Civic Intelligence

Good Samaritan Health Services Foundation

990 • Fiscal year 2017 • EIN 36-3513553

Apr 01, 2016 to Mar 31, 2017 • Filed on Feb 15, 2018

Organization Profilewww.hamc.com/Foundation
800 S Main AvenueRugby, ND 58368-2118

(701) 776-5455

Siviq Scores

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

Liabilities / Assets

65th percentile

0.61x

Higher debt load relative to assets than 65% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Source year 2017

Liabilities / Revenue

97th percentile

5.95x

Higher debt load relative to revenue than 97% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Source year 2017

Net Margin

97th percentile

83%

Higher net margin than 97% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Source year 2017

Top Officer Pay

52nd percentile

$246,748

Higher top officer pay than 52% of similar nonprofits.

Top officer pay equals 43.5% of source-year revenue.

2017 filings • NTEE E • $5M-$10M nonprofits • Source year 2017

Asset Growth

18th percentile

-8.8%

Faster asset growth than 18% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2016 to 2017

Revenue Growth

98th percentile

262%

Faster revenue growth than 98% of similar nonprofits.

2017 filings • NTEE E • $5M-$10M nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets65th percentile

Assets

Down

$5,489,624

Down $531,017 (-8.8%) from 2016

Net Assets

Up

$2,114,862

Up $477,615 (+29%) from 2016

Liabilities

Down

$3,374,762

Down $1,008,632 (-23%) from 2016

Revenue And Expenses
Liabilities / Revenue97th percentileNet Margin97th percentile

Revenue

Up

$566,851

Up $410,198 (+262%) from 2016

Expenses

Up

$94,886

Up $65,944 (+228%) from 2016

Net Income

Up

$471,965

Up $344,254 (+270%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth18th 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

2017

Assets$5,489,624
Liabilities$3,374,762
Net Assets$2,114,862
Open 2017 Filing

Operations Trend

Revenue Growth98th 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

2017

Revenue$566,851
Expenses$94,886
Net Income$471,965
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Apr 1, 2016 to Mar 31, 2017
Signed
Feb 15, 2018
Return Version
2016v3.0
Gross Receipts
$1,509,639
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$5,015,397$4,880,625▼ $134,772
Savings and Temporary Cash Investments$467,439$571,812▲ $104,373
Investments Other Securities$0$37,187▲ $37,187
Pledges and Grants Receivable$320$0▼ $320
Total Assets$6,020,641$5,489,624▼ $531,017
Other Assets Total$537,485$0▼ $537,485
Liabilities
Other Liabilities$4,376,106$3,373,847▼ $1,002,259
Accounts Payable and Accrued Expenses$7,288$915▼ $6,373
Total Liabilities$4,383,394$3,374,762▼ $1,008,632
Net Assets / Fund Balance
Unrestricted Net Assets$903,577$1,358,898▲ $455,321
Temporarily Rstr Net Assets$571,771$558,326▼ $13,445
Permanently Rstr Net Assets$161,899$197,638▲ $35,739
Total Net Assets Fund Balance$1,637,247$2,114,862▲ $477,615
Total Liabilities and Net Assets / Fund Balance$6,020,641$5,489,624▼ $531,017

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$199,995$35,739▲ $20,421$58,517$197,638
2015$208,468-▼ $8,473-$199,995
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
Compensation and Service Providers
Top Officer Pay52nd percentile

Employees

NameTitleFull / Part TimeOtherTotal
Amanda LoughmanGsha CFO-$115,986$115,986
Linda Kay DuchscherFoundation DirectorPT$58,164$58,164
Kelsey NelsonFoundation CoordinatorFT$44,679$44,679
Dani SchellDirector-$37,654$37,654

Board Members and Trustees

NameTitle
Tanner JohnsonChairman
Rob HovlandVice-Chairman (Thru March)
Elisabeth BlessumDirector
Patricia PaulDirector
William GriffinDirector
Marc SchannDirector (Thru October)
Patrick BrancoGhsa CEO
Amanda MatehsSecretary/Treasurer
Michelle LakeSecretary/Treasurer (Thru May)
Revenue and Support

Revenue Composition

Contributions and Grants
$335,469
Program Service Revenue
$0
Investment Income
$231,390
Other Revenue
$-8
All Other Contributions
$293,421
Change in Net Assets
$471,965

