The Good Samaritan Regional Health Center Foundation welcomes your charitable contribution. Your gifts make possible the exceptional health care services provided every day to our patients. If you would prefer to mail your gift, please print this page and mail your completed form with a check made payable to:
Good Samaritan Regional Health Center Foundation
605 North 12th Street
Mt. Vernon, IL 62864
Please enter the following information if you would like to make a contribution. Items marked with * are required fields.
If selecting anything other than One-Time, charges will continue at this frequency until donor contacts the Good Samaritan Regional Health Center Foundation to cancel or change the donation.
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