Nonprofit · EIN 23-2356151
GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA
Tax-exempt · YORK, PA 17405
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $637,158 | $601,183 | $35,975 | $5,322,655 | $0 | $5,322,655 |
| June 30, 2024 | 990 | $1,989,252 | $1,881,898 | $107,354 | $4,816,798 | -$8,240 | $4,825,038 |
| June 30, 2023 | 990 | $261,155 | $536,980 | -$275,825 | $4,281,045 | $8,035 | $4,273,010 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $284,637
- Program service revenue
- $258,630
- Investment income
- $80,506
- Net gain from sales of assets
- $79,772
- Other revenue
- $13,385
Expenses
- Grants and similar amounts paid
- $327,239
- Salaries, compensation and benefits (total)
- $0
- Professional fundraising fees
- $0
- Occupancy
- $11,658
- Travel
- $7,235
- Program services (functional)
- $466,806
- Management and general (functional)
- $62,240
- Fundraising (functional)
- $72,137
Balance sheet and other
- Total assets, start of year
- $4,816,798
- Total assets, end of year
- $5,322,655
- Total liabilities, end of year
- $0
- Net assets, end of year
- $5,322,655
- Publicly traded securities
- $4,166,517
- Net assets without donor restrictions
- $5,302,510
- Net assets with donor restrictions
- $20,145
- Gross receipts
- $1,211,517
- Employees
- 0
- Volunteers
- 9
- Year formed
- 1985
- State of legal domicile
- PA
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| ROXANNA GAPSTUR PHD RN | PRESIDENT & CEO - WELLSPAN HEALTH Trustee or director, Officer | 1 | $0 | $3,124,465 | $52,133 |
| LAURA BUCZKOWSKI | EXECUTIVE VP & CFO - WELLSPAN HEALTH Trustee or director, Officer | 1 | $0 | $1,355,384 | $53,169 |
| TYLER FUGATE DO | DIRECTOR Trustee or director | 1 | $0 | $725,785 | $53,999 |
| HARVEY GREEN | SR. VP & CHIEF DEVELOPMENT OFFICER Trustee or director, Officer | 6.5 | $0 | $560,279 | $47,681 |
| PATTY DONLEY | DIRECTOR Trustee or director | 1 | $0 | $470,425 | $50,827 |
| NISARG PATEL | DIRECTOR Trustee or director | 1 | $0 | $408,992 | $36,087 |
| ROBERT HOFFMAN | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| KENDALL ZINSSER MD | VICE CHAIR (UNTIL DEC. '24) Trustee or director, Officer | 1 | $0 | $0 | $0 |
| KRISTEN WATTS | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| JEANNE ARNOLD | VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| DANIEL CHIRICO | DIRECTOR (UNTIL DEC. '24) Trustee or director | 1 | $0 | $0 | $0 |
| JOSEPH MORALES | SECRETARY/TREASURER Trustee or director, Officer | 1 | $0 | $0 | $0 |
| GREGORY ZINN | CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| WILLA FREER | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| PATRICK LEWIS | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
2 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| JOSH RENNELLS | DIRECTOR Trustee or director | 1 | $0 |
| VIDALINA VIA | DIRECTOR Trustee or director | 1 | $0 |
990 for the year ended June 30, 2024: 13 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| ROXANNA GAPSTUR PHD RN | PRESIDENT & CEO - WELLSPAN HEALTH Trustee or director, Officer | 1 | $0 | $3,023,715 | $100,269 |
| LAURA BUCZKOWSKI | EXECUTIVE VP & CFO - WELLSPAN HEALTH Trustee or director, Officer | 1 | $0 | $1,256,714 | $79,480 |
| TYLER FUGATE DO | DIRECTOR Trustee or director | 1 | $0 | $707,384 | $74,103 |
| HARVEY GREEN | SR. VP & CHIEF DEVELOPMENT OFFICER Trustee or director, Officer | 8 | $0 | $499,533 | $49,080 |
| PATTY DONLEY | DIRECTOR Trustee or director | 1 | $0 | $442,250 | $48,843 |
| ROBERT HOFFMAN | CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| KENDALL ZINSSER MD | VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| KRISTEN WATTS | SECRETARY/TREASURER Trustee or director, Officer | 1 | $0 | $0 | $0 |
