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Governance Register
US nonprofit · EIN 262884795 · Mount Vernon, ILiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 262884795)Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990 for the year to 31 December 2024: assets, liabilities, staff, website, telephone, pay, related organisations (Schedule R), grants paid (Schedule I).Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Licence US Federal Government public domain.How we handle data

Good Samaritan Regional Health Center Foundation's network

16 people11 organisationsi16 people and 11 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (16). Violet dotted lines (13) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

16 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record. The organisation reported 16 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Michael Kroeschen ChairTrustee & Chairperson2023
3 yrs
Alicia WoodwardTrustee2024
2 yrs
Bill BeckTrustee2023
3 yrs
Bryan StirewaltTrustee2023
3 yrs
Carol HamerskiTrustee & Sec/Treas2023
3 yrs
Damon HarbisonEx-Officio-Vote & Hospital Pres2024
2 yrs
Darla WexsttenTrustee2023
3 yrs
Dr Johnny KaushalTrustee2023
3 yrs
Dr WES NealTrustee2023
3 yrs
Hunt BonanTrustee2023
3 yrs
Jeff HaarmanTrustee2024
2 yrs
Jeremy FotheringhamEx-Officio-Vote & Regional Pres2024
2 yrs
Lindsey BowlinTrustee2024
2 yrs
Marcia ScottTrustee2023
3 yrs
Norma FairchildTrustee2023
3 yrs
REX CusumanoTrustee2023
3 yrs
Under 5 years5 to 6 years6 years or moreShow all 16 →

Officers and senior leadership

4 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Douglas LongAsst. Secretary, General Counsel at SSM Healthsince 2023
John SnodsmithRegional VP, Financesince 2023
Kathleen Zibby-DamronExecutive Director2024
Kay Zibby-DamronExecutive Director2023

Pay and hours

year to 31 December 2024iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Carol HamerskiTrustee & Sec/Treas1$0
Bill BeckTrustee1$0
Hunt BonanTrustee1$0
Rex CusumanoTrustee1$0
Norma FairchildTrustee1$0
Dr Johnny KaushalTrustee1$0
Michael KroeschenTrustee & Chairperson1$0
Dr Wes NealTrustee1$0
Marcia ScottTrustee1$0
Bryan StirewaltTrustee1$0
Darla WexsttenTrustee1$0
Lindsey BowlinTrustee1$0
Jeff HaarmanTrustee1$0
Alicia WoodwardTrustee1$0
Damon HarbisonEx-Officio-Vote & Hospital Pres1$0$575k$221k
Jeremy FotheringhamEx-Officio-Vote & Regional Pres1$0$1.3m$630k
Douglas LongAsst Secretary & Clo of SSM Health1$0$1.6m$701k
John SnodsmithRegional VP Finance1$0$320k$90k
Kathleen Zibby-DamronExecutive Director20$0$169k$38k
Karen RewertsFMR Officer & System VP Finance0$0$845k$235k
Matthew KinsellaFMR Officer & Regional VP Finance0$0$561k$175k

About

Legal name
Good Samaritan Regional Health Center Foundation
EIN
262884795
Address
1 Good Samaritan Way, Mount Vernon, IL, 62864-2402
State
Illinois
Mission
Through our exceptional healthcare services, we reveal the healing presence of god. (as filed on the Form 990)
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Size band
6 (IRS master file code)
Formed
2005
Principal officer
Kathleen Zibby-Damron (as named on the Form 990)
IRS ruling date
1 March 1946
Status
Code 01 (unconditional exemption)
Form 990 filings on record
2, latest 2024

Most connected

Related organisations (Schedule R)

Longest observed on the filings

≥3years on the filingsMichael Kroeschen
≥3years on the filingsBill Beck
≥3years on the filingsBryan Stirewalt
≥3years on the filingsCarol Hamerski

Latest return

year to 31 December 2024iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 31 December 2024. US dollars, as filed.
Total assets
$4.4m
Total liabilities
$109k
Net assets or fund balances
$4.2m
Contributions and grants received
$320k
Program service revenue
$143k
Grants and similar paid out
$159k
Employees
0
Volunteers
20

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2024$762k$301k$461k

As filed on the IRS Form 990. US dollars.

Grants paid

1 listediFrom Schedule I of the Form 990: grants and assistance to organisations in the United States, largest first (up to 25). Schedule I is filed only by organisations that gave more than $5,000 to any one recipient.
RecipientPurposeAmount
Good Samaritan Hospital - Mt VernonVentilator, renovations and hospital transportation services$147k