Good Samaritan Hospital Physician Services Inc in Vincennes, Indiana (IN)

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Good Samaritan Hospital Physician Services Inc
Employer Identification Number (EIN)262813100
Name of OrganizationGood Samaritan Hospital Physician Services Inc
In Care of NameMatthew D Bailey President Ceo
Address520 S 7th St, Vincennes, IN 47591-1038
SubsectionCharitable Organization, Educational Organization
Ruling Date11/2010
DeductibilityContributions are deductible
FoundationOrganizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
OrganizationCorporation
Exempt Organization StatusUnconditional Exemption
Tax Period12/2013
Assets$1,000,000 to $4,999,999
Income$10,000,000 to $49,999,999
Filing Requirement990 (all other) or 990EZ return
Asset Amount$3,079,379
Amount of Income$29,005,833
Form 990 Revenue Amount$29,005,833
National Taxonomy of Exempt Entities (NTEE)Health - General and Rehabilitative: Health Support Services


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Amount of income in 2013: $29,005,833 (it was $23,224,499 in 2012)
This organization: 

 $29,005,833
Other organizations performing similar types of work: 

 $120,401

Assets in 2013: $3,079,379 (it was $2,315,928 in 2012)
This organization: 

 $3,079,379
Other organizations performing similar types of work: 

 $72,612

Expenses in 2013: $42,787,028
Good Samaritan Hospital Physician Services Inc: 

 $42,787,028
Other organizations performing similar types of work: 

 $96,831

Income to expenses ratio in 2013: 0.7
This organization: 

 0.7
Other organizations performing similar types of work: 

 1.2

Number of employees in 2013: 372
This organization: 

 372
Other organizations performing similar types of work: 

 2

Employees paid over $100,000 in 2013: 20.7%
This organization: 

 20.7%
Other organizations performing similar types of work: 

 0.0%

Grants share in income in 2013: 1.6%
Good Samaritan Hospital Physician Services Inc: 

 1.6%
Other organizations performing similar types of work: 

 99.2%

Financial snapshot ($)

