Skip to content
Nonprofiteer
← GOOD SAMARITAN HOSPITAL CORVALLIS

Form 990 for tax year 2022

Filed by GOOD SAMARITAN HOSPITAL CORVALLIS.

Totals

Total revenue
$544,838,729
Total expenses
$561,916,445
Contributions and grants received
$1,081,923
Grants paid
$697,896
Program service revenue
$540,155,281
Investment income
$880,100
Other revenue
$2,721,425
Total assets, end of year
$197,309,997
Total liabilities, end of year
$152,275,521
Net assets or fund balances, end of year
$45,034,476
Program services expenses (Part IX)
$511,044,298
Management and general expenses
$50,872,147
Fundraising expenses
$0
Program service expenses (Part III)
$511,044,298

Program services were 90.9% 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

    $874,693

  • 1e · Government grants (contributions)

    $118,308

  • 1f · All other contributions, gifts and grants

    $88,922

  • 2a · Program service revenue: NET PATIENT REVENUE

    total $471,600,456 · related or exempt $471,600,456

  • 2b · Program service revenue: RETAIL PHARMACY

    total $64,459,575 · related or exempt $64,459,575

  • 2c · Program service revenue: QUALITY INCENTIVES

    total $1,638,986 · related or exempt $1,638,986

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

    total $1,467,555 · related or exempt $1,453,367 · unrelated business $14,188

  • 2e · Program service revenue: LIFELINE REVENUE

    total $351,512 · related or exempt $351,512

  • 2f · All other program service revenue

    total $637,197 · related or exempt $637,197

  • 3 · Investment income

    total $878,503 · excluded $878,503

  • 6a · Gross rents

    real property $867,120

  • 6b · Less rental expenses

    real property $277,961

  • 6c · Rental income or loss

    real property $589,159

  • 6d · Net rental income or loss

    total $589,159 · excluded $589,159

  • 7a · Gross sales of assets other than inventory

    securities $6,285 · other assets $4,340

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

    securities $6,655 · other assets $2,373

  • 7c · Gain or loss

    securities -$370 · other assets $1,967

  • 7d · Net gain or loss

    total $1,597 · excluded $1,597

  • 10a · Gross sales of inventory

    $421,528

  • 10b · Cost of goods sold

    $215,155

  • 10c · Net income from sales of inventory

    total $206,373 · unrelated business $206,373

  • 11a · Other revenue: CAFETERIA

    total $1,925,893 · excluded $1,925,893

  • 11e · Other revenue, total

    $1,925,893

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $355,396 · program services $355,396

  • 2 · Grants to domestic individuals

    total $342,500 · program services $342,500

  • 5 · Compensation of officers, directors and key employees

    total $617,165 · program services $617,165

  • 7 · Other salaries and wages

    total $202,369,070 · program services $199,022,255 · management and general $3,346,815

  • 8 · Pension plan contributions

    total $9,293,941 · program services $9,140,704 · management and general $153,237

  • 9 · Other employee benefits

    total $30,687,806 · program services $30,181,829 · management and general $505,977

  • 10 · Payroll taxes

    total $14,267,959 · program services $14,032,710 · management and general $235,249

  • 11a · Fees: management

    total $1,163,605 · program services $1,163,605

  • 11b · Fees: legal

    total $46,872 · management and general $46,872

  • 11g · Fees: other

    total $39,209,754 · program services $38,739,857 · management and general $469,897

  • 12 · Advertising and promotion

    total $12,087 · program services $12,087

  • 13 · Office expenses

    total $12,637,402 · program services $11,820,783 · management and general $816,619

  • 14 · Information technology

    total $23,067,778 · program services $22,063,514 · management and general $1,004,264

  • 16 · Occupancy

    total $6,427,099 · program services $6,226,445 · management and general $200,654

  • 17 · Travel

    total $273,065 · program services $251,235 · management and general $21,830

  • 19 · Conferences, conventions and meetings

    total $801,675 · program services $798,310 · management and general $3,365

  • 20 · Interest

    total $3,293,034 · program services $3,149,671 · management and general $143,363

  • 22 · Depreciation, depletion and amortization

    total $10,734,497 · program services $10,566,168 · management and general $168,329

