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Nonprofiteer
← SAMARITAN NORTH LINCOLN HOSPITAL

Form 990 for tax year 2022

Filed by SAMARITAN NORTH LINCOLN HOSPITAL.

Totals

Total revenue
$90,014,967
Total expenses
$87,122,211
Contributions and grants received
$4,531,529
Grants paid
$76,043
Program service revenue
$85,407,560
Investment income
$27,919
Other revenue
$47,959
Total assets, end of year
$74,364,929
Total liabilities, end of year
$34,686,116
Net assets or fund balances, end of year
$39,678,813
Program services expenses (Part IX)
$79,367,658
Management and general expenses
$7,749,886
Fundraising expenses
$4,667
Program service expenses (Part III)
$79,367,658

Program services were 91.1% 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.

  • 1d · Related organizations

    $603,257

  • 1e · Government grants (contributions)

    $3,928,272

  • 2a · Program service revenue: NET PATIENT SVC REV

    total $83,700,910 · related or exempt $83,700,910

  • 2b · Program service revenue: OTHER PROGRAM SVC REV

    total $687,081 · related or exempt $687,081

  • 2c · Program service revenue: QUALITY INCENTIVES

    total $578,404 · related or exempt $578,404

  • 2d · Program service revenue: CHILDCARE SERVICES

    total $378,859 · related or exempt $378,859

  • 2e · Program service revenue: OTHER PATIENT REVENUE

    total $62,306 · related or exempt $62,306

  • 3 · Investment income

    total $27,919 · excluded $27,919

  • 6a · Gross rents

    real property $324,494

  • 6b · Less rental expenses

    real property $516,705

  • 6c · Rental income or loss

    real property -$192,211

  • 6d · Net rental income or loss

    total -$192,211 · excluded -$192,211

  • 10a · Gross sales of inventory

    $48,348

  • 10b · Cost of goods sold

    $32,123

  • 10c · Net income from sales of inventory

    total $16,225 · excluded $16,225

  • 11a · Other revenue: CAFETERIA

    total $223,945 · excluded $223,945

  • 11e · Other revenue, total

    $223,945

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $76,043 · program services $76,043

  • 5 · Compensation of officers, directors and key employees

    total $595,501 · program services $595,501

  • 7 · Other salaries and wages

    total $32,098,998 · program services $31,073,837 · management and general $1,025,161

  • 8 · Pension plan contributions

    total $1,590,726 · program services $1,540,848 · management and general $49,878

  • 9 · Other employee benefits

    total $5,228,564 · program services $5,064,618 · management and general $163,946

  • 10 · Payroll taxes

    total $2,377,228 · program services $2,302,688 · management and general $74,540

  • 11a · Fees: management

    total $6,667 · management and general $6,667

  • 11b · Fees: legal

    total $79,690 · management and general $79,690

  • 11g · Fees: other

    total $9,552,886 · program services $9,552,886

  • 12 · Advertising and promotion

    total $1,215 · management and general $1,215

  • 13 · Office expenses

    total $2,140,258 · program services $2,032,683 · management and general $107,334 · fundraising $241

  • 14 · Information technology

    total $3,269,049 · program services $3,069,304 · management and general $199,745

  • 16 · Occupancy

    total $1,029,367 · program services $1,029,367

  • 17 · Travel

    total $183,155 · program services $167,038 · management and general $16,117

  • 19 · Conferences, conventions and meetings

    total $73,493 · program services $71,499 · management and general $1,699 · fundraising $295

  • 20 · Interest

    total $1,294,051 · program services $1,294,051

  • 22 · Depreciation, depletion and amortization

    total $4,250,584 · program services $3,988,192 · management and general $258,285 · fundraising $4,107

  • 23 · Insurance

    total $1,345,780 · program services $1,222,636 · management and general $123,144

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $9,489,429 · program services $9,489,429

  • 24b · Other expenses: PURCHASED SERVICES

    total $8,049,601 · program services $2,414,921 · management and general $5,634,656 · fundraising $24

  • 24c · Other expenses: PROVIDER TAXES

    total $4,222,776 · program services $4,222,776

  • 24d · Other expenses: DUES, TAXES, & LICENSES

    total $159,492 · program services $151,683 · management and general $7,809

  • 24e · All other expenses

    total $7,658 · program services $7,658

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,477 · end of year $2,476

  • 2 · Savings and temporary cash investments

    end of year $7,008

  • 4 · Accounts receivable

    beginning of year $7,271,691 · end of year $9,696,428

  • 7 · Other notes and loans receivable

    beginning of year $159,942 · end of year $225,974

  • 8 · Inventories for sale or use

    beginning of year $901,679 · end of year $1,007,314

  • 9 · Prepaid expenses and deferred charges

    beginning of year $213,752 · end of year $124,256

  • 10a · Land, buildings and equipment: cost or other basis

    $79,333,475

  • 10b · Land, buildings and equipment: accumulated depreciation

    $20,020,439

  • 10c · Land, buildings and equipment, net

    beginning of year $58,437,857 · end of year $59,313,036

  • 13 · Investments: program-related

    beginning of year $76,661 · end of year $58,493

  • 15 · Other assets

    beginning of year $2,945,309 · end of year $3,929,944

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,603,562 · end of year $4,570,010

