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Nonprofiteer
← GOOD SAMARITAN MEDICAL CENTER FOUNDATION

Form 990 for tax year 2024

Filed by GOOD SAMARITAN MEDICAL CENTER FOUNDATION.

Totals

Total revenue
$831,460
Total expenses
$621,094
Contributions and grants received
$542,729
Grants paid
$300,555
Program services expenses (Part IX)
$322,133
Management and general expenses
$238,966
Fundraising expenses
$59,995
Program service expenses (Part III)
$322,133

Program services were 51.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DAWN ANUSZKIEWICZ

    TRUSTEE

    Total calculated
    $865,721
    From this org
    $0
    From related orgs
    $623,411
    Other
    $242,310
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $467,583 related
    Bonus
    $0 + $152,936 related
    Other
    $0 + $2,892 related
    Deferred
    $0 + $219,038 related
    Nontaxable benefits
    $0 + $23,272 related
    Filer's total
    $0 + $865,721 related

  • STEVEN HANKINS

    TRUSTEE (PARTIAL)

    Total calculated
    $812,700
    From this org
    $0
    From related orgs
    $732,674
    Other
    $80,026
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $297,285 related
    Bonus
    $0 + $76,364 related
    Other
    $0 + $359,025 related
    Deferred
    $0 + $78,413 related
    Nontaxable benefits
    $0 + $1,613 related
    Filer's total
    $0 + $812,700 related

  • EDWARD PYUN MD

    TRUSTEE

    Total calculated
    $631,459
    From this org
    $0
    From related orgs
    $574,865
    Other
    $56,594
    Hours/week
    1 + 50 related

    Schedule J breakdown matched by us

    Base
    $0 + $501,616 related
    Bonus
    $0 + $41,718 related
    Other
    $0 + $31,531 related
    Deferred
    $0 + $15,483 related
    Nontaxable benefits
    $0 + $41,111 related
    Filer's total
    $0 + $631,459 related

  • LESLIE MCKAY

    EXECUTIVE DIRECTOR (PARTIAL)

    Total calculated
    $284,830
    From this org
    $0
    From related orgs
    $254,477
    Other
    $30,353
    Hours/week
    25 + 25 related

    Schedule J breakdown matched by us

    Base
    $0 + $149,827 related
    Bonus
    $0 + $18,874 related
    Other
    $0 + $85,776 related
    Deferred
    $0 + $19,297 related
    Nontaxable benefits
    $0 + $11,056 related
    Filer's total
    $0 + $284,830 related

  • JANET BONNER

    EXECUTIVE DIRECTOR (PARTIAL)

    Total calculated
    $230,729
    From this org
    $0
    From related orgs
    $219,982
    Other
    $10,747
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $52,967 related
    Bonus
    $0 + $19,909 related
    Other
    $0 + $147,106 related
    Deferred
    $0 + $5,536 related
    Nontaxable benefits
    $0 + $5,211 related
    Filer's total
    $0 + $230,729 related

  • CRAIG BELGARD

    TRUSTEE (PARTIAL)

    Total calculated
    $0
    Hours/week
    1

  • SCOTT BUSCH

    CHAIR

    Total calculated
    $0
    Hours/week
    1

  • LOUIS CICIO

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DALE CLINGNER

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • BOB DAVIS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • KADY DOELLING

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • SARAH INGRAHAM

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • CATHERINE LAZER MD

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JEFF LEFTWICH MD

    TRUSTEE (PARTIAL)

    Total calculated
    $0
    Hours/week
    1

  • MIKE MEINTS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • KYLE MENDENHALL

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • JASON PAPPAS

    TRUSTEE (PARTIAL)

    Total calculated
    $0
    Hours/week
    1

  • WYMAN ROBB

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • JANET ROSS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • DALE SCHNEIDER

    TRUSTEE (PARTIAL)

    Total calculated
    $0
    Hours/week
    1 + 50 related

  • ANNIE SIMMONS

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

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 — 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

