GOOD SAMARITAN FOUNDATION OF TEXAS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GOOD SAMARITAN FOUNDATION OF TEXAS INC (EIN 74-1235398)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-24
IRS object ID
202232979349301668
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-10-24T17:11:02-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN760269860PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Blazek & VetterlingBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12900 Weslayan Suite 200AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77027ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN741235398EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Good Samaritan Foundation of Texas IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOODBusinessNameControlTxt
Phone7135294646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13262 Westheimer Road 764AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77098ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJason L FertittaPersonNm
Person TitleChairmanPersonTitleTxt
Phone7135294646PhoneNum
Signature2022-10-24SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJasonPersonFirstNm
Person LastFertittaPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBarbara MurphyPreparerPersonNm
PTINP01386215PTIN
Phone7134395739PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJason L FertittaPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13262 Westheimer Road 764AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77098ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$892,605GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.gsftx.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateTXLegalDomicileStateCd
Activity Or MissionTo increase nurses dedicated to clinical care and improve quality of nurse education and training.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent21VotingMembersIndependentCnt
Total Employee2TotalEmployeeCnt
Total Volunteers23TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$402,412PYContributionsGrantsAmt
CY Contributions Grants$625,682CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$18,233PYInvestmentIncomeAmt
CY Investment Income$18,782CYInvestmentIncomeAmt
PY Other Revenue$26,849PYOtherRevenueAmt
CY Other Revenue$2,882CYOtherRevenueAmt
PY Total Revenue$447,494PYTotalRevenueAmt
CY Total Revenue$647,346CYTotalRevenueAmt
PY Grants And Similar Paid$214,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$230,328CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$115,034PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$117,827CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$38,271CYTotalFundraisingExpenseAmt
PY Other Expenses$146,592PYOtherExpensesAmt
CY Other Expenses$185,950CYOtherExpensesAmt
PY Total Expenses$475,626PYTotalExpensesAmt
CY Total Expenses$534,105CYTotalExpensesAmt
PY Revenues Less Expenses-$28,132PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$113,241CYRevenuesLessExpensesAmt
Total Assets BOY$794,852TotalAssetsBOYAmt
Total Assets EOY$971,929TotalAssetsEOYAmt
Total Liabilities BOY$155,536TotalLiabilitiesBOYAmt
Total Liabilities EOY$91,526TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$639,316NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$880,403NetAssetsOrFundBalancesEOYAmt
MissionGood Samaritan Foundation (GSF) is a fundraising and grant-making organization dedicated solely to Texas nursing. Its mission is to increase the number of nurses dedicated to clinical care and to improve the quality of nurse education and training.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$358,775ExpenseAmt
Grant$168,500GrantAmt
DescNursing scholarships: Good Samaritan Foundation (GSF) provides scholarships directly to nursing students that attend different schools around the state of Texas.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$61,828ExpenseAmt
Grant$61,828GrantAmt
DescGrants to Colleges of Nursing and other organizations: GSF granted $25,000 to UT Health Cizik School of Nursing for the Academic Success Center. GSF also granted Harris Health System $25,000 for the Nursing Excellence Program.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
DescGood Samaritan Endowment, Inc. (the Endowment) was formed in 2004 and operates primarily for the benefit of the Foundation. The Endowment has a board of directors separate from and not controlled by the Foundation.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$420,603TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document5IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member21IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Melissa KingBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7135294646PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13262 Westheimer Suite 764AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77098ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Jason L Fertitta
