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Nonprofiteer
← SAMARITAN HEALTH SERVICES INC

Form 990 for tax year 2023

Filed by SAMARITAN HEALTH SERVICES INC.

Totals

Total revenue
$334,960,213
Total expenses
$355,937,097
Contributions and grants received
$1,062,159
Grants paid
$100,400
Program service revenue
$319,342,475
Investment income
$12,565,854
Other revenue
$1,989,725
Total assets, end of year
$311,756,583
Total liabilities, end of year
$289,257,345
Net assets or fund balances, end of year
$22,499,238
Program services expenses (Part IX)
$303,197,118
Management and general expenses
$50,244,671
Fundraising expenses
$2,495,308
Program service expenses (Part III)
$303,197,118

Program services were 85.2% 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

    $119,497

  • 1e · Government grants (contributions)

    $153,949

  • 1f · All other contributions, gifts and grants

    $788,713

  • 2a · Program service revenue: SUPPORT SERVICE FEES

    total $201,228,375 · related or exempt $201,228,375

  • 2b · Program service revenue: EMPL HEALTH PLAN PREM

    total $111,060,464 · related or exempt $111,060,464

  • 2c · Program service revenue: NET PATIENT REVENUE

    total $3,695,941 · related or exempt $3,695,941

  • 2d · Program service revenue: FITNESS CENTER REVENUE

    total $1,827,315 · related or exempt $679,039 · unrelated business $1,148,276

  • 2e · Program service revenue: OTH PROG SVC REVENUE

    total $1,144,031 · related or exempt $1,144,031

  • 2f · All other program service revenue

    total $386,349 · related or exempt $354,563 · unrelated business $31,786

  • 3 · Investment income

    total $7,208,767 · excluded $7,208,767

  • 6a · Gross rents

    real property $3,019,246

  • 6b · Less rental expenses

    real property $1,661,041

  • 6c · Rental income or loss

    real property $1,358,205

  • 6d · Net rental income or loss

    total $1,358,205 · unrelated business $108,000 · excluded $1,250,205

  • 7a · Gross sales of assets other than inventory

    other assets $5,368,798

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

    other assets $11,711

  • 7c · Gain or loss

    other assets $5,357,087

  • 7d · Net gain or loss

    total $5,357,087 · excluded $5,357,087

  • 11a · Other revenue: OCCUPANCY SERVICES

    total $535,043 · unrelated business $535,043

  • 11b · Other revenue: GROUP PURCHASING

    total $114,893 · unrelated business $114,893

  • 11c · Other revenue: JOINT VENTURES

    total -$18,416 · unrelated business -$18,416

  • 11e · Other revenue, total

    $631,520

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $100,400 · program services $100,400

  • 5 · Compensation of officers, directors and key employees

    total $10,643,047 · management and general $10,643,047

  • 7 · Other salaries and wages

    total $109,652,071 · program services $87,606,943 · management and general $20,454,668 · fundraising $1,590,460

  • 8 · Pension plan contributions

    total $6,225,563 · program services $5,084,380 · management and general $1,058,852 · fundraising $82,331

  • 9 · Other employee benefits

    total $26,750,695 · program services $21,847,130 · management and general $4,549,794 · fundraising $353,771

  • 10 · Payroll taxes

    total $8,564,086 · program services $6,994,237 · management and general $1,456,591 · fundraising $113,258

  • 11b · Fees: legal

    total $2,052,142 · management and general $2,036,073 · fundraising $16,069

  • 11c · Fees: accounting

    total $780,363 · management and general $780,363

  • 11d · Fees: lobbying

    total $92,600 · program services $92,600

  • 11e · Fees: professional fundraising services

    total $29,946 · fundraising $29,946

  • 11f · Fees: investment management

    total $82,808 · program services $41,404 · management and general $41,404

  • 11g · Fees: other

    total $11,902,714 · program services $7,294,190 · management and general $4,578,954 · fundraising $29,570

  • 12 · Advertising and promotion

    total $841,042 · program services $817,794 · management and general $19,158 · fundraising $4,090

  • 13 · Office expenses

    total $12,567,885 · program services $12,119,024 · management and general $381,624 · fundraising $67,237

  • 14 · Information technology

    total $13,811,220 · program services $13,638,331 · management and general $172,889

  • 16 · Occupancy

    total $3,436,040 · program services $3,400,973 · management and general $2,708 · fundraising $32,359

  • 17 · Travel

    total $558,043 · program services $456,266 · management and general $96,689 · fundraising $5,088

  • 19 · Conferences, conventions and meetings

    total $497,071 · program services $469,635 · management and general $27,363 · fundraising $73

