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SAMARITAN HEALTH SERVICES INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HEALTH SERVICES INC (EIN 93-0951989)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-12
IRS object ID
201403169349303150
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-12T12:40:45-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN930623286PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AKT LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15665 SW MEADOWS RD SUITE 200AddressLine1
CityLAKE OSWEGOCity
StateORState
ZIP Code97035ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930951989EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSAMABusinessNameControlTxt
Phone5417684773PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O SHS ACCOUNTING PO BOX 3000AddressLine1
CityCORVALLISCity
StateORState
ZIP Code973393000ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL B SMITHPersonNm
Person TitleVP FINANCE/CFOPersonTitleTxt
Phone5417684773PhoneNum
Signature2014-11-03SignatureDt
Discuss With Paid Preparer0DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOYLYN ANKENEYPreparerPersonNm
PTINP00366587PTIN
Phone5036204489PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLARRY A MULLINS DHAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13600 NW SAMARITAN DRAddressLine1
CityCORVALLISCity
StateORState
ZIP Code97330ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$158,025,239GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SAMHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionTO ENHANCE COMMUNITY HEALTH THROUGH QUALITY SERVICES ACROSS A CONTINUUM OF CARE.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee937TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$1,389,346TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$439,254PYContributionsGrantsAmt
CY Contributions Grants$971,107CYContributionsGrantsAmt
PY Program Service Revenue$134,083,575PYProgramServiceRevenueAmt
CY Program Service Revenue$146,006,432CYProgramServiceRevenueAmt
PY Investment Income$843,936PYInvestmentIncomeAmt
CY Investment Income$372,511CYInvestmentIncomeAmt
PY Other Revenue$4,043,644PYOtherRevenueAmt
CY Other Revenue$8,603,795CYOtherRevenueAmt
PY Total Revenue$139,410,409PYTotalRevenueAmt
CY Total Revenue$155,953,845CYTotalRevenueAmt
PY Grants And Similar Paid$71,443PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$111,277CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$50,855,578PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$52,959,262CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$114,703PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$115,250CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$767,614CYTotalFundraisingExpenseAmt
PY Other Expenses$88,410,973PYOtherExpensesAmt
CY Other Expenses$99,081,404CYOtherExpensesAmt
PY Total Expenses$139,452,697PYTotalExpensesAmt
CY Total Expenses$152,267,193CYTotalExpensesAmt
PY Revenues Less Expenses-$42,288PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,686,652CYRevenuesLessExpensesAmt
Total Assets BOY$235,412,269TotalAssetsBOYAmt
Total Assets EOY$269,983,034TotalAssetsEOYAmt
Total Liabilities BOY$200,568,578TotalLiabilitiesBOYAmt
Total Liabilities EOY$231,830,253TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,843,691NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$38,152,781NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSAMARITAN HEALTH SERVICES (SHS) IS THE PARENT COMPANY OF A REGIONAL NETWORK OF HOSPITALS, PHYSICIANS AND SENIOR CARE FACILITIES. 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 TO ENHANCE COMMUNITY HEALTH AND ACHIEVE HIGH VALUE THROUGH QUALITY SERVICES ACROSS A CONTINUUM OF CARE. THE COLLECTIVE VISION OF THE SHS SYSTEM IS TO BE A VALUES-DRIVEN ORGANIZATION GOVERNED BY COMMUNITY MEMBERS, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. SHS SEEKS TO BE THE FIRST CHOICE OF CONSUMERS IN THE REGION AND TO LEAD COLLABORATIVE EFFORTS AMONG THOSE WHO SHARE SIMILAR GOALS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$139,866,813ExpenseAmt
Revenue$153,493,449RevenueAmt
DescSEE SCHEDULE OAS 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, INC. (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 2013 SHS PROVIDED SERVICES THAT BENEFITED THE POOR AND OTHERS IN THE COMMUNITIES IT SERVED. COMMUNITY BENEFIT SERVICES ($2,061,000) ARE PAYMENTS/COSTS CONTRIBUTED BY SHS FOR COMMUNITY PROGRAMS ADMINISTERED BY OTHER NON-PROFIT ORGANIZATIONS AND SCHOOLS PLUS ACTIVITIES PROVIDED BY SHS EMPLOYEES FOR THE BENEFIT OF VARIOUS GROUPS IN THE COMMUNITY SERVED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$111,277ExpenseAmt
Grant$111,277GrantAmt
