Form 990 for tax year 2022
Filed by GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION.
Totals
- Total revenue
- $757,130
- Total expenses
- $373,002
- Contributions and grants received
- $456,065
- Grants paid
- $368,274
- Program service revenue
- $0
- Investment income
- $294,001
- Other revenue
- $7,064
- Total assets, end of year
- $9,241,994
- Total liabilities, end of year
- $0
- Net assets or fund balances, end of year
- $9,241,994
- Program services expenses (Part IX)
- $368,274
- Management and general expenses
- $4,728
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $368,274
Program services were 98.7% 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.
-
1c · Fundraising events
$72,325
-
1d · Related organizations
$176,608
-
1f · All other contributions, gifts and grants
$207,132
-
3 · Investment income
total $57,205 · excluded $57,205
-
7a · Gross sales of assets other than inventory
securities $236,796
-
7b · Less cost or other basis and sales expenses
securities $0
-
7c · Gain or loss
securities $236,796
-
7d · Net gain or loss
total $236,796 · excluded $236,796
-
8a · Fundraising events: gross income
$12,757
-
8a · Fundraising events: contributions included on line 1c
$72,325
-
8b · Fundraising events: direct expenses
$5,693
-
8c · Net income from fundraising events
total $7,064 · excluded $7,064
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $298,984 · program services $298,984
-
2 · Grants to domestic individuals
total $69,290 · program services $69,290
-
13 · Office expenses
total $4,728 · management and general $4,728
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $123,174 · end of year $123,542
-
11 · Investments: publicly traded securities
beginning of year $8,408,257 · end of year $9,118,452
-
27 · Net assets without donor restrictions
beginning of year $6,390,051 · end of year $7,106,813
-
28 · Net assets with donor restrictions
beginning of year $2,141,380 · end of year $2,135,181
Mission and programs · 2022
Mission
TO ENHANCE THE QUALITY OF LIFE AND GENERAL HEALTH OF RESIDENTS LIVING IN THE WEST UMATILLA AND MORROW COUNTY COMMUNITIES. RESOURCES ARE PROVIDED TO WORTHY PROJECTS BEST ILLUSTRATING FOUNDATION IDEALS AND FULFILLING THE HEALTH NEEDS OF OUR DESIGNATED REGION.
Activities or mission (Part I)
TO ENHANCE THE QUALITY OF LIFE AND GENERAL HEALTH OF RESIDENTS LIVING IN THE WEST UMATILLA AND MORROW COUNTY COMMUNITIES IN SUPPORT OF THE MISSION OF GOOD SHEPHERD HEALTH CARE SYSTEM.
-
Withheld by Nonprofiteer: this text may name a private individual.
Expenses $368,274 · Grants $368,274
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here. A text marked withheld matched a screen for wording that may name a private individual, such as an honorific or "in memory of". Most of what it withholds names no one; it is withheld so that what does is never shown.
Listed in Part VII
-
DR BRIAN LARSEN
MEDICAL STAFF PRESIDENT
- Total calculated
- $459,706
- From this org
- $0
- From related orgs
- $397,700
- Other
- $62,006
- Hours/week
- 1 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $385,958 related
- Bonus
- $0 + $11,742 related
- Other
- $0
- Deferred
- $0 + $41,000 related
- Nontaxable benefits
- $0 + $21,006 related
- Filer's total
- $0 + $459,706 related
-
ELIZABETH MARVIN
EXECUTIVE DIRECTOR
- Total calculated
- $120,491
- From this org
- $0
- From related orgs
- $99,981
- Other
- $20,510
- Hours/week
- 40
-
CINDY MIDDLETON
PRESIDENT
- Total calculated
- $0
- Hours/week
- 2
-
LISA MITTELSDORF
VICE PRESIDENT
- Total calculated
- $0
- Hours/week
- 2 + 2 related
-
DEAN FIALKA
TREASURER
- Total calculated
- $0
- Hours/week
- 1
-
TYLER BENDIXSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
AMANDA CARNINE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DAVE EGO
DIRECTOR (THRU APRIL 2023)
- Total calculated
- $0
- Hours/week
- 1
-
BILL ELFERING
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
MANUEL GUTIERREZ
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MIKE HENDERSON
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JON LORENCE
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1 + 2 related
-
MIKE MADSEN
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
JULIE PUZEY
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
LADONNA QUAEMPTS
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
DAVE RADEMACHER
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MAYRA ECHEVERRIA REYES
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
MARGARET SAYLOR
DIRECTOR
- Total calculated
- $0
- Hours/week
- 1
-
SHERON VARIKATT
DIRECTOR (THRU MAY 2023)
- Total calculated
- $0
- Hours/week
- 1
-
TOM WAMSLEY
DIRECTOR (THRU NOV 2022)
- Total calculated
- $0
- Hours/week
- 1 + 2 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
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
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
-
GS FACILITIES DEPT - PURCHASE HAM RADIO TO ALLOW COMMUNICATION BETWEEN GSMC AND UMATILLA COUNTY EMERGENCY OPERATIONS CENTER ($6,800) / SOUL CARE - PURCHASE RESOURCES FOR PASTORS AND TRAINING FOR SOUL CARE MANAGER ($1,295) / GS CHILDREN'S CENTER - TO BUILD A SHADE STRUCTURE FOR CHILDREN'S CENTER PLAYGROUND ($15,000) / GS COMMUNITY HEALTH AND OUTREACH - TO PROMOTE AND PURCHASE FOOD / MATERIALS FOR FAMILY HEALTH AND FITNESS DAY EVENT. ($7,100), EMPLOYEE EMERGENCY FUND ($27,898)
-
$27,500
TO HELP BUILD THE HEROS SPORTSPLEX AT EOTEC ($25,000) / TO SUPPORT EXTRACURRICULAR PROGRAM EXPENSES INCLUDING FEES, SNACKS, GEAR, EQUIPMENT, AND APPAREL ($2,500)
-
DOMESTIC VIOLENCE SERVICES INC
$14,996
NEW FLOORING FOR BUILDING ($10,000) / MARY ELLEN PAUL DISBURSEMENT ($4,995.94)
-
NEW FLOORING FOR UPSTAIRS OF BUILDING
-
PURCHASE AED UNITS
-
$10,000
PURCHASE ITEMS TO STOCK "STORE" THAT MUST BE BOUGHT BRAND NEW
-
$10,000
PLUMBING, ELECTRICAL AND COMMERCIAL DISHWASHER
-
$10,000
RESURFACE POOL DECK AT PUBLIC POOL
-
MARY ELLEN PAUL DISBURSEMENT
-
MARY ELLEN PAUL DISBURSEMENT
The 10 largest by cash amount. The API serves every itemized grant.
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.
-
GOOD SHEPHERD HEALTH CARE SYSTEM
501(C)(3) · HEALTHCARE · OR
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 corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
GOOD SHEPHERD MEDICAL SERVICE CORP
C · PHARMACY · OR
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 22 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202441279349302089
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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