Liabilities / Assets
67th percentile
Higher debt load relative to assets than 67% of similar nonprofits.
Good Samaritan Health Services Foundation
990 • Fiscal year 2014 • EIN 36-3513553
Siviq Scores
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
0.72x
Liabilities / Revenue
99th percentile
Higher debt load relative to revenue than 99% of similar nonprofits.
Net Margin
76th percentile
Higher net margin than 76% of similar nonprofits.
Top Officer Pay
43rd percentile
Higher top officer pay than 43% of similar nonprofits.
Top officer pay equals 60.3% of source-year revenue.
Asset Growth
69th percentile
Faster asset growth than 69% of similar nonprofits.
Revenue Growth
Score unavailable
No earlier valid filing was available within the previous three public years.
Balance Sheet
Assets
Up$6,079,349
Up $718,316 (+13%) from 2013
Net Assets
Up$1,724,410
Up $215,153 (+14%) from 2013
Liabilities
Up$4,354,939
Up $503,163 (+13%) from 2013
Revenue And Expenses
Revenue
$340,209
No earlier filing loaded for comparison.
Expenses
Up$288,528
Up $76,892 (+36%) from 2013
Net Income
$51,681
No earlier filing loaded for comparison.
Historical Trend
Jump To
Filing Snapshot
- Filing Period
- Apr 1, 2013 to Mar 31, 2014
- Signed
- Feb 11, 2015
- Return Version
- 2013v4.0
- Gross Receipts
- $351,307
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.
To provide equipment and financial support for the advancement of medical, scientific, nursing, and health care delivery for good samaritan hosptial association.
Balance Sheet Detail
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $4,180,873 | $5,295,336 | ▲ $1,114,463 |
| Other Notes and Loans Receivable, Net | $732,820 | $648,537 | ▼ $84,283 |
| Savings and Temporary Cash Investments | $446,215 | $134,156 | ▼ $312,059 |
| Pledges and Grants Receivable | $1,125 | $1,320 | ▲ $195 |
| Total Assets | $5,361,033 | $6,079,349 | ▲ $718,316 |
| Liabilities | |||
| Other Liabilities | $3,847,418 | $4,345,330 | ▲ $497,912 |
| Accounts Payable and Accrued Expenses | $4,358 | $9,609 | ▲ $5,251 |
| Total Liabilities | $3,851,776 | $4,354,939 | ▲ $503,163 |
| Net Assets / Fund Balance | |||
| Unrestricted Net Assets | $939,920 | $1,071,180 | ▲ $131,260 |
| Temporarily Rstr Net Assets | $408,938 | $491,331 | ▲ $82,393 |
| Permanently Rstr Net Assets | $160,399 | $161,899 | ▲ $1,500 |
| Total Net Assets Fund Balance | $1,509,257 | $1,724,410 | ▲ $215,153 |
| Total Liabilities and Net Assets / Fund Balance | $5,361,033 | $6,079,349 | ▲ $718,316 |
Endowment Activity
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2013 | $160,399 | $1,500 | ▲ $56,985 | $56,985 | $161,899 |
| 2012 | $146,179 | $14,220 | ▲ $14,128 | - | $160,399 |
| 2011 | $146,179 | - | ▲ $5,428 | - | $146,179 |
| 2010 | $146,179 | - | ▲ $19,545 | - | $146,179 |
| 2009 | $145,969 | $210 | ▲ $27,067 | - | $146,179 |
Compensation and Service Providers
Employees
| Name | Title | Full / Part Time | Other | Total |
|---|---|---|---|---|
| Paul Schaan | Foundation Director | PT | $53,981 | $53,981 |
| Linda Kay Duchscher | Director | - | $46,570 | $46,570 |
Board Members and Trustees
| Name | Title |
|---|---|
| Tanner Johnson | Chairman |
| Barb Welk | Vice-chairman |
| Bonita Lindseth | Director |
| Michelle Lysne | Director |
| Rob Hovland | Director |
| Jefferey Lingerfelt | Gsha CEO |
| Michelle Lake | Secretary/treasurer |
Revenue and Support
Revenue Composition
- Contributions and Grants
- $299,628
- Program Service Revenue
- $0
- Investment Income
- $43,496
- Other Revenue
- $-2,915
- All Other Contributions
- $267,023
- Change in Net Assets
- $51,681
Audited Revenue Reconciliation
