Form 990 for tax year 2022

Totals

Total revenue

$3,817,323

Total expenses

$1,527,994

Contributions and grants received

$3,742,483

Grants paid

$1,453,251

Program service revenue

$0

Investment income

$64,890

Other revenue

$9,950

Total assets, end of year

$4,339,404

Total liabilities, end of year

$653,691

Net assets or fund balances, end of year

$3,685,713

Program services expenses (Part IX)

$1,453,251

Management and general expenses

$74,743

Fundraising expenses

$0

Program service expenses (Part III)

$1,453,251

Program services were 95.1% 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.

Mission and programs · 2022

• 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. In FY23, the Foundation continued to secure pledges in support of the Build 2023 capital campaign in support of the building of the new hospital. Normally, the Foundation hosts two fundraisers each year, a social event and a golf tournament. In fiscal year 23, the Greatest Needs Gala was held in April and the Charity Golf Classic was held in July. The proceeds from both events were used to support the construction costs for our new hospital. The GSHS Foundation also awards the $500 Carol Shively Memorial Scholarship each year to show its support for local individuals pursuing degrees in nursing.

  Expenses $1,453,251 · Grants $1,453,251

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

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

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

• Good Samaritan Hospital Association

  $1,453,251

  To support operations and projects for Good Samaritan Hospital Association

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.

• Good Samaritan Hospital Association

  501(c)(3) · Healthcare · ND

Provenance

Return type

form_990

Tax year

2022

Filed

2 October 2023

IRS schema version

2022v5.0

Source object

202302769349301195

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