Good Samaritan Hospital Inc

“The sole member of good samaritan hospital is trinity health georgia. See line 7 for additional information.”

“Trinity health georgia is the sole member of good samaritan hospital. Trinity health georgia has the right to appoint all persons to the board of directors of good samaritan hospital.”

“As sole member, trinity health georgia must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. Trinity health georgia must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, and modifications to governing documents. As the parent of the national trinity health system, certain powers are reserved to trinity health corporation. These include the authority to adopt or modify the organization's governing documents, to approve major changes such as a merger or dissolution, and to approve significant finance matters in excess of certain limits established by trinity health corporation.”

“Line 8b is answered "no" because good samaritan hospital had no committees with authority to act on behalf of the governing body.”

“Prior to filing, the form 990 for good samaritan hospital is reviewed by senior management. In addition, certain key sections of the form are reviewed by the board of directors. Each member of the board receives a copy of the return in its final form before it is filed with the internal revenue service.”

“Good samaritan hospital has adopted trinity health's governance policy no. 1, which sets forth the organization's conflict of interest policy and processes. It applies to all "interested persons" of good samaritan hospital, which includes directors, principal officers, and key employees. Interested persons are expected to discharge their duties in a manner the person reasonably believes to be in the best interests of good samaritan hospital and to avoid situations involving a conflict of interest. On an annual basis, interested persons are required to complete a conflict of interest disclosure statement and to affirm their receipt of the conflict of interest policy, compliance with its requirements, and agree to notify the organization of changes impacting their annual disclosure in accordance with the policy. The annual disclosures are provided to the integrity and compliance officer, who collaborates with internal legal counsel to assess the conflict and identify a conflict management plan when necessary. Additionally, the integrity and compliance officer along with legal counsel prepares a report for the board chair and ceo. A summary of potential conflicts is reviewed with the board of directors of good samaritan hospital on a yearly basis. Interested persons are required to make full disclosure to good samaritan hospital of any financial or business interests that might result in or have the appearance of a conflict of interest. The board of directors of good samaritan hospital is responsible for the review of transactions to determine whether an actual conflict of interest exists. In the event of an actual conflict, the board will either avoid the conflict or appropriately scrutinize the transaction to ensure it is in the best interests of good samaritan hospital. Interested persons are required to recuse themselves from discussion and voting on matters involving a conflict of interest. The policy further addresses the proper documentation of the proceedings and potential disciplinary and corrective action for violations of the policy. The policy is available to the public upon request.”

“Questions 15a and 15b are answered "no" because the compensation for certain officers and key management officials of good samaritan hospital is established by trinity health, a related organization. In establishing system ceo and cfo compensation, trinity health follows a process and policy that is intended to mirror the irc section 4958 guidelines for obtaining a "rebuttable presumption of reasonableness" with regard to compensation and benefits. As part of that process, the compensation and benefits of the system ceo and cfo of good samaritan hospital are reviewed at least annually by the trinity health board or the trinity health human resources and compensation committee (hrcc) of the board, authorized to act on behalf of the board with respect to certain compensation matters. As part of its review process, the hrcc retains an independent firm experienced in compensation and benefit matters for not-for-profit health care organizations to advise it in the determinations it makes on the reasonableness of proposed compensation and benefits arrangements. For other executives who are not part of the rebuttable presumption process, trinity health uses a market analysis to determine the appropriateness of the executive's compensation.”

“Good samaritan hospital is a subsidiary organization in the trinity health system. Trinity health makes certain of its key documents available to the public on its website, www.trinity-health.org, in the "about us" section. In this section, the consolidated audited financial statements are publicly available. In addition, good samaritan hospital includes a copy of its most recently filed schedule h on trinity health's website. Good samaritan hospital's governing documents and conflict of interest policy are available upon request.”

“Contract labor: program service expenses 118,577. Management and general expenses 0. Fundraising expenses 0. Total expenses 118,577. Medical specialist fees: program service expenses 1,428,741. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,428,741. Consulting services: program service expenses 1,581. Management and general expenses 1,400. Fundraising expenses 0. Total expenses 2,981. Laundry and linen services: program service expenses 142,653. Management and general expenses 0. Fundraising expenses 0. Total expenses 142,653. Miscellaneous purchased services: program service expenses 293,620. Management and general expenses 3,007,572. Fundraising expenses 0. Total expenses 3,301,192. Medical services: program service expenses 369,372. Management and general expenses 0. Fundraising expenses 0. Total expenses 369,372.”

“Equity transfers from affliates 230,043.”

“Good samaritan hospital's financial statements were included in the fy24 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.”

“St. Mary's good samaritan hospital”