LEGACY VISITING NURSE ASSOCIATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
LEGACY VISITING NURSE ASSOCIATION (EIN 93-0848530)
Tax period
2018-04-01 to 2019-03-31
Filed
2020-02-18
IRS object ID
202030499349301563
Schema version
2018v3.1
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)
Return2020-02-18T12:52:17-08:00ReturnTs
Tax Period End2019-03-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN930848530EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY VISITING NURSE ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLEGABusinessNameControlTxt
Phone5034155600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1815 NE DAVIS STREETAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97232ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANNA L LOOMISPersonNm
Person TitleCFO & TREASURERPersonTitleTxt
Signature2020-02-18SignatureDt
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-19 02:30:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKATHRYN CORREIAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1815 NE DAVIS STREETAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97232ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$16,643,921GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LEGACYHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateORLegalDomicileStateCd
Activity Or MissionLegacy Visiting Nurse Association provides palliative care to terminally ill patients and supportive services to patients, their families, and significant others, through an inpatient and outpatient hospice program.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers190TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$290,629PYContributionsGrantsAmt
CY Contributions Grants$269,241CYContributionsGrantsAmt
PY Program Service Revenue$18,896,245PYProgramServiceRevenueAmt
CY Program Service Revenue$16,374,680CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$19,186,874PYTotalRevenueAmt
CY Total Revenue$16,643,921CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,347,869PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,364,641CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,745,407PYOtherExpensesAmt
CY Other Expenses$4,733,568CYOtherExpensesAmt
PY Total Expenses$18,093,276PYTotalExpensesAmt
CY Total Expenses$17,098,209CYTotalExpensesAmt
PY Revenues Less Expenses$1,093,598PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$454,288CYRevenuesLessExpensesAmt
Total Assets BOY$8,328,329TotalAssetsBOYAmt
Total Assets EOY$7,694,902TotalAssetsEOYAmt
Total Liabilities BOY$2,196,432TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,147,058TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$6,131,897NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,547,844NetAssetsOrFundBalancesEOYAmt
MissionLegacy Visiting Nurse Association (LVNA) provides palliative care to terminally ill patients and supportive services to patients, their families, and significant others, through an inpatient and outpatient hospice program. LVNA's Hopewell House, located in southwest Portland has 15 licensed beds. The home hospice program serves the greater Portland/Vancouver metropolitan area. LVNA also has a 50% interest in a home infusion joint venture.LVNA is part of the 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 thMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,876,361ExpenseAmt
Revenue$16,374,680RevenueAmt
DescLVNA strives to provide compassionate, competent care for hospice patients and their families and friends. LVNA serves those who are experiencing severe pain, intractable nausea, seizures, depression, respiratory distress, or other conditions that the patient's family is unable to cope with. LVNA's round-the-clock medical care emphasizes symptom management and support for the whole person.Hopewell House, our peaceful facility is nestled in a wooded area of Southwest Portland, with 14 inpatient rooms looking out over the trees and featuring handmade quilts and other home-like touches for comfort. Meals are customized for each patient and are also available for family members. We encourage visits, and everyone is welcome-even the family