Totals
- Total revenue
- $288,492,138
- Total expenses
- $301,046,901
- Contributions and grants received
- $1,790,427
- Grants paid
- $12,749
- Program service revenue
- $282,343,867
- Investment income
- $2,244,110
- Other revenue
- $2,113,734
- Total assets, end of year
- $317,208,147
- Total liabilities, end of year
- $279,052,332
- Net assets or fund balances, end of year
- $38,155,815
- Program services expenses (Part IX)
- $261,945,492
- Management and general expenses
- $36,723,604
- Fundraising expenses
- $2,377,805
- Program service expenses (Part III)
- $261,945,492
Program services were 87.0% 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.
-
1d · Related organizations
$677,489
-
1e · Government grants (contributions)
$354,963
-
1f · All other contributions, gifts and grants
$757,975
-
2a · Program service revenue: SUPPORT SERVICE FEES
total $176,383,210 · related or exempt $176,383,210
-
2b · Program service revenue: EMPL HEALTH PLAN PREM
total $103,092,124 · related or exempt $103,092,124
-
2c · Program service revenue: FITNESS CENTER REVENUE
total $1,908,272 · related or exempt $684,541 · unrelated business $1,223,731
-
2d · Program service revenue: OTH PROG SVC REVENUE
total $493,275 · related or exempt $493,275
-
2e · Program service revenue: DURABLE MEDICAL EQUIP
total $274,866 · related or exempt $238,070 · unrelated business $36,796
-
2f · All other program service revenue
total $192,120 · related or exempt $192,120
-
3 · Investment income
total $2,287,238 · unrelated business $63,000 · excluded $2,224,238
-
6a · Gross rents
real property $2,961,184
-
6b · Less rental expenses
real property $1,627,118
-
6c · Rental income or loss
real property $1,334,066
-
6d · Net rental income or loss
total $1,334,066 · unrelated business $108,000 · excluded $1,226,066
-
7a · Gross sales of assets other than inventory
securities $105,574,164
-
7b · Less cost or other basis and sales expenses
securities $105,617,292
-
7c · Gain or loss
securities -$43,128
-
7d · Net gain or loss
total -$43,128 · excluded -$43,128
-
11a · Other revenue: OCCUPANCY SERVICES
total $449,724 · unrelated business $449,724
-
11b · Other revenue: GROUP PURCHASING
total $260,570 · unrelated business $260,570
-
11c · Other revenue: JOINT VENTURES
total $69,374 · unrelated business $69,374
-
11e · Other revenue, total
$779,668
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $12,500 · program services $12,500
-
2 · Grants to domestic individuals
total $249 · program services $249
-
5 · Compensation of officers, directors and key employees
total $10,016,734 · management and general $10,016,734
-
7 · Other salaries and wages
total $100,810,176 · program services $84,078,768 · management and general $15,265,285 · fundraising $1,466,123
-
8 · Pension plan contributions
total $5,719,249 · program services $4,855,795 · management and general $787,792 · fundraising $75,662
-
9 · Other employee benefits
total $22,565,424 · program services $19,158,647 · management and general $3,108,251 · fundraising $298,526
-
10 · Payroll taxes
total $7,804,478 · program services $6,626,210 · management and general $1,075,020 · fundraising $103,248
-
11a · Fees: management
total $1,118,233 · program services $1,118,233
-
11b · Fees: legal
total $623,192 · management and general $599,903 · fundraising $23,289
-
11c · Fees: accounting
total $440,559 · management and general $440,559
-
11d · Fees: lobbying
total $75,332 · program services $75,332
-
11f · Fees: investment management
total $37,574 · program services $18,787 · management and general $18,787
-
11g · Fees: other
total $9,584,611 · program services $7,685,856 · management and general $1,868,755 · fundraising $30,000
-
12 · Advertising and promotion
total $792,115 · program services $777,312 · management and general $12,537 · fundraising $2,266
-
13 · Office expenses
total $12,717,921 · program services $11,876,330 · management and general $753,501 · fundraising $88,090
-
14 · Information technology
total $11,991,126 · program services $11,706,452 · management and general $284,674
-
16 · Occupancy
total $2,457,305 · program services $2,306,364 · management and general $118,389 · fundraising $32,552
-
17 · Travel
total $576,088 · program services $435,362 · management and general $132,435 · fundraising $8,291
-
19 · Conferences, conventions and meetings
