Civic Intelligence

Good Samaritan Foundation

990 • Fiscal year 2014 • EIN 91-2004312

Jan 01, 2014 to Dec 31, 2014 • Filed on Nov 12, 2015

PO Box 5299Tacoma, WA 98415-0299

(253) 459-8125

Siviq Scores

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

Liabilities / Assets

4th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Liabilities / Revenue

4th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Net Margin

79th percentile

21%

Higher net margin than 79% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Top Officer Pay

96th percentile

$1,034,691

Higher top officer pay than 96% of similar nonprofits.

Top officer pay equals 27.8% of source-year revenue.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2014

Asset Growth

94th percentile

46%

Faster asset growth than 94% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2013 to 2014

Revenue Growth

73rd percentile

16%

Faster revenue growth than 73% of similar nonprofits.

2014 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2013 to 2014

Assets

Up

$14,089,917

Up $4,422,310 (+46%) from 2013

Net Assets

Up

$14,089,917

Up $4,422,310 (+46%) from 2013

Liabilities

Flat

$0

Flat from 2013

Revenue

Up

$3,719,358

Up $503,833 (+16%) from 2013

Expenses

Down

$2,930,683

Down $53,830 (-1.8%) from 2013

Net Income

Up

$788,675

Up $557,663 (+241%) from 2013

Historical Trend

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2010: $6,488,651Liabilities 2010: $0Net Assets 2010: $6,488,6512010Assets 2011: $9,345,064Liabilities 2011: $0Net Assets 2011: $9,345,0642011Assets 2012: $9,456,546Liabilities 2012: $0Net Assets 2012: $9,456,5462012Assets 2013: $9,667,607Liabilities 2013: $0Net Assets 2013: $9,667,6072013Assets 2014: $14,089,917Liabilities 2014: $0Net Assets 2014: $14,089,9172014Assets 2015: $14,016,250Liabilities 2015: $0Net Assets 2015: $14,016,2502015Assets 2016: $14,296,922Liabilities 2016: $0Net Assets 2016: $14,296,9222016Assets 2017: $17,985,581Liabilities 2017: $0Net Assets 2017: $17,985,5812017Assets 2018: $18,360,340Liabilities 2018: $0Net Assets 2018: $18,360,3402018Assets 2019: $0Liabilities 2019: $0Net Assets 2019: $02019

Highlighted filing

2014

Assets$14,089,917
Liabilities$0
Net Assets$14,089,917

Operations Trend

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

$8.0M$6.0M$4.0M$2.0M$0-$2.0MExpenses 2010: $4,203,3732010Revenue 2011: $6,567,626Expenses 2011: $3,986,822Net Income 2011: $2,580,8042011Expenses 2012: $3,075,9952012Revenue 2013: $3,215,525Expenses 2013: $2,984,513Net Income 2013: $231,0122013Revenue 2014: $3,719,358Expenses 2014: $2,930,683Net Income 2014: $788,6752014Revenue 2015: $2,463,914Expenses 2015: $2,532,581Net Income 2015: -$68,6672015Revenue 2016: $4,322,085Expenses 2016: $3,984,803Net Income 2016: $337,2822016Revenue 2017: $4,503,370Expenses 2017: $2,263,314Net Income 2017: $2,240,0562017Revenue 2018: $4,373,078Expenses 2018: $2,654,052Net Income 2018: $1,719,0262018Revenue 2019: $4,645,685Expenses 2019: $1,223,882Net Income 2019: $3,421,8032019

Highlighted filing

2014

Revenue$3,719,358
Expenses$2,930,683
Net Income$788,675
Jump To
Filing Snapshot
Filing Period
Jan 1, 2014 to Dec 31, 2014
Signed
Nov 12, 2015
Return Version
2014v5.0
Gross Receipts
$4,196,359
Mission and Program Overview

Mission

Partnering for healing and a healthy future through philanthropy.

