2019-02-15T15:48:55-08:00 2018-03-31 990 2017-04-01 237017276 GOOD SAMARITAN FOUNDATION GOOD 5034155600 PO BOX 4484 PORTLAND OR 97208 K RENA WHITTAKER Executive Director 2019-02-15 2017 2019-02-21 02:37:17Z K RENA WHITTAKER C/O 1919 NW LOVEJOY STREET PORTLAND OR 97209 18051382 false false X WWW.LEGACYHEALTH.ORG X 1969 OR GOOD SAMARITAN FOUNDATION HAS ENCOURAGED CHARITABLE GIVING FROM THE COMMUNITY SINCE ITS ESTABLISHMENT IN 1969. THE FOUNDATION SUPPORTS THE ADVANCEMENT OF RESEARCH, EDUCATION AND TECHNOLOGY IN MEDICAL SCIENCE AT LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL CENTER. 21 17 0 55 0 2383088 2656382 0 8854338 10368175 -6712 -38706 11230714 12985851 6186715 6706913 0 0 0 0 0 6186715 6706913 5043999 6278938 91576276 97855019 4984 4789 91571292 97850230 GOOD SAMARITAN FOUNDATION HAS ENCOURAGED CHARITABLE GIVING FROM THE COMMUNITY SINCE ITS ESTABLISHMENT IN 1969. THE FOUNDATION SUPPORTS THE ADVANCEMENT OF RESEARCH, EDUCATION AND TECHNOLOGY IN MEDICAL SCIENCE AT LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL CENTER. false false 6706913 6706913 2656382 Good Samaritan Foundation has encouraged charitable giving from the community since its establishment in 1969. The Foundation supports the advancement of research, education, and technology in medical science at Legacy Good Samaritan Medical Center.Legacy Good Samaritan Medical Center, founded in 1875 by the Episcopal Diocese of Oregon, stands in the heart of northwest Portland as one of the Pacific Northwests oldest and most advanced medical centers. Legacy Good Samaritan provides a full range of inpatient and outpatient services, with special emphasis on its centers of excellence, including:* Cancer Services* Emergency and Critical Care* Devers Eye Institute * Diabetes & Weight Management Services* Legacy Hospice Services* Rehabilitation Institute of OregonIn fiscal year 2018, philanthropic contributions supported programs in four major areas:Patient Care $3,447,850Research $2,672,784Education and Training $ 583,388Community Benefit & Other Hospital Programs $ 68,422Some of the specific projects funded in this year were as follows: Funded general and specialty care diagnosis, procedures and surgeries for ophthalmology patients without insurance coverage or financial means.Provided emergency medications, durable medical equipment, transitional housing, and other health-related supplies to uninsured, under-insured, and low-income patients. Provided scholarships for medical nutrition therapy and diabetes education with a registered dietitian for patients whose physician has made a diagnosis this personalized education but who do not have insurance coverage or personal resources for these services. Purchased wheelchairs and seating systems for outpatients who do not have insurance or the financial resources to buy necessary equipment to help avoid further health problems. Purchased a robotic exoskeleton clinical system enabling individuals with spinal cord injury to stand upright and walk by providing powered hip and knee motion. Purchased equipment for the breast health center to improve diagnostic and treatment options including a new Breast Gamma Imaging unit, a Brevera Biopsy System and a SAVI Scout. Purchased a Spectralis OCT Imaging system for the Legacy Devers Eye Institute to support more precise retinal imaging for patients. Supported complementary therapies for cancer patients including art therapy, yoga, Tai Chi, massage and accupunture. Supported innovative research to identify ways to improve outcomes and experiences for patients suffering from Parkinsons, Alzheimers, cancer, epilepsy, stroke, diabetes and glaucoma. Awarded scholarships for nursing students attending the Linfield School of Nursing. Provided operating support for Legacy Hospice Services. 6706913 true true false false false false false false false true false true false false true false false true false false false false false false true false false true false true false false false false false false false false false false false true false false false false true false false false true 0 0 false 0 false false false false false false false true true false 0 false false false false false false false false false false X 21 17 false true false false true true true true true false false true true true true true true true true false OR X X MARGARET T HOCH 5034155600 1919 NW LOVEJOY STREET PORTLAND OR 97209 BRIAN W BATTALIA MD Trustee 1.00 0.00 X 0 0 0 JENNIFER E APONTE MD Trustee 1.00 1.00 X 0 26708 0 CLAYTON R COOPER Trustee 1.00 0.00 X 0 0 0 MARCY RUBENSTEIN LEHMAN Trustee 1.00 0.00 X 0 0 0 DAVID G MERTENS Treasurer 1.00 0.00 X X 0 0 0 CHRISTOPHER A THOMPSON Trustee 1.00 0.00 X 0 0 0 DIANE L POLSCER Trustee 1.00 0.00 X 0 0 0 EDWARD A STRUZIK Trustee 1.00 0.00 X 0 0 0 MARC F FOVINCI Trustee 1.00 0.00 X 0 0 0 GARY C EICHMAN VICE