2023-11-15T17:27:41+00:00 2022-12-31 264532849 Purk & Associates PC 1034 S Brentwood Boulevard Suite 20 00 St Louis MO 63117 990 2022-01-01 237049599 Good Samaritan Hospital Auxiliary GOOD 6188991031 1 Good Samaritan Way Mt Vernon IL 62864 Alan Estes TREASURER 6182424600 2023-11-15 true BARBARA POTTS 999009999 Douglas G Pleus P00013488 3148844022 2022 2023-04-26 12:10:37Z Pat Garren 1 Good Samaritan Way Mt Vernon IL 62864 174995 false X n/a X 1969 IL THE GOOD SAMARITAN HOSPITAL AUXILIARY'S PRIMARY PURPOSE IS TO PROMOTE AND ADVANCE THE MISSION OF THE HEALTH CENTER THROUGH ACTIVITIES APPROVED BY THE GOVERNING BOARD. (INFORM PUBLIC OF HEALTH CENTER'S PROGRAMS AND ACTIVITIES, PROVIDE VARIOUS SERVICES TO THE HEALTH CENTER AND ITS PATIENTS, AND PROMOTE FUND-RAISING PROJECTS.) 5 5 0 75 0 0 0 0 0 33289 58864 33289 58864 90000 91000 0 0 0 0 0 90000 91000 -56711 -32136 73225 41089 0 0 73225 41089 THROUGH OUR EXCEPTIONAL HEALTH CARE SERVICES, WE REVEAL THE HEALING PRESENCE OF GOD. false false 82000 82000 0 THE ORGANIZATION'S PRIMARY EXEMPT PURPOSE IS TO PROMOTE AND ADVANCE THE MISSION OF THE GOOD SAMARITAN REGIONAL HEALTH CENTER THROUGH ACTIVITIES APPROVED BY THE GOVERNING BOARD. 9000 9000 0 THE ORGANIZATION ALSO PROVIDES COLLEGE SCHOLARSHIPS FOR STUDENT ENROLLED IN THE MEDICAL AND/OR NURSING FIELDS OF STUDIES. 91000 true false false false false false false false false false false false false false false false false false false false false false false false false false true true false false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 5 5 false false false false false false false true false false false true false false false false false false IL X ALAN ESTES 6182424600 1 Good Samaritan Way Mount Vernon IL 62864 X Alan Estes Treasurer 4.0 0 X X 0 0 0 Brenda Cain 2nd Vice President 4.0 0 X X 0 0 0 Marietta Lamberson Secretary 4.0 0 X X 0 0 0 Pat Garren President 4.0 0 X X 0 0 0 Ray Hayes 1st Vice President 1.0 0 X X 0 0 0 0 0 0 0 false false false 0 0 0 0 0 0 0 0 0 0 0 4988 8258 -3270 -3270 170007 107873 62134 62134 0 0 0 0 0 58864 0 0 58864 82000 82000 9000 9000 0 0 0 0 0 0 0 0 91000 91000 0 0 51094 20651 0 0 0 0 22131 20438 0 0 0 0 0 0 0 0 73225 41089 0 0 0 0 0 0 X 71016 38880 2209 2209 73225 41089 73225 41089 -32136 0 X false false false X X 1 GOOD SAMARITAN REGIONAL HEALTH CENTER 430653587 3 true 82000 0 1 82000 0 true false false false false false false false false false false false false false false true false false X true true Schedule A, Part IV, Section D, Line 2 Officers Appointed Or Serving Supported Org. HE FILING ORGANIZATION MAINTAINS A CLOSE WORKING RELATIONSHIP WITH THE SUPPORTED ORGANIZATION, GOOD SAMARITAN REGIONAL HEALTH CENTER, THROUGH CONTINUOUS COMMUNICATION AND COOPERATION REGARDING THE SUPPORTED ORGANIZATION'S NEEDS AND HOW THE AUXILIARY CAN BE OF THE MOST SUPPORT. Schedule A, Part IV, Section E, Line 2a Org. Activities Directly Further The Exempt Purposes THE SUPPORTED ORGANIZATION IS GOOD SAMARITAN REGIONAL HEALTH CENTER. THE PURPOSE OF THE AUXILIARY IS TO PROMOTE AND ADVANCE THE MISSION OF THE HEALTH CENTER THROUGH ACTIVITIES APPROVED BY THE GOVERNING BOARD. GRANTS ARE AWARDED TO THE GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION AND THEN PASSED THROUGH TO THE GOOD SAMARITAN REGIONAL HEALTH CENTER FOR THE BENEFIT OF THE HOSPITAL. Schedule A, Part