Revenue for 2013

Assets at the end of 2013

Functional expenses for 2013

Checklist
20122013
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?YesYes
Is the organization required to complete Schedule B, Schedule of Contributors?NoNo
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?NoNo
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?NoNo
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?NoNo
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?NoNo
Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures?NoNo
Did the organization maintain collections of works of art, historical treasures, or other similar assets?NoNo
Did the organization report an amount for escrow or custodial account liability; serve as a custodian or provide credit counseling, debt management, credit repair, or debt negotiation services?NoNo
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?NoNo
Did the organization report an amount for land, buildings, and equipment?NoNo
Did the organization report an amount for investments-other securities that is 5% or more of its total assets?NoNo
Did the organization report an amount for investments-program related that is 5% or more of its total assets?NoNo
Did the organization report an amount for other assets that is 5% or more of its total assets?NoNo
Did the organization report an amount for other liabilities?NoNo
Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)?NoNo
Did the organization obtain separate, independent audited financial statements for the tax year?NoNo
Was the organization included in consolidated, independent audited financial statements for the tax year?YesYes
Is the organization a school described in section 170(b)(1)(A)(ii)?NoNo
Did the organization maintain an office, employees, or agents outside of the United States?NoNo
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for any foreign organization?NoNo
Did the organization report more than $5,000 of aggregate grants or other assistance to or for foreign individuals?NoNo
Did the organization report a total of more than $15,000 of expenses for professional fundraising services?NoNo
Did the organization report more than $15,000 total of fundraising event gross income and contributions?NoNo
Did the organization report more than $15,000 of gross income from gaming activities?NoNo
Did the organization operate one or more hospital facilities?NoNo
Did the organization attach a copy of its audited financial statements?NoNo
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government?NoNo
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals?NoNo
Did the organization answer 'Yes' about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees?YesYes
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?NoNo
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?NoNo
Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds?NoNo
Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year?NoNo
Did the organization engage in an excess benefit transaction with a disqualified person during the year?NoNo
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?NoNo
Did the organization report any amount for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?YesYes
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?NoNo
Was the organization a party to a business transaction with one of the following parties
A current or former officer, director, trustee, or key employee?NoNo
A family member of a current or former officer, director, trustee, or key employee?NoNo
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?NoNo
Did the organization receive more than $25,000 in non-cash contributions?NoNo
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?NoNo
Did the organization liquidate, terminate, or dissolve and cease operations?NoNo
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?NoNo
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?NoNo
Was the organization related to any tax-exempt or taxable entity?YesYes
Did the organization have a controlled entity within the meaning of section 512(b)(13)?NoNo
Did the organization make any transfers to an exempt non-charitable related organization?NoNo
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?NoNo
Statements Regarding Other IRS Filings and Tax Compliance
201120122013
The number reported in Box 3 of Form 109600
The number of Forms W-2G00
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?YesYes
The number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, filed for the calendar year ending with or within the year covered by this return316372
Did the organization file all required federal employment tax returns?YesYes
Did the organization have unrelated business gross income of $1,000 or more during the year?NoNoNo
Has it filed a Form 990-T for this year?NoNo
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?NoNo
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?NoNo
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?NoNo
Did the organization file Form 8886-T?NoNo
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?NoNo
Did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?NoNo
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?NoNo
Did the organization notify the donor of the value of the goods or services provided?NoNo
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?NoNo
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?NoNo
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?NoNo
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?NoNo
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?NoNo
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?NoNo
Did the sponsoring organization make any taxable distributions under section 4966?NoNo
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?NoNo
Initiation fees and capital contributions$0$0$0
Gross receipts for public use of club facilities $0$0$0
Gross income from members or shareholders$0$0$0
Gross income from other sources$0$0$0
Is the organization filing Form 990 in lieu of Form 1041?NoNo
The amount of tax-exempt interest received or accrued during the year$0$0
Is the organization licensed to issue qualified health plans in more than one state?NoNo
The amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans$0$0
The amount of reserves on hand$0$0
Did the organization receive any payments for indoor tanning services during the tax year?NoNo
Has it filed a Form 720 to report these payments?NoNo
Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
20122013
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
Total reportable compensation from the organization$3,414,329$3,359,144
Total reportable compensation from related organizations$0$0
Total estimated amount of other compensation from the organization and related organizations$0$0
Total number of individuals who received more than $100,000 of reportable compensation from the organization5372
Total number of independent contractors who received more than $100,000 of compensation from the organization1055