DescGRANTS AND ASSISTANCE PROVIDED BY SAMARITAN HEALTH SERVICES TO VARIOUS ORGANIZATIONS AND INDIVIDUALS TO BENEFIT THE COMMUNITY. SEE PART IX, LINES 1 AND 2 AND RELATED SCHEDULE I FOR MORE DETAILS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$139,978,090TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1206IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee937EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Phone5417684773PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 3000AddressLine1
CityCORVALLISCity
StateORState
ZIP Code973393000ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
SHIRLEY PETERSON
BOARD CHAIR1.001.00Yes (X)Yes (X)$0$0$0
LOREN ROTH
BOARD TREASURER1.001.00Yes (X)Yes (X)$0$0$0
CHARLES MOURADIAN
BOARD SECRETARY1.001.00Yes (X)Yes (X)$0$0$0
PATRICK HAGERTY DMD
BOARD CHAIR-ELECT1.002.00Yes (X)Yes (X)$0$0$0
GILBERT BECK
BOARD MEMBER1.002.00Yes (X)$0$0$0
RANDY SPRINGER
BOARD MEMBER1.002.00Yes (X)$0$0$0
JUDY LIST
BOARD MEMBER1.001.00Yes (X)$0$0$0
REV WILLIAM MCCARTHY
BOARD MEMBER1.002.00Yes (X)$0$0$0
JAMES DENHAM
BOARD MEMBER1.003.00Yes (X)$0$0$0
SENATOR FRANK MORSE
BOARD MEMBER1.002.00Yes (X)$0$0$0
ROBERT ADAMS
BOARD MEMBER1.002.00Yes (X)$0$0$0
LESLIE PLISKIN MD
BOARD MEMBER/PHYSICIAN1.0039.00Yes (X)$0$198,283$37,626
TIM HINDMARSH MD
BOARD MEMBER/PHYSICIAN1.0039.00Yes (X)$0$220,028$40,282
LOUIS WEINSTEIN MD
BOARD MEMBER/PHYSICIAN1.0039.00Yes (X)$0$287,964$39,780
TROY GARRETT MD
BOARD MEMBER/PHYSICIAN1.0039.00Yes (X)$0$208,852$19,480
LARRY A MULLINS DHA
PRESIDENT & CEO23.0017.00Yes (X)$1,192,819$0$270,731
DANIEL B SMITH
VP FINANCE/CFO25.0015.00Yes (X)$307,300$0$50,407
JULIE MANNING
VP DEVELOPMENT & COMMUNITY40.00$199,846$0$35,640Yes (X)
KIRK R GERNER
VP PHYSICIAN RECRUITING40.00$297,511$0$52,697Yes (X)
ROBERT J POWER
VP INFORMATION SYSTEMS/CIO40.00$248,694$0$31,650Yes (X)
DOUGLAS BOYSEN
VP GENERAL COUNSEL38.002.00$242,309$0$50,611Yes (X)
DAWNELL BUELL
VP REVENUE CYCLE40.00$245,607$0$31,384Yes (X)
KELLEY C KAISER
VP/CEO HEALTH PLANS20.0020.00$283,051$0$47,589Yes (X)
BECKY A PAPE
VP/CEO MVH & GSRMC COO1.0039.00$311,663$0$50,234Yes (X)
DAVID G TRIEBES
VP/CEO SAGH1.0039.00$319,329$0$49,216Yes (X)
STEVEN W JASPERSON
VP/CEO GSRMC & VP - S. CALIF. OPS.20.0020.00$435,508$0$43,841Yes (X)
KEVIN EWANCHYNA MD
MEDICAL DIRECTOR-HEALTH PLANS24.0016.00$314,700$0$48,875Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,398,337TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$915,127TotReportableCompRltdOrgAmt
Total Other Compensation$900,043TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K75IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI53288SOFTWARE SUPPORT SERVICES$7,388,656
CAREMEDIC SYSTEMS INC
2771 MOMENTUM PLACECHICAGOIL60689REV CYCLE MGT SERVICES$6,856,089
ENVISION PHARM SERVICES INC
2181 EAST AURORA ROADTWINSBURGOH44087PHARMACEUTICAL SVCS SUPPORT$5,790,593
THE CORVALLIS CLINIC PC
3680 NW SAMARITAN DRIVECORVALLISOR97330MEDICAL SERVICES$3,290,946
GERDING BUILDERS LLC
PO BOX 1082CORVALLISOR97339CONSTRUCTION$2,736,978
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K108CntrctRcvdGreaterThan100KCnt
Related Organizations$556,000RelatedOrganizationsAmt
Government Grants$9,890GovernmentGrantsAmt
All Other Contributions$405,217AllOtherContributionsAmt
Total Contributions$971,107TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUPPORT SERVICE FEES561000$82,318,295$82,318,295
EMPL HEALTH PLAN PREM525100$63,686,537$63,686,537
NET PATIENT REVENUES622110$1,600$1,600
FieldValueIRS element (for citing)
Total Program Service Revenue$146,006,432TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$376,253TotalRevenueColumnAmt
Unrelated Business Revenue$75,000UnrelatedBusinessRevenueAmt
Exclusion$301,253ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,619,334RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,816,902RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$197,568RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$197,568TotalRevenueColumnAmt
Exclusion-$197,568ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$250,000SecuritiesAmt
Other$750OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$254,492SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$4,492SecuritiesAmt
Other$750OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,742TotalRevenueColumnAmt
Exclusion-$3,742ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
EHR INCENTIVE REV900099$6,692,117$6,692,117
FITNESS CENTER REVENUE713940$1,041,073$365,061$676,012
MISCELLANEOUS REVENUE900099$593,613$256,117$337,496

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$474,560TotalRevenueColumnAmt
