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Nonprofiteer
← SAMARITAN PACIFIC HEALTH SERVICES INC

Form 990 for tax year 2023

Filed by SAMARITAN PACIFIC HEALTH SERVICES INC.

Totals

Total revenue
$158,736,712
Total expenses
$133,617,806
Contributions and grants received
$827,087
Grants paid
$85,500
Program service revenue
$148,526,074
Investment income
$5,937,074
Other revenue
$3,446,477
Total assets, end of year
$132,954,747
Total liabilities, end of year
$23,198,961
Net assets or fund balances, end of year
$109,755,786
Program services expenses (Part IX)
$119,443,007
Management and general expenses
$14,171,981
Fundraising expenses
$2,818
Program service expenses (Part III)
$119,443,007

Program services were 89.4% 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

    $19,598

  • 1e · Government grants (contributions)

    $807,489

  • 2a · Program service revenue: NET PATIENT SVC REV

    total $145,121,923 · related or exempt $145,121,923

  • 2b · Program service revenue: DURABLE MEDICAL EQUIP

    total $1,953,327 · related or exempt $1,633,582 · unrelated business $319,745

  • 2c · Program service revenue: QUALITY INCENTIVES

    total $986,575 · related or exempt $986,575

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

    total $372,504 · related or exempt $372,504

  • 2e · Program service revenue: OTHER PATIENT REVENUE

    total $91,745 · related or exempt $91,745

  • 3 · Investment income

    total $180,610 · excluded $180,610

  • 6a · Gross rents

    real property $450,473

  • 6b · Less rental expenses

    real property $428,624

  • 6c · Rental income or loss

    real property $21,849

  • 6d · Net rental income or loss

    total $21,849 · excluded $21,849

  • 7a · Gross sales of assets other than inventory

    other assets $6,988,078

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

    other assets $1,231,614

  • 7c · Gain or loss

    other assets $5,756,464

  • 7d · Net gain or loss

    total $5,756,464 · unrelated business $1,101,499 · excluded $4,654,965

  • 10a · Gross sales of inventory

    $87,135

  • 10b · Cost of goods sold

    $60,175

  • 10c · Net income from sales of inventory

    total $26,960 · excluded $26,960

  • 11a · Other revenue: LEGAL SETTLEMENT REV

    total $3,000,000 · related or exempt $3,000,000

  • 11b · Other revenue: CAFETERIA

    total $397,668 · excluded $397,668

  • 11e · Other revenue, total

    $3,397,668

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $85,500 · program services $85,500

  • 5 · Compensation of officers, directors and key employees

    total $633,624 · program services $633,624

  • 7 · Other salaries and wages

    total $43,569,392 · program services $42,326,981 · management and general $1,242,411

  • 8 · Pension plan contributions

    total $2,241,505 · program services $2,178,503 · management and general $63,002

  • 9 · Other employee benefits

    total $7,416,097 · program services $7,207,653 · management and general $208,444

  • 10 · Payroll taxes

    total $3,189,016 · program services $3,099,383 · management and general $89,633

  • 11b · Fees: legal

    total $693,315 · management and general $693,315

  • 11c · Fees: accounting

    total $37,522 · management and general $37,522

  • 11g · Fees: other

    total $19,243,545 · program services $19,243,445 · management and general $100

  • 12 · Advertising and promotion

    total $391 · program services $391

  • 13 · Office expenses

    total $3,610,209 · program services $3,485,010 · management and general $123,955 · fundraising $1,244

  • 14 · Information technology

    total $4,964,691 · program services $4,762,446 · management and general $202,245

  • 16 · Occupancy

    total $1,651,953 · program services $1,643,035 · management and general $8,918

  • 17 · Travel

    total $248,609 · program services $230,371 · management and general $17,064 · fundraising $1,174

  • 19 · Conferences, conventions and meetings

    total $123,273 · program services $117,263 · management and general $5,610 · fundraising $400

  • 20 · Interest

    total $198,825 · program services $193,708 · management and general $5,117

  • 22 · Depreciation, depletion and amortization

    total $1,892,271 · program services $1,817,357 · management and general $74,914

  • 23 · Insurance

    total $1,353,323 · program services $1,215,485 · management and general $137,838

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $19,815,013 · program services $19,815,013

