2025-05-06T08:54:58-05:00 2024-06-30 390758449 WIPFLI LLP 170 N RADNOR-CHESTER RD SUITE 200 RADNOR PA 19087 990 2023-07-01 931170546 GOOD SHEPHERD COMMUNITY HEALTH FOUNDATION GOOD 5416673419 610 NW 11TH STREET HERMISTON OR 97838 ELIZABETH MARVIN EXECUTIVE DIRECTOR 5416673419 2025-04-14 1 0 SOLOMON MARDAKHAEV P01806552 6105653930 2025-04-08 2023 2025-03-06 01:10:19Z ELIZABETH MARVIN 610 NW 11TH STREET HERMISTON OR 97838 961637 0 X WWW.GSHEALTH.ORG/FOUNDATION X 1995 OR 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. 19 19 0 30 0 0 456065 528895 0 0 294001 414654 7064 11071 757130 954620 368274 361271 0 0 0 0 0 0 0 4728 13427 373002 374698 384128 579922 9241994 10606842 0 30 9241994 10606812 X 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. 0 0 361271 361271 0 TOURNAMENTS AND OTHER DESIGNATED PROGRAMS AND EVENTS ARE HELD TO FUND PROJECTS IN KEEPING WITH OUR MISSION. IN DECEMBER 2024, GSCHF PARTNERED WITH HERMISTON KIWANIS CLUB TO SPONSOR THE FESTIVAL OF TREES EVENT, RECEIVING OVER $35,500 IN NET PROCEEDS FOR THE FOUNDATION AT THIS ANNUAL FUNDRAISER. IN JUNE 2024, THE ANNUAL SCRAMBLE FOR SCHOLARSHIPS GOLF TOURNAMENT WAS HELD AND WAS A TREMENDOUS SUCCESS. NET PROCEEDS FROM THE TOURNAMENT WERE OVER $53,000.IN MAY 2024, THE FOUNDATION AWARDED $74,500 IN SCHOLARSHIP FUNDS TO THIRTY-NINE MEDICAL STUDENTS. ONE $750 SCHOLARSHIP FOR A STUDENT STUDYING NURSING, ONE $750 SCHOLARSHIP TO A STUDENT STUDYING KINESIOLOGY, TWO $750 AND ONE $1000 SCHOLARSHIP AWARDED TO STUDENTS STUDYING BIOLOGY/PRE-MEDICINE, ALL ATTENDING OREGON STATE UNIVERSITY. ONE $4000 SCHOLARSHIP WAS AWARDED TO A STUDENT ATTENDING OREGON STATE COLLEGE OF PHARMACY FOR A DOCTOR OF PHARMACY DEGREE. ONE $750 SCHOLARSHIP WAS AWARDED TO A STUDENT STUDYING PRE-DIAGNOSTIC IMAGING, AND TWO $750 SCHOLARSHIPS TO STUDENTS STUDYING PRE-NURSING. A $750 SCHOLARSHIP TO A STUDENT STUDYING PRE-PHYSICAL THERAPY. ONE $2500 SCHOLARSHIP TO A STUDENT STUDYING NURSING, ALL ATTENDING BLUE MOUNTAIN COMMUNITY COLLEGE.ONE $750 SCHOLARSHIP FOR A STUDENT STUDYING BIOLOGY, ONE $750 AND ONE $1000 SCHOLARSHIP FOR STUDENTS STUDYING NURSING AT EASTERN OREGON UNIVERSITY. SCHOLARSHIPS AWARDED TO STUDENTS STUDYING AT COLUMBIA BASIN COLLEGE INCLUDED: TWO $1000 SCHOLARSHIPS FOR STUDENTS STUDYING RADIOLOGY. ONE $2000 FOR A STUDENT STUDYING DENTAL HYGIENE. TWO $3000 SCHOLARSHIPS FOR STUDENTS STUDYING NURSING. A SCHOLARSHIP FOR $500 FOR DIAGNOSTIC IMAGING (NUCLEAR MEDICINE) AND ONE $1000 SCHOLARSHIP FOR A STUDENT STUDYING TO BE AN ULTRASOUND TECHNICIAN AT OREGON INSTITUTE OF TECHNOLOGY. ONE $750 SCHOLARSHIP TO A STUDENT STUDYING PRE-MEDICINE AT THE UNIVERSITY OF MONTANA. ONE $750 SCHOLARSHIP TO A STUDENT STUDYING PRE-NURSING AT OLYMPIC COLLEGE. ONE $5000 SCHOLARSHIP AWARDED TO A STUDENT PURSUING A DOCTORATE IN NURSING PRACTICE IN LEADERSHIP AT BOSIE STATE UNIVERSITY. ONE $5000 SCHOLARSHIP AWARDED TO A STUDENT STUDYING NURSING, AND ONE $3000 SCHOLARSHIP AWARDED TO A STUDENT PURSUING A MASTER OF SCIENCE IN NURSING EDUCATION AT WESTERN GOVERNORS UNIVERSITY. ONE $2000 SCHOLARSHIP TO A STUDENT STUDYING TO BE A DOCTOR OF PHYSICAL THERAPY AT WESTERN UNIVERSITY OF HEALTH SCIENCE. ONE $2000 SCHOLARSHIP FOR A STUDENT STUDYING NURSING AT MISSOURI VALLEY COLLEGE. ONE $4000 SCHOLARSHIP FOR A STUDENT PURSUING A PHYSICAL THERAPY DEGREE AT SOUTHERN VIRGINIA UNIVERSITY. ONE $5000 SCHOLARSHIP FOR A STUDENT WITH A GOAL OF BECOMING A DOCTOR OF MEDICINE AT OREGON HEALTH SCIENCE UNIVERSITY. ONE $4000 SCHOLARSHIP FOR A STUDENT PURSUING A B.S. IN APPLIED MANAGEMENT AND B.S. IN BIOLOGY WITH AN EMPHASIS IN PRE-MEDICINE, AND A $2500 SCHOLARSHIP TO A STUDENT PURSUING A BACHELOR'S DEGREE IN HEALTH CARE ADMINISTRATION AT GRAND CANYON UNIVERSITY. ONE $4000 SCHOLARSHIP FOR A STUDENT STUDYING FOR A MASTER OF OCCUPATIONAL THERAPY AT EASTERN WASHINGTON UNIVERSITY. $1000 TO A STUDENT PURSUING A BACHELOR OF SCIENCE OF NURSING AND A BACHELOR OF HEALTH SCIENCE AT NOTRE DAME OF MARYLAND UNIVERSITY. $1000 AWARDED TO A STUDENT STUDYING NURSING AT THE COLLEGE OF WESTERN IDAHO. $3000 AWARDED TO A STUDENT STUDYING NURSING AT GEORGE FOX UNIVERSITY. ONE $2000 SCHOLARSHIP TO A STUDENT STUDYING TO BE A REGISTERED NURSE AT EXCELSIOR UNIVERSITY. ONE $1000 SCHOLARSHIP TO A STUDENT AT COMMUNITY COLLEGES OF SPOKANE STUDYING SONOGRAPHY. AWARDED A $1000 SCHOLARSHIP TO A STUDENT THAT HAS TEMPORARILY PUT HER EDUCATION ON HOLD UNTIL SPRING TERM. 6,000.00 COMMUNITY FELLOWSHIP DINNERS FOR HOLIDAY COMMUNITY DINNER(S ).$5,535.00 GOOD SHEPHERD ER (STOP THE BLEED ). STOP THE BLEED TOURNIQUET KITS$7,500.00 EASTERN OREGON FIRST RESPONDERS CHAPLAIN ASSOCIATION GEAR TO RESPOND TO FIRST RESPONDERS AND THE COMMUNITY IN CRISIS AND SUPPORT A TRAUMA INFORMED RECOVERY CLASS.$22,500.00 MADE TO THRIVE/PICKLE BALL COURTS HERMISTON PARKS AND REC. FUNDS WILL HELP TO BUILD 10 PICKLEBALL COURTS NEAR FUNLAND PLAYGROUND.