To inspire philanthropic partnerships that advance and enrich an environment (see schedule o) of healing and compassionate care at good samaritan hospital (a division of multicare health system), a related tax-exempt organization.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$666,219$666,693▲ $474
Accounts Receivable$1,050$2,213▲ $1,163
Land, Buildings, and Equipment, Net$208$178▼ $30
Total Assets$9,667,607$14,089,917▲ $4,422,310
Other Assets Total$9,000,130$13,420,833▲ $4,420,703
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Permanently Rstr Net Assets$4,602,641$6,057,560▲ $1,454,919
Temporarily Rstr Net Assets$6,107,344$5,130,257▼ $977,087
Unrestricted Net Assets$-1,042,378$2,902,100▲ $3,944,478
Total Net Assets Fund Balance$9,667,607$14,089,917▲ $4,422,310
Total Liabilities and Net Assets / Fund Balance$9,667,607$14,089,917▲ $4,422,310

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$178$418$596
Other Assets Org$8,093,816--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$10,954,668$2,174,048▲ $213,266$1,894,007$11,447,975
2013$10,900,935$2,029,872▲ $135,798$2,111,937$10,954,668
2012$10,978,826$1,813,257▲ $172,355$2,063,503$10,900,935
2011$7,846,428$5,556,492▲ $121,741$2,545,835$10,978,826
2010$5,907,179$5,095,530▲ $322,439$3,478,720$7,846,428
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Barbara HerbertExecutive Director, Part YearFT$136,921$89,557$226,478

Board Members and Trustees

Revenue and Support

Revenue Composition

Contributions and Grants
$3,537,431
Program Service Revenue
$0
Investment Income
$443,893
Other Revenue
$-261,966
All Other Contributions
$1,588,706
Change in Net Assets
$788,675

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
Yes

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded5,230$198,419Trading Price
Total Noncash Contributions5,230$198,419-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$1,817,014
Total Fundraising Expense$1,113,669
Other Expenses$801,548
Salaries, Compensation, and Employee Benefits$312,121
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$1,817,014--$1,817,014
Other Salaries and Wages--$251,131$251,131
Fees for Services Other--$72,304$72,304
Other Employee Benefits--$41,983$41,983
Payroll Taxes--$19,007$19,007
Travel--$12,079$12,079
Office Expenses--$8,289$8,289
Depreciation Depletion--$3,149$3,149
Other Expenses--$504$504
Total Functional Expenses$1,817,014$0$1,113,669$2,930,683
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Multicare Health SystemTacoma, WA501(c)(3)Capital and Operational Expenditures$1,817,014
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$261,966
Gaming Direct Expenses$16,616
Gaming Gross Income$16,616
Fundraising Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Nw Corks & Crush$178,020-$204,833-
Golf Classic$84,523-$18,826-
Total Events$330,598-$261,966$-261,966
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
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 6

Classes of members multicare health system, a related nonprofit 501(c)(3) organization, is the sole member of good samaritan foundation.

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

Classes of persons and the nature of their rights the board of directors of multicare health system has the power to appoint or remove any director on the board of directors of good samaritan foundation.

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

Decisions requiring approval the decisions that require multicare health system board of directors approval are any amendments to articles and bylaws of the good samaritan foundation (gsf), any appointment and removal of a director, any merger, dissolution or unbudgeted expenditure over $250,000, any creation of any affiliated entity and its organizational documents, any budgets and strategic plans, any plan of distribution of net income, any incurrence or guarantee of any indebtedness, and any liens or other encumbrances. All other decisions are made by the gsf directors.

Form 990, Part VI, Section B, Line 11

Process used by management and/or governing body to review 990 the form 990 is prepared by the internal tax staff and reviewed by an outside accounting firm. Initial reviews were performed by levels of management in various departments throughout the organization, the chief executive officer and the chief financial officer. A review was then performed by the audit committee of the multicare health system board, and included a presentation by the outside accounting firm. Lastly, a copy of the final form 990, including all required schedules, was provided to each voting member of the board of directors for review, prior to its filing with the irs.

