2017-07-14T06:46:13-05:00 2016-08-31 861065772 Deloitte Tax LLP 250 East Fifth Street Suite 1900 Cincinnati OH 45202 990 2015-09-01 951656366 Good Samaritan Hospital GOOD 2139772121 1225 Wilshire Blvd Los Angeles CA 900172395 ALAN M INO CFO 2139772121 2017-07-13 1 Rebecca Lyons P01487105 5137847100 2015 2021-01-29 14:40:06Z Andrew B Leeka 1225 Wilshire Blvd Los Angeles CA 900172395 363021089 0 X www.goodsam.org X 1885 CA Provide accessible, quality, cost-effective healthcare services at 408-bed hospital in LA. 28 27 1606 416 587802 -204839 21575826 5667448 346249955 295495236 29793719 33477736 1972957 1683367 399592457 336323787 1855072 931177 0 0 145429548 148748671 0 0 1718552 200595741 165886266 347880361 315566114 51712096 20757673 463670958 488758576 165694383 194906990 297976575 293851586 X To provide accessible, quality, cost-effective community healthcare. The Hospital operates a 408-bed facility in inner-city Los Angeles. 0 0 273256042 931177 295495236 The Hospital is primarily engaged in providing inpatient and outpatient medical care for the general community regardless of ability to pay. Fiscal year August 31, 2016 patient days totaled 57,647 and outpatient visits totaled 78,404.The Hospital has a policy to treat emergency and certain other patients regardless of their ability to pay. Consistent with the hospital's tax-exempt status and community service responsibilities, the Hospital provides care to patients who meet certain criteria under its charity care policy without charge or at amounts less than its established rates. Under the Hospital's policy, charity care may be provided to people who are uninsured or under-insured and cannot afford to pay for their own medical care. Because the Hospital does not pursue collection or amounts determined to qualify as charity care, these are not included in net patient revenues. In some instances, charity care cases are identified subsequent to the occurrence of collection activities and may be classified as bad debts. 273256042 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 446 0 1 1606 1 1 1 0 0 0 0 1 1 0 0 0 0 0 X 28 27 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Ernalyn Baysac 2139772003 637 S Lucas Ave 3rd Floor Los Angeles CA 90017 Andrew B Leeka President & CEO 50.00 8.00 X X 603610 0 27896 Charles T Munger Chairman 1.00 4.00 X 0 0 0 The Rt Rev Joseph Jon Bruno Honorary Chairman 1.00 0.00 X 0 0 0 Robert E Denham Vice Chairman 1 1.00 4.00 X 0 0 0 Glen H Mitchel Jr Vice Chairman 2 1.00 4.00 X 0 0 0 Sushma Adarkar MD Trustee 1.00 0.00 X 0 0 0 Margaret Bates MD Trustee 1.00 4.00 X 0 0 0 George A Bender Trustee 1.00 4.00 X 0 0 0 Bruce Bennett Trustee 1.00 4.00 X 0 0 0 William M Bitting Trustee 1.00 0.00 X 0 0 0 Mrs Jack L Blumenthal Trustee 1.00 0.00 X 0 0 0 Mrs Maribeth A Borthwick Trustee 1.00 0.00 X 0 0 0 Arthur L Crowe Jr Trustee 1.00 0.00 X 0 0 0 Victoria Seaver Dean Trustee 1.00 4.00 X 0 0 0 John B Frank Trustee 1.00 4.00 X 0 0 0 James H Gipson Trustee 1.00 4.00 X 0 0 0 Mimi Grant Trustee 1.00 0.00 X 0 0 0 Robert K Maloney MD Trustee 1.00 4.00 X 0 0 0 Mrs Angus M McLeod Trustee 1.00 0.00 X 0 0 0 Charles P Meister Trustee 1.00 0.00 X 0 0 0 Peter W Mullin Trustee 1.00 0.00 X 0 0 0 Bruce E Pherson Jr Trustee (start 10/22/15) 1.00 0.00 X 0 0 0 Clark W Porter Trustee 1.00 0.00 X 0 0 0 Helen Lho Ryu Trustee 1.00 0.00 X 0 0 0 Thomas L Shook MD Trustee 1.00 4.00 X 0 0 0 Stephen L Smith Trustee 1.00 0.00 X 0 0 0 Warren B Williamson Trustee 1.00 0.00 X 0 0 0 Edward A Wopschall Trustee 1.00 0.00 X 0 0 0 Alan M Ino CFO 50.00 8.00 X 475516 0 26032 Michael Gomez VP Business Development 40.00 0.00 X 270188 0 25090 Dan McLaughlin VP General Services 20.00 20.00 X 270122 0 20064 Margaret Pfeiffer VP Nursing Services 40.00 0.00 X 265701 0 11890 Lexis Schuster VP Human Resources 40.00 0.00 X 277077 0 13755 Brian Thorne VP Fund Development 40.00 0.00 X 257077 0 25287 Dean Campbell VP Info. Tech. Services 40.00 0.00 X 288892 0 10950 Hilarion Castillo Controller 40.00 0.00 X 239586 0 15901 Ching Chen Chief Radiation Physicst 40.00 0.00 X 300822 0 20064 Ira Meiselman Director Managed Care 40.00 0.00 X 246195 0 27512 Samir Nabulsi Director Worker's Comp 40.00 0.00 X 250979 0 19930 Elena Bocheve Staff RN 40.00 0.00 X 234582 0 15204 