2026-05-07T08:40:52-07:00 2025-12-31 990 2025-01-01 351637684 GOOD SAMARITAN HOSPITAL FOUNDATION INC GOOD 8128853192 328 N 2nd Street Suite 201 Vincennes IN 47591 Helen Seirp President 8128853273 2026-04-28 2025 2025-03-06 01:10:19Z Helen Seirp 328 N 2nd St Vincennes IN 47591 1350093 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. 18 0 2 25 0 0 268531 547128 0 0 361788 646581 69929 111726 700248 1305435 308782 364632 0 0 136309 170972 0 0 151302 121649 284949 566740 820553 133508 484882 4945808 5668835 182623 47011 4763185 5621824 Provide excellent health care by promoting wellness, education and healing through trusting relationships. 0 0 364632 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 364632 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 2 1 0 0 0 0 0 0 0 0 X 18 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 0 1 0 0 0 IN X Brian Baker 8128853192 328 N 2nd Street Vincennes IN 47591 Brian Baker Director 40 X 91341 0 0 Anne Seitzinger Donor Relation Coordinator 40 X 26950 0 0 Helen Seirp President 0.25 X 0 0 0 Regina McCord Fithian Vice President 0.25 X 0 0 0 Roy Ice Treasurer 0.25 X 0 0 0 Lowell Stoelting Grant Committe Chair 0.25 X 0 0 0 Ann Hedde Secretary 0.25 X 0 0 0 Patricia Buntrock Scholarship Co Chair 0.25 X 0 0 0 Joyce Villwock Scholarship Co Chair 0.25 X 0 0 0 Tiffany Conover Nominating Committee Co Chair 0.25 X 0 0 0 Adam Thacker 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 Justin Roberts Board Member 0.25 X 0 0 0 Austin Muranaka MD 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 118291 0 0 0 0 0 0 0 45746 0 0 0 0 501382 0 547128 0 646581 646581 0 0 0 0 156384 0 44658 111726 0 111726 0 1305435 646581 0 111726 322232 322232 42400 42400 137719 55087 82632 0 461 188 273 22698 9079 13619 10094 4038 6056 10473 10473 41529 41529 9874 4345 5529 1490 551 939 725 725 3195 3195 7680 7680 Dues 174 0 174 0 General Expense 209493 0 209493 0 Investment transaction fees 34 0 34 0 Postage 282 0 282 0 820553 364632 304619 151302 210116 282414 156352 180785 12278 50629 32771 19399 17858 4559941 5175500 4945808 5668835 182623 47011 182623 47011 X 6048573 6422331 0 0 -1285388 -800507 4763185 5621824 4945808 5668835 X 484882 0 0 0 0 373757 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 50629 0 32771 17858 0 0 0 0 17858 Gala 88479 0 88479 0 0 500 16921 3500 10222 Golf Tournament 61765 0 61765 425 672 5794 1885 0 4368 1 6140 0 6140 0 0 0 0 0 371 156384 0 156384 425 672 6294 18806 3500 14961 44658 111726 1 Good Samaritan Hospital 520 S 7th Street Vincennes IN 47591 501(c)(3) 327814 0 FMV healthcare 1 0 college scholarship 1 10000 FMV college scholarship 1 10000 FMV Schedule I, Part I, Line 2 Grant requests are submitted by the Hospital to Foundation. Applications submitted state use of funds and amount requested. Approvals are granted and funds awarded. On a monthly basis 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 Director of Foundation 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 327814 FMV Good Samaritan Hospital n 0 FMV Good Samaritan Hospital o 137719 FMV