  • 20 · Interest

    total $1,146,459 · program services $821,128 · management and general $325,331

  • 22 · Depreciation, depletion and amortization

    total $10,801,547 · program services $10,671,099 · management and general $130,341 · fundraising $107

  • 23 · Insurance

    total $3,527,059 · program services $2,436,694 · management and general $1,090,053 · fundraising $312

  • 24a · Other expenses: CLAIM FEES

    total $104,245,133 · program services $104,245,133

  • 24b · Other expenses: PURCHASED SERVICES

    total $26,145,918 · program services $24,196,121 · management and general $1,787,146 · fundraising $162,651

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

    total $1,103,476 · program services $483,867 · management and general $611,623 · fundraising $7,986

  • 24d · Other expenses: MEDICAL SUPPLIES

    total $379,769 · program services $379,769

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $800 · end of year $800

  • 2 · Savings and temporary cash investments

    beginning of year $147,764,428 · end of year $159,266,302

  • 4 · Accounts receivable

    beginning of year $1,272,622 · end of year $2,451,619

  • 5 · Loans and receivables from officers and key people

    beginning of year $18,859 · end of year $18,888

  • 7 · Other notes and loans receivable

    beginning of year $47,790

  • 8 · Inventories for sale or use

    beginning of year $98,017

  • 9 · Prepaid expenses and deferred charges

    beginning of year $8,545,688 · end of year $11,397,020

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

    $250,192,174

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

    $154,342,426

  • 10c · Land, buildings and equipment, net

    beginning of year $106,370,221 · end of year $95,849,748

  • 11 · Investments: publicly traded securities

    beginning of year $9,674,844 · end of year $2,424,608

  • 12 · Investments: other securities

    beginning of year $22,603,098 · end of year $23,011,897

  • 13 · Investments: program-related

    beginning of year $171,551 · end of year $171,551

  • 15 · Other assets

    beginning of year $20,640,229 · end of year $17,164,150

  • 17 · Accounts payable and accrued expenses

    beginning of year $58,470,011 · end of year $72,185,180

  • 19 · Deferred revenue

    beginning of year $527,934 · end of year $681,836

  • 20 · Tax-exempt bond liabilities

    beginning of year $165,638,512 · end of year $164,391,358

  • 23 · Secured mortgages and notes payable

    beginning of year $30,424,771 · end of year $7,594,174

  • 25 · Other liabilities

    beginning of year $23,991,104 · end of year $44,404,797

  • 27 · Net assets without donor restrictions

    beginning of year $38,155,815 · end of year $22,499,238

Mission and programs · 2023

Mission

SAMARITAN HEALTH SERVICES (SHS) IS THE PARENT COMPANY OF A REGIONAL NETWORK OF TAX-EXEMPT HOSPITALS, PHYSICIANS, AND AFFILIATED ORGANIZATIONS. (CONTINUED ON SCHEDULE O)(CONTINUED FROM PART III) 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. SHS PROVIDES HEALTHCARE SERVICES REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, DISABILITY OR AGE. 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 ENHANCE COMMUNITY HEALTH THROUGH QUALITY SERVICES ACROSS A CONTINUUM OF CARE.

  • AS THE PARENT ORGANIZATION, SHS PROVIDES ADMINISTRATIVE AND OTHER SUPPORT SERVICES TO ITS AFFILIATED ORGANIZATIONS, SUCH AS PATIENT BILLING, INFORMATION SERVICES, ACCOUNTING, AND EMPLOYEE RECRUITMENT. SHS SPONSORS A HEALTH PLAN THAT PROVIDES MEDICAL, DENTAL, AND PHARMACY BENEFITS TO EMPLOYEES OF SHS AND ITS AFFILIATES. AS A SYSTEM, SHS LOOKS CAREFULLY AT LOCAL HEALTH CARE NEEDS AND GIVES THOUGHTFUL CONSIDERATION TO THE MOST EFFECTIVE WAYS TO MEET THOSE NEEDS. THE RESULT IS A RICH MIX OF LOCAL AND CENTRALIZED REGIONAL SERVICES, WHICH PROVIDE HIGH VALUE AND EXCELLENT HEALTH CARE FOR PEOPLE AT ALL STAGES OF THEIR LIVES.SAMARITAN HEALTH SERVICES (SHS) HAS POLICIES THAT PROVIDE FOR SERVING THOSE WITHOUT THE ABILITY TO PAY FOR TREATMENT. THE POLICIES ESTABLISH CRITERIA BASED ON THE INCOME OF THE PERSON RESPONSIBLE FOR THE BILL AND COLLECTIONS ARE AT AMOUNTS LESS THAN ITS ESTABLISHED RATES ON A SLIDING SCALE DOWN TO NO PAYMENT AT ALL. IN 2023 SHS PROVIDED SERVICES THAT BENEFITED THE POOR AND OTHERS IN THE COMMUNITIES IT SERVED. IN ADDITION TO THE GRANTS SHOWN ON LINE 4B, SHS INCURRED $4,252,418 OF COMMUNITY BENEFIT COSTS, INCLUDING HEALTH PROFESSION EDUCATION, COMMUNITY BUILDING ACTIVITIES, AND RESEARCH.

