Civic Intelligence

Good Samaritan Foundation

990 • Fiscal year 2016 • EIN 91-2004312

Jan 01, 2016 to Dec 31, 2016 • Filed on Nov 09, 2017

PO Box 5299Tacoma, WA 98415-0299

(253) 459-8141

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.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Liabilities / Revenue

4th percentile

0.00x

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

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Net Margin

67th percentile

7.8%

Higher net margin than 67% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Top Officer Pay

99th percentile

$1,917,566

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 44.4% of source-year revenue.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2016

Asset Growth

51st percentile

2.0%

Faster asset growth than 51% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Revenue Growth

93rd percentile

75%

Faster revenue growth than 93% of similar nonprofits.

2016 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2015 to 2016

Assets

Up

$14,296,922

Up $280,672 (+2.0%) from 2015

Net Assets

Up

$14,296,922

Up $280,672 (+2.0%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Up

$4,322,085

Up $1,858,171 (+75%) from 2015

Expenses

Up

$3,984,803

Up $1,452,222 (+57%) from 2015

Net Income

Up

$337,282

Up $405,949 (+591%) from 2015

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

2016

Assets$14,296,922
Liabilities$0
Net Assets$14,296,922

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

2016

Revenue$4,322,085
Expenses$3,984,803
Net Income$337,282
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Nov 9, 2017
Return Version
2016v3.0
Gross Receipts
$4,746,959
Mission and Program Overview

Mission

Partnering for healing and a healthy future through philanthropy.

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$667,159$667,275▲ $116
Accounts Receivable$7,319$457▼ $6,862
Land, Buildings, and Equipment, Net$149$120▼ $29
Total Assets$14,016,250$14,296,922▲ $280,672
Other Assets Total$13,341,623$13,629,070▲ $287,447
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Permanently Rstr Net Assets$6,491,359$6,430,511▼ $60,848
Temporarily Rstr Net Assets$4,394,126$4,920,727▲ $526,601
Unrestricted Net Assets$3,130,765$2,945,684▼ $185,081
Total Net Assets Fund Balance$14,016,250$14,296,922▲ $280,672
Total Liabilities and Net Assets / Fund Balance$14,016,250$14,296,922▲ $280,672

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$120$476$596
Other Assets Org$11,238,213--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2016$11,155,910$3,281,179▼ $341$2,808,300$11,628,448
2015$11,447,975$1,073,915▲ $167,048$1,533,028$11,155,910
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Monica HurleyExecutive DirectorFT$128,506$41,236$169,742
Revenue and Support

Revenue Composition

Contributions and Grants
$3,953,381
Program Service Revenue
$0
Investment Income
$6,359
Other Revenue
$362,345
All Other Contributions
$2,329,321
Change in Net Assets
$337,282

Noncash Contribution Practices

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

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded413$13,200Trading Price
Total Noncash Contributions413$13,200-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$3,098,394
Total Fundraising Expense$886,409
Other Expenses$510,442
Salaries, Compensation, and Employee Benefits$375,967
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$3,098,394--$3,098,394
Other Salaries and Wages--$310,839$310,839
Fees for Services Other--$75,124$75,124
Pension Plan Contributions--$45,419$45,419
Other Employee Benefits--$19,709$19,709
Travel--$15,918$15,918
Office Expenses--$8,709$8,709
Other Expenses--$1,058$1,058
Depreciation Depletion--$29$29
Total Functional Expenses$3,098,394$0$886,409$3,984,803
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Multicare Health SystemTacoma, WA501(c)(3)Capital and Operational Expenditures$3,098,394
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
Yes
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$757,139
Fundraising Direct Expenses$405,074
Gaming Gross Income$16,880
Gaming Direct Expenses$6,600
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Nw Corks & Crush$694,887$679,012$97,815$581,197
Come Walk With Me$111,748$78,127$33,860$44,267
Total Events$806,635$757,139$405,074$352,065
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 1

The executive committee's authority derives from the authority of the good samaritan foundation board and consists in exercising some powers of the board between regularly scheduled meetings. The executive committee serves as a sounding board for management on emerging issues, problems and initiatives and reports to the board at the board's next meeting on any official actions it has taken. The board does not permit the executive committee to take final action on certain matters such as amending bylaws or resolutions of the board, appointing or removing board members from office, obligating the organization to new debt, or selling or acquiring a major asset.