total $400,062 · program services $363,620 · management and general $29,929 · fundraising $6,513
-
20 · Interest
total $1,339,976 · program services $826,765 · management and general $513,211
-
22 · Depreciation, depletion and amortization
total $13,135,438 · program services $12,832,870 · management and general $302,258 · fundraising $310
-
23 · Insurance
total $3,557,938 · program services $2,727,644 · management and general $830,294
-
24a · Other expenses: CLAIM FEES
total $92,971,706 · program services $92,971,706
-
24b · Other expenses: PURCHASED SERVICES
total $1,481,059 · program services $1,065,804 · management and general $185,009 · fundraising $230,246
-
24c · Other expenses: DUES, TAXES, & LICENSES
total $688,320 · program services $295,350 · management and general $380,281 · fundraising $12,689
-
24d · Other expenses: MEDICAL SUPPLIES
total $129,536 · program services $129,536
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $800 · end of year $800
-
2 · Savings and temporary cash investments
beginning of year $253,969,194 · end of year $147,764,428
-
4 · Accounts receivable
beginning of year $859,990 · end of year $1,272,622
-
5 · Loans and receivables from officers and key people
beginning of year $20,924 · end of year $18,859
-
7 · Other notes and loans receivable
beginning of year $1,219,191 · end of year $47,790
-
8 · Inventories for sale or use
beginning of year $189,620 · end of year $98,017
-
9 · Prepaid expenses and deferred charges
beginning of year $8,274,860 · end of year $8,545,688
-
10a · Land, buildings and equipment: cost or other basis
$251,233,994
-
10b · Land, buildings and equipment: accumulated depreciation
$144,863,773
-
10c · Land, buildings and equipment, net
beginning of year $113,990,772 · end of year $106,370,221
-
11 · Investments: publicly traded securities
end of year $9,674,844
-
12 · Investments: other securities
beginning of year $22,432,068 · end of year $22,603,098
-
13 · Investments: program-related
beginning of year $171,923 · end of year $171,551
-
15 · Other assets
beginning of year $18,947,037 · end of year $20,640,229
-
17 · Accounts payable and accrued expenses
beginning of year $55,502,487 · end of year $58,470,011
-
19 · Deferred revenue
beginning of year $650,348 · end of year $527,934
-
20 · Tax-exempt bond liabilities
beginning of year $166,849,305 · end of year $165,638,512
-
23 · Secured mortgages and notes payable
beginning of year $37,339,168 · end of year $30,424,771
-
25 · Other liabilities
beginning of year $105,219,435 · end of year $23,991,104
-
27 · Net assets without donor restrictions
beginning of year $54,515,636 · end of year $38,155,815
Mission and programs · 2022
Mission
SAMARITAN HEALTH SERVICES (SHS) IS THE PARENT COMPANY OF A REGIONAL NETWORK OF TAX-EXEMPT HOSPITALS, PHYSICIANS, AND AFFILIATED ORGANIZATIONS. (CONTINUED ON SCHEDULE O)(CONTINUED FROM PART III) 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. SHS PROVIDES HEALTHCARE SERVICES REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, DISABILITY OR AGE. 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 ENHANCE COMMUNITY HEALTH THROUGH QUALITY SERVICES ACROSS A CONTINUUM OF CARE.
-
AS THE PARENT ORGANIZATION, SHS PROVIDES ADMINISTRATIVE AND OTHER SUPPORT SERVICES TO ITS AFFILIATED ORGANIZATIONS, SUCH AS PATIENT BILLING, INFORMATION SERVICES, ACCOUNTING, AND EMPLOYEE RECRUITMENT. SHS SPONSORS A HEALTH PLAN THAT PROVIDES MEDICAL, DENTAL, AND PHARMACY BENEFITS TO EMPLOYEES OF SHS AND ITS AFFILIATES. AS A SYSTEM, SHS LOOKS CAREFULLY AT LOCAL HEALTH CARE NEEDS AND GIVES THOUGHTFUL CONSIDERATION TO THE MOST EFFECTIVE WAYS TO MEET THOSE NEEDS. THE RESULT IS A RICH MIX OF LOCAL AND CENTRALIZED REGIONAL SERVICES, WHICH PROVIDE HIGH VALUE AND EXCELLENT HEALTH CARE FOR PEOPLE AT ALL STAGES OF THEIR LIVES.SAMARITAN HEALTH SERVICES (SHS) HAS POLICIES THAT PROVIDE FOR SERVING THOSE WITHOUT THE ABILITY TO PAY FOR TREATMENT. THE POLICIES ESTABLISH CRITERIA BASED ON THE INCOME OF THE PERSON RESPONSIBLE FOR THE BILL AND COLLECTIONS ARE AT AMOUNTS LESS THAN ITS ESTABLISHED RATES ON A SLIDING SCALE DOWN TO NO PAYMENT AT ALL. IN 2022 SHS PROVIDED SERVICES THAT BENEFITED THE POOR AND OTHERS IN THE COMMUNITIES IT SERVED. IN ADDITION TO THE GRANTS SHOWN ON LINE 4B, SHS INCURRED $2,123,410 OF COMMUNITY BENEFIT COSTS, INCLUDING HEALTH PROFESSION EDUCATION, COMMUNITY BUILDING ACTIVITIES, AND RESEARCH.
