Civic Intelligence

Good Samaritan Medical Center

EIN 31-4379479 • 501(c)3 • Zanesville, OH

Profile

To promote charitable support for genesis healthcare system as we share its mission to provide compassionate, quality healthcare.

Refreshing map…

2951 Maple AvenueZanesville, OH 43701

www.genesishcs.org

Siviq Scores

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

Liabilities / Assets

20th percentile

0.00x

Higher debt load relative to assets than 20% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

25th percentile

0.00x

Higher debt load relative to revenue than 25% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

99th percentile

100%

Higher net margin than 99% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

98th percentile

$737,714

Higher top officer pay than 98% of similar nonprofits.

Top officer pay equals 182.6% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2014

Asset Growth

3rd percentile

-48%

Faster asset growth than 3% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Revenue Growth

6th percentile

-45%

Faster revenue growth than 6% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2015 to 2016

Assets

Down

$3,587,173

Down $3,361,223 (-48%) from 2015

Liabilities

Up

$1,456

Up $200 (+16%) from 2015

Net Assets

Down

$3,585,717

Down $3,361,423 (-48%) from 2015

Revenue

Down

$312,681

Down $258,173 (-45%) from 2015

Expenses

Flat

$200

Flat from 2015

Net Income

Down

$312,481

Down $258,173 (-45%) from 2015

Trend Graphs

Balance Sheet Trend

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

$10M$5.0M$0Assets 2010: $8,546,282Liabilities 2010: $3,360,456Net Assets 2010: $5,185,8262010Assets 2011: $7,659,652Liabilities 2011: $2,520,456Net Assets 2011: $5,139,1962011Assets 2012: $7,541,882Liabilities 2012: $1,680,656Net Assets 2012: $5,861,2262012Assets 2013: $7,623,882Liabilities 2013: $840,856Net Assets 2013: $6,783,0262013Assets 2014: $7,037,835Liabilities 2014: $1,056Net Assets 2014: $7,036,7792014Assets 2015: $6,948,396Liabilities 2015: $1,256Net Assets 2015: $6,947,1402015Assets 2016: $3,587,173Liabilities 2016: $1,456Net Assets 2016: $3,585,7172016

Highlighted filing

2016

Assets$3,587,173
Liabilities$1,456
Net Assets$3,585,717

Operations Trend

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

$1.0M$500K$0Expenses 2010: $840,0002010Expenses 2011: $3,7252011Expenses 2012: $3,9242012Revenue 2013: $482,942Expenses 2013: $3,975Net Income 2013: $478,9672013Revenue 2014: $404,078Expenses 2014: $4,115Net Income 2014: $399,9632014Revenue 2015: $570,854Expenses 2015: $200Net Income 2015: $570,6542015Revenue 2016: $312,681Expenses 2016: $200Net Income 2016: $312,4812016

Highlighted filing

2016

Revenue$312,681
Expenses$200
Net Income$312,481

Filings

Latest Detailed Filing

The latest 2016 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2014 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Oct 29, 2015
Return Version
2014v5.0
Gross Receipts
$6,876,874
Mission and Program Overview

Mission

To promote charitable support for genesis healthcare system as we share its mission to provide compassionate, quality healthcare.

In 1997, good samaritan medical center and bethesda hospital association, a tax-exempt community hospital also located in zanesville, affiliated to form genesis healthcare system. Genesis has been granted 501c3 status as a hospital. All hospital operations and assets of good samaritan medical center were transferred to genesis with the exception of certain investments. Good samaritan medical center will continue to have control over certain investments which are being used by the genesis healthcare system in fulfilling its tax-exempt purpose.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$6,568,205$5,714,773▼ $853,432
Savings and Temporary Cash Investments$103,817$672,322▲ $568,505
Investments Other Securities$951,860$650,740▼ $301,120
Total Assets$7,623,882$7,037,835▼ $586,047
Liabilities
Other Liabilities$840,000$0▼ $840,000
Accounts Payable and Accrued Expenses$856$1,056▲ $200
Total Liabilities$840,856$1,056▼ $839,800
Net Assets / Fund Balance
Unrestricted Net Assets$6,783,026$7,036,779▲ $253,753
Total Net Assets Fund Balance$6,783,026$7,036,779▲ $253,753
Total Liabilities and Net Assets / Fund Balance$7,623,882$7,037,835▼ $586,047

Asset Categories

AssetBook ValueDepreciationBasis
Other Securities$650,740--
Compensation and Service Providers

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$404,078
Other Revenue
$0
Change in Net Assets
$399,963
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,115
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Insurance$3,915--$3,915
Other Expenses-$200-$200
Total Functional Expenses$3,915$200$0$4,115
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
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
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
No
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Franciscan sisters of christian charity, inc. (sponsored ministry) is the sole member of the organization.

