Civic Intelligence

Legacy Salmon Creek Hospital

EIN 33-1065485 • 501(c)3 • Vancouver, WA

Profile

Legacy Salmon Creek Hospital (LSCH), established in 2005, provides acute and critical care in Vancouver, with 165 licensed beds. LSCH operates adult, pediatric, and OB/GYN hospitalist programs, as well as four primary care physician practices and thirteen specialty clinics. LSCH provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LSCH is part of Legacy Health (Legacy).Our mission:Our legacy is good health for our people, our patients, our communities, and our world. We will work as a team to demonstrate our values:Respect - Treat all people with respect and compassion Service - Put the needs of our patients and their families first Quality - Deliver outstanding clinical services within healing environments Excellence - Set high standards and achieve them Responsibility - Be good stewards of our resources, ensuring access to care for all Innovation - Be progressive in our thinking and actions Leadership - Serv

2211 NE 139th StreetVancouver, WA 98686

www.legacyhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

14th percentile

0.04x

Higher debt load relative to assets than 14% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Liabilities / Revenue

7th percentile

0.04x

Higher debt load relative to revenue than 7% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Net Margin

64th percentile

9.0%

Higher net margin than 64% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Top Officer Pay

87th percentile

$2,784,747

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 0.4% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Asset Growth

56th percentile

7.2%

Faster asset growth than 56% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2024 to 2025

Revenue Growth

69th percentile

16%

Faster revenue growth than 69% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2024 to 2025

Assets

Up

$738,834,475

Up $49,907,010 (+7.2%) from 2024

Liabilities

Down

$27,414,839

Down $9,404,853 (-26%) from 2024

Net Assets

Up

$711,419,636

Up $59,311,863 (+9.1%) from 2024

Revenue

Up

$655,818,611

Up $89,662,937 (+16%) from 2024

Expenses

Up

$596,494,688

Up $63,591,492 (+12%) from 2024

Net Income

Up

$59,323,923

Up $26,071,445 (+78%) from 2024

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$800M$600M$400M$200M$0-$200MAssets 2010: $258,512,415Liabilities 2010: $24,421,966Net Assets 2010: $234,090,4492010Assets 2011: $240,206,340Liabilities 2011: -$5,197,959Net Assets 2011: $245,404,2992011Assets 2012: $278,259,891Liabilities 2012: $34,989,594Net Assets 2012: $243,270,2972012Assets 2013: $289,012,354Liabilities 2013: $39,039,160Net Assets 2013: $249,973,1942013Assets 2014: $308,000,319Liabilities 2014: $29,728,950Net Assets 2014: $278,271,3692014Assets 2015: $354,177,612Liabilities 2015: $53,639,567Net Assets 2015: $300,538,0452015Assets 2016: $371,863,933Liabilities 2016: $39,388,598Net Assets 2016: $332,475,3352016Assets 2017: $411,955,608Liabilities 2017: $37,470,586Net Assets 2017: $374,485,0222017Assets 2018: $458,194,859Liabilities 2018: $34,988,266Net Assets 2018: $423,206,5932018Assets 2019: $502,082,187Liabilities 2019: $29,713,343Net Assets 2019: $472,368,8442019Assets 2020: $561,416,626Liabilities 2020: $32,111,796Net Assets 2020: $529,304,8302020Assets 2021: $645,493,759Liabilities 2021: $63,768,762Net Assets 2021: $581,724,9972021Assets 2022: $661,709,500Liabilities 2022: $56,938,744Net Assets 2022: $604,770,7562022Assets 2023: $654,244,936Liabilities 2023: $35,361,138Net Assets 2023: $618,883,7982023Assets 2024: $688,927,465Liabilities 2024: $36,819,692Net Assets 2024: $652,107,7732024Assets 2025: $738,834,475Liabilities 2025: $27,414,839Net Assets 2025: $711,419,6362025

