Form 990 for tax year 2022
Filed by NORTH LINCOLN HOSPITAL FOUNDATION.
Totals
- Total revenue
- $1,600,797
- Total expenses
- $709,182
- Contributions and grants received
- $1,567,594
- Grants paid
- $697,849
- Program service revenue
- $0
- Investment income
- $31,164
- Other revenue
- $2,039
- Total assets, end of year
- $2,410,961
- Total liabilities, end of year
- $9,802
- Net assets or fund balances, end of year
- $2,401,159
- Program services expenses (Part IX)
- $697,849
- Management and general expenses
- $11,333
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $697,849
Program services were 98.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
WENDY WILSON
BOARD PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
BETTYE RUTH GAMESTER
BOARD VICE-PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
CECELIA BUGGENHAGEN
BOARD SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
MARK SANDERS
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
DUANE SILBERNAGEL
BOARD PAST PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
CHARSLY AFFUSO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ANN BUTLER
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
CHARLOTTE LEHTO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
ADAM CREIGHTON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
MARIA DE LOURDES CRUZ
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
WILLIAM HANSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
RILEE JOHNSON
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
JOAN PRINS
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
LINDA ROY
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
CHARLENE VANDERVELDEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
URSULA MARINELLI
REGIONAL EXECUTIVE DIR
- Total calculated
- $159,265
- From this org
- $0
- From related orgs
- $138,633
- Other
- $20,632
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $0 + $126,736 related
- Bonus
- $0
- Other
- $0 + $11,897 related
- Deferred
- $0 + $7,699 related
- Nontaxable benefits
- $0 + $12,933 related
- Filer's total
- $0 + $159,265 related
-
LESLIE JAMES
ASSOC. EXEC. DIRECTOR
- Total calculated
- $94,111
- From this org
- $0
- From related orgs
- $75,842
- Other
- $18,269
- Hours/week
- 40
-
DANIEL SMITH
SVP / CFO
- Total calculated
- $701,981
- From this org
- $0
- From related orgs
- $638,044
- Other
- $63,937
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $492,567 related
- Bonus
- $0 + $104,160 related
- Other
- $0 + $41,317 related
- Deferred
- $0 + $24,620 related
- Nontaxable benefits
- $0 + $39,317 related
- Filer's total
- $0 + $701,981 related
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
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 3
- THE REGIONAL EXECUTIVE DIRECTOR 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.
- 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
-
SAMARITAN NORTH LINCOLN HOSPITAL
$600,208
HOSPITAL EQUIPMENT
-
$13,805
SYSTEM DEPARTMENT SUPPORT
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) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
ALBANY GENERAL HOSPITAL FOUNDATION
501(C)(3) · TO SUPPORT ALBANY GENERAL HOSPITAL · OR
Directly controlled by ALBANY GENERAL HOSPITAL
-
501(C)(3) · HEALTH SERVICES FOR LOW-INCOME PATIENTS · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY) · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
GOOD SAMARITAN HOSPITAL FOUNDATION
501(C)(3) · TO SUPPORT GOOD SAMARITAN HOSPITAL · OR
Directly controlled by GOOD SAMARITAN HOSPITAL
-
INTERCOMMUNITY HEALTH PLANS INC
501(C)(4) · CCO PROVIDING MGMT OF INTEGRATED HEALTH SVCS FOR MEDICAID/OHP ENROLLEES · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
LEBANON COMMUNITY HOSPITAL FOUNDATION
501(C)(3) · TO SUPPORT LEBANON COMMUNITY HOSPITAL · OR
Directly controlled by MID-VALLEY HEALTHCARE INC
-
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
PARADIGM INDEMNITY CORPORATION
501(C)(3) · PURE NON-PROFIT CAPTIVE INSURANCE COMPANY · HI
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · PROVIDE HEALTHCARE SUPPORT SERVICES · OR
-
GOOD SAMARITAN HOSPITAL CORVALLIS
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
SAMARITAN PACIFIC HEALTH SERVICES
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY) · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
GOV'T · HEALTHCARE DISTRICT · OR
-
SAMARITAN NORTH LINCOLN HOSPITAL
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR
Directly controlled by SAMARITAN HEALTH SERVICES
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.
-
SAMARITAN ENDOSCOPY CENTER LLC
MEDICAL SERVICES · OR
-
CORVALLIS MEDICAL BUILDINGS LLC
REAL ESTATE RENTAL · OR
-
IMAGING · OR
-
IMAGING · OR
-
IMAGING · OR
-
MID-VALLEY MEDICAL PROPERTIES ASSOC LLC
REAL ESTATE RENTAL · OR
-
MID-VALLEY MEDICAL BUILDINGS LLC
REAL ESTATE RENTAL · OR
-
NORTHWEST MEDICAL ISOTOPES LLC
RESEARCH · OR
-
CASCADE VIEW MEDICAL OFFICE BUILDING LLC
REAL ESTATE RENTAL · OR
-
MEDICAL SERVICES · OR
-
MEDICAL SERVICES · WA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C · HEALTH INSURANCE CARRIER FOR THE COMMUNITY · OR
-
C · EVENT CENTER & HOSPITALITY SVCS · OR
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 2 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313149349303796
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.