Civic Intelligence

Good Samaritan Health Services Foundation

990 • Fiscal year 2015 • EIN 36-3513553

Apr 01, 2014 to Mar 31, 2015 • Filed on Feb 10, 2016

Organization ProfileWWW.HAMC.COM/FOUNDATION
800 S Main AvenueRugby, ND 58368-2118

(701) 776-5261

Siviq Scores

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

Liabilities / Assets

70th percentile

0.74x

Higher debt load relative to assets than 70% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Source year 2015

Liabilities / Revenue

100th percentile

27.15x

Higher debt load relative to revenue than 100% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Source year 2015

Net Margin

6th percentile

-47%

Higher net margin than 6% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Source year 2015

Top Officer Pay

48th percentile

$223,748

Higher top officer pay than 48% of similar nonprofits.

Top officer pay equals 132.5% of source-year revenue.

2015 filings • NTEE E • $5M-$10M nonprofits • Source year 2015

Asset Growth

51st percentile

2.2%

Faster asset growth than 51% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2014 to 2015

Revenue Growth

3rd percentile

-50%

Faster revenue growth than 3% of similar nonprofits.

2015 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2014 to 2015

Balance Sheet
Liabilities / Assets70th percentile

Assets

Up

$6,216,082

Up $136,733 (+2.2%) from 2014

Net Assets

Down

$1,631,163

Down $93,247 (-5.4%) from 2014

Liabilities

Up

$4,584,919

Up $229,980 (+5.3%) from 2014

Revenue And Expenses
Liabilities / Revenue100th percentileNet Margin6th percentile

Revenue

Down

$168,860

Down $171,349 (-50%) from 2014

Expenses

Down

$248,085

Down $40,443 (-14%) from 2014

Net Income

Down

-$79,225

Down $130,906 (-253%) from 2014

Historical Trend

Balance Sheet Trend

Asset Growth51st percentile

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

$8.0M$6.0M$4.0M$2.0M$0Assets 2010: $4,144,760Liabilities 2010: $3,073,178Net Assets 2010: $1,071,5822010Assets 2011: $5,002,889Liabilities 2011: $3,421,831Net Assets 2011: $1,581,0582011Assets 2012: $5,020,355Liabilities 2012: $3,565,236Net Assets 2012: $1,455,1192012Assets 2013: $5,361,033Liabilities 2013: $3,851,776Net Assets 2013: $1,509,2572013Assets 2014: $6,079,349Liabilities 2014: $4,354,939Net Assets 2014: $1,724,4102014Assets 2015: $6,216,082Liabilities 2015: $4,584,919Net Assets 2015: $1,631,1632015Assets 2016: $6,020,641Liabilities 2016: $4,383,394Net Assets 2016: $1,637,2472016Assets 2017: $5,489,624Liabilities 2017: $3,374,762Net Assets 2017: $2,114,8622017Assets 2018: $2,399,094Liabilities 2018: $1,301,900Net Assets 2018: $1,097,1942018Assets 2019: $1,835,772Liabilities 2019: $549,254Net Assets 2019: $1,286,5182019Assets 2020: $1,522,807Liabilities 2020: $463,812Net Assets 2020: $1,058,9952020Assets 2021: $2,209,066Liabilities 2021: $641,209Net Assets 2021: $1,567,8572021Assets 2022: $2,231,432Liabilities 2022: $733,838Net Assets 2022: $1,497,5942022Assets 2023: $4,339,404Liabilities 2023: $653,691Net Assets 2023: $3,685,7132023Assets 2024: $3,850,274Liabilities 2024: $688,477Net Assets 2024: $3,161,7972024Assets 2025: $3,013,436Liabilities 2025: $725,565Net Assets 2025: $2,287,8712025