IV, Section E, Line 2b Activities That One Or More Supp. Org. Engaged In ACTIVITIES OF THE AUXILIARY INCLUDE, BUT ARE NOT LIMITED TO, INFORMING THE PUBLIC OF THE HEALTH CENTER'S PROGRAMS, PROVIDE VARIOUS SERVICES TO THE HEALTH CENTER AND ITS PATIENTS, AND PROMOTE FUNDRAISING PROJECTS THAT BENEFIT THE HEALTH CENTER. true GOOD SAMARITAN REGIONAL HEALTH CENTER FOUNDATION 10101 WOODFIELD LANE ST LOUIS MO 63132 262884795 501(C)(3) 82000 FOR THE BENEFIT OF GOOD SAMARITAN REGIONAL HEALTH CENTER 1 0 SCHOLARSHIPS 7 7500 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE ORGANIZATION MONITORS THE USE OF GRANT FUNDS THROUGH OBSERVATION AND INSPECTION OF ITEMS BOUGHT BY THE SUPPORTED ORGANIZATION WITH THE PROCEEDS OF GRANT FUNDS. THE ORGANIZATION ALSO MONITORS SCHOLARSHIP DISBURSEMENTS BY DISBURSING THE CHECKS DIRECTLY TO COLLEGES ON BEHALF OF THE SCHOLARSHIP RECIPIENTS. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body The organization does not have any committees that have authority to act on behalf on the governing body. Form 990, Part VI, Line 11b Review of form 990 by governing body THE OFFICERS OF THE AUXILIARY REVIEW THE FORM 990 PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL REPORTS AVAILABLE TO THE PUBLIC UPON REQUEST. SSM Health Care Corporation 10101 Woodfield Lane St Louis MO 63132 466029223 Health Care MO 501(c)(3) Type I SSM Health Ministries false SSMHC Liability Trust I 10101 Woodfield Lane St Louis MO 63132 436331003 Insurance MO 501(c)(3) Type I SSM Health Care Corporation false SSM Consolidated Health Services 10101 Woodfield Lane St Louis MO 63132 431473657 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Policy Institute 10101 Woodfield Lane St Louis MO 63132 431788151 Health Care MO 501(c)(4) SSM Health Care Corporation false SSM Health Care Portfolio Management Co 10101 Woodfield Lane St Louis MO 63132 431825256 Management MO 501(c)(3) Type I SSM Health Care Corporation false SSM Cardinal Glennon Children's Hospital 10101 Woodfield Lane St Louis MO 63132 430738490 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Cardinal Glennon Children's Foundation 10101 Woodfield Lane St Louis MO 63132 431754347 Fundraising MO 501(c)(3) 7 SSM Cardinal Glennon Children's Hospital false SSM Health Foundation - St Louis 10101 Woodfield Lane St Louis MO 63132 431552945 Fundraising MO 501(c)(3) 7 SSM Health Care St Louis false SSM Health Care of Oklahoma Inc 10101 Woodfield Lane St Louis MO 63132 730657693 Health Care OK 501(c)(3) 3 SSM Health Care Corporation false The St Anthony Hospital Foundation Inc 10101 Woodfield Lane St Louis MO 63132 736104300 Fundraising OK 501(c)(3) 7 SSM Health Care of Oklahoma false SSM Health Care of Wisconsin Inc 10101 Woodfield Lane St Louis MO 63132 430688874 Health Care WI 501(c)(3) 3 SSM Health Care Corporation false Dells Medical Building Inc 10101 Woodfield Lane St Louis MO 63132 391613292 MOB WI 501(c)(2) SSM Health Care of Wisconsin false St Mary's Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940686 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false St Clare Health Care Foundation Inc 10101 Woodfield Lane St Louis MO 63132 431940683 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Home Health United Inc 2802 Walton Commons Lane Madison WI 53718 391539827 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false