Liabilities / Assets
75th percentile
Higher debt load relative to assets than 75% of similar nonprofits.
Good Samaritan Health Services Foundation
990 • Fiscal year 2010 • EIN 36-3513553
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.74x
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
Score unavailable
This filing does not contain officer compensation rows.
Asset Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Revenue Growth
Score unavailable
No valid filing value is available for this score.
Balance Sheet
Assets
$4,144,760
No earlier filing loaded for comparison.
Net Assets
$1,071,582
No earlier filing loaded for comparison.
Liabilities
$3,073,178
No earlier filing loaded for comparison.
Revenue And Expenses
Revenue
-
No earlier filing loaded for comparison.
Expenses
$47,537
No earlier filing loaded for comparison.
Net Income
-
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Apr 1, 2009 to Mar 31, 2010
- Signed
- Feb 2, 2011
- Return Version
- 2009v1.7
- Gross Receipts
- $161,566
Mission and Program Overview
Mission
Our mission is to provide financial resources and act in the best interests of the good samaritan hospital association with regard to both short-term and long-range needs, including but not limited to the purchase of new equipment and services and plant replacement. These resources shall be obtained by our active role in meeting and building relationships with potential donors, managing relationships with existing donors, and introducing new ways of fund raising as well as improving upon current methods. We will, furthermore, participate in the prudent management of all investments of the foundation for the benefit of the good samaritan hospital association.
Major Activities
- Activity 2
- The organization sought out and transferred other funds through various Foundation and Government Grant programs to the Good Samaritan Hospital Association.
Filing and Contact Details
Filer
- EIN
- 36-3513553
Raw XML AppendixShowing 400 of 482 raw XML fields
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| IRS990/Activity2/Description | 0 | The organization sought out and transferred other funds through various Foundation and Government Grant programs to the Good Samaritan Hospital Association. |
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| IRS990/ActivityOrMissionDescription | 0 | To provide equipment and financial support for the advancement of medical, scientific, nursing, and health care delivery for Good Samaritan Hosptial Assc. Rugby, ND. |
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| IRS990/Description | 0 | The Foundation funded a First Response Vehicle for the Good Samaritan Hospital Association. This was funded through a capital campaign project, grants and donations. |
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| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 1 | The Foundation has adopted the provisions of FASB Accounting Standards Codification Topic ASC 740-10 (previously Financial Interpretation No. 48, Accounting for Uncertainty in Income Taxes), on January 1, 2009. The implementation of this standard had no impact on the financial statements. As of both the date of adoption, and as of March 31, 2010, the unrecognized tax benefit accrual was zero. The Company will recognize future accrued interest and penalties related to unrecognized tax benefits in income tax expense if incurred. The Company is no longer subject to Federal tax examinations by tax authorities for years before 2007 and state examinations for years before 2007. |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 2 | Increase in cash surrender value - life insurance: 1528. |
| IRS990ScheduleD/Form990ScheduleDPartXIV/Explanation | 3 | Increase in cash surrender value of life insurance: 1528. |
