Form 990 for tax year 2023
Filed by LEBANON COMMUNITY HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $1,098,296
- Total expenses
- $834,978
- Contributions and grants received
- $885,539
- Grants paid
- $811,483
- Program service revenue
- $0
- Investment income
- $212,491
- Other revenue
- $266
- Total assets, end of year
- $8,118,238
- Total liabilities, end of year
- $17,063
- Net assets or fund balances, end of year
- $8,101,175
- Program services expenses (Part IX)
- $811,483
- Management and general expenses
- $23,495
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $811,483
Program services were 97.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
JAN HULL
TRUSTEE / IS DIR. CLINICAL DESIGN
- Total calculated
- $226,643
- From this org
- $0
- From related orgs
- $185,391
- Other
- $41,252
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $183,620 related
- Bonus
- $0
- Other
- $0 + $1,771 related
- Deferred
- $0 + $12,604 related
- Nontaxable benefits
- $0 + $28,648 related
- Filer's total
- $0 + $226,643 related
-
DEBBIE PAUL
BOARD PRESIDENT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
RICHARD TRISKA
BOARD VICE-PRESIDENT
- Total calculated
- $0
- Hours/week
- 1
-
LORI HILL
BOARD SECRETARY
- Total calculated
- $0
- Hours/week
- 1
-
STEVE HANSCAM
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
ROBERT ADAMS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
LINN ARMSTRONG
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
MAXINE BAILEY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
DAVE BARRINGER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOHN DINGES
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CHARLIE EADS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
KRISTIN HYDE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
WENDI MELCHER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JESSICA MEYER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOANNE NELSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
WILLIAM RAUCH
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MIRIAM SWANSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ROBERT WIMMER MD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
RACHEL WOLFE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
GAMAEL NASSER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
DORIS MODDERMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
TOM OLIVER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CELESTE VAN CLEAVE
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
DANIEL SMITH
SVP / CFO
- Total calculated
- $747,521
- From this org
- $0
- From related orgs
- $679,354
- Other
- $68,167
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $510,893 related
- Bonus
- $0 + $119,250 related
- Other
- $0 + $49,211 related
- Deferred
- $0 + $26,592 related
- Nontaxable benefits
- $0 + $41,575 related
- Filer's total
- $0 + $747,521 related
-
BRANDY O'BANNON
EXECUTIVE DIRECTOR
- Total calculated
- $134,030
- From this org
- $0
- From related orgs
- $112,923
- Other
- $21,107
- Hours/week
- 40
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
- 4b · Supplemental nonqualified retirement plan
Answered no
- 4a · Severance or change-of-control payment
- 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
- THE EXECUTIVE DIRECTOR 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.
- 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'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
-
$500,000
CONSTRUCTION - SWEET HOME CLINIC BLDG
-
$105,967
HOSPITAL EQUIPMENT
-
$73,810
HOSPITAL OPERATIONS SUPPORT
-
$21,534
HOSPICE EQUIPMENT
-
$6,028
SUPPORT FOR CANCER CARE
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.
-
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
ALBANY GENERAL HOSPITAL FOUNDATION
501(C)(3) · TO SUPPORT ALBANY GENERAL HOSPITAL · OR
Directly controlled by ALBANY GENERAL HOSPITAL
-
501(C)(3) · HEALTH SERVICES FOR LOW-INCOME PATIENTS · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
GOOD SAMARITAN HOSPITAL CORVALLIS
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
GOOD SAMARITAN HOSPITAL FOUNDATION
501(C)(3) · TO SUPPORT GOOD SAMARITAN HOSPITAL · OR
Directly controlled by GOOD SAMARITAN HOSPITAL
-
INTERCOMMUNITY HEALTH PLANS INC
501(C)(4) · CCO PROVIDING MGMT OF INTEGRATED HEALTH SVCS FOR MEDICAID/OHP ENROLLEES · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY) · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
PARADIGM INDEMNITY CORPORATION
501(C)(3) · PURE NON-PROFIT CAPTIVE INSURANCE COMPANY · HI
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · PROVIDE HEALTHCARE SUPPORT SERVICES · OR
-
SAMARITAN NORTH LINCOLN HOSPITAL
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
SAMARITAN PACIFIC HEALTH SERVICES
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY) · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
NORTH LINCOLN HOSPITAL FOUNDATION
501(C)(3) · TO SUPPORT SAMARITAN NORTH LINCOLN HOSPITAL · OR
Directly controlled by SAMARITAN NORTH LINCOLN HOSPITAL
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
-
IMAGING · OR
-
IMAGING · OR
-
IMAGING · OR
-
MID-VALLEY MEDICAL PROPERTIES ASSOC LLC
REAL ESTATE RENTAL · OR
-
MID-VALLEY MEDICAL BUILDINGS LLC
EXCLUDED · REAL ESTATE RENTAL · OR · 13.26% owned · share of income $59,471 · share of assets $103,210
-
CASCADE VIEW MEDICAL OFFICE BUILDING LLC
REAL ESTATE RENTAL · OR
-
MEDICAL SERVICES · OR
-
MEDICAL SERVICES · WA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · HEALTH INSURANCE CARRIER FOR THE COMMUNITY · OR
-
C · EVENT CENTER & HOSPITALITY SVCS · OR
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 11 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202443179349303729
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