Civic Intelligence

Auxiliary of the Good Samaritan Hospital of Santa Clara Valley

EIN 94-6099635 • 501(c)3 • San Jose, CA

Profile

Support of hospital patients and families

2425 Samaritan DriveSan Jose, CA 95124

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

63rd percentile

0.00x

Higher debt load relative to assets than 63% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Liabilities / Revenue

74th percentile

0.02x

Higher debt load relative to revenue than 74% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Net Margin

12th percentile

-67%

Higher net margin than 12% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2024

Top Officer Pay

81st percentile

$0

Higher top officer pay than 81% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2024

Asset Growth

43rd percentile

-6.7%

Faster asset growth than 43% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Revenue Growth

39th percentile

-14%

Faster revenue growth than 39% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets63rd percentile

Assets

Down

$401,284

Down $28,909 (-6.7%) from 2023

Liabilities

Up

$1,042

Up $87 (+9.1%) from 2023

Net Assets

Down

$400,242

Down $28,996 (-6.8%) from 2023

Operations
Liabilities / Revenue74th percentileNet Margin12th percentile

Revenue

Down

$43,326

Down $6,922 (-14%) from 2023

Expenses

Down

$72,322

Down $4,763 (-6.2%) from 2023

Net Income

Down

-$28,996

Down $2,159 (-8.0%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth43rd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$1.0M$500K$0Assets 2010: $320,455Liabilities 2010: $4,825Net Assets 2010: $315,6302010Assets 2011: $467,342Liabilities 2011: $4,825Net Assets 2011: $462,5172011Assets 2012: $528,122Liabilities 2012: $4,825Net Assets 2012: $523,2972012Assets 2013: $590,722Liabilities 2013: $10,081Net Assets 2013: $580,6412013Assets 2014: $678,974Liabilities 2014: $11,507Net Assets 2014: $667,4672014Assets 2015: $710,665Liabilities 2015: $8,651Net Assets 2015: $702,0142015Assets 2016: $786,332Liabilities 2016: $4,585Net Assets 2016: $781,7472016Assets 2017: $805,921Liabilities 2017: $4,854Net Assets 2017: $801,0672017Assets 2018: $839,006Liabilities 2018: $7,387Net Assets 2018: $831,6192018Assets 2019: $841,802Liabilities 2019: $6,549Net Assets 2019: $835,2532019Assets 2020: $716,059Liabilities 2020: $12,215Net Assets 2020: $703,8442020Assets 2021: $578,050Liabilities 2021: $6,611Net Assets 2021: $571,4392021Assets 2022: $467,046Liabilities 2022: $10,178Net Assets 2022: $456,8682022Assets 2023: $430,193Liabilities 2023: $955Net Assets 2023: $429,2382023Assets 2024: $401,284Liabilities 2024: $1,042Net Assets 2024: $400,2422024

Highlighted filing

2024

Assets$401,284
Liabilities$1,042
Net Assets$400,242
Open 2024 Filing

Operations Trend

Revenue Growth39th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KRevenue 2010: $200,561Expenses 2010: $121,470Net Income 2010: $79,0912010Revenue 2011: $296,709Expenses 2011: $149,822Net Income 2011: $146,8872011Revenue 2012: $237,568Expenses 2012: $176,788Net Income 2012: $60,7802012Revenue 2013: $251,338Expenses 2013: $186,538Net Income 2013: $64,8002013Revenue 2014: $245,892Expenses 2014: $160,492Net Income 2014: $85,4002014Revenue 2015: $397,544Expenses 2015: $362,997Net Income 2015: $34,5472015Revenue 2016: $295,007Expenses 2016: $241,053Net Income 2016: $53,9542016Revenue 2017: $307,982Expenses 2017: $232,013Net Income 2017: $75,9692017Revenue 2018: $317,754Expenses 2018: $163,486Net Income 2018: $154,2682018Revenue 2019: $307,721Expenses 2019: $243,245Net Income 2019: $64,4762019Revenue 2020: $160,330Expenses 2020: $266,403Net Income 2020: -$106,0732020Revenue 2021: $85,078Expenses 2021: $164,316Net Income 2021: -$79,2382021Revenue 2022: $62,637Expenses 2022: $170,794Net Income 2022: -$108,1572022Revenue 2023: $50,248Expenses 2023: $77,085Net Income 2023: -$26,8372023Revenue 2024: $43,326Expenses 2024: $72,322Net Income 2024: -$28,9962024

