Form 990 for tax year 2023

Revenue

Part VIII, the statement of revenue.

• 1d · Related organizations

  $6,411,447

• 1e · Government grants (contributions)

  $8,078,913

• 1f · All other contributions, gifts and grants

  $2,530

• 2a · Program service revenue: LAB, PHARMACY, ETC

  total $128,571,164 · related or exempt $82,841,254 · unrelated business $45,729,910

• 2b · Program service revenue: PATIENT PROGRAM REV

  total $851,421,198 · related or exempt $851,421,198

• 2c · Program service revenue: PHYSICIANS

  total $42,607,005 · related or exempt $42,607,005

• 2d · Program service revenue: REVENUE CLINICS

  total $138,481,948 · related or exempt $138,481,948

• 2e · Program service revenue: UNITY

  total $102,584,624 · related or exempt $102,584,624

• 2f · All other program service revenue

  total $4,119,955 · excluded $4,119,955

• 3 · Investment income

  total $1,040,257 · excluded $1,040,257

• 4 · Income from investment of tax-exempt bond proceeds

  total $0

• 5 · Royalties

  total $0

• 6a · Gross rents

  real property $662,712

• 6b · Less rental expenses

  real property $599,548

• 6c · Rental income or loss

  real property $63,164

• 6d · Net rental income or loss

  total $63,164 · excluded $63,164

• 7a · Gross sales of assets other than inventory

  other assets $12,544

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

  other assets $43,826

• 7c · Gain or loss

  other assets -$31,282

• 7d · Net gain or loss

  total -$31,282 · excluded -$31,282

• 8c · Net income from fundraising events

  total $0

• 9c · Net income from gaming

  total $0

• 10c · Net income from sales of inventory

  total $0

• 11e · Other revenue, total

  $0

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $29,250 · program services $29,250

• 2 · Grants to domestic individuals

  total $1,324,765 · program services $1,324,765

• 3 · Grants to foreign organizations and individuals

  total $0

• 4 · Benefits paid to or for members

  total $0

• 5 · Compensation of officers, directors and key employees

  total $9,638,603 · program services $8,782,487 · management and general $856,116

• 6 · Compensation of disqualified persons

  total $0

• 7 · Other salaries and wages

  total $638,395,285 · program services $590,867,009 · management and general $47,528,276

• 8 · Pension plan contributions

  total $33,472,246 · program services $31,296,702 · management and general $2,175,544

• 9 · Other employee benefits

  total $77,481,477 · program services $70,986,697 · management and general $6,494,780

• 10 · Payroll taxes

  total $48,527,270 · program services $45,311,229 · management and general $3,216,041

• 11a · Fees: management

  total $0

• 11b · Fees: legal

  total $0

• 11c · Fees: accounting

  total $0

• 11d · Fees: lobbying

  total $0

• 11e · Fees: professional fundraising services

  total $0

• 11f · Fees: investment management

  total $0

• 11g · Fees: other

  total $28,200,256 · program services $28,200,256

• 12 · Advertising and promotion

  total $0

• 13 · Office expenses

  total $174,688,915 · program services $170,577,132 · management and general $4,111,783

• 14 · Information technology

  total $0

• 15 · Royalties

  total $0

• 16 · Occupancy

  total $11,019,604 · program services $10,264,756 · management and general $754,848

• 17 · Travel

  total $405,090 · program services $382,083 · management and general $23,007

• 18 · Travel or entertainment for public officials

  total $0

• 19 · Conferences, conventions and meetings

  total $0

• 20 · Interest

  total $13,365,377 · program services $11,408,793 · management and general $1,956,584

• 21 · Payments to affiliates

  total $0

• 22 · Depreciation, depletion and amortization

  total $27,581,245 · program services $23,664,994 · management and general $3,916,251

• 23 · Insurance

  total $17,123,392 · program services $14,987,190 · management and general $2,136,202

• 24a · Other expenses: ADMINISTRATIVE SERVICES FEES

  total $141,180,503 · program services $24,804,168 · management and general $116,376,335

• 24b · Other expenses: PROVIDER TAX

  total $53,213,176 · program services $53,213,176

• 24c · Other expenses: BAD DEBTS

  total $23,539,979 · program services $23,539,979

• 24d · Other expenses: CONSULTING

  total $1,534,464 · program services $885,717 · management and general $648,747

• 24e · All other expenses

  total -$1,370,380 · program services -$1,135,698 · management and general -$234,682

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year -$1,316,839 · end of year $1,842,667

