2014-02-18T14:48:24-08:00 2013-03-31 990 2012-04-01 237017276 GOOD SAMARITAN FOUNDATION GOOD 5034155600 PO BOX 4484 PORTLAND OR 97208 K RENA WHITTAKER 2014-02-18 2012 2015-11-30 17:44:51Z K RENA WHITTAKER C/O 1919 NW LOVEJOY STREET PORTLAND OR 97209 10483987 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. 16 13 0 60 0 3114911 2867591 0 1896808 7611101 880 5065 5012599 10483757 4726734 7462989 0 0 0 0 0 4726734 7462989 285865 3020768 82759483 85779658 9683 9090 82749800 85770568 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 7462989 7462989 2867591 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 NORTHWEST'S 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* CRITICAL CARE* DEVERS EYE INSTITUTE * DIABETES SERVICES* HEART SERVICES* LEGACY HOSPICE SERVICES* LEGACY RESEARCH INSTITUTE* REHABILITATION INSTITUTE OF OREGONIN FISCAL YEAR 2013, PHILANTHROPIC CONTRIBUTIONS SUPPORTED PROGRAMS IN THREE MAJOR AREAS:PATIENT CARE $ 4,442,039EDUCATION & TRAINING $ 709,278RESEARCH $ 2,311,672SOME OF THE SPECIFIC PROJECTS FUNDED IN THIS YEAR WERE AS FOLLOWS:* PURCHASED THREE NEW 3D MAMMOGRAPHY UNITS FOR THE BREAST HEALTH CENTER.* PURCHASED A CARTO 3 EP NAVIGATION SYSTEM TO ENHANCE PATIENT CARE WITH ADVANCED CATHETER LOCATION.* SUPPORTED SCREENINGS AND EXAMINATIONS AT DEVERS EYE INSTITUTE FOR PATIENTS WITHOUT INSURANCE OR OTHER FINANCIAL RESOURCES. * PROVIDED OPERATING SUPPORT FOR LEGACY HOSPICE SERVICES.* PROVIDED PRESCRIPTION ASSISTANCE AND DURABLE MEDICAL EQUIPMENT TO PATIENTS WITHOUT INSURANCE OR OTHER FINANCIAL RESOURCES. * SUPPORTED THE REMODEL OF THE LEGACY GOOD SAMARITAN INPATIENT CANCER CARE UNIT. * SUPPORTED A NEW COLLABORATIVE PROJECT TO STUDY THE DYNAMIC AUTO REGULATION OF THE OPTIC NERVE HEAD. * SUPPORTED THE ESTABLISHMENT OF NEW RESEARCH PROGRAMS IN COCHLEAR IMPLANTATION. * SUPPORTED THE ACCELERATION OF NEW RESEARCH ON THE CONNECTION BETWEEN ADENOSINE AND NEUROLOGICAL DISEASES. * PROVIDED SCHOLARSHIPS FOR NUSRSING STUDENTS ATTENDING THE LINFIELD-GOOD SAMARITAN SCHOOL OF NURSING.* SUPPORTED CONTINUING EDUCATION FOR LEGACY GOOD SAMARITAN MEDICAL CENTER STAFF.* SUPPORTED THE CARE AND MAINTENANCE OF THE STENZEL HEALING GARDEN.* SUPPORTED THE OPERATIONS OF GREEN GABLES GUEST HOUSE. 7462989 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 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 16 13 false true true false true true true true true false false true true true true true true true true false OR X X KATHY SLININGER 5034155600 1919 NW LOVEJOY STREET PORTLAND OR 97209 ROBERT W BIRGE 1.00 0.00 X X 0 0 0 ANTHONY J MELARAGNO MD 1.00 40.00 X 0 446032 107389 ANNE T GREER 1.00 40.00 X 0 144372 32783 PATRICIA M GIANELLI 1.00 40.00 X 0 208008 49727 K RENA WHITTAKER 40.00 5.00 X X 0 144215 27725 MAUREEN A BRADLEY 1.00 40.00 X 0 293638 39299 DOUGLAS E STRAND 1.00 0.00 X X 0 0 0 LEE TAYLOR THOMAS 1.00 0.00 X 0 0 0 SANDRA J LEWIS 1.00 0.00 X 0 0 0 ANNE C R MUNCH 1.00 0.00 X 0 0 0 BARBARA MAXWELL 1.00 0.00 X 0 0 0 JOAN M WARDWELL 1.00 0.00 X 0 0 0 DIANE L POLSCER 1.00 0.00 X 0 0 0 CHRISTOPHER MONGRAIN 1.00 0.00 X 0 0 0 DAVID MERTENS 1.00 0.00 X 0 0 0 MARCY LEHMAN 1.00 0.00 X 0 0 0 JENNIFER E APONTE MD 1.00 1.00 X X 0 9622 0 BRIAN W BATTALIA MD 1.00 0.00 X X 0 0 0 MONICA C WEHBY MD 0.00 40.00 X 0 948677 54401 KEVIN G NORWOOD MD 0.00 40.00 X 0 126936 20621 2321500 331945 0 true true false 0 10785 50300 2615 2803891 126874 2867591 0 7611101 7611101 0 0 0 0 5295 10785 230 5065 5065 0 0 0 10483757 7616166 7462989 7462989 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 7462989 7462989 0 0 1569 1663 0 953193 922313 0 0 0 0 0 0 0 0 78477998 81741953 0 0 3326723 3113729 82759483 85779658 9683 9090 9683 9090 X 47668219 50338277 23757308 23904914 11324273 11527377 82749800 85770568 82759483 85779658 3020768 X false true X true true true X X false false false LEGACY VISITING NURSE ASSOCIATION 930848530 9 true true true 350629 LEGACY GOOD SAMARITAN HOS & MED CTR 930386793 3 true true true 4421990 2 4772619 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 35081583 1129648 2557569 3336506 35432294 35272458 1567294 627433 2385600 35081585 33005250 623897 3237074 1593763 35272458 26682647 