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| IRS990ScheduleD/Form990ScheduleDPartXIV/Identifier | 3 | Part XII, Line 2d - Other Adjustments: |
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| IRS990ScheduleD/TotExpensesEtcAuditedFinclStmt | 0 | 41935 |
| IRS990ScheduleD/TotRevenueEtcAuditedFinclStmt | 0 | 393294 |
| IRS990ScheduleI/Form990ScheduleIPartIV/Explanation | 0 | Schedule I, Part I, Line 2: The Good Samaritan Health Services Foundation has a trustee from the Board of Directors of the Good Samaritan Hospital Association as a representative on the Foundation Board of Directors. Distribution of funds from Good Samaritan Health Services Foundation to Good Samaritan Hospital Association takes place in three ways: 1. The Hospital Board votes on and requests a distribution which then may be made by the Foundation Director without a vote by the Foundation Board 2. The Foundation Board recommends a distribution which is then considered and approved by the Hospital Board 3. The Foundation Director makes distributions to the Hospital based on fundraising activities conducted on behalf of hte Hospital. Examples of such activities include collection of memorials in support of Hospital activities, fundraisers conducted on behalf of the Foundation such as campaigns for a project, or grants written on behalf of a hospital need. In these cases the funds are transferred by the Foundation Director without a vote by either Board. |
| IRS990ScheduleI/Form990ScheduleIPartIV/Identifier | 0 | Procedure for Monitoring Grants in the U.S.: |
| IRS990ScheduleI/Form990ScheduleIPartIV/ReturnReference | 0 | Part I, Line 2: |
| IRS990ScheduleI/RecipientTable/AddressUS/AddressLine1 | 0 | 800 SOUTH MAIN AVE |
| IRS990ScheduleI/RecipientTable/AddressUS/City | 0 | RUGBY |
| IRS990ScheduleI/RecipientTable/AddressUS/State | 0 | ND |
| IRS990ScheduleI/RecipientTable/AddressUS/ZIPCode | 0 | 58368 |
| IRS990ScheduleI/RecipientTable/AmountOfCashGrant | 0 | 30417 |
| IRS990ScheduleI/RecipientTable/EINOfRecipient | 0 | 450226419 |
| IRS990ScheduleI/RecipientTable/IRCSection | 0 | 501(c)(3) |
| IRS990ScheduleI/RecipientTable/PurposeOfGrant | 0 | To support operations. |
| IRS990ScheduleI/RecipientTable/RecipientNameBusiness/BusinessNameLine1 | 0 | Good Samaritan Hospital Association |
| IRS990ScheduleI/RecordsMaintained | 0 | 1 |
| IRS990ScheduleI/TotalNbrOf501C3AndGovtGrants | 0 | 1 |
| IRS990/ScheduleJRequired | 0 | 0 |
| IRS990ScheduleO/GeneralExplanation/Explanation | 0 | Business relationships exist between the following individuals: Rob Hovland and Joanie Bruggeman Rob Hovland and Michelle Lake Paul Schaan and Jeff Lingerfelt Linda Kay Duchscher and Jeff Lingerfelt |
| IRS990ScheduleO/GeneralExplanation/Explanation | 1 | The Foundation director is paid by the Medical Center. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 2 | Nominations for the Foundation's board of directors may come from the Foundation Board and/or the Good Samaritan Hospital Association Board. Following nomination, the Good Samaritan Hospital Association Board must approve all nominations. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 3 | Good Samaritan Health Services Foundation does not have any committess that act on behalf of the governing body. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 4 | Bonnie Kuehnemund, the Comptroller of related organization, Good Samaritan Hospital Association, and the Foundation Director review the draft 990. The board members will also receive a copy of the 990 prior to it being filed. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 5 | The first meeting of each fiscal year the confidentiality statement and conflict of interest statement are presented. Board members are asked to disclose any conflicts that may exist. The Foundation Director and the CEO of the Medical Center review the disclosures. Board members with a conflict abstain from voting on any issues involving the conflict. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 6 | Form 990, Part VI, Line 15: All employees are compensated by a related organization Good Samaritan Hospital Association. Good Samaritan Health Services Foundation does not compensate any of its employees, and relies on the compensation amounts set and paid by the Hospital for the Foundation employees. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 7 | These documents are available upon request. |