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

Process used to monitor transactions for conflicts of interest the board, through utilization of multicare health system (the member), has accountability for oversight of the process for disclosure, evaluation, and management of conflicts of interest involving any director on the board, executive leadership, or key employee. In accordance with the conflicts of interest policy, these individuals are required to complete the conflicts of interest questionnaire at least annually, and have an ongoing obligation to update the disclosure in the event an actual or potential conflict of interest arises. The conflicts of interest questionnaire includes a statement that the person has received a copy of the conflicts of interest policy, has read and understands the policy, has agreed to comply with the policy, and understands that the organization must engage primarily in activities that further its tax exempt purposes. Written disclosures are reviewed by the compliance officer, and in certain circumstances, there is further review by the general counsel and member. No person with a conflict of interest participates in an activity related to the conflict of interest unless disclosed, resolved, and permitted in accordance with the conflict of interest policy. Conflicts of interest are documented.

Form 990, Part VI, Section B, Line 15

A-b: process used to determine compensation of the ceo: the board, through utilization of the multicare health system (a related tax-exempt organization)(the member) compensation committee, consisting of independent, non-paid, mhs board members, is accountable for ensuring reasonable total compensation packages for the other officers or key employees who manage and lead multicare health system entities. The compensation committee directs the development and it approves annual goals and performance criteria that are used to determine variable compensation opportunities for the president. The compensation committee assesses performance against these goals and performance criteria, which include improving patient care, care access to the underserved, clinical outcomes, and patient safety, as well as earning an operating margin to enable investment in people, technology, and facilities. The compensation committee selects and engages a qualified independent compensation consultant each year to review and analyze the total compensation package for alignment with appropriate practices for similar not-for-profit healthcare systems. The compensation committee, as part of its analysis, obtains from the independent compensation consultant appropriate comparability data, including total compensation paid by similarly situated not-for-profit health care organizations for positions that are functionally comparable. The compensation deliberation and decisions are contemporaneously documented. The last time this process was undertaken was 2014.

Form 990, Part VI, Section C, Line 19

The organization makes its government documents, conflict of interest policy and audited consolidated financial statements available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Foundation
EIN
91-2004312
Phone
2534598125
Address
PO BOX 5299, TACOMA, WA 98415-0299

Signing Officer

Name
Anna Loomis
Title
Chief Financial Officer
Phone
2534598125
Signed
2015-11-12
Discuss with paid preparer
No

Organization Details

Principal Officer
Anna Loomis
Formed
1999
Legal Domicile
Wa
Voting Board Members
20
Independent Board Members
20
Employees
3
Volunteers
213

Preparer

Firm
Ernst & Young US Llp
Address
178 S RIO GRANDE STREETSTE 400, SALT LAKE CITY, UT 84101
Phone
8013503300
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Equity transfers 3,633,635.

Financial Statement Notes

PART V, LINE 4:

The intended use of good samaritan foundation endowments are to provide program support to various programs at good samaritan hospital per donor intent. The donor intent is outlined in the letter of understanding that is entered into at the time of the establishment of each endowment. Such programs receiving support from established endowments include: stroke research, nursing education and for uncompensated care at children's therapy unit.

PART X, LINE 2:

Good samaritan foundation is included in the consolidated audited financial statements of multicare health system. The footnote on the consolidated financial statements reads: "financial accounting standard board (fasb) asc topic 740-10, income taxes clarifies the accounting for uncertainty in income taxes recognized in mhs's consolidated financial statements. Asc topic 740-10 also prescribes a recognition threshold and measurement standard for the financial statement recognition and measurement of an income tax position taken or expected to be taken in a tax return. Only tax positions that the "more likely than not" recognition threshold at the effective date may be recognized or continue to be recognized upon adoption. In addition, asc topic 740-10 provides guidance on derecognition, classification, interest and penalties, accounting in interim periods, disclosure, and transition. Asc topic 740-10, relating to accounting for uncertain tax positions, did not have a significant impact on the consolidated financial statements of mhs. Other than medis inc., a taxable corporation, all of the other entities have obtained determination letters from the internal revenue service that they are exempt from federal income taxes under section 501 (c)(3) of the internal revenue code, except for tax on unrelated business income."