3980347 0 259575 550 0 1 0 Millie and Severson Inc 3601 Serpentine Drive Los Alamitos CA 90720 Construction Services 10834060 Crothall Healthcare Inc 955 Chesterbrook Blvd Suite 300 Wayne PA 19087 Environmental Services 4773174 Sodexho Marriott Services 711 Kimberly Avenue Suite 250 Placentia CA 92870 Dietary Services 3125756 Wellspring Partners Huron Consulting Ser 3005 Momentum Place Chicago IL 60689 Consulting Services 2762960 Nash-Holland Bixel & Lucas Inv 111 Main Street Suite 500 Vancouver WA 98660 Construction Services 2500000 93 117290 543498 600455 4406205 5667448 Net Patient Revenue 900099 294072523 294072523 Rental Income 532000 525857 525857 Child Care Center 624410 492331 98466 393865 EHR Meaningful Use Rev 900099 397959 397959 Symposium Revenue 900099 6566 6566 295495236 12732748 12732748 22582254 24717057 26554323 0 -3972069 24717057 20744988 20744988 54800 117290 142979 -88179 -88179 Parking Lot 812930 592993 35156 557837 Non-Patient Lab 621500 105181 105181 Physician Mgmt Svcs 621110 53600 53600 1019772 1019772 1771546 336323787 295101371 587802 34967166 X 931177 931177 2778504 546114 1965792 266598 103357273 93504905 9592987 259381 6622860 5898162 724698 27183715 24084214 3052196 47305 8806319 7859615 909028 37676 2158214 -25 2127964 30275 340000 340000 20760 20760 48121546 37772911 10321187 27448 1250651 165773 1084878 304656 254619 50037 66657 31705 33190 1762 476326 476326 11968078 6345902 5622176 1853052 880168 972884 Supplies 56472199 55841121 621042 10036 Hospital Fee Program 32711658 32711658 Utilities 3823802 3707372 116430 6318667 2244325 3036271 1038071 315566114 273256042 40591520 1718552 20017594 4935913 7081577 9 2822045 2399987 41303865 42214389 42542622 54505792 1662235 1561511 8024038 5895959 522549366 324190210 165265128 198359156 170889020 178885860 4062834 0 463670958 488758576 69216501 82771575 41314996 50000000 55162886 62135415 165694383 194906990 X 210036454 207508211 30504473 28796727 57435648 57546648 297976575 293851586 463670958 488758576 X 20757673 10523206 -33974164 -1431704 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20760 20760 0 Part II-B, Line 1: Lobbying expenses represent a portion of the dues Good Samaritan Hospital pays to the Hospital Association of Southern California. Good Samaritan Hospital does not participate in or intervene in (including the publishing or distributing of statements), any political campaign on behalf of (or in opposition to) any candidate for public office. 57435648 111000 57546648 57434648 1000 57435648 57333648 101000 57434648 57433648 57433648 57433648 57433648 1.00000 1 0 17195670 17195670 137653848 110491181 27162667 253265775 210585817 42679958 114434073 3113212 111320861 198359156 Reserve for Self-Insured Programs 6032694 Pension Plan 25681993 Advances from Third Party Payors 2896854 Reserve for Asset Retirement Obligations 9703993 Other Annuity Payment Liability 1761482 Other Long-Term Reserves 12086000 Other Accrued Liabilities 97 Intercompany Payable 3972302 62135415 X Part V, Line 4: For specific purposes listed by the donors. Part X, Line 2: The Hospital, sic, and MOB are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the "Code") and are exempt from federal income taxes pursuant to Section 501(a) of the Code. They are exempt from state franchise taxes under similar statutes. Accordingly, no provision for income taxes has been recorded in the accompanying consolidated financial statements. During the years ended August 31, 2016 and 2015, the Hospital did not record any liability for unrecognized tax contingencies. Golf Tournament 172090 117290 54800 981 74202 39490 28306 172090 117290 54800 981 74202 39490 28306 142979 -88179 1 1 X 1 X 1 X 1 1 0 1 1 8955639 8955639 0.02840 13832640 13832640 0.04380 22788279 22788279 0.07220 177970 177970 0.00060 460337 111454 348883 0.00110 638307 111454 526853 0.00170 23426586 111454 23315132 0.07390 1 1367020 0 76954832 83689587 -6734755 X 1 1 1 1 Good Samaritan Hospital 1225 Wilshire Blvd Los Angeles CA 90017 www.goodsam.org 930000071 X X X X X Good Samaritan Hospital 1 0 0 1 X X X X X X X X X 13 1 1 0 1 X http://www.goodsam.org/documents/CBIP-2016_FINAL_FINAL.pdf X 1 15 1 www.goodsam.org/documents/CBIP-FY-2015_final.pdf 0 0 1 X 200.000000000000 