Civic Intelligence

Good Samaritan Foundation

990 • Fiscal year 2020 • EIN 23-7017276

Apr 01, 2019 to Mar 31, 2020 • Filed on Feb 16, 2021

PO Box 4484Portland, OR 97208

(503) 415-5600

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

4th percentile

0.00x

Higher debt load relative to assets than 4% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2020

Net Margin

100th percentile

181%

Higher net margin than 100% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Top Officer Pay

78th percentile

$633,565

Higher top officer pay than 78% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Source year 2020

Asset Growth

4th percentile

-14%

Faster asset growth than 4% of similar nonprofits.

2020 filings • 501(c)3 • $50M-$100M nonprofits • Annualized from 2019 to 2020

Revenue Growth

Score unavailable

No value available

A valid growth rate could not be computed from the available filing history.

Annualized from 2019 to 2020

Assets

Down

$88,509,876

Down $13,975,981 (-14%) from 2019

Net Assets

Down

$88,483,096

Down $13,964,157 (-14%) from 2019

Liabilities

Down

$26,780

Down $11,824 (-31%) from 2019

Revenue

Down

-$7,731,244

Down $18,292,106 (-173%) from 2019

Expenses

Up

$6,232,913

Up $269,074 (+4.5%) from 2019

Net Income

Down

-$13,964,157

Down $18,561,180 (-404%) from 2019

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$150M$100M$50M$0Assets 2010: $75,889,097Liabilities 2010: $10,158Net Assets 2010: $75,878,9392010Assets 2011: $82,473,599Liabilities 2011: $9,663Net Assets 2011: $82,463,9362011Assets 2012: $82,759,483Liabilities 2012: $9,683Net Assets 2012: $82,749,8002012Assets 2013: $85,779,658Liabilities 2013: $9,090Net Assets 2013: $85,770,5682013Assets 2014: $93,804,757Liabilities 2014: $0Net Assets 2014: $93,804,7572014Assets 2015: $93,653,669Liabilities 2015: $0Net Assets 2015: $93,653,6692015Assets 2016: $86,527,293Liabilities 2016: $0Net Assets 2016: $86,527,2932016Assets 2017: $91,576,276Liabilities 2017: $4,984Net Assets 2017: $91,571,2922017Assets 2018: $97,855,019Liabilities 2018: $4,789Net Assets 2018: $97,850,2302018Assets 2019: $102,485,857Liabilities 2019: $38,604Net Assets 2019: $102,447,2532019Assets 2020: $88,509,876Liabilities 2020: $26,780Net Assets 2020: $88,483,0962020Assets 2021: $124,563,354Liabilities 2021: $25,488Net Assets 2021: $124,537,8662021Assets 2022: $125,164,320Liabilities 2022: $24,226Net Assets 2022: $125,140,0942022Assets 2023: $115,361,924Liabilities 2023: $22,999Net Assets 2023: $115,338,9252023Assets 2024: $129,622,121Liabilities 2024: $22,617Net Assets 2024: $129,599,5042024Assets 2025: $132,279,589Liabilities 2025: $21,163Net Assets 2025: $132,258,4262025

Highlighted filing

2020

Assets$88,509,876
Liabilities$26,780
Net Assets$88,483,096

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $6,149,9602010Expenses 2011: $5,092,0052011Expenses 2012: $4,726,7342012Expenses 2013: $7,462,9892013Revenue 2014: $14,703,099Expenses 2014: $6,668,910Net Income 2014: $8,034,1892014Revenue 2015: $7,526,129Expenses 2015: $7,677,217Net Income 2015: -$151,0882015Revenue 2016: -$277,125Expenses 2016: $6,849,251Net Income 2016: -$7,126,3762016Revenue 2017: $11,230,714Expenses 2017: $6,186,715Net Income 2017: $5,043,9992017Revenue 2018: $12,985,851Expenses 2018: $6,706,913Net Income 2018: $6,278,9382018Revenue 2019: $10,560,862Expenses 2019: $5,963,839Net Income 2019: $4,597,0232019Revenue 2020: -$7,731,244Expenses 2020: $6,232,913Net Income 2020: -$13,964,1572020Revenue 2021: $41,975,811Expenses 2021: $5,921,041Net Income 2021: $36,054,7702021Revenue 2022: $6,409,382Expenses 2022: $5,807,154Net Income 2022: $602,2282022Revenue 2023: -$3,113,291Expenses 2023: $6,693,742Net Income 2023: -$9,807,0332023Revenue 2024: $20,676,478Expenses 2024: $6,416,425Net Income 2024: $14,260,0532024Revenue 2025: $9,627,840Expenses 2025: $7,094,508Net Income 2025: $2,533,3322025

Highlighted filing

2020

Revenue-$7,731,244
Expenses$6,232,913
Net Income-$13,964,157
Jump To
Filing Snapshot
Filing Period
Apr 1, 2019 to Mar 31, 2020
Signed
Feb 16, 2021
Return Version
2019v5.0
Gross Receipts
$7,292,483
Mission and Program Overview

Mission

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$98,717,591$84,819,070▼ $13,898,521
Pledges and Grants Receivable$843,059$787,428▼ $55,631
Cash and Non-Interest-Bearing Accounts$642$0▼ $642
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$102,485,857$88,509,876▼ $13,975,981
Other Assets Total$2,924,565$2,903,378▼ $21,187
Liabilities
Other Liabilities$38,604$26,780▼ $11,824
Total Liabilities$38,604$26,780▼ $11,824
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$60,608,152$51,133,183▼ $9,474,969
Net Assets With Donor Restrictions$41,839,101$37,349,913▼ $4,489,188
Total Net Assets Fund Balance$102,447,253$88,483,096▼ $13,964,157
Total Liabilities and Net Assets / Fund Balance$102,485,857$88,509,876▼ $13,975,981