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

Sponsored ministry, the sole member of the filing organization, has the right to elect or appoint one or more members of the organization's governing body, whether periodically, or as vacancies arise, or otherwise.

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

Sponsored ministry, the sole member of the filing organization, has the right to approve or ratify decisions of the organization's governing body such as approval of the governing body's decision to dissolve the organization.

Form 990, Part VI, Section B, Line 11

The 990 is reviewed in its entirety by the cfo. An overview of the 990 is reviewed with the executive committee prior to filing the return.

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

The conflict of interest policy states that board members and officers have a duty to govern honestly and economically. All potential conflicts of interest must be disclosed to the board of directors and the board will determine if a conflict exists and appropriate procedures to mitigate the situation, such as alternative transactions and participation and voting restrictions. The compliance officer monitors and enforces these policies. All officers and directors review and sign a conflict of interest disclosure statement annually.

Form 990, Part VI, Section C, Line 19

The governing documents and conflict of interest policy are available upon request.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Medical Center
EIN
31-4379479
Phone
7404545000
Address
2951 MAPLE AVENUE, ZANESVILLE, OH 43701

Signing Officer

Name
Paul Masterson
Title
CFO
Phone
7404545000
Signed
2015-10-29
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Perry
Formed
1946
Legal Domicile
Oh
Voting Board Members
12
Independent Board Members
11
Employees
0
Volunteers
11

Preparer

Firm
Plante & Moran Pllc
Address
65 EAST STATE STREET SUITE 600, COLUMBUS, OH 43215
Preparer
Bernie Ostrowski
Phone
6148493000
Raw XML AppendixShowing 400 of 632 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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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/OperateBenefitNonSuprtOrgInd00
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES INC
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
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IRS990/ScheduleBRequiredInd00
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IRS990ScheduleD/OtherSecuritiesGrp/Desc0OTHER INVESTMENTS
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IRS990ScheduleD/TotalBookValueSecuritiesAmt0650740
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt143568
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt119328
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0MATTHEW PERRY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1PAUL MASTERSON
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0PRESIDENT/CEO/SECRETARY
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1CFO
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IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: MATTHEW PERRY $71,434 PAUL MASTERSON $23,606
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1A RELATED ORGANIZATION, GENESIS HEALTHCARE SYSTEM, ESTABLISHES COMPENSATION OF THE ORGANIZATION'S CEO THROUGH A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 4B
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 3:
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0FRANCISCAN SISTERS OF CHRISTIAN CHARITY, INC. (SPONSORED MINISTRY) IS THE SOLE MEMBER OF THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SPONSORED MINISTRY, THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2SPONSORED MINISTRY, THE SOLE MEMBER OF THE FILING ORGANIZATION, HAS THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING BODY'S DECISION TO DISSOLVE THE ORGANIZATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE 990 IS REVIEWED IN ITS ENTIRETY BY THE CFO. AN OVERVIEW OF THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE PRIOR TO FILING THE RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE CONFLICT OF INTEREST POLICY STATES THAT BOARD MEMBERS AND OFFICERS HAVE A DUTY TO GOVERN HONESTLY AND ECONOMICALLY. ALL POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE BOARD WILL DETERMINE IF A CONFLICT EXISTS AND APPROPRIATE PROCEDURES TO MITIGATE THE SITUATION, SUCH AS ALTERNATIVE TRANSACTIONS AND PARTICIPATION AND VOTING RESTRICTIONS. THE COMPLIANCE OFFICER MONITORS AND ENFORCES THESE POLICIES. ALL OFFICERS AND DIRECTORS REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION A, LINE 7A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION A, LINE 7B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
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IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
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IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/AddressLine1Txt0FIRST CARIBBEAN HOUSE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/CityNm0GEORGE TOWN
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/CountryCd0CJ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/ProvinceOrStateNm0CAYMAN ISLANDS
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileForeignCountryCd0CJ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0OH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0PHYSICIAN SERVICES, HOME INFUSION, CHILDCARE SVCS, PHARMACY, DME
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1CAPTIVE INSURANCE COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0CARELIFE LLC
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1SOUTHEAST OHIO MEDICAL INSURANCE COMPANY
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/AddressLine1Txt02951 MAPLE AVENUE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/CityNm0ZANESVILLE
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/USAddress/StateAbbreviationCd0OH
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd60
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IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd121
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt0GENESIS HEALTHCARE SYSTEM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt1GENESIS HEALTHCARE FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt2GENESIS HEALTHCARE FOUNDATION
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt3GENESIS HEALTHCARE SYSTEM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt4GENESIS HEALTHCARE SYSTEM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt5BETHESDA CARE SYSTEM
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt6GENESIS HEALTHCARE SYSTEM

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