Civic Intelligence

Good Samaritan Home Foundation

990 • Fiscal year 2020 • EIN 46-1945910

Oct 01, 2019 to Sep 30, 2020 • Filed on Aug 16, 2021

2130 Harrison StreetQuincy, IL 62301

(217) 223-8717

Siviq Scores

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

Liabilities / Assets

5th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2020

Liabilities / Revenue

5th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2020

Net Margin

93rd percentile

60%

Higher net margin than 93% of similar nonprofits.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2020

Top Officer Pay

14th percentile

$0

Higher top officer pay than 14% of similar nonprofits.

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

2020 filings • 501(c)3 • $10M-$25M nonprofits • Source year 2020

Asset Growth

59th percentile

10%

Faster asset growth than 59% of similar nonprofits.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2019 to 2020

Revenue Growth

63rd percentile

8.3%

Faster revenue growth than 63% of similar nonprofits.

2020 filings • 501(c)3 • $10M-$25M nonprofits • Annualized from 2019 to 2020

Assets

Up

$15,220,098

Up $1,400,026 (+10%) from 2019

Net Assets

Up

$15,220,098

Up $1,400,026 (+10%) from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue

Up

$752,075

Up $57,956 (+8.3%) from 2019

Expenses

Down

$300,531

Down $305,255 (-50%) from 2019

Net Income

Up

$451,544

Up $363,211 (+411%) from 2019

Historical Trend

Balance Sheet Trend

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

$20M$15M$10M$5.0M$0Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014Assets 2015: $13,698,585Liabilities 2015: $30,000Net Assets 2015: $13,668,5852015Assets 2017: $13,305,510Liabilities 2017: $321,651Net Assets 2017: $12,983,8592017Assets 2018: $13,738,205Liabilities 2018: $0Net Assets 2018: $13,738,2052018Assets 2019: $13,820,072Liabilities 2019: $0Net Assets 2019: $13,820,0722019Assets 2020: $15,220,098Liabilities 2020: $0Net Assets 2020: $15,220,0982020Assets 2021: $16,632,009Liabilities 2021: $0Net Assets 2021: $16,632,0092021Assets 2022: $13,460,054Liabilities 2022: $0Net Assets 2022: $13,460,0542022Assets 2023: $13,276,670Liabilities 2023: $1,125Net Assets 2023: $13,275,5452023Assets 2024: $12,480,249Liabilities 2024: $4,496Net Assets 2024: $12,475,7532024

Highlighted filing

2020

Assets$15,220,098
Liabilities$0
Net Assets$15,220,098

Operations Trend

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

$15M$10M$5.0M$0-$5.0MRevenue 2014: $0Expenses 2014: $0Net Income 2014: $02014Revenue 2015: $14,616,521Expenses 2015: $206,480Net Income 2015: $14,410,0412015Revenue 2017: $603,563Expenses 2017: $1,930,742Net Income 2017: -$1,327,1792017Revenue 2018: $598,668Expenses 2018: $350,405Net Income 2018: $248,2632018Revenue 2019: $694,119Expenses 2019: $605,786Net Income 2019: $88,3332019Revenue 2020: $752,075Expenses 2020: $300,531Net Income 2020: $451,5442020Revenue 2021: $1,661,762Expenses 2021: $722,342Net Income 2021: $939,4202021Revenue 2022: $900,429Expenses 2022: $699,366Net Income 2022: $201,0632022Revenue 2023: $1,001,629Expenses 2023: $1,742,064Net Income 2023: -$740,4352023Revenue 2024: $1,859,310Expenses 2024: $3,749,116Net Income 2024: -$1,889,8062024

Highlighted filing

2020

Revenue$752,075
Expenses$300,531
Net Income$451,544
Jump To
Filing Snapshot
Filing Period
Oct 1, 2019 to Sep 30, 2020
Signed
Aug 16, 2021
Return Version
2019v5.2
Gross Receipts
$752,075
Mission and Program Overview

Mission

To support the Good Samaritan Home of Quuincy

To support the mission of the good samaritan home of quincy.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$13,617,677$14,737,201▲ $1,119,524
Savings and Temporary Cash Investments$202,395$482,897▲ $280,502
Total Assets$13,820,072$15,220,098▲ $1,400,026
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$13,820,072$15,220,098▲ $1,400,026
Total Net Assets Fund Balance$13,820,072$15,220,098▲ $1,400,026
Total Liabilities and Net Assets / Fund Balance$13,820,072$15,220,098▲ $1,400,026
Compensation and Service Providers

