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Nonprofiteer
← SILVERTON HEALTH FOUNDATION

Form 990 for tax year 2023

Filed by SILVERTON HEALTH FOUNDATION.

Totals

Total revenue
$1,980,930
Total expenses
$2,064,815
Contributions and grants received
$476,907
Grants paid
$2,064,815
Program service revenue
$0
Investment income
$1,504,023
Other revenue
$0
Total assets, end of year
$9,734,330
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$9,734,330
Program services expenses (Part IX)
$2,064,815
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$2,064,815

Program services were 100.0% 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.

  • 1f · All other contributions, gifts and grants

    $476,907

  • 3 · Investment income

    total $221,242 · excluded $221,242

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6d · Net rental income or loss

    total $0

  • 7a · Gross sales of assets other than inventory

    securities $4,282,781

  • 7b · Less cost or other basis and sales expenses

    securities $3,000,000

  • 7c · Gain or loss

    securities $1,282,781

  • 7d · Net gain or loss

    total $1,282,781 · excluded $1,282,781

  • 8c · Net income from fundraising events

    total $0

  • 9c · Net income from gaming

    total $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $2,064,815 · program services $2,064,815

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $0

  • 8 · Pension plan contributions

    total $0

  • 9 · Other employee benefits

    total $0

  • 10 · Payroll taxes

    total $0

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $0

  • 12 · Advertising and promotion

    total $0

  • 13 · Office expenses

    total $0

  • 14 · Information technology

    total $0

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $0

  • 17 · Travel

    total $0

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $0

  • 23 · Insurance

    total $0

  • 24e · All other expenses

    total $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    end of year $0

  • 2 · Savings and temporary cash investments

    end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $10,000 · end of year $16,500

  • 4 · Accounts receivable

    end of year $0

  • 5 · Loans and receivables from officers and key people

    end of year $0

  • 6 · Loans and receivables from disqualified persons

    end of year $0

  • 7 · Other notes and loans receivable

    end of year $0

  • 8 · Inventories for sale or use

    end of year $0

  • 9 · Prepaid expenses and deferred charges

    end of year $0

  • 10c · Land, buildings and equipment, net

    end of year $0

  • 11 · Investments: publicly traded securities

    end of year $0

  • 12 · Investments: other securities

    beginning of year $9,768,215 · end of year $9,681,330

  • 13 · Investments: program-related

    end of year $0

  • 14 · Intangible assets

    end of year $0

  • 15 · Other assets

    beginning of year $40,000 · end of year $36,500

  • 27 · Net assets without donor restrictions

    beginning of year $8,604,075 · end of year $9,002,999

  • 28 · Net assets with donor restrictions

    beginning of year $1,214,140 · end of year $731,331

Mission and programs · 2023

Mission

The mission of the Foundation is to foster charitable giving as well as community commitment and involvement to support the mission and vision of Legacy Silverton Health.

  • Charitable gifts to Silverton Health Foundation support the programs and services of Legacy Silverton Medical Center, many of which are not supported by traditional means of reimbursement.Legacy Silverton Medical Center has served Silverton and the mid-Willamette Valley for more than 100 years. Among the hospitals comprehensive services are:* Emergency and Intensive care; level 3 trauma certification* Family Birth Center* Orthopedic Services, including total joint replacements* Occupational health workplace programs* Foot care clinics in Woodburn and Silverton * Anticoagulation help, wound care and infusion therapy at STEPS Clinics in Silverton and WoodburnPhilanthropic contributions supported programs in these major areas:Patient Care $2,046,700Education and Training $ 6,471Community Benefit and Other Programs $ 11,644Some of the projects funded in this year included: Supported the construction of the new emergency department at Legacy Silverton Medical Center. Provided emergency medications, durable medical equipment, and other health-related supplies to uninsured, under-insured, and low-income patients. Purchased medical equipment for Legacy Silverton Medical Center. Supported the school nurse program for the Silver Falls School District. Provided continuing education scholarships for nurses. Supported child passenger safety seat activities for the community.

    Expenses $2,064,815 · Grants $2,064,815 · Revenue $476,907

As filed on the 2023 return.

