Civic Intelligence

Good Samaritan Inn Inc

990 • Fiscal year 2017 • EIN 37-1121504

Apr 01, 2016 to Mar 31, 2017 • Filed on May 09, 2017

920 North UnionDecatur, IL 62523

(217) 429-1455

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

29th percentile

0.02x

Higher debt load relative to assets than 29% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Liabilities / Revenue

40th percentile

0.06x

Higher debt load relative to revenue than 40% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Net Margin

19th percentile

-11%

Higher net margin than 19% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2017

Asset Growth

28th percentile

-2.5%

Faster asset growth than 28% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Revenue Growth

36th percentile

-0.3%

Faster revenue growth than 36% of similar nonprofits.

2017 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2016 to 2017

Assets

Down

$1,920,968

Down $49,198 (-2.5%) from 2016

Net Assets

Down

$1,892,072

Down $56,316 (-2.9%) from 2016

Liabilities

Up

$28,896

Up $7,118 (+33%) from 2016

Revenue

Down

$494,633

Down $1,327 (-0.3%) from 2016

Expenses

Up

$550,948

Up $39,090 (+7.6%) from 2016

Net Income

Down

-$56,315

Down $40,417 (-254%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$3.0M$2.0M$1.0M$0Assets 2014: $2,029,864Liabilities 2014: $14,771Net Assets 2014: $2,015,0932014Assets 2015: $1,983,086Liabilities 2015: $18,800Net Assets 2015: $1,964,2862015Assets 2016: $1,970,166Liabilities 2016: $21,778Net Assets 2016: $1,948,3882016Assets 2017: $1,920,968Liabilities 2017: $28,896Net Assets 2017: $1,892,0722017Assets 2018: $2,022,686Liabilities 2018: $24,575Net Assets 2018: $1,998,1112018Assets 2019: $1,940,846Liabilities 2019: $20,128Net Assets 2019: $1,920,7182019Assets 2020: $1,743,481Liabilities 2020: $21,925Net Assets 2020: $1,721,5562020Assets 2021: $1,843,957Liabilities 2021: $73,534Net Assets 2021: $1,770,4232021Assets 2023: $1,970,067Liabilities 2023: $40,388Net Assets 2023: $1,929,6792023Assets 2024: $2,061,309Liabilities 2024: $34,211Net Assets 2024: $2,027,0982024Assets 2025: $2,026,412Liabilities 2025: $52,333Net Assets 2025: $1,974,0792025

Highlighted filing

2017

Assets$1,920,968
Liabilities$28,896
Net Assets$1,892,072

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2014: $458,939Expenses 2014: $430,467Net Income 2014: $28,4722014Revenue 2015: $378,749Expenses 2015: $429,556Net Income 2015: -$50,8072015Revenue 2016: $495,960Expenses 2016: $511,858Net Income 2016: -$15,8982016Revenue 2017: $494,633Expenses 2017: $550,948Net Income 2017: -$56,3152017Revenue 2018: $664,996Expenses 2018: $706,920Net Income 2018: -$41,9242018Revenue 2019: $510,105Expenses 2019: $587,497Net Income 2019: -$77,3922019Revenue 2020: $404,438Expenses 2020: $603,600Net Income 2020: -$199,1622020Revenue 2021: $620,622Expenses 2021: $572,427Net Income 2021: $48,1952021Revenue 2023: $712,769Expenses 2023: $732,204Net Income 2023: -$19,4352023Revenue 2024: $856,012Expenses 2024: $781,593Net Income 2024: $74,4192024Revenue 2025: $933,715Expenses 2025: $1,013,835Net Income 2025: -$80,1202025

Highlighted filing

2017

Revenue$494,633
Expenses$550,948
Net Income-$56,315
Jump To
Filing Snapshot
Filing Period
Apr 1, 2016 to Mar 31, 2017
Signed
May 9, 2017
Return Version
2016v3.0
Gross Receipts
$494,633
Mission and Program Overview

Mission

FREE MEAL PROGRAM

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,502,646$1,452,843▼ $49,803
Savings and Temporary Cash Investments$438,057$443,205▲ $5,148
Cash and Non-Interest-Bearing Accounts$14,462$23,558▲ $9,096
Prepaid Expenses and Deferred Charges$15,001$862▼ $14,139
Accounts Receivable-$500-
Total Assets$1,970,166$1,920,968▼ $49,198
Liabilities
Accounts Payable and Accrued Expenses$21,778$28,896▲ $7,118
Total Liabilities$21,778$28,896▲ $7,118
Net Assets / Fund Balance
Unrestricted Net Assets$1,948,388$1,892,072▼ $56,316
Total Net Assets Fund Balance$1,948,388$1,892,072▼ $56,316
Total Liabilities and Net Assets / Fund Balance$1,970,166$1,920,968▼ $49,198

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,439,064$310,047$1,749,111
Equipment$13,779$546,490$560,269
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jim JankowiczPresident
Paulette JacksonVice President
Stacey BrohardExecutive Director
Connie RequarthCorresponding Secretary
Brian TuckerRecording Secretary
Richard WesselTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$494,031
Program Service Revenue
$0
Investment Income
$602
Other Revenue
$0
All Other Contributions
$494,031
Change in Net Assets
$-56,315

Audited Revenue Reconciliation

Revenue per Audited Statements
$494,633
Total Revenue per Audited Statements
$494,633
Total Revenue per Form 990
$494,633
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$285,827
Other Expenses$265,121
Total Fundraising Expense$42,390
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$236,684-$26,044$262,728
Depreciation Depletion$88,219$487-$88,706
Other Expenses$54,423--$54,423
Occupancy$33,313--$33,313
Insurance$24,164--$24,164
Payroll Taxes$18,107-$1,992$20,099
All Other Expenses$626$2,915$13,607$17,148
Office Expenses$5,276$261$747$6,284
Other Employee Benefits$3,000--$3,000
Fees for Services Accounting-$1,700-$1,700
Total Functional Expenses$503,195$5,363$42,390$550,948

