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Nonprofiteer
← GOOD SAMARITAN HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by GOOD SAMARITAN HOSPITAL FOUNDATION.

Totals

Total revenue
$4,605,260
Total expenses
$797,047
Contributions and grants received
$4,652,733
Grants paid
$192,658
Program service revenue
$0
Investment income
$46,511
Other revenue
-$93,984
Total assets, end of year
$13,622,319
Total liabilities, end of year
$1,478,756
Net assets or fund balances, end of year
$12,143,563
Program services expenses (Part IX)
$742,979
Management and general expenses
$20,507
Fundraising expenses
$33,561
Program service expenses (Part III)
$742,979

Program services were 93.2% 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

    $513,215

  • 1f · All other contributions, gifts and grants

    $4,139,518

  • 3 · Investment income

    total $46,511 · excluded $46,511

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $249,406

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

    $513,215

  • 8b · Fundraising events: direct expenses

    $343,390

  • 8c · Net income from fundraising events

    total -$93,984 · excluded -$93,984

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $192,658 · program services $192,658

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $15,940 · program services $429 · management and general $774 · fundraising $14,737

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $16,306 · program services $746 · fundraising $15,560

  • 13 · Office expenses

    total $21,209 · management and general $17,945 · fundraising $3,264

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $1,788 · management and general $1,788

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24a · Other expenses: PURCHASED SERVICES-SALARIES

    total $403,613 · program services $403,613

  • 24b · Other expenses: PURCHASED SERVICES-BENEFITS

    total $145,533 · program services $145,533

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,191,277 · end of year $2,062,543

  • 2 · Savings and temporary cash investments

    beginning of year $6,657,875 · end of year $8,524,407

  • 3 · Pledges and grants receivable

    beginning of year $632,948 · end of year $3,031,369

  • 4 · Accounts receivable

    beginning of year $0 · end of year $0

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,000 · end of year $4,000

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $43,220 · end of year $254,600

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $1,107,530 · end of year $1,224,156

  • 27 · Net assets without donor restrictions

    beginning of year $1,067,437 · end of year $641,424

  • 28 · Net assets with donor restrictions

    beginning of year $7,267,913 · end of year $11,502,139

Mission and programs · 2023

Mission

SEE SCHEDULE O

Activities or mission (Part I)

WE, AT CH, HUMBLY JOIN TOGETHER TO BRING CHRIST'S HEALING MISSION AND THE MISSION OF MERCY OF THE CATHOLIC CHURCH EXPRESSED IN CATHOLIC HEALTH CARE TO OUR COMMUNITIES.

  • TO SOLICIT GRANTS AND CONTRIBUTIONS TO BE USED FOR AN ONGOING DEVELOPMENT PROGRAM WHICH WILL PROVIDE FUNDS EXCLUSIVELY FOR THE USE OF GOOD SAMARITAN UNIVERSITY HOSPITAL, A 437 BED MEDICAL CENTER LOCATED ON THE SOUTH SHORE OF LONG ISLAND IN WEST ISLIP, NEW YORK. A PREMIER HEALTHCARE FACILITY, PROVIDING QUALITY AND COST EFFECTIVE HEALTH CARE SERVICES EXTENDING ACROSS THE CONTINUUM OF CARE TO ALL DISCIPLINES, BOTH FOR INPATIENTS AND OUTPATIENTS. IN 2023 THE MEDICAL CENTER PROVIDED INPATIENT SERVICES FOR 26,618 DISCHARGED INDIVIDUALS, MANAGED 87,827 EMERGENCY DEPARTMENT VISITS AND 49,496 CLINIC VISITS. THE MEDICAL CENTER PROVIDES CARE REGARDLESS OF THE INDIVIDUAL'S ABILITY TO PAY AND ALONG WITH COMMUNITY SERVICE AND CHARITABLE ACTIVITIES.

    Expenses $742,979 · Grants $192,658

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • PATRICK MINICUS

    EVP & CFO

    Total calculated
    $1,928,665
    From this org
    $0
    From related orgs
    $1,220,160
    Other
    $708,505
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $921,345 related
    Bonus
    $0 + $270,000 related
    Other
    $0 + $28,815 related
    Deferred
    $0 + $655,803 related
    Nontaxable benefits
    $0 + $52,702 related
    Filer's total
    $0 + $1,928,665 related

  • RUTH HENNESSEY

    PRESIDENT/CAO

    Total calculated
    $1,387,512
    From this org
    $0
    From related orgs
    $1,094,062
    Other
    $293,450
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $695,448 related
    Bonus
    $0 + $150,000 related
    Other
    $0 + $248,614 related
    Deferred
    $0 + $273,450 related
    Nontaxable benefits
    $0 + $20,000 related
    Filer's total
    $0 + $1,387,512 related

  • JOHN VULLO

    FORMER OFFICER

    Total calculated
    $1,106,496
    From this org
    $0
    From related orgs
    $1,034,825
    Other
    $71,671
    Hours/week
    2

    Schedule J breakdown matched by us

    Base
    $0 + $1,025,493 related
    Bonus
    $0 + $6,236 related
    Other
    $0 + $3,096 related
    Deferred
    $0 + $21,167 related
    Nontaxable benefits
    $0 + $50,504 related
    Filer's total
    $0 + $1,106,496 related

  • MARGARET MAHER

    SVP& CHIEF DEVELOPMENT OFFICER

    Total calculated
    $514,630
    From this org
    $0
    From related orgs
    $488,031
    Other
    $26,599
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $406,314 related
    Bonus
    $0 + $76,000 related
    Other
    $0 + $5,717 related
    Deferred
    $0 + $20,856 related
    Nontaxable benefits
    $0 + $5,743 related
    Filer's total
    $0 + $514,630 related

  • CHARLES FERRARO

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    2

  • THOMAS MCATEER

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • KATHLEEN GIAMO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • EILEEN LA MENDOLA

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • MICHAEL VIRGILIO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

  • BRITTANY HANDELSON

    TRUSTEE

    Total calculated
    $0
    Hours/week
    2

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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 - METHODS TO ESTABLISH COMPENSATION BY RELATED ORGANIZATION
THE FOLLOWING METHODS ARE USED BY A RELATED ORGANIZATION TO ESTABLISH COMPENSATION OF THE CEO/EXECUTIVE DIRECTOR: A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, FORM 990 OF OTHER ORGANIZATIONS, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN
THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN C. PATRICK MINICUS $633,000 PARTICIPATION IN THE PLAN RUTH HENNESSEY $252,000 PARTICIPATION IN THE PLAN THE DEFERRED COMPENSATION IN COLUMN C FOR THESE INDIVIDUALS INCLUDES BOTH QUALIFIED AND NON-QUALIFIED RETIREMENT PLANS. THE FOLLOWING INDIVIDUALS VESTED IN THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THE AMOUNTS BELOW ARE INCLUDED ON SCHEDULE J, PART II, COLUMN B (III). THESE AMOUNTS INCLUDE A TAX GROSS UP. RUTH HENNESSY $224,144 VESTED IN PLAN. THE AMOUNTS OUTLINED HEREIN WERE INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5 AS TAXABLE WAGES BECAUSE THEY ARE VESTED, BUT ARE NOT DISTRIBUTED UNTIL RETIREMENT.

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202403209349317765

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