Related Or Exempt Func Income$173,722RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$300,838UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,801,363OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$155,953,845TotalRevenueColumnAmt
Related Or Exempt Func Income$153,493,449RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,389,346UnrelatedBusinessRevenueAmt
Exclusion$99,943ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$102,250TotalAmt
Program Services$102,250ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$9,027TotalAmt
Program Services$9,027ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,257,207TotalAmt
Management And General$3,257,207ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$35,701,319TotalAmt
Program Services$31,357,519ProgramServicesAmt
Management And General$3,986,826ManagementAndGeneralAmt
Fundraising$356,974FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,817,108TotalAmt
Program Services$2,503,510ProgramServicesAmt
Management And General$287,826ManagementAndGeneralAmt
Fundraising$25,772FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,643,859TotalAmt
Program Services$6,793,608ProgramServicesAmt
Management And General$780,377ManagementAndGeneralAmt
Fundraising$69,874FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,539,769TotalAmt
Program Services$3,145,366ProgramServicesAmt
Management And General$361,991ManagementAndGeneralAmt
Fundraising$32,412FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$433,494TotalAmt
Program Services$83,497ProgramServicesAmt
Management And General$349,997ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$384,053TotalAmt
Program Services$384,053ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$115,250TotalAmt
Fundraising$115,250FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$85,000TotalAmt
Program Services$42,500ProgramServicesAmt
Management And General$42,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,489,425TotalAmt
Program Services$1,242,079ProgramServicesAmt
Management And General$171,434ManagementAndGeneralAmt
Fundraising$75,912FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,305,669TotalAmt
Program Services$1,294,833ProgramServicesAmt
Management And General$10,836ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,780,416TotalAmt
Program Services$3,520,605ProgramServicesAmt
Management And General$198,738ManagementAndGeneralAmt
Fundraising$61,073FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,086,819TotalAmt
Program Services$7,775,248ProgramServicesAmt
Management And General$311,571ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,721,061TotalAmt
Program Services$1,664,544ProgramServicesAmt
Management And General$42,573ManagementAndGeneralAmt
Fundraising$13,944FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$513,548TotalAmt
Program Services$394,639ProgramServicesAmt
Management And General$110,697ManagementAndGeneralAmt
Fundraising$8,212FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$347,385TotalAmt
Program Services$331,264ProgramServicesAmt
Management And General$13,156ManagementAndGeneralAmt
Fundraising$2,965FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$834,184TotalAmt
Program Services$135,381ProgramServicesAmt
Management And General$698,803ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,997,479TotalAmt
Program Services$8,650,822ProgramServicesAmt
Management And General$346,657ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,371,911TotalAmt
Program Services$1,159,090ProgramServicesAmt
Management And General$212,821ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmtManagement And GeneralManagementAndGeneralAmt
CLAIM FEES$56,073,894$56,073,894
PURCHASED SERVICES$12,928,963$12,924,437$4,526
DUES, TAXES, & LICENSES$700,941$362,762$700$337,479
MEDICAL SUPPLIES$21,075$21,075

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,087TotalAmt
Program Services$6,087ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$152,267,193TotalAmt
Program Services$139,978,090ProgramServicesAmt
Management And General$11,521,489ManagementAndGeneralAmt
Fundraising$767,614FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$900BOYAmt
EOY$900EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$124,458,433BOYAmt
EOY$104,748,751EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$39,492EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$983,417BOYAmt
EOY$923,209EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,891,910BOYAmt
EOY$1,863,794EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$151,358,180LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$44,774,742LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$85,588,229BOYAmt
EOY$106,583,438EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,510,075BOYAmt
