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Nonprofiteer
← SAMARITAN NORTH LINCOLN HOSPITAL

Form 990 for tax year 2024

Filed by SAMARITAN NORTH LINCOLN HOSPITAL.

Totals

Total revenue
$97,743,209
Total expenses
$95,706,207
Contributions and grants received
$2,106,523
Grants paid
$61,125
Program service revenue
$95,309,292
Investment income
$146,012
Other revenue
$181,382
Total assets, end of year
$70,710,947
Total liabilities, end of year
$25,876,888
Net assets or fund balances, end of year
$44,834,059
Program services expenses (Part IX)
$85,082,669
Management and general expenses
$10,614,007
Fundraising expenses
$9,531
Program service expenses (Part III)
$85,082,669

Program services were 88.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DOUGLAS BOYSEN

    BOARD MBR / CEO SHS

    Total calculated
    $1,407,871
    From this org
    $0
    From related orgs
    $1,336,861
    Other
    $71,010
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,082,734 related
    Bonus
    $0 + $199,331 related
    Other
    $0 + $54,796 related
    Deferred
    $0 + $27,756 related
    Nontaxable benefits
    $0 + $43,254 related
    Filer's total
    $0 + $1,407,871 related

  • KELLEY KAISER

    BRD MBR / CAO SHS

    Total calculated
    $518,553
    From this org
    $0
    From related orgs
    $448,420
    Other
    $70,133
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $398,049 related
    Bonus
    $0 + $27,052 related
    Other
    $0 + $23,319 related
    Deferred
    $0 + $27,756 related
    Nontaxable benefits
    $0 + $42,377 related
    Filer's total
    $0 + $518,553 related

  • DARRELL ORTON MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    40

  • ANN BUTLER

    BOARD SECRETARY / TREASURER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RICHARD TOWNSEND

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • CHRIS CHANDLER

    BOARD CO-CHAIR

    Total calculated
    $0
    Hours/week
    1

  • TERRY BUGGENHAGEN

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1

  • STUART PRITCHARD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • JUNE CHRISMAN

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DANIEL SMITH

    SVP / CFO

    Total calculated
    $688,921
    From this org
    $0
    From related orgs
    $622,805
    Other
    $66,116
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $539,235 related
    Bonus
    $0 + $31,558 related
    Other
    $0 + $52,012 related
    Deferred
    $0 + $27,756 related
    Nontaxable benefits
    $0 + $38,360 related
    Filer's total
    $0 + $688,921 related

  • LESLEY OGDEN MD

    CEO / CEO SPHS

    Total calculated
    $525,261
    From this org
    $0
    From related orgs
    $464,515
    Other
    $60,746
    Hours/week
    19 + 21 related

    Schedule J breakdown matched by us

    Base
    $0 + $399,478 related
    Bonus
    $0 + $25,785 related
    Other
    $0 + $39,252 related
    Deferred
    $0 + $27,756 related
    Nontaxable benefits
    $0 + $32,990 related
    Filer's total
    $0 + $525,261 related

  • KIRSTEN FERREN

    VP PATIENT CARE SERVICES

    Total calculated
    $260,839
    From this org
    $222,993
    From related orgs
    $0
    Other
    $37,846
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $192,062
    Bonus
    $20,000
    Other
    $10,931
    Deferred
    $0
    Nontaxable benefits
    $37,846
    Filer's total
    $260,839

  • JENNIFER WILL

    VP COO

    Total calculated
    $256,102
    From this org
    $160,799
    From related orgs
    $37,615
    Other
    $57,688
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,568 + $37,615 related
    Bonus
    $4,289
    Other
    $4,942
    Deferred
    $12,166 + $3,826 related
    Nontaxable benefits
    $32,390 + $9,306 related
    Filer's total
    $205,355 + $50,747 related

  • DALE STOGNER CRNA

    CHIEF CRNA

    Total calculated
    $672,338
    From this org
    $602,668
    From related orgs
    $0
    Other
    $69,670
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $576,997
    Bonus
    $0
    Other
    $25,671
    Deferred
    $27,756
    Nontaxable benefits
    $41,914
    Filer's total
    $672,338

  • MEREDITH MANN DO

    PHYSICIAN

    Total calculated
    $529,555
    From this org
    $459,772
    From related orgs
    $0
    Other
    $69,783
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $435,847
    Bonus
    $0
    Other
    $23,925
    Deferred
    $27,756
    Nontaxable benefits
    $42,027
    Filer's total
    $529,555

  • STEVEN ANDESCAVAGE DO

    MEDICAL DIRECTOR

    Total calculated
    $517,350
    From this org
    $444,339
    From related orgs
    $0
    Other
    $73,011
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $420,739
    Bonus
    $0
    Other
    $23,600
    Deferred
    $27,756
    Nontaxable benefits
    $45,255
    Filer's total
    $517,350

  • MEGHAN MOORHEAD MD

    PHYSICIAN

    Total calculated
    $497,305
    From this org
    $423,273
    From related orgs
    $0
    Other
    $74,032
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $422,889
    Bonus
    $0
    Other
    $384
    Deferred
    $27,756
    Nontaxable benefits
    $46,276
    Filer's total
    $497,305

  • MICHAEL WILLIAMS MD

    PHYSICIAN

    Total calculated
    $492,423
    From this org
    $430,284
    From related orgs
    $0
    Other
    $62,139
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $404,339
    Bonus
    $0
    Other
    $25,945
    Deferred
    $27,756
    Nontaxable benefits
    $34,383
    Filer's total
    $492,423

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

Answered no

  • 4a · Severance or change-of-control payment
  • 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 HIGHEST PAID EMPLOYEE USED THE NON-SAMARITAN GYM REIMBURSEMENT BENEFIT 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, AND TWO OFFICERS 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'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
2024
Filed
28 October 2025
IRS schema version
2024v5.2
Source object
202543179349308929

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