2024-09-19T14:14:16-07:00 2023-12-31 990 2023-01-01 351637684 GOOD SAMARITAN HOSPITAL FOUNDATION INC GOOD 8128853192 328 N 2nd Street Suite 201 Vincennes IN 47591 Helen Seirp President 8128853273 2024-09-19 1 2023 2024-08-08 14:25:15Z Helen Seirp 328 N 2nd Street Suite 201 Vincennes IN 47591 1001583 0 X www.gshvin.org/foundation X 1995 IN 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. 17 0 3 25 0 0 290877 275961 0 0 -568043 566967 95590 125073 -181576 968001 337055 449308 0 0 155894 216254 0 0 190545 143500 215573 636449 881135 -818025 86866 4190547 4604113 229 115 4190318 4603998 Provide excellent health care by promoting wellness, education and healing through trusting relationships. 0 0 449308 0 0 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. 0 0 0 449308 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 3 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 17 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 0 1 0 0 0 IN X Nicole Coomer 8128853192 328 N 2nd Street Vincennes IN 47591 Nicole Coomer Director 40 X 71311 0 0 Tina Meeks Business Relations & Development Coordinator 40 X 60343 0 0 Courtney Welage Donor Relation Coordinator 40 X 41314 0 0 Joyce Villwock Board Member 0.25 X 0 0 0 Robert McLin Board Member 0.25 X 0 0 0 Dave Miller Board Member 0.25 X 0 0 0 Cindy Moore Board Member 0.25 X 0 0 0 Patty Niehaus Board Member 0.25 X 0 0 0 Tiffany Conover Board Member 0.25 X 0 0 0 Carson Thacker Board Member 0.25 X 0 0 0 Austin Muranaka MD Board Member 0.25 X 0 0 0 Patricia Buntrock Board Member 0.25 X 0 0 0 Roy Ice Board Member 0.25 X 0 0 0 Patty Summers Board Member 0.25 X 0 0 0 Leslie Kidwell Board Member 0.25 X 0 0 0 Dennis Kordes Board Member 0.25 X 0 0 0 Kendall Vieke Board Member 0.25 X 0 0 0 Helen Seirp President 0.25 X 0 0 0 Regina McCord Fithian Vice President 0.25 X 0 0 0 Lowell Stoelting Interim Treasurer/Grant Committe Chair 0.25 X 0 0 0 Ann Hedde Secretary 0.25 X 0 0 0 172968 0 0 0 0 0 0 0 59954 0 0 0 0 216007 0 275961 0 566967 566967 0 0 0 0 0 0 0 0 0 0 0 0 0 0 158655 0 33582 125073 0 125073 0 968001 566967 0 125073 402933 402933 46375 46375 179808 0 71923 107885 4608 1843 2765 18730 7492 11238 13108 5243 7865 1174 1174 24429 24429 55385 55385 3184 1401 1783 5752 2128 3624 5675 5675 1480 1480 Dues 1748 0 1748 0 General Expense 112123 0 112123 0 Books & Subscriptions 195 0 195 0 Repair and Alterations 4428 0 4428 0 881135 449308 241282 190545 381535 216848 89663 78758 64949 43947 314 21002 3719035 4287505 4190547 4604113 229 115 229 115 X 5696080 6022895 0 0 -1505762 -1418897 4190318 4603998 4190547 4604113 X 86866 0 0 0 0 326814 X 1 X 1 X 1 0 X X 1 Good Samaritan Hospital 356001532 3 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Schedule A, Part IV, Section B, Line 1 Supports Good Samaritan Hospital RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 0 0 0 64949 0 43947 21002 0 0 0 0 21002 968001 0 0 0 0 0 968001 0 0 0 968001 881135 0 0 0 0 0 881135 0 0 0 881135 Party In Paradise 98490 0 98490 0 0 500 14971 6500 3437 Golf Tournament 60165 0 60165 0 0 3841 1604 0 2729 0 158655 0 158655 0 0 4341 16575 6500 6166 33582 125073 1 Good Samaritan Hospital 520 S 7th Street Vincennes IN 47591 356001532 501 (c) (3) 378869 0 FMV 0 health care 1 0 college scholarships 3 30000 0 FMV Schedule I, Part I, Line 2 On a quarterly basis grant requests are submitted by Hospital to Foundation. Applications submitted are for amounts requested and use of funds. Approvals are granted and funds awarded. At end of quarter funds are reconciled and use of funds reported. Form 990, Part VI, Section A, Line 6 The Foundation Members are the Board Members Form 990, Part VI, Section A, Line 7a The members elect new officers annually. Form 990, Part VI, Section A, Line 7b Any decisions of the governing body are subject to approval by the Board. Form 990, Part VI, Section B, Line 11b Form 990 is reviewed by Accounting and the President of the Board. Form 990, Part VI, Section B, Line 12c Foundation Board members sign a conflict of interest form on an annual basis. Form 990, Part VI, Section C, Line 19 Available upon request Form 990, Part XI, Line 9 Elimination of inner corporate loans Good Samaritan Hospital 520 S 7th Street Vincennes IN 47591 356001532 healthcare IN 501(c)(3) Type I N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 Good Samaritan Hospital b 378869 FMV Good Samaritan Hospital n 0 FMV Good Samaritan Hospital o 179808 FMV Filing extension granted by IRS