EOY$2,510,075EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$14,339,033BOYAmt
EOY$12,053,410EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,640,272BOYAmt
EOY$41,259,965EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$235,412,269BOYAmt
EOY$269,983,034EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,005,592BOYAmt
EOY$38,078,233EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$135,437,154BOYAmt
EOY$134,587,561EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$29,096,317BOYAmt
EOY$45,268,929EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,029,515BOYAmt
EOY$13,895,530EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$200,568,578BOYAmt
EOY$231,830,253EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$34,843,691BOYAmt
EOY$38,152,781EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,843,691BOYAmt
EOY$38,152,781EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$235,412,269BOYAmt
EOY$269,983,034EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$3,686,652ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$377,562NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupported Org NotifiedSupportedOrgNotifiedIndUS OrganizedUSOrganizedIndSupportSupportAmt
ALBANY GEN HOSP
9301100953Yes (1)Yes (1)Yes (1)$18,516,185
GOOD SAM HOSP
9303915733Yes (1)Yes (1)Yes (1)$42,341,231
MID-VALLEY HC
9303968473Yes (1)Yes (1)Yes (1)$11,606,983
N LINCOLN HOSP
93130549330Yes (1)Yes (1)$4,993,566
SAM PAC HLTH SVCS
93132978430Yes (1)Yes (1)$6,177,016
FieldValueIRS element (for citing)
Supported Organizations Total5SupportedOrganizationsTotalCnt
Support Sum$83,634,981SupportSumAmt

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE H, COLUMN VII:FormAndLineReferenceDesc
ExplanationAS THE PARENT ORGANIZATION, SHS PROVIDES ADMINISTRATIVE AND OTHER SUPPORT SERVICES TO ITS AFFILIATED ORGANIZATIONS, SUCH AS PATIENT BILLING, INFORMATION SERVICES, ACCOUNTING, AND EMPLOYEE RECRUITMENT.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$45,985GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$45,985TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE FILING ORGANIZATION MAINTAINS MEMBERSHIPS IN THE AMERICAN HOSPITAL ASSOCIATION (AHA) AND OREGON ASSOCIATION OF HOSPITALS AND HEALTHCARE SYSTEMS (OAHHS). DURING TAX YEAR 2013, THE FILING ORGANIZATION PAID MEMBERSHIP DUES TO THE OAHHS AND THE AHA OF $173,356 AND $92,336 RESPECTIVELY. 13.93% OF OAHHS DUES AND 23.65% OF AHA DUES WENT FOR LOBBYING PURPOSES. THUS, THE FILING ORGANIZATION MADE INDIRECT LOBBYING EXPENDITURES OF $45,985 THROUGH ITS MEMBERSHIP DUES.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,037,880OtherCostOrOtherBasisAmt
Book Value$11,037,880BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,616,050OtherCostOrOtherBasisAmt
Depreciation$8,650,550DepreciationAmt
Book Value$41,965,500BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,717,176OtherCostOrOtherBasisAmt
Depreciation$308,680DepreciationAmt
Book Value$3,408,496BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$77,581,884OtherCostOrOtherBasisAmt
Depreciation$35,545,594DepreciationAmt
Book Value$42,036,290BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,405,190OtherCostOrOtherBasisAmt
Depreciation$269,918DepreciationAmt
Book Value$8,135,272BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$106,583,438TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DEFERRED FINANCING COSTS, NET$386,562
SHS LT ASSETS - D&O INS$670,644
SHS LT ASSETS - 457 PLAN$4,916,006
INTEREST RECEIVABLE$56,812
OTHER RECEIVABLES$2,132,731
RECEIVABLE DUE TO AFFILIATE$33,097,210
FieldValueIRS element (for citing)
Total Book Value Other Assets$41,259,965TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
LIABILITY FOR UNPAID MEDICAL CLAIMS$8,533,369
TENANT DEPOSITS$150,000
ACCRUED INTEREST$110,088
OTHER RESERVES$5,102,073
FieldValueIRS element (for citing)
Total Liability$13,895,530TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFOOTNOTE DISCLOSURE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE SHS' MANAGEMENT TO EVALUATE TAX POSITIONS AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF SHS HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY THE NETWORK AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. SHS IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. SHS' MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Agrmt Prof Fundraising ActyYes (1)AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeActivityActivityTxtFundraiser Control Of FundsFundraiserControlOfFundsIndGross ReceiptsGrossReceiptsAmtRetained By ContractorRetainedByContractorAmtNet To OrganizationNetToOrganizationAmt
THOMPSON & ASSOC
1135 LA HOMA DRIVENAPACA94558ADVISORY SERVICES0$0$99,000$0
BK KREATIVE