Highlighted filing

2015

Assets$6,216,082
Liabilities$4,584,919
Net Assets$1,631,163
Open 2015 Filing

Operations Trend

Revenue Growth3rd percentile

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

$4.0M$2.0M$0-$2.0MExpenses 2010: $47,5372010Expenses 2011: $27,6242011Expenses 2012: $509,3282012Expenses 2013: $211,6362013Revenue 2014: $340,209Expenses 2014: $288,528Net Income 2014: $51,6812014Revenue 2015: $168,860Expenses 2015: $248,085Net Income 2015: -$79,2252015Revenue 2016: $156,653Expenses 2016: $28,942Net Income 2016: $127,7112016Revenue 2017: $566,851Expenses 2017: $94,886Net Income 2017: $471,9652017Revenue 2018: $516,413Expenses 2018: $1,485,581Net Income 2018: -$969,1682018Revenue 2019: $398,395Expenses 2019: $188,332Net Income 2019: $210,0632019Revenue 2020: $230,007Expenses 2020: $418,458Net Income 2020: -$188,4512020Revenue 2021: $369,076Expenses 2021: $53,774Net Income 2021: $315,3022021Revenue 2022: $245,629Expenses 2022: $337,948Net Income 2022: -$92,3192022Revenue 2023: $3,817,323Expenses 2023: $1,527,994Net Income 2023: $2,289,3292023Revenue 2024: $378,184Expenses 2024: $979,253Net Income 2024: -$601,0692024Revenue 2025: $804,768Expenses 2025: $1,693,941Net Income 2025: -$889,1732025

Highlighted filing

2015

Revenue$168,860
Expenses$248,085
Net Income-$79,225
Open 2015 Filing
Jump To
Filing Snapshot
Filing Period
Apr 1, 2014 to Mar 31, 2015
Signed
Feb 10, 2016
Return Version
2014v6.0
Gross Receipts
$180,991
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 rugby, nd.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$5,295,336$5,466,328▲ $170,992
Savings and Temporary Cash Investments$134,156$86,005▼ $48,151
Pledges and Grants Receivable$1,320$320▼ $1,000
Total Assets$6,079,349$6,216,082▲ $136,733
Other Assets Total$648,537$663,429▲ $14,892
Liabilities
Other Liabilities$4,345,330$4,576,514▲ $231,184
Accounts Payable and Accrued Expenses$9,609$8,405▼ $1,204
Total Liabilities$4,354,939$4,584,919▲ $229,980
Net Assets / Fund Balance
Unrestricted Net Assets$1,071,180$917,453▼ $153,727
Temporarily Rstr Net Assets$491,331$551,811▲ $60,480
Permanently Rstr Net Assets$161,899$161,899→ $0
Total Net Assets Fund Balance$1,724,410$1,631,163▼ $93,247
Total Liabilities and Net Assets / Fund Balance$6,079,349$6,216,082▲ $136,733

Asset Categories

AssetBook ValueDepreciationBasis
Other Assets Org$663,429--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$177,801-▲ $30,667-$208,468
2013$160,399$1,500▲ $72,887$56,985$177,801
2012$146,179$14,220▲ $14,128-$160,399
2011$146,179-▲ $5,428-$146,179
2010$146,179-▲ $19,545-$146,179
Compensation and Service Providers
Top Officer Pay48th percentile

Employees

NameTitleFull / Part TimeOtherTotal
Linda Kay DuchscherFoundation DirectorPT$48,553$48,553
Paul SchaanFoundation Director (thru April 2014)PT$35,238$35,238
Dani SchellDirector-$32,574$32,574

Board Members and Trustees

NameTitle
Tanner JohnsonChairman
Rob HovlandVice-chairman
Amanda MatehsDirector
Elisabeth BlessumDirector
Mark SchaanDirector
Jefferey LingerfeltGhsa CEO
Michelle LakeSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$67,921
Program Service Revenue
$0
Investment Income
$91,948
Other Revenue
$8,991
All Other Contributions
$25,533
Change in Net Assets
$-79,225

Audited Revenue Reconciliation

Revenue per Audited Statements
$168,860
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$47,625
Total Revenue per Audited Statements
$216,485
Total Revenue per Form 990
$168,860
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$238,071
Other Expenses$10,014
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$238,071--$238,071
Fees for Services Accounting-$4,689-$4,689
Advertising-$2,745-$2,745
Office Expenses-$2,034-$2,034
All Other Expenses-$546-$546
Total Functional Expenses$238,071$10,014$0$248,085

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$309,732
Expenses per Audited Statements$248,085
Total Expenses per Form 990$248,085
Expenses Not Reported on Form 990$61,647
Expenses Not Reported on Financial Statements$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Good Samaritan Hospital AssociationRugby, ND501(c)(3)To Support Operations and Projects for Hospital$238,071
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$12,302
Fundraising Direct Expenses$12,131
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Charity Golf Classic$25,677$7,227-$7,227
Creations Auction$29,013$5,075-$5,075
Total Events$54,690$12,302$12,131$171
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Related Party Trust Obligations$4,576,514
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. Patrick branco is the ceo for good samaritan hospital association (gsha), and linda kay duchscher is paid by gsha and reports to patrick. Dani schell is also on the gsha payroll as the marketing director and in that capcity reports to patrick branco.”

