GOOD SAMARITAN HOSPITAL CORVALLIS: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: GOOD SAMARITAN HOSPITAL CORVALLIS (EIN 93-0391573)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-13
IRS object ID: 201513179349309826
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-13T19:20:28-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	930391573	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SAMARITAN HOSPITAL CORVALLIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GOOD	BusinessNameControlTxt
Phone	5417684773	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O SHS ACCOUNTING PO BOX 3000	AddressLine1Txt
City	CORVALLIS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	973393000	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL B SMITH	PersonNm
Person Title	VP FINANCE/CFO	PersonTitleTxt
Phone	5417684773	PhoneNum
Signature	2015-11-13	SignatureDt

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-03-07 17:11:31Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SAMARITAN REGIONAL MEDICAL CTR	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	LARRY A MULLINS DHA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3600 NW SAMARITAN DR	AddressLine1Txt
City	CORVALLIS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97330	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$331,654,464	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SAMHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1948	FormationYr
Legal Domicile State	OR	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY THROUGH ITS MEDICAL AND SURGICAL HOSPITAL.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2357	TotalEmployeeCnt
Total Volunteers	272	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,454,369	PYContributionsGrantsAmt
CY Contributions Grants	$1,054,619	CYContributionsGrantsAmt
PY Program Service Revenue	$319,361,967	PYProgramServiceRevenueAmt
CY Program Service Revenue	$325,920,895	CYProgramServiceRevenueAmt
PY Investment Income	$967,032	PYInvestmentIncomeAmt
CY Investment Income	$973,496	CYInvestmentIncomeAmt
PY Other Revenue	$2,621,305	PYOtherRevenueAmt
CY Other Revenue	$3,464,197	CYOtherRevenueAmt
PY Total Revenue	$324,404,673	PYTotalRevenueAmt
CY Total Revenue	$331,413,207	CYTotalRevenueAmt
PY Grants And Similar Paid	$255,095	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$334,474	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$176,436,353	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$177,147,666	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$215,693	CYTotalFundraisingExpenseAmt
PY Other Expenses	$155,882,852	PYOtherExpensesAmt
CY Other Expenses	$156,824,903	CYOtherExpensesAmt
PY Total Expenses	$332,574,300	PYTotalExpensesAmt
CY Total Expenses	$334,307,043	CYTotalExpensesAmt
PY Revenues Less Expenses	-$8,169,627	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$2,893,836	CYRevenuesLessExpensesAmt
Total Assets BOY	$181,709,661	TotalAssetsBOYAmt
Total Assets EOY	$170,488,288	TotalAssetsEOYAmt
Total Liabilities BOY	$81,812,689	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$93,703,835	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$99,896,972	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$76,784,453	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	GOOD SAMARITAN HOSPITAL, CORVALLIS (GSH) ACHIEVES ITS MISSION OF IMPROVING THE HEALTH AND WELL BEING OF THE COMMUNITY THROUGH ITS MEDICAL AND SURGICAL HOSPITAL AND HEALTHCARE CLINICS PROVIDING OUTPATIENT CARE SERVICES AT SEVERAL AREA LOCATIONS.GSH IS A MEMBER OF SAMARITAN HEALTH SERVICES (SHS), A REGIONAL NETWORK OF HOSPITALS, PHYSICIANS AND SENIOR CARE FACILITIES. THE NETWORK, FORMED IN THE LATE 1990'S, SERVES APPROXIMATELY 290,000 RESIDENTS IN LINN, BENTON, LINCOLN AND PORTIONS OF POLK AND MARION COUNTIES IN OREGON. IT IS LOCALLY OWNED, AND ITS BOARDS OF DIRECTORS INCLUDE HOSPITAL LEADERS, PHYSICIANS AND COMMUNITY REPRESENTATIVES. GSH PROVIDES HEALTHCARE SERVICES REGARDLESS OF RACE, COLOR, CREED, SEX, NATIONAL ORIGIN, DISABILITY OR AGE. THE MISSION OF GSH IS TO ENHANCE COMMUNITY HEALTH AND ACHIEVE HIGH VALUE THROUGH QUALITY SERVICES ACROSS A CONTINUUM OF CARE. THE COLLECTIVE VISION OF THE SHS SYSTEM IS TO BE A VALUES-DRIVEN ORGANIZATION GOVERNED BY COMMUNITY MEMBERS, PHYSICIANS AND O	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$301,342,838	ExpenseAmt
Revenue	$326,887,505	RevenueAmt
Desc	GOOD SAMARITAN HOSPITAL CORVALLIS (GSH), THE LARGEST HOSPITAL IN LINN, BENTON AND LINCOLN COUNTIES, OFFERS MORE THAN 22 MEDICAL SPECIALTIES INCLUDING COMPREHENSIVE CANCER CARE, A FULL-SERVICE CARDIOLOGY AND VASCULAR SURGERY PROGRAM, A SLEEP LAB, NEUROSURGERY AND OTHER REGIONAL SERVICES. GSH HAS MORE THAN 1,900 EMPLOYEES AND 250 VOLUNTEERS SERVING THE MEDICAL NEEDS OF THE COMMUNITY. IT IS LICENSED TO OPERATE 188 BEDS AND IS ONE OF ONLY THREE 'LEVEL 2' TRAUMA CENTERS IN THE STATE. DURING 2014, GSH SERVED 8,743 INPATIENTS, HAD 25,459 EMERGENCY DEPARTMENT VISITS, PERFORMED 9,612 SURGERIES AND DELIVERED 1,012 BABIES. IN ADDITION, GSH PERFORMED 78,321 IMAGING PROCEDURES, HAD 34,096 HOME HEALTH VISITS, AND HAD 198,659 PHYSICIAN CLINIC VISITS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$334,474	ExpenseAmt
Grant	$334,474	GrantAmt
Desc	GRANTS AND ASSISTANCE PROVIDED BY GOOD SAMARITAN HOSPITAL CORVALLIS TO VARIOUS ORGANIZATIONS AND INDIVIDUALS TO BENEFIT THE COMMUNITY. SEE PART IX, LINES 1 AND 2 AND RELATED SCHEDULE I FOR MORE DETAILS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$301,677,312	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	7	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2357	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	Yes (1)	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OR	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	SAMARITAN HEALTH SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5417684773	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3000	AddressLine1Txt
City	CORVALLIS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	973393000	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BISHOP MICHAEL HANLEY
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
STEVE UERLINGS
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0	2.00
NANCY SEIFERT
BOARD TREASURER	1.00	Yes (X)	$0	$0	$0		Yes (X)
GILBERT BECK
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0	2.00
CLIFFORD A HALL MD
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
RICHARD CRONK MD
BOARD CHAIR	1.00	Yes (X)	$0	$0	$0	2.00	Yes (X)
REVEREND SIMON JUSTICE
BOARD SECRETARY	1.00	Yes (X)	$0	$0	$0		Yes (X)
SHIRLEY PETERSON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0	1.00
JUDY LIST
BOARD VICE-CHAIR	1.00	Yes (X)	$0	$0	$0	1.00	Yes (X)
ERIC THOMPSON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
MICHAEL CHEN MD
BOARD MEMBER	1.00	Yes (X)	$2,000	$0	$0
TIM HENNESSY
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0	1.00
STEFAN SPANN MD
BOARD MEMBER	1.00	Yes (X)	$10,000	$0	$0
LARRY A MULLINS DHA
CEO/CEO SHS	10.00		$0	$909,836	$46,017	30.00	Yes (X)
DANIEL B SMITH
VP FINANCE/CFO	2.00		$0	$371,615	$71,523	38.00	Yes (X)
BECKY PAPE
COO/CEO MVH	30.00		$0	$328,798	$51,610	10.00	Yes (X)
MICHAEL A MAY MD
VP SMH MEDICAL DIRECTOR	39.00		$203,293	$0	$42,777	1.00		Yes (X)
WILLIAM HOWDEN
VP NURSING	40.00		$159,222	$0	$32,701			Yes (X)
RYAN COMBS
VP PRIMARY CARE SPEC PRACTICES	8.00		$35,218	$156,367	$31,855	32.00		Yes (X)
SCOTT WILSON
VP ANCILLARY & SUPPORT SERVICES	40.00		$158,187	$0	$37,460			Yes (X)
JAMES RYAN MD
PHYSICIAN	40.00		$607,634	$0	$50,965				Yes (X)
DONALD PENNINGTON DO
PHYSICIAN	40.00		$794,518	$0	$51,026				Yes (X)
TOSHIO NAGAMOTO MD
PHYSICIAN	40.00		$766,944	$0	$49,197				Yes (X)
DANA PENNER MD
PHYSICIAN	40.00		$601,451	$0	$48,362				Yes (X)
LUIS VELA DO
PHYSICIAN	40.00		$894,676	$0	$50,276				Yes (X)
STEVEN JASPERSON
VP - S. CALIFORNIA OPS	0.00		$0	$464,547	$44,804	40.00				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,233,143	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,231,163	TotReportableCompRltdOrgAmt
Total Other Compensation	$608,573	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	297	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,054,619	RelatedOrganizationsAmt
Total Contributions	$1,054,619	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE	622110	$319,229,282	$319,229,282
RETAIL PHARMACY	446110	$5,893,626	$5,893,626
OTHER PATIENT REVENUE	622110	$797,987	$797,987

Field	Value	IRS element (for citing)
Total Program Service Revenue	$325,920,895	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$694,151	TotalRevenueColumnAmt
Exclusion	$694,151	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$894,709	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$162,169	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$732,540	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$732,540	TotalRevenueColumnAmt
Exclusion	$732,540	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$273,622	SecuritiesAmt
Other	$9,255	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,532	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$270,090	SecuritiesAmt
Other	$9,255	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$279,345	TotalRevenueColumnAmt
Exclusion	$279,345	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$287,975	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$75,556	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$212,419	TotalRevenueColumnAmt
Related Or Exempt Func Income	$212,419	RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA	722210	$1,765,047	$1,765,047