$2,500.00 GOOD SHEPHERD HEALTH CARE SYSTEM, COMMUNITY HEALTH OUTREACH THREE TRIPLE P PARENTING WORKSHOPS $6,150.00 DREAM CATCHER THERAPEUTIC RIDING CENTER STUDENT SCHOLARSHIPS TO THE PROGRAM FROM WEST UMATILLA COUNTY AND MORROW COUNTY.$3,980.00 STANFIELD COMMUNITY CENTER MATERIALS TO REPAIR HOLES, PAINT, AND PURCHASE AND INSTALL ACOUSTIC PANELS$5,000.00 BOARDMAN FOOD PANTRY TO PROVIDE FOOD TO COMMUNITY MEMBERS IN NEED.$8,335.00 UMATILLA MORROW HEAD START INC. THE FUNDS WILL BE USED TO PURCHASE CAR SEATS FOR THE UMHS CAR SEAT PROGRAM.$2,500.00 INLAND NORTHWEST MUSICIANS FUNDS WILL BE USED TO FUND THE INWM ANNIVERSARY CONCERT AND THE CELEBRATION DINNER MAKING THE COST FREE OR LOW TO ATTENDEES. $4,835.00 AC HOUGHTON ELEMENTARY SCHOOL (PHYSICAL EDUCATION ). GYMNASTICS EQUIPMENT$500.00 AC HOUGHTON ELEMENTARY SCHOOL (ELL ). DUAL LANGUAGE MATERIALS$2,500.00 BOARDMAN FOOD PANTRY TO PURCHASE FOOD$8,000.00 BOARDMAN PARKS & RECREATION DISTRICT WATER SAFETY SUPPLIES$10,000.00 EASTERN OREGON MISSION DBA AGAPE HOUSE WEEKEND FOOD PROGRAM$8,600.00 GOOD SHEPHERD COMMUNITY HEALTH & OUTREACH FAMILY HEALTH AND FITNESS DAY$2,500.00 GOOD SHEPHERD COMMUNITY HEALTH & OUTREACH YOU ARE NOT ALONE EVENT$1,450.00 HERMISTON HIGH SCHOOL HEALTH SCIENCE PATHWAY CONFERENCE FOOD COSTS$10,000.00 MADE TO THRIVE (HARRISON PARK ). BASKETBALL COURTS/LIGHTING/SOCCER GOALS$10,000.00 MADE TO THRIVE (HEROS ). PORTABLE NETTING TO DIVIDE THE FIELDS$5,000.00 PACIFIC NORTHWEST VETERANS ALLIANCE FUND EMERGENCY ASSISTANCE PROGRAM RESTRICTED FOR MEDICAL AND MENTAL HEALTH SERVICES, NO CASH OR GIFT CARD DISTRIBUTIONS$2,000.00 SMART READING FOR READING SUPPORT AND BOOKS$11,500.00 STANFIELD COMMUNITY CENTER ADA DOOR$20,000.00 UMATILLA COUNTY FIRE DISTRICT #1 AUTO PULSE AND ACCESSORIES$8,740.00 UMATILLA POLICE DEPARTMENT AUTOMATED EXTERNAL DEFIBRILLATORS 361271 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 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 19 19 1 1 0 0 0 1 1 1 1 0 0 1 1 1 1 0 0 1 1 0 OR X ELIZABETH MARVIN 5416673419 610 NW 11TH STREET HERMISTON OR 97838 DR BRIAN LARSEN MEDICAL STAFF PRESIDENT 1.00 40.00 X 0 390893 44819 DEAN FIALKA PRESIDENT 2.00 X X 0 0 0 MARGARET SAYLOR VICE PRESIDENT 2.00 X X 0 0 0 AMANDA CARNINE TREASURER 1.00 X X 0 0 0 DOUG BARAK DIRECTOR 1.00 X 0 0 0 TYLER BENDIXSEN DIRECTOR 1.00 X 0 0 0 KRISTEN COLLER DIRECTOR 1.00 2.00 X 0 0 0 BILL ELFERING DIRECTOR 1.00 2.00 X 0 0 0 