Skip to content
Nonprofiteer
← GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC

Form 990 for tax year 2024

Filed by GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC.

Totals

Total revenue
$32,452,207
Total expenses
$64,878,801
Contributions and grants received
$906,518
Grants paid
$0
Program service revenue
$0
Investment income
$23,982
Other revenue
$31,521,707
Total assets, end of year
$4,056,369
Total liabilities, end of year
$577,872
Net assets or fund balances, end of year
$3,478,497
Program services expenses (Part IX)
$62,758,611
Management and general expenses
$2,120,190
Fundraising expenses
$0
Program service expenses (Part III)
$62,758,611

Program services were 96.7% 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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $906,518

  • 1e · Government grants (contributions)

    $0

  • 1f · All other contributions, gifts and grants

    $0

  • 1g · Noncash contributions included above

    $0

  • 3 · Investment income

    total $23,982 · related or exempt $23,982 · unrelated business $0 · excluded $0

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

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property -$55,756 · personal property $0

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property -$55,756 · personal property $0

  • 6d · Net rental income or loss

    total -$55,756 · related or exempt -$55,756 · unrelated business $0 · excluded $0

  • 7c · Gain or loss

    securities $0 · other assets $0

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

    $0

  • 11a · Other revenue: Physician Offices

    total $31,577,463 · related or exempt $31,577,463 · unrelated business $0 · excluded $0

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $31,577,463

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0 · program services $0

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $5,867,381 · program services $5,867,381 · management and general $0 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $40,590,392 · program services $40,590,392 · management and general $0 · fundraising $0

  • 8 · Pension plan contributions

    total $2,047,986 · program services $2,047,986 · management and general $0 · fundraising $0

  • 9 · Other employee benefits

    total $3,866,437 · program services $3,866,437 · management and general $0 · fundraising $0

  • 10 · Payroll taxes

    total $1,997,355 · program services $1,997,355 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $4,775,084 · program services $4,775,084

  • 12 · Advertising and promotion

    total $5,594 · program services $5,594 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $2,760,930 · program services $2,760,930 · management and general $0 · fundraising $0

  • 14 · Information technology

    total $160,565 · program services $160,565 · management and general $0 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $127,744 · program services $127,744 · management and general $0 · fundraising $0

  • 17 · Travel

    total $78,726 · program services $78,726 · management and general $0 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $291,871 · program services $291,871 · management and general $0 · fundraising $0

  • 20 · Interest

    total $13,105 · program services $13,105 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $175,441 · program services $175,441 · management and general $0 · fundraising $0

  • 24a · Other expenses: Dues

    total $12,729 · program services $0 · management and general $12,729 · fundraising $0

  • 24b · Other expenses: Unassigned Claims

    total $519,562 · program services $0 · management and general $519,562 · fundraising $0

  • 24c · Other expenses: Bad Debt

    total $1,567,899 · program services $0 · management and general $1,567,899 · fundraising $0

  • 24d · Other expenses: Physician Loan Writeoff

    total $20,000 · program services $0 · management and general $20,000 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year -$12,803 · end of year $0

  • 4 · Accounts receivable

    beginning of year $3,481,570 · end of year $3,880,703

  • 15 · Other assets

    end of year $175,666

  • 17 · Accounts payable and accrued expenses

    beginning of year $626,451 · end of year $577,872

  • 29 · Capital stock, trust principal or current funds

    beginning of year $29,827,378 · end of year $35,905,090

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year -$26,985,062 · end of year -$32,426,593

Mission and programs · 2024

Mission

Provide excellent healthcare by promoting wellness, education and healing through trusting relationships.

Activities or mission (Part I)

Provide excellent health care by promoting wellness, education and healing through trusting relationships.

  • Provide excellent healthcare by promoting wellness, education and healing through trusting relationships.

    Expenses $62,758,611 · Revenue $31,545,689

  • n/a

  • n/a

As filed on the 2024 return.

Listed in Part VII

  • Gill Dalvir MD

    Cardiologist

    Total calculated
    $1,681,756
    From this org
    $1,681,756
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $796,887 related
    Bonus
    $0 + $884,491 related
    Other
    $0 + $378 related
    Deferred
    $0 + $8,814 related
    Nontaxable benefits
    $0 + $16,644 related
    Filer's total
    $0 + $1,707,214 related

  • Vikash Khurana MD

    Cardiologist

    Total calculated
    $1,620,568
    From this org
    $1,620,568
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $1,016,596 related
    Bonus
    $0 + $603,342 related
    Other
    $0 + $630 related
    Deferred
    $0 + $9,860 related
    Nontaxable benefits
    $0 + $172,649 related
    Filer's total
    $0 + $1,803,077 related

  • Brian Gebhardt MD

    Oncologist

    Total calculated
    $908,392
    From this org
    $908,392
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $536,363 related
    Bonus
    $0 + $371,610 related
    Other
    $0 + $420 related
    Deferred
    $0 + $57,935 related
    Nontaxable benefits
    $0 + $146,173 related
    Filer's total
    $0 + $1,112,501 related

  • Dustin Blackwell MD

    Physician

    Total calculated
    $846,228
    From this org
    $846,228
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $424,884 related
    Bonus
    $0 + $420,965 related
    Other
    $0 + $378 related
    Deferred
    $0 + $14,133 related
    Nontaxable benefits
    $0 + $82,473 related
    Filer's total
    $0 + $942,833 related

  • Oluwagbenga Serrano

    Gastroenterologist

    Total calculated
    $810,437
    From this org
    $810,437
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $730,718 related
    Bonus
    $0 + $77,913 related
    Other
    $0 + $1,806 related
    Deferred
    $0 + $71,145 related
    Nontaxable benefits
    $0 + $117,857 related
    Filer's total
    $0 + $999,439 related

  • Robert McLin

    President of the Board

    Total calculated
    $0
    Hours/week
    0.25

  • Matt Schuckman

    Treasurer of the Board

    Total calculated
    $0
    Hours/week
    0.25

  • Susan Brocksmith

    Chairman of the Board

    Total calculated
    $0
    Hours/week
    0.25

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

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.

Provenance

Return type
form_990
Tax year
2024
Filed
14 April 2025
IRS schema version
2024v5.0
Source object
202531069349300718

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.