Form 990 for tax year 2025
Filed by GOOD SAMARITAN HOSPITAL FOUNDATION INC.
Totals
- Total revenue
- $1,305,435
- Total expenses
- $820,553
- Contributions and grants received
- $547,128
- Grants paid
- $364,632
- Program service revenue
- $0
- Investment income
- $646,581
- Other revenue
- $111,726
- Total assets, end of year
- $5,668,835
- Total liabilities, end of year
- $47,011
- Net assets or fund balances, end of year
- $5,621,824
- Program services expenses (Part IX)
- $364,632
- Management and general expenses
- $304,619
- Fundraising expenses
- $151,302
- Program service expenses (Part III)
- $364,632
Program services were 44.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1a · Federated campaigns
$45,746
-
1b · Membership dues
$0
-
1c · Fundraising events
$0
-
1d · Related organizations
$0
-
1e · Government grants (contributions)
$0
-
1f · All other contributions, gifts and grants
$501,382
-
1g · Noncash contributions included above
$0
-
3 · Investment income
total $646,581 · related or exempt $646,581
-
6c · Rental income or loss
real property $0 · personal property $0
-
7c · Gain or loss
securities $0 · other assets $0
-
8a · Fundraising events: gross income
$156,384
-
8a · Fundraising events: contributions included on line 1c
$0
-
8b · Fundraising events: direct expenses
$44,658
-
8c · Net income from fundraising events
total $111,726 · unrelated business $0 · excluded $111,726
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $322,232 · program services $322,232
-
2 · Grants to domestic individuals
total $42,400 · program services $42,400
-
5 · Compensation of officers, directors and key employees
total $137,719 · management and general $55,087 · fundraising $82,632
-
7 · Other salaries and wages
total $0
-
8 · Pension plan contributions
total $461 · management and general $188 · fundraising $273
-
9 · Other employee benefits
total $22,698 · management and general $9,079 · fundraising $13,619
-
10 · Payroll taxes
total $10,094 · management and general $4,038 · fundraising $6,056
-
11g · Fees: other
total $10,473 · management and general $10,473
-
12 · Advertising and promotion
total $41,529 · fundraising $41,529
-
13 · Office expenses
total $9,874 · management and general $4,345 · fundraising $5,529
-
14 · Information technology
total $1,490 · management and general $551 · fundraising $939
-
16 · Occupancy
total $725 · fundraising $725
-
19 · Conferences, conventions and meetings
total $3,195 · management and general $3,195
-
22 · Depreciation, depletion and amortization
total $7,680 · management and general $7,680
-
24a · Other expenses: Dues
total $174 · program services $0 · management and general $174 · fundraising $0
-
24b · Other expenses: General Expense
total $209,493 · program services $0 · management and general $209,493 · fundraising $0
-
24c · Other expenses: Investment transaction fees
total $34 · program services $0 · management and general $34 · fundraising $0
-
24d · Other expenses: Postage
total $282 · program services $0 · management and general $282 · fundraising $0
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $210,116 · end of year $282,414
-
2 · Savings and temporary cash investments
beginning of year $156,352 · end of year $180,785
-
9 · Prepaid expenses and deferred charges
end of year $12,278
-
10a · Land, buildings and equipment: cost or other basis
$50,629
-
10b · Land, buildings and equipment: accumulated depreciation
$32,771
-
10c · Land, buildings and equipment, net
beginning of year $19,399 · end of year $17,858
-
11 · Investments: publicly traded securities
beginning of year $4,559,941 · end of year $5,175,500
-
17 · Accounts payable and accrued expenses
beginning of year $182,623 · end of year $47,011
-
29 · Capital stock, trust principal or current funds
beginning of year $6,048,573 · end of year $6,422,331
-
30 · Paid-in or capital surplus, or land, building or equipment fund
beginning of year $0 · end of year $0
-
31 · Retained earnings, endowment or other funds
beginning of year -$1,285,388 · end of year -$800,507
Mission and programs · 2025
Mission
Provide excellent health care by promoting wellness, education and healing through trusting relationships.
Activities or mission (Part I)
The mission of Good Samaritan Hospital Foundation is to raise private philanthropic support for Good Samaritan Hospital, its programs and services and to assure the continuation of the delivery of the highest quality medical and health care services that our community deserves and has come to expect. The services assist with charity care activities to assist the patients and families and provide equipment and educational opportunities for clinical staff.
-
Provides support for Good Samaritan Hospital's programs and services. Services assist with charity care activities to assist the patients and their families and also provides equipment and educational opportunities for clinical staff.
Expenses $364,632
As filed on the 2025 return.
Listed in Part VII
-
Brian Baker
Director
- Total calculated
- $91,341
- From this org
- $91,341
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Anne Seitzinger
Donor Relation Coordinator
- Total calculated
- $26,950
- From this org
- $26,950
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Helen Seirp
President
- Total calculated
- $0
- Hours/week
- 0.25
-
Regina McCord Fithian
Vice President
- Total calculated
- $0
- Hours/week
- 0.25
-
Roy Ice
Treasurer
- Total calculated
- $0
- Hours/week
- 0.25
-
Lowell Stoelting
Grant Committe Chair
- Total calculated
- $0
- Hours/week
- 0.25
-
Ann Hedde
Secretary
- Total calculated
- $0
- Hours/week
- 0.25
-
Patricia Buntrock
Scholarship Co Chair
- Total calculated
- $0
- Hours/week
- 0.25
-
Joyce Villwock
Scholarship Co Chair
- Total calculated
- $0
- Hours/week
- 0.25
-
Tiffany Conover
Nominating Committee Co Chair
- Total calculated
- $0
- Hours/week
- 0.25
-
Adam Thacker
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Dave Miller
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Cindy Moore
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Patty Niehaus
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Justin Roberts
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Austin Muranaka MD
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Patty Summers
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Leslie Kidwell
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Dennis Kordes
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
-
Kendall Vieke
Board Member
- Total calculated
- $0
- Hours/week
- 0.25
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, 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. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.
Grants on this return
-
Good Samaritan Hospital
$327,814
healthcare
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(c)(3) · healthcare · IN
Provenance
- Return type
- form_990
- Tax year
- 2025
- Filed
- 28 April 2026
- IRS schema version
- 2025v4.0
- Source object
- 202611279349300341
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