Form 990 for tax year 2025
Filed by GOOD SAMARITAN HOSPITAL ASSOCIATION.
Totals
- Total revenue
- $39,300,907
- Total expenses
- $38,537,397
- Contributions and grants received
- $1,833,580
- Grants paid
- $0
- Program service revenue
- $36,791,121
- Investment income
- $621,736
- Other revenue
- $54,470
- Total assets, end of year
- $87,260,668
- Total liabilities, end of year
- $58,305,325
- Net assets or fund balances, end of year
- $28,955,343
- Program services expenses (Part IX)
- $33,960,652
- Management and general expenses
- $4,576,745
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $33,960,652
Program services were 88.1% 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.
Revenue
Part VIII, the statement of revenue.
-
1d · Related organizations
$734,666
-
1e · Government grants (contributions)
$657,992
-
1f · All other contributions, gifts and grants
$440,922
-
1g · Noncash contributions included above
$12,053
-
2a · Program service revenue: Patient Service Revenue
total $32,820,672 · related or exempt $32,820,672
-
2b · Program service revenue: Pharmacy Revenue
total $2,647,613 · related or exempt $2,647,613
-
2c · Program service revenue: Daycare Services
total $319,805 · related or exempt $319,805
-
2d · Program service revenue: Cafeteria Revenue
total $293,269 · related or exempt $293,269
-
2f · All other program service revenue
total $709,762 · related or exempt $709,762
-
3 · Investment income
total $563,155 · excluded $563,155
-
6a · Gross rents
real property $54,470
-
6b · Less rental expenses
real property $0
-
6c · Rental income or loss
real property $54,470
-
6d · Net rental income or loss
total $54,470 · excluded $54,470
-
7a · Gross sales of assets other than inventory
other assets $58,581
-
7b · Less cost or other basis and sales expenses
other assets $0
-
7c · Gain or loss
other assets $58,581
-
7d · Net gain or loss
total $58,581 · excluded $58,581
Functional expenses
Part IX, the statement of functional expenses.
-
5 · Compensation of officers, directors and key employees
total $992,390 · program services $328,592 · management and general $663,798
-
6 · Compensation of disqualified persons
total $462,608 · program services $462,608
-
7 · Other salaries and wages
total $14,497,981 · program services $13,055,157 · management and general $1,442,824
-
8 · Pension plan contributions
total $490,232 · program services $441,121 · management and general $49,111
-
9 · Other employee benefits
total $2,307,249 · program services $2,090,925 · management and general $216,324
-
10 · Payroll taxes
total $1,096,290 · program services $957,718 · management and general $138,572
-
11b · Fees: legal
total $213,204 · management and general $213,204
-
11c · Fees: accounting
total $177,542 · management and general $177,542
-
11f · Fees: investment management
total $5,386 · management and general $5,386
-
11g · Fees: other
total $3,294,897 · program services $2,909,747 · management and general $385,150
-
12 · Advertising and promotion
total $53,440 · program services $199 · management and general $53,241
-
13 · Office expenses
total $879,159 · program services $712,127 · management and general $167,032
-
14 · Information technology
total $46,793 · management and general $46,793
-
16 · Occupancy
total $1,133,044 · program services $1,026,968 · management and general $106,076
-
17 · Travel
total $78,845 · program services $63,340 · management and general $15,505
-
19 · Conferences, conventions and meetings
total $144,199 · program services $64,531 · management and general $79,668
-
20 · Interest
total $1,811,470 · program services $1,811,470
-
22 · Depreciation, depletion and amortization
total $4,616,920 · program services $4,193,809 · management and general $423,111
-
23 · Insurance
total $344,279 · management and general $344,279
-
24a · Other expenses: Medical Supplies
total $4,563,092 · program services $4,563,092
-
24b · Other expenses: Repairs & Maintenance
total $621,374 · program services $621,374
-
24c · Other expenses: Food
total $450,585 · program services $450,585
-
24d · Other expenses: Dues and Subscriptions
total $44,415 · management and general $44,415
-
24e · All other expenses
total $212,003 · program services $207,289 · management and general $4,714
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $11,039,707 · end of year $14,606,175
-
4 · Accounts receivable
beginning of year $3,417,191 · end of year $4,303,522
-
8 · Inventories for sale or use
beginning of year $257,436 · end of year $253,679
-
9 · Prepaid expenses and deferred charges
beginning of year $124,523 · end of year $473,466
-
10a · Land, buildings and equipment: cost or other basis
$75,543,191
-
10b · Land, buildings and equipment: accumulated depreciation
$16,035,467
-
10c · Land, buildings and equipment, net
beginning of year $61,970,014 · end of year $59,507,724
-
11 · Investments: publicly traded securities
beginning of year $2,043,662 · end of year $2,265,189
-
13 · Investments: program-related
beginning of year $219,956 · end of year $322,675
-
15 · Other assets
beginning of year $8,413,178 · end of year $5,528,238
-
17 · Accounts payable and accrued expenses
beginning of year $3,150,432 · end of year $2,873,480
-
19 · Deferred revenue
beginning of year $250,000 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $17,701 · end of year $21,233
-
23 · Secured mortgages and notes payable
beginning of year $55,138,056 · end of year $54,815,199
-
25 · Other liabilities
beginning of year $509,114 · end of year $595,413
-
27 · Net assets without donor restrictions
beginning of year $27,887,131 · end of year $28,708,798
-
28 · Net assets with donor restrictions
beginning of year $533,233 · end of year $246,545
Mission and programs · 2025
Mission
To deliver compassionate care by advancing the physical and spiritual well-being of the communities we serve through smart medicine and exceptional service.
