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 Marc Berger, PTIN P01871563 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Client Note 1 |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Signature Block - Paid Preparer Explanation |
| ReturnHeader/BuildTS | 0 | 2022-09-23 18:48:47Z |
| ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd | 0 | false |
| ReturnHeader/BusinessOfficerGrp/PersonNm | 0 | Laura Buczkowski |
| ReturnHeader/BusinessOfficerGrp/PersonTitleTxt | 0 | CFO |
| ReturnHeader/BusinessOfficerGrp/SignatureDt | 0 | 2021-05-14 |
| ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt | 0 | GOOD SAMARITAN PHYSICIAN SERVICES |
| ReturnHeader/Filer/BusinessNameControlTxt | 0 | GOOD |
| ReturnHeader/Filer/EIN | 0 | 251832359 |
| ReturnHeader/Filer/PhoneNum | 0 | 7178513055 |
| ReturnHeader/Filer/USAddress/AddressLine1Txt | 0 | PO BOX 2767 |
| ReturnHeader/Filer/USAddress/CityNm | 0 | YORK |
| ReturnHeader/Filer/USAddress/StateAbbreviationCd | 0 | PA |
| ReturnHeader/Filer/USAddress/ZIPCd | 0 | 17405 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmEIN | 0 | 135381590 |
| ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt | 0 | WellSpan Health |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt | 0 | 3350 WHITEFORD ROAD |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm | 0 | YORK |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd | 0 | PA |
| ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd | 0 | 17402 |
| ReturnHeader/PreparerPersonGrp/PhoneNum | 0 | 7038930600 |
| ReturnHeader/PreparerPersonGrp/PreparerPersonNm | 0 | See Attached |
| ReturnHeader/ReturnTs | 0 | 2021-05-14T05:06:20-07:00 |
| ReturnHeader/ReturnTypeCd | 0 | 990EZ |
| ReturnHeader/TaxPeriodBeginDt | 0 | 2019-07-01 |
| ReturnHeader/TaxPeriodEndDt | 0 | 2020-06-30 |
| ReturnHeader/TaxYr | 0 | 2019 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2020 • Form 990EZDetailed filing. Detailed filing data is available for this year.
- Assets
- $0
- Liabilities
- -
- Net assets
- $0
- Revenue
- $0
- Expenses
- -
- Net income
- -