Skip to content
Nonprofiteer
← GOOD SAMARITAN HEALTH SERVICES FOUNDATION

Form 990 for tax year 2025

Filed by GOOD SAMARITAN HEALTH SERVICES FOUNDATION.

Totals

Total revenue
$365,906
Total expenses
$762,436
Contributions and grants received
$285,799
Grants paid
$734,666
Program service revenue
$0
Investment income
$55,995
Other revenue
$24,112
Total assets, end of year
$2,825,218
Total liabilities, end of year
$822,619
Net assets or fund balances, end of year
$2,002,599
Program services expenses (Part IX)
$734,666
Management and general expenses
$27,770
Fundraising expenses
$0
Program service expenses (Part III)
$734,666

Program services were 96.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1c · Fundraising events

    $80,123

  • 1f · All other contributions, gifts and grants

    $205,676

  • 1g · Noncash contributions included above

    $26,717

  • 3 · Investment income

    total $28,852 · excluded $28,852

  • 7a · Gross sales of assets other than inventory

    securities $27,143

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $27,143

  • 7d · Net gain or loss

    total $27,143 · excluded $27,143

  • 8a · Fundraising events: gross income

    $71,416

  • 8a · Fundraising events: contributions included on line 1c

    $80,123

  • 8b · Fundraising events: direct expenses

    $47,364

  • 8c · Net income from fundraising events

    total $24,052 · excluded $24,052

  • 9a · Gaming: gross income

    $8,305

  • 9b · Gaming: direct expenses

    $8,245

  • 9c · Net income from gaming

    total $60 · excluded $60

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $734,666 · program services $734,666

  • 11b · Fees: legal

    total $8,990 · management and general $8,990

  • 11f · Fees: investment management

    total $11,689 · management and general $11,689

  • 12 · Advertising and promotion

    total $281 · management and general $281

  • 13 · Office expenses

    total $2,465 · management and general $2,465

  • 17 · Travel

    total $250 · management and general $250

  • 24e · All other expenses

    total $4,095 · management and general $4,095

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $191,619 · end of year $236,244

  • 3 · Pledges and grants receivable

    beginning of year $657,025 · end of year $112,066

  • 11 · Investments: publicly traded securities

    beginning of year $1,950,864 · end of year $2,218,630

  • 15 · Other assets

    beginning of year $213,928 · end of year $258,278

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,433 · end of year $24,637

  • 25 · Other liabilities

    beginning of year $719,132 · end of year $797,982

  • 27 · Net assets without donor restrictions

    beginning of year $1,357,436 · end of year $1,334,318

  • 28 · Net assets with donor restrictions

    beginning of year $930,435 · end of year $668,281

Mission and programs · 2025

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 exisiting donors, and introducing new ways of fundraising 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.

Activities or mission (Part I)

To provide equipment and financial support for the advancement of medical, scientific, nursing, and health care delivery for Good Samaritan Hospital Association Rugby, ND.

  • The Good Samaritan Health Services Foundation's stated mission is to support the mission of the Good Samaritan Hospital Association, to "Advance the physical and spiritual wellbeing of the communities we serve." GSHS Foundation board members and staff support this mission primarily through fundraising and by acting as goodwill ambassadors for GSHA. The Foundation solicits, documents, and manages donations from individuals, businesses, nonprofit organizations, and other foundations, ensuring that donor-designated contributions are invested as directed. The GSHS Foundation director seeks grants in support of GSHA's strategic plan and helps to manage the grants once they are received. Additionally, the Foundation hosts two fundraisers each year, a social event and a golf tournament. In fiscal year 26, the Greatest Needs Gala was held in April and the Charity Golf Classic was held in July. The proceeds from the Gala were used to support the HAMC Hospice Program and the Golf proceeds were used to continue supporting the mission of GSHA.

    Expenses $734,666 · Grants $734,666

As filed on the 2025 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kevin Leier

    Vice President

    Total calculated
    $0
    Hours/week
    1

  • Patricia Paul

    Secretary/Treasurer until July 2025

    Total calculated
    $0
    Hours/week
    1

  • Michael Hurly

    Dir(April-July)/Sec/Treas(July-Mar)

    Total calculated
    $0
    Hours/week
    1

  • Linda Childress

    Director

    Total calculated
    $0
    Hours/week
    1

  • Dr Kathy Santjer

    Medical Staff Rep

    Total calculated
    $0
    Hours/week
    1

  • Julie Baustad

    HAMC Employee Rep

    Total calculated
    $28,915
    From this org
    $0
    From related orgs
    $27,940
    Other
    $975
    Hours/week
    1 + 12 related

  • Laurie Odden

    HAMC Auxiliary Rep

    Total calculated
    $0
    Hours/week
    1

  • Cody Melgaard

    Director as of Aug 2025

    Total calculated
    $0
    Hours/week
    1

  • Erik Christenson

    GSHA CEO

    Total calculated
    $221,384
    From this org
    $0
    From related orgs
    $169,448
    Other
    $51,936
    Hours/week
    2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $169,448 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $7,200 related
    Nontaxable benefits
    $0 + $44,736 related
    Filer's total
    $0 + $221,384 related

  • Melissa Shepard

    GHSA CFO

    Total calculated
    $164,759
    From this org
    $0
    From related orgs
    $145,228
    Other
    $19,531
    Hours/week
    2 + 45 related

    Schedule J breakdown matched by us

    Base
    $0 + $145,228 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $5,613 related
    Nontaxable benefits
    $0 + $15,907 related
    Filer's total
    $0 + $166,748 related

  • Joshua Mattson

    President

    Total calculated
    $0
    Hours/week
    1

  • Tanner Johnson

    GSHA Board Rep (nonvoting)

    Total calculated
    $0
    Hours/week
    1 + 1 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
Compensation for the CEO is determined by the related organization using one or more of the methods listed in question 3.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2025
Filed
29 June 2026
IRS schema version
2025v4.2
Source object
202601819349300800

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.