pet. Bereavement follow-up is an important part of Hospice care. On the death of a patient, our bereavement counselors provide family members and friends with both written resources and emotional support.Grief support groups and classes are offered at Hopewell House and at our other hospice locations in Portland and McMinnville. In support of its mission, LVNA 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 2019, LVNA provided financial assistance and incurred approximately $115,480 in uncompensated costs. In addition to charity care, LVNA provides services to Medicare beneficiaries resulting in approximately $1,276,920 of uncompensated costs. LVNA is part of Legacy, which collectively provided over $48 million, $210 million, $178 million, and $5 million in uncompensated care attributable to its financial assistance, Medicaid, Medicare, and other government programs, respectively, in fiscal year 2019. In addition, Legacy provided over $25 million in other community benefit activities during fiscal year 2019.Desc
Total Program Service Expenses$13,876,361TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee0EmployeeCnt
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANNA LOOMISPersonNm
Phone5034155600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11919 NW LOVEJOY STREETAddressLine1Txt
CityPORTLANDCityNm
State AbbreviationORStateAbbreviationCd
ZIP97209ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (38 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BISHOP DAVID BRAUER-RIEKE
BOARD DIRECTOR3.000.00Yes (X)$0$0$0
JONATHAN G HILL MD
BOARD DIRECTOR3.0040.00Yes (X)$0$621,841$59,218
SHERYL MANNING
BOARD DIRECTOR4.000.00Yes (X)$0$25,000$0
DAVID RAMUS
BOARD DIRECTOR3.000.00Yes (X)$0$25,000$0
ROBERT L CORNIE
BOARD DIRECTOR4.000.00Yes (X)$0$25,000$0
JEFFREY D FULLMAN MD
CHAIRMAN4.001.00Yes (X)$0$55,315$0Yes (X)
SAMIR DESAI MD
BOARD DIRECTOR3.000.00Yes (X)$0$16,500$0
RT REV MICHAEL J HANLEY
BOARD MEMBER3.000.00Yes (X)$0$0$0
RONALD S KING
VICE CHAIR4.000.00Yes (X)$0$17,500$0Yes (X)
LESLIE ROOT MD
BOARD DIRECTOR4.0040.00Yes (X)$0$197,180$10,465
DIANE PINNEY
BOARD DIRECTOR4.000.00Yes (X)$0$7,500$0
ANNA LOOMIS
CFO & TREASURER1.0040.00Yes (X)$0$237,897$29,820Yes (X)
JACK A FRIEDMAN
BOARD DIRECTOR3.000.00Yes (X)$0$7,500$0
KATHRYN CORREIA
President & CEO1.0040.00Yes (X)$0$798,801$89,302Yes (X)
GEORGE J BROWN MD
President & CEO1.0040.00Yes (X)$0$1,482,645$48,794Yes (X)
ROBERT E DEWITT
SR VP & SEC1.0040.00Yes (X)$0$549,817$45,505Yes (X)
JERRY D PETTY
BOARD DIRECTOR3.000.00Yes (X)$0$7,500$0
JEFFREY BARBER
BOARD DIRECTOR4.000.00Yes (X)$0$17,526$0
JAMES WALKER
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
PATRICK REITEN
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
CHARLES WILHOITE
VICE CHAIR3.000.00Yes (X)$0$25,000$0Yes (X)
GAYLE GOSCHIE
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
NANCY R LOCKE
BOARD DIRECTOR3.000.00Yes (X)$0$25,000$0
LYNN T GUST
BOARD DIRECTOR3.000.00Yes (X)$0$15,000$0
SARAH K JENSEN
INTERIM CFO1.0040.00Yes (X)$0$279,152$25,102Yes (X)
CAROL A BRADLEY
SR VP0.0040.00$0$598,516$53,431Yes (X)
SONJA O STEVES
SR VP0.0040.00$0$415,512$58,830Yes (X)
EVERETT NEWCOMB III MD
SR VP0.0040.00$0$764,856$54,878Yes (X)
JONATHAN E AVERY
HOSPITAL PRESIDENT0.0040.00$0$444,170$62,258Yes (X)
MAUREEN A BRADLEY
SR VP0.0040.00$0$277,145$33,948Yes (X)
JOHN J KENAGY
SR VP0.0040.00$0$434,386$58,059Yes (X)
LEWIS L LOW MD
SR VP0.0040.00$0$587,323$72,299Yes (X)
CRAIG E TANNER MD
MED DIR HOSPICE40.000.00$262,525$0$42,902Yes (X)
CYNTHIA A ARGO
RN24.000.00$125,827$0$29,846Yes (X)
GAIL M MUELLER
MANAGER40.000.00$154,584$0$33,827Yes (X)
MARY L SMITH
RN40.000.00$127,293$0$23,815Yes (X)
YOLANDA SUAREZ MD
PHYSICIAN24.000.00$141,941$0$8,747Yes (X)
TRENT S GREEN
FORMER SR. VP0.0040.00$0$558,035$57,404Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$812,170TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,561,617TotReportableCompRltdOrgAmt
Total Other Compensation$898,450TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ONEPOINT PATIENT CARE LLC
PO BOX 27426TempeAZ85285PHARMACY MANAGEMENT$710,509
MARQUIS CARE
725 SE 202ND AVEPORTLANDOR97233RESPITE CARE$140,967
MEDLINE INDUSTRIES