  • 19 · Deferred revenue

    beginning of year $10,130,427 · end of year $1,587,177

  • 25 · Other liabilities

    beginning of year $18,490,919 · end of year $28,528,929

  • 27 · Net assets without donor restrictions

    beginning of year $36,784,460 · end of year $39,678,813

Mission and programs · 2022

Mission

SAMARITAN NORTH LINCOLN HOSPITAL (SNLH) ACHIEVES ITS MISSION OF IMPROVING THE HEALTH AND WELL BEING OF THE COMMUNITY THROUGH ITS CRITICAL-ACCESS HOSPITAL AND HEALTHCARE CLINICS PROVIDING OUTPATIENT CARE SERVICES AT SEVERAL AREA LOCATIONS.SNLH IS A MEMBER OF SAMARITAN HEALTH SERVICES (SHS), A REGIONAL NETWORK OF HOSPITALS AND PHYSICIANS. THE NETWORK, FORMED IN THE LATE 1990'S, SERVES APPROXIMATELY 290,000 RESIDENTS IN LINN, BENTON, LINCOLN AND PORTIONS OF POLK AND MARION COUNTIES IN OREGON. IT IS LOCALLY OWNED, AND ITS BOARDS OF DIRECTORS INCLUDE HOSPITAL LEADERS, PHYSICIANS AND COMMUNITY REPRESENTATIVES. THE MISSION OF SHS IS "BUILDING HEALTHIER COMMUNITIES TOGETHER." THE COLLECTIVE VISION OF THE SHS SYSTEM IS TO SERVE OUR COMMUNITIES WITH PRIDE (PASSION, RESPECT, INTEGRITY, DEDICATION, AND EXCELLENCE). SHS SEEKS TO BE THE FIRST CHOICE OF CONSUMERS IN THE REGION AND TO LEAD COLLABORATIVE EFFORTS AMONG THOSE WHO SHARE SIMILAR GOALS.

Activities or mission (Part I)

TO DELIVER HIGH QUALITY HEALTH CARE SERVICES TO THE RESIDENTS & VISITORS OF LINCOLN COUNTY, OREGON.

  • SAMARITAN NORTH LINCOLN HOSPITAL (SNLH) HAS BEEN A PART OF THE FABRIC OF ITS COMMUNITY, SERVING THE CITIZENS IN LINCOLN COUNTY, SINCE 1967. SNLH INCLUDES A CRITICAL-ACCESS HOSPITAL AND SEVERAL MEDICAL CLINICS, WITH MORE THAN 400 EMPLOYEES AND VOLUNTEERS PROVIDING QUALITY HEALTHCARE SERVICES TO THE COMMUNITY. DURING 2022, SNLH SERVED 870 INPATIENTS, HAD 12,168 EMERGENCY DEPARTMENT VISITS, PERFORMED 1,351 SURGERIES, AND DELIVERED 98 BABIES. IN ADDITION, SNLH PERFORMED 31,822 IMAGING PROCEDURES, AND HAD 38,888 PHYSICIAN CLINIC VISITS.

    Expenses $78,533,813 · Revenue $85,028,701

  • THE SAMARITAN EARLY LEARNING CENTER (SELC) OFFERS HANDS-ON LEARNING EXPERIENCES FOR CHILDREN THAT REFLECT THEIR DEVELOPMENTAL STAGE. THE PROGRAM IS BASED ON CREATIVE CURRICULUM, WHERE CHILDREN GROW AND LEARN IN THE AREAS OF SOCIAL, EMOTIONAL, PHYSICAL, COGNITIVE AND CREATIVE DEVELOPMENT AT THEIR OWN RATE IN THEIR LEARNING STYLE. THE CENTER CARES FOR CHILDREN, RANGING FROM INFANTS TO PRESCHOOLERS.