  • 24b · Other expenses: PURCHASED SERVICES

    total $14,911,627 · program services $3,658,366 · management and general $11,253,261

  • 24c · Other expenses: PROVIDER TAXES

    total $7,361,019 · program services $7,361,019

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

    total $377,086 · program services $368,454 · management and general $8,632

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $10,970 · end of year $92,258

  • 2 · Savings and temporary cash investments

    beginning of year $2,004 · end of year $1,889

  • 4 · Accounts receivable

    beginning of year $15,955,089 · end of year $15,448,757

  • 7 · Other notes and loans receivable

    beginning of year $161,741 · end of year $122,919

  • 8 · Inventories for sale or use

    beginning of year $2,723,609 · end of year $1,944,800

  • 9 · Prepaid expenses and deferred charges

    beginning of year $223,831 · end of year $264,111

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

    $27,915,088

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

    $16,548,537

  • 10c · Land, buildings and equipment, net

    beginning of year $11,687,115 · end of year $11,366,551

  • 14 · Intangible assets

    beginning of year $185,185 · end of year $148,148

  • 15 · Other assets

    beginning of year $78,352,613 · end of year $103,565,314

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,956,153 · end of year $8,250,937

  • 19 · Deferred revenue

    beginning of year $474,156 · end of year $113,595

  • 23 · Secured mortgages and notes payable

    beginning of year $4,125,528 · end of year $3,638,425

  • 25 · Other liabilities

    beginning of year $11,118,224 · end of year $11,196,004

  • 27 · Net assets without donor restrictions

    beginning of year $84,628,096 · end of year $109,755,786

Mission and programs · 2023

Mission

SAMARITAN PACIFIC HEALTH SERVICES (SPHS) ACHIEVES ITS MISSION OF IMPROVING THE HEALTH AND WELL BEING OF THE COMMUNITY THROUGH ITS CRITICAL-ACCESS HOSPITAL AND HEALTHCARE CLINICS PROVIDING OUTPATIENT CARE SERVICES AT SEVERAL AREA LOCATIONS.SPHS 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 OUR HOSPITAL AND HEALTHCARE CLINICS.

  • PROGRAM SERVICES:SAMARITAN PACIFIC HEALTH SERVICES (SPHS) INCLUDES A CRITICAL-ACCESS HOSPITAL AND SEVERAL MEDICAL CLINICS PROVIDING HEALTH CARE FOR RESIDENTS AND TOURISTS THROUGHOUT A 270-SQUARE-MILE AREA IN LINCOLN COUNTY, WHICH IS DESIGNATED A MEDICALLY UNDERSERVED POPULATION. SPHS HAS OVER 500 EMPLOYEES AND 70 VOLUNTEERS. DURING 2023, SPHS SERVED 1,189 INPATIENTS, HAD 17,659 EMERGENCY DEPARTMENT VISITS, PERFORMED 3,260 SURGERIES, AND DELIVERED 137 BABIES. IN ADDITION, SPHS PERFORMED 50,432 IMAGING PROCEDURES, AND HAD 70,510 PHYSICIAN CLINIC VISITS.

    Expenses $119,357,507 · Revenue $151,206,329

  • GRANTS:GRANTS PROVIDED BY SAMARITAN PACIFIC HEALTH SERVICES TO REDUCE FOOD INSECURITY AND TO PROVIDE SHELTER FOR LOW INCOME RESIDENTS OF THE LOCAL COMMUNITY. SEE PART IX, LINE 1 AND RELATED SCHEDULE I PART II FOR MORE DETAILS ON GRANTS TO ORGANIZATIONS LARGER THAN $5,000.

    Expenses $85,500 · Grants $85,500

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

Listed in Part VII

  • DOUGLAS BOYSEN

    BOARD MEMBER / CEO SHS

    Total calculated
    $1,623,482
    From this org
    $0
    From related orgs
    $1,555,091
    Other
    $68,391
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,075,482 related
    Bonus
    $0 + $388,770 related
    Other
    $0 + $90,839 related
    Deferred
    $0 + $26,592 related
    Nontaxable benefits
    $0 + $41,799 related
    Filer's total
    $0 + $1,623,482 related