92 SE 223RD AVEGRESHAMOR97030MEDICAL SUPPLIES$103,951
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$269,241RelatedOrganizationsAmt
Total Contributions$269,241TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHARITY CARE-$132,210-$132,210
CONTRACTUAL ALLOWANCE-$3,764,389-$3,764,389
CONVENIENCE OF MEMBERS
OPTION CARE J.V.$1,002,359$1,002,359
PATIENT PROGRAM REV$19,268,920$19,268,920
FieldValueIRS element (for citing)
Total Program Service Revenue$16,374,680TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,643,921TotalRevenueColumnAmt
Related Or Exempt Func Income$16,374,680RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,747,688TotalAmt
Program Services$8,093,000ProgramServicesAmt
Management And General$1,654,688ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$476,873TotalAmt
Program Services$476,873ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,431,155TotalAmt
Program Services$1,430,836ProgramServicesAmt
Management And General$319ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$708,925TotalAmt
Program Services$708,925ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$39,561TotalAmt
Program Services$39,561ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,529,574TotalAmt
Program Services$1,320,366ProgramServicesAmt
Management And General$209,208ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$184,296TotalAmt
Management And General$184,296ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$284,568TotalAmt
Program Services$264,783ProgramServicesAmt
Management And General$19,785ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$156,115TotalAmt
Program Services$156,115ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,324TotalAmt
Management And General$17,324ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CONTRACT SERVICES$1,362,037$1,362,037
ADMINISTRATIVE SERVICES FEES$1,100,004$1,100,004
DUES AND FEES$45,296$9,072$36,224
BAD DEBTS$14,793$14,793

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$17,098,209TotalAmt
Program Services$13,876,361ProgramServicesAmt
Management And General$3,221,848ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,279BOYAmt
EOY$27,361EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,140,720BOYAmt
EOY$1,710,584EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,092BOYAmt
EOY$9,953EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,502,088LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,119,204LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,538,998BOYAmt
EOY$1,382,884EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,613,240BOYAmt
EOY$4,564,120EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,328,329BOYAmt
EOY$7,694,902EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,870,992BOYAmt
EOY$2,107,394EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$325,440BOYAmt
EOY$39,664EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,196,432BOYAmt
EOY$2,147,058EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,131,897BOYAmt
EOY$5,547,844EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,131,897BOYAmt
EOY$5,547,844EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,328,329BOYAmt
EOY$7,694,902EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$454,288ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$129,765OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$413,939CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$459,667CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$406,747CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$290,629CurrentTaxYearMinus1YearAmt
Current Tax Year$269,241CurrentTaxYearAmt
Total$1,840,223TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,108,084CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,092,697CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,429,655CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,896,245CurrentTaxYearMinus1YearAmt
Current Tax Year$16,374,680CurrentTaxYearAmt
Total$83,901,361TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,522,023CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,552,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,836,402CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,186,874CurrentTaxYearMinus1YearAmt