Chairman2.001.00Yes (X)Yes (X)$0$0$0
Donna Henderson
Vice Chair, Treasurer2.000.00Yes (X)Yes (X)$0$0$0
Michelle Barnett
Trustee1.000.00Yes (X)$0$0$0
Abigail Berkman
Trustee1.000.00Yes (X)$0$0$0
Robert Fullick
Trustee1.000.00Yes (X)$0$0$0
Warren W Harris
Trustee1.000.00Yes (X)$0$0$0
Steven P Mach
Trustee1.000.00Yes (X)$0$0$0
Sandy McElligott
Trustee1.000.00Yes (X)$0$0$0
Virginia McMullen
Trustee1.000.00Yes (X)$0$0$0
Ruthie J Miller
Trustee1.000.00Yes (X)$0$0$0
Lourie Moore
Trustee1.000.00Yes (X)$0$0$0
Kelli Nations
Trustee1.000.00Yes (X)$0$0$0
Eduardo A Sanchez
Trustee1.000.00Yes (X)$0$0$0
Susan P Stasney
Trustee1.000.00Yes (X)$0$0$0
Julie Young Sudduth
Trustee1.001.00Yes (X)$0$0$0
Kathryn Tart
Trustee1.000.00Yes (X)$0$0$0
Jacqueline R Ward
Trustee1.000.00Yes (X)$0$0$0
Thurmon Andress
Life Trustee1.000.00Yes (X)$0$0$0
Rosemary Pearson Creasey
Life Trustee1.000.00Yes (X)$0$0$0
Steven J Lindley
Life Trustee1.000.00Yes (X)$0$0$0
L Proctor Thomas III
Life Trustee1.000.00Yes (X)$0$0$0
Melissa King
Executive Director40.001.00Yes (X)$87,871$0$4,800
FieldValueIRS element (for citing)
Total Reportable Comp From Org$87,871TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$4,800TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$192,351FundraisingAmt
Related Organizations$72,000RelatedOrganizationsAmt
Government Grants$19,800GovernmentGrantsAmt
All Other Contributions$341,531AllOtherContributionsAmt
Total Contributions$625,682TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$18,782TotalRevenueColumnAmt
Exclusion$18,782ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$72,941TotalRevenueColumnAmt
Exclusion$72,941ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$100,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$100,000SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$75,200FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$192,351ContriRptFundraisingEventAmt
Fundraising Direct Expenses$145,259FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$70,059TotalRevenueColumnAmt
Exclusion-$70,059ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$647,346TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$21,664ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$61,828TotalAmt
Program Services$61,828ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$168,500TotalAmt
Program Services$168,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$92,672TotalAmt
Program Services$55,664ProgramServicesAmt
Management And General$13,881ManagementAndGeneralAmt
Fundraising$23,127FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$10,787TotalAmt
Program Services$8,988ProgramServicesAmt
Management And General$779ManagementAndGeneralAmt
Fundraising$1,020FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,004TotalAmt
Program Services$4,442ProgramServicesAmt
Management And General$971ManagementAndGeneralAmt
Fundraising$1,591FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$7,364TotalAmt
Program Services$4,606ProgramServicesAmt
Management And General$1,042ManagementAndGeneralAmt
Fundraising$1,716FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$18,850TotalAmt
Management And General$18,850ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$24,170TotalAmt
Program Services$12,658ProgramServicesAmt
Management And General$11,098ManagementAndGeneralAmt
Fundraising$414FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$38,454TotalAmt
Program Services$15,889ProgramServicesAmt
Management And General$14,418ManagementAndGeneralAmt
Fundraising$8,147FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,828TotalAmt
Program Services$2,394ProgramServicesAmt
Management And General$542ManagementAndGeneralAmt
Fundraising$892FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,856TotalAmt
Program Services$3,663ProgramServicesAmt
Management And General$829ManagementAndGeneralAmt
Fundraising$1,364FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,923TotalAmt
Management And General$4,923ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,683TotalAmt
Management And General$5,683ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Awards luncheon expense$81,971$81,971
Royalty & property tax$2,215$2,215

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$534,105TotalAmt
Program Services$420,603ProgramServicesAmt
Management And General$75,231ManagementAndGeneralAmt
Fundraising$38,271FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$88,499BOYAmt