Highlighted filing

2025

Assets$738,834,475
Liabilities$27,414,839
Net Assets$711,419,636

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$800M$600M$400M$200M$0Expenses 2010: $182,389,2492010Expenses 2011: $174,541,8122011Expenses 2012: $208,378,9182012Expenses 2013: $215,760,9072013Revenue 2014: $252,470,757Expenses 2014: $234,088,566Net Income 2014: $18,382,1912014Revenue 2015: $299,198,327Expenses 2015: $261,292,581Net Income 2015: $37,905,7462015Revenue 2016: $315,805,969Expenses 2016: $277,917,695Net Income 2016: $37,888,2742016Revenue 2017: $324,946,718Expenses 2017: $286,301,844Net Income 2017: $38,644,8742017Revenue 2018: $385,901,642Expenses 2018: $337,803,416Net Income 2018: $48,098,2262018Revenue 2019: $407,638,612Expenses 2019: $355,325,395Net Income 2019: $52,313,2172019Revenue 2020: $444,002,528Expenses 2020: $386,995,258Net Income 2020: $57,007,2702020Revenue 2021: $445,259,851Expenses 2021: $392,825,358Net Income 2021: $52,434,4932021Revenue 2022: $493,579,280Expenses 2022: $470,510,002Net Income 2022: $23,069,2782022Revenue 2023: $535,557,922Expenses 2023: $521,423,147Net Income 2023: $14,134,7752023Revenue 2024: $566,155,674Expenses 2024: $532,903,196Net Income 2024: $33,252,4782024Revenue 2025: $655,818,611Expenses 2025: $596,494,688Net Income 2025: $59,323,9232025

Highlighted filing

2025

Revenue$655,818,611
Expenses$596,494,688
Net Income$59,323,923

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Detailed filing. Detailed filing data is available for this year.$739$27.4$711$656$596$59.3
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$689$36.8$652$566$533$33.3
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$654$35.4$619$536$521$14.1
2022XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$662$56.9$605$494$471$23.1
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$645$63.8$582$445$393$52.4
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$561$32.1$529$444$387$57.0
2019Facts available. Structured filing facts are available, but richer extracted sections are limited.$502$29.7$472$408$355$52.3
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$458$35.0$423$386$338$48.1
2017Facts available. Structured filing facts are available, but richer extracted sections are limited.$412$37.5$374$325$286$38.6
2016Detailed filing. Detailed filing data is available for this year.$372$39.4$332$316$278$37.9
2015Detailed filing. Detailed filing data is available for this year.$354$53.6$301$299$261$37.9
2014Detailed filing. Detailed filing data is available for this year.$308$29.7$278$252$234$18.4
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$289$39.0$250$216
2012XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$278$35.0$243$208
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$240$5.20$245$175
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$259$24.4$234$182
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Apr 1, 2024 to Mar 31, 2025
Signed
Feb 17, 2026
Return Version
2024v5.2
Gross Receipts
$657,050,044
Mission and Program Overview

Mission

Legacy Salmon Creek Hospital (LSCH), established in 2005, provides acute and critical care in Vancouver, with 165 licensed beds. LSCH operates adult, pediatric, and OB/GYN hospitalist programs, as well as four primary care physician practices and thirteen specialty clinics. LSCH provides a comprehensive range of inpatient, clinical and diagnostic services in numerous medical specialties and subspecialties. LSCH is part of Legacy Health (Legacy).Our mission:Our legacy is good health for our people, our patients, our communities, and our world. We will work as a team to demonstrate our values:Respect - Treat all people with respect and compassion Service - Put the needs of our patients and their families first Quality - Deliver outstanding clinical services within healing environments Excellence - Set high standards and achieve them Responsibility - Be good stewards of our resources, ensuring access to care for all Innovation - Be progressive in our thinking and actions Leadership - Serv

Legacy Salmon Creek Hospital is Washington's most modern hospital and provides acute and critical care in Vancouver, WA. LSCH operates adult, pediatric, and OB/GYN hospitalist programs, as well as 4 primary care physician practices and 13 specialty clinics.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments Other Securities$463,968,061$503,172,304▲ $39,204,243
Land, Buildings, and Equipment, Net$126,829,277$121,623,567▼ $5,205,710
Accounts Receivable$88,682,071$102,473,891▲ $13,791,820
Inventories for Sale or Use$4,225,694$4,343,641▲ $117,947
Cash and Non-Interest-Bearing Accounts$1,658,813$3,800,098▲ $2,141,285
Prepaid Expenses and Deferred Charges$360,716$218,142▼ $142,574
Savings and Temporary Cash Investments-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Total Assets$688,927,465$738,834,475▲ $49,907,010
Other Assets Total$3,202,833$3,202,832▼ $1
Liabilities
Accounts Payable and Accrued Expenses$36,819,692$27,414,839▼ $9,404,853
Total Liabilities$36,819,692$27,414,839▼ $9,404,853
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$652,107,773$711,419,636▲ $59,311,863
Total Net Assets Fund Balance$652,107,773$711,419,636▲ $59,311,863
Total Liabilities and Net Assets / Fund Balance$688,927,465$738,834,475▲ $49,907,010