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

Filer Name
Good Samaritan Health Services Foundation
EIN
36-3513553
Phone
7017765261
Address
800 S MAIN AVENUE, RUGBY, ND 58368-2118

Signing Officer

Name
Linda Kay Duchscher
Title
Foundation Director
Phone
7017765261
Signed
2016-02-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Linda Kay Duchscher
Formed
1987
Legal Domicile
Nd
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
24

Preparer

Firm
Wipfli Llp
Address
7601 FRANCE AVENUE SOUTH SUITE 400, MINNEAPOLIS, MN 55435
Preparer
Tim a Ritter CPA
Phone
9525483400
Supplemental Narrative

Financial Statement Notes

PART V, LINE 4:

“Support for the operations of good samaritan hospital association.”

PART XI, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising event expense 12,131.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising event expense 12,131.”

Raw XML AppendixShowing 400 of 530 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/Desc0THE GOOD SAMARITAN HEALTH SERVICES FOUNDATION PRIMARILY HAS TWO LARGE FUNDRAISERS THROUGHOUT THE YEAR, THE ANNUAL CHARITY GOLF CLASSIC AND THE ANNUAL CREATIONS AUCTION AND DINNER. OUR CHARITY GOLF CLASSIC RAISES MONEY TO SUPPORT A SPECIFIC PROJECT EACH YEAR BEING COMPLETED AT HEART OF AMERICA MEDICAL CENTER. IN 2015, WE RAISED FUNDS TO RENOVATE OUR HOSPITAL ADMISSIONS AREA. THE EVENT IS LIMITED TO 22 TEAMS OF 4 PEOPLE PER TEAM. AREA BUSINESSES AND HOSPITAL VENDORS ARE ASKED TO DONATE MONEY TO THIS WORTHY CAUSE BY BEING A SPONSOR AT THE EVENT IN THE AMOUNTS OF $650 TOURNAMENT SPONSORS, $500 PLATINUM HOLE SPONSORS, $250 GOLD SPONSORS, $100 SILVER SPONSORS, PRIZE SPONSORS OR TEAM SPONSORS. WE HAD A TOTAL OF 115 SPONSORS OF THESE VARIOUS OPTIONS FOR THE OVERALL TOURNAMENT AND ABOUT 100 PEOPLE ATTENDED THE EVENT COOKOUT THAT EVENING (INCLUDING PLAYERS). OUR ANNUAL CREATIONS AUCTION AND DINNER RAISES FUNDS FOR OUR HAMC HOSPICE PROGRAM. WE HAVE ABOUT 240 PEOPLE THAT ATTEND EACH YEAR, AND AROUND 150 DONATIONS OF DIFFERENT ITEMS THAT ARE EITHER AUCTIONED OFF THROUGH A LIVE AUCTION OR THROUGH A CHINESE RAFFLE. THE DAY TO DAY ACTIVITIES OF THE GSHS FOUNDATION INCLUDES BUT ARE NOT LIMITED TO WRITING AND SEEKING OUT GRANTS FOR GSHA, OVERSEEING GRANT MANAGEMENT OF AWARDED FUNDS, SUPPORTING FUNDRAISING PROJECTS, OVERSEEING DONOR DATABASE, MAKING SURE DONATIONS RECEIVED ARE DEPOSITED IN A TIMELY MATTER AND COORDINATING THE MAINTENANCE OF ALL RECORDS INCLUDING FINANCIAL RECORDS. GSHS FOUNDATION IS IN THE COMMUNITY SPOTLIGHT IN VARIOUS WAYS THROUGHOUT THE YEAR BY PLACING MONTHLY THANK YOU ADS IN OUR NEWSPAPER TO ALL THOSE WHO DONATE TO THE HOSPITAL FOR DIFFERENT DEPARTMENTS EACH MONTH, AND WE SEND OUT A HOLIDAY NEWSLETTER ONCE PER YEAR TO 5 SURROUNDING ZIP CODES TO SAY THANK YOU AND EXPLAIN THE GOOD THINGS WE HAVE RAISED FUNDS FOR THROUGHOUT THE YEAR.
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IRS990/Form990PartVIISectionAGrp/TitleTxt8FOUNDATION DIRECTOR
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IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt029850
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt029850
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt05295336
IRS990/InvestmentsPubTradedSecGrp/EOYAmt05466328
IRS990/IRPDocumentCnt03
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0ND
IRS990/LessCostOthBasisSalesExpnssGrp/OtherAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
IRS990/MiscellaneousRevenueGrp/RelatedOrExemptFuncIncomeAmt08820
IRS990/MiscellaneousRevenueGrp/TotalRevenueColumnAmt08820
IRS990/MissionDesc0OUR 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.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt01724410
IRS990/NetAssetsOrFundBalancesEOYAmt01631163
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt062098
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt062098
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0171
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0171
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-14022
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt02034
IRS990/OfficeExpensesGrp/TotalAmt02034
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0648537
IRS990/OtherAssetsTotalGrp/EOYAmt0663429
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt04345330
IRS990/OtherLiabilitiesGrp/EOYAmt04576514
IRS990/OtherRevenueTotalAmt08820
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0161899
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0161899
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt01320
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt0320
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0LINDA KAY DUCHSCHER
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0299628
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0266754
IRS990/PYInvestmentIncomeAmt043496
IRS990/PYOtherExpensesAmt021774
IRS990/PYOtherRevenueAmt0-2915
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt051681
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0288528
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0340209
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-79225
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd01
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0134156
IRS990/SavingsAndTempCashInvstGrp/EOYAmt086005
IRS990ScheduleA/FactsAndCircumstancesTestTxt0THE ORGANIZATION CURRENTLY MEETS THE FACTS AND CIRCUMSTANCES TEST. THE ORGANIZATION IS RELYING ON THIS TEST DUE TO SIGNIFICANT GRANTS RECEIVED FROM A FEW GENEROUS INDIVIDUALS IN TAX YEARS 2010 THROUGH 2013. THE ORGANIZATION HAS A WIDE BASE OF CONTRIBUTORS, A STRONG PRESENCE IN THE COMMUNITY, AND ROBUST FUNDRAISING AND SOLICITATION ACTIVITIES THROUGHOUT THE COUNTIES THAT THEY SERVE. THE ORGANIZATION ALSO IS EXTREMELY CLOSE TO THE 33 1/3% THRESHOLD.THE ORGANIZATION CONTINUES TO CONDUCT THE ACTIVITIES OF A PUBLICLY SUPPORTED ORGANIZATION. BENEFITING FROM THREE CHARITABLE INDIVIDUALS AND PRIVATE FOUNDATIONS HAS RESULTED IN THEIR TOTAL CONTRIBUTIONS AND EXCLUDED CONTRIBUTIONS DISTORTING THE CALCULATION. RECEPTION OF THESE GRANTS HAS NOT CAUSED THE ORGANIZATION TO STOP THEIR NORMAL ACTIVITIES OR SOLICITING IN THE COMMUNITY AND HAVING A WIDE BASE OF CONTRIBUTORS. SEE THE ORGANIZATION'S PROGRAM SERVICE DESCRIPTION FOR THEIR IMPORTANCE IN THE RUGBY COMMUNITY AND THE GOOD SAMARITAN HOSPITAL ASSOCIATION.
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt067921
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0299628
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0137200
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0333488
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0398298
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01236535
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt029850
