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Nonprofiteer
← GOOD SAMARITAN FOUNDATION

Form 990 for tax year 2024

Filed by GOOD SAMARITAN FOUNDATION.

Totals

Total revenue
$9,627,840
Total expenses
$7,094,508
Contributions and grants received
$2,688,879
Grants paid
$7,094,508
Program services expenses (Part IX)
$7,094,508
Management and general expenses
$0
Fundraising expenses
$0
Program service expenses (Part III)
$7,094,508

Program services were 100.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • JONATHAN E AVERY

    FORMER EX-OFFICIO

    Total calculated
    $1,279,428
    From this org
    $0
    From related orgs
    $1,150,440
    Other
    $128,988
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $1,047,456 related
    Bonus
    not reported + $103,550 related
    Other
    not reported + -$566 related
    Deferred
    not reported + $80,710 related
    Nontaxable benefits
    not reported + $48,278 related
    Filer's total
    not reported + $1,279,428 related

  • STEVEN MANSBERGER MD

    FORMER TRUSTEE

    Total calculated
    $853,009
    From this org
    $0
    From related orgs
    $454,009
    Other
    $399,000
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $458,552 related
    Bonus
    not reported
    Other
    not reported + -$4,543 related
    Deferred
    not reported + $139,448 related
    Nontaxable benefits
    not reported + $259,552 related
    Filer's total
    not reported + $853,009 related

  • KEVIN D O'BOYLE

    EX-OFFICIO

    Total calculated
    $720,683
    From this org
    $0
    From related orgs
    $653,148
    Other
    $67,535
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $612,367 related
    Bonus
    not reported + $43,280 related
    Other
    not reported + -$2,499 related
    Deferred
    not reported + $17,250 related
    Nontaxable benefits
    not reported + $50,285 related
    Filer's total
    not reported + $720,683 related

  • MAUREEN A BRADLEY

    EX-OFFICIO

    Total calculated
    $692,718
    From this org
    $0
    From related orgs
    $617,551
    Other
    $75,167
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $481,532 related
    Bonus
    not reported + $44,530 related
    Other
    not reported + $91,489 related
    Deferred
    not reported + $42,123 related
    Nontaxable benefits
    not reported + $33,044 related
    Filer's total
    not reported + $692,718 related

  • KHAYREE BUTLER

    Trustee

    Total calculated
    $614,487
    From this org
    $0
    From related orgs
    $567,803
    Other
    $46,684
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $432,327 related
    Bonus
    not reported + $145,457 related
    Other
    not reported + -$9,981 related
    Deferred
    not reported
    Nontaxable benefits
    not reported + $46,684 related
    Filer's total
    not reported + $614,487 related

  • GAYNOR M HILLS

    Executive Dir.

    Total calculated
    $242,048
    From this org
    $0
    From related orgs
    $226,186
    Other
    $15,862
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $225,140 related
    Bonus
    not reported
    Other
    not reported + $1,046 related
    Deferred
    not reported + $2,471 related
    Nontaxable benefits
    not reported + $13,391 related
    Filer's total
    not reported + $242,048 related

  • JANICE J MARQUIS

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • EMILY V KARR

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • PLESCHETTE F FONTENET

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • ALFRED K ONO MD

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • MARC F FOVINCI

    Chairman

    Total calculated
    $0
    Hours/week
    1

  • ANUPAM NARAYAN

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • SUSAN ALTERMAN

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • DOUGLAS H DE WEESE

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM J KIEFEL

    Secretary

    Total calculated
    $0
    Hours/week
    1

  • KATHRYN H REBAGLIATI

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • MARY M DOLICH

    EX-OFFICIO

    Total calculated
    $0
    Hours/week
    1

  • JENNY KIM

    Vice Chair

    Total calculated
    $0
    Hours/week
    1

  • TOM USHER

    Chairman

    Total calculated
    $0
    Hours/week
    1

  • JAMES E LAW

    Treasurer

    Total calculated
    $0
    Hours/week
    1

  • JAMES C HAMPTON

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • KANDIS B NUNN

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • ANDREW G ROWE

    Trustee

    Total calculated
    $0
    Hours/week
    1

  • WILLIAM J JONES

    Trustee

    Total calculated
    $0
    Hours/week
    1

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 — 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
  • 6b · Pay contingent on a related organization's net earnings

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
  • 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 I, Line 6b: Explanation of organization compensation contingent on net earnings from related or
Legacy has an at-risk incentive compensation plan for management. The plan is based on meeting goals related to employee engagement, work processes, customer service, clinical quality, financial management, and certain key strategic tactics. In order to payout any at-risk incentive compensation, Legacy must exceed operating margin targets.
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 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, Legacy Emanuel Hospital & Health Center or Legacy Good Samaritan 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
2024
Filed
16 February 2026
IRS schema version
2024v5.2
Source object
202610479349302061

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