What We Support

308.865.2705 Contact Us CHI Health Good Samaritan

MENU

Home
Who We Are
What We Support
- Grandma's Gift Fund
Giving
- Make a Donation
News & Events

Woven red heart held by hands

Good Sam Fund

The Good Sam fund provides emergency financial assistance to help CHI Health Good Samaritan employees in times of need. Funds may be used for assistance related to past-due daily living expenses such as utilities, rent/mortgage, and auto loans.

Donation Form

I would like to donate

Amount:

25

$25.00

50

$50.00

100

$100.00

250

$250.00

500

$500.00

Other

$

*

Additional Information

Type of gift:

One-time gift

Recurring gift

Frequency:

On:
Starting: Ending:

Anonymous:

I prefer to make this donation anonymously

Comments:

BBIS URL:

*

Spouse/Partner:

I would like to provide information about my spouse/partner

Title:

First name:

Last name:

*

Billing Information

Title:

*

First name:

*

Last name:

*

Country:

*

Address:

*

City:

*

State:

*

ZIP:

*

Phone:

*

Email type:

Email:

*

Tribute Information

Type:

*

Name:

*

First name:

Last name:

*

Mail a letter on my behalf

*

Giving Opportunities

_______________________________

Ambulance Replacement Project

Annual Employee Appeal

Evelyn Watts Endowed Scholarship

Grateful Patient Fund

Legal Notices Online Privacy Notice Website Feedback