1010 VARSITY COURTMOUNTAIN VIEWCA94040ADVISORY SERVICES0$0$6,000$0
LARKWOOD CONSULTING LLC
4096 PIEDMONT AVE STE 214OAKLANDCA94611ADVISORY SERVICES0$0$10,250$0
FieldValueIRS element (for citing)
Total Retained By Contractors$115,250TotalRetainedByContractorsAmt
Licensed StatesORLicensedStatesCd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990,SCHEDULE G, PART I:FormAndLineReferenceDesc
ExplanationTHE PROFESSIONAL FUNDRAISING ACTIVITIES REPORTED ON SCHEDULE G ARE FOR ADVISORY SERVICES RELATED TO PLANNED GIVING. THESE ADVISORY SERVICES INCLUDE EDUCATING MEMBERS OF THE COMMUNITY ABOUT PLANNED GIVING OPPORTUNITIES AND ASSISTING POTENTIAL DONORS WITH SETTING UP FUTURE CHARITABLE GIFTS AS PART OF THEIR WILLS OR OTHER ESTATE PLANNING DOCUMENTS. BECAUSE THESE GIFTS ARE NONBINDING PLEDGES AND MAY NOT BE RECEIVED FOR MANY YEARS, REVENUES CANNOT BE MATCHED WITH CURRENT PERIOD FUNDRAISING EXPENSES. THEREFORE, NO ASSOCIATED REVENUE IS REPORTED ON SCHEDULE G.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
LEBANON BASIC SERVICES CENTER
PO BOX 2225LEBANONOR97355931047123501(C)(3)$25,000SUPPORT FOR ADULT DENTAL CARE
UNITED WAY OF BENTON & LINCOLN COUNTIES
PO BOX 2499CORVALLISOR97339936013898501(C)(3)$32,000SUPPORT FOR NEEDY FAMILIES IN BENTON & LINCOLN COUNTIES
UNITED WAY OF LINN COUNTY
PO BOX 905ALBANYOR97321930470252501(C)(3)$25,000SUPPORT FOR NEEDY FAMILIES IN LINN COUNTY
THE OREGON COMMUNITY FOUNDATION
1221 SW YAMHILL 100PORTLANDOR97205237315673501(C)(3)$10,000FUNDS TO RESEARCH THE LINK BETWEEN DENTAL PAIN AND ER VISITS
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypePATIENT ASSISTANCEGrantTypeTxt
Recipient682RecipientCnt
Cash Grant$9,027CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationAGENCIES IN THE COMMUNITY ARE INVITED TO SUBMIT GRANT PROPOSALS THROUGH AN APPLICATION PROCESS. A COMMITTEE REVIEWS THE APPLICATIONS TO DETERMINE IF THE FUNDS REQUESTED WILL BE USED TO ADDRESS THE ORGANIZATION'S ESTABLISHED COMMUNITY HEALTH PRIORITIES, IDENTIFIED NEEDS, AND SUPPORTS THE ORGANIZATION'S MISSION. ONCE APPROVED AND FUNDED, AGENCIES MUST SUBMIT A COMPLETE ANNUAL REPORT DESCRIBING HOW THE FUNDS WERE USED, THE NUMBER OF CLIENTS SERVED, AND HOW OUTCOMES WERE ACHIEVED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LESLIE PLISKIN MD
BOARD MEMBER/PHYSICIAN$0$136,670$0$38,552$0$23,061$0$15,635$0$21,991$0$235,909$0$0
TIM HINDMARSH MD
BOARD MEMBER/PHYSICIAN$0$201,359$0$18,077$0$592$0$18,131$0$22,151$0$260,310$0$0
LOUIS WEINSTEIN MD
BOARD MEMBER/PHYSICIAN$0$262,691$0$5,291$0$19,982$0$20,952$0$18,828$0$327,744$0$0
TROY GARRETT MD
BOARD MEMBER/PHYSICIAN$0$202,138$0$4,880$0$1,834$0$16,274$0$3,206$0$228,332$0$0
LARRY A MULLINS DHA
PRESIDENT & CEO$600,887$0$75,000$0$516,932$0$246,627$0$24,104$0$1,463,550$0$226,688$0
DANIEL B SMITH
VP FINANCE/CFO$299,635$0$0$0$7,665$0$20,952$0$29,455$0$357,707$0$0$0
JULIE MANNING
VP DEVELOPMENT & COMMUNITY$178,161$0$20,000$0$1,685$0$15,557$0$20,083$0$235,486$0$0$0
KIRK R GERNER
VP PHYSICIAN RECRUITING$254,042$0$20,000$0$23,469$0$20,952$0$31,745$0$350,208$0$0$0
ROBERT J POWER
VP INFORMATION SYSTEMS/CIO$240,433$0$0$0$8,261$0$19,622$0$12,028$0$280,344$0$0$0
DOUGLAS BOYSEN
VP GENERAL COUNSEL$241,771$0$0$0$538$0$20,403$0$30,208$0$292,920$0$0$0
DAWNELL BUELL
VP REVENUE CYCLE$231,221$0$0$0$14,386$0$19,983$0$11,401$0$276,991$0$0$0
KELLEY C KAISER
VP/CEO HEALTH PLANS$248,078$0$20,000$0$14,973$0$20,952$0$26,637$0$330,640$0$0$0
BECKY A PAPE
VP/CEO MVH & GSRMC COO$261,299$0$20,000$0$30,364$0$20,952$0$29,282$0$361,897$0$0$0
DAVID G TRIEBES
VP/CEO SAGH$295,860$0$0$0$23,469$0$20,952$0$28,264$0$368,545$0$0$0
STEVEN W JASPERSON
VP/CEO GSRMC & VP - S. CALIF. OPS.$387,111$0$0$0$48,397$0$20,952$0$22,889$0$479,349$0$0$0
KEVIN EWANCHYNA MD
MEDICAL DIRECTOR-HEALTH PLANS$313,556$0$0$0$1,144$0$20,952$0$27,923$0$363,575$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AIN 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. UNDER THIS PROGRAM, EMPLOYEES MUST MEET MINIMUM USAGE REQUIREMENTS IN ORDER TO QUALIFY FOR ONGOING BENEFITS. IF AN EMPLOYEE PARTICIPATES AT A NON-SAMARITAN GYM, REIMBURSEMENT IS MADE FOR UP-FRONT FEES, AND THEN PERIODICALLY UPON COMPLETION OF AT LEAST 60 VISITS. REIMBURSEMENT DOES NOT EXCEED $300 PER YEAR AND IS INCLUDED IN THE EMPLOYE'S TAXABLE WAGES AND IS SUBJECT TO FEDERAL/STATE WITHHOLDING TAX. ONE OFFICER, AND ONE HIGHEST PAID EMPLOYEE RECEIVED THIS TAXABLE GYM BENEFIT IN 2013. IF AN EMPLOYEE PARTICIPATES AT A SAMARITAN FITNESS CENTER (SAMFIT), MEMBERSHIP IS FREE OF CHARGE (PROVIDED AS A NONTAXABLE FRINGE BENEFIT), BUT THE EMPLOYEE IS REQUIRED TO ATTEND THE GYM 50 TIMES DURING EACH PERIOD OF 6 CONSECUTIVE MONTHS TO MAINTAIN THIS BENEFIT. ONE OFFICER UTILIZED THE SAMFIT BENEFIT IN 2013.