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$550,948
Total Expenses per Audited Statements$550,948
Total Expenses per Form 990$550,948
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

Governing body has review authority over the financial statement presentation

Conflict of interest policy compliance Part VI line 12C

Organization maintains a written conflict of interest policy. The policy sets forth a personal committment of board members to adhere to the goals of the good samaritan inn of public confidence and accountability. The members commit to not acting in a manner to advance their personal interests or that of others in a manner that is detrimental to the organization. The board member will disclose any potential conflict of interest that may favorably financially impact them or someone that they have a financial relationship with. The board member will abstain from voting on such matters. When all conflicts of interest or potential conflicts of interest arise, it will be diclosed to the director or chairman of the board of directors and a resolution sought. All board members sign annualy

CEO executive director top management comp Part VI line 15A

The organization utilites data from the bureau of labor statistics as well as the compensation paid to executive directors in comparable agencies in the local community to arrive at the salary for the executive director. The salary is determined to be within the range of normal for this area.

Governing documents etc available to public Part VI line 19

Form 990 is made available to the public upon request.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Inn Inc
EIN
37-1121504
Address
920 NORTH UNION, DECATUR, IL 62523

Signing Officer

Name
Richard Wessel
Title
President
Phone
2173620676
Signed
2017-05-09
Discuss with paid preparer
No

Organization Details

Formed
1982
Legal Domicile
Il
Voting Board Members
13
Independent Board Members
13
Employees
28

Preparer

Firm
Michael S Coffman CPA PC
Address
3110 N Kandy Lane, Decatur, IL 62526
Preparer
Sidney Duffer Jr
Phone
2178755080
Supplemental Narrative

Additional Explanations

Explanation of other changes in net assets or fund balances Part XI line 9

ROUNDING

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0GOVERNING BODY HAS REVIEW AUTHORITY OVER THE FINANCIAL STATEMENT PRESENTATION
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1ORGANIZATION MAINTAINS A WRITTEN CONFLICT OF INTEREST POLICY. THE POLICY SETS FORTH A PERSONAL COMMITTMENT OF BOARD MEMBERS TO ADHERE TO THE GOALS OF THE GOOD SAMARITAN INN OF PUBLIC CONFIDENCE AND ACCOUNTABILITY. THE MEMBERS COMMIT TO NOT ACTING IN A MANNER TO ADVANCE THEIR PERSONAL INTERESTS OR THAT OF OTHERS IN A MANNER THAT IS DETRIMENTAL TO THE ORGANIZATION. THE BOARD MEMBER WILL DISCLOSE ANY POTENTIAL CONFLICT OF INTEREST THAT MAY FAVORABLY FINANCIALLY IMPACT THEM OR SOMEONE THAT THEY HAVE A FINANCIAL RELATIONSHIP WITH. THE BOARD MEMBER WILL ABSTAIN FROM VOTING ON SUCH MATTERS. WHEN ALL CONFLICTS OF INTEREST OR POTENTIAL CONFLICTS OF INTEREST ARISE, IT WILL BE DICLOSED TO THE DIRECTOR OR CHAIRMAN OF THE BOARD OF DIRECTORS AND A RESOLUTION SOUGHT. ALL BOARD MEMBERS SIGN ANNUALY
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION UTILITES DATA FROM THE BUREAU OF LABOR STATISTICS AS WELL AS THE COMPENSATION PAID TO EXECUTIVE DIRECTORS IN COMPARABLE AGENCIES IN THE LOCAL COMMUNITY TO ARRIVE AT THE SALARY FOR THE EXECUTIVE DIRECTOR. THE SALARY IS DETERMINED TO BE WITHIN THE RANGE OF NORMAL FOR THIS AREA.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3FORM 990 IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4ROUNDING
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Explanation of other changes in net assets or fund balances Part XI line 9
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ReturnHeader/BuildTS02018-03-14 21:41:22Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0false
ReturnHeader/BusinessOfficerGrp/PersonNm0RICHARD WESSEL
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0PRESIDENT
ReturnHeader/BusinessOfficerGrp/PhoneNum02173620676
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-05-09
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GOOD SAMARITAN INN INC
ReturnHeader/Filer/BusinessNameControlTxt0GOOD
ReturnHeader/Filer/EIN0371121504
ReturnHeader/Filer/USAddress/AddressLine1Txt0920 NORTH UNION
ReturnHeader/Filer/USAddress/CityNm0DECATUR
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ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0406B32C79ED30811C3E3F9DFD263D6DA96C5763D
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId0406B32C79ED30811C3E3F9DFD263D6DA96C5763D
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionId03716892017279txywzrz
ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02017-10-06
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt098.214.213.185
ReturnHeader/FilingSecurityInformation/IPDt02017-10-06
ReturnHeader/FilingSecurityInformation/IPTm016:59:14
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0364176236
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0Michael S Coffman CPA PC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03110 N Kandy Lane
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Decatur
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd062526
ReturnHeader/PreparerPersonGrp/PhoneNum02178755080
ReturnHeader/PreparerPersonGrp/PreparationDt02017-10-06
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0SIDNEY DUFFER JR
ReturnHeader/ReturnTs02017-10-06T16:56:09-04:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02016-04-01
ReturnHeader/TaxPeriodEndDt02017-03-31
ReturnHeader/TaxYr02016

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