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt026735
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt033975
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0167480
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt09380
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0267420
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt085328
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.27000
IRS990ScheduleA/PublicSupportPY170Pct00.31030
IRS990ScheduleA/PublicSupportTotal170Amt0406069
IRS990ScheduleA/SubstantialContributorsTotAmt0830466
IRS990ScheduleA/TenPctFactsCrcmstncsTestCYInd0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt067921
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0299628
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0137200
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0333488
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0398298
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01236535
IRS990ScheduleA/TotalSupportAmt01503955
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BoardDesignatedBalanceEOYPct00.00000
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0177801
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0208468
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt030667
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0160399
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt01500
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0177801
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt072887
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/OtherExpendituresAmt056985
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0146179
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/ContributionsAmt014220
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0160399
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/GrantsOrScholarshipsAmt014128
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt014128
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0146179
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0146179
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/GrantsOrScholarshipsAmt05428
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt05428
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0146179
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0146179
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/GrantsOrScholarshipsAmt019545
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt019545
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt049516
IRS990ScheduleD/DonatedServicesUseFcltsAmt049516
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd00
IRS990ScheduleD/ExpensesNotReportedAmt061647
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt0248085
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-14022
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0663429
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0RELATED PARTY RECEIVABLE
IRS990ScheduleD/OtherExpensesIncludedAmt012131
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt04576514
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0RELATED PARTY TRUST OBLIGATIONS
IRS990ScheduleD/OtherRevenueAmt012131
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct00.77660
IRS990ScheduleD/RevenueNotReportedAmt047625
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0168860
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0SUPPORT FOR THE OPERATIONS OF GOOD SAMARITAN HOSPITAL ASSOCIATION.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1FUNDRAISING EVENT EXPENSE 12,131.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2FUNDRAISING EVENT EXPENSE 12,131.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0PART V, LINE 4:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1PART XI, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2PART XII, LINE 2D - OTHER ADJUSTMENTS:
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.22340
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0663429
IRS990ScheduleD/TotalExpensesPerForm990Amt0248085
IRS990ScheduleD/TotalLiabilityAmt04576514
IRS990ScheduleD/TotalRevenuePerForm990Amt0168860
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0216485
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0309732
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt042388
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt018450
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt023938
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt012131
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0CHARITY GOLF CLASSIC
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0CREATIONS AUCTION
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt01381
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt04451
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt05832
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt025677
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt029013
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt054690
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt07227
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt05075
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt012302
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0171
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent1Amt03195
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesEvent2Amt01144
IRS990ScheduleG/FundraisingEventInformationGrp/NonCashPrizesTotalEventsAmt04339
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt01860
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt0100
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt01960
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt0238071
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0TO SUPPORT OPERATIONS AND PROJECTS FOR HOSPITAL
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0GOOD SAMARITAN HOSPITAL ASSOCIATION
IRS990ScheduleI/RecipientTable/RecipientEIN0450226419
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0800 SOUTH MAIN AVE
IRS990ScheduleI/RecipientTable/USAddress/CityNm0RUGBY
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0ND
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd058368
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE 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/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0190671
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt019829
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt012754
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt0494
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0JEFFEREY LINGERFELT
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0GHSA CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0223748
IRS990ScheduleJ/SeverancePaymentInd00