PART I, LINE 4B4.B. THE ORGANIZATION MAINTAINS A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. UNDER THIS PLAN, LARRY A. MULLINS, DHA, ACCRUED DEFERRED COMPENSATION BENEFITS DURING 2013. HE ALSO RECEIVED A PAYMENT IN 2013 FROM THIS PLAN, WHICH IS INCLUDED IN HIS 2013 COMPENSATION ON SCHEDULE J AND FORM 990. $226,688 OF THIS PAYMENT WAS ACCRUED IN PRIOR YEARS AND WAS ALSO INCLUDED IN COMPENSATION DISCLOSED IN PRIOR YEARS AS REQUIRED ON SCHEDULE J AND FORM 990.
PART I, LINE 5VARIOUS 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
STATE OF OREGON - FACIL AUTHORITY
A936001787NONEAVAIL2009-09-30$15,800,000CONST. OF MEDICAL SCHOOL000
STATE OF OREGON - FACIL AUTHORITY
B93600178768608JLL32010-03-17$122,055,000HOSPITAL EXPANSION & REMODEL000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndIn Reserve FundInReserveFundAmtRefunding EscrowRefundingEscrowAmt
A$3,373,452$15,865,543$283,537$15,582,006201100Yes (1)Yes (1)
B$122,260,036$2,086,481$43,554,8822013Yes (1)00Yes (1)$10,117,493$66,501,180

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdIndEngage Bond Counsel ContractsEngageBondCounselContractsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenInd
A000000Yes (1)
B0Yes (1)Yes (1)00Yes (1)Yes (1)Yes (1)0.005000.005000.00100Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A0Yes (1)00Yes (1)000Yes (1)
B0Yes (1)000000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 3:FormAndLineReferenceDesc
ExplanationDIFFERENCES ON THIS LINE AS COMPARED TO PART I(E) IS DUE TO INVESTMENT EARNINGS AND UNREALIZED GAINS/LOSSES.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonVERONICA MULLINSPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFAM MBR, L. MULLINSRelationshipDescriptionTxt
Transaction$69,647TransactionAmt
TransactionEMP BY ORGTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF THE SAMARITAN HEALTH SERVICES (SHS) AUDIT AND COMPLIANCE COMMITTEE PRIOR TO ITS FILING WITH THE IRS. SHS'S CHIEF FINANCIAL OFFICER CONDUCTED THE FORM 990 REVIEW WITH THE COMMITTEE AND PROVIDED TIME FOR QUESTIONS FROM THE GROUP. A FORMAL REPORT OF THIS COMMITTEE HAS BEEN MADE TO THE FULL BOARD OF DIRECTORS OF SHS.
FORM 990, PART VI, SECTION B, LINE 12CBOARD MEMBER CONFLICTS OF INTEREST: THE MEMBERS OF THE BOARD MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, WHICH REQUIRES DISCLOSURE OF ANY CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE CHIEF FINANCIAL OFFICER AND CORPORATE COMPLIANCE OFFICER. IF A CONFLICT IS DISCLOSED THAT COULD PROHIBIT A MEMBER FROM SERVING ON THE BOARD, THIS IS EVALUATED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE SAMARITAN HEALTH SERVICES (SHS) BOARD OF DIRECTORS TO DETERMINE WHETHER THE MEMBER SHOULD CONTINUE TO SERVE ON THE BOARD. IF A CONFLICT IS DISCLOSED THAT DOES NOT PROHIBIT A MEMBER FROM SERVING ON THE BOARD, THE CONFLICT IS MANAGED THROUGH A PROCESS SET FORTH IN THE ORGANIZATION'S BYLAWS. THE BYLAWS PROHIBIT ANY BOARD MEMBER FROM VOTING ON AN ACTION WHERE AN INDIVIDUAL MEMBER HAS A CONFLICT OF INTEREST. EMPLOYEE CONFLICTS OF INTEREST: THE SHS CODE OF ETHICS AND CONDUCT POLICY REQUIRES THAT ALL SHS EMPLOYEES COMPLETE AN ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST. THROUGH THE HUMAN RESOURCES SOFTWARE, PERFORMANCE MANAGER, THE DISCLOSURE REQUIREMENT NOTICE IS ASSIGNED TO ALL EMPLOYEES AND BY YEAR END ALL TASKS ARE TO BE COMPLETED. IF THERE IS A PERCEIVED CONFLICT OF INTEREST IT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, LEGAL COUNSEL AND/OR SENIOR MANAGEMENT. ACTUAL CONFLICTS OF INTEREST ARE REVIEWED AND DISCUSSED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE SAMARITAN HEALTH SERVICES BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15THE COMPENSATION COMMITTEE OF