Form 990 for tax year 2022
Filed by ALBANY GENERAL HOSPITAL FOUNDATION.
Totals
- Total revenue
- $703,589
- Total expenses
- $847,590
- Contributions and grants received
- $586,269
- Grants paid
- $828,314
- Program service revenue
- $0
- Investment income
- $113,009
- Other revenue
- $4,311
- Total assets, end of year
- $4,159,436
- Total liabilities, end of year
- $16,796
- Net assets or fund balances, end of year
- $4,142,640
- Program services expenses (Part IX)
- $828,314
- Management and general expenses
- $19,276
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $828,314
Program services were 97.7% 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.
-
1a · Federated campaigns
$11,583
-
1c · Fundraising events
$112,880
-
1f · All other contributions, gifts and grants
$461,806
-
3 · Investment income
total $96,466 · excluded $96,466
-
7a · Gross sales of assets other than inventory
securities $1,084,681
-
7b · Less cost or other basis and sales expenses
securities $1,064,763 · other assets $3,375
-
7c · Gain or loss
securities $19,918 · other assets -$3,375
-
7d · Net gain or loss
total $16,543 · excluded $16,543
-
8a · Fundraising events: gross income
$18,398
-
8a · Fundraising events: contributions included on line 1c
$112,880
-
8b · Fundraising events: direct expenses
$14,087
-
8c · Net income from fundraising events
total $4,311 · excluded $4,311
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $768,134 · program services $768,134
-
2 · Grants to domestic individuals
total $60,180 · program services $60,180
-
11c · Fees: accounting
total $6,000 · management and general $6,000
-
11f · Fees: investment management
total $9,992 · management and general $9,992
-
13 · Office expenses
total $2,369 · management and general $2,369
-
24a · Other expenses: LICENSES & FEES
total $915 · management and general $915
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $95,570 · end of year $291,345
-
2 · Savings and temporary cash investments
beginning of year $154,197 · end of year $1,631
-
3 · Pledges and grants receivable
beginning of year $20,600 · end of year $37,917
-
11 · Investments: publicly traded securities
beginning of year $4,877,781 · end of year $3,828,543
-
15 · Other assets
beginning of year $5,375
-
17 · Accounts payable and accrued expenses
beginning of year $7,134 · end of year $16,796
-
27 · Net assets without donor restrictions
beginning of year $2,193,861 · end of year $1,311,080
-
28 · Net assets with donor restrictions
beginning of year $2,952,528 · end of year $2,831,560
Mission and programs · 2022
Mission
THE FOUNDATION'S SPECIFIC PURPOSE IS TO SOLICIT, RECEIVE, AND MAINTAIN GIFTS OF MONEY AND PROPERTY, AND TO MAKE DECISIONS ON THE DISTRIBUTIONS OF SUCH MONEY AND PROPERTY, TO SUPPORT ALBANY GENERAL HOSPITAL AND HEALTH SVCS IN THE GENERAL COMMUNITY OF ALBANY, OREGON.
Activities or mission (Part I)
TO SUPPORT ALBANY GENERAL HOSPITAL AND SERVE THE COMMUNITY.
-
GRANTS TO THE HOSPITAL AND SUPPORTING ORGANIZATIONS OR PROGRAMS FOR OPERATING AND CAPITAL COSTS.THERE WAS ALSO GRANT FUNDING FOR THE OPERATIONS OF THE HOSPITAL'S EVERGREEN HOSPICE HOUSE AND THE FOR THE ALBANY INREACH CLINIC; WHICH PROVIDES FREE MEDICAL SERVICES TO LOCAL LOW-INCOME ADULTS.SEE SCHEDULE I, PART II FOR A LISTING OF 2022 GRANTS.
Expenses $768,134 · Grants $768,134
-
PROVIDED EMERGENCY FINANCIAL ASSISTANCE TO HOSPITAL EMPLOYEES IN NEED. THIS ASSISTANCE IS SHOWN ON SCHEDULE I, PART III.
Expenses $33,210 · Grants $33,210
-
PROVIDED FINANCIAL ASSISTANCE TO CANCER AND OTHER PATIENTS IN NEED. THIS ASSISTANCE IS SHOWN ON SCHEDULE I, PART III.
Expenses $26,970 · Grants $26,970
As filed on the 2022 return.
Listed in Part VII
-
Chris HansonCHRIS HANSON
CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Barbara HansenBARBARA HANSEN
SENIOR VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Mary HarerMARY HARER
VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2
-
Brenda BurchBRENDA BURCH
SECRETARY
- Total calculated
- $0
- Hours/week
- 2
-
Heather McGowanHEATHER MCGOWAN
TREASURER
- Total calculated
- $0
- Hours/week
- 2
-
Dell AlexanderDELL ALEXANDER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kimberly Christensen CraKIMBERLY CHRISTENSEN CRA
DIRECTOR / DIRECTOR RADIOLOGY
- Total calculated
- $35,026
- From this org
- $0
- From related orgs
- $29,121
- Other
- $5,905
- Hours/week
- 1 + 39 related
-
Jim DeckerJIM DECKER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Michael GogerMICHAEL GOGER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Kari GoodyearKARI GOODYEAR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Krista HartmanKRISTA HARTMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Madelyn KoontzMADELYN KOONTZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Justin KruegerJUSTIN KRUEGER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Charles MouradianCHARLES MOURADIAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 1 related
-
Perry OrdemanPERRY ORDEMAN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Susie OrsbornSUSIE ORSBORN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Stacy RamirezSTACY RAMIREZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Janet SteeleJANET STEELE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Will SummersWILL SUMMERS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
Daniel SmithDANIEL 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
-
Jennifer StanawayJENNIFER STANAWAY
EXECUTIVE DIRECTOR
- Total calculated
- $151,828
- From this org
- $0
- From related orgs
- $131,877
- Other
- $19,951
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $0 + $129,600 related
- Bonus
- $0 + $1,881 related
- Other
- $0 + $396 related
- Deferred
- $0 + $7,929 related
- Nontaxable benefits
- $0 + $12,022 related
- Filer's total
- $0 + $151,828 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 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
-
$350,000
CONSTRUCTION
-
$183,248
HOSPITAL EQUIPMENT
-
$95,754
HOSPICE SERVICES SUPPORT
-
$79,738
INREACH CLINIC SUPPORT
-
$58,994
HOSPITAL OPERATIONS 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
-
501(C)(3) · FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY) · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
501(C)(3) · HEALTH SERVICES FOR LOW-INCOME PATIENTS · OR
Directly controlled by SAMARITAN HEALTH SERVICES
-
GOOD SAMARITAN HOSPITAL CORVALLIS
501(C)(3) · HOSPITAL SERVICES FOR THE COMMUNITY · 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
-
SAMARITAN NORTH LINCOLN HOSPITAL
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
-
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.
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
RESEARCH · OR
-
CASCADE VIEW MEDICAL OFFICE BUILDING LLC
REAL ESTATE RENTAL · OR
-
BSM SURGERY CENTER LLC
MEDICAL SERVICES · OR
-
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
-
BOULDER FALLS PROPERTIES LLC
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
- 202323139349305122
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