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2019$41,839,099$1,022,710▼ $3,826,544$1,685,354$37,349,911
2018$41,574,446$1,053,493▲ $1,047,427$1,836,267$41,839,099
2017$38,902,203$822,089▲ $3,958,401$2,108,248$41,574,445
2016$36,464,483$714,251▲ $3,293,562$1,570,093$38,902,203
2015$39,638,997$1,212,553▼ $1,120,103$3,266,967$36,464,480
Compensation and Service Providers
Revenue and Support

Revenue Composition

Contributions and Grants
$2,530,384
Program Service Revenue
$0
Investment Income
$-10,271,266
Other Revenue
$9,638
All Other Contributions
$2,401,528
Change in Net Assets
$-13,964,157

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
Yes

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded1$50,571Fair Market Value (FMV)
Total Noncash Contributions1$50,571-

Audited Revenue Reconciliation

Revenue per Audited Statements
$-7,763,944
Revenue Not Reported on Financial Statements
$32,700
Revenue Not Reported on Form 990
$784,158
Other Revenue Adjustments
$32,700
Total Revenue per Audited Statements
$-6,979,786
Total Revenue per Form 990
$-7,731,244
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$6,232,913
Other Expenses$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$6,232,913--$6,232,913
Total Functional Expenses$6,232,913$0$0$6,232,913

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$6,967,071
Expenses per Audited Statements$6,232,913
Total Expenses per Form 990$6,232,913
Expenses Not Reported on Form 990$734,158
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Legacy Good Samaritan Hospital & Med CtrPortland, OR501(c)(3)-$2,737,242
Legacy Emanuel Hospital & Health CenterPortland, OR501(c)(3)-$2,513,183
Legacy HealthPortland, OR501(c)(3)-$513,992
Legacy Visiting Nurse AssociationPortland, OR501(c)(3)-$468,496
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$33,365
Fundraising Direct Expenses$23,727
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
2021 Good Samaritan Ball$95,750$32,040-$32,040
Women of Good Samaritan 2020$47,405$25$894$-869
Total Events$162,221$33,365$7,505$25,860
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Charitable Remainder Unitrusts$26,780
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

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 Compliance 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. Audit and Compliance 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.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Foundation
EIN
23-7017276
Phone
5034155600
Address
PO BOX 4484, PORTLAND, OR 97208

Signing Officer

Name
Jennifer New
Title
Assistant Treasurer
Signed
2021-02-16

Organization Details

Principal Officer
Anne C R Munch
Formed
1969
Legal Domicile
Or
Voting Board Members
19
Independent Board Members
16
Employees
0
Volunteers
35
Supplemental Narrative

Additional Explanations

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 3/31/20 to cover management, general and fundraising expenses was $734,158.

Financial Statement Notes

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 $734158 interfund transfer $50000

Part XI, Line 4B: Other revenue amounts included on 990 but not included in F/S

Gift shop operation fund $82700 interfund transfer $-50000

Part XII, Line 2D: Other expenses and losses per audited F/S

Donated institutional support $734158

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IRS990/Desc0Good 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:* Legacy Cancer Institute* Devers Eye Institute * Emergency and Critical Care* Family Birth Center* The Community Clinic* Diabetes & Weight Management Services* Legacy Hospice Services* Rehabilitation Institute of OregonIn fiscal year 2020, philanthropic contributions supported programs in four major areas:Patient Care $3,049,202Research $2,437,310Education and Training $ 746,402Community Benefit & Other Hospital Programs $ 23,727Some 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. Supported navigation and counselling services for chronic pain and transgender patients. Supported the development of an interdisciplinary clinic for patients with congestive heart failure. Supported complementary therapies for cancer patients including nutrition education, exercise, art therapy and yoga classes. 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. Supported complementary therapies for cancer patients including art therapy, yoga, Tai Chi, massage and acupuncture. 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 individuals pursuing undergraduate and graduate nursing degrees. Supported in-hospital programs for patients at end of life. Provided support for Legacy Hospice Services. Supported medical education for internal medicine residents and specialty fellowship trainees. Supported the development of a teaching kitchen for the cardiac and pulmonary rehabilitation program. Purchased specialized mammography paddles for the breast health center.
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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$132$0.02$132$9.63$7.09$2.53
2024Detailed filing. Detailed filing data is available for this year.$130$0.02$130$20.7$6.42$14.3
2023Detailed filing. Detailed filing data is available for this year.$115$0.02$115$3.11$6.69$9.81
2022Detailed filing. Detailed filing data is available for this year.$125$0.02$125$6.41$5.81$0.60
2021Detailed filing. Detailed filing data is available for this year.$125$0.03$125$42.0$5.92$36.1
2020Detailed filing. Detailed filing data is available for this year.$88.5$0.03$88.5$7.73$6.23$14.0
2019Detailed filing. Detailed filing data is available for this year.$102$0.04$102$10.6$5.96$4.60
2018Detailed filing. Detailed filing data is available for this year.$97.9$0.00$97.9$13.0$6.71$6.28
2017Detailed filing. Detailed filing data is available for this year.$91.6$0.00$91.6$11.2$6.19$5.04
2016Detailed filing. Detailed filing data is available for this year.$86.5$0.00$86.5$0.28$6.85$7.13
2015Detailed filing. Detailed filing data is available for this year.$93.7$0.00$93.7$7.53$7.68$0.15
2014Detailed filing. Detailed filing data is available for this year.$93.8$0.00$93.8$14.7$6.67$8.03
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$85.8$0.01$85.8$7.46
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$82.8$0.01$82.7$4.73
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$82.5$0.01$82.5$5.09
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$75.9$0.01$75.9$6.15