Home Care United Inc 2802 Walton Commons Lane Madison WI 53718 391776340 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false HHU Xtra Care Inc 2802 Walton Commons Lane Madison WI 53718 391705111 Health Care WI 501(c)(3) 10 SSM Health Care of Wisconsin false SSM Health at Home Foundation of Wisconsin Inc 2802 Walton Commons Lane Madison WI 53718 391839309 Fundraising WI 501(c)(3) Type I Home Health United Inc false SSM Regional Health Services 10101 Woodfield Lane St Louis MO 63132 440579850 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false St Mary's Health Center Jefferson City Missouri Foundation 10101 Woodfield Lane St Louis MO 63132 431575307 Fundraising MO 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center 10101 Woodfield Lane St Louis MO 63132 430653587 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's Hospital Centralia Illinois 10101 Woodfield Lane St Louis MO 63132 370662580 Health Care IL 501(c)(3) 3 SSM Regional Health Services false St Mary's - Good Samaritan Inc 10101 Woodfield Lane St Louis MO 63132 364170833 Health Care IL 501(c)(3) Type I SSM Regional Health Services false Good Samaritan Regional Health Center Foundation 10101 Woodfield Lane St Louis MO 63132 262884795 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Foundation 10101 Woodfield Lane St Louis MO 63132 364636691 Fundraising IL 501(c)(3) 7 St Mary's-Good Samaritan Inc false St Mary's Hospital Auxiliary 400 N Pleasant Centralia IL 62801 237126345 Fundraising IL 501(c)(3) 10 St Mary's Hospital Foundation false SSM Health Businesses 10101 Woodfield Lane St Louis MO 63132 431333488 Health Care MO 501(c)(3) 10 SSM Health Care Corporation false SSM Health Care St Louis 10101 Woodfield Lane St Louis MO 63132 431343281 Health Care MO 501(c)(3) 3 SSM Health Care Corporation false Centralia Medical Services Bldg Assoc 10101 Woodfield Lane St Louis MO 63132 237408025 MOB IL 501(c)(3) Type I SSM Regional Health Services false St Mary's Janesville Foundation Inc 10101 Woodfield Lane St Louis MO 63132 273439133 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false SSM Health Ministries 3221 McKelvey Road Suite 107 Bridgeton MO 63044 431012492 Religious Organization MO 501(c)(3) 1 NA false Lee Dewey Corporation 10101 Woodfield Lane St Louis MO 63132 731279603 MOB OK 501(c)(3) Type I SSM Health Care of Oklahoma false St Mary's Hospital Auxiliary 100 St Marys Medical Plaza Jefferson City MO 65101 436049878 Fundraising MO 501(c)(3) Type II NA false Good Samaritan Hospital Auxiliary 1 Good Samaritan Way Mount Vernon IL 62864 237049599 Fundraising IL 501(c)(3) Type III-FI NA false St Anthony Shawnee Hospital Inc 1000 N Lee Ave Oklahoma City OK 73102 455055149 Health Care OK 501(c)(3) 3 SSM Health Care of Oklahoma false SSM Audrain Health Care Inc 10101 Woodfield Lane St Louis MO 63132 431550298 Health Care MO 501(c)(3) 3 SSM Regional Health Services false SSM-SLUH Inc 10101 Woodfield Lane St Louis MO 63132 474196634 Health Care MO 501(c)(3) 3 SSM Health Care St Louis false Agnesian Healthcare Inc 430 E Division St Fond du Lac WI 54935 390807236 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Ripon Medical Center Inc 845 Parkside Street Ripon WI 54971 391101287 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false Waupun Memorial Hospital Inc 620 West Brown Street Waupun WI 