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Nonprofiteer
← GOOD SAMARITAN HOSPITAL FOUNDATION CORVALLIS

Form 990 for tax year 2022

Filed by GOOD SAMARITAN HOSPITAL FOUNDATION CORVALLIS.

Totals

Total revenue
$1,970,361
Total expenses
$1,197,535
Contributions and grants received
$1,549,076
Grants paid
$1,156,031
Program service revenue
$0
Investment income
$417,728
Other revenue
$3,557
Total assets, end of year
$14,776,757
Total liabilities, end of year
$23,461
Net assets or fund balances, end of year
$14,753,296
Program services expenses (Part IX)
$1,156,031
Management and general expenses
$40,714
Fundraising expenses
$790
Program service expenses (Part III)
$1,156,031

Program services were 96.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $100,000

  • 1f · All other contributions, gifts and grants

    $1,449,076

  • 3 · Investment income

    total $307,541 · excluded $307,541

  • 7a · Gross sales of assets other than inventory

    securities $1,142,915

  • 7b · Less cost or other basis and sales expenses

    securities $1,032,728

  • 7c · Gain or loss

    securities $110,187

  • 7d · Net gain or loss

    total $110,187 · excluded $110,187

  • 8a · Fundraising events: gross income

    $3,557

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $3,557 · excluded $3,557

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $981,538 · program services $981,538

  • 2 · Grants to domestic individuals

    total $174,493 · program services $174,493

  • 11c · Fees: accounting

    total $6,000 · management and general $6,000

  • 11f · Fees: investment management

    total $30,602 · management and general $30,602

  • 13 · Office expenses

    total $2,024 · management and general $2,024

  • 24a · Other expenses: LICENSES & FEES

    total $2,088 · management and general $2,088

  • 24b · Other expenses: DONOR APPRECIATION

    total $790 · fundraising $790

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $1,040,050 · end of year $1,029,472

  • 3 · Pledges and grants receivable

    beginning of year $63,496 · end of year $192,327

  • 11 · Investments: publicly traded securities

    beginning of year $15,794,521 · end of year $13,554,958

  • 25 · Other liabilities

    beginning of year $19,430 · end of year $23,461

  • 27 · Net assets without donor restrictions

    beginning of year $4,870,761 · end of year $3,771,989

  • 28 · Net assets with donor restrictions

    beginning of year $12,007,876 · end of year $10,981,307

Mission and programs · 2022

Mission

THE FOUNDATION'S MISSION IS TO PROVIDE PHILANTHROPIC RESOURCES FOR GOOD SAMARITAN HOSPITAL CORVALLIS AND ITS CHARITABLE PURPOSES IN ORDER TO PROMOTE STATE-OF-THE-ART HEALTHCARE, HEALTH EDUCATION, AND WELLNESS.

Activities or mission (Part I)

TO SUPPORT GOOD SAMARITAN HOSPITAL, CORVALLIS AND SERVE THE COMMUNITY.

  • GRANTS TO THE HOSPITAL AND SUPPORTING ORGANIZATIONS OR PROGRAMS FOR OPERATING AND CAPITAL COSTS.THERE WAS GRANT FUNDING FOR THE OPERATIONS OF THE MARIO PASTEGA GUEST HOUSE. THIS WILL HELP INDIGENT FAMILIES TO STAY NEAR THE HOSPITAL WHEN THEY OR THEIR FAMILY MEMBERS ARE RECEIVING CARE AT THE HOSPITAL. PROGRAM GRANTS IN 2022 INCLUDED FUNDING FOR SEVERAL HOSPITAL PROGRAMS, AND FUNDING FOR RESEARCH GRANTS TO OREGON STATE UNIVERSITY.SEE SCHEDULE I, PART II FOR A LISTING OF 2022 GRANTS.

    Expenses $981,538 · Grants $981,538

  • PROVIDED EMERGENCY FINANCIAL ASSISTANCE TO HOSPITAL EMPLOYEES WHO ARE EXPERIENCING AN UNEXPECTED FINANCIAL NEED, THE CAUSE OF WHICH IS BEYOND THE EMPLOYEE'S CONTROL. ACCEPTABLE FUNDING REQUESTS MAY INCLUDE: EVICTION NOTIFICATION, UTILITY TURN-OFF NOTIFICATIONS, PAST DUE MEDICAL BILLS, AND UNEXPECTED/UNPLANNED EXPENSES. SEE SCHEDULE I, PART III.

    Expenses $90,707 · Grants $90,707

  • PROVIDED ASSISTANCE TO HOSPITAL PATIENTS IN NEED. THIS ASSISTANCE IS SHOWN ON SCHEDULE I, PART III.