Statement of Revenue
201120122013
Total revenue$20,318,357$23,224,499$29,005,833
Contributions, Gifts, Grants and Other Similar Amounts$226,053$796,267$450,958
Program Service Revenue$0$0$0
Other Revenue
Investment income (including dividends, interest, and other similar amounts)$4,072$3,904$4,112
Income from investment of tax-exempt bond proceeds$0$0$0
Royalties$0$0$0
Net rental income$78,522$90,505$83,327
Gross rents (Real / Personal)$78,522 / $0$90,505 / $0$0 / $83,327
Less: rental expenses (Real / Personal)$0 / $0$0 / $0$0 / $0
Rental income or (loss) (Real / Personal)$78,522 / $0$0 / $0$0 / $83,327
Net gain/loss from sales of assets other than inventory$0$2,000$0
Net income/loss from fundraising events$0$0$0
Net income/loss from gaming activities$0$0$0
Net income/loss from sales of inventory$0$0$0
Miscellaneous Revenue$20,009,710$22,331,823$28,467,436
621110$22,331,823$28,467,436
All other revenue$0$0
Statement of Functional Expenses
201120122013
Total functional expenses$28,278,689$33,404,632$42,787,028
Grants and other assistance to domestic organizations and domestic governments$0$0
Grants and other assistance to domestic individuals$0$0
Grants and other assistance to foreign organizations, foreign governments, and foreign individuals$0$0
Benefits paid to or for members$0$0
Compensation of current officers, directors, trustees, and key employees$3,127,763$3,414,329$3,359,144
Compensation not included above, to disqualified persons$0$0
Other salaries and wages$17,008,576$19,701,960$25,853,562
Pension plan accruals and contributions$1,306,162$1,933,761
Other employee benefits$1,975,856$2,493,928
Payroll taxes$828,360$1,075,561$1,359,964
Fees for services (non-employees)
Management$0$0
Legal$0$0
Accounting$0$0
Lobbying$0$0
Professional fundraising services$0$0$0
Investment management fees$0$0
Other$1,129,810$1,706,899
Advertising and promotion$94,767$150,240
Office expenses$1,686,950$2,232,900
Information technology$281,947$309,809
Royalties$0$0
Occupancy$1,076,827$1,330,865
Travel$102,926$111,422
Payments of travel or entertainment expenses for any federal, state, or local public officials$0$0
Conferences, conventions, and meetings$61,867$108,921
Interest$0$0
Payments to affiliates$0$0
Depreciation, depletion, and amortization$0$0
Insurance$0$0
Other expenses$80,044$99,662
Other expenses$-25,588$11,565
Other expenses$1,389,034$1,524,302
Other expenses$52,180$191,658
Other expenses$0$8,426
Balance Sheet
201120122013
Total assets$2,093,075$2,315,928$3,079,379
Cash - non-interest-bearing$0$0
Savings and temporary cash investments$0$0
Pledges and grants receivable, net$0$0
Accounts receivable, net$1,808,420$2,446,226
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees$507,508$633,153
Loans and other receivables from other disqualified persons, persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations$0$0
Notes and loans receivable, net$0$0
Inventories for sale or use$0$0
Prepaid expenses and deferred charges$0$0
Land, buildings, and equipment: cost or other basis$0$0
Investments - publicly traded securities$0$0
Investments - other securities$0$0
Investments - program-related$0$0
Intangible assets$0$0
Other assets$0$0
Total liabilities$15,882,265$462,506$457,875
Accounts payable and accrued expenses$462,506$457,875
Grants payable$0$0
Deferred revenue$0$0
Tax-exempt bond liabilities$0$0$0
Escrow or custodial account liability$0$0
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons$0$0
Secured mortgages and notes payable to unrelated third parties$0$0$0
Unsecured notes and loans payable to unrelated third parties$0$0$0
Other liabilities (including federal income tax, payables to related third parties, and other liabilities)$0$0
Total net assets or fund balances$-13,789,190$1,853,422$2,621,504
Unrestricted net assets$0$0
Temporarily restricted net assets$0$0
Permanently restricted net assets$0$0
Capital stock or trust principal, or current funds$12,033,555$16,402,700
Paid-in or capital surplus, or land, building, or equipment fund$0$0
Retained earnings, endowment, accumulated income, or other funds$-19,068,473$-10,180,133$-13,781,196
Reason for Public Charity Status (for 2013)
The organization is not a private foundation because it is:An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2)
Number of organizations supported0
Sum of amounts of support$0
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Organizations performing similar types of work
IdNameAddressStateEstablishedTotal Income
1Good Samaritan Hospital Physician Services Inc520 S 7th St, Vincennes, IN 47591-1038IN2010-11$29,005,833
2Southern Ripley County Emergency Life Squad IncPO BOX 637, Versailles, IN 47042-0637IN2003-01$438,034
3Ralph Braun Foundation IncPO BOX 310, Winamac, IN 46996-0310IN2010-12$129,631
4Everyone's Child International Inc535 W Co Rd 1450 N, Batesville, IN 47006IN2008-10$55,066
5Real Religion IncPo Box 5132, Fort Wayne, IN 46895IN2010-05$10,965
6Lifeplex Institute For Health And Wellness Inc2855 Miller Dr 101, Plymouth, IN 46536IN2008-10$18
7Bartholomew County Heartsavers Inc15740 E Lake Shore Dr N Ct, Hope, IN 47246-9763IN2000-04$0
8Bret Neylon Paralysis Foundation1130 Brunes Blvd, Brownsburg, IN 46112IN2009-08$0
9Brighter Day Community Health Services Corporation4795 Broadway, Gary, IN 46409IN2010-04$0
10Childhood Cancer Awareness League Of Southwestern Indiana7430 Old Lantern Ln, Evansville, IN 47711-6314IN2003-10$0
11Eunice Akosa Foundation IncPO BOX 40234, Indianapolis, IN 46240IN2014-12$0
12Friendship Flights Foundation Inc17229 Cr 42, Goshen, IN 46526IN2015-03$0
13Hair Angels Foundation IncPO BOX 40838, Indianapolis, IN 46240-0838IN2002-04$0
14Heart Reach Carmel Inc3173 Smokey Ridge Lane, Carmel, IN 46033IN2010-10$0
15Home Front Childrens Foundation Inc, Hopebridge Children's Foundation625 N Union St, Kokomo, IN 46901IN2009-03$0
16Indiana Health Information Technology Inc402 W Washington St Ste W-461, Indianapolis, IN 46204-2773IN2011-01$0
17Indianapolis Chinese Medical Assoc IncPO BOX 4471, Carmel, IN 46082IN2006-07$0
18Inspiring Autism Spectrum FamiliesPO BOX 173, Newburgh, IN 47630IN2009-09$0
19Life Anew Foundation3745 N Dequincy St, Indianapolis, IN 46218-1640IN2000-04$0
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Number of organizations performing similar types of work
Alaska5
Alabama22
Arkansas16
Arizona44
California308
Colorado68
Connecticut38
District of Columbia25
Delaware4
Florida178
Georgia92
Hawaii13
Iowa23
Idaho16
Illinois78
Indiana41
Kansas27
Kentucky17
Louisiana24
Massachusetts70
Maryland60
Maine15
Michigan88
Minnesota46
Missouri47
Mississippi17
Montana12
North Carolina96
North Dakota6
Nebraska17
New Hampshire14
New Jersey75
New Mexico14
Nevada27
New York169
Ohio87
Oklahoma26
Oregon41
Pennsylvania94
Rhode Island11
South Carolina42
South Dakota5
Tennessee50
Texas191
Utah19
Virginia70
Vermont9
Washington62
Wisconsin37
West Virginia14
Wyoming7
International9
Total2,586

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