2026-08-25T12:11:59-05:00 2025-12-31 410746749 CLIFTONLARSONALLEN LLP 10700 NORTHUP WAY SUITE 200 BELLEVUE WA 98004 990 2025-01-01 911230237 SAMARITAN HEALTHCARE FOUNDATION SAMA 5097939641 2000 S CLOVER DRIVE MOSES LAKE WA 98837 PJ DEBENEDETTI PRESIDENT 5097939641 2026-08-24 1 KURT BENNION CPA P01469618 4252506100 2026-08-24 2025 2025-03-06 01:10:19Z X SAMARITAN FOUNDATION ROBERTA BIGALK 2000 S CLOVER DRIVE MOSES LAKE WA 98837 520085 0 X WWW.WEARESAMARITAN.ORG/FOUNDATION/ X 1984 WA TO ENSURE THE CONTINUED AVAILABILITY OF QUALITY HEALTH CARE THROUGH SAMARITAN HEALTHCARE. 10 9 0 100 0 0 885681 371222 0 0 65103 94430 6110 18409 956894 484061 36000 41607 0 0 0 0 0 0 0 17817 7362 53817 48969 903077 435092 3339906 4102236 0 0 3339906 4102236 THE SOLE MISSION OF THE FOUNDATION AS A NON-PROFIT FUNDRAISING ORGANIZATION IS TO ENSURE THE CONTINUED AVAILABILITY OF QUALITY HEALTH CARE SERVICES AND PROGRAMS THROUGH PUBLIC HOSPITAL DISTRICT NO. 1, GRANT COUNTY, WASHINGTON (DBA: SAMARITAN HEALTHCARE). 0 0 8707 8707 0 PROGRAM AND PROJECT GRANTS TO PUBLIC HOSPITAL DISTRICT NO. 1, GRANT COUNTY, WASHINGTON (DBA: SAMARITAN HEALTHCARE): SUPPORT IN 2025 WAS FOR THE #BUILDCOMMUNITY CAMPAIGN FOR A NEW MEDICAL CAMPUS. DISTRIBUTION OF #BUILDCOMMUNITY FUNDS TO SAMARITAN HEALTHCARE IS PROJECTED TO OCCUR THROUGHOUT THE YEARS 2026-2028. 32900 32900 0 SCHOLARSHIPS TO EMPLOYEES OF SAMARITAN HEALTHCARE:SCHOLARSHIP AWARDS ARE PROVIDED TO EMPLOYEES CHOOSING TO FURTHER THEIR WORK-RELATED EDUCATION THROUGH COLLEGE LEVEL COURSEWORK. SCHOLARSHIP AWARDS ARE FORWARDED TO THE INSTITUTE OF HIGHER LEARNING, OR TO THE EMPLOYEE ON A REIMBURSEMENT BASIS. 41607 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 9 0 1 0 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ROBERTA BIGALK 5097939641 2000 S CLOVER DRIVE MOSES LAKE WA 98837 PJ DEBENEDETTI PRESIDENT 1.00 0.00 X X 0 0 0 JIM SPERRY TREASURER 0.50 0.00 X X 0 0 0 CHERA ANDERSON SECRETARY 0.50 0.00 X X 0 0 0 JEROME BROTHERTON DIRECTOR 0.50 0.00 X 0 0 0 SUSAN CARBON DIRECTOR 0.50 1.00 X 0 9279 0 RYAN CARPENTER DIRECTOR 0.50 0.00 X 0 0 0 WALLY FARRIS DIRECTOR 0.50 0.00 X 0 0 0 ASHLEY FIROUZI DIRECTOR 0.50 0.00 X 0 0 0 NICOLE JACKSON DIRECTOR (THROUGH AUGUST 2025) 0.50 39.50 X 0 40877 13660 DALE PARIS DIRECTOR 0.50 1.00 X 0 8211 0 THERESA SULLIVAN DIRECTOR 0.50 54.00 X 0 516289 147687 GRETCHEN YOUNGREN EXECUTIVE DIRECTOR 20.00 30.00 X 0 176100 61025 0 750756 222372 0 0 1 0 0 65600 305622 12403 371222 69430 69430 7351 0 7351 7351 7351 25000 0 25000 25000 25000 7923 65600 21345 -13422 -13422 28911 14679 14232 14232 MISCELLANEOUS INCOME 900099 10248 10248 10248 484061 0 0 112839 8707 8707 32900 32900 2268 2268 TAXES 3385 3385 MISCELLANEOUS 1709 1709 48969 41607 7362 0 1083379 548041 2256527 3554195 3339906 