- Revenue per Audited Statements
- $340,209
- Revenue Not Reported on Financial Statements
- $0
- Revenue Not Reported on Form 990
- $229,840
- Total Revenue per Audited Statements
- $570,049
- Total Revenue per Form 990
- $340,209
Expenses and Functional Allocation
Major Expense Lines
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $266,754 |
| Other Expenses | $21,774 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
Functional Expense Allocation
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $266,754 | - | - | $266,754 |
| All Other Expenses | - | $10,686 | - | $10,686 |
| Fees for Services Legal | - | $6,392 | - | $6,392 |
| Advertising | - | $3,436 | - | $3,436 |
| Conferences and Meetings | - | $747 | - | $747 |
| Office Expenses | - | $485 | - | $485 |
| Travel | - | $28 | - | $28 |
| Total Functional Expenses | $266,754 | $21,774 | $0 | $288,528 |
Audited Expense Reconciliation
| Line Item | Amount |
|---|---|
| Total Expenses per Audited Statements | $354,896 |
| Expenses per Audited Statements | $288,528 |
| Total Expenses per Form 990 | $288,528 |
| Expenses Not Reported on Form 990 | $66,368 |
| Expenses Not Reported on Financial Statements | $0 |
International Activity
Grant and Assistance Recipients
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| 45-0226419 | - | 501(c)(3) | To Support Operations and Projects for Hospital | $266,754 |
Fundraising, Events, and Gaming
- Fundraising activities
- Yes
- Gaming activities
- No
- Professional fundraiser used
- No
Fundraising and Gaming Totals
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $11,098 |
| Fundraising Gross Income | $8,183 |
| Professional Fundraising Fees | $0 |
Fundraising Events
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Event 2 | $20,055 | $4,300 | $1,594 | $2,706 |
| Event 1 | $20,733 | $3,883 | $846 | $3,037 |
| Total Events | $40,788 | $8,183 | $11,098 | $-2,915 |
Political and Lobbying Activity
- Political campaign activity
- No
- Lobbying activity
- No
- Subject to proxy tax
- No
Debt and Bond Financing
Other Reported Liabilities
| Liability | Amount |
|---|---|
| Trust Obligations | $4,345,330 |
Governance and Compliance
Governance Checklist
- Compiled or reviewed by an accountant
- No
- Annual disclosure for covered persons
- Yes
- Audit committee
- 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 2
“Business relationships exist between the following individuals: rob hovland is also a board member on merchants bank board where michelle lake is an employee. Jeff lingerfelt is the ceo for good samaritan hospital association (gsha) and paul schaan is paid by gsha and reports to jeff. Linda kay duchscher is also paid by gsha as the volunteer services director and in that capcity reports to jeff lingerfelt.”
Form 990, Part VI, Section A, Line 6
“The organization has one member, good samaritan hospital association.”
Form 990, Part VI, Section A, Line 7A
“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.”
Form 990, Part VI, Section A, Line 7B
“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.”
Form 990, Part VI, Section A, Line 8B
“Good samaritan health services foundation does not have any committees that act on behalf of the governing body.”
Form 990, Part VI, Section B, Line 11
“The foundation director reviews the draft 990. The board members will also receive a copy of the 990 prior to submission to the internal revenue service.”
Form 990, Part VI, Section B, Line 12C
“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.”
Form 990, Part VI, Section C, Line 19
“The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.”
