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Nonprofiteer
← LEBANON COMMUNITY HOSPITAL FOUNDATION INC

Form 990 for tax year 2022

Filed by LEBANON COMMUNITY HOSPITAL FOUNDATION INC.

Totals

Total revenue
$1,362,674
Total expenses
$1,191,636
Contributions and grants received
$1,176,095
Grants paid
$1,168,225
Program service revenue
$0
Investment income
$185,780
Other revenue
$799
Total assets, end of year
$7,115,294
Total liabilities, end of year
$25,380
Net assets or fund balances, end of year
$7,089,914
Program services expenses (Part IX)
$1,168,225
Management and general expenses
$22,748
Fundraising expenses
$663
Program service expenses (Part III)
$1,168,225

Program services were 98.0% 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

    $10,000

  • 1f · All other contributions, gifts and grants

    $1,166,095

  • 3 · Investment income

    total $146,704 · excluded $146,704

  • 7a · Gross sales of assets other than inventory

    securities $432,922

  • 7b · Less cost or other basis and sales expenses

    securities $393,846

  • 7c · Gain or loss

    securities $39,076

  • 7d · Net gain or loss

    total $39,076 · excluded $39,076

  • 8a · Fundraising events: gross income

    $799

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $799 · excluded $799

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,072,414 · program services $1,072,414

  • 2 · Grants to domestic individuals

    total $95,811 · program services $95,811

  • 11c · Fees: accounting

    total $6,000 · management and general $6,000

  • 11f · Fees: investment management

    total $14,594 · management and general $14,594

  • 13 · Office expenses

    total $939 · management and general $939

  • 24a · Other expenses: LICENSES & FEES

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

  • 24b · Other expenses: DONOR APPRECIATION

    total $663 · fundraising $663

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,144,619 · end of year $1,818,622

  • 3 · Pledges and grants receivable

    beginning of year $106,870 · end of year $91,664

  • 11 · Investments: publicly traded securities

    beginning of year $6,752,277 · end of year $5,020,044

  • 12 · Investments: other securities

    beginning of year $217,005 · end of year $176,596

  • 15 · Other assets

    beginning of year $7,531 · end of year $8,368

  • 17 · Accounts payable and accrued expenses

    beginning of year $41,471 · end of year $25,380

  • 25 · Other liabilities

    beginning of year $39,613 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $5,737,170 · end of year $4,926,015

  • 28 · Net assets with donor restrictions

    beginning of year $2,410,048 · end of year $2,163,899

Mission and programs · 2022

Mission

THE SPECIFIC AND PRIMARY PURPOSES OF LEBANON COMMUNITY HOSPITAL FOUNDATION ARE TO SECURE CONTRIBUTIONS FOR PROGRAMS AND SERVICES OF MID-VALLEY HEALTHCARE, INC. DBA LEBANON COMMUNITY HOSPITAL ("LEBANON COMMUNITY HOSPITAL"), TO ENGAGE IN AND CONDUCT CHARITABLE, EDUCATIONAL AND SCIENTIFIC ACTIVITIES RELATED TO LEBANON COMMUNITY HOSPITAL, AND SUPPORT SAMARITAN HEALTH SERVICES, INC. ("SHS") INITIATIVES THAT BENEFIT LEBANON COMMUNITY HOSPITAL AND THE COMMUNITY IT SERVES.

Activities or mission (Part I)

TO SUPPORT LEBANON COMMUNITY HOSPITAL AND SERVE THE COMMUNITY.

  • GRANTS TO THE HOSPITAL AND SUPPORTING ORGANIZATIONS FOR PROGRAMS AND OPERATING AND CAPITAL COSTS. SIGNIFICANT GRANTS DURING 2022 INCLUDED FUNDING FOR THE CONSTRUCTION OF A NEW CLINIC IN SWEET HOME, OREGON; A LOCAL UNDERSERVED RURAL COMMUNITY. A LISTING OF THESE AND OTHER GRANTS ARE ON SCHEDULE I, PART II.

    Expenses $1,072,414 · Grants $1,072,414

  • PROVIDED ASSISTANCE TO HOSPITAL PATIENTS IN NEED. THIS ASSISTANCE IS SHOWN ON SCHEDULE I, PART III.

    Expenses $53,169 · Grants $53,169

  • PROVIDED EMERGENCY FINANCIAL ASSISTANCE TO HOSPITAL EMPLOYEES IN NEED. THIS ASSISTANCE IS SHOWN ON SCHEDULE I, PART III.

    Expenses $22,642 · Grants $22,642

  • SCHOLARSHIPS PROVIDED TO:1) MEDICAL STUDENTS WHO HAVE BEEN ACCEPTED TO OR ARE ATTENDING ANACCREDITED MEDICAL SCHOOL.2) COLLEGE STUDENTS ACCEPTED INTO A NURSING PROGRAM.3) COLLEGE STUDENTS WHO INTEND TO ENTER A MEDICAL FIELD FOR THE FIRSTTIME.SEE SCHEDULE I, PART III.

    Expenses $20,000 · Grants $20,000

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

Listed in Part VII

  • 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

  • JAN HULL

    TRUSTEE / SHS DIR CLINICAL DESIGN

    Total calculated
    $211,039
    From this org
    $0
    From related orgs
    $172,136
    Other
    $38,903
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $165,719 related
    Bonus
    $0 + $4,840 related
    Other
    $0 + $1,577 related
    Deferred
    $0 + $11,790 related
    Nontaxable benefits
    $0 + $27,113 related
    Filer's total
    $0 + $211,039 related

  • 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

  • MIKE PATTERSON

    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

  • DANIEL SMITH

    SVP / CFO

    Total calculated
    $701,981
    From this org
    $0
    From related orgs
    $638,044
    Other
    $63,937
    Hours/week
    1 + 39 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

  • BRANDY O'BANNON

    EXECUTIVE DIRECTOR

    Total calculated
    $134,672
    From this org
    $0
    From related orgs
    $115,683
    Other
    $18,989
    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

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.

Related corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
2 November 2023
IRS schema version
2022v5.0
Source object
202323149349304117

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