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 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 3
COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR THE FILING ORGANIZATION IS AN AFFILIATE OF INTERMOUNTAIN HEALTH, AN INTEGRATED HEALTH SYSTEM THAT IS NATIONALLY RECOGNIZED FOR PROVIDING QUALITY MEDICAL CARE THAT RANKS AMONG THE HIGHEST IN THE NATION WITH CHARGES THAT ARE AMONG THE LOWEST IN THE NATION. INTERMOUNTAIN HEALTH'S POLICY IS TO COMPENSATE ITS EMPLOYEES, INCLUDING SENIOR MANAGEMENT, AT MARKET COMPETITIVE RATES. THE ORGANIZATION'S OFFICERS AND SENIOR MANAGEMENT ARE PAID BY A RELATED ORGANIZATION, SISTERS OF CHARITY OF LEAVENWORTH HEALTH SYSTEM, INC. (SCLHS). COMPENSATION FOR THE OFFICERS AND SENIOR MANAGEMENT IS MANAGED BY THE INTERMOUNTAIN HEALTH CARE, INC. BOARD COMPENSATION COMMITTEE (COMMITTEE) ON BEHALF OF SISTERS OF CHARITY OF LEAVENWORTH HEALTHY SYSYTEM, INC. AND ALL OF ITS AFFILIATES. THE COMPENSATION COMMITTEE OF THE BOARD OF INTERMOUNTAIN HEALTH CARE, INC. (PARENT ORGANIZATION) RETAINS OUTSIDE CONSULTANTS TO PROVIDE OBJECTIVE DATA ON COMPENSATION LEVELS AND PRACTICES. THE COMMITTEE ANNUALLY ANALYZES THIS DATA AND MAKES COMPENSATION DECISIONS, WHICH ARE REVIEWED BY THE FULL BOARD OF TRUSTEES. THE BOARD PLACES A HIGH PRIORITY ON THE NEED TO RECRUIT AND RETAIN A STRONG LEADERSHIP TEAM AND TO CREATE A HIGHLY MOTIVATED AND ENGAGED WORKFORCE TO DRIVE SUPERIOR ORGANIZATIONAL PERFORMANCE TO BECOME A TOP-TIER INTEGRATED HEALTHCARE DELIVERY SYSTEM. COMPENSATION LEVELS FOLLOW IRS GUIDELINES AND ARE SUBJECT TO IRS OVERSIGHT. A PORTION OF THE COMPENSATION REPORTED ON THIS FORM REFLECTS DEFERRED AMOUNTS THAT ARE NOT VESTED, ARE SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE, AND MAY OR MAY NOT BE PAID IN THE FUTURE. THE REPORTABLE COMPENSATION ON SCHEDULE J INCLUDES CERTAIN AMOUNTS THAT HAVE BEEN OR WILL BE REPORTED TWICE, BOTH IN THE YEAR ACCRUED AND AGAIN IN THE YEAR PAID, AS REQUIRED IN THE REPORTING SCHEDULE INSTRUCTIONS.
PART I, LINE 4
PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN A RELATED ORGANIZATION PROVIDES A NONQUALIFIED DEFERRED COMPENSATION PLAN (NQDC) KNOWN AS THE SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM (SERP) FOR EXECUTIVES (SENIOR MANAGEMENT) TO COMPENSATE FOR REGULATORY IMPOSED LIMITATIONS IN QUALIFIED RETIREMENT PLANS AND TO PROVIDE A BENEFIT CONSISTENT WITH OTHER NONPROFIT HEALTH SYSTEMS. THIS PLAN ENABLES THE EXECUTIVE TO EARN BENEFITS DURING EACH YEAR OF PARTICIPATION. IN 2014, IN AN EFFORT TO REDUCE LONG-TERM COSTS AND HAVE GREATER CONTROL OVER FINANCIAL RISK, THE SERP WAS CONVERTED FROM A DEFINED BENEFIT (DB) TO A DEFINED CONTRIBUTION (DC) DESIGN. CERTAIN MEMBERS OF SENIOR MANAGEMENT WHOSE BENEFITS WERE CONVERTED FROM DB TO DC WOULD HAVE BEEN DISPROPORTIONATELY AND NEGATIVELY AFFECTED BY THE CHANGE, SO THE COMMITTEE DETERMINED IT WOULD BE APPROPRIATE TO GRANT "TRANSITION CREDITS" IN ORDER TO MITIGATE THE NEGATIVE IMPACT OF THE CHANGE ON THEIR RETIREMENT BENEFITS. THIS IS A COMMON APPROACH EMPLOYED BY OTHER ORGANIZATIONS UNDERGOING A SIMILAR TRANSITION. THE TRANSITION CREDITS VEST IN ACCORDANCE WITH THE TERMS OF THE DC SERP (I.E., AFTER THREE YEARS) AND ARE PAID TO THE EXECUTIVE UPON VESTING. NQDC SERP PLAN STARTING IN 2014 STARTING IN 2014, THE RELATED ORGANIZATION'S NQDC SERP PLAN PROVIDED A BENEFIT TO ELIGIBLE PARTICIPANTS BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE VESTING PERIOD IS A ROLLING 3 YEARS OR WHEN THE PARTICIPANT IS AGE 65 OR OLDER. THERE WERE NO CONTRIBUTIONS TO THIS PLAN BEFORE JANUARY 1, 2014. ANY DISTRIBUTIONS FROM THIS PLAN ARE REPORTED BELOW. CERTAIN PARTICIPANTS ARE VESTED OR BECAME VESTED IN THE PLAN DURING 2024. VESTED AMOUNTS ARE PAYABLE TO THE RECIPIENT UPON THE END OF EMPLOYMENT. THE VESTED AMOUNTS ARE TAXABLE TO THE RECIPIENT IN THE CURRENT YEAR. THE TAXABLE AMOUNTS ARE INCLUDED ON THE PARTICIPANTS' W-2. THE AMOUNTS WITHDRAWN FROM THE NQDC SERP PLANS IN 2024 WERE: STEVEN HANKINS - $87,285.
SCHEDULE J - ADDITIONAL OFFICER AND BOARD DISCLOSURES
THE SISTERS WHO SERVE AS OFFICERS AND/OR BOARD MEMBERS ARE MEMBERS OF THE SISTERS OF CHARITY OF LEAVENWORTH (A RELIGIOUS ORDER OF WOMEN). THE SISTERS HAVE TAKEN VOWS OF POVERTY AND RECEIVE NO COMPENSATION, EXPENSE ACCOUNT ALLOWANCE, OR CONTRIBUTIONS TO BENEFIT PLANS FOR THEIR SERVICES TO THE HEALTH SYSTEM. HOWEVER, A PAYMENT IS MADE DIRECTLY TO THE SISTERS OF CHARITY OF LEAVENWORTH FOR THE SERVICES OF THOSE WHO PERFORM PROFESSIONAL, ADMINISTRATIVE, AND OTHER SUCH SERVICES.

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.

Provenance

Return type
form_990
Tax year
2024
Filed
5 November 2025
IRS schema version
2024v5.2
Source object
202543099349303814

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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