2025-08-07T13:19:16-05:00 2024-09-30 881478669 CBIZ ADVISORS LLC 9 PARKWAY NORTH SUITE 200 DEERFIELD IL 60015 990 2023-10-01 370724112 GOOD SAMARITAN HOME OF QUINCY GOOD 2172238717 2130 HARRISON STREET QUINCY IL 62301 EMMA MCLEOD CEO 2172238717 2025-08-07 1 0 ARIANA N JORDAN P01441395 8472826300 2025-08-07 2023 2025-03-06 01:10:19Z EMMA MCLEOD 2130 HARRISON STREET QUINCY IL 62301 21396887 0 X WWW.GSHQ.ORG X 1925 IL SUPERIOR CHRISTIAN SERVICE IN A CHARITABLE COMMUNITY. 15 15 402 75 0 0 2342455 3374720 14872961 14911541 433437 443918 187960 156725 17836813 18886904 0 0 0 0 13550986 14664552 0 20750 77957 6693963 7005035 20244949 21690337 -2408136 -2803433 30241980 30525017 7175976 9847158 23066004 20677859 X SERVING OUR RESIDENTS, THEIR FAMILIES, STAFF AND THE GREATER COMMUNITY THROUGH COMPASSIONATE CARE. 0 0 15312373 10652140 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 2024, THE ORGANIZATION SERVED A DAILY AVERAGE OF 103 RESIDENTS THROUGH ITS SKILLED NURSING FACILITY. 2578543 2497373 GOOD SAMARITAN HOME OF QUINCY OFFERS 184 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. 1726070 1485805 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 PROGRAM THAT INCLUDES OUTINGS, CRAFTS, COOKING, ENTERTAINMENT, DAILY CHAPEL SERVICES. DURING FY 2024, THE ORGANIZATION SERVED A DAILY AVERAGE OF 24 RESIDENTS THROUGH ITS ASSISTED LIVING FACILITY. 74 276223 OTHER PROGRAMS 74 276223 19617060 1 1 0 1 0 0 0 0 1 1 1 1 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 10 0 402 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MATTHEW DORIAN 2172238717 2130 HARRISON STREET QUINCY IL 62301 SHARON HIGGINS PRESIDENT UNTIL 10/23, THEN DIRECTOR 1.00 1.00 X X 0 0 0 MARTIN GABRIEL 1RT VP UNTIL 10/23, THEN PRESIDENT 1.00 X X 0 0 0 PATRICA GIBBS 2ND VP UNTIL 10/23, THEN 1ST VP 1.00 1.00 X X 0 0 0 BRIAN CANFIELD 3RD VP UNTIL 10/23, THEN 2ND VP 1.00 1.00 X X 0 0 0 SETH RUNKLE DIRECTOR UNTIL 10/23, 3RD VP 1.00 X X 0 0 0 CHRIS DANIELS SECRETARY & TREASURER 1.00 X X 0 0 0 ERIC BARNES DIRECTOR 1.00 X X 0 0 0 SHARON BIGELOW DIRECTOR 1.00 X 0 0 0 GARY BLICKHAN DIRECTOR 1.00 X 0 0 0 ANDREW CASHMAN DIRECTOR 1.00 X 0 0 0 BRIAN DURANTE DIRECTOR 1.00 X 0 0 0 PATRICIA HUBBARD DIRECTOR - UNTIL 09/2023 1.00 X 0 0 0 JOE OTT DIRECTOR 1.00 X 0 0 0 RANDY RILEY DIRECTOR 1.00 X 0 0 0 SELENA STEGEMAN DIRECTOR 1.00 X 0 0 0 TIM WHITE DIRECTOR 1.00 X 0 0 0 EMMA MCLEOD CHIEF EXECUTIVE OFFICER 40.00 5.00 X 144132 0 5585 MATTHEW DORIAN CHIEF FINANCIAL OFFICER 40.00 5.00 X 93571 0 18609 CANDACE KLEEMEYER RESIDENT NURSE 50.00 X 104754 0 18609 TINA GRIMSLEY RESIDENT NURSE 50.00 X 102980 0 39233 445437 0 82036 3 0 0 0 PETERS HEATING & AIR CONDITIONING 4520 BROADWAY QUINCY IL 62305 HVAC 1014780 J&N CONSTRUCTION 6523 COLUMBUS ROAD QUINCY IL 65205 CONSTRUCTION 571195 SHIFTKEY PO BOX 735913 DALLAS TX 75373 STAFFING PROVIDER 412925 MEDICAL SOLUTIONS PO BOX 850737 MINNEAPOLIS MN 55485 STAFFING PROVIDER 309661 BLEIGH CONSTRUCTION COMPANY PO BOX 957 HANNIBAL IL 63401 CONSTRUCTION 298339 5 9400 3266287 99033 3374720 NET PATIENT SERVICE REVENUE 561499 12137942 12137942 COTTAGE RENTAL 561499 2564901 2564901 MANAGEMENT FEE 561499 200000 200000 CAFETERIA 561499 8698 8698 14911541 123769 123769 2830132 2375272 134711 454860 -134711 320149 320149 