MEDICAL DIRECTOR FEES	900099	$331,435		$331,435
PEDIATRICS PILOT PROG	900099	$155,000		$155,000

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$267,756	TotalRevenueColumnAmt
Related Or Exempt Func Income	$267,756	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,519,238	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$331,413,207	TotalRevenueColumnAmt
Related Or Exempt Func Income	$326,887,505	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,471,083	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$254,899	TotalAmt
Program Services	$254,899	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$79,575	TotalAmt
Program Services	$79,575	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$675,753	TotalAmt
Program Services	$480,106	ProgramServicesAmt
Management And General	$195,647	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$135,379,186	TotalAmt
Program Services	$132,106,320	ProgramServicesAmt
Management And General	$3,180,885	ManagementAndGeneralAmt
Fundraising	$91,981	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,702,511	TotalAmt
Program Services	$8,493,168	ProgramServicesAmt
Management And General	$203,460	ManagementAndGeneralAmt
Fundraising	$5,883	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$22,456,365	TotalAmt
Program Services	$21,916,166	ProgramServicesAmt
Management And General	$525,017	ManagementAndGeneralAmt
Fundraising	$15,182	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$9,933,851	TotalAmt
Program Services	$9,694,887	ProgramServicesAmt
Management And General	$232,248	ManagementAndGeneralAmt
Fundraising	$6,716	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$47,579	TotalAmt
Management And General	$47,579	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$4,450	TotalAmt
Program Services	$3,450	ProgramServicesAmt
Management And General	$1,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,214	TotalAmt
Program Services	$2,214	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,982,813	TotalAmt
Program Services	$8,897,713	ProgramServicesAmt
Management And General	$82,500	ManagementAndGeneralAmt
Fundraising	$2,600	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$54,615	TotalAmt
Program Services	$12,619	ProgramServicesAmt
Management And General	$35,060	ManagementAndGeneralAmt
Fundraising	$6,936	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,883,465	TotalAmt
Program Services	$10,510,887	ProgramServicesAmt
Management And General	$316,712	ManagementAndGeneralAmt
Fundraising	$55,866	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$13,252,391	TotalAmt
Program Services	$12,344,444	ProgramServicesAmt
Management And General	$907,947	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,346,819	TotalAmt
Program Services	$4,210,891	ProgramServicesAmt
Management And General	$135,004	ManagementAndGeneralAmt
Fundraising	$924	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$442,790	TotalAmt
Program Services	$428,429	ProgramServicesAmt
Management And General	$14,133	ManagementAndGeneralAmt
Fundraising	$228	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$845,149	TotalAmt
Program Services	$834,698	ProgramServicesAmt
Management And General	$10,251	ManagementAndGeneralAmt
Fundraising	$200	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$5,185,406	TotalAmt
Program Services	$4,830,147	ProgramServicesAmt
Management And General	$355,259	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,406,108	TotalAmt
Program Services	$10,017,879	ProgramServicesAmt
Management And General	$387,613	ManagementAndGeneralAmt
Fundraising	$616	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,271,270	TotalAmt
Program Services	$3,847,626	ProgramServicesAmt
Management And General	$423,644	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$44,927,111	$44,927,111
PURCHASED SERVICES	$38,199,421	$12,827,820	$25,344,084	$27,517
DUES, TAXES, & LICENSES	$14,973,302	$14,956,263	$15,995	$1,044

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$334,307,043	TotalAmt
Program Services	$301,677,312	ProgramServicesAmt
Management And General	$32,414,038	ManagementAndGeneralAmt
Fundraising	$215,693	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$11,603	BOYAmt
EOY	$12,102	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,520,458	BOYAmt
EOY	$1,071,389	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$49,227,560	BOYAmt
EOY	$42,347,735	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$176,184	BOYAmt
EOY	$182,919	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,901,094	BOYAmt
EOY	$6,556,040	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,541,634	BOYAmt
EOY	$1,899,245	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$215,588,326	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$119,513,580	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$102,230,068	BOYAmt
EOY	$96,074,746	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$16,000,496	BOYAmt
EOY	$16,845,632	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$281,180	BOYAmt
EOY	$281,180	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$4,819,384	BOYAmt
EOY	$5,217,300	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$181,709,661	BOYAmt
EOY	$170,488,288	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$20,847,504	BOYAmt
EOY	$19,678,063	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$73,422	BOYAmt
EOY	$1,192,186	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,708,000	BOYAmt
EOY	$3,708,000	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$3,861,840	BOYAmt
EOY	$2,340,607	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$53,321,923	BOYAmt
EOY	$66,784,979	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$81,812,689	BOYAmt
EOY	$93,703,835	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$99,896,972	BOYAmt
EOY	$76,784,453	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$99,896,972	BOYAmt
EOY	$76,784,453	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$181,709,661	BOYAmt
EOY	$170,488,288	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$2,893,836	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$105,505	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$20,324,188	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,035,183	BeginningYearBalanceAmt
Contributions	$61,783	ContributionsAmt
Investment Earnings Or Losses	$214,664	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$193,220	GrantsOrScholarshipsAmt
End Year Balance	$6,118,410	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,430,883	BeginningYearBalanceAmt
Contributions	$269,432	ContributionsAmt
Investment Earnings Or Losses	$578,249	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$243,381	GrantsOrScholarshipsAmt
End Year Balance	$6,035,183	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,758,581	BeginningYearBalanceAmt
Contributions	$316,843	ContributionsAmt
Investment Earnings Or Losses	$543,063	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$187,604	GrantsOrScholarshipsAmt
End Year Balance	$5,430,883	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,975,845	BeginningYearBalanceAmt
Contributions	$106,549	ContributionsAmt
Investment Earnings Or Losses	-$131,912	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$191,901	GrantsOrScholarshipsAmt
End Year Balance	$4,758,581	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,582,212	BeginningYearBalanceAmt
Contributions	$211,952	ContributionsAmt
Investment Earnings Or Losses	$443,652	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$261,971	GrantsOrScholarshipsAmt
End Year Balance	$4,975,845	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.20470	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.79530	PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,208,871	OtherCostOrOtherBasisAmt
Book Value	$2,208,871	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,462,131	OtherCostOrOtherBasisAmt
Depreciation	$65,760,503	DepreciationAmt
Book Value	$73,701,628	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,780,718	OtherCostOrOtherBasisAmt
Depreciation	$640,402	DepreciationAmt
Book Value	$2,140,316	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$61,026,348	OtherCostOrOtherBasisAmt
Depreciation	$48,757,676	DepreciationAmt
Book Value	$12,268,672	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,110,258	OtherCostOrOtherBasisAmt
Depreciation	$4,354,999	DepreciationAmt
Book Value	$5,755,259	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$96,074,746	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY RESERVE	$2,350,000
OTHER LIABILITIES	$512,891
PAYABLE TO CONTRACTUAL AGENCIES	$6,810,570
MINIMUM PENSION LIABILITY	$39,986,382
ACCRUED INTEREST	$1,223,608
TENANTS DEPOSITS	$23,583
ACCOUNTS PAYABLE-AFFILIATES	$15,877,945

Field	Value	IRS element (for citing)
Total Liability	$66,784,979	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE BOARD-DESIGNATED AND GENERAL ENDOWMENTS ARE USED FOR GENERAL HOSPITAL SUPPORT. THE BERNIER ENDOWMENT IS USED FOR STAFF CONTINUING EDUCATION. THE ERKKILA ENDOWMENT IS USED FOR HEALTH AND HUMAN PERFORMANCE RESEARCH AND REHABILITATION. THE MULLINS SCHOLARSHIP ENDOWMENT IS USED TO SUPPORT EDUCATIONAL SCHOLARSHIPS. THE PASTEGA HOUSE ENDOWMENT IS USED TO HELP UNDERWRITE THE OPERATING COSTS OF THE MARIO PASTEGA GUEST HOUSE. THE VRTISKA ENDOWMENT IS USED TO SUPPORT THE HOSPITAL'S LABORATORY FOR EDUCATIONAL PURPOSES. THE WISH ENDOWMENT IS USED FOR HOSPITAL-BASED PROGRAMS SUPPORTING WOMEN'S AND CHILDREN'S HEALTH. THE HALL ENDOWMENT IS USED TO PROVIDE GRADUATE MEDICAL EDUCATIONAL OPPORTUNITIES IN THE AREA OF PRIMARY AND INTERNAL MEDICINE.

