GOOD SAMARITAN HOME OF QUINCY: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- GOOD SAMARITAN HOME OF QUINCY (EIN 37-0724112)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-14
- IRS object ID
- 202342269349302954
- Schema version
- 2021v4.2
- 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 C
- Schedule D
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-14T15:43:09-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 111986323 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARCUM LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9 PARKWAY NORTH SUITE 200 | AddressLine1Txt |
| City | DEERFIELD | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | 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 | EMMA MCLEOD | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2172238717 | PhoneNum |
| Signature | 2023-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | EMMA | PersonFirstNm |
| Person Last | MCLEOD | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ARIANA WARREN | PreparerPersonNm |
| PTIN | P01441395 | PTIN |
| Phone | 8472826300 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW DORIAN | PrincipalOfficerNm |
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) |
|---|---|---|
| Gross Receipts | $24,848,108 | 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 | 1925 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | SUPERIOR CHRISTIAN SERVICE IN A CHARITABLE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 402 | TotalEmployeeCnt |
| Total Volunteers | 80 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,633,141 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,745,705 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,579,127 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,770,278 | CYProgramServiceRevenueAmt |
| PY Investment Income | $783,734 | PYInvestmentIncomeAmt |
| CY Investment Income | $607,807 | CYInvestmentIncomeAmt |
| PY Other Revenue | $101,573 | PYOtherRevenueAmt |
| CY Other Revenue | $107,345 | CYOtherRevenueAmt |
| PY Total Revenue | $19,097,575 | PYTotalRevenueAmt |
| CY Total Revenue | $20,231,135 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,386,384 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,872,704 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,617,015 | PYOtherExpensesAmt |
| CY Other Expenses | $6,816,194 | CYOtherExpensesAmt |
| PY Total Expenses | $19,003,399 | PYTotalExpensesAmt |
| CY Total Expenses | $18,688,898 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $94,176 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,542,237 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $32,676,656 | TotalAssetsBOYAmt |
| Total Assets EOY | $32,437,749 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,286,638 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,065,374 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $25,390,018 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,372,375 | NetAssetsOrFundBalancesEOYAmt |
| Mission | SERVING OUR RESIDENTS, THEIR FAMILIES, STAFF AND THE GREATER COMMUNITY THROUGH COMPASSIONATE CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,765,210 | ExpenseAmt |
| Revenue | $10,414,493 | RevenueAmt |
| Desc | GOOD SAMARITAN HOME OF QUINCY OPERATES A SKILLED NURSING FACILITY. THIS FACILITY OFFERS 24-HOUR CARE. THERE IS AN EXTENSIVE ACTIVITY PROGRAM THAT INCLUDES OUTINGS, CRAFTS, COOKING, ENTERTAINMENT, AND DAILY CHAPEL SERVICES TO HELP KEEP RESIDENTS ACTIVE. GOOD SAMARITAN PROVIDES CHARITY CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR SERVICES. DURING FY 2022, THE ORGANIZATION SERVED A DAILY AVERAGE OF 116 RESIDENTS THROUGH ITS SKILLED NURSING FACILITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,176,933 | ExpenseAmt |
| Revenue | $2,275,146 | RevenueAmt |
| Desc | GOOD SAMARITAN HOME OF QUINCY OFFERS 180 COTTAGES FOR INDEPENDENT LIVING. THE COTTAGES OFFER THE PRIVACY AND INDEPENDENCE OF HAVING YOUR OWN APARTMENT. COTTAGERS ARE WELCOME TO PARTICIPATE IN ACTIVITIES AT THE HOME, SUCH AS AQUATIC EXERCISE CLASSES, OUTINGS, ENTERTAINMENT, AND DAILY CHAPEL SERVICES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,418,357 | ExpenseAmt |
| Revenue | $1,080,639 | RevenueAmt |
| Desc | GOOD SAMARITAN HOME OF QUINCY OFFERS AN ASSISTED LIVING FACILITY. THERE ARE SEVERAL ROOM SIZES, INCLUDING APARTMENT STYLE WITH KITCHENETTE IN EACH ROOM. RESIDENTS ARE ALSO WELCOME TO USE A COMMUNAL FULL KITCHEN. THERE IS ALSO AN EXTENSIVE ACTIVITY PORGRAM THAT INCLUDES OUTINGS, CRAFTS, COOKING, ENTERTAINMENT, DAILY CHAPEL SERVICES. DURING FY 2022, THE ORGANIZATION SERVED A DAILY AVERAGE OF 18 RESIDENTS THROUGH ITS ASSISTED LIVING FACILITY. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $16,360,500 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | 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 With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 402 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MATTHEW DORIAN | PersonNm |
| 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 |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| PAUL KEMNER | ||||||||
| PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GARY BLICKHAN | ||||||||
| FIRST VICE PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SHARON HIGGINS | ||||||||