Highlighted filing

2024

Revenue$43,326
Expenses$72,322
Net Income-$28,996
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$401,284
Liabilities
$1,042
Net assets
$400,242
Revenue
$43,326
Expenses
$72,322
Net income
-$28,996
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4.01$0.01$4.00$0.43$0.72$0.29
2023Detailed filing. Detailed filing data is available for this year.$4.30$0.01$4.29$0.50$0.77$0.27
2022Detailed filing. Detailed filing data is available for this year.$4.67$0.10$4.57$0.63$1.71$1.08
2021Detailed filing. Detailed filing data is available for this year.$5.78$0.07$5.71$0.85$1.64$0.79
2020Detailed filing. Detailed filing data is available for this year.$7.16$0.12$7.04$1.60$2.66$1.06
2019Detailed filing. Detailed filing data is available for this year.$8.42$0.07$8.35$3.08$2.43$0.64
2018Detailed filing. Detailed filing data is available for this year.$8.39$0.07$8.32$3.18$1.63$1.54
2017Detailed filing. Detailed filing data is available for this year.$8.06$0.05$8.01$3.08$2.32$0.76
2016Detailed filing. Detailed filing data is available for this year.$7.86$0.05$7.82$2.95$2.41$0.54
2015Detailed filing. Detailed filing data is available for this year.$7.11$0.09$7.02$3.98$3.63$0.35
2014Detailed filing. Detailed filing data is available for this year.$6.79$0.12$6.67$2.46$1.60$0.85
2013Detailed filing. Detailed filing data is available for this year.$5.91$0.10$5.81$2.51$1.87$0.65
2012Summary only. Only limited summary data is available for this year.$5.28$0.05$5.23$2.38$1.77$0.61
2011Summary only. Only limited summary data is available for this year.$4.67$0.05$4.63$2.97$1.50$1.47
2010Summary only. Only limited summary data is available for this year.$3.20$0.05$3.16$2.01$1.21$0.79
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 8, 2025
Return Version
2024v5.1
Gross Receipts
$43,326
Mission and Program Overview

Mission

To provide voluntary service to patients, family members, and staff of good samaritan and mission oaks hospitals in a spirit of dedication, friendliness, and professionalism. The volunteer is a member of the hospital family, works with the staff as a team member, and supports the mission of the hospital.there are two specialized service areas within the overall auxiliary entity: (1) gift shop, (2) access (a caring community of education, services, and support).the gift shop provides retail and sundry items for the convenience of patients, families, and visitors.the mission of access is helping families deal with the crisis of hospitalization. Financially disadvantaged families are eligible for vouchers for gas, meals, and emergency hotel overnights. A bi-weekly car seat fitting service helps keep babies and children in the community safe.

To support hospital patients and their families

Balance Sheet Detail
LineBeginningEndChange
Assets
Savings and Temporary Cash Investments$293,856$345,376▲ $51,520
Cash and Non-Interest-Bearing Accounts$131,350$52,733▼ $78,617
Land, Buildings, and Equipment, Net$3,968$3,175▼ $793
Accounts Receivable$1,019--
Total Assets$430,193$401,284▼ $28,909
Liabilities
Accounts Payable and Accrued Expenses$955$1,042▲ $87
Total Liabilities$955$1,042▲ $87
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$429,238$400,242▼ $28,996
Total Net Assets Fund Balance$429,238$400,242▼ $28,996
Total Liabilities and Net Assets / Fund Balance$430,193$401,284▼ $28,909

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$3,175$2,379$5,554
Compensation and Service Providers
Top Officer Pay81st percentile

Board Members and Trustees

NameTitle
Courtney BraunsteinPresident
Laura ColemanSecretary
John MillerTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$30,094
Program Service Revenue
$0
Investment Income
$13,232
Other Revenue
$0
All Other Contributions
$30,094
Change in Net Assets
$-28,996
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$62,064
Grants and Similar Amounts Paid$10,258
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Individuals$10,000--$10,000
Fees for Services Legal-$7,905-$7,905
Insurance-$3,106-$3,106
Fees for Services Accounting-$2,898-$2,898
Depreciation Depletion-$793-$793
Office Expenses-$717-$717
Other Expenses$1,719$387-$387
Advertising-$301-$301
Grants to Domestic Orgs$258--$258
All Other Expenses-$60-$60
Total Functional Expenses$56,155$16,167$0$72,322
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“The tax return is reviewed by the treasurer prior to filing.”