    Expenses $757,802 · Revenue $378,859

  • GRANTS AND ASSISTANCE PROVIDED BY SAMARITAN NORTH LINCOLN HOSPITAL TO REDUCE FOOD INSECURITY AND TO PROVIDE HOUSING FOR LOW INCOME RESIDENTS OF THE LOCAL COMMUNITY. SEE PART IX, LINE 1 AND RELATED SCHEDULE I PART II FOR MORE DETAILS ON GRANTS TO ORGANIZATIONS LARGER THAN $5,000.

    Expenses $76,043 · Grants $76,043

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Douglas Boysen

    BOARD CHAIR / CEO SHS

    Total calculated
    $1,577,367
    From this org
    $0
    From related orgs
    $1,512,954
    Other
    $64,413
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,045,442 related
    Bonus
    $0 + $380,053 related
    Other
    $0 + $87,459 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $39,793 related
    Filer's total
    $0 + $1,577,367 related
  • Kelley Kaiser

    BRD VICE CHAIR / CAO SHS

    Total calculated
    $558,912
    From this org
    $0
    From related orgs
    $496,145
    Other
    $62,767
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $402,834 related
    Bonus
    $0 + $85,255 related
    Other
    $0 + $8,056 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $38,147 related
    Filer's total
    $0 + $558,912 related
  • Ann Butler

    BOARD SECRETARY / TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Richard Townsend

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Chris Chandler

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Darrell Orton MD

    BOARD MEMBER / PHYSICIAN

    Total calculated
    $44,897
    From this org
    $44,896
    From related orgs
    $0
    Other
    $1
    Hours/week
    5
  • Terry Buggenhagen

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Stuart Pritchard

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • June Chrisman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Lesley Ogden MD

    CEO / CEO SPHS

    Total calculated
    $552,412
    From this org
    $0
    From related orgs
    $498,041
    Other
    $54,371
    Hours/week
    19 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $388,943 related
    Bonus
    $0 + $88,660 related
    Other
    $0 + $20,438 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $29,751 related
    Filer's total
    $0 + $552,412 related
  • Daniel Smith

    SVP / CFO

    Total calculated
    $701,981
    From this org
    $0
    From related orgs
    $638,044
    Other
    $63,937
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $492,567 related
    Bonus
    $0 + $104,160 related
    Other
    $0 + $41,317 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $39,317 related
    Filer's total
    $0 + $701,981 related
  • Virginia Riffle

    VP COO

    Total calculated
    $294,868
    From this org
    $246,334
    From related orgs
    $0
    Other
    $48,534
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $193,080
    Bonus
    $19,051
    Other
    $34,203
    Deferred
    $19,002
    Nontaxable benefits
    $29,532
    Filer's total
    $294,868
  • Denise Moland

    VP PATIENT CARE SERVICES

    Total calculated
    $255,739
    From this org
    $225,198
    From related orgs
    $0
    Other
    $30,541
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $198,354
    Bonus
    $10,000
    Other
    $16,844
    Deferred
    $0
    Nontaxable benefits
    $30,541
    Filer's total
    $255,739
  • Steven Andescavage Do

    MEDICAL DIRECTOR

    Total calculated
    $552,749
    From this org
    $488,340
    From related orgs
    $0
    Other
    $64,409
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $467,810
    Bonus
    $0
    Other
    $20,530
    Deferred
    $24,620
    Nontaxable benefits
    $39,789
    Filer's total
    $552,749
  • Alexa La Faunce MD

    PHYSICIAN

    Total calculated
    $470,012
    From this org
    $429,585
    From related orgs
    $0
    Other
    $40,427
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $379,518
    Bonus
    $39,047
    Other
    $11,020
    Deferred
    $24,620
    Nontaxable benefits
    $15,807
    Filer's total
    $470,012
  • Karen Niehaus MD

    PHYSICIAN

    Total calculated
    $453,217
    From this org
    $414,532
    From related orgs
    $0
    Other
    $38,685
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $392,288
    Bonus
    $18,202
    Other
    $4,042
    Deferred
    $24,620
    Nontaxable benefits
    $14,065
    Filer's total
    $453,217
  • Michael Williams Do

    PHYSICIAN

    Total calculated
    $497,663
    From this org
    $443,596
    From related orgs
    $0
    Other
    $54,067
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $399,381
    Bonus
    $24,536
    Other
    $19,679
    Deferred
    $24,620
    Nontaxable benefits
    $29,447
    Filer's total
    $497,663
  • Matthew Bowser MD

    PHYSICIAN

    Total calculated
    $472,321
    From this org
    $416,671
    From related orgs
    $0
    Other
    $55,650
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $392,487
    Bonus
    $0
    Other
    $24,184
    Deferred
    $24,620
    Nontaxable benefits
    $31,030
    Filer's total
    $472,321

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

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4b · Supplemental nonqualified retirement plan
  • 5a · Pay contingent on this organization's revenues