Board Members and Trustees

NameTitle
Mike BickhausPresident
Todd MooreVice President
Bill KellerBoard Member
Gary BlickhanBoard Member
Lewin DavisBoard Member
Paul KemnerBoard Member
Randy RileyBoard Member
Charles NewtonCEO
David StieglitzCFO
Laura EhrhartSecretary/treasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Good Samaritan Home Of QuincyManagement Services2130 HARRISON STREET, Quincy, IL 62301$200,000
Revenue and Support

Revenue Composition

Contributions and Grants
$101,536
Program Service Revenue
$0
Investment Income
$650,539
Other Revenue
$0
All Other Contributions
$101,536
Change in Net Assets
$451,544
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$282,815
Total Fundraising Expense$60,000
Grants and Similar Amounts Paid$17,716
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Management-$139,315$60,000$199,315
Fees for Service Investment Mgmnt Fees-$83,500-$83,500
Grants to Domestic Orgs$17,716--$17,716
Total Functional Expenses$17,716$222,815$60,000$300,531
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Good Samaritan Home of QuincyQuincy, IL501(c)(3)Support$17,716
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
Business relationship with 35% controlled entity
No
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
No
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
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Good samaritan home of quincy provides management services to good samaritan home foundation under a management contract to operate and assist with fundraising needs of the foundation.

Form 990, Part VI, Section B, Line 11B

The federal form 990 is prepared by an independent accounting firm based on the information provided by the accounting department of the organization a draft of the return is reviewed by the board before being filed with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

Each board member is required to sign a conflict of interest statement and confidentiality agreement if any conflicts/issues arise, it is immediately dealt with by the executive committee, administration and or both.

Form 990, Part VI, Section C, Line 19

Governing documents, conflict of interest policy, and financial statements are made available by request.

Filing and Contact Details

Filer

Filer Name
Good Samaritan Home Foundation
EIN
46-1945910
Phone
2172238717
Address
2130 HARRISON STREET, QUINCY, IL 62301

Signing Officer

Name
Charles Newton
Title
CEO
Phone
2172238717
Signed
2021-08-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Charles Newton
Formed
2013
Legal Domicile
Il
Voting Board Members
8
Independent Board Members
8
Employees
0
Volunteers
8

