Civic Intelligence

Good Samaritan Hospital Inc

990 • Fiscal year 2014 • EIN 26-1720984

Jul 01, 2013 to Jun 30, 2014 • Filed on May 12, 2015

5401 Lake Oconee Parkway30642-4232

(706) 389-2615

Siviq Scores

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

Liabilities / Assets

90th percentile

0.90x

Higher debt load relative to assets than 90% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Liabilities / Revenue

87th percentile

2.09x

Higher debt load relative to revenue than 87% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Net Margin

50th percentile

3.4%

Higher net margin than 50% of similar nonprofits.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Top Officer Pay

89th percentile

$675,894

Higher top officer pay than 89% of similar nonprofits.

Top officer pay equals 3.5% of source-year revenue.

2014 filings • 501(c)3 • $25M-$50M nonprofits • Source year 2014

Asset Growth

Score unavailable

No value available

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

Source year 2014

Revenue Growth

Score unavailable

No value available

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

Source year 2014

Assets

Up

$44,968,024

Up $34,654,588 (+336%) from 2010

Net Assets

Up

$4,311,301

Up $2,990,451 (+226%) from 2010

Liabilities

Up

$40,656,723

Up $31,664,137 (+352%) from 2010

Revenue

$19,436,358

No earlier filing loaded for comparison.

Expenses

Up

$18,769,807

Up $3,721,245 (+25%) from 2010

Net Income

$666,551

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$100M$50M$0-$50MAssets 2010: $10,313,436Liabilities 2010: $8,992,586Net Assets 2010: $1,320,8502010Assets 2014: $44,968,024Liabilities 2014: $40,656,723Net Assets 2014: $4,311,3012014Assets 2015: $49,067,029Liabilities 2015: $41,304,796Net Assets 2015: $7,762,2332015Assets 2016: $47,680,131Liabilities 2016: $38,748,667Net Assets 2016: $8,931,4642016Assets 2017: $46,078,663Liabilities 2017: $37,826,610Net Assets 2017: $8,252,0532017Assets 2018: $35,124,255Liabilities 2018: $38,901,708Net Assets 2018: -$3,777,4532018Assets 2019: $34,689,850Liabilities 2019: $39,109,896Net Assets 2019: -$4,420,0462019Assets 2020: $33,552,002Liabilities 2020: $43,338,524Net Assets 2020: -$9,786,5222020Assets 2021: $59,786,458Liabilities 2021: $37,506,709Net Assets 2021: $22,279,7492021Assets 2022: $62,080,044Liabilities 2022: $38,024,356Net Assets 2022: $24,055,6882022Assets 2023: $71,394,351Liabilities 2023: $41,022,946Net Assets 2023: $30,371,4052023Assets 2024: $77,550,140Liabilities 2024: $36,659,371Net Assets 2024: $40,890,7692024

Highlighted filing

2014

Assets$44,968,024
Liabilities$40,656,723
Net Assets$4,311,301

Operations Trend

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

$60M$40M$20M$0-$20MExpenses 2010: $15,048,5622010Revenue 2014: $19,436,358Expenses 2014: $18,769,807Net Income 2014: $666,5512014Revenue 2015: $27,498,575Expenses 2015: $24,047,643Net Income 2015: $3,450,9322015Revenue 2016: $24,557,285Expenses 2016: $23,388,054Net Income 2016: $1,169,2312016Revenue 2017: $24,497,382Expenses 2017: $25,176,793Net Income 2017: -$679,4112017Revenue 2018: $26,416,606Expenses 2018: $26,240,165Net Income 2018: $176,4412018Revenue 2019: $31,133,391Expenses 2019: $27,567,486Net Income 2019: $3,565,9052019Revenue 2020: $31,388,300Expenses 2020: $28,986,316Net Income 2020: $2,401,9842020Revenue 2021: $36,297,937Expenses 2021: $31,425,061Net Income 2021: $4,872,8762021Revenue 2022: $37,880,529Expenses 2022: $33,229,260Net Income 2022: $4,651,2692022Revenue 2023: $37,447,818Expenses 2023: $33,107,244Net Income 2023: $4,340,5742023Revenue 2024: $41,963,849Expenses 2024: $33,293,233Net Income 2024: $8,670,6162024