| JEANNE ARNOLD | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| MICHAEL BECHTOLD | DIRECTOR (RES. DEC. '23) Trustee or director | 1 | $0 | $0 | $0 |
| DANIEL CHIRICO | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| JOSEPH MORALES | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| GREGORY ZINN | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
990 for the year ended June 30, 2023: 15 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| ROXANNA GAPSTUR PHD RN | PRESIDENT & CEO - WELLSPAN HEALTH Trustee or director, Officer | 1 | $0 | $2,303,962 | $87,487 |
| LAURA BUCZKOWSKI | EXECUTIVE VP & CFO - WELLSPAN HEALTH Trustee or director, Officer | 1 | $0 | $944,343 | $74,025 |
| TYLER FUGATE DO | DIRECTOR Trustee or director | 1 | $0 | $680,543 | $69,990 |
| JASON TROUT | CHIEF DEV. OFFICER (UNTIL DEC. '22) Trustee or director, Officer | 8 | $0 | $371,444 | $48,235 |
| HARVEY GREEN | SR VP & CHIEF DEV OFF(AS OF NOV '22) Trustee or director, Officer | 8 | $0 | $46,576 | $3,769 |
| ROBERT HOFFMAN | CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| KENDALL ZINSSER MD | VICE CHAIR Trustee or director, Officer | 1 | $0 | $0 | $0 |
| KRISTEN WATTS | SECRETARY/TREASURER Trustee or director, Officer | 1 | $0 | $0 | $0 |
| PATTY DONLEY | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| JEANNE ARNOLD | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| MICHAEL BECHTOLD | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| DANIEL CHIRICO | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| MAINE KEITH | DIRECTOR (RES. OCT. '22) Trustee or director | 1 | $0 | $0 | $0 |
| JOSEPH MORALES | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
| GREGORY ZINN | DIRECTOR Trustee or director | 1 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- PO BOX 2767, YORK, PA 17405-2767
- In care of
- % DAVID RIZZUTO
- Principal officer (990 for 2024)
- ROXANNA GAPSTUR, PO BOX 2767, YORK, PA 174052767
- Signed the 990
- LAURA BUCZKOWSKI, EXECUTIVE VP & CFO
- Phone
- (717) 270-7864
- Website
- WWW.WELLSPAN.ORG
- Return prepared by
- WELLSPAN HEALTH
Mission
THE PURPOSE OF THE FOUNDATION IS TO SUPPORT THE PROGRAM AND EQUIPMENT NEEDS OF THE GOOD SAMARITAN HEALTH SYSTEM, THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA AND ITS TAX-EXEMPT CORPORATION ENTITIES, IN ACCORDANCE WITH THEIR MISSIONS.
Program accomplishments
- ALL DONATIONS MADE TO GOOD SAMARITAN HOSPITAL FOUNDATION WILL BE USED TO SUPPORT WELLSPAN GOOD SAMARITAN HOSPITAL AND ITS ENDEAVORS IN LEBANON COUNTY.GOOD SAMARITAN HEALTH SERVICES FOUNDATION DESIGNATES MONEY RAISED TO THE FOLLOWING FUNDS:BUILDING ACCESS, RESTORING HOPE - HELP IMPROVE ACCESS TO BEHAVIORAL HEALTHCARE IN THE LANCASTER COMMUNITY.WHERE NEEDED MOST -HELP US RESPOND TO EMERGING NEEDS. GIVING TO THIS FUND ENABLES US TO ADDRESS THE AREAS OF GREATEST NEED FOR WELLSPAN HEALTH.CANCER PATIENT COMFORT FUND - HELP PROVIDE SERVICES, EQUIPMENT AND AMENITIES THAT ARE NOT COVERED BY INSURANCE BUT GO A LONG WAY TOWARD MAKING PATIENTS FEEL MORE COMFORTABLE DURING TREATMENT.CANCER PATIENT HELP FUND - LEND A HAND TO PATIENTS FACING THE FINANCIAL BURDENS THAT OFTEN RESULT FROM DEALING WITH THE IMPACT OF CANCER. THIS FUND HELPS WITH BASIC LIVING EXPENSES, SUCH AS RENT, UTILITIES, GROCERIES AND TRANSPORTATION TO AND FROM MEDICAL APPOINTMENTS. FUNDS ARE AVAILABLE TO PATIENTS WHO MEET SPECIFIC FINANCIAL AID GUIDELINES.WELLSPAN GOOD SAMARITAN PATIENT SUPPORT FUND - HELP PATIENTS WHO HAVE NEEDS THAT AFFECT THEIR TREATMENT OR HEALTH OUTCOMES. THIS FUND ASSISTS AT-RISK PATIENTS WITH FOOD, TRANSPORTATION, TRANSITIONAL HOUSING AND LIFE-SAVING MEDICATIONS.WELLSPAN GOOD SAMARITAN FUTURE PHYSICIAN SCHOLARSHIP