Preparer

Firm
Marcum Llp
Address
9 PARKWAY NORTH SUITE 200, DEERFIELD, IL 60015
Preparer
Ariana Warren
Phone
8472826300
Raw XML AppendixShowing 400 of 405 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0TO SUPPORT THE MISSION OF THE GOOD SAMARITAN HOME OF QUINCY.
IRS990/AllOtherContributionsAmt0101536
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/BooksInCareOfDetail/PersonNm0MIKE BICKHAUS
IRS990/BooksInCareOfDetail/PhoneNum02172238717
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02130 HARRISON STREET
IRS990/BooksInCareOfDetail/USAddress/CityNm0QUINCY
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0IL
IRS990/BooksInCareOfDetail/USAddress/ZIPCd062301
IRS990/BusinessRlnWith35CtrlEntInd00
IRS990/BusinessRlnWithFamMemInd00
IRS990/BusinessRlnWithOrgMemInd00
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt01
IRS990/CollectionsOfArtInd00
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd00
IRS990/CompensationProcessOtherInd00
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd00
IRS990/ContractorCompensationGrp/CompensationAmt0200000
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt02130 HARRISON STREET
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0QUINCY
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0IL
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd062301
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0GOOD SAMARITAN HOME OF QUINCY
IRS990/ContractorCompensationGrp/ServicesDesc0MANAGEMENT SERVICES
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0101536
IRS990/CYGrantsAndSimilarPaidAmt017716
IRS990/CYInvestmentIncomeAmt0650539
IRS990/CYOtherExpensesAmt0282815
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt00
IRS990/CYRevenuesLessExpensesAmt0451544
IRS990/CYSalariesCompEmpBnftPaidAmt00
IRS990/CYTotalExpensesAmt0300531
IRS990/CYTotalFundraisingExpenseAmt060000
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt0752075
IRS990/DecisionsSubjectToApprovaInd00
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DelegationOfMgmtDutiesInd01
IRS990/Desc0THE GOOD SAMARITAN HOME FOUNDATION SUPPORTS THE GOOD SAMARITAN HOME OF QUINCY BY PROVIDING GRANTS.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd00
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/DonorRstrOrQuasiEndowmentsInd00
IRS990/ElectionOfBoardMembersInd00
IRS990/EmployeeCnt00
IRS990/EngagedInExcessBenefitTransInd00
IRS990/ExpenseAmt017716
IRS990/FamilyOrBusinessRlnInd00
IRS990/FederalGrantAuditRequiredInd00
IRS990/FeesForServicesManagementGrp/FundraisingAmt060000
IRS990/FeesForServicesManagementGrp/ManagementAndGeneralAmt0139315
IRS990/FeesForServicesManagementGrp/TotalAmt0199315
IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt083500
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt083500
IRS990/ForeignActivitiesInd00
IRS990/ForeignFinancialAccountInd00
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt01.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt11.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt21.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt31.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt41.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt51.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt61.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt71.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt85.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt910.00
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/PersonNm0MIKE BICKHAUS
IRS990/Form990PartVIISectionAGrp/PersonNm1TODD MOORE
IRS990/Form990PartVIISectionAGrp/PersonNm2LAURA EHRHART
IRS990/Form990PartVIISectionAGrp/PersonNm3GARY BLICKHAN
IRS990/Form990PartVIISectionAGrp/PersonNm4LEWIN DAVIS
IRS990/Form990PartVIISectionAGrp/PersonNm5BILL KELLER
IRS990/Form990PartVIISectionAGrp/PersonNm6PAUL KEMNER
IRS990/Form990PartVIISectionAGrp/PersonNm7RANDY RILEY
IRS990/Form990PartVIISectionAGrp/PersonNm8CHARLES NEWTON
IRS990/Form990PartVIISectionAGrp/PersonNm9DAVID STIEGLITZ
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/TitleTxt0PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt2SECRETARY/TREASURER
IRS990/Form990PartVIISectionAGrp/TitleTxt3BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt4BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt5BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt6BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt7BOARD MEMBER
IRS990/Form990PartVIISectionAGrp/TitleTxt8CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt9CFO
IRS990/Form990ProvidedToGvrnBodyInd01
IRS990/FormationYr02013
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedInd00
IRS990/FundraisingActivitiesInd00
IRS990/GainOrLossGrp/SecuritiesAmt0394014
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt08
IRS990/GrantAmt017716
IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt017716
IRS990/GrantsToDomesticOrgsGrp/TotalAmt017716
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd01
IRS990/GrantToRelatedPersonInd00
IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt0394014
IRS990/GrossReceiptsAmt0752075
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd00
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt08
IRS990/IndivRcvdGreaterThan100KCnt00
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InvestmentIncomeGrp/ExclusionAmt0256525
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt0256525
IRS990/InvestmentInJointVentureInd00
