GOOD SAMARITAN HOME OF QUINCY: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SAMARITAN HOME OF QUINCY (EIN 37-0724112)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-02-06
- IRS object ID
- 201630379349300413
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule N
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-02-06T15:00:48-06:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 208896204 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dennis G Koch CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1007 | AddressLine1Txt |
| City | Quincy | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 623061007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 370724112 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Samaritan Home of Quincy | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GOOD | BusinessNameControlTxt |
| Phone | 2172238717 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2130 Harrison Street | AddressLine1Txt |
| City | Quincy | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Laura Ehrhart | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 2172228471 | PhoneNum |
| Signature | 2016-02-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Dennis G Koch | PreparerPersonNm |
| PTIN | P01210686 | PTIN |
| Phone | 2172248484 | PhoneNum |
| Preparation | 2016-02-06 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael Duffy | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3831 Newcastle Dr | AddressLine1Txt |
| City | Quincy | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,001,595 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.gshq.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | To maintain a home for the care of the aged, without regard to poverty or riches of residents. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 464 | TotalEmployeeCnt |
| Total Volunteers | 180 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $490,692 | PYContributionsGrantsAmt |
| CY Contributions Grants | $347,956 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,226,048 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $15,393,569 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,991,363 | PYInvestmentIncomeAmt |
| CY Investment Income | $30,644 | CYInvestmentIncomeAmt |
| PY Other Revenue | $114,716 | PYOtherRevenueAmt |
| CY Other Revenue | $229,426 | CYOtherRevenueAmt |
| PY Total Revenue | $17,822,819 | PYTotalRevenueAmt |
| CY Total Revenue | $16,001,595 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $14,545,396 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,115,789 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,452,590 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $104,665 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,958,004 | PYOtherExpensesAmt |
| CY Other Expenses | $7,702,129 | CYOtherExpensesAmt |
| PY Total Expenses | $17,073,793 | PYTotalExpensesAmt |
| CY Total Expenses | $32,700,115 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $749,026 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$16,698,520 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $58,335,801 | TotalAssetsBOYAmt |
| Total Assets EOY | $41,374,697 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,477,309 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,214,725 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $45,858,492 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,159,972 | NetAssetsOrFundBalancesEOYAmt |
| Mission | To establish, support and maintain a home and related facilities for the care of the aged, without regard to poverty or riches of residents. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $31,472,019 | ExpenseAmt |
| Grant | $14,545,396 | GrantAmt |
| Revenue | $15,653,639 | RevenueAmt |
| Desc | Nursing, therapy, home care and apartments for the elderly. | Desc |
| Total Program Service Expenses | $31,472,019 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | Yes (1) | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 464 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Good Samaritan Home of Quincy | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2172238717 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2130 Harrison Street | AddressLine1Txt |
| City | Quincy | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| Laura Ehrhart | |||||||
| President | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Larry Shepherd | |||||||
| 1st Vice President | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Steve Wavering | |||||||
| 2nd Vice President | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Jerry Jackson | |||||||
| 3rd Vice President | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Gena Awerkamp | |||||||
| Secretary/Treasurer | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| William Winn | |||||||
| Im Past President | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Andrew Cashman | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Carla Derrick | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Daron Duke | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| John Heidbreder | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Bob Johnson | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Kemner | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| John Letts | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Billie Menke | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Mike Oberdahlhoff | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Raymond Scheiter | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Janet Schneeberger | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeff Spear | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Richard Walz | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Robert Young | |||||||
| Director | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael Duffy | |||||||