53963 390806265 Health Care WI 501(c)(3) 3 Agnesian Healthcare Inc false St Francis Home of Fond du Lac Wisconsin Inc 33 Everett Street Fond du Lac WI 54935 391029998 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Sister Servants of Christ the King Villa Loretto N8114 County WW Mount Calvary WI 53057 391022770 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false Villa Rosa Inc N8120 County WW Mount Calvary WI 53057 421670962 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Christian Home and Rehabilitation Center Incorporated 331 Bly Street Waupun WI 53963 390884514 Health Care WI 501(c)(3) 10 Agnesian Healthcare Inc false The Monroe Clinic Inc 515 22nd Avenue Monroe WI 53566 390808509 Health Care WI 501(c)(3) 3 SSM Health Care of Wisconsin false Monroe Clinic and Hospital Foundation Inc 515 22nd Avenue Monroe WI 53566 205769038 Fundraising WI 501(c)(3) 7 SSM Health Care of Wisconsin false Agnesian Healthcare Foundation Inc 430 E Division St Fond du Lac WI 54935 391684956 Fundraising WI 501(c)(3) Type I SSM Health Care of Wisconsin false Shared Magnetic Resonance Imaging Facility Inc 1104 John Nolen Drive Madison WI 53713 391534744 Health Care WI 501(c)(3) Type I SSM Health Care of Wisconsin false SSM Health Cardinal Glennon Transport 10101 Woodfield Lane St Louis MO 63132 863519607 Health Care MO 501(c)(3) Type I SSM Cardinal Glennon Children's Hospital false SSM Health Foundation 10101 Woodfield Lane St Louis MO 63132 874109859 Fundraising MO 501(c)(3) Type I SSM Health Care Corporation false SSM Health Care Group 10101 Woodfield Lane St Louis MO 63132 880988603 Health Care MO 501(c)(3) 10 SSM Health Care St Louis false The Sarah Community 10101 Woodfield Lane St Louis MO 63132 431784657 Health Care MO 501(c)(3) 10 SSM Health Businesses false SSM St Joseph Endoscopy Center LLC 10101 Woodfield Lane St Louis MO 63132 270046559 Surgery Services MO NA N/A St Clare Imaging Services LLC 707 14th Street Suite A Baraboo WI 53913 200122365 Diag. Services WI NA N/A Mt Vernon Radiation Therapy Center LLC 10101 Woodfield Lane St Louis MO 63132 201382620 Radiation Therapy IL NA N/A Sleep & Neurology Center of Southern Illinois LLC 10101 Woodfield Lane St Louis MO 63132 208468195 Diag. Services IL NA N/A CHOWSMGSI Office Building LLC 10101 Woodfield Lane St Louis MO 63132 371383861 MOB IL NA N/A Oza Cancer Center LLC 10101 Woodfield Lane St Louis MO 63132 201382727 MOB IL NA N/A Shawnee Real Estate Holdings LLC 1000 N Lee Ave Oklahoma City OK 73102 455458304 MOB OK NA N/A Dean Clinic & St Mary's Hospital Accountable Care Organization LLC 1808 West Beltline Highway Madison WI 53713 452995500 Accountable Care Organization WI NA N/A Wisconsin Integrated Information Technology and Telemedicine Systems LLC 1808 West Beltline Highway Madison WI 53713 392016715 Information Technology Services WI NA N/A Wingra Building Group 1808 West Beltline Highway Madison WI 53713 390237060 MOB WI NA N/A Janesville Riverview Clinic Building Partnership 1808 West Beltline Highway Madison WI 53713 396220698 MOB WI NA N/A 1110 N Classen Blvd LLC 1110 N Classen Boulevard Oklahoma City OK 73106 731158158 MOB OK NA N/A SSM St Clare Surgical Center LLC 10101 Woodfield Lane St Louis MO 63132 261439695 Surgery Services MO NA N/A Windmill LLP 50 Village View Lane Chesterfield MO 63017 431804651 Investments