IRS990/InvestmentsPubTradedSecGrp/BOYAmt013617677
IRS990/InvestmentsPubTradedSecGrp/EOYAmt014737201
IRS990/IRPDocumentCnt00
IRS990/IRPDocumentW2GCnt00
IRS990/LegalDomicileStateCd0IL
IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt00
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd00
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0TO SUPPORT THE MISSION OF THE GOOD SAMARITAN HOME OF QUINCY.
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt013820072
IRS990/NetAssetsOrFundBalancesEOYAmt015220098
IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt0394014
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt0394014
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NetUnrlzdGainsLossesInvstAmt0948489
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt013820072
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt015220098
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd00
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherChangesInNetAssetsAmt00
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PoliticalCampaignActyInd00
IRS990/PrincipalOfficerNm0CHARLES NEWTON
IRS990/PriorPeriodAdjustmentsAmt0-7
IRS990/ProfessionalFundraisingInd00
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt082890
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt0303100
IRS990/PYInvestmentIncomeAmt0611229
IRS990/PYOtherExpensesAmt0302686
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt00
IRS990/PYRevenuesLessExpensesAmt088333
IRS990/PYSalariesCompEmpBnftPaidAmt00
IRS990/PYTotalExpensesAmt0605786
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt0694119
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0451544
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd00
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd00
IRS990/ReportProgramRelatedInvstInd00
IRS990/SavingsAndTempCashInvstGrp/BOYAmt0202395
IRS990/SavingsAndTempCashInvstGrp/EOYAmt0482897
IRS990ScheduleA/Form990SchASupportingOrgGrp/Contribution35ControlledInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionControllerInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ContributionFamilyInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ControlledDisqualifiedPrsnInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnControllIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/DisqualifiedPrsnOwnrIntInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ExcessBusinessHoldingsRulesInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/ListedByNameGoverningDocInd01
IRS990ScheduleA/Form990SchASupportingOrgGrp/LoanDisqualifiedPersonInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/OrganizationChangeSuprtOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/PaymentSubstantialContribtrInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgNotOrganizedUSInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportedOrgSectionC456Ind00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SupportNonSupportedOrgInd00
IRS990ScheduleA/Form990SchASupportingOrgGrp/SuprtOrgNoIRSDeterminationInd00
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0ORGANIZATION MANAGEMENT: ACCORDING TO REG. SECT 1.509(A)-4(H)(1), IN ORDER FOR A SUPPORTING ORGANIZATION TO BE "SUPERVISED OR CONTROLLED IN CONNECTION WITH" ONE OR MORE PUBLICLY SUPPORTED ORGANIZATIONS, THERE MUST BE COMMON SUPERVISION OR CONTROL BY THE PERSONS SUPERVISING OR CONTROLLING BOTH THE SUPPORTING ORGANIZATION AND THE PUBLICLY SUPPORTED ORGANIZATIONS TO ENSURE THAT THE SUPPORTING ORGANIZATION WILL BE RESPONSIVE TO THE NEEDS AND REQUIREMENTS OF THE PUBLICLY SUPPORTED ORGANIZATION(S). THEREFORE, IN ORDER TO MEET SUCH REQUIREMENT, THE CONTROL OR MANAGEMENT OF THE SUPPORTING ORGANIZATION MUST BE VESTED IN THE SAME PERSONS THAT CONTROL OR MANAGE THE PUBLICLY SUPPORTED ORGANIZATIONS. THE MOST COMMON WAY TO SATISFY THIS REQUIREMENT IS WITH 50% BOARD OVERLAP, HOWEVER, THAT IS NOT REQUIRED. GOOD SAMARITAN HOME OF QUINCY, EIN 37-0724112, IS THE SUPPORTED ORGANIZATION. THE CEO AND CFO OF GOOD SAMARITAN HOME OF QUINCY ARE ELECTED OFFICERS OF THE FOUNDATION AND THE FOUNDATION HAS A MANAGEMENT AGREEMENT WITH THE HOME IN WHICH THE HOME PROVIDES MANAGEMENT AND FINANCIAL OVERSIGHT. THERE ARE ALSO THREE OUT OF EIGHT OVERLAPPING BOARD MEMBERS BETWEEN THE TWO ORGANIZATIONS. THE CEO, CFO, AND THREE BOARD MEMBERS THAT ALSO SERVE ON THE GOOD SAMARITAN HOME OF QUINCY BOARD COMBINE FOR A TOTAL OF FIVE OUT OF TEN GOOD SAMARITAN HOME FOUNDATION BOARD MEETING ATTENDEES, WHICH IS 50% OVERLAP. ACCORDING TO THE GOOD SAMARITAN HOME FOUNDATION BYLAWS, THE PRESIDENT, FIRST VICE PRESIDENT, AND SECOND VICE PRESIDENT OF GOOD SAMARITAN HOME OF QUINCY WILL ALWAYS SERVE ON THE BOARD OF GOOD SAMARITAN HOME FOUNDATION. ADDITIONALLY, THE FINANCE TEAM FROM GOOD SAMARITAN HOME OF QUINCY OVERSEES ALL FINANCES FOR BOTH ORGANIZATIONS. THE ORGANIZATIONAL DOCUMENTS ALSO STATE THE ORGANIZATIONS PURPOSE IS TO RECEIVE AND DISBURSE FUNDS, PROPERTY, AND GIFTS OF ANY KIND EXCLUSIVELY FOR THE BENEFIT OF GOOD SAMARITAN HOME OF QUINCY, A 501(C)(3) TAX-EXEMPT ORGANIZATION CLASSIFIED UNDER SECTION 509(A)(2). UPON DISSOLUTION OF GOOD SAMARITAN HOME FOUNDATION, ALL ASSETS WILL BE DISTRIBUTED TO GOOD SAMARITAN HOME OF QUINCY.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0SCHEDULE A, PART IV, SECTION C, LINE 1:
IRS990ScheduleA/MajorityDirTrstSupportedOrgInd00
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0370724112
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd010