    Expenses $303,096,718 · Revenue $318,162,413

  • GRANTS PROVIDED BY SAMARITAN HEALTH SERVICES TO VARIOUS ORGANIZATIONS TO ASSIST RESIDENTS IN BENTON, LINN, LINCOLN COUNTIES. SEE SCHEDULE I FOR MORE DETAILS.

    Expenses $100,400 · Grants $100,400

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Paul Daskalos Do

    BOARD MEMBER / PHYSICIAN

    Total calculated
    $405,097
    From this org
    $0
    From related orgs
    $338,690
    Other
    $66,407
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,642 related
    Bonus
    $0
    Other
    $0 + $2,048 related
    Deferred
    $0 + $26,592 related
    Nontaxable benefits
    $0 + $39,815 related
    Filer's total
    $0 + $405,097 related
  • Nancy Seifert

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Bob Adams

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • June Chrisman

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Randy Springer

    BOARD CHAIR ELECT

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Judy List

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Milton Moran

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Loren Roth

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Charles Mouradian

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Richard Kenyon

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Troy Garrett MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Reverend William McCarthy

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Leslie Pliskin MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Stuart Pritchard

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Ralph Breitenstein MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Brian Carroll

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Douglas Boysen

    PRESIDENT & CEO

    Total calculated
    $1,623,482
    From this org
    $1,555,091
    From related orgs
    $0
    Other
    $68,391
    Hours/week
    33 + 7 related

    Schedule J breakdown matched by us

    Base
    $1,075,482
    Bonus
    $388,770
    Other
    $90,839
    Deferred
    $26,592
    Nontaxable benefits
    $41,799
    Filer's total
    $1,623,482
  • Daniel Smith

    SVP / CFO

    Total calculated
    $747,521
    From this org
    $679,354
    From related orgs
    $0
    Other
    $68,167
    Hours/week
    23 + 17 related

    Schedule J breakdown matched by us

    Base
    $510,893
    Bonus
    $119,250
    Other
    $49,211
    Deferred
    $26,592
    Nontaxable benefits
    $41,575
    Filer's total
    $747,521
  • Robert Turngren MD

    SVP / CHIEF PHYSICIAN EXEC

    Total calculated
    $765,235
    From this org
    $702,296
    From related orgs
    $0
    Other
    $62,939
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $525,634
    Bonus
    $111,725
    Other
    $64,937
    Deferred
    $26,592
    Nontaxable benefits
    $36,347
    Filer's total
    $765,235
  • Margaret Mikula MD

    VP CHIEF QUAL OFFICER

    Total calculated
    $650,211
    From this org
    $581,710
    From related orgs
    $0
    Other
    $68,501
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $458,685
    Bonus
    $93,518
    Other
    $29,507
    Deferred
    $26,592
    Nontaxable benefits
    $41,909
    Filer's total
    $650,211
  • Laura Hennum

    VP CEO GSRMC

    Total calculated
    $607,955
    From this org
    $540,746
    From related orgs
    $0
    Other
    $67,209
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $447,577
    Bonus
    $89,000
    Other
    $4,169
    Deferred
    $26,592
    Nontaxable benefits
    $40,617
    Filer's total
    $607,955
  • Bruce Butler

    VP CEO HEALTH PLANS

    Total calculated
    $594,009
    From this org
    $547,574
    From related orgs
    $0
    Other
    $46,435
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $444,424
    Bonus
    $90,200
    Other
    $12,950
    Deferred
    $26,592
    Nontaxable benefits
    $19,843
    Filer's total
    $594,009
  • Pankaj Sapra

    SVP / CIO

    Total calculated
    $586,229
    From this org
    $516,906
    From related orgs
    $0
    Other
    $69,323
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $422,144
    Bonus
    $92,906
    Other
    $1,856
    Deferred
    $26,592
    Nontaxable benefits
    $42,731
    Filer's total
    $586,229
  • Kelley Kaiser

    SVP / CAO

    Total calculated
    $583,787
    From this org
    $517,020
    From related orgs
    $0
    Other
    $66,767
    Hours/week
    35 + 5 related