| SECOND VICE PRESIDENT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MARTIN GABRIEL | ||||||||
| THIRD VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFF SPEAR | ||||||||
| SECRETARY-TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD BOWMAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW CASHMAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRIS DANIELS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICA GIBBS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA HUBBARD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JERRY JACKSON | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MIKE OBERDAHLHOFF | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOE OTT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROB OVERHOLSER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RANDY RILEY | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KRISTEN ROGERS | ||||||||
| DIRECTOR - UNTIL 04/22 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY SHEPHERD | ||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| STEVE WAVERING | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES NEWTON | ||||||||
| CHIEF EXEC. OFFICER - UNTIL 02/2022 | 40.00 | 5.00 | Yes (X) | $132,388 | $0 | $14,256 | ||
| EMMA MCLEOD | ||||||||
| COO - UNTIL 02/2022, THEN CEO | 40.00 | 5.00 | Yes (X) | $88,086 | $0 | $3,416 | ||
| MATTHEW DORIAN | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 5.00 | Yes (X) | $52,657 | $0 | $4,414 | ||
| DOROTHY DAGGS | ||||||||
| RESIDENT NURSE | 60.00 | $143,068 | $0 | $131 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $416,199 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $22,217 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | 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 |
|---|---|---|---|---|---|
| MIDWEST PHYSICAL THERAPY | |||||
| 62718 COLLECTION CENTER DRIVE | CHICAGO | IL | 606930627 | CONTRACTED THERAPY PROVIDER - PT - OT | $374,038 |
| A FISHER BUILDERS INC | |||||
| 814 OHIO STREET | QUINCY | IL | 62301 | CONSTRUCTION CONTRACTOR | $212,492 |
| PRIME TIME HEALTHCARE LLC | |||||
| PO BOX 3544 | OMAHA | NE | 68103 | STAFFING PROVIDER | $162,827 |
| JRX PHARMACY SERVICES | |||||
| 2404 AVENUE | FORT MADISON | IA | 52627 | PHARMACY | $156,271 |
| MATRIXCARE | |||||
| PO BOX 1414 | MINNEAPOLIS | MN | 554801414 | ELECTRONIC MEDICAL RECORDS & A/R BILLING | $141,369 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $1,275 | MembershipDuesAmt |
| Related Organizations | $380,000 | RelatedOrganizationsAmt |
| Government Grants | $5,311,259 | GovernmentGrantsAmt |
| All Other Contributions | $53,171 | AllOtherContributionsAmt |
| Total Contributions | $5,745,705 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 561499 | $11,283,732 | $11,283,732 |
| COTTAGE RENTAL | 561499 | $2,285,199 | $2,285,199 |
| MANAGEMENT FEE | 561499 | $200,000 | $200,000 |
| CAFETERIA | 561499 | $1,347 | $1,347 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,770,278 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136,676 | TotalRevenueColumnAmt |
| Exclusion | $136,676 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,088,104 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,616,973 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $471,131 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $471,131 | TotalRevenueColumnAmt |
| Exclusion | $471,131 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 561499 | BusinessCd |
| Total Revenue Column | $107,345 | TotalRevenueColumnAmt |
| Exclusion | $107,345 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $107,345 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,231,135 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,770,278 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $715,152 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,933 | TotalAmt |
| Management And General | $310,933 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,352,041 | TotalAmt |
| Program Services | $8,729,542 | ProgramServicesAmt |
| Management And General | $622,499 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,432 | TotalAmt |
| Program Services | $133,175 | ProgramServicesAmt |
| Management And General | $6,257 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,382,014 | TotalAmt |
| Program Services | $1,268,730 | ProgramServicesAmt |
| Management And General | $113,284 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $688,284 | TotalAmt |
| Program Services | $621,573 | ProgramServicesAmt |
| Management And General | $66,711 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,442 | TotalAmt |
| Management And General | $35,442 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,884 | TotalAmt |
| Management And General | $91,884 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,278 | TotalAmt |
| Management And General | $40,278 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $491,961 | TotalAmt |
| Program Services | $488,407 | ProgramServicesAmt |
| Management And General | $3,554 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,961 | TotalAmt |
| Management And General | $27,961 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $324,111 | TotalAmt |
| Program Services | $189,937 | ProgramServicesAmt |
| Management And General | $134,174 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,359 | TotalAmt |
