GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION
EIN 26-2884795 MOUNT VERNON, IL
- Revenue 2024
- $762,377
- Expenses 2024
- $301,193
Program services were 52.9% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
As filed
- Subsection
- 03
- Classification
- 1700
- Street
- 1 GOOD SAMARITAN WAY
These codes are the IRS's own and are shown exactly as filed. What each one means is in the Business Master File documentation (opens in a new tab).
Group exemption
A subordinate covered by the group exemption of UNITED STATES CATHOLIC CONFERENCE (EIN 53-0196617). matched by us
The IRS lists each organization's group exemption number; we match a subordinate to its central organization by that number and the affiliation code the IRS assigns.
Mission and programs · 2024
Mission
THROUGH OUR EXCEPTIONAL HEALTHCARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD.
Activities or mission (Part I)
TO PROVIDE SUPPORT TO SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON IN SUPPORT OF THEIR MISSION TO CONTINUE THE HEALING MINISTRY OF JESUS CHRIST BY IMPROVING REGIONAL QUALITY HEALTH SERVICES FOR EVERYONE.
-
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
As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.
Officers and directors · 2024
As listed in Part VII of the 2024 return, in the order the filer printed them. Each return names its own; this is not a roster the organization keeps with us.
-
Carol HamerskiCAROL HAMERSKI
TRUSTEE & SEC/TREAS
- Total calculated
- $0
- Hours/week
- 1
-
Bill BeckBILL BECK
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Hunt BonanHUNT BONAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Rex CusumanoREX CUSUMANO
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Norma FairchildNORMA FAIRCHILD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Dr Johnny KaushalDR JOHNNY KAUSHAL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Michael KroeschenMICHAEL KROESCHEN
TRUSTEE & CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 1
-
Dr Wes NealDR WES NEAL
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Marcia ScottMARCIA SCOTT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Bryan StirewaltBRYAN STIREWALT
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Darla WexsttenDARLA WEXSTTEN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Lindsey BowlinLINDSEY BOWLIN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Jeff HaarmanJEFF HAARMAN
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Alicia WoodwardALICIA WOODWARD
TRUSTEE
- Total calculated
- $0
- Hours/week
- 1
-
Damon HarbisonDAMON HARBISON
EX-OFFICIO-VOTE & HOSPITAL PRES
- Total calculated
- $796,069
- From this org
- $0
- From related orgs
- $575,496
- Other
- $220,573
- Hours/week
- 1 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $420,997 related
- Bonus
- $0 + $122,672 related
- Other
- $0 + $31,827 related
- Deferred
- $0 + $166,694 related
- Nontaxable benefits
- $0 + $53,879 related
- Filer's total
- $0 + $796,069 related
-
Jeremy FotheringhamJEREMY FOTHERINGHAM
EX-OFFICIO-VOTE & REGIONAL PRES
- Total calculated
- $1,940,338
- From this org
- $0
- From related orgs
- $1,310,180
- Other
- $630,158
- Hours/week
- 1 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $837,601 related
- Bonus
- $0 + $470,869 related
- Other
- $0 + $1,710 related
- Deferred
- $0 + $589,116 related
- Nontaxable benefits
- $0 + $41,042 related
- Filer's total
- $0 + $1,940,338 related
-
Douglas LongDOUGLAS LONG
ASST SECRETARY & CLO OF SSM HEALTH
- Total calculated
- $2,287,921
- From this org
- $0
- From related orgs
- $1,587,150
- Other
- $700,771
- Hours/week
- 1 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $813,979 related
- Bonus
- $0 + $583,198 related
- Other
- $0 + $189,973 related
- Deferred
- $0 + $676,547 related
- Nontaxable benefits
- $0 + $24,224 related
- Filer's total
- $0 + $2,287,921 related
-
John SnodsmithJOHN SNODSMITH
REGIONAL VP FINANCE
- Total calculated
- $410,246
- From this org
- $0
- From related orgs
- $320,127
- Other
- $90,119
- Hours/week
