Nonprofit · EIN 26-2884795
GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
Tax-exempt · MOUNT VERNON, IL 62864
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $762,377 | $301,193 | $461,184 | $4,353,647 | $108,875 | $4,244,772 |
| December 31, 2023 | 990 | $562,515 | $146,308 | $416,207 | $3,730,158 | $6,337 | $3,723,821 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $320,124
- of which government grants
- $100
- Program service revenue
- $142,794
- Investment income
- $310,875
- Net gain from sales of assets
- $208,350
- Net income from fundraising events
- -$11,416
- Other revenue
- -$11,416
Expenses
- Grants and similar amounts paid
- $159,224
- Other salaries and wages
- $96,433
- Salaries, compensation and benefits (total)
- $104,359
- Professional fundraising fees
- $0
- Occupancy
- $2,500
- Travel
- $1,340
- Program services (functional)
- $159,224
- Fundraising (functional)
- $141,969
Balance sheet and other
- Total assets, start of year
- $3,730,158
- Total assets, end of year
- $4,353,647
- Total liabilities, end of year
- $108,875
- Net assets, end of year
- $4,244,772
- Net assets without donor restrictions
- $2,249,215
- Net assets with donor restrictions
- $1,995,557
- Gross receipts
- $782,103
- Employees
- 0
- Volunteers
- 20
- Year formed
- 2005
- State of legal domicile
- IL
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 December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| DOUGLAS LONG | ASST SECRETARY & CLO OF SSM HEALTH Officer | 1 | $0 | $1,587,150 | $700,771 |
| JEREMY FOTHERINGHAM | EX-OFFICIO-VOTE & REGIONAL PRES Trustee or director, Officer | 1 | $0 | $1,310,180 | $630,158 |
| KAREN REWERTS | FMR OFFICER & SYSTEM VP FINANCE Former | 0 | $0 | $845,480 | $234,843 |
| DAMON HARBISON | EX-OFFICIO-VOTE & HOSPITAL PRES Trustee or director, Officer | 1 | $0 | $575,496 | $220,573 |
| MATTHEW KINSELLA | FMR OFFICER & REGIONAL VP FINANCE Former | 0 | $0 | $561,331 | $175,077 |
| JOHN SNODSMITH | REGIONAL VP FINANCE Officer | 1 | $0 | $320,127 | $90,119 |
| KATHLEEN ZIBBY-DAMRON | EXECUTIVE DIRECTOR Officer | 20 | $0 | $168,593 | $38,295 |
| CAROL HAMERSKI | TRUSTEE & SEC/TREAS Trustee or director, Officer | 1 | $0 | $0 | $0 |
| BILL BECK | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| HUNT BONAN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| REX CUSUMANO | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| NORMA FAIRCHILD | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| DR JOHNNY KAUSHAL | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MICHAEL KROESCHEN | TRUSTEE & CHAIRPERSON Trustee or director, Officer | 1 | $0 | $0 | $0 |
| DR WES NEAL | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
6 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| MARCIA SCOTT | TRUSTEE Trustee or director | 1 | $0 |
| BRYAN STIREWALT | TRUSTEE Trustee or director | 1 | $0 |
| DARLA WEXSTTEN | TRUSTEE Trustee or director | 1 | $0 |
| LINDSEY BOWLIN | TRUSTEE Trustee or director | 1 | $0 |
| JEFF HAARMAN | TRUSTEE Trustee or director | 1 | $0 |
| ALICIA WOODWARD | TRUSTEE Trustee or director | 1 | $0 |
990 for the year ended December 31, 2023: 19 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| DOUGLAS LONG | ASST. SECRETARY, GENERAL COUNSEL AT SSM HEALTH Officer | 1 | $0 | $1,425,239 | $777,013 |
| KAREN REWERTS | FORMER OFFICER, VP-FINANCIAL OPERATIONS Former | 0 | $0 | $801,331 | $287,514 |
| MATT KINSELLA | FORMER OFFICER Former | 0 | $0 | $532,042 | $201,905 |
| JOHN SNODSMITH | REGIONAL VP, FINANCE Officer | 1 | $0 | $292,287 | $99,350 |
| KAY ZIBBY-DAMRON | EXECUTIVE DIRECTOR Officer | 20 | $0 | $162,164 | $37,460 |
| CAROL HAMERSKI | TRUSTEE & SECRETARY/TREASURER Trustee or director, Officer | 1 | $0 | $0 | $0 |
| MICHAEL BAUMGARTNER | HOSPITAL PRESIDENT Trustee or director | 1 | $0 | $0 | $0 |
| BILL BECK | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| HUNT BONAN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| REX CUSUMANO | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| NORMA FAIRCHILD | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| DR JOHNNY KAUSHAL | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MICHAEL KROESCHEN | CHAIRPERSON & TRUSTEE Trustee or director, Officer | 1 | $0 | $0 | $0 |
| DR NICHOLE LEMASTER | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| DR WES NEAL | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| MARCIA SCOTT | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| BRYAN STIREWALT | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| DARLA WEXSTTEN | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
| TOM WILLIAMS | TRUSTEE Trustee or director | 1 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864-2402
- In care of
- % LEO F CHILDERS JR
- Principal officer (990 for 2024)
- KATHLEEN ZIBBY-DAMRON, 1 GOOD SAMARITAN WAY, MT VERNON, IL 62864
- Signed the 990
- STEPHANIE KING, VP FINANCE
- Phone
- (618) 899-1047
Mission
THROUGH OUR EXCEPTIONAL HEALTHCARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.
Program accomplishments
- PROVIDED PROGRAM AND CAPITAL SUPPORT TO THE HEALTHCARE INITIATIVES OF SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON. PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.Expenses $159,224 · grants $159,224 · revenue $142,794
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 December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 26-2884795
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Exempt since
- 1946
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Group exemption
- 0928: UNITED STATES CATHOLIC CONFERENCE
- Assets (IRS master file)
- $4,353,647
- Income (IRS master file)
- $782,103
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $762,377 | $301,193 | $4,353,647 | XML |
| 990 | December 2023 | $562,515 | $146,308 | $3,730,158 | XML |
| 990 | December 2022 | $365,801 | $360,504 | $3,091,378 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990-T | December 2020 | – | – | – | IRS |
| 990 | December 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 26-2884795).
Questions about GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
- What is the EIN of GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION?
- The employer identification number (EIN) of GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION is 26-2884795.
- Is GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1946.
- Which annual return does GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION 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 REGIONAL HEALTH CENTER FOUNDATION due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION?
- The 990 for the year ended December 31, 2024 names KATHLEEN ZIBBY-DAMRON.
- Who are the officers and directors of GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION?
- The 990 for the year ended December 31, 2024 lists 21 people; 0 received compensation from the organization.
- How much revenue does GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $762,377, expenses of $301,193 and total assets of $4,353,647 at year end.
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