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$89,623,542$166,379,965$256,003,507
Equipment$16,930,321$80,087,152$97,017,473
Land$10,173,635-$10,173,635
Other Land Buildings$4,815,403-$4,815,403
Leasehold Improvements$80,666$218,857$299,523

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2024$2,763,116$286,672▲ $45,125$206,523$2,888,390
2023$2,617,726$316,634▲ $115,215$286,459$2,763,116
2022$2,828,035$122,777▼ $24,933$308,153$2,617,726
2021$2,206,732$1,097,677▲ $26,412$502,786$2,828,035
2020$2,036,051$263,323▲ $239,589$332,231$2,206,732
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
George J Brown MdPresident & CEO-$511,798$23,904$750,305
Carolyn a CogginsVPFT$609,047$85,805$735,746
Anita N IyengerSr VP-$586,743$99,920$680,663
Craig R ArmstrongSecretary-$586,743$80,719$667,462
John Buckmaster MdPerinatologistFT$563,591$60,516$626,247
Carber C Huang MdSurgeonFT$527,963$253,965$593,401
Bryce R HelgersonFormer Sr. VP-$524,767$89,835$577,568
Anna LoomisCFO & Treasurer-$425,490$58,507$457,921
Gregory R SaundersVP CMOFT$363,816$77,957$441,773
Joe Frankhouse MdBoard Director-$362,123$77,595$439,718
Leslie Root MdBoard Director--$52,080$52,080
Nancy HortonBoard Director--$25,000$25,000
Nancy R LockeBoard Director--$25,000$25,000
Charles WilhoiteChairman--$22,500$22,500
David RamusVice Chair--$17,500$17,500
Jerry D PettyBoard Director--$15,000$15,000
Patrick ReitenBoard Director--$15,000$15,000
Samir Desai MdBoard Director--$15,000$15,000
Gayle GoschieBoard Director--$12,500$12,500
Lynn T GustBoard Director--$12,500$12,500
Edgar NavasBoard Director--$7,500$7,500
Jack a FriedmanBoard Director--$7,500$7,500
Jeffrey BarberBoard Director--$7,500$7,500
Lisa Wynn FreedmanBoard Director--$7,500$7,500
Nasreen Ilias-khan MdBoard Director--$7,500$7,500

Highest Paid Contractors

ContractorServicesLocationCompensation
Laboratory Corporation Of AmericaLaboratory ServicesPO BOX 2270, Burlington, NC 27216$12,906,015
Medicus Hospitalists West LLCMedical Services22 ROULSTON RD, Windham, NH 03087$10,818,268
Oregon Anesthesiology Group PCMedical Services707 SW WASHINGTON ST 700, Portland, OR 97205$8,050,682
Oregon Health & Science UniversityMedical Services3181 SW SAM JACKSON ROAD, Portland, OR 97239$6,245,300
The Vancouver Clinic INCMedical Services700 NE 87TH AVE, Vancouver, WA 98664$2,629,435
Revenue and Support

Revenue Composition

Contributions and Grants
$384,201
Program Service Revenue
$656,636,736
Investment Income
$0
Other Revenue
$-1,202,326
Change in Net Assets
$59,323,923

Audited Revenue Reconciliation

Revenue per Audited Statements
$653,472,000
Revenue Not Reported on Financial Statements
$2,346,611
Other Revenue Adjustments
$2,346,611
Total Revenue per Audited Statements
$653,472,000
Total Revenue per Form 990
$655,818,611
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$326,916,313
Other Expenses$269,331,398
Grants and Similar Amounts Paid$246,977
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$203,761,135$56,957,539-$260,718,674
Office Expenses$117,880,730$2,330,757-$120,211,487
Other Employee Benefits$23,750,067$7,183,614-$30,933,681
Fees for Services Other$30,861,559--$30,861,559
Payroll Taxes$14,691,803$3,792,300-$18,484,103
Pension Plan Contributions$10,822,805$3,304,322-$14,127,127
Depreciation Depletion$9,551,453$2,297,628-$11,849,081
Other Expenses$7,729,914$1,859,124-$9,589,038
Insurance$5,052,952$750,805-$5,803,757
All Other Expenses$1,582,143$3,725,793-$5,307,936
Occupancy$2,908,349$699,488-$3,607,837
Current Officers, Directors, Trustees, and Key Employees$2,403,574$249,154-$2,652,728
Fees for Services Legal$13,927$578,734-$592,661
Conferences and Meetings$244,840$58,886-$303,726
Grants to Domestic Individuals$234,737--$234,737
Travel$34,307$25,657-$59,964
Grants to Domestic Orgs$12,240--$12,240
Total Functional Expenses$486,384,513$110,110,175$0$596,494,688