Expenses $261,932,743 · Revenue $281,083,340
-
GRANTS PROVIDED BY SAMARITAN HEALTH SERVICES TO VARIOUS ORGANIZATION(S) AND INDIVIDUALS TO ASSIST RESIDENTS IN BENTON, AND LINN COUNTIES. SEE SCHEDULE I FOR MORE DETAILS.
Expenses $12,749 · Grants $12,749
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Judy ListJUDY LIST
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Bob AdamsBOB ADAMS
BOARD SECRETARY
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Randy SpringerRANDY SPRINGER
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Milton MoranMILTON MORAN
BOARD CHAIR ELECT
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Loren RothLOREN ROTH
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Charles MouradianCHARLES MOURADIAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Jim DenhamJIM DENHAM
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 3 related
-
Nancy SeifertNANCY SEIFERT
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Richard KenyonRICHARD KENYON
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
Troy Garrett MDTROY GARRETT MD
BOARD MEMBER / PHYSICIAN
- Total calculated
- $211,785
- From this org
- $0
- From related orgs
- $194,767
- Other
- $17,018
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $179,598 related
- Bonus
- $0 + $13,933 related
- Other
- $0 + $1,236 related
- Deferred
- $0 + $13,643 related
- Nontaxable benefits
- $0 + $3,375 related
- Filer's total
- $0 + $211,785 related
-
Reverend William McCarthyREVEREND WILLIAM MCCARTHY
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1
-
Leslie Pliskin MDLESLIE PLISKIN MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Paul Daskalos DoPAUL DASKALOS DO
BOARD MEMBER / PHYSICIAN
- Total calculated
- $484,684
- From this org
- $0
- From related orgs
- $422,231
- Other
- $62,453
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $0 + $419,447 related
- Bonus
- $0
- Other
- $0 + $2,784 related
- Deferred
- $0 + $24,620 related
- Nontaxable benefits
- $0 + $37,833 related
- Filer's total
- $0 + $484,684 related
-
Stuart PritchardSTUART PRITCHARD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
June ChrismanJUNE CHRISMAN
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Ralph Breitenstein MDRALPH BREITENSTEIN MD
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Douglas BoysenDOUGLAS BOYSEN
PRESIDENT & CEO
- Total calculated
- $1,577,367
- From this org
- $1,512,954
- From related orgs
- $0
- Other
- $64,413
- Hours/week
- 33 + 7 related
Schedule J breakdown matched by us
- Base
- $1,045,442
- Bonus
- $380,053
- Other
- $87,459
- Deferred
- $24,620
- Nontaxable benefits
- $39,793
- Filer's total
- $1,577,367
-
Daniel SmithDANIEL SMITH
SVP / CFO
- Total calculated
- $701,981
- From this org
- $638,044
- From related orgs
- $0
- Other
- $63,937
- Hours/week
- 23 + 17 related
Schedule J breakdown matched by us
- Base
- $492,567
- Bonus
- $104,160
- Other
- $41,317
- Deferred
- $24,620
- Nontaxable benefits
- $39,317
- Filer's total
- $701,981
-
Robert Turngren MDROBERT TURNGREN MD
SVP / CHIEF PHYSICIAN EXEC
- Total calculated
- $703,044
- From this org
- $645,515
- From related orgs
- $0
- Other
- $57,529
- Hours/week
- 39 + 1 related
Schedule J breakdown matched by us
- Base
- $507,937
- Bonus
- $102,600
- Other
- $34,978
- Deferred
- $24,620
- Nontaxable benefits
- $32,909
- Filer's total
- $703,044
-
Kelley KaiserKELLEY KAISER
SVP / CAO
- Total calculated
- $558,912
- From this org
- $496,145
- From related orgs
- $0
- Other
- $62,767
- Hours/week
- 35 + 5 related
Schedule J breakdown matched by us
- Base
- $402,834
- Bonus
- $85,255
- Other
- $8,056
- Deferred
- $24,620
- Nontaxable benefits
- $38,147
- Filer's total
- $558,912
-
Joseph CahillJOSEPH CAHILL
VP CEO MVH
- Total calculated
- $523,159
- From this org
- $471,746
- From related orgs
- $0
- Other
- $51,413
