Civic Intelligence

Good Samaritan Health Services Foundation

990 • Fiscal year 2018 • EIN 36-3513553

Apr 01, 2017 to Mar 31, 2018 • Filed on Feb 15, 2019

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

76th percentile

0.54x

Higher debt load relative to assets than 76% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Source year 2018

Liabilities / Revenue

92nd percentile

2.52x

Higher debt load relative to revenue than 92% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Source year 2018

Net Margin

4th percentile

-188%

Higher net margin than 4% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Source year 2018

Top Officer Pay

80th percentile

$305,929

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 59.2% of source-year revenue.

2018 filings • NTEE E • $1M-$5M nonprofits • Source year 2018

Asset Growth

1st percentile

-56%

Faster asset growth than 1% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2017 to 2018

Revenue Growth

23rd percentile

-8.9%

Faster revenue growth than 23% of similar nonprofits.

2018 filings • NTEE E • $1M-$5M nonprofits • Annualized from 2017 to 2018

Balance Sheet
Liabilities / Assets76th percentile

Assets

Down

$2,399,094

Down $3,090,530 (-56%) from 2017

Net Assets

Down

$1,097,194

Down $1,017,668 (-48%) from 2017

Liabilities

Down

$1,301,900

Down $2,072,862 (-61%) from 2017

Revenue And Expenses
Liabilities / Revenue92nd percentileNet Margin4th percentile

Revenue

Down

$516,413

Down $50,438 (-8.9%) from 2017

Expenses

Up

$1,485,581

Up $1,390,695 (+1466%) from 2017

Net Income

Down

-$969,168

Down $1,441,133 (-305%) from 2017

Historical Trend

Balance Sheet Trend

Asset Growth1st 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

2018

Assets$2,399,094
Liabilities$1,301,900
Net Assets$1,097,194
Open 2018 Filing

Operations Trend

Revenue Growth23rd 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

2018

Revenue$516,413
Expenses$1,485,581
Net Income-$969,168
Open 2018 Filing
Jump To
Filing Snapshot
Filing Period
Apr 1, 2017 to Mar 31, 2018
Signed
Feb 15, 2019
Return Version
2017v2.3
Gross Receipts
$4,044,861
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$4,880,625$2,013,534▼ $2,867,091
Savings and Temporary Cash Investments$571,812$348,373▼ $223,439
Investments Other Securities$37,187$37,187→ $0
Total Assets$5,489,624$2,399,094▼ $3,090,530
Liabilities
Other Liabilities$3,373,847$1,244,589▼ $2,129,258
Accounts Payable and Accrued Expenses$915$57,311▲ $56,396
Total Liabilities$3,374,762$1,301,900▼ $2,072,862
Net Assets / Fund Balance
Temporarily Rstr Net Assets$558,326$607,515▲ $49,189
Unrestricted Net Assets$1,358,898$292,041▼ $1,066,857
Permanently Rstr Net Assets$197,638$197,638→ $0
Total Net Assets Fund Balance$2,114,862$1,097,194▼ $1,017,668
Total Liabilities and Net Assets / Fund Balance$5,489,624$2,399,094▼ $3,090,530

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$197,638-▲ $26,955$26,955$197,638
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
Compensation and Service Providers
Top Officer Pay80th percentile

Employees

NameTitleFull / Part TimeOtherTotal
Amanda LoughmanGsha CFO (thru December)-$122,840$122,840
Dani SchellVice Chairman-$40,150$40,150
Kelsey NelsonFoundation Coordinator (thru September)FT$32,914$32,914
Cathy JelsingFoundation CoordinatorFT$1,223$1,223

Board Members and Trustees

NameTitle
Tanner JohnsonChairman
Elisabeth BlessumDirector
Kathy SantjerDirector
Patricia PaulDirector
William GriffinDirector
Patrick BrancoGhsa CEO
Richard BalandGsha CFO
Amanda MatehsSecretary/treasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$313,110
Program Service Revenue
$0
Investment Income
$195,337
Other Revenue
$7,966
All Other Contributions
$283,955
Change in Net Assets
$-969,168

Audited Revenue Reconciliation

Revenue per Audited Statements
$516,413
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$73
Total Revenue per Audited Statements
$516,486
Total Revenue per Form 990
$516,413
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,472,198
Other Expenses$13,383
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,472,198--$1,472,198
Office Expenses-$12,533-$12,533
Fees for Services Accounting-$850-$850
Total Functional Expenses$1,472,198$13,383$0$1,485,581

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$1,534,154
Expenses per Audited Statements$1,485,581
Total Expenses per Form 990$1,485,581
Expenses Not Reported on Form 990$48,573
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$1,472,198
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$23,449
Fundraising Direct Expenses$15,483
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Creations Auction$25,120$13,735$1,338$12,397
Charity Golf Classic$27,484$9,714$4,187$5,527
Total Events$52,604$23,449$15,483$7,966
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$1,244,589
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 and cfo 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
Patrick Branco
Title
CEO
Phone
7017765455
Signed
2019-02-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Catherine Jelsing
Formed
1987
Legal Domicile
Nd
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
25

Preparer

Firm
Wipfli Llp
Address
1502 LONDON ROAD SUITE 200, DULUTH, MN 55812
Preparer
Michael J Peterson CPA
Phone
2187224705
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 15,483.”

PART XII, LINE 2D - OTHER ADJUSTMENTS:

“Fundraising event expense 15,483.”

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IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0ND
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt03512965
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/NetAssetsOrFundBalancesBOYAmt02114862
IRS990/NetAssetsOrFundBalancesEOYAmt01097194
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0179433
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0179433
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt07966
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt07966
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0-48500
IRS990/NondeductibleContributionsInd00
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt012533
IRS990/OfficeExpensesGrp/TotalAmt012533
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherLiabilitiesGrp/BOYAmt03373847
IRS990/OtherLiabilitiesGrp/EOYAmt01244589
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PermanentlyRstrNetAssetsGrp/BOYAmt0197638
IRS990/PermanentlyRstrNetAssetsGrp/EOYAmt0197638
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.
IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt00
IRS990/ProgSrvcAccomActy2Grp/GrantAmt00
IRS990/ProgSrvcAccomActy2Grp/RevenueAmt00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt0335469
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt067443
IRS990/PYInvestmentIncomeAmt0231390
IRS990/PYOtherExpensesAmt027443
IRS990/PYOtherRevenueAmt0-8
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt0471965
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt094886
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0566851
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-969168
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0571812
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0348373
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0DESCRIPTION: ONE TIME CONTRIBUTION DATE: 12/31/16 AMOUNT: 266200.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS:
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt0313110
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0335469
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0104923
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt067921
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0299628
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt01121051
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt015904
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt020445
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt016494
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt029850
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt026735
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0109428
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt090465
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.65440
IRS990ScheduleA/PublicSupportPY170Pct00.63540
IRS990ScheduleA/PublicSupportTotal170Amt0805249
IRS990ScheduleA/SubstantialContributorsTotAmt0315802
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt0313110
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0335469
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0104923
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt067921
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0299628
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt01121051
IRS990ScheduleA/TotalSupportAmt01230479
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/BoardDesignatedBalanceEOYPct00.00000
IRS990ScheduleD/CYEndwmtFundGrp/BeginningYearBalanceAmt0197638
IRS990ScheduleD/CYEndwmtFundGrp/EndYearBalanceAmt0197638
IRS990ScheduleD/CYEndwmtFundGrp/InvestmentEarningsOrLossesAmt026955
IRS990ScheduleD/CYEndwmtFundGrp/OtherExpendituresAmt026955
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/BeginningYearBalanceAmt0199995
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/ContributionsAmt035739
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/EndYearBalanceAmt0197638
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt020421
IRS990ScheduleD/CYMinus1YrEndwmtFundGrp/OtherExpendituresAmt058517
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/BeginningYearBalanceAmt0208468
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/EndYearBalanceAmt0199995
IRS990ScheduleD/CYMinus2YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt0-8473
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/BeginningYearBalanceAmt0177801
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/EndYearBalanceAmt0208468
IRS990ScheduleD/CYMinus3YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt030667
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/BeginningYearBalanceAmt0160399
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/ContributionsAmt01500
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/EndYearBalanceAmt0177801
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/InvestmentEarningsOrLossesAmt072887
IRS990ScheduleD/CYMinus4YrEndwmtFundGrp/OtherExpendituresAmt056985
IRS990ScheduleD/DonatedServicesAndUseFcltsAmt033090
IRS990ScheduleD/DonatedServicesUseFcltsAmt033090
IRS990ScheduleD/EndowmentsHeldRelatedOrgInd00
IRS990ScheduleD/EndowmentsHeldUnrelatedOrgInd01
IRS990ScheduleD/ExpensesNotReportedAmt048573
IRS990ScheduleD/ExpensesNotRptFinclStmtAmt00
IRS990ScheduleD/ExpensesSubtotalAmt01485581
IRS990ScheduleD/NetUnrealizedGainsInvstAmt0-48500
IRS990ScheduleD/OtherExpensesIncludedAmt015483
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt01244589
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0RELATED PARTY TRUST OBLIGATIONS
IRS990ScheduleD/OtherRevenueAmt015483
IRS990ScheduleD/PrmnntEndowmentBalanceEOYPct01.00000
IRS990ScheduleD/RevenueNotReportedAmt073
IRS990ScheduleD/RevenueNotReportedFinclStmtAmt00
IRS990ScheduleD/RevenueSubtotalAmt0516413
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 15,483.
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt2FUNDRAISING EVENT EXPENSE 15,483.
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/TotalExpensesPerForm990Amt01485581
IRS990ScheduleD/TotalLiabilityAmt01244589
IRS990ScheduleD/TotalRevenuePerForm990Amt0516413
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0516486
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt01534154
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContributionsTotAmt029155
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent1Amt011385
IRS990ScheduleG/FundraisingEventInformationGrp/CharitableContriEvent2Amt017770
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt015483
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0CREATIONS AUCTION
IRS990ScheduleG/FundraisingEventInformationGrp/Event2Nm0CHARITY GOLF CLASSIC
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent1Amt06228
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageEvent2Amt01650
IRS990ScheduleG/FundraisingEventInformationGrp/FoodAndBeverageTotalEventsAmt07878
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt025120
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent2Amt027484
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt052604
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt013735
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent2Amt09714
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt023449
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt07966
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt05525
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt01338
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent2Amt04187
IRS990ScheduleG/FundraisingEventInformationGrp/RentFacilityCostsEvent2Amt02080
IRS990ScheduleG/FundraisingEventInformationGrp/RentFcltyCostsTotalEventsAmt02080
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt01472198
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:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt025245
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0224069
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt06674
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt021753
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt028188
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0PATRICK BRANCO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0GHSA CEO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00

Document Assets

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Filings

Displayed year

2018 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$2,399,094
Liabilities
$1,301,900
Net assets
$1,097,194
Revenue
$516,413
Expenses
$1,485,581
Net income
-$969,168
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
2018Detailed filing. Detailed filing data is available for this year.$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
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