| Program Services | $276,538 | ProgramServicesAmt |
| Management And General | $31,821 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $881,797 | TotalAmt |
| Program Services | $799,375 | ProgramServicesAmt |
| Management And General | $82,422 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,593 | TotalAmt |
| Management And General | $2,593 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,213 | TotalAmt |
| Management And General | $96,213 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,520,567 | TotalAmt |
| Program Services | $1,368,510 | ProgramServicesAmt |
| Management And General | $152,057 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,063 | TotalAmt |
| Program Services | $477,807 | ProgramServicesAmt |
| Management And General | $47,256 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER | $861,603 | $511,622 | $349,981 |
| FOOD & PROGRAM SUPPLIES | $810,153 | $729,138 | $81,015 |
| PROVIDER TAX | $410,142 | $410,142 | |
| MEDICAL SUPPLIES/DRUGS | $356,004 | $356,004 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,063 | TotalAmt |
| Management And General | $32,063 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,688,898 | TotalAmt |
| Program Services | $16,360,500 | ProgramServicesAmt |
| Management And General | $2,328,398 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,650 | BOYAmt |
| EOY | $1,650 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,789 | BOYAmt |
| EOY | $47,994 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $896,155 | BOYAmt |
| EOY | $1,094,695 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $144,318 | BOYAmt |
| EOY | $135,627 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $51,154,075 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $28,948,878 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,332,736 | BOYAmt |
| EOY | $22,205,197 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,869,254 | BOYAmt |
| EOY | $1,745,405 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,849,191 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $201,754 | BOYAmt |
| EOY | $3,357,990 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,676,656 | BOYAmt |
| EOY | $32,437,749 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,124,475 | BOYAmt |
| EOY | $1,475,610 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,855,900 | BOYAmt |
| EOY | $1,441,678 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,148,259 | BOYAmt |
| EOY | $3,849,191 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,004 | BOYAmt |
| EOY | $155,235 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $143,660 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,286,638 | BOYAmt |
| EOY | $7,065,374 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,290,018 | BOYAmt |
| EOY | $25,272,375 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| 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 | $25,390,018 | BOYAmt |
| EOY | $25,372,375 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,676,656 | BOYAmt |
| EOY | $32,437,749 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,542,237 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,559,880 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
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 | $214,672 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $380,771 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $818,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,633,140 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,745,705 | CurrentTaxYearAmt |
| Total | $10,793,059 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,670,514 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,196,785 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,017,464 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,579,127 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,770,278 | CurrentTaxYearAmt |
| Total | $77,234,168 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $16,885,186 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,577,556 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,836,235 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,212,267 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,515,983 | CurrentTaxYearAmt |
| Total | $88,027,227 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $223,725 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $166,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $340,813 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $322,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $261,491 | CurrentTaxYearAmt |
| Total | $1,314,653 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $223,725 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $166,008 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $340,813 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $322,616 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $261,491 | CurrentTaxYearAmt |
| Total | $1,314,653 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $86,712,574 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $196,707 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $150,616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $138,743 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $143,048 | CurrentTaxYearAmt |