| IRS990ScheduleO/GeneralExplanation/Explanation | 8 | Jerry Jurena, Jeff Lingerfelt, and Linda Kay Duchscher all devote 40 hours per week to a related organization. |
| IRS990ScheduleO/GeneralExplanation/Identifier | 0 | Form 990, Part VI, Section A, line 2 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 1 | Form 990, Part VI, Section A, line 3 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 2 | Form 990, Part VI, Section A, line 7b |
| IRS990ScheduleO/GeneralExplanation/Identifier | 3 | Form 990, Part VI, Section A, line 8b |
| IRS990ScheduleO/GeneralExplanation/Identifier | 4 | Form 990, Part VI, Section B, line 11 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 5 | Form 990, Part VI, Section B, line 12c |
| IRS990ScheduleO/GeneralExplanation/Identifier | 6 | Form 990, Part VI, Section C, line 19 |
| IRS990ScheduleO/GeneralExplanation/Identifier | 7 | Form 990, Part VII |
| IRS990/ScheduleORequired | 0 | 1 |
| IRS990ScheduleR/ExchangeOfAssets | 0 | 0 |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/AddressLine1 | 0 | 800 South Main Ave |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/City | 0 | Rugby |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/State | 0 | ND |
| IRS990ScheduleR/Form990ScheduleRPartII/AddressUS/ZIPCode | 0 | 58368 |
| IRS990ScheduleR/Form990ScheduleRPartII/DirectControllingEntityNA | 0 | N/A |
| IRS990ScheduleR/Form990ScheduleRPartII/EIN | 0 | 450226419 |
| IRS990ScheduleR/Form990ScheduleRPartII/ExemptCodeSection | 0 | 501(c)(3) |
| IRS990ScheduleR/Form990ScheduleRPartII/LegalDomicileState | 0 | ND |
| IRS990ScheduleR/Form990ScheduleRPartII/NameOfDisregardedEntity/BusinessNameLine1 | 0 | Good Samaritan Hospital Association |
| IRS990ScheduleR/Form990ScheduleRPartII/PrimaryActivities | 0 | Acute Care Hospital, Nursing Care, Elderly Housing |
| IRS990ScheduleR/Form990ScheduleRPartII/PublicCharityStatus | 0 | 3 |
| IRS990ScheduleR/GiftGrantOrCapContrFrOtherOrg | 0 | 0 |
| IRS990ScheduleR/GiftGrantOrCapContrToOtherOrg | 0 | 1 |
| IRS990ScheduleR/LoansOrGuaranteesFromOtherOrg | 0 | 0 |
| IRS990ScheduleR/LoansOrGuaranteesToOtherOrg | 0 | 0 |
| IRS990ScheduleR/OtherTransferFromOtherOrg | 0 | 1 |
| IRS990ScheduleR/OtherTransferToOtherOrg | 0 | 1 |
| IRS990ScheduleR/PerformOfServicesByOtherOrgs | 0 | 0 |
| IRS990ScheduleR/PerformOfServicesForOtherOrgs | 0 | 1 |
| IRS990ScheduleR/PurchaseOfAssetsFromOtherOrg | 0 | 0 |
| IRS990ScheduleR/ReceiptOfIntAnnRentsRoyalties | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidByOtherOrg | 0 | 0 |
| IRS990ScheduleR/ReimbursementPaidToOtherOrg | 0 | 1 |
| IRS990ScheduleR/RentalOfFacilitiesFrOtherOrgs | 0 | 0 |
| IRS990ScheduleR/RentalOfFacilitiesToOtherOrgs | 0 | 0 |
| IRS990ScheduleR/SaleOfAssetsToOtherOrg | 0 | 0 |
| IRS990ScheduleR/SharingOfFacilities | 0 | 1 |
| IRS990ScheduleR/SharingOfPaidEmployees | 0 | 1 |
| IRS990/School | 0 | 0 |
| IRS990/SignificantChange | 0 | 0 |
| IRS990/SignificantNewProgramServices | 0 | 0 |
| IRS990/StateLegalDomicile | 0 | ND |
| IRS990/TaxablePartyNotification | 0 | 0 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2010 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
- Assets
- $4,144,760
- Liabilities
- $3,073,178
- Net assets
- $1,071,582
- Revenue
- -
- Expenses
- $47,537
- Net income
- -