Activities or mission (Part I)
Provide quality medical care based on the needs and demographics of north central North Dakota.
-
Good Samaritan Hospital Association (GSHA) is a nonprofit healthcare organization owned by 20 local churches representing all Christian denominations in the area. Each year, these churches elect a board of trustees at an annual meeting, and this board serves as the legal governing body responsible for the Association. GSHA is dedicated to providing comprehensive healthcare services to the community of Rugby, ND, and its surrounding areas.GSHA operates a 25-bed licensed acute/swing bed critical access hospital, three rural health clinics (located in Rugby, Dunseith, and Maddock), a surgery department, a provider-based surgical clinic and(Continued on Schedule O)pain clinic, 18 skilled nursing home beds, 60 basic care beds, and 37 assisted living apartments. Additionally, we offer a robust hospital-based hospice program, serving the community with compassionate end-of-life care.GSHA offered a variety of community-focused programs and services to improve health outcomes, promote wellness, and support underserved populations. These programs included:-Free or reduced-fee flu shot clinics-Wellness labs-Healthy initiative with the addition of a physical fitness trainer to promote a healthier community-Maintenance of the Lif Pak units around the community. -Diabetic education and chronic care management programs-Participation in health fairs and community events-Health education outreach, including radio updates from the CEO-School presentations-Senior meal support through Meals on Wheels from Dietary Department. -Volunteer ambulance services and EMT training courses-Free blood pressure screenings and wellness/physical therapy programs-CPR and first aid training for the communityGSHA also maintains strong partnerships with CNA, LPN, and RN training programs, supporting clinical rotations, internships, and career pathways for future healthcare professionals through a regional healthcare education consortium. We also have a health careers class in the local High School. We offer many services to our community via outreach or services provided. We collaborate with other community programs in our area as well to serve the community's needs via the Life Paks which provide necessary first responder response until an ambulance can arrive. The health initiatives we have worked on promote a healthier community and the dietary department is working with the senior meals on wheels to ensure our vulnerable community members are fed.The Rugby Ambulance Service is operated by GSHA after the community was unable to sustain it as a volunteer service to support the community's needs. GSHA staffs the ambulance 24/7, respond to all 911 calls in our area, and provide community services such as home blood draws for those unable to make it to the hospital. The operation of the ambulance service is partially subsidized through a mill levy and a state grant.