350.000000000000 X X X 1 1 X X 1 X http://www.goodsam.org/About-Us/Charity-Care-Discount-Policy/Policy.aspx X http://www.goodsam.org/documents/Good-Sam-Financial-Assistance-Request-form X X X X X 1 X 0 X X X X 1 X 0 0 Good Samaritan Hospital Part V, Section B, Line 5: Focus Groups - Two types of focus groups were conducted in order to collect information from both the community member perspective as well as the CBO perspective. CBOs included agencies that provide health, social, and other types of services. Information was gathered to identify areas of needs and services available or lacking to meet those needs. In addition, an online survey was made available to CBOs who were unable to attend a focus group. In total, there were ten focus groups conducted (5 with community members and 5 with CBOs) with a total of 158 participants. The focus group interviews were conducted in either English or Spanish, with a mixed age group, including both males and females. Groups included residents from major ethnic groups, geographic areas and service providers in the Collaborative service areas. Seniors, community health promoters and service providers were gathered separately. Topics in the focus group included major areas from previous needs assessments and other issues anticipated to be important in health care. Areas covered were: health care utilization, preventative and primary care, health insurance, access and barriers to care, emergency room use, chronic disease management and community issues. Individual Interviews - Thirty interviews were conducted to gather information about the needs and challenges faced by the community in accessing and utilizing health care services, and to ensure reliable and representative information. Key informants included staff at collaborative hospitals and health care service organizations in the primary service areas. Interviews were conducted over the phone or in person and lasted approximately 45 minutes. Good Samaritan Hospital Part V, Section B, Line 6a: The CHNA was conducted in collaboration with California Hospital Medical Center and St. Vincent Medical Center. Good Samaritan Hospital Part V, Section B, Line 11: Good Samaritan Hospital maintains an active presence in the community through the volunteer and advocacy efforts of its physicians, employees and Board of Trustees. The Hospital provides support to community clinics by providing services such as transportation for patients to the Hospital. The Hospital also hosts conferences open to the public at no cost on topics related to various health issues prevalent in the community. Good Samaritan Hospital publishes Good Health, a community newsletter that goes out to 16,000 households to increase awareness and understanding of medical advances related to cardiovascular care, orthopedic services, transfusion-free medicine and surgery, urology, oncology and women's and newborn services. Good Samaritan Hospital also provides community building activities promote health, wellness and safety through: health fairs, health lectures, hosting cancer support groups, community policy advisory meetings to discuss neighborhood safety, annual Blessing of the Bicycles to promote bike and road safety as well as the benefits of cycling. Some initiatives, such as the Community Care Transition Program to reduce readmissions and Healthy Eating and Lifestyle Program saw reduced effectiveness or were discontinued due to lack of funding from CMS and the American Heart Association. Other programs experienced reduced effectiveness due to language barriers and lack of transportation. Good Samaritan Hospital Part V, Section B, Line 22d: Individuals at or below 200% of the FPL receive a full charity discount. Individuals between 200% and 350% of the FPL receive a price equal to 60% of the cash price per policy. Part I, Line 7: Charity cost: applied RCC from hospital's FY 2016 internal financial statements of 19.25% to charity write-offs. 7 e) Community health improvement services: general ledger expenses for the hospital's volunteer program. 