    Schedule J breakdown matched by us

    Base
    $399,610
    Bonus
    $94,085
    Other
    $23,325
    Deferred
    $26,592
    Nontaxable benefits
    $40,175
    Filer's total
    $583,787
  • Lesley Ogden MD

    VP CEO NLH / CEO SPCH

    Total calculated
    $574,802
    From this org
    $516,902
    From related orgs
    $0
    Other
    $57,900
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $400,932
    Bonus
    $93,395
    Other
    $22,575
    Deferred
    $26,592
    Nontaxable benefits
    $31,308
    Filer's total
    $574,802
  • Joseph Cahill

    SVP / COO

    Total calculated
    $553,945
    From this org
    $499,536
    From related orgs
    $0
    Other
    $54,409
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $384,176
    Bonus
    $82,967
    Other
    $32,393
    Deferred
    $26,592
    Nontaxable benefits
    $27,817
    Filer's total
    $553,945
  • Daniel Keteri

    VP CEO SAGH

    Total calculated
    $547,801
    From this org
    $484,549
    From related orgs
    $0
    Other
    $63,252
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $398,500
    Bonus
    $79,928
    Other
    $6,121
    Deferred
    $19,992
    Nontaxable benefits
    $43,260
    Filer's total
    $547,801
  • Tyler Jacobsen

    VP CHIEF LEGAL OFFICER

    Total calculated
    $458,357
    From this org
    $385,133
    From related orgs
    $0
    Other
    $73,224
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $294,411
    Bonus
    $63,000
    Other
    $27,722
    Deferred
    $26,592
    Nontaxable benefits
    $46,632
    Filer's total
    $458,357
  • Glen Cunningham

    VP POP HEALTH SVCS

    Total calculated
    $445,871
    From this org
    $406,315
    From related orgs
    $0
    Other
    $39,556
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $105,795
    Bonus
    $39,408
    Other
    $261,112
    Deferred
    $19,992
    Nontaxable benefits
    $19,564
    Filer's total
    $445,871
  • Julie Osgood

    VP COO SMG

    Total calculated
    $371,049
    From this org
    $356,071
    From related orgs
    $0
    Other
    $14,978
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $314,942
    Bonus
    $30,000
    Other
    $11,129
    Deferred
    $0
    Nontaxable benefits
    $14,978
    Filer's total
    $371,049
  • Janet McGuire

    VP REVENUE CYCLE

    Total calculated
    $357,528
    From this org
    $315,844
    From related orgs
    $0
    Other
    $41,684
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $286,379
    Bonus
    $25,304
    Other
    $4,161
    Deferred
    $24,838
    Nontaxable benefits
    $16,846
    Filer's total
    $357,528
  • Shiloh Erven

    VP SMG ADMINISTRATION

    Total calculated
    $330,688
    From this org
    $267,803
    From related orgs
    $0
    Other
    $62,885
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $213,358
    Bonus
    $35,888
    Other
    $18,557
    Deferred
    $21,137
    Nontaxable benefits
    $41,748
    Filer's total
    $330,688
  • Wendie Wunderwald

    VP CEO MVH

    Total calculated
    $325,557
    From this org
    $34,544
    From related orgs
    $235,088
    Other
    $55,925
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $22,191 + $197,482 related
    Bonus
    $0 + $20,323 related
    Other
    $12,353 + $17,283 related
    Deferred
    $5,038 + $20,256 related
    Nontaxable benefits
    $2,394 + $28,237 related
    Filer's total
    $41,976 + $283,581 related
  • Scott Russell

    VP HUMAN RESOURCES (START APR 2023)

    Total calculated
    $283,914
    From this org
    $226,984
    From related orgs
    $0
    Other
    $56,930
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,725
    Bonus
    $0
    Other
    $12,259
    Deferred
    $17,036
    Nontaxable benefits
    $39,894
    Filer's total
    $283,914
  • Nancy Fry

    VP FINANCE

    Total calculated
    $267,924
    From this org
    $235,471
    From related orgs
    $0
    Other
    $32,453
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $214,197
    Bonus
    $19,004
    Other
    $2,270
    Deferred
    $17,058
    Nontaxable benefits
    $15,395
    Filer's total
    $267,924
  • Gail Worden-Acree

    VP HUMAN RESOURCES (END APR 2023)

    Total calculated
    $250,763
    From this org
    $224,658
    From related orgs
    $0
    Other
    $26,105
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $44,455
    Bonus
    $56,756
    Other
    $123,447
    Deferred
    $15,937
    Nontaxable benefits
    $10,168
    Filer's total
    $250,763
  • Barry Smith MD