| Total | $808,696 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $196,707 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $179,582 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $150,616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $138,743 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $143,048 | CurrentTaxYearAmt |
| Total | $808,696 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,614 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,479 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $135,491 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $101,574 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107,345 | CurrentTaxYearAmt |
| Total | $414,503 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,097,507 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,811,617 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $17,122,342 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,452,584 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,766,376 | CurrentTaxYearAmt |
| Total | $89,250,426 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.97160 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97150 | PublicSupportPY509Pct |
| Investment Income CY | 0.00910 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00980 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2017 AMOUNT: $ 15,614. 2018 AMOUNT: $ 54,479. 2019 AMOUNT: $ 135,491. 2020 AMOUNT: $ 101,574. 2021 AMOUNT: $ 107,345. | ExplanationTxt |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $670 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $670 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION PAYS DUES TO LEADING AGE ILLINOIS. THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING IS $670. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $121,041 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $12,662 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,452 | OtherExpendituresAmt |
| End Year Balance | $128,251 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $106,417 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $15,356 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $732 | OtherExpendituresAmt |
| End Year Balance | $121,041 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $6,972 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $555 | OtherExpendituresAmt |
| End Year Balance | $106,417 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| End Year Balance | $100,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $100,000 | BeginningYearBalanceAmt |
| End Year Balance | $100,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.78000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.22000 | TermEndowmentBalanceEOYPct |
| 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 | $1,135,036 | OtherCostOrOtherBasisAmt |
| Book Value | $1,135,036 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,927,498 | OtherCostOrOtherBasisAmt |
| Depreciation | $23,352,853 | DepreciationAmt |
| Book Value | $19,574,645 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,701,945 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,976,983 | DepreciationAmt |
| Book Value | $724,962 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,306,009 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,619,042 | DepreciationAmt |
| Book Value | $686,967 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,587 | OtherCostOrOtherBasisAmt |
| Book Value | $83,587 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $22,205,197 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BONDS | Desc |
| Book Value | $3,849,191 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $3,849,191 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RESIDENT TRUST FUND | $155,235 |
| OTHER | $74,604 |
| EMPLOYEE RETENTION TAX CREDIT RECEIVABLE | $3,028,151 |
| ASSETS LIMITED AS TO USE BY DONORS | $100,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,357,990 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER CURRENT LIABILITIES | Desc |
| Amt | $143,660 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $143,660 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $18,630,977 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,559,880 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$1,559,880 | RevenueNotReportedAmt |
| Revenue Subtotal | $20,190,857 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $40,278 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $40,278 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $20,231,135 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $18,648,620 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $18,648,620 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $40,278 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $40,278 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $18,688,898 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | THE ORGANIZATION IS THE TRUSTEE OF FUNDS RECEIVED ON BEHALF OF VARIOUS RESIDENTS. THE ORGANIZATION HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION OF THE BANK ACCOUNT AND THE DISTRIBUTION OF THE FUNDS TO RESIDENTS. |
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT IS INVESTED TO PROVIDE INVESTMENT RETURNS TO FUND GENERAL OPERATIONS. |