Current Tax Year$16,643,921CurrentTaxYearAmt
Total$85,741,584TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$85,741,584PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,522,023CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$15,552,364CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$19,836,402CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,186,874CurrentTaxYearMinus1YearAmt
Current Tax Year$16,643,921CurrentTaxYearAmt
Total$85,741,584TotalAmt
FieldValueIRS element (for citing)
Public Support CY5091.00000PublicSupportCY509Pct
Public Support PY5091.00000PublicSupportPY509Pct
Investment Income CY0.00000InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$745FilingOrganizationsTotalAmt
Affiliated Group Total$315,843AffiliatedGroupTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$745FilingOrganizationsTotalAmt
Affiliated Group Total$315,843AffiliatedGroupTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$15,168,290FilingOrganizationsTotalAmt
Affiliated Group Total$2,132,315,328AffiliatedGroupTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$15,169,035FilingOrganizationsTotalAmt
Affiliated Group Total$2,132,631,171AffiliatedGroupTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$908,452FilingOrganizationsTotalAmt
Affiliated Group Total$1,000,000AffiliatedGroupTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$227,113FilingOrganizationsTotalAmt
Affiliated Group Total$250,000AffiliatedGroupTotalAmt
FieldValueIRS element (for citing)
Form4720 FiledfalseForm4720FiledInd

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$1,799,318CurrentYearMinus3Amt
Current Year Minus2$1,886,646CurrentYearMinus2Amt
Current Year Minus1$1,946,541CurrentYearMinus1Amt
Current Year$1,908,452CurrentYearAmt
Total$7,540,957TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$11,311,436LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$364,026CurrentYearMinus3Amt
Current Year Minus2$272,076CurrentYearMinus2Amt
Current Year Minus1$296,586CurrentYearMinus1Amt
Current Year$316,588CurrentYearAmt
Total$1,249,276TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$449,830CurrentYearMinus3Amt
Current Year Minus2$471,662CurrentYearMinus2Amt
Current Year Minus1$486,635CurrentYearMinus1Amt
Current Year$477,113CurrentYearAmt
Total$1,885,240TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$2,827,860GrassrootsCeilingAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$660,412BeginningYearBalanceAmt
Contributions$137,143ContributionsAmt
Investment Earnings Or Losses$21,786InvestmentEarningsOrLossesAmt
Other Expenditures$7,895OtherExpendituresAmt
End Year Balance$811,446EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$626,800BeginningYearBalanceAmt
Contributions$20,252ContributionsAmt
Investment Earnings Or Losses$67,087InvestmentEarningsOrLossesAmt
Other Expenditures$53,728OtherExpendituresAmt
End Year Balance$660,411EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$536,762BeginningYearBalanceAmt
Contributions$48,654ContributionsAmt
Investment Earnings Or Losses$56,594InvestmentEarningsOrLossesAmt
Other Expenditures$15,210OtherExpendituresAmt
End Year Balance$626,800EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$553,248BeginningYearBalanceAmt
Contributions$3,180ContributionsAmt
Investment Earnings Or Losses-$18,633InvestmentEarningsOrLossesAmt
Other Expenditures$1,034OtherExpendituresAmt
End Year Balance$536,761EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$518,151BeginningYearBalanceAmt
Contributions$970ContributionsAmt
Investment Earnings Or Losses$37,557InvestmentEarningsOrLossesAmt
Other Expenditures$3,430OtherExpendituresAmt
End Year Balance$553,248EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.25000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.75000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$536,000OtherCostOrOtherBasisAmt
Book Value$536,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,540,271OtherCostOrOtherBasisAmt
Depreciation$1,743,154DepreciationAmt
Book Value$797,117BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,345OtherCostOrOtherBasisAmt