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $361,383
- Bonus
- $78,760
- Other
- $31,603
- Deferred
- $24,620
- Nontaxable benefits
- $26,793
- Filer's total
- $523,159
-
Lesley Ogden MDLESLEY OGDEN MD
VP CEO NLH / CEO SPCH
- Total calculated
- $552,412
- From this org
- $498,041
- From related orgs
- $0
- Other
- $54,371
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $388,943
- Bonus
- $88,660
- Other
- $20,438
- Deferred
- $24,620
- Nontaxable benefits
- $29,751
- Filer's total
- $552,412
-
Daniel KeteriDANIEL KETERI
VP CEO SAGH
- Total calculated
- $530,545
- From this org
- $471,040
- From related orgs
- $0
- Other
- $59,505
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $387,322
- Bonus
- $77,600
- Other
- $6,118
- Deferred
- $18,520
- Nontaxable benefits
- $40,985
- Filer's total
- $530,545
-
Julie ManningJULIE MANNING
VP MKTG / PR & COMMUNITY HLTH PROM
- Total calculated
- $216,195
- From this org
- $190,191
- From related orgs
- $0
- Other
- $26,004
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $102,956
- Bonus
- $47,906
- Other
- $39,329
- Deferred
- $10,472
- Nontaxable benefits
- $15,532
- Filer's total
- $216,195
-
Gail Worden-AcreeGAIL WORDEN-ACREE
VP HUMAN RESOURCES
- Total calculated
- $394,273
- From this org
- $334,385
- From related orgs
- $0
- Other
- $59,888
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $233,301
- Bonus
- $53,052
- Other
- $48,032
- Deferred
- $24,620
- Nontaxable benefits
- $35,268
- Filer's total
- $394,273
-
Glen CunninghamGLEN CUNNINGHAM
VP POPULATION HEALTH SERVICES
- Total calculated
- $288,526
- From this org
- $235,047
- From related orgs
- $0
- Other
- $53,479
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $196,688
- Bonus
- $36,247
- Other
- $2,112
- Deferred
- $13,475
- Nontaxable benefits
- $40,004
- Filer's total
- $288,526
-
Bruce ButlerBRUCE BUTLER
VP CEO HEALTH PLANS
- Total calculated
- $563,004
- From this org
- $519,665
- From related orgs
- $0
- Other
- $43,339
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $425,887
- Bonus
- $81,400
- Other
- $12,378
- Deferred
- $24,620
- Nontaxable benefits
- $18,719
- Filer's total
- $563,004
-
Tyler JacobsenTYLER JACOBSEN
VP CHIEF LEGAL OFFICER
- Total calculated
- $422,629
- From this org
- $357,318
- From related orgs
- $0
- Other
- $65,311
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $279,534
- Bonus
- $55,600
- Other
- $22,184
- Deferred
- $24,620
- Nontaxable benefits
- $40,691
- Filer's total
- $422,629
-
Shiloh ErvenSHILOH ERVEN
VP SMG ADMINISTRATION
- Total calculated
- $270,929
- From this org
- $215,666
- From related orgs
- $0
- Other
- $55,263
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $186,734
- Bonus
- $16,342
- Other
- $12,590
- Deferred
- $16,554
- Nontaxable benefits
- $38,709
- Filer's total
- $270,929
-
Laura HennumLAURA HENNUM
VP CEO GSRMC
- Total calculated
- $586,215
- From this org
- $523,008
- From related orgs
- $0
- Other
- $63,207
- Hours/week
- 1 + 39 related
Schedule J breakdown matched by us
- Base
- $433,500
- Bonus
- $85,490
- Other
- $4,018
- Deferred
- $24,620
- Nontaxable benefits
- $38,587
- Filer's total
- $586,215
-
Margaret Mikula MDMARGARET MIKULA MD
VP CHIEF QUAL OFFICER
- Total calculated
- $634,654
- From this org
- $570,183
- From related orgs
- $0
- Other
- $64,471
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $456,932
- Bonus
- $84,151
- Other
- $29,100
- Deferred
- $24,620
- Nontaxable benefits
- $39,851
- Filer's total
- $634,654
-
Bradley WakefieldBRADLEY WAKEFIELD
VP SMG COO
- Total calculated
- $338,238
- From this org
- $292,815
- From related orgs
- $0
- Other
- $45,423
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $182,911
- Bonus
- $65,922
- Other
- $43,982
- Deferred
- $23,547
- Nontaxable benefits
- $21,876
- Filer's total
- $338,238
-
Pankaj SapraPANKAJ SAPRA
SVP / CIO