7 h) Research: expenses from Research general ledger account less funding received. Part III, Line 2: Bad debt expense determined by applying RCC from hospital financial statements to bad debt transfers net of recoveries. This expense was not included in community benefit expense. Part III, Line 3: Good Samaritan Hospital has a very robust financial assistance program, Therefore, no estimate is made for bad debt attributable to patients eligible under the financial assistance policy. Part III, Line 4: From the audited financial statements of Good Samaritan Hospital and its affiliates for the year ended August 31, 2016:The Company has agreements with third-party payors that provide for payments to the Company at amounts different from its established rates. Payment arrangements include prospectively determined rates per discharge, reimbursed costs, discounted charges, and per diem payments. Net patient service revenue is reported at the estimated net realizable amounts from patients, third-party payors, and others for services rendered, including estimated retroactive adjustments under reimbursement agreements with third-party payors. Retroactive adjustments are accrued on an estimated basis in the period the related services are rendered and adjusted in future periods as final settlements are determined. The Company presents its provision for bad debts as a reduction of patient service revenue on a separate line item in its consolidated statements of operations. Part III, Line 8: The amounts on lines 5 and 6 are from the FY 2016 Medicare cost report and we believe do not qualify as community benefit. Part III, Line 9b: Patients are advised that they have the opportunity to submit a charity application or apply for a discount under the hospital's Charity Care Policy or Cash Price Policy. Part VI, Line 2: Based on a community needs assessment conducted every three years in collaboration with neighboring hospitals and health care organizations, Good Samaritan Hospital develops a yearly community benefit plan that is submitted to the State. The plan includes proposed activities designed around disease prevention efforts and improvement of health status along a progress report on goals from the previous year. Seven major content areas were identified in previous needs assessments that is included in the community benefit plan: Access, Health Behaviors, Risk Behaviors, Chronic Disease, Communicable Diseases, Mental Health and Community and Social Issues. Part VI, Line 3: Signage describing the Hospital's charity programs is posted at all points of registration in three languages. Also, all uninsured patients are sent a letter with their first bill informing them of the Hospital's available charity care programs and personnel to contact for information and application. Part VI, Line 4: Good Samaritan Hospital's primary service area is defined by sixteen zip codes within a five mile radius. The zip codes in this area contain a population of one-half million residents, as described in the Year 2000 U.S. Census Report. The zip codes are as follows: 90004, 90005, 90006, 90007, 90010, 90012, 90013, 90014, 90015, 90017, 90018, 90020, 90021, 90026, 90057, 90071. Based on the last community needs assessment (2013), Latinos accounted for a majority of the population in the GSH service area (53.5%) and four out of five of its health districts (Central, Hollywood, Northeast and Southeast). The second largest ethnic group in the GSH service area is Asian/Pacific Islanders (22.9%). Part VI, Line 5: Good Samaritan Hospital maintains an active presence in the community through the volunteer and advocacy efforts of its physicians, employees and Board of Trustees. The Hospital provides support to community clinics by providing services such as transportation for patients to the hospital. The Hospital also hosts conferences open to the public at no cost on topics related to various health issues prevalent in the community. Good Samaritan Hospital publishes Good Health, a community newsletter that goes out to 16,000 households to increase awareness and understanding of medical advances related to cardiovascular care, orthopedic services, transfusion-free medicine and surgery, urology, oncology and women's and newborn services. Good Samaritan Hospital also provides community building activities promote health, wellness and safety through: health fairs, health lecture's, hosting cancer support