Depreciation$71,064DepreciationAmt
Book Value$15,281BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$339,472OtherCostOrOtherBasisAmt
Depreciation$304,986DepreciationAmt
Book Value$34,486BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,382,884TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY AFFILIATE RECEIVABLE$988,533
WALGREENS INFUSION SERV AT LEGACY, LLC$3,575,587
FieldValueIRS element (for citing)
Total Book Value Other Assets$4,564,120TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescNONCURRENT WORKERS' COMP LIABILITYDesc
Amt$39,664Amt
FieldValueIRS element (for citing)
Total Liability$39,664TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$16,392,000TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$16,392,000RevenueSubtotalAmt
Other Revenues Not Included$251,921OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$251,921RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$16,643,921TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$16,846,000TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$16,846,000ExpensesSubtotalAmt
Other Expenses Not Included$252,209OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$252,209ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$17,098,209TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. Good Samaritan Foundation (GSF) maintains all charitable gifts including endowment funds for the benefit of LVNA 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/SFOUNDATION CONTRIBUTION $269241 ROUNDING $-339 NONOP PENSION LIABILITY $-16981
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/SFOUNDATION CONTRIBUTION $269241 ROUNDING $-51 NONOP PENSION LIABILITY $-16981

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionYes (true)InitialContractExceptionInd
Rebuttable Presumption ProcYes (true)RebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
ANNA LOOMIS
CFO & TREASURER$172,306$53,500$12,091$16,038$13,782$267,717
CAROL A BRADLEY
SR VP$388,574$34,262$175,680$22,312$31,119$651,947$131,313
CRAIG E TANNER MD
MED DIR HOSPICE$253,168$14,143-$4,786$13,394$29,508$305,427
CYNTHIA A ARGO
RN$115,684$10,143$12,622$17,224$155,673
EVERETT NEWCOMB III MD
SR VP$674,989$89,867$17,875$37,003$819,734$29,824
GAIL M MUELLER
MANAGER$156,175-$1,591$10,386$23,441$188,411
GEORGE J BROWN MD
President & CEO$650,860$687,778$144,007$24,047$24,747$1,531,439$73,934
JOHN J KENAGY
SR VP$417,047$17,339$24,465$33,594$492,445
JONATHAN E AVERY
HOSPITAL PRESIDENT$427,005$17,165$31,116$31,142$506,428
JONATHAN G HILL MD
BOARD DIRECTOR$485,014$129,938$6,889$6,875$52,343$681,059
KATHRYN CORREIA
President & CEO$630,871$121,720$46,210$70,485$18,817$888,103
LESLIE ROOT MD
BOARD DIRECTOR$152,829$44,718-$367$6,980$3,485$207,645
LEWIS L LOW MD
SR VP$578,313$9,010$44,620$27,679$659,622
MARY L SMITH
RN$123,007$2,000$2,286$13,487$10,328$151,108
MAUREEN A BRADLEY
SR VP$273,745$3,400$16,019$17,929$311,093
ROBERT E DEWITT
SR VP & SEC$465,289$84,528$27,385$18,120$595,322
SARAH K JENSEN
INTERIM CFO$261,081$18,785-$714$12,550$12,552$304,254
SONJA O STEVES
SR VP$379,245$37,924-$1,657$32,642$26,188$474,342
TRENT S GREEN
FORMER SR. VP$533,578$24,457$23,189$34,215$615,439
YOLANDA SUAREZ MD
PHYSICIAN$108,410$28,749$4,782$3,439$5,308$150,688

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6b: Explanation of organization compensation contingent on net earnings from related orLegacy has an at-risk incentive compensation plan for management. The plan is based on meeting goals related to employee engagement, work processes, customer service, clinical quality, financial management, and certain key strategic tactics. In order to payout any at-risk incentive compensation, Legacy must exceed operating margin targets.
Part I, Line 8: Amounts reported on 990 VII pursuant to initial contract exemption described in RegsLegacy enters into initial employment agreements with Executives that qualify under the initial contract exception. The Compensation Committee of the Board of Directors, none of whom is a Legacy employee, reviews the compensation for key executive positions. The Committee relies on comparable market data and all decisions are documented.