| Adminstrator | 45.00 | $142,430 | $0 | $14,718 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $142,430 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $14,718 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Kohl Wholesale | |||||
| 130 Jersey St | Quincy | IL | 62301 | Cafeteria Food | $1,034,610 |
| Peters Heating & Air Conditioning | |||||
| 4520 Broadway | Quincy | IL | 62305 | Heating/AC Contractor | $820,611 |
| First Choice Physical Therapy | |||||
| 5 W State 8th Plaza | Quincy | IL | 62305 | Physical Therapy | $480,917 |
| CPI Qualified Plan Consultants | |||||
| 1809 24th St | Great Bend | KS | 675301167 | Thrid Party Administration | $366,504 |
| JRX Pharmacy Services | |||||
| 2404 Ave L | Fort Madison | IA | 52627 | Nursing Supplies | $319,953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $347,956 | AllOtherContributionsAmt |
| Total Contributions | $347,956 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Room Care | 623000 | $7,835,795 | $7,835,795 |
| Medicaid | 623000 | $3,437,276 | $3,437,276 |
| Cottage Rentals | 623000 | $2,349,221 | $2,349,221 |
| Medicare | 623000 | $1,771,277 | $1,771,277 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $15,393,569 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $30,644 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $30,644 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Miscellaneous | 623000 | $131,150 | $131,150 |
| Barber/Beauty/Gift Shop | 623000 | $98,276 | $98,276 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $229,426 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,001,595 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,653,639 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,545,396 | TotalAmt |
| Program Services | $14,545,396 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,430 | TotalAmt |
| Management And General | $142,430 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,674,081 | TotalAmt |
| Program Services | $7,959,456 | ProgramServicesAmt |
| Management And General | $629,081 | ManagementAndGeneralAmt |
| Fundraising | $85,544 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,455 | TotalAmt |
| Program Services | $209,858 | ProgramServicesAmt |
| Management And General | $19,186 | ManagementAndGeneralAmt |
| Fundraising | $3,411 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,536 | TotalAmt |
| Program Services | $700,146 | ProgramServicesAmt |
| Management And General | $66,224 | ManagementAndGeneralAmt |
| Fundraising | $9,166 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $628,088 | TotalAmt |
| Program Services | $570,310 | ProgramServicesAmt |
| Management And General | $51,234 | ManagementAndGeneralAmt |
| Fundraising | $6,544 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,442 | TotalAmt |
| Program Services | $17,442 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,699 | TotalAmt |
| Program Services | $169,699 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,988 | TotalAmt |
| Program Services | $53,988 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $678,731 | TotalAmt |
| Program Services | $678,731 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,703 | TotalAmt |
| Program Services | $65,703 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $253,074 | TotalAmt |
| Program Services | $253,074 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,510,438 | TotalAmt |
| Program Services | $1,510,438 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $971,833 | TotalAmt |
| Program Services | $971,833 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Food | $1,003,273 | $1,003,273 | |
| Supplies | $816,514 | $724,828 | $91,686 |
| Maintenance & Repairs | $534,267 | $534,267 | |
| Therapy | $513,657 | $513,657 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,113,510 | TotalAmt |
| Program Services | $989,920 | ProgramServicesAmt |
| Management And General | $123,590 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,700,115 | TotalAmt |
| Program Services | $31,472,019 | ProgramServicesAmt |
| Management And General | $1,123,431 | ManagementAndGeneralAmt |
| Fundraising | $104,665 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $853,398 | BOYAmt |
| EOY | $752,705 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,225,994 | BOYAmt |
| EOY | $814,967 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,455 | BOYAmt |
| EOY | $24,100 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,444,478 | BOYAmt |
| EOY | $2,103,849 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $321,805 | BOYAmt |
| EOY | $285,712 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $48,331,659 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,923,090 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,213,077 | BOYAmt |
| EOY | $29,408,569 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,260,594 | BOYAmt |
| EOY | $7,984,795 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,335,801 | BOYAmt |
| EOY | $41,374,697 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,311,084 | BOYAmt |
| EOY | $1,606,058 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,618,741 | BOYAmt |
| EOY | $7,318,106 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,547,484 | BOYAmt |
| EOY | $3,290,561 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,477,309 | BOYAmt |
| EOY | $12,214,725 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,820,547 | BOYAmt |
| EOY | $21,421,739 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,937,945 | BOYAmt |
| EOY | $7,638,233 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,858,492 | BOYAmt |
| EOY | $29,159,972 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,335,801 | BOYAmt |
| EOY | $41,374,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$16,698,520 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $434,410 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $985,260 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $478,865 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $490,692 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $347,956 | CurrentTaxYearAmt |