  • KELLEY KAISER

    BOARD MEMBER / CAO SHS

    Total calculated
    $583,787
    From this org
    $0
    From related orgs
    $517,020
    Other
    $66,767
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $399,610 related
    Bonus
    $0 + $94,085 related
    Other
    $0 + $23,325 related
    Deferred
    $0 + $26,592 related
    Nontaxable benefits
    $0 + $40,175 related
    Filer's total
    $0 + $583,787 related

  • JERRY ROBBINS MD

    BOARD MEMBER

    Total calculated
    $47,237
    From this org
    $0
    From related orgs
    $46,310
    Other
    $927
    Hours/week
    1 + 2 related

  • RALPH BREITENSTEIN MD

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • ALEXANDRA GUEVARA

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • STEPHEN BURNS MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • JAYNE ROMERO

    BOARD VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • LYNN BARTON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM HANSON

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DANIEL SMITH

    SVP / CFO

    Total calculated
    $747,521
    From this org
    $0
    From related orgs
    $679,354
    Other
    $68,167
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $510,893 related
    Bonus
    $0 + $119,250 related
    Other
    $0 + $49,211 related
    Deferred
    $0 + $26,592 related
    Nontaxable benefits
    $0 + $41,575 related
    Filer's total
    $0 + $747,521 related

  • LESLEY OGDEN MD

    CEO / CEO SNLH

    Total calculated
    $574,802
    From this org
    $0
    From related orgs
    $516,902
    Other
    $57,900
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    $0 + $400,932 related
    Bonus
    $0 + $93,395 related
    Other
    $0 + $22,575 related
    Deferred
    $0 + $26,592 related
    Nontaxable benefits
    $0 + $31,308 related
    Filer's total
    $0 + $574,802 related

  • JANE RUSSELL

    VP COO

    Total calculated
    $347,769
    From this org
    $316,877
    From related orgs
    $0
    Other
    $30,892
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $266,438
    Bonus
    $26,095
    Other
    $24,344
    Deferred
    $25,171
    Nontaxable benefits
    $5,721
    Filer's total
    $347,769

  • SAM JONES

    VP PATIENT CARE SERVICES

    Total calculated
    $285,855
    From this org
    $224,859
    From related orgs
    $0
    Other
    $60,996
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,252
    Bonus
    $19,325
    Other
    $1,282
    Deferred
    $16,979
    Nontaxable benefits
    $44,017
    Filer's total
    $285,855

  • DAVID LARSEN MD

    PHYSICIAN

    Total calculated
    $564,488
    From this org
    $497,029
    From related orgs
    $0
    Other
    $67,459
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $488,995
    Bonus
    $6,847
    Other
    $1,187
    Deferred
    $26,592
    Nontaxable benefits
    $40,867
    Filer's total
    $564,488

  • BREWSTER KELLOGG DO

    MEDICAL DIRECTOR

    Total calculated
    $491,512
    From this org
    $420,984
    From related orgs
    $0
    Other
    $70,528
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $394,024
    Bonus
    $0
    Other
    $26,960
    Deferred
    $26,592
    Nontaxable benefits
    $43,936
    Filer's total
    $491,512

  • NATHANIEL UECKER MD

    PHYSICIAN

    Total calculated
    $462,588
    From this org
    $395,171
    From related orgs
    $0
    Other
    $67,417
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $369,311
    Bonus
    $0
    Other
    $25,860
    Deferred
    $26,592
    Nontaxable benefits
    $40,825
    Filer's total
    $462,588

  • DOUGLAS WILSON MD

    PHYSICIAN

    Total calculated
    $455,331
    From this org
    $393,840
    From related orgs
    $0
    Other
    $61,491
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $391,280
    Bonus
    $0
    Other
    $2,560
    Deferred
    $19,992
    Nontaxable benefits
    $41,499
    Filer's total
    $455,331

  • ERIN GUILIANO LICHY DO

    MEDICAL DIRECTOR

    Total calculated
    $446,686
    From this org
    $387,433
    From related orgs
    $0
    Other
    $59,253
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $358,325
    Bonus
    $0
    Other
    $29,108
    Deferred
    $26,592
    Nontaxable benefits
    $32,661
    Filer's total
    $446,686

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. NO PERSONS LISTED ON PART VII 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. TWO BOARD MEMBERS, TWO KEY EMPLOYEES, ONE OFFICER, AND ONE HIGHEST PAID EMPLOYEE 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

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
2023
Filed
11 November 2024
IRS schema version
2023v5.1
Source object
202403179349304640

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