SAMARITAN HEALTH SERVICES, INC. ANNUALLY ENGAGES AN INDEPENDENT CONSULTANT TO ASSIST IT IN PROVIDING COMPARABLE MARKET DATA FOR THE CEO, WHO IS THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. THIS ANALYSIS INCLUDES REGIONAL AND NATIONAL DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THIS INFORMATION IS USED BY THE COMPENSATION COMMITTEE IN ITS DELIBERATIONS REGARDING THE CEO'S COMPENSATION WHICH IS DOCUMENTED IN THE COMMITTEE'S MINUTES. THE CEO OF THE ORGANIZATION RELIES ON PUBLICLY AVAILABLE INFORMATION TO DETERMINE THE COMPENSATION FOR OTHER TOP MANAGEMENT OFFICIALS WITHIN THE ORGANIZATION. HE CONSULTS WITH THE INDEPENDENT CONSULTANT AS TO THE REASONABLENESS OF THIS DATA TO ENSURE THAT EACH TOP MANAGEMENT OFFICIAL'S COMPENSATION IS REASONABLE AS COMPARED TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. PHYSICIAN EMPLOYEE COMPENSATION, INCLUDING PHYSICIANS WHO ARE BOARD MEMBERS, IS REVIEWED AT LEAST ANNUALLY BY SENIOR MANAGEMENT. THIS REVIEW INCLUDES COMPARISON WITH PUBLISHED PHYSICIAN COMPENSATION STUDIES. FOR ALL OTHER EMPLOYEES, THE ORGANIZATION PERFORMS AN ANALYSIS EACH YEAR TO COMPARE COMPENSATION OF ALL PAID POSITIONS TO MARKET SURVEYS OF COMPENSATION FOR SIMILAR POSITIONS IN OTHER ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. SYSTEM-WIDE SUMMARIZED DATA IS ALSO PROVIDED IN THE ANNUAL REPORT TO THE COMMUNITY. THIS REPORT IS MADE AVAILABLE IN ALL KIOSKS AND HIGH-TRAFFIC AREAS OF ALL HOSPITALS AND PHYSICIAN CLINICS, AS WELL AS COMMUNITY PLACES SUCH AS THE PUBLIC LIBRARY. IT IS ALSO DISTRIBUTED TO THE BOARDS OF DIRECTORS AND DIRECTLY MAILED TO DONORS AND NEW RESIDENTS IN THE COMMUNITY. ADDITIONALLY, THE REPORT IS MADE AVAILABLE AT ALL EVENTS, COMMUNITY OUTREACH PROJECTS, AND SCREENINGS ATTENDED THROUGHOUT THE YEAR. GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SAMARITAN DIALYSIS SERVICES LLC
3600 NW SAMARITAN DRIVECORVALLISOR97330931246368PROVIDE DIALYSIS SERVICES TO THE COMMUNITYOR$1,600$0SAMARITAN HEALTH SERVICES
SAMARITAN RESOURCES
PO BOX 3000CORVALLISOR973393000931262271ENVIRONMENTAL SERVICESOR$0$0SAMARITAN HEALTH SERVICES

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (18 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
ALBANY GENERAL HOSPITAL
PO BOX 3000CORVALLISOR973393000930110095HOSPITAL SERVICES FOR THE COMMUNITYOR501(C)(3)3SAMARITAN HEALTH SERVICESYes (1)
ALBANY GENERAL HOSPITAL FOUNDATION
1046 SIXTH AVENUE SWALBANYOR97321930712890TO SUPPORT ALBANY GENERAL HOSPITALOR501(C)(3)7ALBANY GENERAL HOSPITAL0
FIRSTCARE HEALTH FOUNDATION
PO BOX 3000CORVALLISOR973393000930900124TO SUPPORT AFFILIATED EXEMPT ENTITIESOR501(C)(3)11B, IISAMARITAN HEALTH SERVICESYes (1)
FIRSTCARE MEDICAL FOUNDATION
PO BOX 3000CORVALLISOR973393000930932697FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY)OR501(C)(3)9SAMARITAN HEALTH SERVICESYes (1)
GOOD SAMARITAN HOSPITAL AUXILIARY
3600 NW SAMARITAN DRIVECORVALLISOR973393000936024034TO SUPPORT GOOD SAMARITAN HOSPITALOR501(C)(3)11D, III-O0N/A
GOOD SAMARITAN HOSPITAL FOUNDATION
PO BOX 1068CORVALLISOR97339237252406TO SUPPORT GOOD SAMARITAN HOSPITALOR501(C)(3)7GOOD SAMARITAN HOSPITAL0
INTERCOMMUNITY HEALTH PLANS INC
PO BOX 3000CORVALLISOR973393000931124326SERVE OREGON HEALTH PLAN FOR MEDICAIDOR501(C)(4)N/ASAMARITAN HEALTH SERVICESYes (1)
LEBANON COMMUNITY HOSPITAL FOUNDATION
PO BOX 739LEBANONOR97355931260080TO SUPPORT LEBANON COMMUNITY HOSPITALOR501(C)(3)7MID-VALLEY HEALTHCARE INC0
MID-VALLEY HEALTHCARE INC
PO BOX 3000CORVALLISOR973393000930396847HOSPITAL SERVICES FOR THE COMMUNITYOR501(C)(3)3SAMARITAN HEALTH SERVICESYes (1)
PARADIGM INDEMNITY CORPORATION
PO BOX 3000CORVALLISOR973393000731668317PURE NON-PROFIT CAPTIVE INSURANCE COMPANYHI501(C)(3)11A, ISAMARITAN HEALTH SERVICESYes (1)
