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Nonprofiteer
← SAMARITAN HEALTH SERVICES INC

Form 990 for tax year 2022

Filed by SAMARITAN HEALTH SERVICES INC.

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 List

    BOARD CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Bob Adams

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Randy Springer

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Milton Moran

    BOARD CHAIR ELECT

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Loren Roth

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Charles Mouradian

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Jim Denham

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 3 related
  • Nancy Seifert

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Richard Kenyon

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Troy 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 McCarthy

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1
  • Leslie Pliskin MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Paul 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 Pritchard

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • June Chrisman

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Ralph Breitenstein MD

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Douglas 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 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 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 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 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 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 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 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-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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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 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

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.

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

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