ARNELL EYNON DIRECTOR 1.00 2.00 X 0 0 0 MANUEL GUTIERREZ DIRECTOR 1.00 X 0 0 0 MIKE HENDERSON DIRECTOR 1.00 X 0 0 0 JON LORENCE DIRECTOR 1.00 2.00 X 0 0 0 MIKE MADSEN DIRECTOR 1.00 X 0 0 0 CINDY MIDDLETON DIRECTOR 2.00 X 0 0 0 LISA MITTELSDORF DIRECTOR 2.00 2.00 X 0 0 0 JULIE PUZEY DIRECTOR 1.00 X 0 0 0 LADONNA QUAEMPTS DIRECTOR 1.00 X 0 0 0 DAVE RADEMACHER DIRECTOR 1.00 X 0 0 0 MAYRA ECHEVERRIA REYES DIRECTOR 1.00 X 0 0 0 ELIZABETH MARVIN EXECUTIVE DIRECTOR 40.00 X 0 137372 31480 0 528265 76299 0 0 1 0 0 42500 250000 236395 528895 244439 244439 170215 0 170215 170215 170215 18088 42500 7017 11071 11071 954620 0 0 425725 286771 286771 74500 74500 13427 13427 374698 361271 13427 0 123542 602831 9118452 10004011 9241994 10606842 0 30 0 30 X 7106813 8337134 2135181 2269678 9241994 10606812 9241994 10606842 579922 784896 0 X 0 1 X 1 0 X 143538 249332 337054 456065 528895 1714884 143538 249332 337054 456065 528895 1714884 70230 1644654 317729 324291 51198 57205 244439 994862 6253 4345 7064 11071 28733 2738479 0.60060 0.53070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 746203 746203 746203 746203 746203 746203 746203 746203 746203 746203 0.00000 1.00000 0.00000 0 0 0 PART V, LINE 4: ENDOWMENT FUNDS ARE HELD TO SUPPORT THE EXEMPT PURPOSES OF GOOD SHEPHERD HEALTH CARE SYSTEM. GOLF SCRAMBLE 60588 42500 18088 1800 3941 1276 60588 42500 18088 1800 3941 1276 7017 11071 1 MADE TO THRIVE PO BOX 684 HERMISTON OR 97838 464617953 501(C)(3) 42500 0 BASKETBALL COURTS/ LIGHTING / SOCCER GOALS, 10 PICKLEBALL COURTS NEAR FUNLAND PLAYGROUND, AND PORTABLE NETTING FOR SPORTS FIELS GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS) 610 NW 11TH STREET HERMISTON OR 97838 930425580 501(C)(3) 30246 0 FAMILY HEALTH AND FITNESS DAY, STOP THE BLEED TOURNIQUET KITS, MARY ELLEN PAUL DISBURSEMENT UMATILLA COUNTY FIRE DISTRICT #1 320 S 1ST ST HERMISTON OR 97838 812661780 GOV 20000 0 AUTO PULSE AND ACCESSORIES STANFIELD COMMUNITY CENTER PO BOX 477 STANFIELD OR 97875 930826642 501(C)(3) 11500 0 ADA DOOR BLUE MOUNTAIN COMMUNITY COLLEGE FOUNDATION PO BOX 100 BOARDMAN OR 97818 936033846 GOV 11111 0 MARY ELLEN PAUL DISBURSEMENT EASTERN OREGON UNIVERSITY FOUNDATION 1 UNIVERSITY BLVD PENDLETON OR 97801 936030669 501(C)(3) 11111 0 MARY ELLEN PAUL DISBURSEMENT EASTERN OREGON MISSION DBA MARTHA'S HOUSE 305 SE 4TH AVE BEND OR 97701 943055593 501(C)(3) 10000 0 WEEKEND FOOD PROGRAM UMATILLA POLICE DEPARTMENT PO BOX 