4102236 0 0 X 1392733 1771260 1947173 2330976 3339906 4102236 3339906 4102236 435092 328237 -999 0 X 0 0 0 X 333402 309540 185933 885681 371222 2085778 3000 3000 3000 3000 3000 15000 336402 312540 188933 888681 374222 2100778 749500 1351278 12479 25981 29783 42603 76781 187627 12801 74320 12316 96834 18171 214442 2502847 123455 0.53990 0.56120 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING EVENT REVENUES OTHER INCOME CHARITABLE GAMING REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2239426 900000 429412 25000 3543838 1322553 916873 2239426 1138990 183563 1322553 1389080 765 -250855 1138990 419822 857156 115815 3713 1389080 0.82060 0.17940 0.00000 1 0 0 PART V, LINE 4: THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS IS TO HELP ACHIEVE THE ORGANIZATION'S MISSION. GOLF TOURNAMENT 54523 46600 7923 6750 4165 9572 BOURBON & BOWTIES 19000 19000 73523 65600 7923 6750 4165 9572 20487 -12564 1 PUBLIC HOSPITAL DISTRICT NO 1 (DBA SAMARITAN HEALTHCARE) 2000 S CLOVER DRIVE MOSES LAKE WA 98837 916001698 SAMARITAN HEALTHCARE 8707 0 PURCHASE OF PIANO 1 0 EMPLOYEE SCHOLARSHIPS 11 29750 EMPLOYEE CRISIS FUND 7 3150 PART I, LINE 2: THE ONLY TRANSFER TO ANOTHER ANOTHER ORGANIZATION WAS TO A RELATED ORGANIZATION WITH SHARED EXECUTIVE AND BOARD OVERSIGHT BETWEEN THE ORGANIZATIONS. APPROPRIATE USE OF TRANSFERRED FUNDS IS MONITORED THROUGH THESE OVERLAPPING MANAGEMENT AND OVERSIGHT POSITIONS. FUNDS FOR SCHOLARSHIPS ARE EITHER PROVIDED DIRECTLY TO THE SCHOOL OR ARE PROVIDED TO THE INDIVIDUAL AS A REIMBURSEMENT AFTER THEY HAVE SUBMITTED ADEQUATE DOCUMENTATION, SUCH AS A RECEIPT FOR A QUALIFIED EXPENSE. X X 0 0 0 0 1 0 0 0 0 THERESA SULLIVAN DIRECTOR 0 485597 0 30692 0 0 0 29750 0 117937 0 663976 0 0 GRETCHEN YOUNGREN EXECUTIVE DIRECTOR 0 168464 0 7636 0 0 0 16375 0 44650 0 237125 0 0 PART I, LINE 3 THE FOLLOWING WERE USED BY PUBLIC HOSPITAL DISTRICT NO. 1, GRANT COUNTY, WASHINGTON (DBA: SAMARITAN HEALTHCARE) TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION: 1. WRITTEN EMPLOYMENT CONTRACT 2. COMPENSATION SURVEY OR STUDY PART I, LINE 5 PUBLIC HOSPITAL DISTRICT NO. 1, GRANT COUNT, WASHINGTON (DBA: SAMARITAN HEALTHCARE) HAS AN INCENTIVE COMPENSATION PLAN THAT APPLIES TO ALL FULL-TIME EMPLOYEES. IN 2025, BONUS COMPENSATION WAS BASED ON THE ORGANIZATION'S BALANCED SCORECARD PERFORMANCE WHICH INCLUDED METRICS FOCUSED ON QUALITY, PATIENT EXPERIENCE, FINANCIAL PERFORMANCE, AND CARE DELIVERY. IN 2025, NONE OF THE POSSIBLE INCENTIVE COMPENSATION WAS BASED ON THE FOUNDATION'S FINANCIAL PERFORMANCE. FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS MAY APPOINT AN EXECUTIVE COMMITTEE CONSISTING OF AT LEAST THREE DIRECTORS, INCLUDING THE BOARD PRESIDENT. THE EXECUTIVE COMMITTEE HAS THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE FOUNDATION DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS. ALL MATTERS OF MAJOR IMPORTANCE AND POLICIES OF SIGNIFICANCE ARE REFERRED PROMPTLY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 3 ALL MANAGEMENT SERVICES ARE PROVIDED BY PUBLIC HOSPITAL DISTRICT NO. 1, GRANT COUNTY, WASHINGTON (DBA: SAMARITAN HEALTHCARE). FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF COMMISSIONERS OF SAMARITAN HEALTHCARE APPOINTS A MAJORITY OF THE BOARD MEMBERS OF SAMARITAN HEALTHCARE FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE FOUNDATION DIRECTOR, THEN BY THE GOVERNANCE COMMITTEE OF THE BOARD OF DIRECTORS, THEN BY THE FULL BOARD OF DIRECTORS PRIOR TO FILING THE RETURN WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE FOUNDATION'S CONFLICT OF INTEREST POLICY APPLIES TO ALL BOARD MEMBERS, COMMITTEE MEMBERS WITH BOARD-DESIGNATED POWERS, AND OFFICERS. IF AN INDIVIDUAL HAS AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THEY ARE REQUIRED TO DISCLOSE IT TO THE BOARD OR COMMITTEE, ALONG WITH ANY MATERIAL FACTS. AFTER THIS DISCLOSURE, THE INDIVIDUAL LEAVES THE ROOM WHILE THE REMAINING BOARD OR COMMITTEE MEMBERS VOTE ON WHETHER A CONFLICT EXISTS. IF A CONFLICT EXISTS, THE INDIVIDUAL LEAVES THE ROOM FOR ALL DISCUSSIONS OF THE TRANSACTION AND FOR ANY VOTES ON THE MATTER. THE REMAINING BOARD OR COMMITTEE MEMBERS EXERCISE DUE DILIGENCE TO DETERMINE WHETHER A MORE FAVORABLE TRANSACTION IS AVAILABLE WITHOUT A CONFLICT OF INTEREST. IF A MORE FAVORABLE TRANSACTION IS NOT FOUND, THE REMAINING BOARD OR COMMITTEE MEMBERS VOTE ON WHETHER TO ENTER THE TRANSACTION CAUSING THE CONFLICT. IF THE BOARD OR A COMMITTEE BELIEVES A PERSON HAS FAILED TO DISCLOSE A CONFLICT, THE INDIVIDUAL IS GIVEN THE OPPORTUNITY TO EXPLAIN THE SITUATION. THE BOARD OR COMMITTE THEN DETERMINES WHETHER A FAILURE TO DISCLOSE HAS OCCURRED. IF A FAILURE HAS OCCURRED, THE BOARD OR COMMITTEE TAKE APPROPRIATE DISCPLINARY AND CORRECTIVE STEPS. ALL BOARD MEMBERS ARE REQUIRED TO SIGN AND RETURN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. ALL BOARD MEMBERS ARE ASKED TO REVIEW AND DISCLOSE POTENTIAL CONFLICTS AT THE BEGINNING OF ALL BOARD MEETINGS UPON REVIEW OF THE AGENDA. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR IS PAID BY SAMARITAN HEALTHCARE. THE EXECUTIVE DIRECTOR'S COMPENSATION IS BASED ON MARKET CONDITIONS AND SURVEYS BY HUMAN RESOURCES AND IS REVIEWED BY THE HOSPITAL'S CEO AND CHRO. THIS PROCESS WAS LAST COMPLETED IN 2025. FORM 990, PART VI, SECTION C, LINE 19 SAMARITAN HEALTHCARE FOUNDATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. PUBLIC HOSPITAL DISTRICT NO 1 2000 S CLOVER DRIVE MOSES LAKE WA 98837 916001698 HOSPITAL WA 115 N/A 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0 0