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 11B

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 the 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 2016.

Form 990, Part VI, Section C, Line 19

The organization makes its governing 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
2534598141
Address
PO BOX 5299, TACOMA, WA 98415-0299

Signing Officer

Name
Anna Loomis
Title
Chief Financial Officer
Phone
2534598141
Signed
2017-11-09
Discuss with paid preparer
No

Organization Details

Principal Officer
Anna Loomis
Formed
1999
Legal Domicile
Wa
Voting Board Members
21
Independent Board Members
20
Employees
3
Volunteers
245

Preparer

Firm
Ernst & Young US Llp
Address
560 MISSION STREET SUITE 1600, SAN FRANCISCO, CA 94105
Phone
4158948000
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

Equity transfers -7,114. Net assets released from restrictions -49,496.

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 (mhs). 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 meet 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 907 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/Form990PartVIISectionAGrp/PersonNm3ROBERT D BUCK
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IRS990/Form990PartVIISectionAGrp/PersonNm5JUN CHEA
IRS990/Form990PartVIISectionAGrp/PersonNm6JONATHAN M EDMONDS
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IRS990/Form990PartVIISectionAGrp/PersonNm24DOREEN YOUNG
IRS990/Form990PartVIISectionAGrp/PersonNm25MONICA HURLEY
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IRS990/Form990PartVIISectionAGrp/TitleTxt4MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5MEMBER
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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/TitleTxt19VICE CHAIR
IRS990/Form990PartVIISectionAGrp/TitleTxt20MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt21MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt22PRESIDENT & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt23CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt24VP FOUNDATIONS
IRS990/Form990PartVIISectionAGrp/TitleTxt25EXECUTIVE DIRECTOR
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IRS990/ProgSrvcAccomActy2Grp/Desc0GOOD SAMARITAN FOUNDATION FUNDED MULTICARE GOOD SAMARITAN CHILDREN'S THERAPY UNIT (CTU), A PROGRAM AT MULTICARE HEALTH SYSTEM, A RELATED TAX-EXEMPT ENTITY, DEDICATED TO HELP INFANTS, CHILDREN AND ADOLESCENTS WHO HAVE SPECIAL NEEDS. THE CTU FUNDING ENSURES THAT CHILDREN WHO NEED SPECIALIZED THERAPIES TO REACH THEIR FULL POTENTIAL WILL RECEIVE THE HELP THEY NEED, REGARDLESS OF INSURANCE LIMITATIONS OR ABILITY TO PAY.
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IRS990/ProgSrvcAccomActy3Grp/Desc0GOOD SAMARITAN FOUNDATION FUNDED MULTICARE GOOD SAMARITAN'S HOSPICE AND HOME HEALTH CARE. THE PROGRAM PROVIDES COMFORT AND STRESS RELIEF TO PEOPLE DURING THEIR FINAL MONTHS OF LIFE. THIS FUND HELPS WITH MASSAGE AND OTHER THERAPIES FOR THE PATIENT AS WELL AS RESPITE CARE FOR A FAMILY MEMBER WHO IS SERVING AS PRIMARY CAREGIVER.
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IRS990/ProgSrvcAccomActyOtherGrp/Desc0GOOD SAMARITAN FOUNDATION PROVIDED $319,951 IN FUNDING FOR OTHER PROGRAMS INCLUDING BUT NOT LIMITED TO, THE STROKE RESEARCH, CANCER CENTER, OLDER ADULT SERVICES, BREAST PROGRAM, REHAB TRAUMA, ADULT RESIDENTIAL TREATMENT FACILITIES, THE PROGRAM OF ASSERTIVE COMMUNITY TREATMENT (PACT) PROVIDING INDIVIDUALIZED OUTREACH AND CARE TO PATIENTS IN THEIR HOME AND COMMUNITY, PEER SUPPORT SERVICES WHERE CERTIFIED PEER COUNSELORS OFFERED PERSONALIZED GUIDANCE AND SUPPORT FOR RECOVERY.
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IRS990/PYOtherExpensesAmt0648664
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IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt02463914
IRS990/QuidProQuoContributionsInd01
IRS990/QuidProQuoContriDisclInd01

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