CHAIR 1.00 0.00 X X 0 0 0 ANNE C R MUNCH Secretary 1.00 0.00 X X 0 0 0 PAUL E HOLDEN Trustee 1.00 0.00 X 0 0 0 KARI A THOMAS MD Trustee 1.00 0.00 X 0 0 0 SIRINAN GYPMANTASIRI Trustee 1.00 0.00 X 0 0 0 STEVEN L MANSBERGER MD Trustee 1.00 40.00 X 0 210933 125470 LOIS O ROSENBAUM Trustee 1.00 0.00 X 0 0 0 JONATHAN E AVERY EX-OFFICIO 1.00 40.00 X 0 495889 74913 GARY NELSON EX-OFFICIO 1.00 0.00 X 0 0 0 TOM USHER Trustee 1.00 0.00 X 0 0 0 MELISSA WILMOT EX-OFFICIO 1.00 0.00 X 0 0 0 MAUREEN A BRADLEY EX-OFFICIO 1.00 40.00 X 0 347210 82316 K RENA WHITTAKER EX-OFFICIO 20.00 20.00 X X 0 206872 32515 WILLIAM J JONES Trustee 1.00 40.00 X 0 0 0 ROBERT W BIRGE Chairman 1.00 0.00 X X 0 0 0 ANTHONY J MELARAGNO FORMER EX-OFFICIO 0.00 40.00 X 0 321646 76457 1609258 391671 0 true true false 0 119744 2536638 170712 2656382 0 1958202 1958202 0 0 0 13409973 5000000 8409973 8409973 8409973 26825 119744 65531 -38706 -38706 0 0 0 12985851 10329469 6706913 6706913 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6706913 6706913 0 0 620 1862 0 802664 814042 0 0 0 0 0 0 0 0 87889872 94143981 0 0 2883120 2895134 91576276 97855019 4984 4789 4984 4789 X 52669088 56275782 25779022 28216616 13123182 13357832 91571292 97850230 91576276 97855019 6278938 X false true X true true true X 3477430 2873582 2885226 2383088 2656382 14275708 0 0 3477430 2873582 2885226 2383088 2656382 14275708 3910792 10364916 1670934 2288005 1626009 1828485 1958202 9371635 0 0 23647343 0.43830 0.44940 X 38902203 822089 3958401 2108248 41574445 36464483 714251 3293562 1570093 38902203 39638997 1212553 -1120103 3266967 36464480 39003441 1088157 1718599 2171198 39638999 35432295 1819678 3875883 2124415 39003441 0.67870 0.32130 false true true 94143981 CHARITABLE REMAINDER UNITRUSTS 4789 4789 13649544 750083 750083 12899461 86390 86390 12985851 7456996 750083 750083 6706913 6706913 Part V, Line 4: Intended uses of the endowment fund. Endowment funds are used to improve the healthcare of the community as designated by the donors.Legacy follows the guidance in the Uniform Prudent Management of Institutional Funds Act (UPMIFA) in determining the net asset classification of all donor-restricted endowment funds. In accordance with UPMIFA and board policy, assets classified as permanent endowments in accordance with donor intent are only utilized for current period expenditures to the extent that earnings on the endowment exceed the original fair value of the donation. To the extent earnings on endowment funds exceed identified expenditures on which to apply those earnings, the earnings are classified as temporarily restricted net assets. Legacy has adopted investment and spending policies for endowment assets to provide a predictable stream of funding to programs supported by its endowment and to maintain the value of the endowment assets. Asset allocation is reviewed quarterly with respect to: i) Legacy's tolerance for risk based on its financial condition and need for cash from investments to support operations; ii) expected asset class return, risk and correlation characteristics; iii) changes in accounting guidance or tax law and iv) changes in bond covenants or other restrictions.Legacy's spending practices are intended to comply with donor's wishes and meet all applicable laws and regulations. Spending must be for a purpose that is consistent with the documented intent of the donor, and may not exceed the amounts annually determined by Legacy. Factors that are considered in addressing the annual spending allocation are: i) market value of the fund relative to the principal of the gift and ii) the level of spending in prior years.From time to time, the fair value of assets associated with individual donor-restricted endowment funds may fall below the level that the donor or UPMIFA requires Legacy to retain as a fund of perpetual duration. Deficiencies of this nature are reported as a reduction to unrestricted net assets and are excluded from the performance indicator. Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 DONATED INSTITUTIONAL SUPPORT $750083 Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S GIFT SHOP OPERATION FUND $86390 Part XII, Line 2d: Other expenses and losses per audited F/S DONATED INSTITUTIONAL SUPPORT $750083 false 2017 GOOD SAMARITAN FALL BALL 134884 109909 24975 65421 2013 WISTAR MORRIS AWARDS DINNER 5500 5500 140384 115409 24975 65421 65421 -40446 true LEGACY EMANUEL HOSPITAL & HEALTH CENTER 2801 N GANTENBEIN AVE PORTLAND OR 97227 930386823 501(c)(3) 2740781 0 LEGACY GOOD SAMARITAN HOSPITAL & MED CTR 1015 NW 22ND AVE PORTLAND OR 97210 930386793 501(c)(3) 3366832 0 LEGACY HEALTH 1919 NW LOVEJOY ST PORTLAND OR 97209 237426300 501(c)(3) 308671 0 LEGACY VISITING NURSE ASSOCIATION 815 NE DAVIS ST PORTLAND OR 97210 930848530 501(c)(3) 290629 0 4 0 Grantmaker's Description of How Grants are Used THE