Pih Health Good Samaritan Hospital

“Mrs. Maribeth Borthwick, a Board Member of Good Samaritan Hospital, has a family relationship with Mr. Charles Munger, Chairman of the Board. Mr. Clark W. Porter has a family relationship with Mr. Glen H. Mitchel, Jr., who are both board members.”

“The Organization works with an independent accountant, Deloitte Tax LLP, to prepare the Form 990. Once the return is prepared, the return is reviewed by the Chief Financial Officer and the Controller. The draft of the Form 990 is presented to the Audit Committee. Subsequent to review by the Audit Committee, the CFO and the Controller will provide any final comments to Deloitte Tax LLP. Deloitte Tax LLP makes all changes necessary and a final Form 990 is made available to all board members.”

“All Board Members and officers are required to complete a conflict of interest disclosure statement each year. The Policy requires each governing body member to disclose any conflict on a particular matter that may arise, and recuse him or herself from deliberations and votes on such matters. The Policies are monitored by the director of risk management of the Good Samaritan Hospital and are enforced by the Audit Committee Chairperson.”

“A subcommittee of the Governing Board's Executive Committee is responsible for determining the Chief Executive Officers' compensation. This subcommittee is given comparison data on CEO salaries and benefits from comparable hospitals in the local area, prepared by human resources from 990s; and salary surveys completed by the local association. The decision of the subcommittee on the CEO's salary is documented by the subcommittee in writing. The compensation of the Organization's Vice Presidents are reviewed and approved by the Organization's CEO. Their salaries and benefits are determined using comparable hospitals in the local area, prepared by human resources from 990s; and salary surveys completed by the local hospital association.”

“Good Samaritan Hospital's organizing documents and the Conflict of Interest Policy are not made available to the public. The financial information from the financial statements is included in the Organization's Form 990, which is available for public inspection upon request.”

“Professional Fees: Program service expenses 8,912,978. Management and general expenses 7,000. Fundraising expenses 0. Total expenses 8,919,978. Purchased Labor: Program service expenses 12,486,606. Management and general expenses 216,266. Fundraising expenses 0. Total expenses 12,702,872. Repairs and Maintenance: Program service expenses 4,885,889. Management and general expenses 932,908. Fundraising expenses 37. Total expenses 5,818,834. Outside Provider Cost: Program service expenses 6,917,914. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,917,914. Other Purchased Services: Program service expenses 15,338,556. Management and general expenses 7,997,922. Fundraising expenses 24,261. Total expenses 23,360,739.”

“Minimum Change in Pension Liability 8,508,337. Net Assets Released from Restriction-Capital 810,301. Net Assets Released from Restriction-Operations -4,714,935. Change in Value of Split-Interest Agreement -1,769,539. Gifts Received/Contributions 2,366,994. Net Loss from Fundraising Activities 54,954.”