Civic Intelligence

Good Samaritan Inn Inc

990 • Fiscal year 2019 • EIN 37-1121504

Apr 01, 2018 to Mar 31, 2019 • Filed on Aug 13, 2019

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

28th percentile

0.01x

Higher debt load relative to assets than 28% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

36th percentile

0.04x

Higher debt load relative to revenue than 36% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Net Margin

16th percentile

-15%

Higher net margin than 16% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

51st percentile

$64,781

Higher top officer pay than 51% of similar nonprofits.

Top officer pay equals 12.7% of source-year revenue.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Asset Growth

22nd percentile

-4.0%

Faster asset growth than 22% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

13th percentile

-23%

Faster revenue growth than 13% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Assets

Down

$1,940,846

Down $81,840 (-4.0%) from 2018

Net Assets

Down

$1,920,718

Down $77,393 (-3.9%) from 2018

Liabilities

Down

$20,128

Down $4,447 (-18%) from 2018

Revenue

Down

$510,105

Down $154,891 (-23%) from 2018

Expenses

Down

$587,497

Down $119,423 (-17%) from 2018

Net Income

Down

-$77,392

Down $35,468 (-85%) from 2018

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

2019

Assets$1,940,846
Liabilities$20,128
Net Assets$1,920,718

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

2019

Revenue$510,105
Expenses$587,497
Net Income-$77,392
Jump To
Filing Snapshot
Filing Period
Apr 1, 2018 to Mar 31, 2019
Signed
Aug 13, 2019
Return Version
2018v3.1
Gross Receipts
$510,105
Mission and Program Overview

Mission

FREE MEAL PROGRAM

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,495,407$1,413,135▼ $82,272
Savings and Temporary Cash Investments$501,494$456,034▼ $45,460
Cash and Non-Interest-Bearing Accounts$10,945$54,854▲ $43,909
Inventories for Sale or Use$10,393$12,243▲ $1,850
Total Assets$2,022,686$1,940,846▼ $81,840
Other Assets Total$4,447$4,580▲ $133
Liabilities
Accounts Payable and Accrued Expenses$24,575$20,128▼ $4,447
Total Liabilities$24,575$20,128▼ $4,447
Net Assets / Fund Balance
Unrestricted Net Assets$1,913,111$1,835,718▼ $77,393
Temporarily Rstr Net Assets$60,000$60,000→ $0
Permanently Rstr Net Assets$25,000$25,000→ $0
Total Net Assets Fund Balance$1,998,111$1,920,718▼ $77,393
Total Liabilities and Net Assets / Fund Balance$2,022,686$1,940,846▼ $81,840

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$1,413,135$335,976$1,749,111
Equipment-$575,481$575,481
Other Assets Org$4,580--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseTotal
Stacey BrohardExecutive DirectorFT$64,781$64,781

Board Members and Trustees

NameTitle
Connie RequarthPresident
Paulette JacksonVice President
Sue HempCorresponding Secretary
Brian TuckerRecording Secretary
Dave MorrTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$508,441
Program Service Revenue
$0
Investment Income
$1,664
Other Revenue
$0
All Other Contributions
$76,680
Change in Net Assets
$-77,392

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeReported AmountValuation Method
Food Inventory$25,239Average Per Pound
Total Noncash Contributions$25,239-

Audited Revenue Reconciliation

Revenue per Audited Statements
$510,105
Revenue Not Reported on Form 990
$115,640
Total Revenue per Audited Statements
$625,745
Total Revenue per Form 990
$510,105
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$311,601
Other Expenses$275,896
Total Fundraising Expense$12,912
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$281,946-$6,478$288,424
Depreciation Depletion$96,921$563-$97,484
Occupancy$39,274--$39,274
All Other Expenses$29,102$3,420$5,938$38,460
Payroll Taxes$22,681-$496$23,177
Insurance$23,017--$23,017
Fees for Services Other$17,439--$17,439
Other Expenses$14,775--$14,775
Office Expenses$5,951--$5,951
Fees for Services Accounting-$2,750-$2,750
Total Functional Expenses$567,852$6,733$12,912$587,497

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$703,137
Expenses per Audited Statements$587,497
Total Expenses per Form 990$587,497
Expenses Not Reported on Form 990$115,640
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
Stacey Brohard
Title
Executive Direc
Phone
2173620676
Signed
2019-08-13
Discuss with paid preparer
Yes

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

List of other expenses Part IX line 24E

Dues and subscriptions 325education expense 994general expense 2,544cost of sales donated grocery items 25,239

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IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0575481
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IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt04580
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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/ExplanationTxt5DUES AND SUBSCRIPTIONS 325EDUCATION EXPENSE 994GENERAL EXPENSE 2,544COST OF SALES DONATED GROCERY ITEMS 25,239
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
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5List of other expenses Part IX line 24e
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IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0567852
IRS990/TotalFunctionalExpensesGrp/TotalAmt0587497
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ReturnHeader/BuildTS02020-03-31 21:24:44Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0STACEY BROHARD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0EXECUTIVE DIREC
ReturnHeader/BusinessOfficerGrp/PhoneNum02173620676
ReturnHeader/BusinessOfficerGrp/SignatureDt02019-08-13
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
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ReturnHeader/FilingSecurityInformation/FederalOriginalSubmissionIdDt02019-11-27
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt098.215.31.187
ReturnHeader/FilingSecurityInformation/IPDt02019-11-27
ReturnHeader/FilingSecurityInformation/IPTm016:12:56
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/PreparationDt02019-11-27
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0SIDNEY DUFFER JR

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