Form 990, Part VI, Section C, Line 19

“The organization's governing documents and financial statements are available upon request.”

Filing and Contact Details

Filer

Filer Name
Auxiliary of the Good Samaritan Hospital
EIN
94-6099635
Phone
4085592345
Address
2425 SAMARITAN DRIVE, SAN JOSE, CA 95124

Signing Officer

Name
John Miller
Title
Treasurer
Phone
4085592345
Signed
2025-05-08
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Miller
Formed
1962
Legal Domicile
CA
Voting Board Members
3
Independent Board Members
3
Employees
0
Volunteers
250

Preparer

Firm
Cliftonlarsonallen Llp
Address
915 HIGHLAND POINTE DR SUITE 300, ROSEVILLE, CA 95678
Preparer
Dylan Valentine
Phone
9167847800
Raw XML Appendix351 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Desc0THERE ARE SEVERAL SPECIALIZED SERVICE AREAS WITHIN THE OVERALL AUXILIARY ENTITY. THESE INCLUDE ACCESS AND THE AUXILIARY GENERAL ACCOUNT. CONTINUED ON SCHEDULE O.THE MISSION OF ACCESS IS HELPING FAMILIES DEAL WITH THE CRISIS OF HOSPITALIZATION. ORIGINALLY ESTABLISHED TO SUPPORT FAMILIES OF BABIES AND CHILDREN IN THE NEONATAL INTENSIVE CARE UNIT (NICU). THIS INCLUDES EMERGENCY OVERNIGHT STAYS IN NEARBY HOTELS, SO FAMILIES LIVING FAR AWAY FROM THE HOSPITAL HAVE SUPPORTIVE PLACES TO STAY AND THEY CAN FOCUS ON THEIR LOVED ONES DURING HOSPITALIZATION.THE AUXILIARY GENERAL ACCOUNT IS RESPONSIBLE FOR RECORDING ALL OTHER CORE MEMBERSHIP AND BOARD OPERATIONS, INCLUDING ANNUAL DUES, PATIENT SUPPORT, MEMBERSHIP, AND LEADERSHIP PROGRAMS. THE GENERAL FUND PROVIDES FOR PATIENT AMENITIES THAT PROVIDE COMFORT TO THOSE SPENDING TIME OVERNIGHT IN THE HOSPITAL. UNDER THE AUXILIARY GENERAL FUND IS ALSO SUPPORT FOR CARDIAC CARE PILLOWS FOR THOSE THAT HAVE HAD OPEN CHEST SURGERY. THE PILLOWS PROVIDE COMFORT WHEN PATIENTS NEED TO COUGH OR SNEEZE.ADDITIONAL SERVICES INCLUDE FOOD IN FAMILY WAITING ROOMS AND EDUCATIONAL RESOURCES. FINANCIALLY DISADVANTAGED FAMILIES ARE ELIGIBLE FOR VOUCHERS FOR GAS, MEALS AND EMERGENCY HOTEL OVERNIGHTS.DURING 2024 THE AUXILIARY AND ACCESS HAD APPROXIMATELY 250 ACTIVE VOLUNTEERS WHO PROVIDED OVER 20,935 HOURS OF NON-CLINICAL SUPPORT TO PATIENTS, FAMILIES, AND VISITORS IN OVER SEVERAL SERVICE AREAS OF THE MAIN HOSPITAL AND IN THE MISSION OAKS FACILITY. ADDITIONAL PROGRAMS INCLUDE ANNUAL SCHOLARSHIP AWARDS, PATIENT AMENITIES, TOYS, AND GAMES.FOOD IS PROVIDED IN THE NEONATAL INTENSIVE CARE UNIT (NICU) PARENT ROOM. FAMILIES STRUGGLING FINANCIALLY MAY ALSO RECEIVE VOUCHERS FOR GAS, MEALS AND EMERGENCY OVERNIGHT HOTEL STAYS.
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IRS990/EmployeeCnt00
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IRS990/ExpenseAmt056155
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IRS990/MissionDesc0AS A CHARITABLE, NON-PROFIT ORGANIZATION, THE AUXILIARY'S MISSION IS TO PROVIDE VOLUNTARY SERVICE AND SUPPORT TO THE GOOD SAMARITAN HOSPITAL COMMUNITY. WE ARE COMMITTED TO PROVIDING COMFORT TO THE WHOLE PERSON - MIND, BODY, AND SPIRIT.
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IRS990ScheduleA/GrossReceiptsAdmissionsGrp/CurrentTaxYearMinus4YearsAmt049875
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt0131186
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearAmt013232
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus1YearAmt09281
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus2YearsAmt03579
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus3YearsAmt01507
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/CurrentTaxYearMinus4YearsAmt04054
IRS990ScheduleA/InvestmentIncomeAndUBTIGrp/TotalAmt031653
IRS990ScheduleA/InvestmentIncomeCYPct00.06780
IRS990ScheduleA/InvestmentIncomePYPct00.02720
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.93220
IRS990ScheduleA/PublicSupportPY509Pct00.97280
IRS990ScheduleA/PublicSupportTotal509Amt0434952
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt00
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt030094
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt040967
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt092940