  • 23 · Insurance

    total $5,941,169 · program services $5,462,046 · management and general $479,123

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $124,321,069 · program services $124,321,069

  • 24b · Other expenses: PURCHASED SERVICES

    total $51,237,613 · program services $7,986,945 · management and general $43,250,668

  • 24c · Other expenses: PROVIDER TAXES

    total $23,826,669 · program services $23,826,669

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

    total $989,220 · program services $963,335 · management and general $25,885

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $9,800 · end of year $10,000

  • 2 · Savings and temporary cash investments

    beginning of year $339,858 · end of year $194,712

  • 4 · Accounts receivable

    beginning of year $59,402,717 · end of year $65,721,183

  • 7 · Other notes and loans receivable

    beginning of year $652,390 · end of year $982,560

  • 8 · Inventories for sale or use

    beginning of year $10,607,856 · end of year $10,824,538

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,823,520 · end of year $879,751

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

    $267,246,429

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

    $177,021,116

  • 10c · Land, buildings and equipment, net

    beginning of year $94,903,684 · end of year $90,225,313

  • 11 · Investments: publicly traded securities

    beginning of year $27,746,333 · end of year $23,241,124

  • 12 · Investments: other securities

    beginning of year $470,177 · end of year $791,716

  • 15 · Other assets

    beginning of year $3,313,516 · end of year $4,439,100

  • 17 · Accounts payable and accrued expenses

    beginning of year $36,067,311 · end of year $33,363,942

  • 19 · Deferred revenue

    beginning of year $25,720,549 · end of year $115,519

  • 23 · Secured mortgages and notes payable

    beginning of year $1,539,987 · end of year $1,098,046

  • 25 · Other liabilities

    beginning of year $61,671,292 · end of year $117,698,014

  • 27 · Net assets without donor restrictions

    beginning of year $74,270,712 · end of year $45,034,476

Mission and programs · 2022

Mission

GOOD SAMARITAN HOSPITAL, CORVALLIS (GSH) ACHIEVES ITS MISSION OF IMPROVING THE HEALTH AND WELL BEING OF THE COMMUNITY THROUGH ITS MEDICAL AND SURGICAL HOSPITAL AND HEALTHCARE CLINICS PROVIDING OUTPATIENT CARE SERVICES AT SEVERAL AREA LOCATIONS.GSH 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 IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY THROUGH ITS MEDICAL AND SURGICAL HOSPITAL.

  • GOOD SAMARITAN HOSPITAL CORVALLIS (GSH), THE LARGEST HOSPITAL IN LINN, BENTON AND LINCOLN COUNTIES, OFFERS MORE THAN 22 MEDICAL SPECIALTIES INCLUDING COMPREHENSIVE CANCER CARE, A FULL-SERVICE CARDIOLOGY AND VASCULAR SURGERY PROGRAM, NEUROSURGERY AND OTHER REGIONAL SERVICES. GSH HAS MORE THAN 2,100 EMPLOYEES AND 100 VOLUNTEERS SERVING THE MEDICAL NEEDS OF THE COMMUNITY. IT IS LICENSED TO OPERATE 188 BEDS AND IS A 'LEVEL 2' TRAUMA CENTER. DURING 2022, GSH SERVED 7,926 INPATIENTS, HAD 31,870 EMERGENCY DEPARTMENT VISITS, PERFORMED 9,904 SURGERIES AND DELIVERED 950 BABIES. IN ADDITION, GSH PERFORMED 115,454 IMAGING PROCEDURES, AND HAD 254,461 PHYSICIAN CLINIC VISITS.

    Expenses $510,346,402 · Revenue $540,141,093

  • GRANTS AND ASSISTANCE PROVIDED BY GOOD SAMARITAN HOSPITAL CORVALLIS TO VARIOUS ORGANIZATIONS AND INDIVIDUALS TO SUPPORT THE MEDICAL, DENTAL, MENTAL HEALTH AND OTHER NEEDS OF COMMUNITY MEMBERS, CONSISTENT WITH PRIORITIES IDENTIFIED IN THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT. SEE PART IX, LINES 1 AND 2 AND RELATED SCHEDULE I FOR MORE DETAILS.