Raw XML AppendixShowing 400 of 956 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/ActivityOrMissionDesc0TO INSPIRE PHILANTHROPIC PARTNERSHIPS THAT ADVANCE AND ENRICH AN ENVIRONMENT (SEE SCHEDULE O) OF HEALING AND COMPASSIONATE CARE AT GOOD SAMARITAN HOSPITAL (A DIVISION OF MULTICARE HEALTH SYSTEM), A RELATED TAX-EXEMPT ORGANIZATION.
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IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd25X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd26X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd27X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt220
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt230
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt240
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt250
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt260
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt270
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2836238
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IRS990/Form990PartVIISectionAGrp/PersonNm1JIM BARFOOT PART YEAR
IRS990/Form990PartVIISectionAGrp/PersonNm2WAYNE BARNARD
IRS990/Form990PartVIISectionAGrp/PersonNm3ROBERT D BUCK
IRS990/Form990PartVIISectionAGrp/PersonNm4JONATHAN M EDMONDS
IRS990/Form990PartVIISectionAGrp/PersonNm5DAN GERKEN REV
IRS990/Form990PartVIISectionAGrp/PersonNm6KRISTINE GRACE
IRS990/Form990PartVIISectionAGrp/PersonNm7GREG GUSTAFSON PART YEAR
IRS990/Form990PartVIISectionAGrp/PersonNm8GREG HELLE
IRS990/Form990PartVIISectionAGrp/PersonNm9GRETCHEN H HERRIS
IRS990/Form990PartVIISectionAGrp/PersonNm10SUZANNE M JOHNSTONE
IRS990/Form990PartVIISectionAGrp/PersonNm11MARGARET KING
IRS990/Form990PartVIISectionAGrp/PersonNm12BILLY KORUM
IRS990/Form990PartVIISectionAGrp/PersonNm13DARBI M KRUMPOS
IRS990/Form990PartVIISectionAGrp/PersonNm14DEBRA S LARSON
IRS990/Form990PartVIISectionAGrp/PersonNm15VINAY MALHOTRA
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IRS990/Form990PartVIISectionAGrp/PersonNm17KARYN D OSBORNE
IRS990/Form990PartVIISectionAGrp/PersonNm18LYNN OSTENSON
IRS990/Form990PartVIISectionAGrp/PersonNm19DAVID C RADCLIFFE PART YEAR
IRS990/Form990PartVIISectionAGrp/PersonNm20CAROL RAWLLINS
IRS990/Form990PartVIISectionAGrp/PersonNm21JANET SALISBURY PART YEAR
IRS990/Form990PartVIISectionAGrp/PersonNm22AMOL SHAH
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IRS990/Form990PartVIISectionAGrp/PersonNm24SAM TUTTLE PART YEAR
IRS990/Form990PartVIISectionAGrp/PersonNm25PETER WIEDERSPAN
IRS990/Form990PartVIISectionAGrp/PersonNm26BRIGITTE R WOODARD
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IRS990/Form990PartVIISectionAGrp/PersonNm28DIANE CECCHETTINI
IRS990/Form990PartVIISectionAGrp/PersonNm29CHRIS KNACKSTEDT
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IRS990/Form990PartVIISectionAGrp/PersonNm31ANNA LOOMIS
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IRS990/Form990PartVIISectionAGrp/TitleTxt0MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt1MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt2VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt3CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt4SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt5MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt9MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt10MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt11MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt12TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt13MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt14MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt15MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt16MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt17MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt18MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt19MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt20MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt21MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt22MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt23MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt24MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt25MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt26MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt27MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt28PRESIDENT & CEO, PART YEAR JAN-APRIL
IRS990/Form990PartVIISectionAGrp/TitleTxt29CFO, PART YEAR JAN-MARCH
IRS990/Form990PartVIISectionAGrp/TitleTxt30PRESIDENT &CEO,PART YEAR MAY-PRESENT
IRS990/Form990PartVIISectionAGrp/TitleTxt31CFO, PART YEAR APRIL-PRESENT
IRS990/Form990PartVIISectionAGrp/TitleTxt32VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt33EXECUTIVE DIRECTOR, PART YEAR
IRS990/Form990PartVIISectionAGrp/TitleTxt34FORMER OFFICER/CONSULTANT
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IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01

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