groups, community policy advisory meetings to discuss neighborhood safety, annual Blessing of the Bicycles to promote bike and road safety as well as the benefits of cycling. Part VI, Line 6: Good Samaritan Hospital (the "Hospital") is a not-for-profit and tax-exempt corporation that operates a 408-bed tertiary hospital in Los Angeles, California. The Hospital's mission is to provide accessible, quality, cost-effective, and compassionate health care servicesthat meet the needs of the patients, their families, the community, physicians, and employees.Good Samaritan Medical Office Building, Inc. (MOB), a not-for-profit corporation consisting of a medical office building adjacent to the Hospital, was formed to provide and lease office space to physicians on staff at the Hospital. Samaritan Imaging Center (SIC), a not-for-profit corporation, was formed as an outpatient imaging center, dedicated to the advancement of the care of the sick, injured, and disabled individuals requiring radiological imaging services. The Hospital, MOB, and SIC are consolidated in these financial statements because the Hospital is the sole corporate member of MOB and SIC, and are referred to collectively as the "Company."As part of its clinical mission, the Company created The Heart Institute, The Cancer Institute, The Institute of Reproductive Research, and the Orthopedic Institute (collectively, the "Institutes"). During 2016, The Heart Institute was renamed Good Samaritan Institute for Research and Education, and The Cancer Institute and The Institute of Reproductive Research were dissolved. The Institutes conduct clinical research in theirspecialized areas and provide education to the medical community and the general public. The Institutes are included in these consolidated financial statements. Part VI, Line 7, Reports Filed With States CA 1 Good Samaritan Institute for Research and Education 1225 Wilshire Blvd Los Angeles CA 90017 954077161 501(c)(3) 508882 Expenses Paid by the Organization California Health Foundation and Trust 1215 K Street Suite 800 Sacramento CA 95814 941498687 501(c)(3) 420840 Support Charitable Activities at Hospitals and Health Systems in California 2 0 Part I, Line 2: The Institutes (Heart and Ortho) do not have their own checking accounts, so all of their expenses (including salaries, wages and benefits) are paid for by the Hospital and are all recorded in each of the Institutes' accounts in the general ledger, thru intercompany due to and from accounts on both sides (Institutes and Hospital's). Grants will only be made to 501(c)(3) organizations to ensure the funds will be used properly. X X X X 0 0 0 0 0 0 0 0 0 Andrew B Leeka President & CEO 595822 0 0 0 7788 0 7950 0 19946 0 631506 0 0 0 Alan M Ino CFO 475516 0 0 0 0 0 7950 0 18082 0 501548 0 0 0 Michael Gomez VP Business Development 270188 0 0 0 0 0 6817 0 18273 0 295278 0 0 0 Dan McLaughlin VP General Services 270122 0 0 0 0 0 7950 0 12114 0 290186 0 0 0 Margaret Pfeiffer VP Nursing Services 265701 0 0 0 0 0 0 0 11890 0 277591 0 0 0 Lexis Schuster VP Human Resources 277077 0 0 0 0 0 7950 0 5805 0 290832 0 0 0 Brian Thorne VP Fund Development 257077 0 0 0 0 0 7765 0 17522 0 282364 0 0 0 Dean Campbell VP Info. Tech. Services 288392 0 0 0 500 0 7950 0 3000 0 299842 0 0 0 Hilarion Castillo Controller 238432 0 0 0 1154 0 7257 0 8644 0 255487 0 0 0 Ching Chen Chief Radiation Physicst 300822 0 0 0 0 0 7950 0 12114 0 320886 0 0 0 Ira Meiselman Director Managed Care 226195 0 20000 0 0 0 6930 0 20582 0 273707 0 0 0 Samir Nabulsi Director Worker's Comp 247708 0 0 0 3271 0 7575 0 12355 0 270909 0 0 0 Elena Bocheve Staff RN 234582 0 0 0 0 0 9399 0 5805 0 249786 0 0 0 Form 990, Part VI, Section A, line 2 Mrs. Maribeth Borthwick, a Board Member of Good Samaritan Hospital, has a family relationship with Mr. Charles Munger, Chairman of the Board. Mr. Clark W. Porter has a family relationship with Mr. Glen H. Mitchel, Jr., who are both board members. Form 990, Part VI, Section B, line 11 The Organization works with an independent accountant, Deloitte Tax LLP, to prepare the Form 990. Once the return is prepared, the return is reviewed by the Chief Financial Officer and the Controller. The draft of the Form 990 is presented to the Audit Committee. Subsequent