2025-11-17T18:34:52-06:00 2024-12-31 990EZ 2024-01-01 364170833 ST MARY'S - GOOD SAMARITAN INC STMA 6184368000 12800 CORPORATE HILL DRIVE ST LOUIS MO 63131 STEPHANIE KING VP FINANCE 6184368000 2025-11-17 0 2024 2025-03-06 01:10:19Z X X WWW.SSMHEALTH.COM X X 14561 X 14561 14561 28924 28924 -14363 102588 0 88225 X 102588 88225 102588 88225 0 0 102588 88225 X TO IMPROVE ACCESS TO HEALTH CARE AND IMPROVE HEALTH IN OUR COMMUNITIES. ST. MARY'S - GOOD SAMARITAN, INC. IS COMMITTED TO THE PURPOSE OF ENABLING ITS ENTITIES, SSM HEALTH ST MARY'S HOSPITAL - CENTRALIA AND SSM HEALTH GOOD SAMARITAN HOSPITAL - MT. VERNON TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES TO ALL PERSONS ON THE SOUTHERN ILLINOIS REGION REGARDLESS OF THEIR ABILITY TO PAY. THROUGH ITS GOVERNANCE, OPERATION AND ADMINISTRATION, ST MARY'S - GOOD SAMARITAN, INC. HELPS TO MEET THE COMMUNITY NEEDS IDENTIFIED BY EACH HOSPITAL IN AN ECONOMIC AND EFFICIENT MANNER. THE LEADERS OF ST. MARY'S -GOOD SAMARITAN, INC. PARTICIPATE IN COMMUNITY ORGANIZATIONS WHICH ENABLE THEM TO IDENTIFY COMMUNITY NEEDS. 0 28924 28924 X JEAN BENOIT-HOULE MD DIRECTOR 1.00 0 0 0 MATTHEW FLANIGAN DIRECTOR 1.00 0 0 0 DAMON HARBISON DIRECTOR 1.00 0 0 0 MONICA HEINZMAN DIRECTOR 1.00 0 0 0 TENA HOYT DIRECTOR 1.00 0 0 0 ERICA IBENDAHL MD DIRECTOR 1.00 0 0 0 SR JEREMY MIDURA CSSF DIRECTOR 1.00 0 0 0 SUDEEP NAIR MD DIRECTOR 1.00 0 0 0 SUZIE SCHMIDT DIRECTOR 1.00 0 0 0 RAJENDRA SHROFF MD DIRECTOR 1.00 0 0 0 PATRICIA WILLIAMS DIRECTOR 1.00 0 0 0 JEREMY FOTHERINGHAM CHAIR, PRESIDENT & DIRECTOR 1.00 0 0 0 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MARK STOVER 400 N PLEASANT CENTRALIA IL 62801 6184367545 0 0 0 0 0 0 0 0 0 0 NONE NONE 1 X X 3 ST MARY'S HOSPITAL CENTRALIA IL 370662580 3 1 14462 0 GOOD SAMARITAN REGIONAL HEALTH CENTER 430653587 3 1 14462 0 CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION 237408025 3 1 0 0 3 28924 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART I, LINE 12G, COLUMN IV: ST. MARY'S - GOOD SAMARITAN, INC. IS A TYPE I SUPPORTING ORGANIZATION THAT IS OPERATED EXCLUSIVELY TO SUPPORT THE OPERATIONS OF ST. MARY'S HOSPITAL, GOOD SAMARITAN REGIONAL HEALTH CENTER, AND CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION, RELATED TAX-EXEMPT ORGANIZATIONS. THE AMOUNTS OF SUPPORT PROVIDED TO THESE ORGANIZATIONS ON SCHEDULE A, PART I, LINE 11(H)(V) AND LINE 11 (H)(VI) DO NOT INCLUDE EXPENSES PAID ON BEHALF OF BUT NOT DIRECTLY TO THESE ORGANIZATIONS. PART IV, SECTION A, LINE 2: ST. MARY'S - GOOD SAMARITAN, INC. IS A SUPPORTING ORGANIZATION THAT PROVIDES SUPPORT TO ST. MARY'S HOSPITAL CENTRALIA, ILLINOIS AND GOOD SAMARITAN REGIONAL HEALTH CENTER, BOTH TAX EXEMPT HOSPITALS. THROUGH ITS SUPPORT OF THESE TWO HOSPITALS, ST. MARY'S -GOOD SAMARITAN, INC. ALSO PROVIDES SUPPORT TO CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION, A SUPPORTING ORGANIZATION OF TO ST. MARY'S HOSPITAL CENTRALIA, ILLINOIS. CENTRALIA MEDICAL SERVICES BUILDING ASSOCIATION PROVIDES OFFICE SPACE TO PHYSICIANS, AN MRI SUITE, AND A CONVENIENT CARE LOCATION TO INCREASE THE AVAILABILITY OF DOCTORS FOR MEDICAL EMERGENCIES AND PROVIDE ADDITIONAL PATIENT ACCESSIBILITY. FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES DESCRIPTION: BANK FEES. AMOUNT: 3,712. DESCRIPTION: PROFESSIONAL LIABILITY INSURANCE. AMOUNT: 25,212. TOTAL TO FORM 990-EZ, LINE 16: 28,924. FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS DESCRIPTION: DUE FROM AFFILIATES. BEG. OF YEAR AMOUNT: 102,588. END OF YEAR AMOUNT: 88,225. THE ORGANIZATION DID NOT, DURING THE YEAR, RECEIVE ANY FUNDS, DIRECTLY,OR INDIRECTLY, TO PAY PREMIUMS ON A PERSONAL BENEFIT CONTRACT.THE ORGANIZATION, DID NOT, DURING THE YEAR, PAY ANY PREMIUMS, DIRECTLY,OR INDIRECTLY, ON A PERSONAL BENEFIT CONTRACT.