- 1 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $264,636 related
- Bonus
- $0 + $40,328 related
- Other
- $0 + $15,163 related
- Deferred
- $0 + $59,973 related
- Nontaxable benefits
- $0 + $30,146 related
- Filer's total
- $0 + $410,246 related
-
Kathleen Zibby-DamronKATHLEEN ZIBBY-DAMRON
EXECUTIVE DIRECTOR
- Total calculated
- $206,888
- From this org
- $0
- From related orgs
- $168,593
- Other
- $38,295
- Hours/week
- 20 + 20 related
Schedule J breakdown matched by us
- Base
- $0 + $152,824 related
- Bonus
- $0 + $15,073 related
- Other
- $0 + $696 related
- Deferred
- $0 + $21,365 related
- Nontaxable benefits
- $0 + $16,930 related
- Filer's total
- $0 + $206,888 related
-
Karen RewertsKAREN REWERTS
FMR OFFICER & SYSTEM VP FINANCE
- Total calculated
- $1,080,323
- From this org
- $0
- From related orgs
- $845,480
- Other
- $234,843
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $601,026 related
- Bonus
- $0 + $176,014 related
- Other
- $0 + $68,440 related
- Deferred
- $0 + $198,391 related
- Nontaxable benefits
- $0 + $36,452 related
- Filer's total
- $0 + $1,080,323 related
-
Matthew KinsellaMATTHEW KINSELLA
FMR OFFICER & REGIONAL VP FINANCE
- Total calculated
- $736,408
- From this org
- $0
- From related orgs
- $561,331
- Other
- $175,077
- Hours/week
- 0 + 55 related
Schedule J breakdown matched by us
- Base
- $0 + $417,285 related
- Bonus
- $0 + $101,437 related
- Other
- $0 + $42,609 related
- Deferred
- $0 + $132,986 related
- Nontaxable benefits
- $0 + $42,091 related
- Filer's total
- $0 + $736,408 related
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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us. Earlier years are each on their own filing page.
Filings
-
2024
- Revenue
- $762,377
- Expenses
- $301,193
- Contributions
- $320,124
- Grants paid
- $159,224
-
2023
- Revenue
- $562,515
- Expenses
- $146,308
- Contributions
- $297,713
- Grants paid
- $26,945
-
2022
- Revenue
- $365,801
- Expenses
- $360,504
- Contributions
- $282,459
- Grants paid
- $129,613
The four totals the IRS asks for on Part I of the Form 990, as filed. A dash means the figure was not present on the return — not that it was zero.
Other returns filed
-
2021 · 990
- Revenue
- $592,302
- Expenses
- $244,677
- Assets (EOY)
- $3,478,798
-
2020 · 990
- Revenue
- $993,154
- Expenses
- $202,755
- Assets (EOY)
- $3,322,231
-
2020 · 990-T
- Revenue
- not reported
- Expenses
- not reported
- Assets (EOY)
- not reported
-
2019 · 990
- Revenue
- $275,872
- Expenses
- $206,763
- Assets (EOY)
- $1,937,908
-
2018 · 990
- Revenue
- $206,906
- Expenses
- $258,897
- Assets (EOY)
- $1,635,328
-
2017 · 990
- Revenue
- $245,923
- Expenses
- $607,939
- Assets (EOY)
- $1,530,398
-
2016 · 990
- Revenue
- $142,354
- Expenses
- $623,511
- Assets (EOY)
- $1,500,556
-
2015 · 990
- Revenue
- $138,988
- Expenses
- $1,021,240
- Assets (EOY)
- $1,669,799
-
2014 · 990
- Revenue
- $316,570
- Expenses
- $493,347
- Assets (EOY)
- $2,331,356
-
2013 · 990
- Revenue
- $222,943
- Expenses
- $693,667
- Assets (EOY)
- $2,225,060
Nonprofiteer parses Forms 990, 990-EZ and 990-PF, in a window of recent tax years. These returns are recorded from the IRS e-file index, so their figures were extracted by that index rather than read from the return here — treat them as a different source from the filings above, not as more of the same record. A dash means the index carries no figure; Form 990-T listings carry none at all. Showing the 10 most recent; the API carries the rest.
Grants made
-
GOOD SAMARITAN HOSPITAL - MT VERNON
$146,568
2024 VENTILATOR, RENOVATIONS AND HOSPITAL TRANSPORTATION SERVICES
-
2022 CHARITABLE SUPPORT
-
2023 CHARITABLE SUPPORT
Grants received
-
2024 GENERAL SUPPORT
-
2023 GENERL PURPOSE
-
2022 FOR THE BENEFIT OF GOOD SAMARITAN REGIONAL HEALTH CENTER
-
2023 THE PURCHASE OF TWO RESPIRATORS FOR THE HOSPITAL FOUNDATION
-
2024 THE PURCHASE OF TWO RESPIRATORS FOR THE HOSPITAL FOUNDATION
Related organizations
From Schedule R Part II, where a filer lists the tax-exempt organizations it is related to by control. It does not record shared board members or money.