Highlighted filing

2014

Revenue$19,436,358
Expenses$18,769,807
Net Income$666,551
Jump To
Filing Snapshot
Filing Period
Jul 1, 2013 to Jun 30, 2014
Signed
May 12, 2015
Return Version
2013v4.0
Gross Receipts
$19,486,740
Mission and Program Overview

Mission

We, st. Mary's health care system, inc. And trinity health, serve together in the spirit of the gospel as a compassionate and transforming healing presence within our communities. Good samaritan hospital, inc. Is a member of the st. Mary's health care system, inc. And trinity health.

The mission of good samaritan hospital, inc. Is to be a compassionate healing presence in our community committed to the sacredness of human life and the dignity of each person we serve.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$16,984,326$35,879,340▲ $18,895,014
Investments in Publicly Traded Securities$27,111,748--
Accounts Receivable$2,297,503$3,103,635▲ $806,132
Intangible Assets$546,840--
Inventories for Sale or Use$333,506$375,361▲ $41,855
Cash and Non-Interest-Bearing Accounts$31,077$94,353▲ $63,276
Prepaid Expenses and Deferred Charges$43,743$57,992▲ $14,249
Total Assets$47,749,466$44,968,024▼ $2,781,442
Other Assets Total$400,723$5,457,343▲ $5,056,620
Liabilities
Tax Exempt Bond Liabilities$39,190,638--
Other Liabilities$3,500,925$39,187,073▲ $35,686,148
Accounts Payable and Accrued Expenses$925,387$1,469,650▲ $544,263
Total Liabilities$43,616,950$40,656,723▼ $2,960,227
Net Assets / Fund Balance
Unrestricted Net Assets$4,132,516$4,311,301▲ $178,785
Total Net Assets Fund Balance$4,132,516$4,311,301▲ $178,785
Total Liabilities and Net Assets / Fund Balance$47,749,466$44,968,024▼ $2,781,442

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$27,085,604$706,423$27,792,027
Equipment$6,055,565$2,289,744$8,345,309
Land$1,837,224-$1,837,224
Other Land Buildings$900,947-$900,947
Leasehold Improvements$0$353,425$353,425
Other Assets Org$4,982,361--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Robert DavisPhysicianFT$187,174$23,377$210,551
Celia CovingtonRnFT$128,371$39,038$167,409
Charles N MclurePharmacistFT$112,724$18,547$131,271
Romulo ParungaoPhysicianFT$100,158$6,268$106,426

Board Members and Trustees

NameTitle
Joe GormanChair
D Montez CarterPresident
Jody HaasVice Chair
Martin HutsonVice President/CFO
Avis WilliamsDirector
Fred HunterDirector
Janice GallimoreDirector
John HoffnerDirector
Larry KurlanderDirector
Rick WolfertDirector
Donald MckennaCEO/ Corporate Secretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Brasfield And Gorrie LLCConstruction Services-$22,202,942
Earl Architects LLCArchitectural/design Services-$393,845
Classic City Anesthesia AssocCrna Services And Coverage-$293,600
Emergency Care Of AtlantaPhysician Services-$277,140
Shared Imaging LLCMobile Mri Services-$200,225
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$18,963,867
Investment Income
$-39,817
Other Revenue
$512,308
Change in Net Assets
$666,551
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$10,764,677
Salaries, Compensation, and Employee Benefits$8,005,130
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$5,831,314$735,287-$6,566,601
Fees for Services Other$1,813,659$313,956-$2,127,615
Depreciation Depletion$1,613,594$279,323-$1,892,917
Occupancy$657,393$113,799-$771,192
Interest$590,450$102,211-$692,661
Other Employee Benefits$449,900$53,304-$503,204
Payroll Taxes$411,216$71,184-$482,400
Office Expenses$401,424$69,489-$470,913
Current Officers, Directors, Trustees, and Key Employees-$311,453-$311,453
All Other Expenses$239,447$41,450-$280,897
Pension Plan Contributions$131,443$10,029-$141,472
Information Technology$99,186$17,170-$116,356
Advertising$96,826$16,761-$113,587
Other Expenses$33,585$5,814-$39,399
Travel$22,936$3,970-$26,906
Fees for Services Legal-$19,892-$19,892
Conferences and Meetings-$15-$15
Total Functional Expenses$16,578,059$2,191,748$0$18,769,807
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
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Intercompany Notes Payable$39,054,819
Other Current Liabilities$132,254
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
No
Other officer compensation reviewed
No
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, Section A, Line 6