Filing and Contact Details
Filer
- EIN
- 36-3513553
- Phone
- 7017765261
Signing Officer
- Name
- Linda Duchscher
- Title
- Foundation Director
- Phone
- 7017765261
- Signed
- 2015-02-11
- Discuss with paid preparer
- Yes
Organization Details
- Principal Officer
- Tanner Johnson
- Formed
- 1987
- Legal Domicile
- Nd
- Voting Board Members
- 7
- Independent Board Members
- 6
- Employees
- 0
- Volunteers
- 24
Preparer
- Preparer
- Tim a Ritter CPA
- Phone
- 9525483400
Supplemental Narrative
Additional Explanations
FORM 990, PART XII, LINE 2C:
“The board of directors of the good samaritan hospital association assumes responsibility for oversight of the audit of its financial statements and selection of an independent accountant. The same independent accountant is responsible for auditing the good samaritan health services foundation's financial statements.”
Financial Statement Notes
PART V, LINE 4:
“Support for the operations of good samaritan hospital association.”
PART X, LINE 2:
“In order to account for any uncertain tax positions, asc topic 740-10, income taxes, requires an organization to assess whether it is more likely than not that a tax position will be sustained upon examination of the technical merits of the position, assuming the taxing authority has full knowledge of all information. If the tax position does not meet the more-likely-than-not recognition threshold, the benefit of the tax position is not recognized in the financial statements. Management does not believe the foundation has any material uncertain tax positions or unrecognized tax benefits as of march 31, 2014 or 2013. The foundation's federal returns for tax years 2011 and beyond remain subject to examination by the internal revenue service.”
PART XI, LINE 2D - OTHER ADJUSTMENTS:
“Fundraising event expense 11,098.”
PART XII, LINE 2D - OTHER ADJUSTMENTS:
“Fundraising event expense 11,098.”
Raw XML AppendixShowing 400 of 532 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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| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 6392 |
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| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | MICHELLE LYSNE |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | VICE-CHAIRMAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | SECRETARY/TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | FOUNDATION DIRECTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | GSHA CEO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1987 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 0 |
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| IRS990/GoverningBodyVotingMembersCnt | 0 | 7 |
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| IRS990/GrantsToOrganizationsInd | 0 | 1 |
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| IRS990/IRPDocumentCnt | 0 | 3 |
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| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 0 |
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| IRS990/MissionDesc | 0 | 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. |
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| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 1724410 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | 16761 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 16761 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -2915 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -2915 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 163472 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 485 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 485 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsSFAS117Ind | 0 | X |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 3847418 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 4345330 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 732820 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 648537 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt | 0 | 160399 |
| IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt | 0 | 161899 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 1125 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 1320 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | TANNER JOHNSON |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 137200 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 197906 |
| IRS990/PYInvestmentIncomeAmt | 0 | 33975 |
| IRS990/PYOtherExpensesAmt | 0 | 13730 |
| IRS990/PYOtherRevenueAmt | 0 | 1489 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -38972 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 211636 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 172664 |
| IRS990/QuidProQuoContributionsInd | 0 | 0 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | 51681 |
| IRS990/RegularMonitoringEnfrcInd | 0 | 1 |
| IRS990/RelatedEntityInd | 0 | 1 |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | 0 |
| IRS990/ReportInvestmentsOtherSecInd | 0 | 0 |
| IRS990/ReportLandBuildingEquipmentInd | 0 | 0 |
| IRS990/ReportOtherAssetsInd | 0 | 0 |
| IRS990/ReportOtherLiabilitiesInd | 0 | 1 |
| IRS990/ReportProgramRelatedInvstInd | 0 | 0 |
| IRS990/RevenueAmt | 0 | 0 |