FOUNDATION ONLY AWARDS GRANTS AND/OR SCHOLARSHIPS AFTER A THOROUGH REVIEW AND DISCUSSION OF THE EXPENDITURES.GRANT PROPOSALS ARE SUBMITTED DURING THE ANNUAL GRANT APPLICATION PROCESS. ALL GRANT PROPOSALS ARE INITIALLY REVIEWED BY LEGACY HEALTH'S EXECUTIVE LEADERSHIP TO DETERMINE THEIR APPLICABILITY TO LEGACY'S GOALS AND STRATEGIC PLAN. GRANT PROPOSALS ARE THEN REVIEWED BY THE FOUNDATION'S OWN GRANT COMMITTEE. ONCE A GRANT IS APPROVED BY THE FOUNDATION, MONIES ARE NOT TRANSFERRED UNTIL PROOF OF THE EXPENDITURE IS PROVIDED TO THE GRANT STEWARDSHIP ARM OF THE FOUNDATION. false true false false true false true false false false ANTHONY J MELARAGNO FORMER EX-OFFICIO 146020 107726 67900 62411 14046 398103 13746 JONATHAN E AVERY EX-OFFICIO 417773 64864 13252 44967 29946 570802 K RENA WHITTAKER EX-OFFICIO 184076 23609 -813 13500 19015 239387 MAUREEN A BRADLEY EX-OFFICIO 264708 80209 2293 62124 20192 429526 STEVEN L MANSBERGER MD Trustee 214812 167 -4046 97637 27833 336403 Part I, Line 5b: Explanation of organization compensation based on revenues of related organization Physicians employed by Legacy related entities are paid a bonus contingent upon their revenue generated during the year measured by industry standard relative value units (RVU). 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 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, cell phone 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. Dr. Aponte received a stipend as President Elect of the Medical Staff at Legacy Good Samaritan Hospital. X 3 170713 false true true Part I, Line 32, Hire and Use of Third Parties IF THE FOUNDATION RECEIVES A VEHICLE DONATION, VOLUNTEERS OF AMERICA PROCESSES THE DONATION FOR THE FOUNDATION. Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company Legacy Health (Legacy) provides management services for all of its affiliated companies which includes, accounting, purchasing, contracting, legal, human resources, information technology, billing, facilities, budgeting, transcription, security, public relations, strategic planning, organization development. Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Legacy Good Samaritan Hospital & Medical Center(LGSHMC) is the sole member of Good Samaritan Foundation. Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body The LGSHMC Board of Directors approves trustees appointed to the Foundation Board. Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The LGSHMC Board of Directors has discretion to review any proposed transactions of the Foundation which the Board deems to involve significant questions of policy or which would have a substantial impact, financial or otherwise, upon the Foundation or LGSHMC.LGSHMC can approve or disapprove any such transaction. Form 990, Part VI, Line 11b: Form 990 Review Process The Foundation Board received a copy of the 990 return prior to filing. The Board receives a memorandum with the return highlighting key areas. The return is prepared with the assistance of the Legacy Health Foundation Accountants and the Foundation Staff. Review of the conflict of interest, compensation or other disclosures is reviewed by the Legacy Health Audit and Compensation committees. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts The following is a summary of Legacy's policy and procedures for conflict of interest disclosure, monitoring and resolution.All Legacy employees and non-employees in leadership positions (e.g., Board members, Foundation Trustees, Medical Directors) are required to disclose potential conflicts of interest as the conflict arises. All employees are required to disclose any conflict of interest per the Standard of Conduct policy. Certain groups have annual formal disclosure requirements, Executives and non-employees in leadership positions complete the Conflict Disclosure Statement from the Standards of Conduct policy annually. Officers, Directors, Trustees, Key and Highly Compensated employees are also required to complete a questionnaire covering business relationships, business transactions with interested parties, loans and grants. Conflict Disclosure Statements and questionnaires are returned to Legacy Corporate Compliance or Tax Departments for review of the disclosure. If a conflict is disclosed, or identified through any other means, Legacy Corporate Compliance ensures that management mitigates the risk (e.g., discontinues relationship with vendor, segregates responsibilities, recuses Board member from voting in area of conflict) and that the conflict and mitigation steps are reported to the appropriate level (e.g., Compliance Committee, Audit Committee of the Board). Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The following describes the compensation practices of Legacy and its affiliates.