Form 990 for tax year 2023
Filed by NORTH LINCOLN HOSPITAL FOUNDATION.
Totals
- Total revenue
- $568,232
- Total expenses
- $212,982
- Contributions and grants received
- $474,154
- Grants paid
- $197,853
- Program services expenses (Part IX)
- $197,853
- Management and general expenses
- $15,129
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $197,853
Program services were 92.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
WENDY WILSON
BOARD PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
ANN BUTLER
BOARD VICE-PRESIDENT
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
CECELIA BUGGENHAGEN
BOARD SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
MARK SANDERS
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
DUANE SILBERNAGEL
BOARD PAST PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
BETTYE RUTH GAMESTER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CHARSLY AFFUSO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CHARLOTTE LEHTO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ADAM CREIGHTON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MARIA DE LOURDES CRUZ
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
WILLIAM HANSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
JOAN PRINS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
LINDA ROY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
RANDALL KELLY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
KALI MAYS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
NIKKI THOMPSON
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
-
URSULA MARINELLI
REGIONAL EXECUTIVE DIR
- Total calculated
- $164,220
- From this org
- $0
- From related orgs
- $144,493
- Other
- $19,727
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $0 + $105,063 related
- Bonus
- $0
- Other
- $0 + $39,430 related
- Deferred
- $0 + $8,154 related
- Nontaxable benefits
- $0 + $11,573 related
- Filer's total
- $0 + $164,220 related
-
LESLIE JAMES
EXECUTIVE DIRECTOR
- Total calculated
- $104,262
- From this org
- $0
- From related orgs
- $84,835
- Other
- $19,427
- 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 — 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 REGIONAL 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
-
SAMARITAN NORTH LINCOLN HOSPITAL
$26,630
HOSPITAL OPERATIONS SUPPORT
-
SAMARITAN NORTH LINCOLN HOSPITAL
$26,094
HOSPITAL EQUIPMENT
-
SAMARITAN NORTH LINCOLN HOSPITAL
$13,107
SAMARITAN EARLY LEARNING CENTER SUPPORT
-
$11,604
SYSTEM DEPARTMENT SUPPORT
-
$8,385
HOSPICE SUPPORT
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
-
501(C)(3) · FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY) · 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
-
LEBANON COMMUNITY HOSPITAL FOUNDATION
501(C)(3) · TO SUPPORT LEBANON COMMUNITY HOSPITAL · OR
Directly controlled by MID-VALLEY HEALTHCARE INC
-
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
-
GOOD SAMARITAN HOSPITAL CORVALLIS
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
-
GOV'T · HEALTHCARE DISTRICT · OR
-
SAMARITAN NORTH LINCOLN HOSPITAL
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 11 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413179349304336
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