Document Assets

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Filings

Displayed year

2015 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$6,216,082
Liabilities
$4,584,919
Net assets
$1,631,163
Revenue
$168,860
Expenses
$248,085
Net income
-$79,225
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$3.01$0.73$2.29$0.80$1.69$0.89
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3.85$0.69$3.16$0.38$0.98$0.60
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.34$0.65$3.69$3.82$1.53$2.29
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.23$0.73$1.50$0.25$0.34$0.09
2021Detailed filing. Detailed filing data is available for this year.$2.21$0.64$1.57$0.37$0.05$0.32
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.52$0.46$1.06$0.23$0.42$0.19
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.84$0.55$1.29$0.40$0.19$0.21
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.40$1.30$1.10$0.52$1.49$0.97
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$5.49$3.37$2.11$0.57$0.09$0.47
2016Detailed filing. Detailed filing data is available for this year.$6.02$4.38$1.64$0.16$0.03$0.13
2015Detailed filing. Detailed filing data is available for this year.$6.22$4.58$1.63$0.17$0.25$0.08
2014Detailed filing. Detailed filing data is available for this year.$6.08$4.35$1.72$0.34$0.29$0.05
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.36$3.85$1.51$0.21
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.02$3.57$1.46$0.51
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$5.00$3.42$1.58$0.03
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.14$3.07$1.07$0.05