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$596,494,688
Expenses per Audited Statements$594,307,000
Total Expenses per Audited Statements$594,307,000
Expenses Not Reported on Financial Statements$2,187,688
Other Expense Adjustments$2,187,688
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Matter 360St Louis Park, MN501(c)(3)For Disaster Assistance$0
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
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-
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
No

Governance Explanations

Form 990, Part VI, Section A, Line 6

Legacy Health is the sole member of Legacy Salmon Creek Hospital.

Form 990, Part VI, Section A, Line 7A

The Board of Directors includes the following members: (a) The Bishop of the Oregon Synod of the Evangelical Lutheran Church inAmerica (the Oregon Synod") or the Bishop's designee, who shall serve ex officio;(b) The Bishop of the Episcopal Diocese of Oregon (the "Episcopal Diocese")or the Bishop's designee, who shall serve ex officio;(c) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of a Lutheran congregation in the Oregon Synod ("Lutheran Director");(d) One (1) person elected by the Legacy Health Board of Directors pursuant to the process set forth in the Bylaws; provided, however, that such person shall be an active member of an Episcopal congregation in the Episcopal Diocese known to his/her parish priest, or alternatively a member of the clergy in the Episcopal Diocese ("Episcopal Director").

Form 990, Part VI, Section A, Line 7B

The election of Lutheran Director is subject to the approval by the Bishop of the Oregon Synod, who may object to the newly-elected director for any reason by delivering written notice to the Legacy President or the Chair of the Board of Directors no later than one week after the election. If the Bishop timely objects to the election of the new Lutheran Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Lutheran Director for his/her full term or the remainder of an unexpired term to which elected. The election of the Episcopal Director is subject to approval by the Bishop of theEpiscopal Diocese, who may object to the newly elected director for any reason by delivering written notice to the Legacy President or Chair of the Board of Directors no later than one week after the election. The election of the Episcopal Director is also subject to approval by the Standing Committee of the Episcopal Diocese, who may object to the newly elected director only on the grounds that he/she is not an active member of an Episcopal congregation or a member of the Episcopal clergy in the Episcopal Diocese; such objection to be effected by delivering written notice to the Legacy President or Chair of the Board of Directors within five days after the next meeting of the Standing Committee or 45 days after the election, whichever isearlier. If the Bishop or Standing Committee timely object to the election of the new Episcopal Director, the election will be ineffective and that person will not be a director; otherwise, if no timely objection is received, that person shall be conclusively presumed to be the Episcopal Director for his/her full term or the remainder of an unexpired term to which elected.

Form 990, Part VI, Section B, Line 11B

The Legacy Board received a copy of the 990 return prior to filing. At the direction of the entire Board, the Board Compensation Committee reviewed the compensation disclosures and the Board Audit and Compliance Committee received a memorandum with draft 990 returns for Legacy and Legacy Emanuel Hospital & Health Center highlighting key areas and requesting feedback. Questions from the Board Audit and Compliance Committee are answered and changes made where appropriate. Any significant differences in disclosure from the draft 990 to the final 990 return for other affiliated entities, including Legacy Salmon Creek Hospital are provided to the Board Audit and Compliance Committee. Depending on the deadline for the 990 return filing and the Board Audit and Compliance Committee meeting this discussion may take place following the filing of the return.

Form 990, Part VI, Section B, Line 12C

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, Section B, Line 15B

The following describes the compensation practices of Legacy Health and its affiliates.Executive compensation for Legacy is designed to recruit, retain and motivate qualified senior leaders responsible for ensuring Legacy Health serves its mission and patients every day, and for ensuring a safe, inclusive and equitable workplace for all Legacy employees. 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, and are accountable for the effective day-to-day operation of the system.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, Section C, Line 19

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 LSCH's financial results.When changes are made to the LSCH Articles or Bylaws, LSCH discloses the changes on the IRS Form 990. These documents are publicly available upon request. Other governing documents are not available to the public.