GOOD SAMARITAN HOSPITAL CORVALLIS
PO BOX 3000CORVALLISOR973393000930391573HOSPITAL SERVICES FOR THE COMMUNITYOR501(C)(3)3SAMARITAN HEALTH SERVICESYes (1)
SAMARITAN NORTH LINCOLN HOSPITAL
3043 NE 28TH STREETLINCOLN CITYOR97367931305493HOSPITAL SERVICES FOR THE COMMUNITYOR501(C)(3)3SAMARITAN HEALTH SERVICESYes (1)
SAMARITAN PACIFIC HEALTH SERVICES
930 SW ABBEY STREETNEWPORTOR97365931329784HOSPITAL SERVICES FOR THE COMMUNITYOR501(C)(3)3SAMARITAN HEALTH SERVICESYes (1)
SAMARITAN SENIOR CARE INC
PO BOX 3000CORVALLISOR973393000931245534FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY)OR501(C)(3)9SAMARITAN HEALTH SERVICESYes (1)
PACIFIC COMMUNITIES HEALTH DISTRICT
PO BOX 873NEWPORTOR97365930603489HEALTHCARE DISTRICTORGOV'T60N/A
PACIFIC COMMUNITIES HEALTH DISTRICT FND
PO BOX 945NEWPORTOR97365930858825TO SUPPORT PAC COMM HLTH DIST & SAMARITAN PAC HLTH SVCSOR501(C)(3)11B, II0N/A
NORTH LINCOLN HEALTH DISTRICT
3043 NE 28TH STREETLINCOLN CITYOR97367930555769HEALTHCARE DISTRICTORGOV'T60N/A
NORTH LINCOLN HOSPITAL FOUNDATION
PO BOX 767LINCOLN CITYOR97367930867677TO SUPPORT N. LINCOLN HLTH DIST & SAMARITAN NORTH LINCOLN HOSPITALOR501(C)(3)11A, I0N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctUBI Code VUBICodeVAmt
SAMARITAN ENDOSCOPY CENTER LLC
3600 NW SAMARITAN DRCORVALLISOR97330202860067MEDICAL SERVICESORN/A
CORVALLIS MEDICAL BUILDINGS LLC
3600 NW SAMARITAN DRIVECORVALLISOR97330931257913REAL ESTATE RENTALORN/A
EAST LINN MRI LLC
3600 NW SAMARITAN DRIVECORVALLISOR97330320229399IMAGINGORN/A
HULL IMAGING LLC
3600 NW SAMARITAN DRIVECORVALLISOR97330203255479IMAGINGORN/A
CORVALLIS MRI A JOINT VENTURE
3615 NW SAMARITAN DRIVECORVALLISOR97330930949704IMAGINGORN/A
MID-VALLEY MEDICAL PROPERTIES ASSOC LLC
1046 SIXTH AVE SWALBANYOR97321300508747REAL ESTATE RENTALORN/A
MID-VALLEY MEDICAL BUILDINGS LLC
PO BOX 557LEBANONOR97355931126353REAL ESTATE RENTALORN/A
NORTHWEST MEDICAL ISOTOPES LLC
815 NW 9TH ST STE 256CORVALLISOR97330273007752RESEARCHORN/AUNRELATED-$1,358,507$120,6350Yes (1)0.33610
2750 HARRISON BLVD LLC
413 SW 13TH AVE STE 300PORTLANDOR97205274665571REAL ESTATE RENTALORN/AUNRELATED-$118,329$4,677,3430Yes (1)0.28300-$30,266
CASCADE VIEW MEDICAL OFFICE BUILDING LLC
PO BOX 3000CORVALLISOR973393000300658805REAL ESTATE RENTALORN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN HEALTH PLANS INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line13600 NW SAMARITAN DRIVEAddressLine1
CityCORVALLISCity
StateORState
ZIP Code97330ZIPCode
FieldValueIRS element (for citing)
EIN930860860EIN
Primary ActivitiesHEALTH INSURANCE CARRIER FOR THE COMMUNITYPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SAMARITAN HEALTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeCEntityTypeTxt
Share Of Total Income-$862,624ShareOfTotalIncomeAmt
Share Of EOY Assets$16,628,350ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (18 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
INTERCOMMUNITY HEALTH PLANS INC
A$196,457COST
INTERCOMMUNITY HEALTH PLANS INC
L$142,000COST
INTERCOMMUNITY HEALTH PLANS INC
P$5,480,627COST
SAMARITAN ENDOSCOPY CENTER LLC
L$119,350COST
SAMARITAN HEALTH PLANS INC
A$116,131COST
SAMARITAN HEALTH PLANS INC
L$99,577COST
SAMARITAN HEALTH PLANS INC
O$3,826,705COST
SAMARITAN HEALTH PLANS INC
Q$478,493COST
GOOD SAMARITAN HOSPITAL CORVALLIS
L$42,341,231COST
MID-VALLEY HEALTHCARE INC
L$11,606,983COST
ALBANY GENERAL HOSPITAL
L$18,516,185COST
SAMARITAN NORTH LINCOLN HOSPITAL
L$4,993,566COST
SAMARITAN PACIFIC HEALTH SERVICES
L$6,177,016COST
ALBANY GENERAL HOSPITAL
Q$11,723,401COST
GOOD SAMARITAN HOSPITAL CORVALLIS
Q$22,859,223COST
MID-VALLEY HEALTHCARE INC
Q$7,766,960COST
SAMARITAN NORTH LINCOLN HOSPITAL
Q$3,678,222COST
SAMARITAN PACIFIC HEALTH SERVICES
Q$5,406,368COST