Declared on its 2024 return
-
501(C)(3) · RELIGIOUS ORGANIZATION · MO
-
501(C)(3) · HEALTH CARE · MO
-
501(C)(3) · INSURANCE · MO
-
SSM CONSOLIDATED HEALTH SERVICES
501(C)(3) · HEALTH CARE · MO
-
501(C)(4) · HEALTH CARE · MO
-
SSM HEALTH CARE PORTFOLIO MANAGEMENT CO
501(C)(3) · MANAGEMENT · MO
-
501(C)(3) · FUNDRAISING · MO
-
501(C)(3) · HEALTH CARE · MO
-
501(C)(3) · HEALTH CARE · MO
-
SSM CARDINAL GLENNON CHILDREN'S HOSPITAL
501(C)(3) · HEALTH CARE · MO
-
CARDINAL GLENNON CHILDREN'S FOUNDATION
501(C)(3) · FUNDRAISING · MO
-
SSM HEALTH CARDINAL GLENNON TRANSPORT
501(C)(3) · HEALTH CARE · MO
-
501(C)(3) · HEALTH CARE · MO
-
SSM HEALTH FOUNDATION - ST LOUIS
501(C)(3) · FUNDRAISING · MO
-
SSM HEALTH CARE OF OKLAHOMA INC
501(C)(3) · HEALTH CARE · OK
-
501(C)(3) · MOB · OK
-
ST ANTHONY SHAWNEE HOSPITAL INC
501(C)(3) · HEALTH CARE · OK
-
THE ST ANTHONY HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · OK
-
SSM HEALTH CARE OF WISCONSIN INC
501(C)(3) · HEALTH CARE · WI
-
501(C)(2) · MOB · WI
-
501(C)(3) · FUNDRAISING · WI
-
ST CLARE HEALTH CARE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
-
ST MARY'S JANESVILLE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
-
AGNESIAN HEALTHCARE FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
-
MONROE CLINIC AND HOSPITAL FOUNDATION INC
501(C)(3) · FUNDRAISING · WI
The first 25 as filed. The return lists every one.
Declared as related by
-
On its 2024 return
-
ST MARYS JANESVILLE FOUNDATION INC
On its 2024 return
-
CARDINAL GLENNON CHILDRENS FOUNDATION
On its 2024 return
-
CHRISTIAN HOME AND REHABILITATION CENTER INC
On its 2024 return
-
SSMHCS LIABILITY TRUST MERCANTILE BANK TTEE
On its 2024 return
-
On its 2024 return
-
SSM CARDINAL GLENNON CHILDRENS HOSPITAL
On its 2024 return
-
ST FRANCIS HOME OF FOND DU LAC WISCONSIN INC
On its 2024 return
-
SISTER SERVANTS OF CHRIST THE KING INC
On its 2024 return
-
VISITING NURSE ASSOCIATION OF GREATER ST LOUIS
On its 2024 return
-
ST MARYS HEALTH CENTER JEFFERSON CITY MISSOURI FOUNDATION
On its 2024 return
-
On its 2024 return
-
MONROE CLINIC AND HOSPITALFOUNDATION
On its 2024 return
-
On its 2024 return
-
SSM HEALTH CARDINAL GLENNON TRANSPORT
On its 2024 return
-
On its 2024 return
-
On its 2024 return as a controlled entity
-
On its 2024 return
-
THE ST ANTHONY HOSPITAL FOUNDATION INC OKLAHOMA CITY OKLAHOMA
On its 2024 return
-
GOOD SAMARITAN REGIONAL HEALTH CENTER
On its 2024 return
-
On its 2024 return
-
On its 2024 return
-
On its 2024 return
-
On its 2024 return
-
On its 2024 return
The most recent declarers. The API serves every row.
Taxable family
From Schedule R Parts I, III and IV: entities that legally are the filer, and taxable partnerships, corporations and trusts it is related to. These record ownership and control, not shared board members or money.