130 UMATILLA OR 97882 936002270 GOV 8740 0 AUTOMATED EXTERNAL DEFIBRILLATORS UMATILLA MORROW HEAD START INC 110 NE 4TH ST HERMISTON OR 97838 930937286 501(C)(3) 8335 0 THE FUNDS WILL BE USED TO PURCHASE CAR SEATS OF VARIOUS TYPES FOR THE UMHS CAR SEAT PROGRAM. BOARDMAN PARKS AND REC 311 N OLSON ROAD HERMISTON OR 97838 930746082 GOV 8000 0 WATER SAFETY SUPPLIES EASTERN OREGON FIRST-RESPONDERS CHAPLAIN ASSOCIATION 330 S 1ST STREET HERMISTON OR 97838 873769918 501(C)(3) 7500 0 FUNDS WILL BE USED TO OUTFIT AND PROVIDE CHAPLAINS WITH THE NEEDED GEAR THEY NEED TO RESPOND TO FIRST RESPONDERS AND THE COMMUNITY IN CRISIS AND TO SUPPORT A TRAUMA-INFORMED RECOVERY CLASS. DREAM CATCHER THERAPEUTIC RIDING CENTER 47955 ST ANDREWS RD PENDLETON OR 97801 931311929 501(C)(3) 6150 0 STUDENT SCHOLARSHIPS TO THE PROGRAM; THE MONEY IS USED FOR THEIR RIDING LESSON FEES, WHICH TURNS INTO FUNDING TO CARE FOR THE DCTRC HORSES OR OTHER NEEDED EXPENSES. COMMUNITY FELLOWSHIP DINNER PO BOX 1551 HERMISTON OR 97838 271151036 501(C)(3) 6000 0 WE COOK AND SERVE AND DELIVER HOT MEALS FOR OUR COMMUNITY DOMESTIC VIOLENCE SERVICES INC PO BOX 152 HERMISTON OR 97838 930749483 501(C)(3) 5556 0 MARY ELLEN PAUL DISBURSEMENT HUMANE SOCIETY 1844 NW GEER ROAD HERMISTON OR 97838 931094588 501(C)(3) 5556 0 MARY ELLEN PAUL DISBURSEMENT 11 4 SCHOLARSHIPS 39 74500 PART I, LINE 2: REQUESTS FOR FINANCIAL ASSISTANCE GENERALLY ARE INITIATED FROM THE ORGANIZATION OR STUDENT AND APPROVED BY THE FOUNDATION BOARD PRIOR TO DISBURSEMENT. GRANT RECIPIENTS ARE REQUIRED TO SHARE BUDGETS AND REPORT ON HOW GRANT MONIES ARE BEING SPENT ON A MONTHLY BASIS UNTIL FULLY EXPENSED FOR THE PURPOSE FOR WHICH GRANTS WERE MADE. SCHOLARSHIP AWARDS ARE MADE OVER THE COURSE OF A SCHOOL YEAR AND RECIPIENTS ARE REQUIRED TO SUBMIT EVIDENCE OF HAVING RECEIVED PASSING GRADES BEFORE RECEIVING CONTINUED FUNDING. 0 0 0 0 0 0 0 0 0 DR BRIAN LARSEN MEDICAL STAFF PRESIDENT 0 370044 0 19924 0 925 0 23439 0 21380 0 435712 0 0 ELIZABETH MARVIN EXECUTIVE DIRECTOR 0 127552 0 9443 0 377 0 0 0 31480 0 168852 0 0 PART I, LINE 3 THE COMPENSATION FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE BOARD OF TRUSTEES OF GOOD SHEPHERD HEALTH CARE SYSTEM USING DATA FROM A COMPENSATION SURVEY AND COMPARISON TO OTHER SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 2 THE EXECUTIVE DIRECTOR IS AN EMPLOYEE OF GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS), A RELATED ORGANIZATION AND HAS A BUSINESS RELATIONSHIP WITH THE FOLLOWING COMMON BOARD MEMBERS OF GSHCS AND THE FOUNDATION: TOM WAMSLEY, BILL ELFERING AND LISA MITTLESDORF. FORM 990, PART VI, SECTION A, LINE 3 THE FOUNDATION UTILIZES AN EMPLOYEE OF GOOD SHEPHERD HEALTH CARE SYSTEM AS ITS EXECUTIVE DIRECTOR. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS IS APPOINTED BY THE BOARD OF DIRECTORS OF GOOD SHEPHERD HEALTH CARE SYSTEM. FORM 990, PART VI, SECTION A, LINE 7B THE AMENDING OF THE GOVERNING DOCUMENTS IS REQUIRED TO BE APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES OF GOOD SHEPHERD HEALTH CARE SYSTEM. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE EXECUTIVE DIRECTOR WHO REVIEWS THE FORM, SCHEDULES, AND RELATED ATTACHMENTS. ANY COMMENTS OR QUESTIONS ARE ADDRESSED WITH THE PREPARER AND A FINAL DRAFT IS PRESENTED TO THE BOARD OF DIRECTORS WHO THEN APPROVE THE FORM 990. ONCE MANAGEMENT IS SATISFIED WITH THE FORM 990, THE EXECUTIVE DIRECTOR SIGNS THE FORM 8879-EO AUTHORIZING THE PREPARER TO E-FILE THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND THE BOARD OF DIRECTORS ARE REQUIRED TO READ AND SIGN THE CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. ALL POTENTIAL CONFLICTS ARE DISCLOSED. THE BOARD REVIEWS ALL MEMBERS' STATEMENTS AND IF POTENTIAL ISSUES ARISE, THE MEMBER IN QUESTION IS EXCUSED FROM THE ROOM WHILE THE REST OF THE BOARD DISCUSSES AND VOTES ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION DOES NOT HAVE ANY COMPENSATED EMPLOYEES, THE COMPENSATION INFORMATION DISCLOSED IN PART VII IS ALL PAID BY GOOD SHEPHERD HEALTH CARE SYSTEM (GSHCS). THE ORGANIZATION RELIES ON GSHCS, A RELATED ORGANIZATION, TO DETERMINE COMPENSATION OF THE EXECUTIVE DIRECTOR. THE BOARD OF TRUSTEES OF GSHCS USES DATA FROM A COMPENSATION SURVEY AND COMPARISON TO OTHER SIMILAR ORGANIZATIONS TO DETERMINE THE COMPENSATION FOR THE EXECUTIVE DIRECTOR. THIS PROCESS IS COMPLETED ANNUALLY ON THE ANNIVERSARY DATE OF THE INDIVIDUAL'S HIRE DATE. THE EXECUTIVE DIRECTOR IS THE ONLY OFFICER OR KEY EMPLOYEE. FORM 990, PART VI, SECTION C, LINE 19 THE FOUNDATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. GOOD SHEPHERD HEALTH CARE SYSTEM 610 NW 11TH STREET HERMISTON OR 97838 930425580 HEALTHCARE OR 501(C)(3) LINE 3 N/A 0 GOOD SHEPHERD MEDICAL SERVICE CORP 610 NW 11TH STREET HERMISTON OR 97838 930688940 PHARMACY OR N/A C 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0