    Expenses $697,896 · Grants $697,896

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

Listed in Part VII

  • NANCY SEIFERT

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • REVEREND SIMON JUSTICE

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • KELLY GALLAGHER

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RICHARD CRONK MD

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1

  • JUDY LIST

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CLIFFORD HALL MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ABBE MONTGOMERY MD

    BOARD MEMBER

    Total calculated
    $12,500
    From this org
    $0
    From related orgs
    $12,500
    Other
    $0
    Hours/week
    1

  • TIM HENNESSY

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • ERIC THOMPSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • STEVE UERLINGS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • LYLE HUTCHENS

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • KATHARINE HARRIS

    BOARD MEMBER

    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
    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

  • LAURA HENNUM

    CEO

    Total calculated
    $586,215
    From this org
    $0
    From related orgs
    $523,008
    Other
    $63,207
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $0 + $433,500 related
    Bonus
    $0 + $85,490 related
    Other
    $0 + $4,018 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $38,587 related
    Filer's total
    $0 + $586,215 related

  • TIMOTHY EIXENBERGER

    VP PATIENT CARE SERVICES

    Total calculated
    $372,015
    From this org
    $315,406
    From related orgs
    $0
    Other
    $56,609
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $244,251
    Bonus
    $23,552
    Other
    $47,603
    Deferred
    $24,620
    Nontaxable benefits
    $31,989
    Filer's total
    $372,015

  • BARBARA CRONEY

    VP ANC SVCS & ACADEMIC AFFAIRS

    Total calculated
    $245,148
    From this org
    $225,657
    From related orgs
    $0
    Other
    $19,491
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $181,957
    Bonus
    $15,002
    Other
    $28,698
    Deferred
    $16,376
    Nontaxable benefits
    $3,115
    Filer's total
    $245,148

  • JEFF HSING MD

    PHYSICIAN

    Total calculated
    $984,762
    From this org
    $921,765
    From related orgs
    $0
    Other
    $62,997
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $821,526
    Bonus
    $78,034
    Other
    $22,205
    Deferred
    $24,620
    Nontaxable benefits
    $38,377
    Filer's total
    $984,762

  • WAEL GHACHAM MD

    PHYSICIAN

    Total calculated
    $1,144,676
    From this org
    $1,079,452
    From related orgs
    $0
    Other
    $65,224
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,075,042
    Bonus
    $3,920
    Other
    $490
    Deferred
    $24,620
    Nontaxable benefits
    $40,604
    Filer's total
    $1,144,676

  • ESTHER KIM MD

    MEDICAL DIRECTOR

    Total calculated
    $999,996
    From this org
    $968,975
    From related orgs
    $0
    Other
    $31,021
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $930,476
    Bonus
    $0
    Other
    $38,499
    Deferred
    $15,054
    Nontaxable benefits
    $15,967
    Filer's total
    $999,996

  • BRIAN DELMONACO MD

    MEDICAL DIRECTOR

    Total calculated
    $868,908
    From this org
    $839,396
    From related orgs
    $0
    Other
    $29,512
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $827,673
    Bonus
    $10,500
    Other
    $1,223
    Deferred
    $24,620
    Nontaxable benefits
    $4,892
    Filer's total
    $868,908

  • CAY MIERISCH MD

    PHYSICIAN-CLINIC

    Total calculated
    $862,563
    From this org
    $807,979
    From related orgs
    $0
    Other
    $54,584
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $712,289
    Bonus
    $66,443
    Other
    $29,247
    Deferred
    $13,639
    Nontaxable benefits
    $40,945
    Filer's total
    $862,563

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. ONE KEY EMPLOYEE USED THE NON-SAMARITAN GYM REIMBURSEMENT 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. ONE KEY EMPLOYEE, AND TWO HIGHEST PAID EMPLOYEES 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

The 10 largest by cash amount. The API serves every itemized grant.

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
202303149349303925

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

The source document this was parsed from is served over the API, which is where bulk and document access live.