- Total calculated
- $549,280
- From this org
- $498,563
- From related orgs
- $0
- Other
- $50,717
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $411,044
- Bonus
- $86,100
- Other
- $1,419
- Deferred
- $11,012
- Nontaxable benefits
- $39,705
- Filer's total
- $549,280
-
Janet McGuireJANET MCGUIRE
VP REVENUE CYCLE
- Total calculated
- $345,573
- From this org
- $302,277
- From related orgs
- $0
- Other
- $43,296
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $275,346
- Bonus
- $23,884
- Other
- $3,047
- Deferred
- $24,390
- Nontaxable benefits
- $18,906
- Filer's total
- $345,573
-
Nancy FryNANCY FRY
VP FINANCE
- Total calculated
- $259,798
- From this org
- $228,530
- From related orgs
- $0
- Other
- $31,268
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $208,235
- Bonus
- $17,938
- Other
- $2,357
- Deferred
- $16,854
- Nontaxable benefits
- $14,414
- Filer's total
- $259,798
-
David Zarkou DpmDAVID ZARKOU DPM
SENIOR MEDICAL DIRECTOR
- Total calculated
- $466,584
- From this org
- $404,203
- From related orgs
- $0
- Other
- $62,381
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $355,149
- Bonus
- $31,271
- Other
- $17,783
- Deferred
- $24,620
- Nontaxable benefits
- $37,761
- Filer's total
- $466,584
-
Barry Smith MDBARRY SMITH MD
SENIOR MEDICAL DIRECTOR
- Total calculated
- $507,139
- From this org
- $457,600
- From related orgs
- $0
- Other
- $49,539
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $423,684
- Bonus
- $33,000
- Other
- $916
- Deferred
- $24,620
- Nontaxable benefits
- $24,919
- Filer's total
- $507,139
-
Kevin Ewanchyna MDKEVIN EWANCHYNA MD
VP CHIEF MEDICAL OFFICER SHPO
- Total calculated
- $578,797
- From this org
- $386,353
- From related orgs
- $128,318
- Other
- $64,126
- Hours/week
- 30 + 10 related
Schedule J breakdown matched by us
- Base
- $326,340 + $80,033 related
- Bonus
- $29,350
- Other
- $30,663 + $48,285 related
- Deferred
- $24,620
- Nontaxable benefits
- $30,446 + $9,060 related
- Filer's total
- $441,419 + $137,378 related
-
Kristy Jessop MDKRISTY JESSOP MD
SENIOR MEDICAL DIRECTOR
- Total calculated
- $432,872
- From this org
- $383,797
- From related orgs
- $0
- Other
- $49,075
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $340,433
- Bonus
- $29,458
- Other
- $13,906
- Deferred
- $24,620
- Nontaxable benefits
- $24,455
- Filer's total
- $432,872
-
Brent Godek MDBRENT GODEK MD
SENIOR MEDICAL DIRECTOR
- Total calculated
- $424,414
- From this org
- $374,910
- From related orgs
- $0
- Other
- $49,504
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $344,619
- Bonus
- $29,458
- Other
- $833
- Deferred
- $24,620
- Nontaxable benefits
- $24,884
- Filer's total
- $424,414
-
Ryan CombsRYAN COMBS
VP OPERATIONS MVH
- Total calculated
- $298,705
- From this org
- $0
- From related orgs
- $249,932
- Other
- $48,773
- Hours/week
- 0 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $180,377 related
- Bonus
- $0 + $21,800 related
- Other
- $0 + $47,755 related
- Deferred
- $0 + $19,675 related
- Nontaxable benefits
- $0 + $29,098 related
- Filer's total
- $0 + $298,705 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
- 1a · Health or social club dues or initiation fees
- 1b · Written policy on the line-1a expenses
- 2 · Substantiation required before reimbursing expenses
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Form 990 of other organizations
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 5b · Pay contingent on a related organization's revenues
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
- 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. TWO KEY EMPLOYEES 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, ONE OFFICER, SEVEN KEY EMPLOYEES, FOUR HIGHEST PAID EMPLOYEES, AND ONE FORMER KEY EMPLOYEE USED THE SAMARITAN (SAMFIT) GYM/FITNESS FACILITY BENEFIT DURING THE FILING YEAR.