The sole member of good samaritan hospital, inc. Is st mary's health care system, inc. See line 7 for additional information.

Form 990, Part VI, Section A, Line 7A

St mary's health care system, inc. Is the sole member of good samaritan hospital, inc. St mary's health care system, inc. Has the right to appoint all persons to the board of directors of good samaritan hospital, inc.

Form 990, Part VI, Section A, Line 7B

As sole member, st mary's health care system, inc. Must approve certain decisions of the governing body, including the strategic plan, annual capital plan, and annual operating budget. St mary's health care system, inc. Must also approve significant changes such as a merger, dissolution, sale of assets in excess of certain limits, a material change in mission, and modifications to governing documents.

Form 990, Part VI, Section B, Line 11

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

Form 990, Part VI, Section B, Line 12C

Good samaritan hospital, inc. Has adopted catholic health east's policy 103, which sets forth the organization's conflict of interest policy and processes. Annually, all those serving good samaritan hospital, inc. In a fiduciary capacity, including directors, officers, and key employees receive a copy of the policy and annual disclosure statement to be completed. Disclosures of financial interest or other reportable circumstances as defined in the policy are submitted and reviewed by the organization's ceo and board chair. Summary information is reported to the entire board and is available to the board throughout the year as business comes before the board or management for action. The policy contains a continuing affirmative obligation on all affected individuals to disclose compensation or other circumstances throughout the year which may rise to the level of an actual or apparent conflict. The determination of whether a disclosed financial or other interest constitutes a conflict of interest is made by the board or an appropriate committee thereof comprised of disinterested persons and without the participation of the affected individual except to respond to questions about the disclosure. The policy further addresses the procedure for the board's further consideration of the proposed transaction/matter without the participation of the affected person and the documentation of the proceedings. Lastly, the policy addresses potential disciplinary action for violations of the policy. The policy is available to the public upon request.

Form 990, Part VI, Section B, Line 15

The compensation for good samaritan hospital, inc.'s chief executive officer is established by catholic health east's compensation committee using one or more of the methods described in schedule j, part iii. For other employees, good samaritan hospital, inc. Has adopted catholic health east's process for determining compensation which includes the following: the board has an independent committee review and approve all elements of remuneration for all disqualified parties, as well as other key management. The board/committee has an established compensation philosophy which details the objectives of market positioning and pay elements. The committee engages with external consultants to provide market data comparing the organization's roles to similarly sized health systems utilizing both title and job content comparisons. The committee reviews the market analysis, approves any salary adjustments for the executive population, considers both reasonableness and effectiveness of all remunerative programs and establishes the detailed performance expectations which are incorporated into the incentive plan. All of these discussions and decisions are documented through the provision of meeting minutes.

Form 990, Part VI, Section C, Line 19

Good samaritan hospital, inc. 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, inc. Includes a copy of its most recently filed schedule h on both its own website and trinity health's website. Good samaritan hospital's governing documents and conflict of interest policy are available upon request.

