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Nonprofiteer
← GOOD SAMARITAN FOUNDATION

Form 990 for tax year 2022

Filed by GOOD SAMARITAN FOUNDATION.

Totals

Total revenue
-$3,113,291
Total expenses
$6,693,742
Contributions and grants received
$3,190,991
Grants paid
$6,693,742
Program service revenue
$0
Investment income
-$6,303,904
Other revenue
-$378
Total assets, end of year
$115,361,924
Total liabilities, end of year
$22,999
Net assets or fund balances, end of year
$115,338,925
Program services expenses (Part IX)
$6,693,742
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$6,693,742

Program services were 100.0% 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.

  • 1c · Fundraising events

    $34,796

  • 1f · All other contributions, gifts and grants

    $3,156,195

  • 1g · Noncash contributions included above

    $38,058

  • 3 · Investment income

    total $2,374,722 · excluded $2,374,722

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

    total $0

  • 5 · Royalties

    total $0

  • 6d · Net rental income or loss

    total $0

  • 7a · Gross sales of assets other than inventory

    securities $1,000,000

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

    securities $9,678,626

  • 7c · Gain or loss

    securities -$8,678,626

  • 7d · Net gain or loss

    total -$8,678,626 · excluded -$8,678,626

  • 8a · Fundraising events: gross income

    $245

  • 8a · Fundraising events: contributions included on line 1c

    $34,796

  • 8b · Fundraising events: direct expenses

    $623

  • 8c · Net income from fundraising events

    total -$378 · excluded -$378

  • 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 $6,693,742 · program services $6,693,742

  • 2 · Grants to domestic individuals

    total $0

  • 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 $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 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 $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24e · All other expenses

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $0

  • 2 · Savings and temporary cash investments

    end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $818,649 · end of year $843,166

  • 4 · Accounts receivable

    end of year $0

  • 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

    end of year $0

  • 8 · Inventories for sale or use

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    end of year $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 11 · Investments: publicly traded securities

    end of year $0

  • 12 · Investments: other securities

    beginning of year $121,351,354 · end of year $111,424,829

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    beginning of year $2,994,317 · end of year $3,093,929

  • 25 · Other liabilities

    beginning of year $24,226 · end of year $22,999

  • 27 · Net assets without donor restrictions

    beginning of year $74,544,379 · end of year $68,012,320

  • 28 · Net assets with donor restrictions

    beginning of year $50,595,715 · end of year $47,326,605

Mission and programs · 2022

Mission

GOOD SAMARITAN FOUNDATION HAS ENCOURAGED CHARITABLE GIVING FROM THE COMMUNITY SINCE ITS ESTABLISHMENT IN 1969. THE FOUNDATION SUPPORTS THE ADVANCEMENT OF RESEARCH, EDUCATION AND TECHNOLOGY IN MEDICAL SCIENCE AT LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL CENTER.

  • Good Samaritan Foundation has encouraged charitable giving from the community since its establishment in 1969. The Foundation supports the advancement of research, education, and technology in medical science at Legacy Good Samaritan Medical Center.Legacy Good Samaritan Medical Center, founded in 1875 by the Episcopal Diocese of Oregon, stands in the heart of northwest Portland as one of the Pacific Northwests oldest and most advanced medical centers. Legacy Good Samaritan provides a full range of inpatient and outpatient services, with special emphasis on its centers of excellence, including:* Legacy Cancer Institute* Devers Eye Institute * Emergency and Critical Care* Family Birth Center* The Community Clinic* Diabetes & Weight Management Services* Legacy Hospice Services* Rehabilitation Institute of OregonThe Foundation also supports biological and medical research through the Legacy Research Institute as well as several Legacy Medical Group primary and specialty care clinics aligned with Legacy Good Samaritan Medical Center. In fiscal year 2023, philanthropic contributions supported programs in these major areas:Patient Care $3,531,118Research $2,601,643Education and Training $560,982Community Benefit & Other Hospital Programs $623Some of the projects funded in this year included: Funded general and specialty care diagnosis, procedures, and surgeries for ophthalmology patients without insurance coverage or financial means. Provided emergency medications, durable medical equipment, transitional housing, and other health-related supplies to uninsured, under-insured, and low-income patients. Purchased a wheelchair accessible van and other equipment for the Rehabilitation Institute of Oregon. Supported navigation and counselling services for chronic pain and transgender patients. Supported complementary therapies for cancer patients including nutrition education, exercise, art therapy and yoga classes. Supported innovative research to identify ways to improve outcomes and experiences for patients with Alzheimers, epilepsy, stroke, diabetes, glaucoma, and addiction. Awarded scholarships for individuals pursuing undergraduate and graduate nursing degrees. Provided support for Legacy Hospice Services. Supported the operations of Green Gables Guest House, which provides overnight stays for patients receiving cancer treatments or other medical care. Supported medical education for internal medicine residents and specialty fellowship trainees.

    Expenses $6,693,742 · Grants $6,693,742 · Revenue $3,190,991

As filed on the 2022 return.