    Expenses $67,786 · Grants $67,786

  • SCHOLARSHIPS PROVIDED FOR STUDENTS CURRENTLY PURSUING AN UNDERGRADUATE OR GRADUATE DEGREE IN HEALTH CARE RELATED FIELD. SCHOLARSHIPS ARE AVAILABLE TO INDIVIDUALS WITHOUT REGARD TO RACE, RELIGION, NATIONAL ORIGIN, GENDER, AGE, COLOR, DISABILITY, OR MARITAL STATUS. SPECIAL CONSIDERATION IS GIVEN TO APPLICANTS WHO ARE CURRENTLY EMPLOYED IN THE HEALTH CARE FIELD AND TO MEMBERS OR VETERANS OF THE U.S. MILITARY. SEE SCHEDULE I, PART III.

    Expenses $16,000 · Grants $16,000

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Kelly Gallagher

    BOARD PRESIDENT

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • Tom Marker MD

    BOARD VICE PRESIDENT

    Total calculated
    $38,596
    From this org
    $0
    From related orgs
    $38,596
    Other
    $0
    Hours/week
    2 + 1 related

  • Stacie Wyss-Schoenborn

    BOARD SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • Steve Uerlings

    BOARD TREASURER

    Total calculated
    $0
    Hours/week
    2 + 1 related

  • Madeleine Rudolph

    BOARD PAST PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Pete Barnhisel

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Tammy Bray

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Kay Dawson

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Ed Easterling

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Katie Elliott

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Aaron Manley

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Ken Pastega

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • James Ramseyer

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Ryan Sparks DMD

    TRUSTEE

    Total calculated
    $2,637
    From this org
    $0
    From related orgs
    $2,637
    Other
    $0
    Hours/week
    1

  • Bond Starker

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Ronald Stevens

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Cody Timmins

    TRUSTEE

    Total calculated
    $0
    Hours/week
    1

  • Daniel Smith

    SVP / CFO

    Total calculated
    $701,981
    From this org
    $0
    From related orgs
    $638,044
    Other
    $63,937
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $492,567 related
    Bonus
    $0 + $104,160 related
    Other
    $0 + $41,317 related
    Deferred
    $0 + $24,620 related
    Nontaxable benefits
    $0 + $39,317 related
    Filer's total
    $0 + $701,981 related

  • Darrel Kau

    EXECUTIVE DIRECTOR

    Total calculated
    $159,039
    From this org
    $0
    From related orgs
    $139,332
    Other
    $19,707
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $0 + $130,201 related
    Bonus
    $0
    Other
    $0 + $9,131 related
    Deferred
    $0 + $7,846 related
    Nontaxable benefits
    $0 + $11,861 related
    Filer's total
    $0 + $159,039 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE EXECUTIVE DIRECTOR 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.
PART I, LINE 4B
A RELATED ORGANIZATION MAINTAINS SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS. HOWEVER, NO PERSONS LISTED IN PART VII OF FORM 990 ACCRUED DEFERRED COMPENSATION BENEFITS OR RECEIVED ANY PAYMENTS FROM THESE PLANS DURING THE FILING YEAR.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SAMARITAN ENDOSCOPY CENTER LLC

    MEDICAL SERVICES · OR

  • CORVALLIS MEDICAL BUILDINGS LLC

    REAL ESTATE RENTAL · OR

  • EAST LINN MRI LLC

    IMAGING · OR

  • HULL IMAGING LLC

    IMAGING · OR

  • CORVALLIS MRI LLC

    IMAGING · OR

  • MID-VALLEY MEDICAL PROPERTIES ASSOC LLC

    REAL ESTATE RENTAL · OR

  • MID-VALLEY MEDICAL BUILDINGS LLC

    REAL ESTATE RENTAL · OR

  • NORTHWEST MEDICAL ISOTOPES LLC

    RESEARCH · OR

  • CASCADE VIEW MEDICAL OFFICE BUILDING LLC

    REAL ESTATE RENTAL · OR

  • BSM SURGERY CENTER LLC

    MEDICAL SERVICES · OR

  • AIKENS DIALYSIS LLC

    MEDICAL SERVICES · WA

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • SAMARITAN HEALTH PLANS INC

    C · HEALTH INSURANCE CARRIER FOR THE COMMUNITY · OR

  • BOULDER FALLS PROPERTIES LLC

    C · EVENT CENTER & HOSPITALITY SVCS · OR

Provenance

Return type
form_990
Tax year
2022
Filed
2 November 2023
IRS schema version
2022v5.0
Source object
202333149349304018

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