MO NA N/A Navitus Health Solutions LLC 361 Integrity Drive Madison WI 53717 043608530 Pharmacy Benefits WI NA N/A SSM Select Rehab St Louis LLC 4714 Gettysburg Road Mechanicsburg PA 17055 263694972 Health Care DE NA N/A Epiphany Rx LLC 361 Integrity Drive Madison WI 53717 364855405 Pharmacy Benefits DE NA N/A Bain Capital Global Direct Lending 2021 (L Offshore) LP 200 Clarendon Street FL 41 Boston MA 021165016 981506451 Investments DE NA N/A Bloom Tree Long-Only Fund QP LP fka Bloom Tree Ponderosa Funds QP LP 101 Park Avenue 33rd FL New York NY 10178 823704522 Investments DE NA N/A Carlyle Property Investors LP 1001 Pennsylvania Ave NW STE 220 Washington DC 20004 371789359 Investments DE NA N/A NECICF II AIV2-B LP 300 Delaware Ave STE 210 Wilmington DE 19801 845058167 Investments DE NA N/A SSM Managed Care Organization LLC 10101 Woodfield Lane St Louis MO 63132 431708511 Health Promotion MO NA C Corporation false FPP INC & Subs 10101 Woodfield Lane St Louis MO 63132 431465174 Health Care MO NA C Corporation false Diversified Health Services Corp 10101 Woodfield Lane St Louis MO 63132 431369305 Medical Equipment MO NA C Corporation false SSM Properties Inc 10101 Woodfield Lane St Louis MO 63132 431462486 Property Services MO NA C Corporation false HealthFirst Physician Management Services 10101 Woodfield Lane St Louis MO 63132 731534336 Medical Services OK NA C Corporation false SSMHC Liability Trust II 10101 Woodfield Lane St Louis MO 63132 816128118 Insurance MO NA C Corporation false SSM Medical Group Inc 10101 Woodfield Lane St Louis MO 63132 431664107 Physician Offices MO NA C Corporation false SSMHC Insurance Company PO Box 1051 GT Grand Cayman CJ KY11102 030310431 Insurance CJ NA C Corporation false Physicians Services Corp of Southern Illinois Inc 10101 Woodfield Lane St Louis MO 63132 364161526 Health Care IL NA C Corporation false Dean Health Systems Inc 1808 West Beltline Highway Madison WI 53713 391128616 Physician Offices WI NA C Corporation false Dean Health Insurance Inc PO Box 56099 Madison WI 53705 391830837 Insurance WI NA C Corporation false Dean Retail Services Inc 1808 West Beltline Highway Madison WI 53713 391717636 Property Services WI NA C Corporation false Oza Oncology Inc 4117 Veterans Memorial Drive Mt Vernon IL 62804 371343746 Physician Offices IL NA S Corporation false SSM Health Janesville Campus Condominium Association Inc 1808 West Beltline Highway Madison WI 53713 832038674 Condo association WI NA C Corporation false SSM Health Pharmacy LLC 10101 Woodfield Lane St Louis MO 63132 264031708 Pharmacy MO NA C Corporation false Navitus Holdings LLC 1808 West Beltline Highway Madison WI 53713 800968174 Pharmacy WI NA C Corporation false MS Community JV LLC 401 Carlson Parkway CP330 Minnetonka MN 55305 873240022 Insurance DE NA C Corporation false Quality Drug Corporation 239 Broadway Laguna Beach CA 92651 330644268 Pharmacy benefits CA NA C Corporation false St Mary's Hospital Campus Condominium Owners Association Inc 707 South Mills Street Madison WI 53715 000000000 Condo association WI NA C Corporation false Partners Group PMC Private Credit LP c/o Maples Corporate Services LTD George Town CJ KY11104 981439264 Investment CJ NA C Corporation false false true false false false false false false false false false false false false false false false false false