Listed in Part VII

  • Julian J Uselman Do

    Trustee

    Total calculated
    $473,607
    From this org
    $0
    From related orgs
    $406,397
    Other
    $67,210
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $300,632 related
    Bonus
    not reported + $86,755 related
    Other
    not reported + $19,010 related
    Deferred
    not reported + $44,182 related
    Nontaxable benefits
    not reported + $23,028 related
    Filer's total
    not reported + $473,607 related

  • Joseph Z Yoder

    Trustee

    Total calculated
    $371,346
    From this org
    $0
    From related orgs
    $296,270
    Other
    $75,076
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $297,500 related
    Bonus
    not reported
    Other
    not reported + -$1,230 related
    Deferred
    not reported + $55,544 related
    Nontaxable benefits
    not reported + $19,532 related
    Filer's total
    not reported + $371,346 related

  • Gaynor M Hills

    Executive Dir.

    Total calculated
    $257,389
    From this org
    $0
    From related orgs
    $229,357
    Other
    $28,032
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $218,684 related
    Bonus
    not reported
    Other
    not reported + $10,673 related
    Deferred
    not reported + $14,337 related
    Nontaxable benefits
    not reported + $13,695 related
    Filer's total
    not reported + $257,389 related

  • Kent E Doerfler

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • Jane L Jones

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Whitney H Ulven

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Robert L Engle

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Jennifer M Cote

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • William Sl Cameron

    Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Cheryl Lorenz

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Cindy J Jones

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Julie Nash

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Thomas C Bauman

    Trustee

    Total calculated
    $0
    Hours/week
    2

  • Yuri Chavez

    Chairman

    Total calculated
    $0
    Hours/week
    2

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
  • 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 5b: Explanation of organization compensation based on revenues of related organization
Physicians employed by Legacy affiliates are paid variable compensation based on quality, value, and production. Production is based upon the level of effort of services provided during the year measured by industry standard relative value units (RVU) and which generate revenue.
Part II, Compensation from Unrelated Organizations
Sch J, Part 1, Question 3 Regarding Compensation PracticesThe following describes the compensation practices of Legacy Health and its affiliates.The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for executive positions. The Committee oversees the system's governance procedures with respect to intermediate sanctions legislation and the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.Sch J, Part II, Column Breakdown Of W-2 Or Misc-1099:Column B(i) - Base compensation consists of regular base pay including employee elected deferrals for retirement plans (403(b) and 457(b) plans).Column B(ii) - The incentive compensation program for Legacy is based on predetermined criteria and reviewed and approved by the Board. Bonuses are paid to key employees for interim duties outside their primary responsibilities (e.g. Acting in Capacity).Column B(iii) - Other compensation consists of deferred compensation amounts paid to executives during the current year and were reported on prior form 990 returns. These amounts include arrangements that contain elements of a substantial risk of forfeiture conditioned on continued employment, vesting and/or a noncompete provision upon termination of employment.Distributions from 457(b) plans, reported to the employee on a 1099-R, are also included as other compensation. In addition, imputed income for insurance and other benefits is included in other compensation as well as any severance related payments.Column C - Deferred compensation includes the value of contributions to defined contribution plans, amounts deferred under the 457(f) plan including earnings, earnings in the 457(b) plan, and the value of the pension restoration plan. Earnings on the 457(f) and 457(b) include gains and losses on the underlying investments. The defined contribution plan is available to all employees as they become qualified to participate. The pension restoration plan provides executive pension benefits in excess of IRS mandated limits on eligible compensation to key executives. The benefits are unfunded and subject to forfeiture. Executive pension benefits are intended to make the executive's retirement benefit, as a proportion of their final average salary, comparable to all other employees, and are treated as income when paid.Column D - Nontaxable benefits include company paid health and welfare and long term care and disability benefits under group plans.Column F - Current year compensation reported as deferred in prior years.
Part III, Additional Information
SCHEDULE J REPORTING OF TRUSTEE AND OFFICERS ON LEGACY AFFILIATE RETURNS.The Foundation Ex-Officio Trustees and Officers who are also Legacy employees have their compensation paid from Legacy Health and Legacy Silverton Hospital. The compensation is reported for informational purposes on the Foundation return.

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.

Provenance

Return type
form_990
Tax year
2023
Filed
17 February 2025
IRS schema version
2023v6.0
Source object
202500499349300100

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