EOY$101,354EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$22,500EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$746BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$31,521BOYAmt
EOY$28,528EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$49,467LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$49,467LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$674,086BOYAmt
EOY$819,547EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$794,852BOYAmt
EOY$971,929EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$4,486BOYAmt
EOY$16,526EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$100,000BOYAmt
EOY$75,000EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$31,250BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,800BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$155,536BOYAmt
EOY$91,526EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$562,944BOYAmt
EOY$804,031EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$76,372BOYAmt
EOY$76,372EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$639,316BOYAmt
EOY$880,403EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$794,852BOYAmt
EOY$971,929EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$113,241ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$127,846NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$681,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$539,704CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$477,031CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$402,412CurrentTaxYearMinus1YearAmt
Current Tax Year$625,682CurrentTaxYearAmt
Total$2,726,374TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$681,545CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$539,704CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$477,031CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$402,412CurrentTaxYearMinus1YearAmt
Current Tax Year$625,682CurrentTaxYearAmt
Total$2,726,374TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$762,162SubstantialContributorsTotAmt
Public Support Total170$1,964,212PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$53,722CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$89,510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$98,189CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,072CurrentTaxYearMinus1YearAmt
Current Tax Year$91,723CurrentTaxYearAmt
Total$378,216TotalAmt
FieldValueIRS element (for citing)
Total Support$3,104,590TotalSupportAmt
Public Support CY1700.63270PublicSupportCY170Pct
Public Support PY1700.63880PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,943,510BeginningYearBalanceAmt
Investment Earnings Or Losses$405,291InvestmentEarningsOrLossesAmt
Grants Or Scholarships$72,000GrantsOrScholarshipsAmt
End Year Balance$2,276,801EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,896,813BeginningYearBalanceAmt
Investment Earnings Or Losses$116,697InvestmentEarningsOrLossesAmt
Grants Or Scholarships$70,000GrantsOrScholarshipsAmt
End Year Balance$1,943,510EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,621,286BeginningYearBalanceAmt
Investment Earnings Or Losses$332,527InvestmentEarningsOrLossesAmt
Grants Or Scholarships$57,000GrantsOrScholarshipsAmt
End Year Balance$1,896,813EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,791,445BeginningYearBalanceAmt
Investment Earnings Or Losses-$115,159InvestmentEarningsOrLossesAmt
Grants Or Scholarships$55,000GrantsOrScholarshipsAmt
End Year Balance$1,621,286EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,592,935BeginningYearBalanceAmt
Investment Earnings Or Losses$258,510InvestmentEarningsOrLossesAmt
Grants Or Scholarships$60,000GrantsOrScholarshipsAmt
End Year Balance$1,791,445EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch R0RelatedOrgListSchRInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,563OtherCostOrOtherBasisAmt
Depreciation$46,563DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,904OtherCostOrOtherBasisAmt
Depreciation$2,904DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$1,108,483TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$127,846NetUnrealizedGainsInvstAmt
Other Revenue$333,291OtherRevenueAmt
Revenue Not Reported$461,137RevenueNotReportedAmt
Revenue Subtotal$647,346RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$647,346TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$534,105TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$534,105ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$534,105TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Endowment funds provide financial support to Good Samaritan Foundation of Texas, Inc.