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 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

The filer's explanations (Part III)

PART I, LINE 1A
IN CONNECTION WITH ITS EMPLOYEE WELLNESS PROGRAM, THE ORGANIZATION HAS A GYM/FITNESS FACILITY BENEFIT THAT IS AVAILABLE TO ALL EMPLOYEES WHO WORK AT LEAST 32 HOURS PER MONTH. EMPLOYEES CAN USE THEIR WELLNESS BENEFIT AT EITHER NON-SAMARITAN OR SAMARITAN (SAMFIT) GYM/FITNESS FACILITIES. IF AN EMPLOYEE PARTICIPATES AT A NON-SAMARITAN GYM, REIMBURSEMENT IS MADE FOR FEES. REIMBURSEMENT DOES NOT EXCEED $300 PER YEAR AND IS INCLUDED IN THEIR TAXABLE WAGES SUBJECT TO FEDERAL/STATE WITHHOLDING TAX. NO PERSONS LISTED IN PART VII USED THE NON-SAMARITAN GYM REIMBURSEMENT BENEFIT DURING THE FILING YEAR. IF EMPLOYEES USE THEIR WELLNESS BENEFIT AT A SAMARITAN (SAMFIT) GYM/FITNESS FACILITY, THEN THE ANNUAL COST OF EMPLOYEE MEMBERSHIP, $300, IS INCLUDED IN THE EMPLOYEE'S TAXABLE WAGES SUBJECT TO FEDERAL/STATE WITHHOLDING TAX. TWO BOARD MEMBERS, AND ONE OFFICER USED THE SAMARITAN (SAMFIT) GYM/FITNESS FACILITY BENEFIT DURING THE FILING YEAR.
PART I, LINE 3
THE CHIEF EXECUTIVE OFFICER IS EMPLOYED AND PAID BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION CONDUCTS A COMPENSATION ANALYSIS EACH YEAR TO COMPARE COMPENSATION OF ALL PAID POSITIONS TO MARKET SURVEYS OF COMPENSATION FOR SIMILAR POSITIONS IN OTHER ORGANIZATIONS. PERIODICALLY, THE RELATED ORGANIZATION WILL ALSO USE WRITTEN EMPLOYMENT CONTRACTS, FORM 990 OF OTHER ORGANIZATIONS, AND INDEPENDENT COMPENSATION CONSULTANTS TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER.
PART I, LINE 4B
A RELATED ORGANIZATION MAINTAINS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. HOWEVER, NO PERSONS LISTED IN PART VII OF FORM 990 ACCRUED DEFERRED COMPENSATION BENEFITS OR RECEIVED ANY PAYMENTS FROM THESE PLANS DURING THE FILING YEAR.
PART I, LINE 5
VARIOUS PHYSICIAN COMPENSATION METHODOLOGIES ARE UTILIZED AND, DEPENDING ON SPECIALTY, RELATIVE VALUE UNITS (RVU'S) MAY BE USED IN DETERMINING A PORTION OF OR ALL OF THEIR COMPENSATION.

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

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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SAMARITAN ENDOSCOPY CENTER LLC

    MEDICAL SERVICES · OR

  • CORVALLIS MEDICAL BUILDINGS LLC

    REAL ESTATE RENTAL · OR

  • EAST LINN MRI LLC

    IMAGING · OR · general or managing partner

  • HULL IMAGING LLC

    IMAGING · OR

  • CORVALLIS MRI LLC

    IMAGING · OR

  • MID-VALLEY MEDICAL PROPERTIES ASSOC LLC

    REAL ESTATE RENTAL · OR

  • MID-VALLEY MEDICAL BUILDINGS LLC

    REAL ESTATE RENTAL · OR · general or managing partner

  • NORTHWEST MEDICAL ISOTOPES LLC

    RESEARCH · OR

  • CASCADE VIEW MEDICAL OFFICE BUILDING LLC

    REAL ESTATE RENTAL · OR

  • BSM SURGERY CENTER LLC

    MEDICAL SERVICES · OR

  • AIKENS DIALYSIS LLC

    RELATED · MEDICAL SERVICES · WA · 10% owned · share of income $27,812 · share of assets $92,358

    Directly controlled by TOTAL RENAL CARE INC

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • SAMARITAN HEALTH PLANS INC

    C · HEALTH INSURANCE CARRIER FOR THE COMMUNITY · OR

  • BOULDER FALLS PROPERTIES LLC

    C · EVENT CENTER & HOSPITALITY SVCS · OR

Provenance

Return type
form_990
Tax year
2022
Filed
2 November 2023
IRS schema version
2022v5.0
Source object
202333149349302988

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