Form 990 for tax year 2023
Filed by GOOD SAMARITAN HEALTH SERVICES FOUNDATION.
Totals
- Total revenue
- $378,184
- Total expenses
- $979,253
- Contributions and grants received
- $314,077
- Grants paid
- $923,173
- Program service revenue
- $0
- Investment income
- $50,933
- Other revenue
- $13,174
- Total assets, end of year
- $3,850,274
- Total liabilities, end of year
- $688,477
- Net assets or fund balances, end of year
- $3,161,797
- Program services expenses (Part IX)
- $923,173
- Management and general expenses
- $56,080
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $923,173
Program services were 94.3% 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
$49,979
-
1f · All other contributions, gifts and grants
$264,098
-
1g · Noncash contributions included above
$16,126
-
3 · Investment income
total $32,479 · excluded $32,479
-
7a · Gross sales of assets other than inventory
securities $18,454
-
7b · Less cost or other basis and sales expenses
securities $0
-
7c · Gain or loss
securities $18,454
-
7d · Net gain or loss
total $18,454 · excluded $18,454
-
8a · Fundraising events: gross income
$42,218
-
8a · Fundraising events: contributions included on line 1c
$49,979
-
8b · Fundraising events: direct expenses
$29,044
-
8c · Net income from fundraising events
total $13,174 · excluded $13,174
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $923,173 · program services $923,173
-
11b · Fees: legal
total $1,235 · management and general $1,235
-
11f · Fees: investment management
total $21,695 · management and general $21,695
-
13 · Office expenses
total $7,072 · management and general $7,072
-
17 · Travel
total $89 · management and general $89
-
24e · All other expenses
total $25,989 · management and general $25,989
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $172,078 · end of year $175,174
-
3 · Pledges and grants receivable
beginning of year $2,276,359 · end of year $1,582,447
-
11 · Investments: publicly traded securities
beginning of year $1,807,902 · end of year $1,938,677
-
15 · Other assets
beginning of year $83,065 · end of year $153,976
-
17 · Accounts payable and accrued expenses
beginning of year $298 · end of year $955
-
25 · Other liabilities
beginning of year $653,393 · end of year $687,522
-
27 · Net assets without donor restrictions
beginning of year -$682,500 · end of year -$1,071,370
-
28 · Net assets with donor restrictions
beginning of year $4,368,213 · end of year $4,233,167
Mission and programs · 2023
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 24, 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 remodel of the Haaland Estates Kitchen. 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 $923,173 · Grants $923,173
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Joshua Mattson
President
- Total calculated
- $0
- Hours/week
- 2
-
Lynda Childress
Vice President
- Total calculated
- $0
- Hours/week
- 1
-
Patricia Paul
Secretary / Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Julie Baustad
HAMC Employee Rep
- Total calculated
- $16,195
- From this org
- $0
- From related orgs
- $16,195
- Other
- $0
- Hours/week
- 1 + 4 related
-
Dr Kathy Santjer
Medical Staff Rep
- Total calculated
- $0
- Hours/week
- 1
-
Kevin Leier
Director
- Total calculated
- $0
- Hours/week
- 1
-
Michael Hurly
Director
- Total calculated
- $0
- Hours/week
- 1
-
Tanner Johnson - GSHA Board
Rep (nonvoting) (As of Apr 23)
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Tony Coffman - Foundation
and Marketing Director (Until July)
- Total calculated
- $34,120
- From this org
- $0
- From related orgs
- $33,417
- Other
- $703
- Hours/week
- 20 + 20 related
-
Erik Christenson
GSHA CEO
- Total calculated
- $197,411
- From this org
- $0
- From related orgs
- $153,379
- Other
- $44,032
- Hours/week
- 2 + 58 related
Schedule J breakdown matched by us
- Base
- $0 + $153,379 related
- Bonus
- $0
- Other
- $0
- Deferred
- $0 + $3,726 related
- Nontaxable benefits
- $0 + $41,815 related
- Filer's total
- $0 + $198,920 related
-
Melissa Shepard
GHSA CFO
- Total calculated
- $153,104
- From this org
- $0
- From related orgs
- $137,138
- Other
- $15,966
- Hours/week
- 2 + 58 related
Schedule J breakdown matched by us
- Base
- $0 + $134,584 related
- Bonus
- $0 + $2,554 related
- Other
- $0
- Deferred
- $0 + $3,444 related
- Nontaxable benefits
- $0 + $13,000 related
- Filer's total
- $0 + $153,582 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
-
Good Samaritan Hospital Association
$923,173
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
- 2023
- Filed
- 20 September 2024
- IRS schema version
- 2023v5.1
- Source object
- 202442719349301114
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