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 AveryJONATHAN 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 FallDENISE 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 ButlerKHAYREE 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 BradleyMAUREEN 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 MDSTEVEN 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 HillsGAYNOR 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 BurgoyneCLAUDE 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'BoyleKEVIN 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 MarquisJANICE J MARQUIS
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Clayton R CooperCLAYTON R COOPER
Treasurer
- Total calculated
- $0
- Hours/week
- 1
-
Emily V KarrEMILY V KARR
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Pleschette F FontenetPLESCHETTE F FONTENET
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Alfred K Ono MDALFRED K ONO MD
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Marc F FovinciMARC F FOVINCI
Vice Chair
- Total calculated
- $0
- Hours/week
- 1
-
Anupam NarayanANUPAM NARAYAN
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Anne C R MunchANNE C R MUNCH
Chairman
- Total calculated
- $0
- Hours/week
- 1
-
Susan AltermanSUSAN ALTERMAN
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Douglas H De WeeseDOUGLAS H DE WEESE
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
William J KiefelWILLIAM J KIEFEL
Secretary
- Total calculated
- $0
- Hours/week
- 1
-
Kathryn H RebagliatiKATHRYN H REBAGLIATI
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Jasmyn T MaddenJASMYN T MADDEN
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Jenny KimJENNY KIM
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Tom UsherTOM USHER
Chairman
- Total calculated
- $0
- Hours/week
- 1
-
James E LawJAMES E LAW
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Melissa S WallMELISSA S WALL
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Judith A McDermottJUDITH A MCDERMOTT
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
Leslie R NeviusLESLIE R NEVIUS
Trustee
- Total calculated
- $0
- Hours/week
- 1
-
William J JonesWILLIAM 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
-
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
$3,141,130
-
LEGACY GOOD SAMARITAN HOSPITAL & MED CTR
$3,012,696
-
$387,135
-
LEGACY VISITING NURSE ASSOCIATION
$152,781
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) · HEALTHCARE · OR
-
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
501(C)(3) · HOSPITAL · OR
-
LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL
501(C)(3) · HOSPITAL · OR
-
501(C)(3) · HOSPITAL · OR
-
LEGACY MOUNT HOOD MEDICAL CENTER
501(C)(3) · HOSPITAL · OR
-
501(C)(3) · HOSPITAL · WA
-
LEGACY VISITING NURSE ASSOCIATION
501(C)(3) · HOSPICE · OR
-
RANDALL CHILDRENS HOSPITAL FOUNDATION
501(C)(3) · CHARITABLE FOUNDATION · OR
-
SALMON CREEK HOSPITAL FOUNDATION
501(C)(3) · CHARITABLE FOUNDATION · WA
-
501(C)(3) · CHARITABLE FOUNDATION · OR
-
501(C)(3) · HOSPITAL · OR
-
501(C)(3) · CHARITABLE FOUNDATION · OR
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 February 2024
- IRS schema version
- 2022v5.0
- Source object
- 202420469349301902
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