Expenses $33,960,652 · Revenue $36,791,121
As filed on the 2025 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Wayne Trottier
Chair
- Total calculated
- $0
- Hours/week
- 1
-
Michael Graner
Vice Chair
- Total calculated
- $0
- Hours/week
- 1
-
Craig Zachmeier
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Kolin Johnson
Trustee (Until 06/2025)
- Total calculated
- $0
- Hours/week
- 1
-
Kim Bott
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Tanner Johnson
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Will Griffin
Trustee (Until 11/2025)
- Total calculated
- $0
- Hours/week
- 1
-
Travis Maddock
Trustee (Until 11/2025)
- Total calculated
- $0
- Hours/week
- 1
-
Lisa Thorp
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Dick Anderson
Trustee (Beg 11/2025)
- Total calculated
- $0
- Hours/week
- 1
-
Jessie Fahnestock
Trustee (Beg 08/2025)
- Total calculated
- $0
- Hours/week
- 1
-
Christine Jaeger
Trustee (Beg 11/2025)
- Total calculated
- $0
- Hours/week
- 1
-
Erik Christenson
Secretary - CEO
- Total calculated
- $221,384
- From this org
- $169,448
- From related orgs
- $0
- Other
- $51,936
- Hours/week
- 45 + 2 related
Schedule J breakdown matched by us
- Base
- $169,448
- Bonus
- $0
- Other
- $0
- Deferred
- $7,200
- Nontaxable benefits
- $44,736
- Filer's total
- $221,384
-
Melissa Shepard
Treasurer - CFO
- Total calculated
- $164,759
- From this org
- $145,228
- From related orgs
- $0
- Other
- $19,531
- Hours/week
- 45 + 2 related
Schedule J breakdown matched by us
- Base
- $145,228
- Bonus
- $0
- Other
- $0
- Deferred
- $5,613
- Nontaxable benefits
- $15,907
- Filer's total
- $166,748
-
Sara Radomski
HR Director
- Total calculated
- $131,202
- From this org
- $90,725
- From related orgs
- $0
- Other
- $40,477
- Hours/week
- 40
-
Dustin Hager
COO & Provider
- Total calculated
- $275,888
- From this org
- $229,101
- From related orgs
- $0
- Other
- $46,787
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $211,601
- Bonus
- $17,500
- Other
- $0
- Deferred
- $2,050
- Nontaxable benefits
- $46,805
- Filer's total
- $277,956
-
Jennifer Melgaard
Pharmacist
- Total calculated
- $192,370
- From this org
- $159,507
- From related orgs
- $0
- Other
- $32,863
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $150,125
- Bonus
- $9,382
- Other
- $0
- Deferred
- $6,744
- Nontaxable benefits
- $28,198
- Filer's total
- $194,449
-
Josalynne Hoff Rue MD
Physician & MD
- Total calculated
- $458,216
- From this org
- $399,480
- From related orgs
- $0
- Other
- $58,736
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $399,426
- Bonus
- $54
- Other
- $0
- Deferred
- $14,000
- Nontaxable benefits
- $48,247
- Filer's total
- $461,727
-
Ronald Skipper MD
Physician & Surgeon
- Total calculated
- $444,046
- From this org
- $391,456
- From related orgs
- $0
- Other
- $52,590
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $391,456
- Bonus
- $0
- Other
- $0
- Deferred
- $14,000
- Nontaxable benefits
- $42,151
- Filer's total
- $447,607
-
Chelsey Wyatt
CRNA
- Total calculated
- $376,569
- From this org
- $320,082
- From related orgs
- $0
- Other
- $56,487
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $318,586
- Bonus
- $0
- Other
- $1,496
- Deferred
- $11,757
- Nontaxable benefits
- $48,178
- Filer's total
- $380,017
-
Cammy Kelsch FNP-C
ER Provider
- Total calculated
- $359,783
- From this org
- $309,121
- From related orgs
- $0
- Other
- $50,662
- Hours/week
- 65
Schedule J breakdown matched by us
- Base
- $309,121
- Bonus
- $0
- Other
- $0
- Deferred
- $11,215
- Nontaxable benefits
- $42,948
- Filer's total
- $363,284
-
Jenna Thompson
Provider
- Total calculated
- $165,299
- From this org
- $150,269
- From related orgs
- $0
- Other
- $15,030
- Hours/week
- 66.5
Schedule J breakdown matched by us
- Base
- $139,209
- Bonus
- $10,541
- Other
- $519
- Deferred
- $6,029
- Nontaxable benefits
- $10,908
- Filer's total
- $167,206
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
- 3 · Compensation committee
- 3 · Form 990 of other organizations
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 7 · Other non-fixed payments
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
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Part I, Line 7
- Jennifer Melgaard did not receive an annual wage increase and was awarded a lump sum payment instead.
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
No itemized grants to organizations 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.
-
Good Samaritan Health Services Foundation
501(c)(3) · Fundraising for Good Samaritan Hospital Association · ND · controlled entity
Directly controlled by Good Samaritan Hospital Association
Provenance
- Return type
- form_990
- Tax year
- 2025
- Filed
- 6 August 2026
- IRS schema version
- 2025v4.2
- Source object
- 202642239349301029
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