| IRS990/SavingsAndTempCashInvstGrp/BOYAmt | 0 | 446215 |
| IRS990/SavingsAndTempCashInvstGrp/EOYAmt | 0 | 134156 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt | 0 | 299628 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt | 0 | 137200 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 333488 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 398298 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 144090 |
| IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt | 0 | 1312704 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt | 0 | 26735 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt | 0 | 33975 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 167480 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 9380 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 15935 |
| IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt | 0 | 253505 |
| IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt | 0 | 65747 |
| IRS990ScheduleA/PublicOrganization170Ind | 0 | X |
| IRS990ScheduleA/PublicSupportCY170Pct | 0 | 0.31030 |
| IRS990ScheduleA/PublicSupportPY170Pct | 0 | 0.34080 |
| IRS990ScheduleA/PublicSupportTotal170Amt | 0 | 485973 |
| IRS990ScheduleA/SubstantialContributorsTotAmt | 0 | 826731 |
| IRS990ScheduleA/ThirtyThrPctSuprtTestsPY170Ind | 0 | X |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt | 0 | 299628 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt | 0 | 137200 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt | 0 | 333488 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt | 0 | 398298 |
| IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt | 0 | 144090 |
| IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt | 0 | 1312704 |
| IRS990ScheduleA/TotalSupportAmt | 0 | 1566209 |
| IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorNum | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine1 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine2 | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode | 0 | RESTRICTED |
| IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt | 0 | RESTRICTED |
| IRS990/ScheduleBRequiredInd | 0 | 1 |
| IRS990ScheduleD/BoardDesignatedBalanceEOYPct | 0 | 0.00000 |
| IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 160399 |
| IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt | 0 | 1500 |
| IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt | 0 | 161899 |
| IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 56985 |
| IRS990ScheduleD/CYEndwmtFundGrp/OtherExpendituresAmt | 0 | 56985 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 146179 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt | 0 | 14220 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 160399 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/GrantsOrScholarshipsAmt | 0 | 14128 |
| IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 14128 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 146179 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 146179 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/GrantsOrScholarshipsAmt | 0 | 5428 |
| IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 5428 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 146179 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 146179 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt | 0 | 19545 |
| IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 19545 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt | 0 | 145969 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt | 0 | 210 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt | 0 | 146179 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/GrantsOrScholarshipsAmt | 0 | 27067 |
| IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt | 0 | 27067 |
| IRS990ScheduleD/DonatedServicesAndUseFcltsAmt | 0 | 55270 |
| IRS990ScheduleD/DonatedServicesUseFcltsAmt | 0 | 55270 |
| IRS990ScheduleD/EndowmentsHeldRelatedOrgInd | 0 | 0 |
| IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd | 0 | 0 |
| IRS990ScheduleD/ExpensesNotReportedAmt | 0 | 66368 |
| IRS990ScheduleD/ExpensesNotRptFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/ExpensesSubtotalAmt | 0 | 288528 |
| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 163472 |
| IRS990ScheduleD/OtherExpensesIncludedAmt | 0 | 11098 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 4345330 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | TRUST OBLIGATIONS |
| IRS990ScheduleD/OtherRevenueAmt | 0 | 11098 |
| IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct | 0 | 1.00000 |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 229840 |
