2024-11-12T14:59:39-06:00 2023-12-31 990 2023-01-01 936024034 GOOD SAMARITAN HOSPITAL AUXILIARY GOOD 5417685083 3600 NW SAMARITAN DRIVE CORVALLIS OR 973303737 CATHY STUBBLEFIELD RECORDING SECRETARY 5417684857 2024-11-12 1 2023 2024-10-15 13:58:12Z GOOD SAMARITAN REGIONAL MED CTR AUXILIARY PEGGY FULLER 3600 NW SAMARITAN DR CORVALLIS OR 97330 217142 0 X N/A X 1996 OR TO PROMOTE THE WELFARE AND SERVE THE NEEDS OF GOOD SAMARITAN HOSPITAL, CORVALLIS. 13 13 0 81 0 0 1935 1065 0 0 0 0 65354 50223 67289 51288 65561 66066 0 0 0 0 0 0 0 1611 1859 67172 67925 117 -16637 115535 98898 0 0 115535 98898 TO PROMOTE THE WELFARE AND SERVE THE NEEDS OF GOOD SAMARITAN HOSPITAL, CORVALLIS. 0 0 28566 28566 DONATIONS TO A CHARITABLE ORGANIZATION - GOOD SAMARITAN HOSPITAL - TO SUPPORT PROGRAMS. 20000 20000 DONATIONS TO A CHARITABLE ORGANIZATION - GOOD SAMARITAN HOSPITAL FOUNDATION TO SUPPORT THE WOMEN'S CENTER FACILITY LOCATED AT GOOD SAMARITAN HOSPITAL. 17500 17500 COLLEGE SCHOLARSHIPS FOR TUITION AND BOOKS ARE AWARDED TO QUALIFIED APPLICANTS PURSUING HEALTHCARE-RELATED EDUCATION. ELIGIBLE APPLICANTS INCLUDE STUDENTS AS WELL AS EMPLOYEES OF GOOD SAMARITAN HOSPITAL AND OTHER AFFILIATED SAMARITAN ENTITIES. SEE ALSO SCHEDULE I, PART III. 66066 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 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 0 0 0 0 0 0 0 X 13 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 OR X GOOD SAMARITAN HOSPITAL AUXILIARY 5417685083 3600 NW SAMARITAN DRIVE CORVALLIS OR 973303737 X SHARON HUTCHENS PRESIDENT 4.00 X X 0 0 0 PEGGY FULLER PRESIDENT ELECT 4.00 X X 0 0 0 CATHY STUBBLEFIELD RECORDING SECRETARY 4.00 X X 0 0 0 DORIS MIMNAUGH CORRESPONDING SECRETARY 4.00 X X 0 0 0 SANDY RIDER TREASURER 4.00 X X 0 0 0 LYDIA ARMSTRONG BOARD MEMBER 2.00 X 0 0 0 ELAINE DINSEL BOARD MEMBER 2.00 X 0 0 0 ELLIE ERKKILA BOARD MEMBER 2.00 X 0 0 0 JANET LARKIN BOARD MEMBER 2.00 X 0 0 0 MARGARET PHILPOTT BOARD MEMBER 2.00 X 0 0 0 JOYCE REED BOARD MEMBER 2.00 X 0 0 0 JOAN RICHTER BOARD MEMBER 2.00 X 0 0 0 DALE WEBER BOARD MEMBER 2.00 X 0 0 0 0 0 0 0 0 0 0 0 540 525 1065 46921 41046 5875 5875 169156 124808 44348 44348 51288 0 0 50223 48566 48566 17500 17500 554 554 PEDIATRIC SUPPORT 833 833 ARTS & CRAFTS 472 472 67925 66066 1859 0 62398 45936 53137 52962 115535 98898 0 0 X 115535 98898 115535 98898 115535 98898 -16637 0 X 0 0 0 X 885 1479 1885 1935 1065 7249 330471 194830 196622 194292 169156 1085371 331356 196309 198507 196227 170221 1092620 0 0 0 1092620 331356 196309 198507 196227 170221 1092620 1.00000 1.00000 0.00000 X SCRUB SALES 23936 23936 26375 WREATH & PLANT SALES 15567 15567 10211 39503 39503 36586 36586 2917 1 GOOD SAMARITAN HOSPITAL CORVALLIS PO BOX 3000 CORVALLIS OR 97339 930391573 501(C)(3) 22130 6436 COST BABY CLOTHES TO SUPPORT HOSPITAL OPERATIONS & TO PROVIDE CLOTHING FOR NEWBORNS GOOD SAMARITAN HOSPITAL FOUNDATION PO BOX 1068 CORVALLIS OR 97339 237252406 501(C)(3) 20000 0 SUPPORT FOR THE WOMEN'S CENTER 2 SCHOLARSHIPS 15 17500 PART I, LINE 2: GOOD SAMARITAN HOSPITAL AUXILIARY SCHOLARSHIPS ARE GIVEN ANNUALLY TO STUDENTS AND TO EMPLOYEES OF GOOD SAMARITAN HOSPITAL AND OTHER AFFILIATED SAMARITAN ENTITIES PURSUING MEDICAL EDUCATION. THE SCHOLARSHIPS ARE FOR TUITION, BOOKS AND SUPPLIES REQUIRED BY THE STUDENTS' PROGRAM. SCHOLARSHIP FUNDS ARE SENT DIRECTLY TO THE STUDENTS' COLLEGE OR UNIVERSITY. IF THE STUDENTS DISCONTINUE THEIR ENROLLMENT PRIOR TO COMPLETING THE ACADEMIC TERM FOR WHICH THE SCHOLARSHIP APPLIES, SCHOLARSHIP FUNDS ARE RETURNED TO THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 MEMBERSHIP IS OPEN TO ANYONE WHO IS INTERESTED IN GOOD SAMARITAN HOSPITAL, CORVALLIS. FOR 2023, GOOD SAMARITAN HOSPITAL AUXILIARY HAD 81 MEMBERS. EACH MEMBER MUST PAY $15 PER YEAR, OR ONE $125 PAYMENT FOR LIFETIME MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS WHO HAVE PAID THEIR DUES IN FULL MAY VOTE FOR NOMINATED BOARD MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B FUNDRAISING ACTIVITIES ARE SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS OF GOOD SAMARITAN HOSPITAL, CORVALLIS. FORM 990, PART VI, SECTION B, LINE 11B 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 GOOD SAMARITAN HOSPITAL AUXILIARY BOARD OF DIRECTORS PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C 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 MANAGEMENT. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AVAILABLE UPON REQUEST. GOOD SAMARITAN HOSPITAL CORVALLIS PO BOX 3000 CORVALLIS OR 97339 930391573 HOSPITAL SERVICES FOR THE COMMUNITY OR 501(C)(3) 3 SAMARITAN HEALTH SERVICES 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0