MISCELLANEOUS INCOME 561499 156725 156725 156725 18886904 14911541 0 600643 268052 268052 10755698 10095407 624896 35395 95639 95639 2802219 2634458 159842 7919 742944 678036 62460 2448 58761 58761 86249 86249 20750 20750 31297 31297 483302 479948 3354 25353 25353 131111 48005 71661 11445 334066 313942 20124 1450982 1361878 89104 9012 9012 95212 95212 1512113 1360902 151211 265423 239808 25615 FOOD & PROGRAM SUPPLIES 832742 749468 83274 PROVIDER TAX 636926 636926 OTHER 628173 520775 107398 MEDICAL SUPPLIES/DRUGS 401868 401868 22445 22445 21690337 19617060 1995320 77957 1650 1750 143166 222100 1060379 943982 158168 150581 56137820 31725873 22234177 24411947 2730656 1227079 3532357 3208898 381427 358680 30241980 30525017 2076329 2983750 1332100 2675226 3532357 3208897 155352 157605 773390 79838 48290 7175976 9847158 X 22941004 20577859 125000 100000 23066004 20677859 30241980 30525017 -2803433 415288 0 X 0 1 X 1 0 X 818771 3633140 5745705 2342455 3374720 15914791 16017464 14579127 13770278 14872961 14911541 74151371 16836235 18212267 19515983 17215416 18286261 90066162 340813 322616 261491 229358 368890 1523168 0 340813 322616 261491 229358 368890 1523168 88542994 150616 138743 143048 111079 123769 667255 150616 138743 143048 111079 123769 667255 135491 101574 107345 187960 156725 689095 17122342 18452584 19766376 17514455 18566755 91422512 0.96850 0.97070 0.00730 0.00810 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2019 AMOUNT: $ 135,491. 2020 AMOUNT: $ 101,574. 2021 AMOUNT: $ 107,345. 2022 AMOUNT: $ 187,960. 2023 AMOUNT: $ 156,725. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 1 6483 0 6483 0 PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO ILLINOIS HEALTHCARE ASSOCIATION. THE PORTION OF DUES ATTRIBUTABLE TO LOBBYING IS $6,483. 0 153852 6195 3942 156105 1 X 139537 3645 964 142218 128251 12031 745 139537 121041 12662 5452 128251 106417 15356 732 121041 100000 6972 555 106417 0.70310 0.29690 0 0 1135036 1135036 46477622 25700751 20776871 2990395 2169437 820958 4376038 3855685 520353 1158729 1158729 24411947 BONDS 3208898 C 3208898 OTHER CURRENT LIABILITIES 48290 48290 X 19270901 415288 415288 18855613 31291 31291 18886904 21659046 0 21659046 31291 31291 21690337 PART IV, LINE 1B: 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 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 TAXES. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS. X X X X X 0 MISSION ADVANCEMENT PROFESSIONALS LLC 7300 HIGHWAY 121SB SUITE 410 MCKINNEY TX 75070 CONSULTANT FOR CAPITAL CAMPAIGN 0 0 20750 -20750 20750 -20750 IL A CITY OF QUINCY 376000378 2013-07-11 8000000 FINANCE PORTION OF GOOD SAMARITAN HOME 0 0 0 A 4751103 7960000 7960000 2013 1 0 1 1 A 0 0 0 0 0 0 1 A 0 1 0 0 1 0 0 0 1 A 1 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. A PERFORAMCE EVALUATION FOR THE CEO AND CFO OUR DOCUMENTED IN THEIR PERSONNEL FILE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE BY REQUEST. GOOD SAMARITAN HOME FOUNDATION 2130 HARRISON STREET QUINCY IL 62301 461945910 SUPPORTING ORGANIZATION IL 501(C)(3) LINE 12B, II GOOD SAMARITAN HOME OF QUINCY 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 GOOD SAMARITAN HOME FOUNDATION C 3266287 FMV GOOD SAMARITAN HOME FOUNDATION L 200000 FMV