to review by the Audit Committee, the CFO and the Controller will provide any final comments to Deloitte Tax LLP. Deloitte Tax LLP makes all changes necessary and a final Form 990 is made available to all board members. Form 990, Part VI, Section B, line 12c All Board Members and officers are required to complete a conflict of interest disclosure statement each year. The Policy requires each governing body member to disclose any conflict on a particular matter that may arise, and recuse him or herself from deliberations and votes on such matters. The Policies are monitored by the director of risk management of the Good Samaritan Hospital and are enforced by the Audit Committee Chairperson. Form 990, Part VI, Section B, line 15 A subcommittee of the Governing Board's Executive Committee is responsible for determining the Chief Executive Officers' compensation. This subcommittee is given comparison data on CEO salaries and benefits from comparable hospitals in the local area, prepared by human resources from 990s; and salary surveys completed by the local hospital association. The decision of the subcommittee on the CEO's salary is documented by the subcommittee in writing. The compensation of the Organization's Vice Presidents are reviewed and approved by the Organization's CEO. Their salaries and benefits are determined using comparable hospitals in the local area, prepared by human resources from 990s; and salary surveys completed by the local hospital association. Form 990, Part VI, Section C, line 19 Good Samaritan Hospital's organizing documents and the Conflict of Interest Policy are not made available to the public. The financial information from the financial statements is included in the Organization's Form 990, which is available for public inspection upon request. Form 990, Part IX, line 11g Repairs & Maintenance: Program service expenses 5,190,368. Management and general expenses 4,815,199. Fundraising expenses 0. Total expenses 10,005,567. Purchased Labor: Program service expenses 8,558,035. Management and general expenses 419,523. Fundraising expenses 0. Total expenses 8,977,558. Purchased Services: Program service expenses 24,024,508. Management and general expenses 5,086,465. Fundraising expenses 27,448. Total expenses 29,138,421. Form 990, Part XI, line 9: Minimum Change in Pension Liability -709,291. Net Assets Released from Restriction-Capital 476,226. Net Assets Released from Restriction-Operations -2,847,966. Change in Value of Split-Interest Agreement -403,342. Gifts Received/Contributions 1,964,489. Net Loss from Fundraising Activities 88,180. Good Samaritan Institute of Research and Education 1225 Wilshire Blvd Los Angeles CA 90017 954077161 Heart Research CA 501(c)(3) Line 4 Good Samaritan Hospital 1 Orthopedic Institute of the Good Samaritan Hospital 1225 Wilshire Blvd Los Angeles CA 90017 954346048 Orthopedic Research CA 501(c)(3) Line 11a, I Good Samaritan Hospital 1 Samaritan Imaging Center 1225 Wilshire Blvd Los Angeles CA 90017 954252321 Outpatient Imaging Services CA 501(c)(3) Line 9 Good Samaritan Hospital 1 Cancer Institute of the Good Samaritan Hospital 1225 Wilshire Blvd Los Angeles CA 90017 954271815 Cancer Research CA 501(c)(3) Line 11a, I Good Samaritan Hospital 1 Institute for Reproductive Research of the Hospital of the Good Samaritan 1225 Wilshire Blvd Los Angeles CA 90017 954252306 Reproductive Research CA 501(c)(3) Line 11a, I Good Samaritan Hospital 1 Good Samaritan Hospital Medical Office Building Inc 1225 Wilshire Blvd Los Angeles CA 90017 953244046 Physicians Medical Offices CA 501(c)(3) Line 11a, I Good Samaritan Hospital 1 Auxiliary of the Hospital of the Good Samaritan 1225 Wilshire Blvd Los Angeles CA 90017 956051253 Welfare of The Good Samaritan Hospital CA 501(c)(3) Line 11c, III-FI N/A 0 Kate Van Nuys Page Foundation 1225 Wilshire Blvd Los Angeles CA 90017 956028032 Grants Income to Good Samaritan Hospital CA 501(c)(3) Line 11a, I Good Samaritan Hospital 1 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 Good Samaritan Institute of Research and Education B 508882 FMV Good Samaritan Institute of Research and Education C 506498 FMV Good Samaritan Medical Office Building Inc J 238683 FMV Samaritan Imaging Center J 197837 FMV