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior management personnel. The comprehensive compensation plan is designed for positions that have a significant impact on the high-level strategic and policy direction of Legacy and its affiliates.Base pay and total compensation (including incentive compensation) for similar positions is established at a level comparable to market compensation for healthcare organizations. External consultants are regularly used to review published compensation surveys of comparable organizations and comparable benchmark positions in the market. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee oversees the system's governance procedures with respect to 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. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Legacy Health's audited and interim consolidated financial statements are publicly available on the Electronic Municipal Market Access(EMMA) (www.emma.msrb.org) and DAC Bond (www.dacbond.com) websites. Legacy's audited consolidated financial statements include consolidating schedules which highlights the Legacy Foundations's financial results.When changes are made to the GSF Articles or Bylaws, GSF discloses and attaches copies to the IRS Form 990, which are publicly available by request or on various public websites such as Guidestar(www.guidestar.org). Other governing documents are not available to the public. Form 990, Part X Good Samaritan Foundation (GSF) participates in the Legacy investment pooled funds which include professionally managed equity and fixed income securities in both separately managed portfolios and commingled investment accounts. Investment returns are prorated according to each affiliate's share of the pool. Form 990, Schedule D Legacy Health (Legacy), EIN 23-7426300, the parent organization for all Legacy Affiliates, pays for all management, general and fundraising expenses of its affiliated foundations. This includes salaries, payments to external contractors, supplies, office equipment, and other administrative expenses. The expenses paid by Legacy are donated to the Foundations as institutional support. This institutional support is included as both revenue and expense on the Foundation's internal financial statements but is not included for Form 990 reporting purposes. Because of this arrangement, there are no management and fundraising expenses, number of employees, employee compensation, or payment to independent contractors reflected on the Foundation's return. The only expenditures, other than grants, are certain special event expenses which are not donated by Legacy but are paid directly by the Foundation and reported on Form 990, part VIII, line 8B. The amount donated by Legacy to Good Samaritian Foundation for the year ended 3/31/18 to cover management, general and fundraising expenses was $750,083. LEGACY HEALTH 1919 NW LOVEJOY ST PORTLAND OR 97209 237426300 HEALTHCARE OR 501(C)(3) 11b N/A false LEGACY EMANUEL HOSPITAL & HEALTH CENTER 2801 N GANTENBEIN AVE PORTLAND OR 97227 930386823 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL 1015 NW 22ND AVE PORTLAND OR 97210 930386793 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY MERIDIAN PARK HOSPITAL 19300 SW 65TH AVE TUALATIN OR 97062 930618975 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY MOUNT HOOD MEDICAL CENTER 24800 SE STARK ST GRESHAM OR 97030 930591528 HOSPITAL OR 501(C)(3) 3 N/A false LEGACY SALMON CREEK HOSPITAL 2211 NE 139TH ST VANCOUVER WA 98686 331065485 HOSPITAL WA 501(C)(3) 3 N/A false LEGACY VISITING NURSE ASSOCIATION 815 NE DAVIS ST PORTLAND OR 97210 930848530 HOSPICE OR 501(C)(3) 9 N/A false EMANUEL MEDICAL CENTER FOUNDATION PO BOX 4484 PORTLAND OR 97208 930695667 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false RANDALL CHILDRENS HOSPITAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 931314469 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false MERIDIAN PARK MEDICAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 930773410 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false MT HOOD MEDICAL CENTER FOUNDATION PO BOX 4484 PORTLAND OR 97208 930794951 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false SALMON CREEK HOSPITAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 830433165 CHARITABLE FOUNDATION WA 501(C)(3) 7 N/A false LEGACY ADVENTIST VENTURE 1919 NW LOVEJOY ST PORTLAND OR 97209 931121816 HEALTHCARE OR 501(C)(3) 9 N/A false LEGACY HEALTH FOUNDATION 1919 NW LOVEJOY ST PORTLAND OR 97209 465562403 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false SILVERTON HEALTH 342 FAIRVIEW STREET SILVERTON OR 97381 930281321 HOSPITAL OR 501(C)(3) 3 N/A false SILVERTON HEALTH FOUNDATION 342 FAIRVIEW STREET SILVERTON OR 97381 930913392 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false false true true false false false false false true true true true true true true true true true true