1648302 6436823 1762522 33005250 1483331 -2409556 2153871 26682647 26682647 0.67470 0.32530 false true true 81741953 Rounding 1 CHARITABLE REMAINDER UNITRUSTS 9089 9090 11339703 855946 855946 10483757 10483757 8318935 855946 855946 7462989 7462989 Part XII, Line 2d Part XII, Line 2d: Other expenses and losses per audited F/S MGMT, GENERAL & FUNDRAISING EXPENSES $855946 Part XI, Line 2d Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 MGMT, GENERAL & FUNDRAISING EXPENSES $855946 Part V, Line 4 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. false 2013 KIDNEY TRANSPLANT LUNCHEON 12680 8880 3800 12680 8880 3800 3800 true LEGACY VISITING NURSE ASSOCIATION 815 NE DAVIS ST PORTLAND OR 97210 930848530 501(c)(3) 350629 0 LEGACY HEALTH 1919 NW LOVEJOY ST PORTLAND OR 97209 237426300 501(c)(3) 265504 0 LEGACY GOOD SAMARITAN HOSPITAL & MED CTR 1015 NW 22ND AVE PORTLAND OR 97210 930386793 501(c)(3) 4421990 0 LEGACY EMANUEL HOSPITAL & HEALTH CENTER 2801 N GANTENBEIN AVE PORTLAND OR 97227 930386823 501(c)(3) 2424866 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 COUNCIL 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 PATRICIA M GIANELLI 195971 17030 -4993 24495 25232 257735 MONICA C WEHBY MD 735583 158475 54619 33577 20824 1003078 MAUREEN A BRADLEY 235001 53468 5169 19568 19731 332937 KEVIN G NORWOOD MD 109843 875 16218 5158 15463 147557 K RENA WHITTAKER 137926 8973 -2684 3552 24173 171940 ANTHONY J MELARAGNO MD 363477 70345 12210 77238 30151 553421 ANNE T GREER 136636 11033 -3297 14136 18647 177155 Sch J, Part III, Additional Information 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 Department Chair of Medicine at Legacy Good Samaritan Hospital. Sch J, Part I, Line 6b 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. Sch J, Part I, Line 5b 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). X 2 126644 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, 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 3/31/13 to cover management, general and fundraising expenses was $855,946. 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, Part VI, Line 19 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 VI, Line 15b 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 12c 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 11b 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 7b 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 7a 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 6 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 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents The Good Samaritan Foundation amended and restated its bylaws to reflect a structure and governance policies consistent with those of Legacy Health and to have better community representation on its board. Form 990, Part VI, Line 3 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. LEGACY ADVENTIST VENTURE 1919 NW LOVEJOY ST PORTLAND OR 97209 931121816 HEALTHCARE OR 501(C)(3) 9 N/A false SALMON CREEK HOSPITAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 830433165 CHARITABLE FOUNDATION WA 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) 11a N/A false MERIDIAN PARK MEDICAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 930773410 CHARITABLE FOUNDATION OR 501(C)(3) 11a N/A false THE CHILDRENS HOSPITAL FOUNDATION PO BOX 4484 PORTLAND OR 97208 931314469 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false EMANUEL MEDICAL CENTER FOUNDATION PO BOX 4484 PORTLAND OR 97208 930695667 CHARITABLE FOUNDATION OR 501(C)(3) 7 N/A false LEGACY VISITING NURSE ASSOCIATION 815 NE DAVIS ST PORTLAND OR 97210 930848530 HOSPICE OR 501(C)(3) 9 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 MOUNT HOOD MEDICAL CENTER 24800 SE STARK ST GRESHAM OR 97030 930591528 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 GOOD SAMARITAN HOSPITAL & MEDICAL 1015 NW 22ND AVE PORTLAND OR 97210 930386793 HOSPITAL OR 501(C)(3) 3 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 HEALTH 1919 NW LOVEJOY ST PORTLAND OR 97209 237426300 HEALTHCARE OR 501(C)(3) 11b N/A false false true true false false false false false true true true true true true true true true true true