• 2 · Savings and temporary cash investments

  end of year $0

• 3 · Pledges and grants receivable

  end of year $0

• 4 · Accounts receivable

  beginning of year $195,182,032 · end of year $201,919,551

• 5 · Loans and receivables from officers and key people

  end of year $0

• 6 · Loans and receivables from disqualified persons

  end of year $0

• 7 · Other notes and loans receivable

  beginning of year $472,076 · end of year $113,973

• 8 · Inventories for sale or use

  beginning of year $11,230,728 · end of year $11,015,999

• 9 · Prepaid expenses and deferred charges

  beginning of year $1,458,224 · end of year $843,840

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

  $926,459,735

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

  $491,939,320

• 10c · Land, buildings and equipment, net

  beginning of year $399,725,108 · end of year $434,520,415

• 11 · Investments: publicly traded securities

  end of year $0

• 12 · Investments: other securities

  beginning of year -$441,083,334 · end of year -$898,137,543

• 13 · Investments: program-related

  end of year $0

• 14 · Intangible assets

  end of year $0

• 15 · Other assets

  beginning of year $1 · end of year $0

• 17 · Accounts payable and accrued expenses

  beginning of year $89,631,246 · end of year $48,324,315

• 25 · Other liabilities

  beginning of year $363,396,782 · end of year $5,320,200

• 27 · Net assets without donor restrictions

  beginning of year -$290,614,068 · end of year -$303,900,827

• 28 · Net assets with donor restrictions

  beginning of year $3,254,036 · end of year $2,375,214

The filer's explanations (Part III)

Part I, Line 1a: Relevant information in regards to selections on 1a.

Legacy does periodically reimburse for some travel of companions. During 2023, no travel expenses for companions of Legacy Board Directors and executives were reimbursed. These transactions follow Legacys reimbursement policy requiring documentation and approval of the expenses, prior to reimbursement. These payments are taxable to the individuals and are reported on a W-2 for employees or a 1099 for Board Directors.

Part I, Line 5b: Explanation of organization compensation based on revenues of related organization

Physicians employed by Legacy affiliates are paid variable compensation based on quality, value, and production. Production is based upon the level of effort of services provided during the year measured by industry standard relative value units (RVU) and which generate revenue.

Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related or

Legacy has an at-risk incentive compensation plan for management. The plan is based on meeting goals related to employee engagement, work processes, customer service, clinical quality, financial management, and certain key strategic tactics. In order to payout any at-risk incentive compensation, Legacy must exceed operating margin targets.

Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in Regs

Legacy enters into initial employment agreements with Executives that qualify under the initial contract exception. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee relies on comparable market data and all decisions are documented.

Part III, Additional Information

Sch J, Part 1, Question 3 Regarding Compensation PracticesDirectors for Legacy started receiving compensation for their services in August 2014. They also receive expense reimbursements related to their duties. Any expense reimbursements to board members are reviewed by the Director of Tax for determining 1099 tax reporting. In addition to the Board of Directors compensation, during 2023, Dr. Hill received compensation related to his duties as Clinical VP while Dr. Root received compensation for medical services provided at Legacy Emanuel Hospital. Dr. Frankhouse and Dr. Johnson received compensation related to their duties as Medical Directors and for medical services at Legacy Good Samaritan hospital. There was no other reportable compensation received by any board member during 2023.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior management personnel. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates.Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market.The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for executive positions. The Committee oversees the system's governance procedures with respect to intermediate sanctions legislation and the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.Sch J, Part II, Column Breakdown Of W-2 Or Misc-1099:Column B(i) - Base compensation consists of regular base pay including employee elected deferrals for retirement plans (403(b) and 457(b) plans).Column B(ii) - The incentive compensation program for Legacy is based on predetermined criteria and reviewed and approved by the Board. Bonuses are paid to key employees for interim duties outside their primary responsibilities (e.g. Acting in Capacity).Column B(iii) - Other compensation consists of deferred compensation amounts paid toexecutives during the current year and were reported on prior form 990 returns. These amounts include arrangements that contain elements of a substantial risk of forfeiture conditioned on continued employment, vesting and/or a noncompete provision upon termination of employment. Distributions from 457(b) plans, reported to the employee on a 1099-R, are also included as other compensation. In addition, imputed income for insurance, and other benefits is included in other compensation as well as any severance related payments. Column C - Deferred compensation includes contributions to defined contribution plans, amounts deferred under the 457(f) plan including earnings, earnings in the 457(b) plan, and the value of the pension restoration plan. Earnings on the 457(f) and 457(b) include gains and losses on the underlying investments. The defined contribution plan is available to all employees as they become qualified to participate. The pension restoration plan provides executive pension benefits in excess of IRS mandated limits on eligible compensation to key executives. The benefits are unfunded and subject to forfeiture. Executive pension benefits are intended to make the executive's retirement benefit, as a proportion of their final average salary, comparable to all other employees, and are treated as income when paid.Fiscal year 2024 performance bonuses were paid based on the achievement of patient and employee safety goals with attainment probability of 20-30%. The bonuses were paid out in July 2024 (tax year 2024) and are reported as deferred compensation on the 2023 form 990.Column D - Nontaxable benefits include company paid health and welfare and long term care and disability benefits under group plans.Column F - Current year compensation reported as deferred in prior years.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• LEGACY CLINICS LLC

  HEALTHCARE · OR · income -$78,048,222 · assets -$625,526,412

  Directly controlled by LEGACY EMANUEL HOSPITAL & HEALTH CENTER

• LEGACY LABORATORY SERVICES LLC

  HEALTHCARE · OR · income $90,671,188 · assets $184,715,695

  Directly controlled by LEGACY EMANUEL HOSPITAL & HEALTH CENTER