Related partnerships on its 2024 return
-
SSM ST JOSEPH ENDOSCOPY CENTER LLC
SURGERY SERVICES · MO · general or managing partner
-
ST LOUIS HEALTHCARE SUPPORT SERVICES LLC
LAUNDRY SERVICES · MO · general or managing partner
-
1110 N CLASSEN BLVD LLC
MOB · OK · general or managing partner
-
MT VERNON RADIATION THERAPY CENTER LLC
RADIATION THERAPY · IL · general or managing partner
-
CHOWSMGSI OFFICE BUILDING LLC
MOB · IL
-
OZA CANCER CENTER LLC
MOB · IL
-
WINGRA BUILDING GROUP
MOB · WI
-
JANESVILLE RIVERVIEW CLINIC BUILDING PARTNERSHIP
MOB · WI
-
DEAN CLINIC & ST MARY'S HOSPITAL ACCOUNTABLE CARE ORGANIZATION LLC
ACCOUNTABLE CARE ORGANIZATION · WI
-
WISCONSIN INTEGRATED INFORMATION TECHNOLOGY AND TELEMEDICINE SYSTEMS LLC
INFORMATION TECHNOLOGY SERVICES · WI
-
ST CLARE IMAGING SERVICES LLC
DIAG. SERVICES · WI · general or managing partner
-
NAVITUS HEALTH SOLUTIONS LLC
PHARMACY BENEFIT MANAGEMENT · WI
-
EPIPHANY RX LLC
PHARMACY BENEFIT MANAGEMENT · DE
-
RXPRECHECK LL
PHARMACY BENEFIT MANAGEMENT · TN
-
ARCHIMEDES LLC
PHARMACY BENEFIT MANAGEMENT · TN
-
M&C REALTY LLC
MOB · MO · general or managing partner
-
BLOOM TREE LONG-ONLY FUND QP LP FKA BLOOM TREE PONDEROSA FUNDS QP LP
INVESTMENTS · DE
-
NECICF II AIV2-B LP
INVESTMENTS · DE
-
BISON CAPITAL PARTNERS VI-A LP
INVESTMENTS · DE
Related corporations and trusts on its 2024 return
-
SSMHC INSURANCE COMPANY
C · INSURANCE · CJ
-
OMNINHEALTH HOLDINGS
C · HEALTH CARE CONSULTING · DE
-
SSM MANAGED CARE ORGANIZATION LLC
C · HEALTH PROMOTION · MO
-
ST MARY'S HOSPITAL CAMPUS CONDOMINIUM OWNERS ASSOCIATION INC
C · CONDO ASSOCIATION · WI
-
PHYSICIANS SERVICES CORP OF SOUTHERN ILLINOIS INC
C · HEALTH CARE · IL
-
FPP INC & SUBS
C · HEALTH CARE · MO
-
SSM MEDICAL GROUP INC
C · PHYSICIAN OFFICES · MO
-
SSM HEALTH PHARMACY LLC
C · PHARMACY · MO
-
SSMHC LIABILITY TRUST II
C · INSURANCE · MO
-
HEALTHFIRST PHYSICIAN MANAGEMENT SERVICES
C · MEDICAL SERVICES · OK
-
DIVERSIFIED HEALTH SERVICES CORP
C · MEDICAL EQUIPMENT · MO
-
SSM PROPERTIES INC
C · PROPERTY SERVICES · MO
-
DEAN HEALTH SYSTEMS INC
C · PHYSICIAN OFFICES · WI
-
DEAN RETAIL SERVICES INC
C · PROPERTY SERVICES · WI
-
NAVITUS HOLDINGS LLC
C · PHARMACY · WI
-
SSM HEALTH JANESVILLE CAMPUS CONDOMINIUM ASSOCIATION INC
C · CONDO ASSOCIATION · WI
-
QUALITY DRUG CORPORATION
C · PHARMACY BENEFITS · CA
-
PARTNERS GROUP PMC PRIVATE CREDIT LP
C · INVESTMENT · CJ
Other IRS files
Auto-Revocation List
Not listed. The IRS publishes this list for organizations whose exemption was automatically revoked for failing to file for three consecutive years.
Publication 78
Not present in the most recent drop.
These are two separate IRS files on two separate schedules, shown as published and not reconciled with each other. Neither is a statement about whether a contribution is deductible today: 19,245 organizations appear in Publication 78 while the IRS's own revocation file lists them as currently revoked, more than half of those revoked before 2019. Absence from Publication 78 is evidence of nothing, and presence is not evidence either. Verify current status with the IRS before relying on it.
What this page reflects
The registration facts above come from the IRS Business Master File published 9 November 2026 and read 9 November 2026, for every organization at once. Returns through tax year 2024, the newest we have parsed for this organization.