PROGRAM - HELP FUND THIS UNIQUE WELLSPAN INITIATIVE TO SPONSOR MEDICAL SCHOOL SCHOLARSHIPS. SCHOLARSHIPS AID YOUNG PEOPLE WITH A CONNECTION TO A LOCAL WELLSPAN COMMUNITY AND REQUIRE THEM TO RETURN TO WORK WITHIN THE WELLSPAN FOOTPRINT FOLLOWING THEIR GRADUATION.WELLSPAN GOOD SAMARITAN HEART AND VASCULAR GRATITUDE PROGRAM FUND - HELP ENSURE IMMEDIATE CARE FOR CARDIOVASCULAR EMERGENCIES. A CARDIAC EVENT OFTEN REQUIRES IMMEDIATE ATTENTION. DURING THESE SITUATIONS, HAVING EASILY ACCESSIBLE, ADVANCED CARE CLOSE TO HOME IS ESSENTIAL. WELLSPAN IS PROUD TO OFFER THAT TO YOUR COMMUNITY, BUT THAT WOULD NOT BE POSSIBLE WITHOUT YOUR GENEROUS SUPPORT.SPOTLIGHT ON CHILDREN'S HEALTH - INVEST IN CHILDREN'S EARLY DEVELOPMENT TO ELIMINATE HEALTH AND ACHIEVEMENT INEQUITIES LATER IN LIFE BY PROVIDING LITERACY AND EARLY CHILDHOOD EDUCATION SERVICES AND MEETING SPECIAL HEALTH CARE NEEDS. THIS FUND SUPPORTS THE OPPORTUNITY FOR ALL CHILDREN IN OUR REGIONS OF CARE TO DEVELOP IN SAFE, STABLE, NURTURING RELATIONSHIPS AND ENVIRONMENTS.SEE WELLSPAN HEALTH - 2025 COMMUNITY BENEFIT REPORT LOCATED AT HTTPS://WWW.WELLSPAN.ORG/ABOUT-WELLSPAN/IMPROVING-HEALTHY-COMMUNITIES/COMMUNITY-BENEFIT.Expenses $466,806 · grants $327,239 · revenue $258,630
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 23-2356151
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization (509(a)(3))
- Donations deductible (Pub 78)
- Supporting organization of unknown type
- Exempt since
- 2003
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E19)
- Assets (IRS master file)
- $5,322,655
- Income (IRS master file)
- $1,211,517
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $637,158 | $601,183 | $5,322,655 | IRS |
| 990 | June 2024 | $1,989,252 | $1,881,898 | $4,816,798 | IRS |
| 990 | June 2023 | $261,155 | $536,980 | $4,281,045 | XML |
| 990 | June 2022 | $3,025,136 | $2,344,456 | $3,958,646 | IRS |
| 990 | June 2021 | – | – | – | IRS |
| 990 | June 2020 | – | – | – | IRS |
| 990 | June 2019 | – | – | – | IRS |
| 990 | June 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 23-2356151).
Questions about GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA
- What is the EIN of GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA?
- The employer identification number (EIN) of GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA is 23-2356151.
- Is GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2003.
- Are donations to GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA tax-deductible?
- Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
- Which annual return does GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA?
- The 990 for the year ended June 30, 2025 names ROXANNA GAPSTUR.
- Who are the officers and directors of GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA?
- The 990 for the year ended June 30, 2025 lists 17 people; 0 received compensation from the organization.
- How much revenue does GOOD SAMARITAN HEALTH SERVICES FOUNDATION OF LEBANON PA have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $637,158, expenses of $601,183 and total assets of $5,322,655 at year end.
Other nonprofits in YORK
- YORK HOSPITAL EIN 23-1352222 · last filed 990 for 2025
- WELLSPAN MEDICAL GROUP EIN 23-2730785 · last filed 990 for 2025
- WELLSPAN HEALTH EIN 22-2517863 · last filed 990 for 2025
- CHAMBERSBURG HOSPITAL EIN 23-0465970 · last filed 990 for 2025
- GETTYSBURG HOSPITAL EIN 23-1352220 · last filed 990 for 2025
- THE GOOD SAMARITAN HOSPITAL OF LEBANON PENNSYLVANIA EIN 23-0794160 · last filed 990 for 2025
- EPHRATA COMMUNITY HOSPITAL EIN 23-1370484 · last filed 990 for 2025
- WELLSPAN SURGERY AND REHABILITATION HOSPITAL EIN 23-2899911 · last filed 990 for 2025