Part XI, Line 2d - Other Adjustments:Change in value of Endowment interest 333,291.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Pearl BallEvent1Nm
Gross Receipts Event1$173,250GrossReceiptsEvent1Amt
Charitable Contri Event1$130,050CharitableContriEvent1Amt
Gross Revenue Event1$43,200GrossRevenueEvent1Amt
Rent Facility Costs Event1$31,285RentFacilityCostsEvent1Amt
Entertainment Event1$6,880EntertainmentEvent1Amt
Other Direct Expenses Event1$22,548OtherDirectExpensesEvent1Amt
Event2Golf TournamentEvent2Nm
Gross Receipts Event2$94,301GrossReceiptsEvent2Amt
Charitable Contri Event2$62,301CharitableContriEvent2Amt
Gross Revenue Event2$32,000GrossRevenueEvent2Amt
Rent Facility Costs Event2$82,673RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$1,873OtherDirectExpensesEvent2Amt
Gross Receipts Total$267,551GrossReceiptsTotalAmt
Charitable Contributions Tot$192,351CharitableContributionsTotAmt
Gross Revenue Total Events$75,200GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$113,958RentFcltyCostsTotalEventsAmt
Entertainment Total Events$6,880EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$24,421OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$145,259DirectExpenseSummaryEventsAmt
Net Income Summary-$70,059NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
UT Health Cizik School of Nursing
7000 Fannin Street Ste 1200HoustonTX77030741761309Govt.$25,000$0Academic Success Center
Harris Health System
4800 Fournace PlaceBellaireTX77401760408224Govt.$25,000$0Nursing Excellence Program
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeNursing ScholarshipsGrantTypeTxt
Recipient168RecipientCnt
Cash Grant$168,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGSF accepts scholarship applications three times a year in the spring, summer and fall. Each student is required to complete an application, provide proof or registration, class and fee schedules and once the semester is over each student is required to provide grades to ensure they are in good standing with the university and they have passed their courses.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 1aThe Executive Committee of the Board of Trustees is composed of not less than five nor more than nine members of the Board of Trustees and the Executive Director, provided that the Executive Director shall be a non-voting member. The Chairman of the Board of Trustees presides at all meetings of the Executive Committee when present. The Executive Committee assists the Board of Trustees and the Executive Director in carrying out the purposes and the program of the Foundation. Subject to any limitations on authority which may be imposed by the Board of Trustees, the Executive Committee has all of the authority of the Board of Trustees in the business and affairs of the Corporation except: (i) To amend the articles of incorporation; (ii) To amend, alter, or repeal the Bylaws or adopt new Bylaws; (iii) To fill vacancies in the Board of Trustees; and (iv) To amend or repeal any resolution of the Board of Trustees.
Form 990, Part VI, Section B, line 11bAfter preparation and review by the Executive Director, a copy of Form 990 is sent to the Chairman of the Board, the Board Treasurer and the remaining members of the Executive Committee for final review and approval. After careful review and consideration, comments are compiled by the Executive Director. All comments and questions are addressed, discussed and compared to the annual audit before final submission to the IRS.
Form 990, Part VI, Section B, line 12cA copy of the conflict of interest policy is furnished to each trustee, officer and staff member who serves the Good Samaritan organization or who may become associated with it (volunteers). The policy and its application is reviewed annually for the information and guidance of trustees, officers and staff members, each of whom has a continuing responsibility to scrutinize their transactions and outside business interests and relationships for potential conflicts of interest, and make full disclosures as described in the policy. Annually, the Board Chair meets with each trustee at the annual board meeting, usually in early November, and asks for completed certification of agreement with the policy and disclosure of any known conflicts of interest upon his/her election or re-election to the board. In addition, the Executive Director and each staff member is asked to complete a certification annually by the end of each calendar year.
Form 990, Part VI, Section B, line 15aThe Executive Committee of the Board of Trustees reviews various independent sources of nonprofit industry data regarding the levels and types of compensation being paid to persons in the nonprofit sector by job function. Recommendations of the Executive Committee for individual compensation and benefits packages are presented to and approved by the full board of trustees at the annual meeting held every November.
Form 990, Part VI, Section C, line 19All corporate records are available to the general public for review at the Foundation's main office during normal business hours upon written request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Good Samaritan Endowment IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13262 Westheimer Rd Ste 764AddressLine1Txt
CityHoustonCityNm
State AbbreviationTXStateAbbreviationCd
ZIP77098ZIPCd
FieldValueIRS element (for citing)
EIN201930300EIN
Primary ActivitiesSupport Good Samaritan FoundationPrimaryActivitiesTxt
Legal Domicile StateTXLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status509(a)(3)III NFIPublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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