Audited Revenue Reconciliation

Revenue per Audited Statements
$566,851
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$66,265
Total Revenue per Audited Statements
$633,116
Total Revenue per Form 990
$566,851
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$67,443
Other Expenses$27,443
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$67,443--$67,443
Office Expenses-$20,809-$20,809
Fees for Services Accounting-$3,480-$3,480
Advertising-$2,834-$2,834
All Other Expenses-$320-$320
Total Functional Expenses$67,443$27,443$0$94,886

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$155,501
Expenses per Audited Statements$94,886
Total Expenses per Form 990$94,886
Expenses Not Reported on Form 990$60,615
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$67,443
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$16,205
Fundraising Gross Income$16,197
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Creations Auction$30,761$11,270$1,210$10,060
Charity Golf Classic$27,484$4,927$1,736$3,191
Total Events$58,245$16,197$16,205$-8
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$3,373,847
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

“HAMC marketing coordinator Dani Schell is the employee representative on the Foundation board and reports to HAMC CEO Patrick Branco.”

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

“Per Article II, Section 6 of the bylaws, the board of directors of Good Samaritan Hospital Association (direct controling entity) has the ability to remove of the foundation board without cause.”

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

“Per Article II, Section 1 of the Foundation bylaws, The Foundation Board shall be answerable in all Foundation matters to the Board of Trustees of the Good Samaritan Hospital Association.”

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 11B

“The CEO, CFO and Foundation Coordinator review and approve the 990 prior to submission to the internal revenue service.”

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

“A Conflict of Interest Statement is reviewed annually. It is monitored during year. A member will abstain from voting on an issue if a conflict of interest in the matter is present. CEO receives and reviews the responses regarding the annual disclosure.”

Form 990, Part VI, Section B, line 15

“The organization does not compensate any of their officers.”

Form 990, Part VI, Section C, line 19

“The governing documents, conflict of interest policy, and financial statements are available to the public upon request.”

Filing and Contact Details

Filer

Filer Name
Good Samaritan Health Services
EIN
36-3513553
Phone
7017765455
Address
800 S Main Avenue, Rugby, ND 58368-2118

Signing Officer

Name
Richard Baland
Title
Interim CFO
Phone
7017765455
Signed
2018-02-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Catherine Jelsing
Formed
1987
Legal Domicile
Nd
Voting Board Members
6
Independent Board Members
6
Employees
0
Volunteers
25

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. The organization has part of the reported endowment assets ($35,739) held by the North Dakota Community Foundation. The remaining are held by the organization.”

Part XI, Line 2D - Other Adjustments:

“Fundraising Event Expense 16,205.”

Part XII, Line 2D - Other Adjustments:

“Fundraising Event Expense 16,205.”