Part III, Additional InformationSch J, Part 1, Question 3 Regarding Compensation PracticesDirectors for Legacy started receiving compensation for their services in August 2014. They also receive expense reimbursements related to their duties. Any expense reimbursements to board members are reviewed by the Director of Tax for determining 1099 tax reporting. In addition to the Board of Directors compensation, during 2018, Dr. Hill received compensation related to his duties as Medical Director at Legacy Emanuel Hospital. Dr. Root also received compensation for medical services provided to Legacy Emanuel Hospital. Dr. Fullman and Dr. Desai received compensation for medical services provided to Legacy Meridian Park Hospital and Legacy Mount Hood Medical Center respectively. There was no other reportable compensation received by any board member during 2018.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 executive positions. The Committee oversees the system's governance procedures with respect to intermediate sanctions legislation and the evaluation of reasonableness of compensation. The Committee reports to the Board in sufficient detail to enable the entire Board to take such actions as are required to obtain the rebuttable presumption of reasonableness. The Compensation Committee also reviews tax-reporting disclosures.Sch J, Part II, Column Breakdown Of W-2 Or Misc-1099:Column B(i) - Base compensation consists of regular base pay including employee elected deferrals for retirement plans (403(b) and 457(b) plans).Column B(ii) - The incentive compensation program for Legacy is based on predetermined criteria and reviewed and approved by the Board. Bonuses are paid to key employees for interim duties outside their primary responsibilities (e.g. Acting in Capacity).Column B(iii) - Other compensation consists of deferred compensation amounts paid toexecutives during the current year and were reported on prior form 990 returns. These amounts include arrangements that contain elements of a substantial risk of forfeiture conditioned on continued employment, vesting and/or a noncompete provision upon termination of employment. Distributions from 457(b) plans, reported to the employee on a 1099-R, are also included as other compensation. In addition, imputed income for insurance, cell phone and other benefits is included in other compensation as well as any severance related payments. Column C - Deferred compensation includes the contributions to defined contribution plans, amounts deferred under the 457(f) plan including earnings, earnings in the 457(b) plan, and the value of the pension restoration plan. Earnings on the 457(f) and 457(b) include gains and losses on the underlying investments.The defined contribution plan is available to all employees as they become qualified to participate. The pension restoration plan provides executive pension benefits in excess of IRS mandated limits on eligible compensation to key executives. The benefits are unfunded and subject to forfeiture. Executive pension benefits are intended to make the executive's retirement benefit, as a proportion of their final average salary, comparable to all other employees, and are treated as income when paid.The Legacy Health Board approved the goals and long-term objectives for the Executive Long-Term Incentive Plan effective April 1, 2017 for 3 years ending on March 31, 2020. The plan is discretionary and can be terminated at any time. The purpose of the Plan is to achieve market share growth in key areas identified in Legacy Healths strategic plan. Targets for operating margins and clinical quality are required over the three-year period and all goals are measured at March 31, 2020.Column D - Nontaxable benefits include company paid health and welfare and long term care and disability benefits under group plans.Column F - Current year compensation reported as deferred in prior years.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 3: Description of Delegated Duties to Management CompanyLegacy 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 ShareholderLegacy Health is the sole member of Legacy Visiting Nurse Association.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThe 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, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersThe 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, Line 11b: Form 990 Review ProcessThe 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 Committee received a memorandum with draft 990 returns for Legacy Health and Legacy Emanuel Hospital & Health Center highlighting key areas and requesting feedback. Questions from the Board Audit Committee are answered and changes made where appropriate. Any significant differences in disclosure for other affiliated entities, including LVNA are provided to the Board Audit Committee. Depending on the deadline for the 990 return filing and the Board Audit Committee meeting this discussion may take place following the filing of the return.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe following is a summary of Legacy's policy and procedures for conflict of interest disclosure, monitoring and resolution.All Legacy employees and non-employees in leadership positions (e.g., Board members, Foundation Trustees, Medical Directors) are required to disclose potential conflicts of interest as the conflict arises. All employees are required to disclose any conflict of interest per the Standard of Conduct policy. Certain groups have annual formal disclosure requirements, Executives and non-employees in leadership positions complete the Conflict Disclosure Statement from the Standards of Conduct policy annually. Officers, Directors, Trustees, Key and Highly Compensated employees are also required to complete a questionnaire covering business relationships, business transactions with interested parties, loans and grants. Conflict Disclosure Statements and questionnaires are returned to Legacy Corporate Compliance or Tax Departments for review of the disclosure. If a conflict is disclosed, or identified through any other means, Legacy Corporate Compliance ensures that management mitigates the risk (e.g., discontinues relationship with vendor, segregates responsibilities, recuses Board member from voting in area of conflict) and that the conflict and mitigation steps are reported to the appropriate level (e.g., Compliance Committee, Audit Committee of the Board).
