Skip to content
Nonprofiteer
← ST MARYS-GOOD SAMARITAN INC

Form 990-EZ for tax year 2022

Filed by ST MARYS-GOOD SAMARITAN INC.

Totals

Total revenue
$55,151
Total expenses
$26,192
Contributions and grants received
not reported
Grants paid
$0
Program service revenue
not reported
Membership dues (line 3)
$55,151
Investment income (line 4)
not reported
Gain or loss on sale of assets (line 5c)
$0
Gaming and fundraising events, net (line 6d)
$0
Gross profit on inventory sales (line 7c)
$0
Other revenue (line 8)
$0
Total assets, end of year
$46,386
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$46,386
Program service expenses (Part III)
$26,192

Program services were 100.0% of total expenses calculated — Part III's total program service expenses over total expenses, both as filed.

Mission and programs · 2022

Primary exempt purpose

TO IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES.

  • PLEASE SEE SCHEDULE O FOR A COMPLETE DESCRIPTION OF PROGRAM SERVICE ACCOMPLISHMENTS.

    Expenses $26,192

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part IV

  • Sr M Clarette Stryzewski CSSF

    Director, Chairperson

    Total calculated
    $0
    Hours/week
    1
  • Damon Harbison

    Director, Hospital President-SSM Health St. Mary's Hospital

    Total calculated
    $0
    Hours/week
    0
  • Patty Williams

    Director

    Total calculated
    $0
    Hours/week
    1
  • Michael Baumgartner

    Director, Regional President-Southern Illinois

    Total calculated
    $0
    Hours/week
    1
  • Sr M Ramona Dombrowski CSSF

    Director

    Total calculated
    $0
    Hours/week
    1
  • Matthew Flanigan

    Director

    Total calculated
    $0
    Hours/week
    1
  • Jeremy Bradford

    Director, Hospital President-SSM Health Good Samaritan Hospital

    Total calculated
    $0
    Hours/week
    1
  • Erica Ibendahl MD

    Director, SSM Health Medical Group Physician

    Total calculated
    $0
    Hours/week
    1
  • Sudeep Nair MD

    Director, SSM Health Medical Group Physician

    Total calculated
    $0
    Hours/week
    1
  • Herb Williams

    Director

    Total calculated
    $0
    Hours/week
    1
  • Douglas Long

    Secretary, General Counsel at SSM Health

    Total calculated
    $0
    Hours/week
    1
  • John Snodsmith

    Regional VP, Finance

    Total calculated
    $0
    Hours/week
    1
  • Randy Combs

    Treasurer, Chief Financial Officer at SSM Health

    Total calculated
    $0
    Hours/week
    1
  • Rachel Hall

    Assistant Secretary

    Total calculated
    $0
    Hours/week
    1

Compensation is as filed in Part IV of the Form 990-EZ: compensation, contributions to benefit plans, expense account, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990_ez
Tax year
2022
Filed
16 November 2023
IRS schema version
2022v5.0
Source object
202333199349212733

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.