- PART I, LINE 4B
- LINE 4B: THE FILING 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
-
FUNDING FOR CHILDCARE SUPPORT SERVICES
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 · controlled entity
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 · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY) · OR · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
GOOD SAMARITAN HOSPITAL AUXILIARY
501(C)(3) · TO SUPPORT GOOD SAMARITAN HOSPITAL · OR
-
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 · controlled entity
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 · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
PARADIGM INDEMNITY CORPORATION
501(C)(3) · PURE NON-PROFIT CAPTIVE INSURANCE COMPANY · HI · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
GOOD SAMARITAN HOSPITAL CORVALLIS
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
SAMARITAN NORTH LINCOLN HOSPITAL
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
SAMARITAN PACIFIC HEALTH SERVICES
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · OR · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY) · OR · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
PACIFIC COMMUNITIES HEALTH DISTRICT
GOV'T · HEALTHCARE DISTRICT · OR
-
PACIFIC COMMUNITIES HEALTH DISTRICT FND
501(C)(3) · TO SUPPORT PAC COMM HLTH DIST & SAMARITAN PAC HLTH SVCS · OR
-
NORTH LINCOLN HEALTH DISTRICT
GOV'T · HEALTHCARE DISTRICT · OR
-
NORTH LINCOLN HOSPITAL FOUNDATION
501(C)(3) · TO SUPPORT SAMARITAN NORTH LINCOLN HOSPITAL · OR
Directly controlled by SAMARITAN NORTH LINCOLN HOSPITAL
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.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
SAMARITAN RESOURCES
ENVIRONMENTAL SERVICES (INACTIVE) · OR · income $0 · assets $0
Directly controlled by SAMARITAN HEALTH SERVICES
-
SAMARITAN MEDICAL SUPPLIES LLC
DURABLE MEDICAL SUPPLIES · OR · income -$10,967 · assets $858,139
Directly controlled by SAMARITAN HEALTH SERVICES
-
SAMARITAN DIALYSIS SERVICES LLC
DIALYSIS SERVICES · OR · income -$1,196,177 · assets $6,358
Directly controlled by SAMARITAN HEALTH SERVICES
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
-
EAST LINN MRI LLC
IMAGING · OR
-
HULL IMAGING LLC
IMAGING · OR
-
CORVALLIS MRI LLC
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
UNRELATED · RESEARCH · OR · 35.22% owned · share of income -$3,711 · share of assets $521,547 · general or managing partner
-
CASCADE VIEW MEDICAL OFFICE BUILDING LLC
REAL ESTATE RENTAL · OR
-
BSM SURGERY CENTER LLC
RELATED · MEDICAL SERVICES · OR · 5% owned · share of income $43,945 · share of assets $23,693
Directly controlled by DOCBSMASC LLC
-
AIKENS DIALYSIS LLC
MEDICAL SERVICES · WA
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
SAMARITAN HEALTH PLANS INC
C · HEALTH INSURANCE CARRIER FOR THE COMMUNITY · OR · 100% owned · share of income -$10,915,468 · share of assets $26,628,118 · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
-
BOULDER FALLS PROPERTIES LLC
C · EVENT CENTER & HOSPITALITY SVCS · OR · 100% owned · share of income -$250,224 · share of assets $14,538,531 · controlled entity
Directly controlled by SAMARITAN HEALTH SERVICES
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 9 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202333149349302918
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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