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt085802
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0185149
IRS990ScheduleA/Total509Grp/TotalAmt0434952
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt043326
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt050248
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt096519
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt087309
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0189203
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0466605
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleD/OtherLandBuildingsGrp/BookValueAmt03175
IRS990ScheduleD/OtherLandBuildingsGrp/DepreciationAmt02379
IRS990ScheduleD/OtherLandBuildingsGrp/OtherCostOrOtherBasisAmt05554
IRS990ScheduleD/TotalBookValueLandBuildingsAmt03175
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt08000
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt12000
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0SCHOLARSHIPS
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt1NICU REUNION
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt08
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt11
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE TAX RETURN IS REVIEWED BY THE TREASURER PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0CA
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0430193
IRS990/TotalAssetsEOYAmt0401284
IRS990/TotalAssetsGrp/BOYAmt0430193
IRS990/TotalAssetsGrp/EOYAmt0401284
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt030094
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt016167
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt056155
IRS990/TotalFunctionalExpensesGrp/TotalAmt072322
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt0955
IRS990/TotalLiabilitiesEOYAmt01042
IRS990/TotalLiabilitiesGrp/BOYAmt0955
IRS990/TotalLiabilitiesGrp/EOYAmt01042
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0429238
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0400242
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt056155
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt013232
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt043326
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt0250
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0430193
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0401284
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02425 SAMARITAN DRIVE
IRS990/USAddress/CityNm0SAN JOSE
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd095124
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt03
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02025-03-06 01:10:19Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JOHN MILLER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum04085592345
ReturnHeader/BusinessOfficerGrp/SignatureDt02025-05-08
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0AUXILIARY OF THE GOOD SAMARITAN HOSPITAL
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0OF SANTA CLARA VALLEY
ReturnHeader/Filer/BusinessNameControlTxt0AUXI
ReturnHeader/Filer/EIN0946099635
ReturnHeader/Filer/PhoneNum04085592345
ReturnHeader/Filer/USAddress/AddressLine1Txt02425 SAMARITAN DRIVE
ReturnHeader/Filer/USAddress/CityNm0SAN JOSE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd095124
ReturnHeader/IRSResponsiblePrtyInfoCurrInd01
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0410746749
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0CLIFTONLARSONALLEN LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0915 HIGHLAND POINTE DR SUITE 300
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0ROSEVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd095678
ReturnHeader/PreparerPersonGrp/PhoneNum09167847800
ReturnHeader/PreparerPersonGrp/PreparationDt02025-05-08
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DYLAN VALENTINE
ReturnHeader/ReturnTs02025-05-12T09:52:42-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02024-01-01
ReturnHeader/TaxPeriodEndDt02024-12-31
ReturnHeader/TaxYr02024

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