| IRS990ScheduleD/RevenueNotReportedFinclStmtAmt | 0 | 0 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 340209 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | SUPPORT FOR THE OPERATIONS OF GOOD SAMARITAN HOSPITAL ASSOCIATION. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 1 | IN ORDER TO ACCOUNT FOR ANY UNCERTAIN TAX POSITIONS, ASC TOPIC 740-10, INCOME TAXES, REQUIRES AN ORGANIZATION TO ASSESS WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THE TAX POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. MANAGEMENT DOES NOT BELIEVE THE FOUNDATION HAS ANY MATERIAL UNCERTAIN TAX POSITIONS OR UNRECOGNIZED TAX BENEFITS AS OF MARCH 31, 2014 OR 2013. THE FOUNDATION'S FEDERAL RETURNS FOR TAX YEARS 2011 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 2 | FUNDRAISING EVENT EXPENSE 11,098. |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 3 | FUNDRAISING EVENT EXPENSE 11,098. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART V, LINE 4: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | PART X, LINE 2: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | PART XI, LINE 2D - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | PART XII, LINE 2D - OTHER ADJUSTMENTS: |
| IRS990ScheduleD/TermEndowmentBalanceEOYPct | 0 | 0.00000 |
| IRS990ScheduleD/TotalBookValueLandBuildingsAmt | 0 | 0 |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 288528 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 4345330 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 340209 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 570049 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 354896 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt | 0 | 32605 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt | 0 | 16850 |
| IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt | 0 | 15755 |
| IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt | 0 | 11098 |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt | 0 | 929 |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt | 0 | 3765 |
| IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt | 0 | 4694 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt | 0 | 20733 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt | 0 | 20055 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt | 0 | 40788 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt | 0 | 3883 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt | 0 | 4300 |
| IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt | 0 | 8183 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent1Amt | 0 | CHARITY GOLF CLASSIC |
| IRS990ScheduleG/FundraisingEventInformationGrp/NameOfEvent2Amt | 0 | CREATIONS AUCTION |
| IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt | 0 | -2915 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt | 0 | 850 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt | 0 | 1644 |
| IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt | 0 | 2494 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt | 0 | 2440 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt | 0 | 846 |
| IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt | 0 | 1594 |
| IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt | 0 | 1200 |
| IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt | 0 | 270 |
| IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt | 0 | 1470 |
| IRS990ScheduleI/GrantRecordsMaintainedInd | 0 | 1 |
| IRS990ScheduleI/RecipientTable/CashGrantAmt | 0 | 266754 |
| IRS990ScheduleI/RecipientTable/IRCSectionDesc | 0 | 501(C)(3) |
| IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt | 0 | TO SUPPORT OPERATIONS AND PROJECTS FOR HOSPITAL |
| IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1 | 0 | GOOD SAMARITAN HOSPITAL ASSOCIATION |
| IRS990ScheduleI/RecipientTable/RecipientEIN | 0 | 450226419 |
| IRS990ScheduleI/RecipientTable/USAddress/AddressLine1 | 0 | 800 SOUTH MAIN AVE |
| IRS990ScheduleI/RecipientTable/USAddress/City | 0 | RUGBY |
| IRS990ScheduleI/RecipientTable/USAddress/State | 0 | ND |
| IRS990ScheduleI/RecipientTable/USAddress/ZIPCode | 0 | 58368 |
| IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt | 0 | 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 THE 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/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | PART I, LINE 2: |
| IRS990ScheduleI/Total501c3OrgCnt | 0 | 1 |
| IRS990ScheduleI/TotalOtherOrgCnt | 0 | 0 |
| IRS990ScheduleJ/AnyNonFixedPaymentsInd | 0 | 0 |
| IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd | 0 | 0 |
| IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd | 0 | 0 |
| IRS990ScheduleJ/EquityBasedCompArrngmInd | 0 | 0 |
| IRS990ScheduleJ/InitialContractExceptionInd | 0 | 0 |
| IRS990/ScheduleJRequiredInd | 0 | 1 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt | 0 | 163290 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt | 0 | 30000 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt | 0 | 11581 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt | 0 | 254 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm | 0 | JEFFEREY LINGERFELT |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt | 0 | GSHA CEO |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt | 0 | 0 |
| IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt | 0 | 205125 |
| IRS990ScheduleJ/SeverancePaymentInd | 0 | 0 |
| IRS990ScheduleJ/SupplementalNonqualRtrPlanInd | 0 | 0 |
| IRS990/ScheduleORequiredInd | 0 | 1 |
Document Assets
No mirrored PDF or thumbnail assets are attached yet.
Filings
Displayed year
2014 • Form 990Detailed filing. Detailed filing data is available for this year.
- Assets
- $6,079,349
- Liabilities
- $4,354,939
- Net assets
- $1,724,410
- Revenue
- $340,209
- Expenses
- $288,528
- Net income
- $51,681
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