| Total | $2,737,183 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,334,868 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,689,534 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,435,240 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,226,048 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,393,569 | CurrentTaxYearAmt |
| Total | $74,079,259 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,769,278 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,674,794 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,914,105 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,716,740 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,741,525 | CurrentTaxYearAmt |
| Total | $76,816,442 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $76,816,442 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,383 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,519,080 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,967,420 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,991,363 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,644 | CurrentTaxYearAmt |
| Total | $8,531,890 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,383 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,519,080 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,967,420 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,991,363 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,644 | CurrentTaxYearAmt |
| Total | $8,531,890 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $205,025 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $248,228 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $144,229 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $114,716 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $229,426 | CurrentTaxYearAmt |
| Total | $941,624 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,997,686 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,442,102 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,025,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,822,819 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,001,595 | CurrentTaxYearAmt |
| Total | $86,289,956 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.89020 | PublicSupportCY509Pct |
| Public Support PY509 | 0.86230 | PublicSupportPY509Pct |
| Investment Income CY | 0.09890 | InvestmentIncomeCYPct |
| Investment Income PY | 0.12720 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,959,360 | BeginningYearBalanceAmt |
| Contributions | $24,749 | ContributionsAmt |
| Investment Earnings Or Losses | $24,618 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $16,502,356 | OtherExpendituresAmt |
| Administrative Expenses | $84,342 | AdministrativeExpensesAmt |
| End Year Balance | $8,422,029 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $24,380,738 | BeginningYearBalanceAmt |
| Contributions | $333,701 | ContributionsAmt |
| Investment Earnings Or Losses | $1,995,544 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,550,884 | OtherExpendituresAmt |
| Administrative Expenses | $199,739 | AdministrativeExpensesAmt |
| End Year Balance | $24,959,360 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $28,596,406 | BeginningYearBalanceAmt |
| Contributions | $369,637 | ContributionsAmt |
| Investment Earnings Or Losses | $2,931,120 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,287,019 | OtherExpendituresAmt |
| Administrative Expenses | $229,406 | AdministrativeExpensesAmt |
| End Year Balance | $24,380,738 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $27,990,135 | BeginningYearBalanceAmt |
| Contributions | $892,976 | ContributionsAmt |
| Investment Earnings Or Losses | $3,507,128 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,566,544 | OtherExpendituresAmt |
| Administrative Expenses | $227,289 | AdministrativeExpensesAmt |
| End Year Balance | $28,596,406 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $32,285,791 | BeginningYearBalanceAmt |
| Contributions | $352,352 | ContributionsAmt |
| Investment Earnings Or Losses | $7,208 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,397,420 | OtherExpendituresAmt |
| Administrative Expenses | $257,796 | AdministrativeExpensesAmt |
| End Year Balance | $27,990,135 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,135,037 | OtherCostOrOtherBasisAmt |
| Book Value | $1,135,037 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,684,951 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,913,234 | DepreciationAmt |
| Book Value | $23,771,717 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,511,671 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,009,856 | DepreciationAmt |
| Book Value | $4,501,815 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,408,569 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| US Government Bonds | $965,942 | F |
| US Governmant Agencies | $562,478 | F |
| Corporate Bonds | $478,225 | F |
| Mutual Funds & Equities | $5,978,150 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $7,984,795 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Refundable Deposits | Desc |
| Amt | $3,290,561 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,290,561 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,001,595 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,001,595 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,001,595 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,700,115 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,700,115 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $32,700,115 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The Home's endowment fund is used to 1) provide income to offset operating costs in order to provide affordable skilled nursing care to residents and 2) provide a source of income to pay for capital improvements to the Home's physical plant. |