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt017716
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0GOOD SAMARITAN HOME OF QUINCY
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType2Ind0X
IRS990ScheduleA/SupportSumAmt017716
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd01
IRS990ScheduleI/GrantRecordsMaintainedInd01
IRS990ScheduleI/RecipientTable/CashGrantAmt017716
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)(3)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0SUPPORT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0GOOD SAMARITAN HOME OF QUINCY
IRS990ScheduleI/RecipientTable/RecipientEIN0370724112
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt02130 HARRISON STREET
IRS990ScheduleI/RecipientTable/USAddress/CityNm0QUINCY
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd0IL
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd062301
IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0THE ONLY GRANT AWARDED WAS PROVIDED A DOMESTIC ORGANIZATION WITH SHARED GOVERNANCE. ACCORDINGLY, FORMAL PROCEDURES WERE NOT PLACED FOR SELF-MONITORING. THE CLOSE RELATIONSHIP ENABLES THE ORGANIZATION TO MONITOR THE USE OF THE ASSISTANCE PROVIDED.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 2:
IRS990ScheduleI/Total501c3OrgCnt01
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0GOOD SAMARITAN HOME OF QUINCY PROVIDES MANAGEMENT SERVICES TO GOOD SAMARITAN HOME FOUNDATION UNDER A MANAGEMENT CONTRACT TO OPERATE AND ASSIST WITH FUNDRAISING NEEDS OF THE FOUNDATION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1THE FEDERAL FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION A DRAFT OF THE RETURN IS REVIEWED BY THE BOARD BEFORE BEING FILED WITH THE INTERNAL REVENUE SERVICE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2EACH BOARD MEMBER IS REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT AND CONFIDENTIALITY AGREEMENT IF ANY CONFLICTS/ISSUES ARISE, IT IS IMMEDIATELY DEALT WITH BY THE EXECUTIVE COMMITTEE, ADMINISTRATION AND OR BOTH.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE BY REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 3
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt0GOOD SAMARITAN HOME OF QUINCY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN0370724112
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt0501(C)(3)
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt0CHRISTIAN SERVICE WITHIN CHARITABLE COMMUNITY.
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt0LINE 10
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt02130 HARRISON STREET
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm0QUINCY
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd0IL
IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd062301
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd00
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0IL
IRS990/SubjectToExcsTaxNetInvstIncInd00
IRS990/SubjectToProxyTaxInd00
IRS990/SubjToTaxRmnrtnExPrchtPymtInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt013820072
IRS990/TotalAssetsEOYAmt015220098
IRS990/TotalAssetsGrp/BOYAmt013820072
IRS990/TotalAssetsGrp/EOYAmt015220098
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0101536
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt060000
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt0222815
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt017716
IRS990/TotalFunctionalExpensesGrp/TotalAmt0300531
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt013820072
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt015220098
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt017716
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt0650539
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0752075
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt08
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt013820072
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt015220098
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02130 HARRISON STREET
IRS990/USAddress/CityNm0QUINCY
IRS990/USAddress/StateAbbreviationCd0IL
IRS990/USAddress/ZIPCd062301
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0WWW.GSHQ.ORG
IRS990/WhistleblowerPolicyInd01
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0CHARLES NEWTON
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CEO
ReturnHeader/BusinessOfficerGrp/PhoneNum02172238717
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-08-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0GOOD SAMARITAN HOME FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0GOOD
ReturnHeader/Filer/EIN0461945910
ReturnHeader/Filer/PhoneNum02172238717
ReturnHeader/Filer/USAddress/AddressLine1Txt02130 HARRISON STREET
ReturnHeader/Filer/USAddress/CityNm0QUINCY
ReturnHeader/Filer/USAddress/StateAbbreviationCd0IL
ReturnHeader/Filer/USAddress/ZIPCd062301
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0111986323
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MARCUM LLP
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt09 PARKWAY NORTH SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0DEERFIELD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0IL
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd060015
ReturnHeader/PreparerPersonGrp/PhoneNum08472826300
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0ARIANA WARREN

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings