Civic Intelligence

Good Samaritan Hospital Foundation Kearney Nebraska

990T • Fiscal year 2021 • EIN 47-0659443

Jul 01, 2020 to Jun 30, 2021 • Filed on May 12, 2022

111 W 31st StreetKearney, NE 68847-2916

(308) 865-7900

Siviq Scores

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Balance Sheet

Assets

-

No earlier filing loaded for comparison.

Net Assets

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No earlier filing loaded for comparison.

Liabilities

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No earlier filing loaded for comparison.

Revenue And Expenses

Revenue

-

No earlier filing loaded for comparison.

Expenses

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No earlier filing loaded for comparison.

Net Income

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No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

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

$30M$20M$10M$0Assets 2010: $6,203,458Liabilities 2010: $1,767,722Net Assets 2010: $4,435,7362010Assets 2011: $7,907,810Liabilities 2011: $2,032,209Net Assets 2011: $5,875,6012011Assets 2012: $10,295,927Liabilities 2012: $3,691,848Net Assets 2012: $6,604,0792012Assets 2013: $9,818,930Liabilities 2013: $4,466,814Net Assets 2013: $5,352,1162013Assets 2014: $9,848,752Liabilities 2014: $3,915,483Net Assets 2014: $5,933,2692014Assets 2015: $15,007,972Liabilities 2015: $9,072,066Net Assets 2015: $5,935,9062015Assets 2016: $9,581,974Liabilities 2016: $4,460,951Net Assets 2016: $5,121,0232016Assets 2017: $11,445,555Liabilities 2017: $5,666,192Net Assets 2017: $5,779,3632017Assets 2018: $13,115,267Liabilities 2018: $5,720,863Net Assets 2018: $7,394,4042018Assets 2019: $10,248,165Liabilities 2019: $2,715,917Net Assets 2019: $7,532,2482019Assets 2020: $12,478,936Liabilities 2020: $4,755,031Net Assets 2020: $7,723,9052020Assets 2021: $21,057,431Liabilities 2021: $5,287,435Net Assets 2021: $15,769,9962021Assets 2022: $15,174,287Liabilities 2022: $2,405,783Net Assets 2022: $12,768,5042022Assets 2023: $12,854,572Liabilities 2023: $2,405,023Net Assets 2023: $10,449,5492023Assets 2024: $13,286,569Liabilities 2024: $2,370,862Net Assets 2024: $10,915,7072024

Latest loaded filing

2024

Assets$13,286,569
Liabilities$2,370,862
Net Assets$10,915,707

Operations Trend

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

$10M$5.0M$0-$5.0MExpenses 2010: $1,558,7912010Revenue 2011: $2,642,332Expenses 2011: $1,629,349Net Income 2011: $1,012,9832011Expenses 2012: $2,332,9612012Expenses 2013: $2,652,6732013Revenue 2014: $2,081,264Expenses 2014: $1,962,689Net Income 2014: $118,5752014Revenue 2015: $6,836,977Expenses 2015: $6,048,262Net Income 2015: $788,7152015Revenue 2016: $1,184,752Expenses 2016: $1,936,408Net Income 2016: -$751,6562016Revenue 2017: $3,494,478Expenses 2017: $2,965,389Net Income 2017: $529,0892017Revenue 2018: $2,617,384Expenses 2018: $1,066,549Net Income 2018: $1,550,8352018Revenue 2019: $858,922Expenses 2019: $595,869Net Income 2019: $263,0532019Revenue 2020: $2,790,069Expenses 2020: $585,976Net Income 2020: $2,204,0932020Revenue 2021: $6,868,075Expenses 2021: $3,122,865Net Income 2021: $3,745,2102021Revenue 2022: $1,604,278Expenses 2022: $3,422,197Net Income 2022: -$1,817,9192022Revenue 2023: $1,452,103Expenses 2023: $4,045,544Net Income 2023: -$2,593,4412023Revenue 2024: $520,824Expenses 2024: $711,580Net Income 2024: -$190,7562024

Latest loaded filing

2024

Revenue$520,824
Expenses$711,580
Net Income-$190,756
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 12, 2022
Return Version
2020v1.3
Mission and Program Overview

Mission

I. Mission - good samaritan hospital foundation supports the health care services, research and education mission of good samaritan hospital. The foundation seeks, receives and administers donations for the benefit of the entire health system. Our fundraising activities and careful stewardship of resources make possible the programs that help further our organizational mission of serving patients, families and our community. Ii. Vision - honoring our catholic heritage, good samaritan health systems is recognized for excellence in regional healthcare through values-based leadership. Iii. Primary tax-exempt purpose - the primary exempt purpose of good samaritan hospital foundation is to support the charitable mission of good samaritan hospital through solicitation and receipt of contributions, gifts, grants, devises or bequests.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Hospital Foundation
EIN
47-0659443
Phone
3088657900
Address
111 W 31ST STREET, KEARNEY, NE 68847-2916

Signing Officer

Name
Jeanette Wojtalewicz
Title
CFO, CHI Health
Phone
3088657900
Signed
2022-05-12
Discuss with paid preparer
Yes

Preparer

Firm
Commonspirit Health
Address
198 INVERNESS DRIVE WEST, ENGLEWOOD, CO 80112
Preparer
Angela Noel
Phone
3032989100
Raw XML Appendix91 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.

Path#Value
IRS990T/BooksInCareOfDetail/PersonNm0JEANETTE WOJTALEWICZ
IRS990T/BooksInCareOfDetail/PhoneNum04023434671
IRS990T/BooksInCareOfDetail/USAddress/AddressLine1Txt012809 WEST DODGE ROAD
IRS990T/BooksInCareOfDetail/USAddress/CityNm0OMAHA
IRS990T/BooksInCareOfDetail/USAddress/StateAbbreviationCd0NE
IRS990T/BooksInCareOfDetail/USAddress/ZIPCd068154
IRS990T/BookValueAssetsEOYAmt021057431
IRS990T/ChangeInMethodOfAccountingInd00
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IRS990T/Organization501IndicatorGrp/Organization501cTypeTxt0c3
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IRS990T/ParentCorporationName/BusinessNameLine1Txt0COMMONSPIRIT HEALTH
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IRS990TScheduleA/TotUnrltTrdBusIncmExpnssAmt00
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IRS990T/TotalPaymentsAmt0157
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IRS990T/TotalUBTIAmt0291
IRS990T/TotalUBTIBeforeNOLSpecificAmt01291
IRS990T/TotalUBTIBeforeSection199AAmt01291
IRS990T/TotalUBTIComputedAmt01291
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd00
ReturnHeader/BuildTS02022-09-23 18:48:47Z
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ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CFO, CHI HEALTH
ReturnHeader/BusinessOfficerGrp/PhoneNum03088657900
ReturnHeader/BusinessOfficerGrp/SignatureDt02022-05-12
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GOOD SAMARITAN HOSPITAL FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0GOOD
ReturnHeader/Filer/EIN0470659443
ReturnHeader/Filer/PhoneNum03088657900
ReturnHeader/Filer/USAddress/AddressLine1Txt0111 W 31ST STREET
ReturnHeader/Filer/USAddress/CityNm0KEARNEY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0NE
ReturnHeader/Filer/USAddress/ZIPCd0688472916
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0470617373
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ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0198 INVERNESS DRIVE WEST
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ENGLEWOOD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CO
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd080112
ReturnHeader/PreparerPersonGrp/PhoneNum03032989100
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ANGELA NOEL
ReturnHeader/ReturnTs02022-05-12T16:55:44-05:00
ReturnHeader/ReturnTypeCd0990T
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0JEANETTE
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0WOJTALEWICZ
ReturnHeader/TaxPeriodBeginDt02020-07-01
ReturnHeader/TaxPeriodEndDt02021-06-30
ReturnHeader/TaxYr02020

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$13.3$2.37$10.9$0.52$0.71$0.19
2023Detailed filing. Detailed filing data is available for this year.$12.9$2.41$10.4$1.45$4.05$2.59
2022Detailed filing. Detailed filing data is available for this year.$15.2$2.41$12.8$1.60$3.42$1.82
2021Detailed filing. Detailed filing data is available for this year.$21.1$5.29$15.8$6.87$3.12$3.75
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.
2020Detailed filing. Detailed filing data is available for this year.$12.5$4.76$7.72$2.79$0.59$2.20
2019Detailed filing. Detailed filing data is available for this year.$10.2$2.72$7.53$0.86$0.60$0.26
2018Detailed filing. Detailed filing data is available for this year.$13.1$5.72$7.39$2.62$1.07$1.55
2017Detailed filing. Detailed filing data is available for this year.$11.4$5.67$5.78$3.49$2.97$0.53
2016Detailed filing. Detailed filing data is available for this year.$9.58$4.46$5.12$1.18$1.94$0.75
2015Detailed filing. Detailed filing data is available for this year.$15.0$9.07$5.94$6.84$6.05$0.79
2014Detailed filing. Detailed filing data is available for this year.$9.85$3.92$5.93$2.08$1.96$0.12
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$9.82$4.47$5.35$2.65
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$10.3$3.69$6.60$2.33
2011Summary only. Only limited summary data is available for this year.$7.91$2.03$5.88$2.64$1.63$1.01
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$6.20$1.77$4.44$1.56