Form 990, Part VI, question 2

Legacy Health System CPC, LLC (CPC) is a common pay agent for Legacy and its affiliates. The CPC files all required federal employment tax returns for Legacy and its affiliates. The number of employees reported on Form W-3 for LSCH is 3,094.

Filing and Contact Details

Filer

Filer Name
Legacy Salmon Creek Hospital
EIN
33-1065485
Phone
5034155600
Address
2211 NE 139TH STREET, VANCOUVER, WA 98686

Signing Officer

Name
Carolyn Coggins
Title
Interim CFO
Signed
2026-02-17

Organization Details

Principal Officer
George J Brown
Formed
2002
Legal Domicile
Wa
Voting Board Members
17
Independent Board Members
12
Employees
0
Volunteers
306
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Gift shop operations fund = -$12153

Form 990, Part XI, Line 9

INTERCO CLEARING = $93

Form 990, Part IV, question 12

Legacy has an audit of its consolidated financial statement which includes consolidating schedules highlighting LSCH's financial results.

Form 990, Part X

LSCH 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 J

Schedule J Reporting of Officers and Senior Management on Legacy Affilate Returns. The Legacy Officers, Senior Vice Presidents and other key employees may have responsibilities for the operations of the entire health system, including the affiliated entities. Their compensation is paid from and reported on the Legacy return(EIN 23-7426300). The compensation is reported again for informational purposes on related affiliated entity returns including, Legacy Emanuel Hospital & Health Center, Legacy Good Samaritan Hospital and Medical Center, Legacy Meridian Park Hospital, Legacy Mount Hood Medical Center, Legacy Salmon Creek Hospital, Silverton Health, and Legacy Visiting Nurse Association.

Financial Statement Notes

Part V, Line 4: Intended uses of the endowment fund.

Endowment funds disclosed in Part V are used to improve the healthcare of the community as designated by the donors. Salmon Creek Hospital Foundation (SCHF) maintains all charitable gifts including endowment funds for the benefit of LSCH and it's programs. Income from permanently restricted net assets is accounted for in accordance with the donors' instructions.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 4B: Other revenue amounts included on 990 but not included in F/S

Medical staff income $467762 foundation donation $384201 other expense $54345 gain / loss of sale of assets $-24327 program service revenue $1465316 rounding $-686

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

Medical staff expense $381534 foundation donation $309445 other expense $54345 gain / loss of sale of assets $-24327 program service revenue $1465316 rounding $1375

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IRS990/ActivityOrMissionDesc0Legacy Salmon Creek Hospital is Washington's most modern hospital and provides acute and critical care in Vancouver, WA. LSCH operates adult, pediatric, and OB/GYN hospitalist programs, as well as 4 primary care physician practices and 13 specialty clinics.
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IRS990/Desc0LSCH was the State of Washington's first new hospital construction since 1979. The hospital opened in August 2005 with 165 licensed beds, all of which are single occupancy. LSCH provides a full array of hospital services, including surgery, diagnostics, inpatient and outpatient medical services, neonatal intensive care unit, pediatric, obstetrical, and emergency services. LSCH utilizes an electronic information system for medical records and physician order entry. Physicians are able to complete their entire patient records electronically and can remotely access patient records, including diagnostic images.In support of its mission, LSCH voluntarily provides medically necessary patient care services that are discounted or free of charge to persons who have insufficient resources and/or who are uninsured. During fiscal year 2025, LSCH provided financial assistance on approximately 17,657 patient accounts (of which 1,482 accounts received discounts totaling 100% of costs) and resulted in LSCH incurring roughly $11,925,800 in uncompensated costs associated with this program. In addition to charity care, LSCH provides services under various states' Medicaid programs for financially needy patients Medicare beneficiaries, and other government programs for which the cost of treating these patients exceeds the government payments received. During fiscal year 2025, LSCH incurred approximately $37,989,300, $66,347,900 and $3,715,000 in uncompensated costs attributable to Medicaid, Medicare and other government programs respectively. LSCH also provides a variety of other community benefit activities such as medical education, donations to other charitable entities, research, and other health improvement services, which totaled roughly $8,171,000 during fiscal year 2025.LSCH is part of Legacy, which collectively provided over $62 million, $261 million, $319 million, and $18 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2025. In addition, Legacy provided over $39 million in other community benefit activities during fiscal year 2025.
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