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IRS990/GrossReceiptsAmt01509639
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd01
IRS990/IndependentVotingMemberCnt06
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartIIIInd0X
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt020445
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt020445
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt00
IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt037187
IRS990/InvestmentsPubTradedSecGrp/BOYAmt05015397
IRS990/InvestmentsPubTradedSecGrp/EOYAmt04880625
IRS990/IRPDocumentCnt03
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0ND
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt0926583
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd00
IRS990/MinutesOfGoverningBodyInd01
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/NetAssetsOrFundBalancesBOYAmt01637247
IRS990/NetAssetsOrFundBalancesEOYAmt02114862
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0210945
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0210945
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt0-8
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt0-8
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt05650
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt020809
IRS990/OfficeExpensesGrp/TotalAmt020809
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0537485
IRS990/OtherAssetsTotalGrp/EOYAmt00
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt04376106
IRS990/OtherLiabilitiesGrp/EOYAmt03373847
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0161899
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0197638
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt0320
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0Catherine Jelsing
IRS990/ProfessionalFundraisingInd00
IRS990/ProgSrvcAccomActy2Grp/Desc0The Foundation hosts an annual Charity Golf Classic to raise money for specific projects in support of Heart of America Medical Center. In 2017 the golf tournament raised $19,566 for a Cancer Care Patient Fund. The fund was established in 2017 in conjunction with the establishment of HAMC's infusion therapy suite. The state-of-the-art facility brings the latest treatments to patients, whether they have cancer, a chronic infection, an immune disorder or another condition that requires intravenous therapy. The HAMC Cancer Care Fund grant program is designed to lessen financial burdens for local cancer patients by providing financial assistance for medication, specialized treatments, travel, lodging, groceries, and other expenses not covered by insurance. Assistance is granted in the form of gift cards and vouchers or direct payments to vendors such as the hospital, clinic or utility companies. The infusion therapy suite took two years from concept to completion, with funding provided by the USDA, the Foundation, and HAMC.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt00
IRS990/ProgSrvcAccomActy2Grp/GrantAmt00
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt00
IRS990/ProgSrvcAccomActy3Grp/Desc0A third major program supported by the Foundation is Walk For a Wish. This employee-focused program funds Heart of America Medical Center and Haaland Estates employees' requests for medical, office and training supplies or equipment that will improve patient care and employee working conditions and are not covered by department budgets. In July 2017, 32 employees and their families walked a two-mile course and were granted $18,351.44 in wishes. Items purchased with the 32 Walk for Wish grants included a sedation stethoscope for the operating room, a video intercom system for the pharmacy, baby strollers for the HAMC daycare, CPR mannequins for Emergency Medical Services training, and an ice machine for the HAMC's clinic in Dunseith.
IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt00
IRS990/ProgSrvcAccomActy3Grp/GrantAmt00
IRS990/ProgSrvcAccomActy3Grp/RevenueAmt00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0104923
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt012476
IRS990/PYInvestmentIncomeAmt043511
IRS990/PYOtherExpensesAmt016466
IRS990/PYOtherRevenueAmt08219
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0127711
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt028942
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0156653
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0471965
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0467439
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0571812
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0Description: One Time Contribution Date: 12/31/16 Amount: 266200.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part VI, List of Unusual Grants:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0335469
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0104923
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt067921
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0299628
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0137200
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0945141
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt020445
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt016494
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt029850
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt026735
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt033975
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0127499
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt080322
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.63540
IRS990ScheduleA/PublicSupportPY170Pct00.35550
IRS990ScheduleA/PublicSupportTotal170Amt0681533
IRS990ScheduleA/SubstantialContributorsTotAmt0263608
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0335469
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0104923
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt067921
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0299628
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0137200
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0945141
IRS990ScheduleA/TotalSupportAmt01072640
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/BeginningYearBalanceAmt0199995
IRS990ScheduleD/CYEndwmtFundGrp/ContributionsAmt035739
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0197638
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt020421
IRS990ScheduleD/CYEndwmtFundGrp/OtherExpendituresAmt058517
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0208468
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0199995
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0-8473
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0177801
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0208468
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt030667
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0160399
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/ContributionsAmt01500
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0177801
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt072887
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/OtherExpendituresAmt056985
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0146179
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt014220
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0160399
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/GrantsOrScholarshipsAmt014128
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt014128
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt044410
IRS990ScheduleD/DonatedServicesUseFcltsAmt044410
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd01
IRS990ScheduleD/ExpensesNotReportedAmt060615
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt094886
IRS990ScheduleD/NetUnrealizedGainsInvstAmt05650
IRS990ScheduleD/OtherExpensesIncludedAmt016205
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt03373847
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Related Party Trust Obligations
IRS990ScheduleD/OtherRevenueAmt016205
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct01.00000
IRS990ScheduleD/RevenueNotReportedAmt066265
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0566851
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Support for the operations of Good Samaritan Hospital Association. The organization has part of the reported endowment assets ($35,739) held by the North Dakota Community Foundation. The remaining are held by the organization.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt1Fundraising Event Expense 16,205.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2Fundraising Event Expense 16,205.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part V, Line 4:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc1Part XI, Line 2d - Other Adjustments:
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc2Part XII, Line 2d - Other Adjustments:
IRS990ScheduleD/TermEndowmentBalanceEOYPct00.00000
IRS990ScheduleD/TotalBookValueLandBuildingsAmt00
IRS990ScheduleD/TotalExpensesPerForm990Amt094886
IRS990ScheduleD/TotalLiabilityAmt03373847
IRS990ScheduleD/TotalRevenuePerForm990Amt0566851
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0633116
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0155501
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt042048
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt019491
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt022557
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt016205
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent1Amt01257
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentEvent2Amt02321
IRS990ScheduleG/FundraisingEventInformationGrp/EntertainmentTotalEventsAmt03578
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0Creations Auction
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0Charity Golf Classic
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt05520
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt01287
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt06807
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt030761
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt027484
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt058245
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt011270
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt04927
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt016197
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt0-8
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt02946
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt01210
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt01736
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent1Amt0300
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt02574
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt02874
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt067443
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(c)(3)

Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$5,489,624
Liabilities
$3,374,762
Net assets
$2,114,862
Revenue
$566,851
Expenses
$94,886
Net income
$471,965
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
2017Detailed filing. Detailed filing data is available for this year.$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
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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