Good Samaritan Medical Office Bldg Inc
- Assets
- $111.6m
- Revenue
- -$1.0m
- Investments
- $63.7k
- Employees
- 0
- Location
- Los Angeles, CA
- Founding
- 05/1978
- Data as of
- 09/2021
- EIN
- 95-3244046
Organization Overview
Good Samaritan Medical Office Bldg Inc is located in Los Angeles, CA. The organization was established in 1978. According to its NTEE Classification (E31) the organization is classified as: Group Health Practices, under the broad grouping of Health Care and related organizations. This organization is an independent organization and not affiliated with a larger national or regional group of organizations. Good Samaritan Medical Office Bldg Inc is a 501(c)(3) and as such, is described as a "Charitable or Religous organization or a private foundation" by the IRS.
Form
990
Mission & Program ActivityExcerpts From the 990 Filing
TAX YEAR
2021
Describe the Organization's Mission:
Part 3 - Line 1
PROVIDES PROFESSIONAL MEDICAL OFFICE SPACE TO HOSPITAL STAFF PHYSICIANS IN AN ADJACENT BUILDING.
Describe the Organization's Program Activity:
Part 3 - Line 4a
MEDICAL OFFICE FACILITIES FOR THE BENEFIT OF THE HOSPITAL TO FURTHER THE QUALITY AND AVAILABILITY OF MEDICAL CARE TO THE PUBLIC.
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Board, Officers & Key Employees
| Name (title) | Role | Hours | Compensation |
|---|---|---|---|
Vid Shivaraman CFO & Assistant Treasurer | OfficerTrustee | 1.5 | $0 |
Peggy Chulack Chief Admin. Officer & Asst. Secy. | OfficerTrustee | 1.5 | $0 |
Anita Chou CFO & Asst. Treasurer (until 2/2021) | OfficerTrustee | 1.5 | $0 |
James West President & CEO | OfficerTrustee | 1.5 | $0 |
Financial Statements
| Statement of Revenue | |
|---|---|
| Federated campaigns | $0 |
| Membership dues | $0 |
| Fundraising events | $0 |
| Related organizations | $0 |
| Government grants | $0 |
| All other contributions, gifts, grants, and similar amounts not included above | $0 |
| Noncash contributions included in lines 1a–1f | $0 |
| Total Revenue from Contributions, Gifts, Grants & Similar | $0 |
| Total Program Service Revenue | $2,547,720 |
| Investment income | $0 |
| Tax Exempt Bond Proceeds | $0 |
| Royalties | $0 |
| Net Rental Income | -$3,582,871 |
| Net Gain/Loss on Asset Sales | $0 |
| Net Income from Fundraising Events | $0 |
| Net Income from Gaming Activities | $0 |
| Net Income from Sales of Inventory | $0 |
| Miscellaneous Revenue | $0 |
| Total Revenue | -$1,035,151 |
| Statement of Expenses | |
|---|---|
| Grants and other assistance to domestic organizations and domestic governments. | $0 |
| Grants and other assistance to domestic individuals. | $0 |
| Grants and other assistance to Foreign Orgs/Individuals | $0 |
| Benefits paid to or for members | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation of current officers, directors, key employees. | $0 |
| Compensation to disqualified persons | $0 |
| Other salaries and wages | $0 |
| Pension plan accruals and contributions | $0 |
| Other employee benefits | $0 |
| Payroll taxes | $0 |
| Fees for services: Management | $0 |
| Fees for services: Legal | $0 |
| Fees for services: Accounting | $0 |
| Fees for services: Lobbying | $0 |
| Fees for services: Fundraising | $0 |
| Fees for services: Investment Management | $0 |
| Fees for services: Other | $876,264 |
| Advertising and promotion | $0 |
| Office expenses | $0 |
| Information technology | $0 |
| Royalties | $0 |
| Occupancy | $1,103,818 |
| Travel | $0 |
| Payments of travel or entertainment expenses for any federal, state, or local public officials | $0 |
| Conferences, conventions, and meetings | $0 |
| Interest | $2,655,745 |
| Payments to affiliates | $0 |
| Depreciation, depletion, and amortization | $1,780,941 |
| Insurance | $0 |
| All other expenses | $8,357 |
| Total functional expenses | $6,425,125 |
| Balance Sheet | |
|---|---|
| Cash—non-interest-bearing | $0 |
| Savings and temporary cash investments | $0 |
| Pledges and grants receivable | $0 |
| Accounts receivable, net | $103,773 |
| Loans from Officers, Directors, or Controlling Persons | $0 |
| Loans from Disqualified Persons | $0 |
| Notes and loans receivable | $0 |
| Inventories for sale or use | $0 |
| Prepaid expenses and deferred charges | $14,683 |
| Net Land, buildings, and equipment | $111,449,751 |
| Investments—publicly traded securities | $0 |
| Investments—other securities | $63,723 |
| Investments—program-related | $0 |
| Intangible assets | $0 |
| Other assets | $0 |
| Total assets | $111,631,930 |
| Accounts payable and accrued expenses | $923,232 |
| Grants payable | $0 |
| Deferred revenue | $0 |
| Tax-exempt bond liabilities | $0 |
| Escrow or custodial account liability | $0 |
| Loans and other payables to any current Officer, Director, or Controlling Person | $0 |
| Secured mortgages and notes payable | $0 |
| Unsecured mortgages and notes payable | $0 |
| Other liabilities | $140,673,210 |
| Total liabilities | $141,596,442 |
| Net assets without donor restrictions | -$29,964,512 |
| Net assets with donor restrictions | $0 |
| Capital stock or trust principal, or current funds | $0 |
| Paid-in or capital surplus, or land, building, or equipment fund | $0 |
| Retained earnings, endowment, accumulated income, or other funds | $0 |
| Total liabilities and net assets/fund balances | $111,631,930 |
Peer Organizations
| Organization Name | Assets | Revenue |
|---|---|---|
University Of Nevada School Of Med Multispecialty Group Practice Nort Reno, NV | $4,763,933 | $16,309,444 |
Pomona Community Health Center Pomona, CA | $7,919,334 | $13,089,731 |
Waterfall Clinic Incorporated North Bend, OR | $5,984,282 | $9,513,372 |
Archstone Foundation Long Beach, CA | $122,922,827 | $56,084,348 |
Good Samaritan Medical Office Bldg Inc Los Angeles, CA | $111,631,930 | -$1,035,151 |
Harbor-Ucla Medical Foundation Inc Torrance, CA | $0 | $1,517,778 |
St Francis Healthcare Foundation Of Hawaii Honolulu, HI | $10,472,712 | $1,638,071 |
Hawaii Primary Care Association Honolulu, HI | $2,389,006 | $2,657,842 |
Kauai Region Healthcare Enterprises Waimea, HI | $540,271 | $1,415,102 |
University Of Nevada School Of Medicine Multi-Spec Grp Practice S Reno, NV | $709,983 | $51,213 |
Partners In Action Inc Paradise Valley, AZ | $20,724 | $211,047 |
Brotman Medical Staff Foundation Culver City, CA | $321,783 | $262,075 |