Filing and Contact Details

Filer

EIN
26-1720984
Phone
7063892615

Signing Officer

Name
Martin Hutson
Title
CFO
Phone
7063892615
Signed
2015-05-12

Organization Details

Principal Officer
D Montez Carter
Formed
2008
Legal Domicile
Ga
Voting Board Members
9
Independent Board Members
8
Employees
265
Volunteers
76
Supplemental Narrative

Additional Explanations

Form 990, Part IX, Line 11G

Medical specialist fees : program service expenses 582,674. Management and general expenses 100,864. Fundraising expenses 0. Total expenses 683,538. Collection services : program service expenses 27,695. Management and general expenses 4,794. Fundraising expenses 0. Total expenses 32,489. Misc. Purchased services : program service expenses 1,203,120. Management and general expenses 208,268. Fundraising expenses 0. Total expenses 1,411,388. Recruitment : program service expenses 170. Management and general expenses 30. Fundraising expenses 0. Total expenses 200.

FORM 990, PART XI, LINE 9:

Equity transfers to/from affiliates -487,766.

FORM 990, PART XII, LINE 2:

Good samaritan hospital inc.'s financial statements were included in the fy14 consolidated financial statements of trinity health, which were audited by an independent public accounting firm.

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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/OtherCompensationAmt1037302
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1122221
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1222191
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1318547
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt146268
IRS990/Form990PartVIISectionAGrp/PersonNm0DONALD MCKENNA
IRS990/Form990PartVIISectionAGrp/PersonNm1JOE GORMAN
IRS990/Form990PartVIISectionAGrp/PersonNm2JODY HAAS
IRS990/Form990PartVIISectionAGrp/PersonNm3RICK WOLFERT
IRS990/Form990PartVIISectionAGrp/PersonNm4JANICE GALLIMORE
IRS990/Form990PartVIISectionAGrp/PersonNm5JOHN HOFFNER
IRS990/Form990PartVIISectionAGrp/PersonNm6FRED HUNTER
IRS990/Form990PartVIISectionAGrp/PersonNm7LARRY KURLANDER
IRS990/Form990PartVIISectionAGrp/PersonNm8AVIS WILLIAMS
IRS990/Form990PartVIISectionAGrp/PersonNm9MARTIN HUTSON
IRS990/Form990PartVIISectionAGrp/PersonNm10D MONTEZ CARTER
IRS990/Form990PartVIISectionAGrp/PersonNm11ROBERT DAVIS
IRS990/Form990PartVIISectionAGrp/PersonNm12CELIA COVINGTON
IRS990/Form990PartVIISectionAGrp/PersonNm13CHARLES N MCLURE
IRS990/Form990PartVIISectionAGrp/PersonNm14ROMULO PARUNGAO
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IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt140
IRS990/Form990PartVIISectionAGrp/TitleTxt0CEO/ CORPORATE SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt1CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
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IRS990/Form990PartVIISectionAGrp/TitleTxt10PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt11PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt12RN
IRS990/Form990PartVIISectionAGrp/TitleTxt13PHARMACIST
IRS990/Form990PartVIISectionAGrp/TitleTxt14PHYSICIAN
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IRS990/Form990TFiledInd01
IRS990/FormationYr02008
IRS990/FormerOfcrEmployeesListedInd00
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IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
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IRS990/GainOrLossGrp/SecuritiesAmt0-40817
IRS990/GamingActivitiesInd00
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IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
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IRS990/GroupReturnForAffiliatesInd00
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IRS990/InfoInScheduleOPartXIIInd0X
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IRS990/MinutesOfCommitteesInd01
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IRS990/MissionDesc0THE MISSION OF GOOD SAMARITAN HOSPITAL, INC. IS TO BE A COMPASSIONATE HEALING PRESENCE IN OUR COMMUNITY COMMITTED TO THE SACREDNESS OF HUMAN LIFE AND THE DIGNITY OF EACH PERSON WE SERVE.
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IRS990/QuidProQuoContributionsInd00
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IRS990/ReportProgramRelatedInvstInd00
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IRS990ScheduleA/HospitalInd0X

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