    SENIOR MEDICAL DIRECTOR

    Total calculated
    $526,835
    From this org
    $485,271
    From related orgs
    $0
    Other
    $41,564
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $440,441
    Bonus
    $43,070
    Other
    $1,760
    Deferred
    $26,592
    Nontaxable benefits
    $14,972
    Filer's total
    $526,835
  • William Barish MD

    CHIEF WELLNESS OFFICER

    Total calculated
    $488,873
    From this org
    $428,727
    From related orgs
    $0
    Other
    $60,146
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $427,757
    Bonus
    $0
    Other
    $970
    Deferred
    $26,592
    Nontaxable benefits
    $33,554
    Filer's total
    $488,873
  • Brent Godek MD

    SENIOR MEDICAL DIRECTOR

    Total calculated
    $452,828
    From this org
    $400,066
    From related orgs
    $0
    Other
    $52,762
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $365,889
    Bonus
    $33,150
    Other
    $1,027
    Deferred
    $26,592
    Nontaxable benefits
    $26,170
    Filer's total
    $452,828
  • Kristy Jessop MD

    SENIOR MEDICAL DIRECTOR

    Total calculated
    $441,063
    From this org
    $388,699
    From related orgs
    $0
    Other
    $52,364
    Hours/week
    39 + 1 related

    Schedule J breakdown matched by us

    Base
    $349,757
    Bonus
    $31,875
    Other
    $7,067
    Deferred
    $26,592
    Nontaxable benefits
    $25,772
    Filer's total
    $441,063
  • Daniel Rackham

    VP CHIEF PHARMACY OFFICER

    Total calculated
    $383,441
    From this org
    $318,180
    From related orgs
    $0
    Other
    $65,261
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $272,135
    Bonus
    $24,191
    Other
    $21,854
    Deferred
    $25,963
    Nontaxable benefits
    $39,298
    Filer's total
    $383,441

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
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 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 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 BOARD MEMBER, ONE OFFICER, NINE KEY EMPLOYEES, AND TWO HIGHEST PAID EMPLOYEES, USED THE SAMARITAN (SAMFIT) GYM/FITNESS FACILITY BENEFIT DURING THE FILING YEAR.
PART I, LINES 4A-B
LINE 4A: GLEN CUNNINGHAM (A KEY EMPLOYEE) RECEIVED A SEVERANCE PAYMENT OF $187,730 DURING THE FILING YEAR DUE TO THE TERMINATION OF HIS EMPLOYMENT CONTRACT. LINE 4B: THE FILING 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.

Disregarded entities

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

  • SAMARITAN RESOURCES

    ENVIRONMENTAL SERVICES (INACTIVE) · OR · income $0 · assets $0

    Directly controlled by SAMARITAN HEALTH SERVICES

  • SAMARITAN MEDICAL SUPPLIES LLC

    DURABLE MEDICAL SUPPLIES · OR · income $114,585 · assets $858,958

    Directly controlled by SAMARITAN HEALTH SERVICES

  • SAMARITAN DIALYSIS SERVICES LLC

    DIALYSIS SERVICES · OR · income -$1,142,712 · assets $3,154

    Directly controlled by SAMARITAN HEALTH SERVICES

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

  • EAST LINN MRI LLC

    IMAGING · OR

  • HULL IMAGING LLC

    IMAGING · OR

  • CORVALLIS MRI LLC

    IMAGING · OR

  • MID-VALLEY MEDICAL PROPERTIES ASSOC LLC

    REAL ESTATE RENTAL · OR

  • MID-VALLEY MEDICAL BUILDINGS LLC

    REAL ESTATE RENTAL · OR

  • CASCADE VIEW MEDICAL OFFICE BUILDING LLC

    REAL ESTATE RENTAL · OR

  • BSM SURGERY CENTER LLC

    RELATED · MEDICAL SERVICES · OR · 5% owned · share of income $47,378 · share of assets $18,640

    Directly controlled by DOCBSMASC LLC

  • AIKENS DIALYSIS LLC

    MEDICAL SERVICES · WA

Related corporations and trusts

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

  • SAMARITAN HEALTH PLANS INC

    C · HEALTH INSURANCE CARRIER FOR THE COMMUNITY · OR · 100% owned · share of income -$9,603,988 · share of assets $27,122,214 · controlled entity

    Directly controlled by SAMARITAN HEALTH SERVICES

  • BOULDER FALLS PROPERTIES LLC

    C · EVENT CENTER & HOSPITALITY SVCS · OR · 100% owned · share of income -$222,615 · share of assets $12,713,585 · controlled entity

    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
202433179349303693

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