Listed in Part VII

  • Jonathan E Avery

    FORMER EX-OFFICIO

    Total calculated
    $787,914
    From this org
    $0
    From related orgs
    $738,221
    Other
    $49,693
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $653,354 related
    Bonus
    not reported + $61,145 related
    Other
    not reported + $23,722 related
    Deferred
    not reported + $7,161 related
    Nontaxable benefits
    not reported + $42,532 related
    Filer's total
    not reported + $787,914 related
  • Denise D Fall

    FORMER EX-OFFICIO

    Total calculated
    $678,902
    From this org
    $0
    From related orgs
    $689,427
    Other
    -$10,525
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    not reported + $53,077 related
    Bonus
    not reported
    Other
    not reported + $636,350 related
    Deferred
    not reported + -$12,746 related
    Nontaxable benefits
    not reported + $2,221 related
    Filer's total
    not reported + $678,902 related
  • Khayree Butler

    Trustee

    Total calculated
    $430,304
    From this org
    $0
    From related orgs
    $371,633
    Other
    $58,671
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $331,235 related
    Bonus
    not reported + $49,970 related
    Other
    not reported + -$9,572 related
    Deferred
    not reported + $19,825 related
    Nontaxable benefits
    not reported + $38,846 related
    Filer's total
    not reported + $430,304 related
  • Maureen A Bradley

    EX-OFFICIO

    Total calculated
    $413,805
    From this org
    $0
    From related orgs
    $419,150
    Other
    -$5,345
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $411,327 related
    Bonus
    not reported
    Other
    not reported + $7,823 related
    Deferred
    not reported + -$24,803 related
    Nontaxable benefits
    not reported + $19,458 related
    Filer's total
    not reported + $413,805 related
  • Steven Mansberger MD

    FORMER TRUSTEE

    Total calculated
    $393,382
    From this org
    $0
    From related orgs
    $457,935
    Other
    -$64,553
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $460,441 related
    Bonus
    not reported
    Other
    not reported + -$2,506 related
    Deferred
    not reported + -$108,458 related
    Nontaxable benefits
    not reported + $43,905 related
    Filer's total
    not reported + $393,382 related
  • Gaynor M Hills

    Executive Dir.

    Total calculated
    $261,250
    From this org
    $0
    From related orgs
    $240,791
    Other
    $20,459
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $213,890 related
    Bonus
    not reported + $25,947 related
    Other
    not reported + $954 related
    Deferred
    not reported + $7,376 related
    Nontaxable benefits
    not reported + $13,083 related
    Filer's total
    not reported + $261,250 related
  • Claude F Burgoyne

    Trustee

    Total calculated
    $192,684
    From this org
    $0
    From related orgs
    $208,928
    Other
    -$16,244
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $186,742 related
    Bonus
    not reported
    Other
    not reported + $22,186 related
    Deferred
    not reported + -$43,406 related
    Nontaxable benefits
    not reported + $27,162 related
    Filer's total
    not reported + $192,684 related
  • Kevin D O'Boyle

    EX-OFFICIO

    Total calculated
    $92,859
    From this org
    $0
    From related orgs
    $87,293
    Other
    $5,566
    Hours/week
    1 + 40 related
  • Janice J Marquis

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Clayton R Cooper

    Treasurer

    Total calculated
    $0
    Hours/week
    1
  • Emily V Karr

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Pleschette F Fontenet

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Alfred K Ono MD

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Marc F Fovinci

    Vice Chair

    Total calculated
    $0
    Hours/week
    1
  • Anupam Narayan

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Anne C R Munch

    Chairman

    Total calculated
    $0
    Hours/week
    1
  • Susan Alterman

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Douglas H De Weese

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • William J Kiefel

    Secretary

    Total calculated
    $0
    Hours/week
    1
  • Kathryn H Rebagliati

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Jasmyn T Madden

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Jenny Kim

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Tom Usher

    Chairman

    Total calculated
    $0
    Hours/week
    1
  • James E Law

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Melissa S Wall

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Judith A McDermott

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • Leslie R Nevius

    Trustee

    Total calculated
    $0
    Hours/week
    1
  • William J Jones

    Trustee

    Total calculated
    $0
    Hours/week
    1

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
  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 6a · Pay contingent on this 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 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 II, Compensation from Unrelated Organizations
Sch J, Part 1, Question 3 Regarding Compensation PracticesThe following describes the compensation practices of Legacy Health and its affiliates.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 to executives 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 the 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.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.
Part III, Additional Information
SCHEDULE J REPORTING OF TRUSTEE AND OFFICERS ON LEGACY AFFILIATE RETURNS. The Foundation Ex-Officio Trustees and Officers who are also Legacy employees have their compensation paid from Legacy Health, Legacy Emanuel Hospital & Health Center or Legacy Good Samaritan Hospital. The compensation is reported for informational purposes on the Foundation return.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
15 February 2024
IRS schema version
2022v5.0
Source object
202420469349301902

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