| Part X, Line 2: | The evaluation of a tax position in accordance with this Interpretation 48 is a two-step process. The first step is recognition: The organization determines whether it is more likely than not that a tax position will be sustained upon examination, including resolution of any related appeals or litigation processes, based on the technical merits of the position. In evaluating whether a tax position has met the more-likely-than-not recognition threshold, the enterprise should presume that the position will be examined by the appropriate taxing authority that has full knowledge of all relevant information. The second step is measurement: A tax position that meets the more-likely-than-not recognition threshold is measured to determine the amount of benefit to recognize in the financial statements. The tax position is measured at the largest amount of benefit that is greater than 50 percent likely of being realized upon ultimate settlement. Implementation of ASC Section 740 began with Good Samaritan's year ended September 30, 2009. The implementation of ASC Section 740 has not had any material effect on the financial statements of the Good Samaritan Home of Quincy. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Samaritan Home Foundation | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2130 Harrison St | AddressLine1Txt |
| City | Quincy | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 461945910 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Non Cash Assistance | $14,545,396 | NonCashAssistanceAmt |
| Valuation Method Used | FMV-Actively Traded Markets | ValuationMethodUsedDesc |
| Non Cash Assistance | Investment securities | NonCashAssistanceDesc |
| Purpose Of Grant | Grant was made to establish an endowment in the Good Samritan Home Foundation, dedicated to supporting the Good Samaritan Home of Quincy | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Duffy | PersonNm |
| Title | Adminstrator | TitleTxt |
| Base Compensation Filing Org | $142,430 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $5,583 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $9,135 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $157,148 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 3 | FormAndLineReferenceDesc |
| Explanation | The Board's Executive Committee serves as the compensation committee and reviews the compensation of the Administrator annually. Salary comparisons are made to other comparable nursing homes in the area when determining the salary. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | City of Quincy Adams County Illinois | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 376000378 | BondIssuerEIN |
| Bond Issued | 2009-12-01 | BondIssuedDt |
| Issue Price | $100 | IssuePriceAmt |
| Purpose | To finance a portion of the Home's construction project | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $300,635 | RetiredAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | Yes (1) | Form8038TFiledInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule N IRS990ScheduleN
Disposition Of Assets Detail DispositionOfAssetsDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Distri Or Expnss Paid | During the year ended September 30, 2015, Good Samaritan Home transferred a portion of its endowment to fund the Good Samaritan Home Foundation, an emtity dedicated to the support of the Good Samaritan Home of Quincy. Assets transferred included cash and investment securities. | AssetsDistriOrExpnssPaidDesc |
| Distribution | 2015-02-02 | DistributionDt |
| Fair Market Value Of Asset | $14,545,396 | FairMarketValueOfAssetAmt |
| Method Of FMV Determination | Fair value of the assets transferred as quoted on active markets | MethodOfFMVDeterminationTxt |
| EIN | 461945910 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Good Samaritan Home Foundatiion | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2130 Harrison St | AddressLine1Txt |
| City | Quincy | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRC Section | 501(c)(3) | IRCSectionTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor2 | 0 | DirectorOfSuccessor2Ind |
| Employee Of Successor2 | 0 | EmployeeOfSuccessor2Ind |
| Owner Of Successor2 | 0 | OwnerOfSuccessor2Ind |
| Receive Compensation2 | 0 | ReceiveCompensation2Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | One board member is a partner in the law firm that represents the Organization, a second board member is a principal in a painting firm that was hired by the general contractor overseeing the construction and renovation project undertaken by the Organization. |
| Form 990, Part VI, Section B, line 11 | Federal Form 990 and the audited financial statements are presented to the Board of Directors for their review. The auditor is available to members of the finance committee for questions before the 990 is filed. |
| Form 990, Part VI, Section B, line 12c | Officers and directors are required to disclose any potential conflicts of interest to the CEO and to abstain from voting on any such item. |
| Form 990, Part VI, Section B, line 15 | The Executive Committee of the Organization annually reviews the performance of the Administrator and Assistant Administrator. Compensation is determined by reviewing the performance assessment and comparable salaries of like individuals in area and regional nursing homes of similar size. The salary package is approved by the Executive Committee and documented in the records of the Organization. |
| Form 990, Part VI, Section C, line 18 | Federal Form 990 is available online at www.guidestar.org |
| Form 990, Part VI, Section C, line 19 | Information regarding the tax-exempt status of the Organization is available upon request. Federal Form 990 is available upon request or online at www.guidestar.org |
| Form 990, Part XI, Line 2C | The Finance Commitee of the Board of Directors is responsible for oversight of the audit |