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe 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 AvailableLegacy 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 LVNA's financial results.When changes are made to the LVNA Articles or Bylaws, LVNA 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.
Other Changes In Net Assets Or Fund Balances - Other DecreasesCHANGE IN ADDITIONAL MINIMUM PENSION LIABILITY = -$129765
Form 990, Part IV, question 12Legacy has an audit of its consolidated financial statement which includes consolidating schedules highlighting LVNA's financial results.
Form 990, Part VI, question 2Legacy 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 LVNA is 163.
Form 990, Part XLVNA 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 JSchedule 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, Legacy Visiting Nurse Association, and Legacy Adventist Venture.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationInd
LEGACY HEALTH
1919 NW LOVEJOY STPORTLANDOR97209237426300HEALTHCAREOR501(C)(3)11bN/Afalse
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
2801 N GANTENBEIN AVEPORTLANDOR97227930386823HOSPITALOR501(C)(3)3N/Afalse
LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL
1015 NW 22ND AVEPORTLANDOR97210930386793HOSPITALOR501(C)(3)3N/Afalse
LEGACY MERIDIAN PARK HOSPITAL
19300 SW 65TH AVETUALATINOR97062930618975HOSPITALOR501(C)(3)3N/Afalse
LEGACY MOUNT HOOD MEDICAL CENTER
24800 SE STARK STGRESHAMOR97030930591528HOSPITALOR501(C)(3)3N/Afalse
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH STVANCOUVERWA98686331065485HOSPITALWA501(C)(3)3N/Afalse
EMANUEL MEDICAL CENTER FOUNDATION
PO BOX 4484PORTLANDOR97208936095667CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
RANDALL CHILDRENS HOSPITAL FOUNDATION
PO BOX 4484PORTLANDOR97208931314469CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
GOOD SAMARITAN FOUNDATION
PO BOX 4484PORTLANDOR97208237017276CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
MERIDIAN PARK MEDICAL FOUNDATION
PO BOX 4484PORTLANDOR97208930773410CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
MT HOOD MEDICAL CENTER FOUNDATION
PO BOX 4484PORTLANDOR97208930794951CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
SALMON CREEK HOSPITAL FOUNDATION
PO BOX 4484PORTLANDOR97208830433165CHARITABLE FOUNDATIONWA501(C)(3)7N/Afalse
LEGACY ADVENTIST VENTURE
1919 NW LOVEJOY STPORTLANDOR97209931121816HEALTHCAREOR501(C)(3)9N/Afalse
LEGACY HEALTH FOUNDATION
1919 NW LOVEJOY STPORTLANDOR97209465562403CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse
SILVERTON HEALTH
342 FAIRVIEW STREETSILVERTONOR97381930281321HOSPITALOR501(C)(3)3N/Afalse
SILVERTON HEALTH FOUNDATION
342 FAIRVIEW STREETSILVERTONOR97381930913392CHARITABLE FOUNDATIONOR501(C)(3)7N/Afalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Walgreens Infusion Services at LH LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 WILMOT ROAD MS 3301AddressLine1Txt
CityDEERFIELDCityNm
State AbbreviationILStateAbbreviationCd
ZIP60015ZIPCd
FieldValueIRS element (for citing)
EIN203161422EIN
Primary ActivitiesINFUSIONPrimaryActivitiesTxt
Legal Domicile StateORLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Share Of Total Income$1,001,261ShareOfTotalIncomeAmt
Share Of EOY Assets$3,577,864ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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