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN ADDITION, THE ORGANIZATION HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE NOT TO BE A "PRIVATE FOUNDATION" WITHIN THE MEANING OF SECTION 509(A) OF THE INTERNAL REVENUE CODE. THEREFORE, THE ORGANIZATION HAS MADE NO PROVISION FOR INCOME TAXES IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE ORGANIZATION EVALUATES ALL SIGNIFICANT TAX POSITIONS AS REQUIRED BY GAAP. THE ORGANIZATION DOES NOT BELIEVE THAT IT HAS TAKEN ANY TAX POSITIONS THAT WOULD REQUIRE THE RECORDING OF ANY ADDITIONAL TAX LIABILITY NOR DOES IT BELIEVE THAT THERE ARE ANY UNREALIZED TAX BENEFITS THAT WOULD EITHER INCREASE OR DECREASE WITHIN THE NEXT TWELVE MONTHS. IF THE ORGANIZATION WERE TO INCUR AN INCOME TAX LIABILITY IN THE FUTURE, THE INTEREST ON ANY TAX LIABILITY WOULD BE REPORTED AS INTEREST EXPENSE AND PENALTIES ON ANY INCOME TAX LIABILITY WOULD BE REPORTED AS INCOME TAX EXPENSE. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
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 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 376000378 | BondIssuerEIN |
| Bond Issued | 2013-07-11 | BondIssuedDt |
| Issue Price | $8,000,000 | IssuePriceAmt |
| Purpose | FINANCE PORTION OF GOOD SAMARITAN HOME | 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 | $3,494,583 | RetiredAmt |
| Total Proceeds | $7,960,000 | TotalProceedsAmt |
| Capital Expenditures | $7,960,000 | CapitalExpendituresAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| 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 | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | 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 | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS 7 TYPES OF MEMBERS: PATRON MEMBER, SUSTAINING MEMBER, SUPPORTING MEMBERS, ASSOCIATE MEMBER, REGULAR MEMBER, AND LIFETIME MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | EACH MEMBER OVER 18 YEARS OF AGE OF EACH CLASS SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. MEMBERS SHALL ATTEND AN ANNUAL MEETING TO ELECT BOARD MEMBERS. TWELVE (12) DIRECTORS OF THE BOARD SHALL BE ELECTED BY THE MEMBERSHIP, EACH SERVING A THREE-YEAR TERM, WHICH TERMS SHALL BE STAGGERED SO FOUR DIRECTORS SHALL BE ELECTED AT EACH ANNUAL MEETING. UP TO SEVEN (7) DIRECTORS OF THE BOARD MAY BE APPOINTED FROM ONE OR MORE OF THE FOLLOWING CORPORATION AFFILIATES AS FOLLOWS: UP TO TWO (2) DIRECTORS MAY BE APPOINTED BY THE IOWA CONFERENCE OF THE UNITED CHURCH OF CHRIST, UP TO THREE (3) DIRECTORS MAY BE APPOINTED BY ILLINOIS CONFERENCE OF THE UNITED CHURCH OF CHRIST, UP TO ONE (1) DIRECTOR MAY BE APPOINTED BY THE AUXILIARY OF THE CORPORATION, AND UP TO ONE (1) DIRECTOR MAY BE APPOINTED BY THE UNCLE SAMS OF THE CORPORATION, BOTH OF WHOM (AUXILIARY AND UNCLE SAMS) SHALL ALSO BE A MEMBER OF THE CORPORATION. THE APPOINTED MEMBERS OF THE BOARD SHALL SERVE FOR SUCH A PERIOD OF TIME, WITHOUT LIMITATION, AS IS DETERMINED BY THE APPOINTING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | EACH MEMBER OVER 18 YEARS OF AGE OF EACH CLASS SHALL BE ENTITLED TO ONE VOTE ON EACH MATTER SUBMITTED TO A VOTE OF THE MEMBERS. MEMBERS SHALL ATTEND AN ANNUAL MEETING TO ELECT BOARD MEMBERS. TWELVE (12) DIRECTORS OF THE BOARD SHALL BE ELECTED BY THE MEMBERSHIP, EACH SERVING A THREE-YEAR TERM, WHICH TERMS SHALL BE STAGGERED SO FOUR DIRECTORS SHALL BE ELECTED AT EACH ANNUAL MEETING. UP TO SEVEN (7) DIRECTORS OF THE BOARD MAY BE APPOINTED FROM ONE OR MORE OF THE FOLLOWING CORPORATION AFFILIATES AS FOLLOWS: UP TO TWO (2) DIRECTORS MAY BE APPOINTED BY THE IOWA CONFERENCE OF THE UNITED CHURCH OF CHRIST, UP TO THREE (3) DIRECTORS MAY BE APPOINTED BY ILLINOIS CONFERENCE OF THE UNITED CHURCH OF CHRIST, UP TO ONE (1) DIRECTOR MAY BE APPOINTED BY THE AUXILIARY OF THE CORPORATION, AND UP TO ONE (1) DIRECTOR MAY BE APPOINTED BY THE UNCLE SAMS OF THE CORPORATION, BOTH OF WHOM (AUXILIARY AND UNCLE SAMS) SHALL ALSO BE A MEMBER OF THE CORPORATION. THE APPOINTED MEMBERS OF THE BOARD SHALL SERVE FOR SUCH A PERIOD OF TIME, WITHOUT LIMITATION, AS IS DETERMINED BY THE APPOINTING BODY. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FEDERAL FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS SENT TO THE BOARD MEMBERS FOR REVIEW BEFORE FILING 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. ANY CONFLICTS ARE ADDRESSED IMMEDIATELY OR BOARD MEMBERS ABSTAIN FROM VOTING IF THERE APPEARS TO BE A CONFLICT ON A CERTAIN ISSUE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE CEO, AND CFO IS REVIEWED ANNUALLY. FOR THE CEO, THIS REVIEW WAS PERFORMED BY THE EXECUTIVE COMMITTEE. FOR THE CFO, THIS REVIEW WAS PERFORMED BY THE CEO AND BOARD OF DIRECTORS. COMPENSATION SURVEYS ARE UTILIZED DURING THE REVIEW PROCESSES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE BY REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| 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 STREET | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 62301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461945910 | EIN |
| Primary Activities | SUPPORTING ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12B, II | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GOOD SAMARITAN HOME OF QUINCY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GOOD SAMARITAN HOME FOUNDATION | ||
| C | $380,000 | FMV |
| GOOD SAMARITAN HOME FOUNDATION | ||
| L | $200,000 | FMV |
Comments