PART X, LINE 2:

FOOTNOTE DISCLOSURE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS: U.S. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE THE SHS' MANAGEMENT TO EVALUATE TAX POSITIONS AND RECOGNIZE A TAX LIABILITY (OR ASSET) IF SHS HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. MANAGEMENT HAS ANALYZED TAX POSITIONS TAKEN BY SHS AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. SHS IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. SHS' MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2010.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	13282	PersonsServedCnt
Total Community Benefit Expns	$3,289,527	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,289,527	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	74488	PersonsServedCnt
Total Community Benefit Expns	$66,146,199	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,912,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,233,989	NetCommunityBenefitExpnsAmt
Total Expense	0.04860	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	26	ActivitiesOrProgramsCnt
Persons Served	87770	PersonsServedCnt
Total Community Benefit Expns	$69,435,726	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$49,912,210	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,523,516	NetCommunityBenefitExpnsAmt
Total Expense	0.05840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	9555	PersonsServedCnt
Total Community Benefit Expns	$421,957	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,372	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$419,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	6237	PersonsServedCnt
Total Community Benefit Expns	$16,508,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,831,286	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,677,609	NetCommunityBenefitExpnsAmt
Total Expense	0.02600	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	21	ActivitiesOrProgramsCnt
Persons Served	171366	PersonsServedCnt
Total Community Benefit Expns	$48,805,062	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$30,867,334	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,937,728	NetCommunityBenefitExpnsAmt
Total Expense	0.05370	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	24540	PersonsServedCnt
Total Community Benefit Expns	$778,569	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$169,446	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$609,123	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	211698	PersonsServedCnt
Total Community Benefit Expns	$66,514,483	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$38,870,438	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,644,045	NetCommunityBenefitExpnsAmt
Total Expense	0.08280	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	74	ActivitiesOrProgramsCnt
Persons Served	299468	PersonsServedCnt
Total Community Benefit Expns	$135,950,209	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,782,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,167,561	NetCommunityBenefitExpnsAmt
Total Expense	0.14120	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	322	PersonsServedCnt
Total Community Benefit Expns	$5,089	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,089	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	24	PersonsServedCnt
Total Community Benefit Expns	$1,561	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,561	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	346	PersonsServedCnt
Total Community Benefit Expns	$6,650	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,650	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$6,964,144	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,323,427	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$52,576,767	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$57,236,224	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,659,457	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 CORVALLIS MED BLDGS LLC
REAL PROPERTY RENTAL	0.54500	0.18500
2 HULL IMAGING LLC
IMAGING SERVICES	0.60000	0.40000
3 SAMARITAN ENDOSCOPY CENTER
MEDICAL SERVICES	0.66670	0.33330
4 CORVALLIS MRI A JV
IMAGING SERVICES	0.50000	0.50000
5 CASCADE VIEW MEDICAL OFFICE BUILDING LLC
REAL PROPERTY RENTAL	0.26300	0.73700

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SAMARITAN HOSPITAL CORVALLIS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3600 NW SAMARITAN DRIVE	AddressLine1Txt
City	CORVALLIS	CityNm
State Abbreviation	OR	StateAbbreviationCd
ZIP	97330	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.SAMHEALTH.ORG	WebsiteAddressTxt
State License	STATE LICENSE: 14-1074	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SAMARITAN HOSPITAL CORVALLIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.SAMHEALTH.ORG/COMMUNITYSUPPORT	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.SAMHEALTH.ORG/COMMUNITYSUPPORT	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GOOD SAMARITAN HOSPITAL, CORVALLIS	PART V, SECTION B, LINE 5: THE STAFF FROM THE COMMUNITY HEALTH PROMOTION DEPARTMENT AND OTHER EMPLOYEES OF GOOD SAMARITAN HOSPITAL PARTICIPATED IN THE COMMUNITY-WIDE BENTON COUNTY COMMUNITY HEALTH ASSESSMENT PROCESS DURING 2012 AND 2013. THE OVERALL GSH COMMUNITY HEALTH NEEDS ASSESSMENT IS ADOPTED FROM THE BENTON COUNTY COMMUNITY HEALTH ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLAN; HOWEVER IN CONSULTATION WITH THE EPIDEMIOLOGIST FROM BENTON COUNTY HEALTH DEPARTMENT, ADDITIONAL INFORMATION WAS GATHERED THAT IS SPECIFIC TO THE GSH SERVICE AREA AND IS INCLUDED IN THE CHNA. PERSONS CONSULTED FOR THE HOSPITAL'S CHNA WERE BENTON COUNTY HEALTH DEPARTMENT, COMMUNITY OUTREACH INC., BENTON EAST LINN HEALTH CENTER, OREGON STATE UNIVERSITY, SAMARITAN HEALTH PLANS, WESTERN UNIVERSITY-COMP NORTHWEST, LINN-BENTON COMMUNITY COLLEGE, CORVALLIS SCHOOL DISTRICT, LINN-BENTON COUNTY HEALTH EQUITY ALLIANCE, OLD MILL CENTER FOR CHILDREN AND FAMILIES, PARENT ENHANCEMENT PROGRAM, STRENGTHENING RURAL FAMILIES, LOVE INC, CHURCH OF THE GOOD SAMARITAN, OREGON CASCADES WEST COUNCIL OF GOVERNMENTS, SAMARITAN INTERCOMMUNITY HEALTH NETWORK, DEPARTMENT OF HUMAN SERVICES, OREGON HEALTH AUTHORITY, COMMUNITY SERVICES CONSORTIUM, CORVALLIS CLINIC, MONROE SCHOOL DISTRICT, ALSEA SCHOOL DISTRICT, PHILOMATH SCHOOL DISTRICT, LINN-BENTON HISPANIC ADVISORY COUNCIL, BENTON COUNTY ORAL HEALTH COALITION AND COMMUNITY MEMBERS.
GOOD SAMARITAN HOSPITAL, CORVALLIS	PART V, SECTION B, LINE 7D: COPIES OF THE CHNA WERE EMAILED TO KEY COMMUNITY PARTNERS AND DISTRIBUTED DURING LOCAL COALITION MEETINGS.
GOOD SAMARITAN HOSPITAL, CORVALLIS	PART V, SECTION B, LINE 11: GSH IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENTS THROUGH MULTIPLE STRATEGIES. FIRST, GSH PROVIDES GRANT FUNDING TO LOCAL COMMUNITY AGENCIES THAT ADDRESS ONE OR MORE OF THE PRIORITIES IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT AND IS INCLUDED IN THE HOSPITAL'S COMMUNITY BENEFIT PLAN. SECOND, THE HOSPITAL STAFF SERVES ON COMMUNITY ADVISORY BOARDS AND COALITIONS TO ADDRESS THE MOST PRESSING NEEDS IN THE COMMUNITY. AND FINALLY, THE HOSPITAL IS PROVIDING WORKSHOPS, CLASSES AND SUPPORT GROUPS TO ADDRESS THE HIGHEST HEALTH CONCERNS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. BECAUSE SEVERAL NEEDS TO IMPROVE HEALTH WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, GSH DOES NOT HAVE THE FINANCES OR RESOURCES TO ADDRESS ALL THE NEEDS.
GOOD SAMARITAN HOSPITAL, CORVALLIS	PART V, SECTION B, LINE 15E: REGISTRATION REFERS UNINSURED AND/OR LOW INCOME PATIENTS TO THE ONSITE PATIENT FINANCIAL ADVOCATE AND A THIRD PARTY VENDOR WHO CONTACTS THE PATIENTS TO ASSESS THEIR FINANCIAL STATUS AND NEEDS.
GOOD SAMARITAN HOSPITAL, CORVALLIS	PART V, SECTION B, LINE 22D: THE HOSPITAL USED THE AVERAGE AMOUNT ACCEPTED AS PAYMENT IN FULL FOR THE COMBINATION OF MEDICARE AND COMMERCIALLY INSURED PATIENTS.

Field	Value	IRS element (for citing)
Facility	34	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (34 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
SAMARITAN REGIONAL CANCER CENTER
501 NW ELKS DR	CORVALLIS	OR	97330	RADIATION ONCOLOGY
SAMARITAN ORTHOPEDICS CLINIC
3620 NW SAMARITAN DR STE 202	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN HEART & VASC - VASC SURGERY
3615 NW SAMARITAN DR STE 201	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN SURGICAL SPECIALISTS
3615 NW SAMARITAN DR STE 201	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN GYN & SURGICAL ASSOCIATES
400 NW WALNUT BLVD STE 300	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN INTERNAL MEDICINE
3521 NW SAMARITAN DR STE 201	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN NEUROSURGERY
3615 NW SAMARITAN DR STE 210	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN FAMILY MEDICINE
3517 NW SAMARITAN DR STE 201	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
MAMMOGRAPHY CLINIC
3615 NW SAMARITAN DR	CORVALLIS	OR	97330	MAMMOGRAPHY CLINIC
SAMARITAN KIDNEY SPECIALISTS
3615 NW SAMARITAN DR STE 203	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN PEDIATRICS
777 NW 9TH ST STE 320	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN URGENT CARE CENTER
5234 SW PHILOMATH BLVD	CORVALLIS	OR	97333	MEDICAL CLINIC - OUTPATIENT
SAMARITAN RHEUMATOLOGY
3620 NW SAMARITAN DR STE 203	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN ENDOSCOPY CENTER
3509 NW SAMARITAN DR STE 201	CORVALLIS	OR	97330	ENDOSCOPY CENTER
CORVALLIS MRI
3615 NW SAMARITAN DR STE 101	CORVALLIS	OR	97330	IMAGING SERVICES
SAMARITAN OBSTETRICS & GYN
3640 NW SAMARITAN DR STE 270	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN MENTAL HEALTH - CORVALLIS
3509 NW SAMARITAN DR	CORVALLIS	OR	97330	MENTAL HEALTH SERVICES
SAMARITAN PLASTICRECON SURG - HAVARD
996 NW CIRCLE BLVD STE 103	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN HEMATOLOGY & ONCOLOGY
3640 NW SAMARITAN DR STE 161	CORVALLIS	OR	97330	RADIATION ONCOLOGY
SAMARITAN ORTHOPEDICS - DR VELA
3620 NW SAMARITAN DR STE 201	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN MENTAL HEALTH - ALBANY
1052 SW 29TH ST	ALBANY	OR	97321	MENTAL HEALTH SERVICES
SAMARITAN INFECTIOUS DISEASE
3640 NW SAMARITAN DR STE 210	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN UROLOGY
990 NW CIRCLE BLVD STE 102	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN HAND THERAPY
3640 NW SAMARITAN DR	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
OUTPATIENT SURGERY
3620 NW SAMARITAN DR	CORVALLIS	OR	97330	AMBULATORY SURGERY
SAMARITAN WEIGHT MGMT & METABOLIC SURG
3517 NW SAMARITAN DR STE 100	CORVALLIS	OR	97330	AMBULATORY SURGERY
SAMARITAN FAMILY MEDICINE SOUTHWEST
5234 SW PHILOMATH BLVD	CORVALLIS	OR	97333	MEDICAL CLINIC - OUTPATIENT
SAMARITAN PHYSICAL REHAB - CORVALLIS
3580 NW SAMARITAN DRIVE	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN OCC MED - ALBANY
2615 WILLETTA ST SW STE C2	ALBANY	OR	97321	MEDICAL CLINIC - OUTPATIENT
SAMARITAN OCC MED - LEBANON
100 MULLINS DRIVE STE B2	LEBANON	OR	97355	MEDICAL CLINIC - OUTPATIENT
SAMARITAM OCC MED - CORVALLIS
5234 SW PHILOMATH BLVD STE B	CORVALLIS	OR	97333	MEDICAL CLINIC - OUTPATIENT
SAMARITAN OB & GYN RESIDENT CLINIC
3517 NW SAMARITAN DR STE 202	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN MENTAL HEALTH FAMILY CTR
3517 NW SAMARITAN DR STE 101	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT
SAMARITAN ATHLETIC MEDICINE
845 SW 30TH ST	CORVALLIS	OR	97330	MEDICAL CLINIC - OUTPATIENT

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	THE FILING ORGANIZATION SUBMITS AN ANNUAL COMMUNITY BENEFIT REPORT TO THE STATE OF OREGON. IN ADDITION, THE PARENT ORGANIZATION, SAMARITAN HEALTH SERVICES (SHS) PROVIDES AN ANNUAL REPORT TO THE COMMUNITY THAT INCLUDES COMMUNITY BENEFIT REPORTING FOR THE SYSTEM AS A WHOLE.
PART I, LINE 7:	THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED IN SCHEDULE H, PART I, LINE 7A AND 7B IS A COST-TO-CHARGE RATIO DERIVED USING WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES FROM THE SCHEDULE H INSTRUCTIONS. FOR LINE 7G, A COMBINATION OF THE COST-TO-CHARGE RATIO AND COST ACCOUNTING SYSTEM CALCULATIONS IS USED SINCE NOT ALL SERVICES ARE TRACKED IN THE COST ACCOUNTING SYSTEM.
PART I, LINE 7G:	PHYSICIAN CLINICS MEETING THE DEFINITION OF SUBSIDIZED HEALTH SERVICES WERE INCLUDED IN THE REPORTING FOR LINE 7G. THE PORTION OF NET COMMUNITY BENEFIT EXPENSE RELATED TO THESE CLINICS IS $14,337,257.
PART II, COMMUNITY BUILDING ACTIVITIES:	GSH PROVIDES SERVICES AND ACTIVITIES THAT ARE CLASSIFIED AS COMMUNITY BUILDING. THIS INCLUDES LEADING DISASTER PREPAREDNESS DRILLS WITH LOCAL AGENCIES AND STAFF PARTICIPATING IN ONE-ON-ONE MENTORING PROGRAMS AT A LOCAL SCHOOL. GSH ALSO PROVIDES OPPORTUNITIES FOR COMMUNITY MEMBERS TO OBTAIN TRAINING ON CIVIC AND CULTURAL ISSUES THAT IMPACT HEALTH. SOME OF THE TRAINING OPPORTUNITIES INCLUDED GRANT WRITING AND BOARD DEVELOPMENT. GSH STAFF SERVES ON MANY LOCAL COALITIONS AND BOARDS THAT PROMOTE THE HEALTH OF THE COMMUNITY. BOARD AFFILIATION INCLUDES, BUT IS NOT LIMITED TO, COMMUNITY OUTREACH INC., OLD MILL CENTER FOR CHILDREN AND FAMILIES AND THE UNITED WAY OF BENTON AND LINCOLN COUNTIES. ADDITIONALLY GSH STAFF SERVES ON THE OREGON HEALTH POLICY ADVISORY BOARD, THE OREGON HEALTH RESOURCES COMMISSION, THE MEDICAID ADVISORY COMMITTEE, THE OREGON ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS AND REGIONAL BOARDS THAT ADDRESS HEALTH CARE ISSUES.
PART III, LINE 2:	BAD DEBT EXPENSE IS RECORDED FOR THOSE PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE AND DO NOT PAY AFTER REPEATED ATTEMPTS TO COLLECT PAYMENT, INCLUDING INFORMING THEM OF THE OPPORTUNITY TO COMPLETE A FINANCIAL ASSISTANCE APPLICATION. IF INDEPENDENT EVIDENCE INDICATES THAT THE PATIENT IS UNABLE TO PAY, SHS MAY CHOOSE TO CLASSIFY DELINQUENT ACCOUNTS AS "PRESUMPTIVE CHARITY" RATHER THAN BAD DEBT. PATIENT PAYMENTS (OR RECOVERIES) ON ACCOUNTS THAT WERE PREVIOUSLY WRITTEN OFF AS BAD DEBT ARE RECORDED AS A REDUCTION TO BAD DEBT EXPENSE.
PART III, LINE 3:	LINE 3 REPRESENTS AN ESTIMATE OF THE AMOUNT INCLUDED IN BAD DEBT EXPENSE (LINE 2) THAT REASONABLY COULD BE ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, BUT FOR WHOM THE ORGANIZATION WAS NOT ABLE TO OBTAIN SUFFICIENT INFORMATION TO MAKE A DETERMINATION. THE METHODOLOGY USED TO ESTIMATE THIS POTENTIAL FINANCIAL ASSISTANCE IS BASED ON FINANCIAL ASSISTANCE APPLICATIONS DENIED DUE TO INCOMPLETE DOCUMENTATION, MULTIPLIED BY THE AVERAGE FINANCIAL ASSISTANCE WRITE-OFF FOR APPROVED APPLICATIONS.
PART III, LINE 4:	GOOD SAMARITAN HOSPITAL (GSH) IS THE LARGEST OF FIVE HOSPITALS OF SAMARITAN HEALTH SERVICES (SHS). AS A NETWORK, SHS PREPARES ITS FINANCIAL STATEMENTS ON A CONSOLIDATED BASIS. BAD DEBT EXPENSE IS DESCRIBED IN FOOTNOTE 1(O) ENTITLED "PROVISION FOR BAD DEBTS AND ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS", FOUND ON PAGES 11 AND 12 OF THE 2014 SHS CONSOLIDATED FINANCIAL STATEMENTS.
PART III, LINE 8:	TOTAL MEDICARE ALLOWABLE COSTS REPORTED ON PART III, SECTION B, LINE 6 IS CALCULATED BY UTILIZING WORKSHEET A IN THE SCHEDULE H INSTRUCTIONS IN CONJUNCTION WITH AMOUNTS TAKEN DIRECTLY FROM THE FILING ORGANIZATION'S MEDICARE COST REPORT (CALCULATED BASED ON A COST-TO-CHARGE RATIO). CARING FOR MEDICARE PATIENTS FULFILLS A COMMUNITY NEED, AS THESE PATIENTS TYPICALLY HAVE LOW OR FIXED INCOMES AND GOVERNMENT REIMBURSEMENT IS NOT SUFFICIENT TO COVER THE COSTS OF PROVIDING CARE FOR THESE PATIENTS. MEDICARE PATIENTS ARE A GROWING SEGMENT OF THE LOCAL POPULATION, AND MANY ARE BECOMING INCREASINGLY DEPENDENT ON OUR HOSPITAL AND NON-PROFIT AFFILIATES TO PROVIDE FOR THEIR CARE, ESPECIALLY AS OTHER FOR-PROFIT HEALTHCARE PROVIDERS IN THE COMMUNITY DISCONTINUE ACCEPTING MEDICARE PATIENTS.THE AMOUNT OF MEDICARE SHORTFALL SHOWN ON LINE 7 OF PART III, SECTION B, IS UNDERSTATED. THIS IS PRIMARILY DUE TO THE FACT THAT THE MEDICARE COST REPORT INCLUDES ACTIVITY FOR MEDICARE FEE-FOR-SERVICE PATIENTS BUT NOT MEDICARE MANAGED CARE PATIENTS. MEDICARE MANAGED CARE ACCOUNTS FOR ROUGHLY HALF OF OUR MEDICARE ACTIVITY. IN ADDITION, CERTAIN COSTS OF PROVIDING HEALTHCARE SERVICES, SUCH AS PHYSICIAN COMPENSATION, ARE NOT ALLOWABLE ON THE MEDICARE COST REPORTS. THEREFORE, THE AMOUNT OF MEDICARE SHORTFALL SHOWN ON LINE 7 IS SMALLER THAN THE SHORTFALL CALCULATION USING REVENUE AND COST DATA FOR ALL MEDICARE PATIENT ACTIVITY, AS FOLLOWS:NET REV RECEIVED FROM MEDICARE (ALL MEDICARE PATIENT PROGRAMS):91,243,926MEDICARE COSTS (BASED ON A COST-TO-CHARGE RATIO): 106,453,102UNPAID COST OF PROVIDING SERVICES TO ALL MEDICARE PATIENTS: (15,209,176)
PART III, LINE 9B:	PER HOSPITAL GUIDELINES, IF A PATIENT IS DETERMINED TO QUALIFY FOR FINANCIAL ASSISTANCE PRIOR TO SENDING AN ACCOUNT TO COLLECTIONS, THE FINANCIAL ASSISTANCE WRITE-OFF IS PROCESSED AND NO COLLECTION ATTEMPT IS MADE. IF AN ACCOUNT IS ALREADY IN COLLECTIONS AND MEDICAID ELIGIBILITY IS DEEMED ACTIVE DURING THE ACCOUNT DATE OF SERVICE, NO FURTHER COLLECTION ATTEMPT WILL BE MADE.
PART VI, LINE 2:	GOOD SAMARITAN HOSPITAL (GSH) ACTIVELY PARTICIPATES IN ASSESSING THE HEALTH NEEDS OF THE COMMUNITY. IN CONJUNCTION WITH THE UNITED WAY OF BENTON COUNTY, THE CITY OF CORVALLIS, BENTON COUNTY HEALTH DEPARTMENT, BENTON COUNTY FEDERALLY QUALIFIED HEALTH CENTER, OREGON STATE UNIVERSITY, WESTERN UNIVERSITY-COMP NORTHWEST, AND OTHER COMMUNITY PARTNERS, GSH EMPLOYEES AND OTHER SAMARITAN HEALTH SERVICES STAFF COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR GSH. THIS PROCESS INCLUDED EXAMINING PRIMARY DATA COLLECTED THROUGH FOCUS GROUPS, COMMUNITY FORUMS AND PERSONAL INTERVIEWS WITH SEVERAL COMMUNITY MEMBERS FROM THROUGHOUT BENTON COUNTY. SECONDARY DATA WAS GATHERED FROM STATE AND LOCAL AGENCIES THAT ADDRESS HEALTH NEEDS OF CHILDREN, YOUTH AND FAMILIES. GSH USES THE CHNA AS THE FOUNDATION FOR THE COMMUNITY BENEFIT PLAN THAT OUTLINES GOALS AND OBJECTIVES AND SERVICES THAT EXPAND ACROSS THE SAMARITAN HEALTH SERVICES SYSTEM RESPONDING TO COMMUNITY NEEDS.
PART VI, LINE 3:	GSH IS COMMITTED TO PROVIDING THE HIGHEST QUALITY HEALTH CARE SERVICES TO ALL, REGARDLESS OF THEIR ABILITY TO PAY. IF QUALIFICATIONS ARE MET, PATIENTS' CARE MAY BE PROVIDED FREE OR AT A REDUCED COST. THE DETERMINATION IS BASED IN PART ON POVERTY INCOME GUIDELINES ISSUED BY THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. ONCE A COMPLETED FINANCIAL QUESTIONNAIRE HAS BEEN SUBMITTED, INDIVIDUALS/FAMILIES AT OR BELOW 300 PERCENT OF THE ESTABLISHED FEDERAL POVERTY LEVEL (FPL) COULD BE ELIGIBLE TO RECEIVE FREE OR DISCOUNTED CARE (CHARITY CARE). THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND COMMUNITY MEMBERS REGARDING FINANCIAL ASSISTANCE THROUGH A VARIETY OF METHODS. FLYERS ARE POSTED AT SPECIALTY CLINICS, THE MAIN ENTRANCE OF THE HOSPITAL AND IN THE EMERGENCY DEPARTMENT. THE INFORMATION IS ALSO POSTED ON THE HOSPITAL'S WEBSITE AND PATIENTS ARE PROVIDED FACE-TO-FACE INFORMATION DURING THE REGISTRATION PROCESS. THE FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN BOTH ENGLISH AND SPANISH.
PART VI, LINE 4:	GSH PRIMARILY SERVES THE RESIDENTS OF BENTON COUNTY. HOWEVER, RESIDENTS FROM THE ADJOINING COMMUNITIES OF LINCOLN AND LINN COUNTIES ARE ALSO SEEN AT GSH. WITH A TOTAL POPULATION OF 85,579 (U.S. CENSUS 2010), BENTON COUNTY IS DESIGNATED AS AN URBAN COUNTY. THE COUNTY INCLUDES THE CITIES OF CORVALLIS AND PHILOMATH AS WELL AS THE SMALL INCORPORATED TOWNSHIPS OF MONROE AND ADAIR VILLAGE. APPROXIMATELY 21% OF BENTON COUNTY RESIDENTS LIVE IN RURAL AREAS OF THE COUNTY. THE MEDIAN HOUSEHOLD INCOME FOR BENTON COUNTY IS $48,604, AND 22.5% OF THE RESIDENTS LIVE BELOW THE FEDERAL POVERTY LEVEL. AS OF DECEMBER 2014, THE OREGON EMPLOYMENT DEPARTMENT REPORTED A 4.7% UNEMPLOYMENT RATE FOR BENTON COUNTY. ACCORDING TO THE OREGON HEALTH AUTHORITY IMPACTS OF THE AFFORDABLE CARE ACT HEALTH INSURANCE IN OREGON REPORT, FEBRUARY 2015, 4.8% OF BENTON COUNTY RESIDENTS ARE UNINSURED. PORTIONS OF BENTON COUNTY HAVE DESIGNATIONS OF MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS ACCORDING TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, WITH GSH BEING THE ONLY HOSPITAL LOCATED IN BENTON COUNTY.
PART VI, LINE 5:	GSH'S GOVERNING BOARD IS COMPRISED OF LOCAL-AREA RESIDENTS. THE MAJORITY OF THE BOARD MEMBERS ARE INDEPENDENT, MEANING THEY AND THEIR FAMILY MEMBERS ARE NOT EMPLOYEES OF GSH NOR DO THEY HAVE ANY SIGNIFICANT BUSINESS RELATIONSHIPS WITH GSH. GSH EXTENDS ITS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. GSH APPLIES SURPLUS FUNDS TO IMPROVE PATIENT CARE, MEDICAL EDUCATION AND RESEARCH. GSH INVESTS IN UPDATING EQUIPMENT, TECHNOLOGY AND FACILITIES TO IMPROVE PATIENT CARE. GSH IS ACCREDITED FOR CONTINUING MEDICAL EDUCATION AND OFFERS WEEKLY PROGRAMS FOR AREA PHYSICIANS AND OTHER HEALTH PROFESSIONALS. THE CENTER FOR HEALTH RESEARCH AND QUALITY, A DEPARTMENT OF GSH'S PARENT COMPANY, SAMARITAN HEALTH SERVICES (SHS), PROVIDES ADMINISTRATIVE OVERSIGHT FOR HEALTH AND CLINICAL RESEARCH, QUALITY IMPROVEMENT PROJECTS AND STUDIES, AND OTHER SPONSORED ACTIVITIES FOR GSH AND ITS AFFILIATED HOSPITALS.
PART VI, LINE 6:	"BUILDING HEALTHIER COMMUNITIES TOGETHER" IS THE COMMITMENT OF, AND THE MOTIVATION FOR, SAMARITAN HEALTH SERVICES (SHS), A NETWORK OF OREGON HOSPITALS, PHYSICIANS, AND SENIOR CARE FACILITIES THAT SERVES THE HEALTH CARE NEEDS OF PEOPLE IN THE MID-WILLAMETTE VALLEY AND THE CENTRAL OREGON COAST.AS THE INDIVIDUAL ENTITIES OF SHS CAME TOGETHER TO BUILD HEALTHIER COMMUNITIES, THEY WERE DRAWN BY A SHARED MISSION "TO ENHANCE COMMUNITY HEALTH AND ACHIEVE HIGH VALUE THROUGH QUALITY SERVICES ACROSS THE CONTINUUM OF CARE." THAT MEANS SHS LOOKS CAREFULLY AT LOCAL HEALTH CARE NEEDS, AND IT GIVES THOUGHTFUL CONSIDERATION TO THE MOST EFFECTIVE WAYS TO MEET THOSE NEEDS. THE RESULT IS A RICH MIX OF LOCAL AND CENTRALIZED REGIONAL SERVICES WHICH PROVIDE HIGH VALUE AND EXCELLENT HEALTHCARE FOR PEOPLE AT ALL STAGES OF THEIR LIVES. SERVICES ARE PROVIDED TO ALL INDIVIDUALS, REGARDLESS OF THEIR ABILITY TO PAY. THE COLLECTIVE VISION OF SHS IS TO SUCCESSFULLY OPERATE AS A VALUES-DRIVEN, CHURCH-RELATED ORGANIZATION GOVERNED BY A PARTNERSHIP OF COMMUNITY MEMBERS, PHYSICIANS AND OTHER HEALTH CARE PROVIDERS. SHS SEEKS TO LEAD COLLABORATIVE EFFORTS AMONG PROVIDERS, EMPLOYERS, HEALTH PLANS AND CONSUMERS WHO SHARE SIMILAR GOALS AND VALUES TO MEET THE CHALLENGES OF THE FUTURE.GSH IS THE FLAGSHIP HOSPITAL OF SHS. IT PRIMARILY SERVES RESIDENTS OF BENTON COUNTY. OTHER AFFILIATED HOSPITALS ARE SAMARITAN ALBANY GENERAL HOSPITAL AND SAMARITAN LEBANON COMMUNITY HOSPITAL, SERVING RESIDENTS OF LINN COUNTY, AND SAMARITAN NORTH LINCOLN HOSPITAL AND SAMARITAN PACIFIC COMMUNITIES HOSPITAL, SERVING RESIDENTS OF LINCOLN COUNTY.
PART VI, LINE 7, REPORTS FILED WITH STATES	OR

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
COMMUNITY OUTREACH
865 REIMAN AVENUE	CORVALLIS	OR	97330	930602094	501(C)(3)	$116,779	MEDICAL, DENTAL, MENTAL HEALTH CLINICS
OLD MILL CENTER
1650 SW 45TH PLACE	CORVALLIS	OR	97333	930722603	501(C)(3)	$20,000	COUNSELING, MENTAL HEALTH, AND PARENT EDUCATION
ALBANY HELPING HANDS
PO BOX 2252	ALBANY	OR	97321	931244271	501(C)(3)	$13,000	SUPPORT FOR HOMELESS PEOPLE
CENTER AGAINST RAPE & DOMESTIC VIOLENCE
PO BOX 914	CORVALLIS	OR	97339	930792125	501(C)(3)	$14,500	TRANSITIONAL HOUSING SERVICES FOR DOMESTIC VIOLENCE SURVIVORS
BENTON COUNTY HEALTH DEPARTMENT
530 NW 27TH ST	CORVALLIS	OR	97330	936002285	GOV'T	$30,620	ORAL HEALTH SUPPORT & SUPPORT TO DRUG COURT PARTICIPANTS
STRENGTHENING RURAL FAMILIES
PO BOX 1528	PHILOMATH	OR	97370	202934930	501(C)(3)	$6,400	ORAL HEALTH SUPPORT
BENTON COUNTY COMMITTEE FOR THE PREVENTION OF CHILD ABUSE INC
421 NW 4TH ST STE A	CORVALLIS	OR	97330	930842537	501(C)(3)	$10,000	PARENT EDUCATION & SUPPORT TO LOW INCOME/HIGH-RISK FAMILIES IN BENTON CO.
COMMUNITY SERVICES CONSORTIUM
545 SE 2ND ST STE A	CORVALLIS	OR	97333	936118438	GOV'T	$25,000	RENT ASSISTANCE TO LOW INCOME FAMILIES IN BENTON, LINN, & LINCOLN COUNTIES
LOVE IN THE NAME OF CHRIST OF BENTON COUNTY
PO BOX 270	CORVALLIS	OR	97339	931326307	501(C)(3)	$5,100	ORAL HEALTH SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	2	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
TRANSPORTATION	463	$22,148
MEDICAL ASSISTANCE	2		$525	BOOK	MEDICAL SUPPLIES
SHELTER	3	$755
MEALS FOR FAMILY MEMBERS OF PATIENTS	1435		$14,331	BOOK	MEALS
ACCOMODATIONS - PASTEGA HOUSE	1689		$41,816	BOOK	TEMPORARY HOUSING FOR HEALTH CARE RECIPIENTS

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	Yes (1)	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LARRY A MULLINS DHA
CEO/CEO SHS	$0	$604,468	$0	$205,160	$0	$100,208	$0	$21,320	$0	$24,697	$0	$955,853	$0	$0
DANIEL B SMITH
VP FINANCE/CFO	$0	$311,938	$0	$46,000	$0	$13,677	$0	$41,755	$0	$29,768	$0	$443,138	$0	$0
BECKY PAPE
COO/CEO MVH	$0	$293,518	$0	$31,000	$0	$4,280	$0	$21,320	$0	$30,290	$0	$380,408	$0	$0
MICHAEL A MAY MD
VP SMH MEDICAL DIRECTOR	$197,229	$0	$500	$0	$5,564	$0	$16,049	$0	$26,728	$0	$246,070	$0	$0	$0
WILLIAM HOWDEN
VP NURSING	$154,223	$0	$1,000	$0	$3,999	$0	$11,683	$0	$21,018	$0	$191,923	$0	$0	$0
RYAN COMBS
VP PRIMARY CARE SPEC PRACTICES	$34,146	$126,681	$1,000	$20,000	$72	$9,686	$3,562	$11,128	$3,334	$13,831	$42,114	$181,326	$0	$0
SCOTT WILSON
VP ANCILLARY & SUPPORT SERVICES	$156,016	$0	$1,000	$0	$1,171	$0	$11,406	$0	$26,054	$0	$195,647	$0	$0	$0
JAMES RYAN MD
PHYSICIAN	$560,100	$0	$46,955	$0	$579	$0	$21,320	$0	$29,645	$0	$658,599	$0	$0	$0
DONALD PENNINGTON DO
PHYSICIAN	$573,183	$0	$203,025	$0	$18,310	$0	$21,320	$0	$29,706	$0	$845,544	$0	$0	$0
TOSHIO NAGAMOTO MD
PHYSICIAN	$466,434	$0	$281,820	$0	$18,690	$0	$21,320	$0	$27,877	$0	$816,141	$0	$0	$0
DANA PENNER MD
PHYSICIAN	$385,230	$0	$198,086	$0	$18,135	$0	$21,320	$0	$27,042	$0	$649,813	$0	$0	$0
LUIS VELA DO
PHYSICIAN	$892,409	$0	$1,000	$0	$1,267	$0	$21,320	$0	$28,956	$0	$944,952	$0	$0	$0
STEVEN JASPERSON
VP - S. CALIFORNIA OPS	$0	$387,017	$0	$0	$0	$77,530	$0	$21,320	$0	$23,484	$0	$509,351	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	IN CONNECTION WITH ITS EMPLOYEE WELLNESS PROGRAM, THE ORGANIZATION HAS A GYM/FITNESS FACILITY BENEFIT THAT IS AVAILABLE TO ALL EMPLOYEES WHO WORK AT LEAST 32 HOURS PER MONTH. IF AN EMPLOYEE PARTICIPATES AT A NON-SAMARITAN GYM, REIMBURSEMENT IS MADE FOR FEES. REIMBURSEMENT DOES NOT EXCEED $300 PER YEAR AND IS INCLUDED IN THE EMPLOYEE'S TAXABLE WAGES AND IS SUBJECT TO FEDERAL/STATE WITHHOLDING TAX. ONE KEY EMPLOYEE RECEIVED THIS TAXABLE GYM BENEFIT IN 2014. IF AN EMPLOYEE PARTICIPATES AT A SAMARITAN FITNESS CENTER (SAMFIT), MEMBERSHIP IS FREE OF CHARGE (PROVIDED AS A NONTAXABLE FRINGE BENEFIT). NO PERSONS LISTED IN PART VII THAT ARE EMPLOYED BY THE FILING ORGANIZATION RECEIVED THE SAMFIT BENEFIT DURING 2014.
PART I, LINE 3	THE CHIEF EXECUTIVE OFFICER IS EMPLOYED AND PAID BY A RELATED ORGANIZATION. THE RELATED ORGANIZATION CONDUCTS A COMPENSATION ANALYSIS EACH YEAR TO COMPARE COMPENSATION OF ALL PAID POSITIONS TO MARKET SURVEYS OF COMPENSATION FOR SIMILAR POSITIONS IN OTHER ORGANIZATIONS. PERIODICALLY, THE RELATED ORGANIZATION WILL ALSO USE WRITTEN EMPLOYMENT CONTRACTS, FORM 990 OF OTHER ORGANIZATIONS, AND INDEPENDENT COMPENSATION CONSULTANTS TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER.
PART I, LINE 4B	4.B. THE ORGANIZATION MAINTAINS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. UNDER THESE PLANS, LARRY A. MULLINS, DHA AND DANIEL B. SMITH, ACCRUED DEFERRED COMPENSATION BENEFITS DURING 2014. NO PAYMENTS WERE MADE FROM THESE PLANS IN 2014.
PART I, LINE 5	VARIOUS PHYSICIAN COMPENSATION METHODOLOGIES ARE UTILIZED AND, DEPENDING ON SPECIALTY, RELATIVE VALUE UNITS (RVU'S) MAY BE USED IN DETERMINING A PORTION OF OR ALL OF THEIR COMPENSATION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TANIA MAY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAM MBR, M. MAY	RelationshipDescriptionTxt
Transaction	$148,162	TransactionAmt
Transaction	EMP BY ORG	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4	ARTICLE III OF THE ORGANIZATION'S BYLAWS (BOARD OF DIRECTORS) WAS AMENDED AS FOLLOWS: POSITION 3 AND 4 ON THE BOARD NO LONGER MUST BE NOMINATED BY THE DIOCESE OF OREGON OR BE A RESIDENT OF BENTON COUNTY. SECTION 3.15 OF THE ORGANIZATION'S BYLAWS WAS DELETED. IT READ AS FOLLOWS: "SALE OR ENCUMBRANCE OF CORPORATE PROPERTY. NO ACTION SHALL BE TAKEN BY THE BOARD WHEREBY THE PHYSICAL PROPERTY, REAL OR PERSONAL, OF THE CORPORATION SHALL BE SOLD, LEASED FOR A PERIOD IN EXCESS OF ONE YEAR, CONVEYED, MORTGAGED, OR OTHERWISE HYPOTHECATED, UNLESS AT LEAST THREE (3) OF THE DIRECTORS IN POSITIONS 1 THROUGH 4 SHALL BE PRESENT AT THE MEETING WHEREIN THE ACTION IS TAKEN, AND FOR THE ACTION TO BECOME EFFECTIVE THREE (3) OF THE FOUR (4) DIRECTORS MUST VOTE IN FAVOR OF THE ACTION TAKEN." SECTION 3.20 OF THE ORGANIZATION'S BYLAWS WAS DELETED. IT READ AS FOLLOWS: "3.20 EXECUTIVE SESSION. THE BOARD MAY GO INTO EXECUTIVE SESSION BY A VOTE OF A MAJORITY OF THE DIRECTORS IN ATTENDANCE AT THE MEETING. ONLY BOARD MEMBERS AND THOSE BY SPECIAL INVITATION OF THE BOARD SHALL BE IN ATTENDANCE DURING AN EXECUTIVE SESSION." ARTICLE IV OF THE ORGANIZATION'S BYLAWS (OFFICERS) WAS AMENDED AS FOLLOWS: THE OFFICERS MAY HOLD OFFICE FOR TWO YEARS AND MAY BE ELECTED TO ADDITIONAL TERMS, BUT NOT MORE THAN THREE CONSECUTIVE TERMS (SIX TOTAL YEARS). ARTICLE VI OF THE ORGANIZATION'S BYLAWS (COMMITTEES) WAS AMENDED AS FOLLOWS: THE PERSONNEL, QUALITY ASSURANCE & PUBLIC RELATIONS COMMITTEE AND THE AUDIT COMMITTEE WERE REMOVED AS COMMITTEES.
FORM 990, PART VI, SECTION A, LINE 5	IN 2014, GSH BECAME AWARE THAT AN EMPLOYEE OF A RELATED ORGANIZATION HAD BEEN STEALING HOSPITAL SURGICAL SUPPLIES AND SELLING THEM TO A THIRD PARTY. IN COOPERATION WITH FEDERAL AND LOCAL LAW ENFORCEMENT, INVESTIGATION OF THE DIVERSION REVEALED THAT THE THEFT OCCURRED BETWEEN 2009 AND 2014, COSTING GSH AN ESTIMATED $577,000. THE EMPLOYEE WAS TERMINATED IN JUNE 2014 AND SUBSEQUENTLY PROSECUTED AND CONVICTED. TO DATE, $293,000 HAS BEEN RECOVERED THROUGH INSURANCE AND RESTITUTION PAYMENTS. GSH HAS TAKEN THE FOLLOWING STEPS TO STRENGTHEN SUPPLY CHAIN PROCESSES AND INTERNAL CONTROLS TO PREVENT FUTURE DIVERSIONS: IMPLEMENTED PROCESSES TO COMPARE SYSTEM TRACKING OF PRODUCT USAGE WITH REPLENISHMENT QUANTITIES AS ITEMS ARE ORDERED, IMPROVED CONTROLS FOR PERIODIC CYCLE COUNTS, INSTALLED CAMERAS AND ELECTRONIC LOCKS TO MONITOR AND CONTROL ACCESS TO INVENTORY ITEMS, ENGAGED A SUPPLY CHAIN EXPERT CONSULTANT TO ASSESS CURRENT PROCESSES AND RECOMMEND IMPROVEMENTS TO INVENTORY CONTROL, AND HIRED A SUPPLY CHAIN ENGINEER TO MONITOR AND PROVIDE CONTINUOUS IMPROVEMENT TO SUPPLY CHAIN AND INVENTORY CONTROLS. THE EMPLOYEE INVOLVED IN THIS DIVERSION OF ASSETS WAS NOT A "DISQUALIFIED PERSON" FOR PURPOSES OF REPORTING EXCESS BENEFIT TRANSACTIONS.
FORM 990, PART VI, SECTION A, LINE 6	GOOD SAMARITAN HOSPITAL CORVALLIS HAS A SOLE CORPORATE MEMBER, SAMARITAN HEALTH SERVICES, INC., WHICH IS A SECTION 501(C)(3) TAX-EXEMPT ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	GOOD SAMARITAN HOSPITAL CORVALLIS ELECTS MEMBERS OF ITS BOARD OF DIRECTORS. THOSE ELECTED MEMBERS ARE THEN SUBMITTED TO THE SOLE CORPORATE MEMBER FOR APPROVAL.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE CORPORATE MEMBER HAS SEVERAL RESERVED POWERS OVER THE ORGANIZATION. THESE RESERVED POWERS INCLUDE, BUT ARE NOT LIMITED TO, APPROVAL AT CERTAIN THRESHOLD LEVELS: THE BORROWING OF FUNDS, MERGERS AND ACQUISITIONS, AND SALES OR TRANSFERS OF ASSETS. IN ADDITION, THE SOLE CORPORATE MEMBER MUST APPROVE ANY CHANGE IN THE MISSION OF THE ORGANIZATION, THE ANNUAL BUDGET, AND ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF THE SAMARITAN HEALTH SERVICES (SHS) AUDIT AND COMPLIANCE COMMITTEE PRIOR TO ITS FILING WITH THE IRS. SHS IS A 501(C)(3) CORPORATION AND IS THE SOLE MEMBER OF THE FILING ORGANIZATION. SHS'S CHIEF FINANCIAL OFFICER CONDUCTED THE FORM 990 REVIEW WITH THE COMMITTEE AND PROVIDED TIME FOR QUESTIONS FROM THE GROUP. A FORMAL REPORT OF THIS COMMITTEE HAS BEEN MADE TO THE FULL BOARD OF DIRECTORS OF SHS.
FORM 990, PART VI, SECTION B, LINE 12C	BOARD MEMBER CONFLICTS OF INTEREST: THE MEMBERS OF THE BOARD MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE, WHICH REQUIRES DISCLOSURE OF ANY CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THE COMPLETED QUESTIONNAIRES ARE REVIEWED BY THE CHIEF FINANCIAL OFFICER AND CORPORATE COMPLIANCE OFFICER. IF A CONFLICT IS DISCLOSED THAT COULD PROHIBIT A MEMBER FROM SERVING ON THE BOARD, THIS IS EVALUATED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE SAMARITAN HEALTH SERVICES (SHS) BOARD OF DIRECTORS TO DETERMINE WHETHER THE MEMBER SHOULD CONTINUE TO SERVE ON THE BOARD. IF A CONFLICT IS DISCLOSED THAT DOES NOT PROHIBIT A MEMBER FROM SERVING ON THE BOARD, THE CONFLICT IS MANAGED THROUGH A PROCESS SET FORTH IN THE ORGANIZATION'S BYLAWS. THE BYLAWS PROHIBIT ANY BOARD MEMBER FROM VOTING ON AN ACTION WHERE AN INDIVIDUAL MEMBER HAS A CONFLICT OF INTEREST. EMPLOYEE CONFLICTS OF INTEREST: THE SHS CODE OF ETHICS AND CONDUCT POLICY REQUIRES THAT ALL SHS EMPLOYEES COMPLETE AN ANNUAL DISCLOSURE OF POTENTIAL CONFLICTS OF INTEREST. THROUGH THE HUMAN RESOURCES SOFTWARE, PERFORMANCE MANAGER, THE DISCLOSURE REQUIREMENT NOTICE IS ASSIGNED TO ALL EMPLOYEES AND BY YEAR END ALL TASKS ARE TO BE COMPLETED. IF THERE IS A PERCEIVED CONFLICT OF INTEREST IT IS REVIEWED BY THE CORPORATE COMPLIANCE OFFICER, LEGAL COUNSEL AND/OR SENIOR MANAGEMENT. ACTUAL CONFLICTS OF INTEREST ARE REVIEWED AND DISCUSSED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE SAMARITAN HEALTH SERVICES BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF SAMARITAN HEALTH SERVICES, INC. ANNUALLY ENGAGES AN INDEPENDENT CONSULTANT TO ASSIST IT IN PROVIDING COMPARABLE MARKET DATA FOR THE CEO/CEO SHS. THIS ANALYSIS INCLUDES REGIONAL AND NATIONAL DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THIS INFORMATION IS USED BY THE COMPENSATION COMMITTEE IN ITS DELIBERATIONS REGARDING THE CEO/CEO SHS' COMPENSATION WHICH IS DOCUMENTED IN THE COMMITTEE'S MINUTES. SAMARITAN HEALTH SERVICES (SHS) USES PUBLICLY AVAILABLE INFORMATION TO DETERMINE THE COMPENSATION FOR THE CEO/VP SOUTHERN CALIFORNIA OPS. SHS CONSULTS WITH AN INDEPENDENT CONSULTANT AS TO THE REASONABLENESS OF THIS DATA TO ENSURE THAT THE COMPENSATION IS REASONABLE AS COMPARED TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. PHYSICIAN EMPLOYEE COMPENSATION, INCLUDING PHYSICIANS WHO ARE BOARD MEMBERS, IS REVIEWED AT LEAST ANNUALLY BY SENIOR MANAGEMENT. THIS REVIEW INCLUDES COMPARISON WITH PUBLISHED PHYSICIAN COMPENSATION STUDIES. FOR ALL OTHER EMPLOYEES, THE ORGANIZATION PERFORMS AN ANALYSIS EACH YEAR TO COMPARE COMPENSATION OF ALL PAID POSITIONS TO MARKET SURVEYS OF COMPENSATION FOR SIMILAR POSITIONS IN OTHER ORGANIZATIONS.
FORM 990, PART VI, SECTION C, LINE 19	FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. SYSTEM-WIDE SUMMARIZED DATA IS ALSO PROVIDED IN THE ANNUAL REPORT TO THE COMMUNITY. THIS REPORT IS MADE AVAILABLE IN ALL KIOSKS AND HIGH-TRAFFIC AREAS OF ALL HOSPITALS AND PHYSICIAN CLINICS, AS WELL AS COMMUNITY PLACES SUCH AS THE PUBLIC LIBRARY. IT IS ALSO DISTRIBUTED TO THE BOARDS OF DIRECTORS AND DIRECTLY MAILED TO DONORS AND NEW RESIDENTS IN THE COMMUNITY. ADDITIONALLY, THE REPORT IS MADE AVAILABLE AT ALL EVENTS, COMMUNITY OUTREACH PROJECTS, AND SCREENINGS ATTENDED THROUGHOUT THE YEAR. GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	DISTRIBUTIONS TO MINORITY INTEREST CONSOLIDATED JVS -1,358,800. INCREASE IN MINIMUM PENSION LIABILITY -19,071,804. OTHER CHANGES 106,416.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
ALBANY GENERAL HOSPITAL
PO BOX 3000	CORVALLIS	OR	973393000	930110095	HOSPITAL SERVICES FOR THE COMMUNITY	OR	501(C)(3)	3	SAMARITAN HEALTH SERVICES	0
ALBANY GENERAL HOSPITAL FOUNDATION
1046 SIXTH AVENUE SW	ALBANY	OR	97321	930712890	TO SUPPORT ALBANY GENERAL HOSPITAL	OR	501(C)(3)	7	ALBANY GENERAL HOSPITAL	0
FIRSTCARE HEALTH FOUNDATION
PO BOX 3000	CORVALLIS	OR	973393000	930900124	TO SUPPORT AFFILIATED EXEMPT ENTITIES	OR	501(C)(3)	11B, II	SAMARITAN HEALTH SERVICES	0
FIRSTCARE MEDICAL FOUNDATION
PO BOX 3000	CORVALLIS	OR	973393000	930932697	FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY)	OR	501(C)(3)	9	SAMARITAN HEALTH SERVICES	0
GOOD SAMARITAN HOSPITAL AUXILIARY
3600 NW SAMARITAN DRIVE	CORVALLIS	OR	973393000	936024034	TO SUPPORT GOOD SAMARITAN HOSPITAL	OR	501(C)(3)	9		0	N/A
GOOD SAMARITAN HOSPITAL FOUNDATION
PO BOX 1068	CORVALLIS	OR	97339	237252406	TO SUPPORT GOOD SAMARITAN HOSPITAL	OR	501(C)(3)	7	GOOD SAMARITAN HOSPITAL	Yes (1)
INTERCOMMUNITY HEALTH PLANS INC
PO BOX 3000	CORVALLIS	OR	973393000	931124326	SERVE OREGON HEALTH PLAN FOR MEDICAID	OR	501(C)(4)	N/A	SAMARITAN HEALTH SERVICES	0
LEBANON COMMUNITY HOSPITAL FOUNDATION
PO BOX 739	LEBANON	OR	97355	931260080	TO SUPPORT LEBANON COMMUNITY HOSPITAL	OR	501(C)(3)	7	MID-VALLEY HEALTHCARE INC	0
MID-VALLEY HEALTHCARE INC
PO BOX 3000	CORVALLIS	OR	973393000	930396847	HOSPITAL SERVICES FOR THE COMMUNITY	OR	501(C)(3)	3	SAMARITAN HEALTH SERVICES	0
PARADIGM INDEMNITY CORPORATION
PO BOX 3000	CORVALLIS	OR	973393000	731668317	PURE NON-PROFIT CAPTIVE INSURANCE COMPANY	HI	501(C)(3)	11A, I	SAMARITAN HEALTH SERVICES	0
SAMARITAN HEALTH SERVICES INC
PO BOX 3000	CORVALLIS	OR	973393000	930951989	PROVIDE HEALTHCARE SUPPORT SERVICES	OR	501(C)(3)	11C, III-FI		0	N/A
SAMARITAN NORTH LINCOLN HOSPITAL
3043 NE 28TH STREET	LINCOLN CITY	OR	97367	931305493	HOSPITAL SERVICES FOR THE COMMUNITY	OR	501(C)(3)	3	SAMARITAN HEALTH SERVICES	0
SAMARITAN PACIFIC HEALTH SERVICES
930 SW ABBEY STREET	NEWPORT	OR	97365	931329784	HOSPITAL SERVICES FOR THE COMMUNITY	OR	501(C)(3)	3	SAMARITAN HEALTH SERVICES	0
SAMARITAN SENIOR CARE INC
PO BOX 3000	CORVALLIS	OR	973393000	931245534	FUTURE CHARITABLE HEALTHCARE INITIATIVES (NO CURRENT YEAR ACTIVITY)	OR	501(C)(3)	9	SAMARITAN HEALTH SERVICES	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
SAMARITAN ENDOSCOPY CENTER LLC
3600 NW SAMARITAN DR	CORVALLIS	OR	97330	202860067	MEDICAL SERVICES	OR	GOOD SAMARITAN HOSPITAL	RELATED	$386,110	$602,335	0	Yes (1)	0.66660
CORVALLIS MEDICAL BUILDINGS LLC
3600 NW SAMARITAN DRIVE	CORVALLIS	OR	97330	931257913	REAL ESTATE RENTAL	OR	GOOD SAMARITAN HOSPITAL	EXCLUDED	$117,134	$1,182,024	0	Yes (1)	0.54500
EAST LINN MRI LLC
3600 NW SAMARITAN DRIVE	CORVALLIS	OR	97330	320229399	IMAGING	OR								N/A
HULL IMAGING LLC
3600 NW SAMARITAN DRIVE	CORVALLIS	OR	97330	203255479	IMAGING	OR	GOOD SAMARITAN HOSPITAL	RELATED	$920,040	$38,483	0	Yes (1)	0.60000
CORVALLIS MRI A JOINT VENTURE
3615 NW SAMARITAN DRIVE	CORVALLIS	OR	97330	930949704	IMAGING	OR	GOOD SAMARITAN HOSPITAL	RELATED	$318,465	$24,914	0	Yes (1)	0.50000
MID-VALLEY MEDICAL PROPERTIES ASSOC LLC
1046 SIXTH AVE SW	ALBANY	OR	97321	300508747	REAL ESTATE RENTAL	OR								N/A
MID-VALLEY MEDICAL BUILDINGS LLC
PO BOX 557	LEBANON	OR	97355	931126353	REAL ESTATE RENTAL	OR								N/A
NORTHWEST MEDICAL ISOTOPES LLC
815 NW 9TH ST STE 256	CORVALLIS	OR	97330	273007752	RESEARCH	OR								N/A
2750 HARRISON BLVD LLC
413 SW 13TH AVE STE 300	PORTLAND	OR	97205	274665571	REAL ESTATE RENTAL	OR								N/A
CASCADE VIEW MEDICAL OFFICE BUILDING LLC
PO BOX 3000	CORVALLIS	OR	973393000	300658805	REAL ESTATE RENTAL	OR	GOOD SAMARITAN HOSPITAL	EXCLUDED	$43,563	$1,665,658	0	Yes (1)	0.26300
THE TALENTS ISOTOPES FUND LP
2360 14TH AVE SE	ALBANY	OR	97322	611731849	RESEARCH	OR								N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
SAMARITAN HEALTH PLANS INC
3600 NW SAMARITAN DRIVE	CORVALLIS	OR	97330	930860860	HEALTH INSURANCE CARRIER FOR THE COMMUNITY	OR	N/A	C	0
SAMARITAN ENTERPRISES LLC
PO BOX 3000	CORVALLIS	OR	973393000	465293120	EVENT CENTER & HOSPITALITY SVCS	OR	N/A	C	0
SYNERGY SURGICALISTS INC
678 SIMMONS LANE	BOZEMAN	MT	59715	454639673	ORTHOPEDIC & GENERAL SURGERY CARE	MT	N/A	S	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
INTERCOMMUNITY HEALTH PLANS INC
L	$19,928,684	COST
SAMARITAN ENDOSCOPY CENTER LLC
A	$345,306	COST
SAMARITAN ENDOSCOPY CENTER LLC
O	$93,775	COST
SAMARITAN ENDOSCOPY CENTER LLC
P	$93,775	COST
SAMARITAN ENDOSCOPY CENTER LLC
S	$440,000	COST
CORVALLIS MEDICAL BUILDINGS LLC
A	$51,340	COST
CORVALLIS MEDICAL BUILDINGS LLC
S	$196,200	COST
CORVALLIS MEDICAL BUILDINGS LLC
K	$494,493	COST
HULL IMAGING LLC
A	$79,780	COST
HULL IMAGING LLC
O	$636,851	COST
HULL IMAGING LLC
S	$915,000	COST