2026-05-14T10:11:41-07:00 2025-12-31 990 2025-01-01 262813100 GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES INC GOOD 8128853333 520 South 7th Street Vincennes IN 47591 Adam Thacker CEO 8128853333 2026-05-14 2025 2025-03-06 01:10:19Z Adam Thacker 520 South 7th Street Vincennes IN 47591 32095846 0 X www.gshvin.org X 2008 IN Provide excellent health care by promoting wellness, education and healing through trusting relationships. 7 0 296 0 0 0 906518 635682 0 0 23982 18006 31521707 31442158 32452207 32095846 0 0 0 0 54369551 51741481 0 0 0 10509250 11901156 64878801 63642637 -32426594 -31546791 4056369 3219524 577872 3480731 3478497 -261207 Provide excellent healthcare by promoting wellness, education and healing through trusting relationships. 0 0 61391616 0 31460163 Provide excellent healthcare by promoting wellness, education and healing through trusting relationships. 0 0 0 n/a 0 0 0 n/a 0 0 0 61391616 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 296 1 0 0 0 0 0 0 0 0 X 7 0 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 1 1 0 IN X Good Samaritan Hospital 8128855220 520 South 7th Street Vincennes IN 47591 Dalvir Gill MD Cardiologist 40 X 2272557 0 0 Vikash Khurana MD Cardiologist 40 X 2008977 0 0 Brian Gebhardt MD Oncologist 40 X 961733 0 0 Oluwagbenga Serrano MD Gastroenterologist 40 X 940183 0 0 Dustin Blackwell MD Physician 40 X 892014 0 0 Adam Thacker President of the Board 0.25 X 0 0 0 Matt Schuckman Treasurer of the Board 0.25 X 0 0 0 Stan Deweese Chairman of the Board 0.25 X 0 0 0 Susan Brocksmith Vice Chairman of the Board 0.25 X 0 0 0 Kellie Streeter Secretary of the Board 0.25 X 0 0 0 TJ Brink Board Member 0.25 X 0 0 0 Tim Ellerman Board Member 0.25 X 0 0 0 Craig Kirk Board Member 0.25 X 0 0 0 Lance Payton MD Board Member 0.25 X 0 0 0 7075464 0 0 73 0 1 0 Indiana University-Purdue University PO Box 78000 Detroit MI 482780920 GME Residency Management 1926893 Midwest Emergency Medicine 520 South 7th St Vincennes IN 47591 ER Physicians Management 1410944 Deaconess Hospital Inc 600 Mary St Evansville IN 47747 Physician Outreach Services 821646 Eastern Shore Oncology PC 509 Idlewood Avenue Suite 1 Easton MD 21601 Oncologist 482262 William Collyer 7 Victoria Drive Newburgh IN 47630 Physician 450243 17 0 0 0 635682 0 0 0 635682 0 18006 18006 0 0 0 0 0 0 0 0 0 0 51956 0 0 0 51956 0 51956 51956 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Physician Offices 561110 31390202 31390202 0 0 0 0 0 0 31390202 32095846 31460164 0 0 0 0 0 0 0 0 0 0 7075463 7075463 0 0 36696711 36696711 0 0 0 0 0 0 2199362 2199362 0 0 3981110 3981110 0 0 1788835 1788835 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6301005 6301005 0 0 -1097 -1097 0 0 2253323 2253323 0 0 29296 29296 0 0 0 0 0 0 125033 125033 0 0 41278 41278 0 0 0 0 0 0 307863 307863 0 0 24844 24844 0 0 0 0 0 0 568590 568590 0 0 0 0 0 0 Dues 15683 0 15683 0 Unassigned Claims 476699 0 476699 0 Bad Debt 1758639 0 1758639 0 0 0 0 0 63642637 61391616 2251021 0 0 0 3880703 3220324 175666 -800 4056369 3219524 577872 3481506 -775 577872 3480731 X 35905090 31285584 0 0 -32426593 -31546791 3478497 -261207 4056369 3219524 X -31546791 0 0 0 0 27807087 X 0 1 X 0 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 1 0 0 0 0 0 0 0 0 0 0 Dalvir Gill MD Cardiologist 0 1411911 0 860253 0 393 0 26097 0 11027 0 2309681 0 0 Vikash Khurana MD Cardiologist 0 1443491 0 564831 0 654 0 0 0 31510 0 2040486 0 0 Brian Gebhardt MD Oncologist 0 741330 0 219967 0 436 0 47000 0 12340 0 1021073 0 0 Oluwagbenga Serrano MD Gastroenterologist 0 899171 0 39136 0 1875 0 62000 0 31189 0 1033371 0 0 Dustin Blackwell MD Physician 0 729803 0 161819 0 393 0 0 0 37435 0 929450 0 0 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 completed by the Financial Analyst and reviewed/approved by the CEO. Form 990, Part VI, Section B, Line 12c Directors complete the conflict of interest statements for Good Samaritan on an annual basis. Form 990, Part VI, Section B, Line 15 The process for determining the compensation of the following persons include a review and approval by independent persons, comparability data and contemporaneous substantiation of the deliberation and decision. Form 990, Part VI, Section C, Line 19 They are available upon written request. Form 990, Part XI, Line 9 Good Samaritan Hospital Physician Services Inc and Good Samaritan Hospital have written off inter company loans between them per independent auditor recommendation. Good Samaritan Hospital 520 South 7th Street Vincennes IN 47591 356001532 Healthcare IN 501(c)(3) N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0