2024-11-15T08:30:32-06:00 2023-12-31 370818432 KEMPER CPA GROUP LLP 7200 EAGLE CREST BLVD EVANSVILLE IN 47715 990 2023-01-01 351065494 THE GOOD SAMARITAN HOME INC GOOD 8124764912 PO BOX 4166 EVANSVILLE IN 47725 MICHAEL ERWIN EXECUTIVE DIRECTOR 8124764912 2024-11-14 1 0 MICHELLE D SMITH CPA P00844511 8124218000 2024-11-13 2023 2024-10-15 13:58:12Z MICHAEL ERWIN PO BOX 4166 EVANSVILLE IN 47725 15893868 0 X WWW.GOODSAMHOME.ORG X 1956 IN A NOT-FOR-PROFIT, HEALTHCARE MINISTRY AFFILIATED WITH THE UNITED CHURCH OF CHRIST. OUR MISSION IS TO PROVIDE A CARING COMMUNITY THROUGH AN ATMOSPHERE OF CHRISTIAN LOVE AND CONCERN. X 16 16 255 0 0 0 41767 37473 1063195 0 68327 7672608 142 19003 1173431 7729084 0 0 0 0 0 0 0 0 0 654850 111022 654850 111022 518581 7618062 14931088 17010350 1480814 334246 13450274 16676104 X A NOT-FOR-PROFIT, HEALTHCARE MINISTRY AFFILIATED WITH THE UNITED CHURCH OF CHRIST. OUR MISSION IS TO PROVIDE A CARING COMMUNITY THROUGH AN ATMOSPHERE OF CHRISTIAN LOVE AND CONCERN. 0 1 111022 A NOT-FOR-PROFIT, HEALTHCARE MINISTRY AFFILIATED WITH THE UNITED CHURCH OF CHRIST. OUR MISSION IS TO PROVIDE A CARING COMMUNITY THROUGH AN ATMOSPHERE OF CHRISTIAN LOVE AND CONCERN. 111022 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 32 0 255 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X MICHAEL ERWIN 8122509399 3029 N GREEN RIVER ROAD EVANSVILLE IN 47715 X ANDREW MOSIER CHAIR 1.00 X X 0 0 0 REV GEORGIA CHAMBERS BOARD MEMBER 1.00 X 0 0 0 MICHAEL SHOULDERS BOARD MEMBER 1.00 X 0 0 0 REV MARY HURLEY BOARD MEMBER 1.00 X 0 0 0 CHERYL WHITMORE SECRETARY 1.00 X 0 0 0 JANICE ELWOOD AUXILIARY PRES. 1.00 X 0 0 0 STEPHANIE KOCH BOARD MEMBER 1.00 X 0 0 0 RICHARD YEAGER BOARD MEMBER 1.00 X 0 0 0 RICHARD STEEDMAN BOARD MEMBER 1.00 X 0 0 0 RICHARD KLASS BOARD MEMBER 1.00 X 0 0 0 TERESA HANCOCK BOARD MEMBER 1.00 X 0 0 0 RUTH SMITH BOARD MEMBER 1.00 X 0 0 0 REV STEPHANIE WEINER BOARD MEMBER 1.00 X 0 0 0 KAY VAUGHT VICE CHAIR 1.00 X 0 0 0 JASON WARFORD TREASURER 1.00 X 0 0 0 REV MARK SIRNIC BOARD MEMBER 1.00 X 0 0 0 REV MICHAEL ERWIN INTERIM DIRECTOR 40.00 X 0 0 0 0 0 0 0 0 0 0 0 37473 37473 237392 237392 15600000 8164784 7435216 7435216 7435216 900099 19003 19003 19003 7729084 7454219 0 237392 X 18007 18007 42025 42025 1209 1209 26310 26310 7621 7621 MISC 15850 15850 111022 0 111022 0 22602 2888542 996164 224552 1026280 2302993 18792 0 2564 0 0 4635486 0 2292095 9315971 6965949 1249448 14931088 17010350 311812 1446433 0 34381 22434 1480814 334246 X 12075518 15407253 1374756 1268851 13450274 16676104 14931088 17010350 X 7618062 245046 -3822 -3331731 -1301725 X 0 1 X 0 0 X 11205 19651 35986 30000 37473 134315 1085946 1096528 1055652 1063195 4301321 1097151 1116179 1091638 1093195 37473 4435636 0 0 0 4435636 82626 107157 102750 69381 237392 599306 82626 107157 102750 69381 237392 599306 1179777 1223336 1194388 1162576 274865 5034942 0.88100 0.92210 0.11900 0.07790 X 0 4524847 -566112 3942095 16640 3942095 4235787 307624 18564 4524847 3848986 403499 16698 4235787 3362286 502679 15979 3848986 0 BENEFICIAL INTEREST IN TRUST 1249448 1249448 OTHER LIABILITIES 22434 22434 X PART X, LINE 2: THE HOME IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 OF THE INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. HOWEVER, THE HOME IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE HOME FILES TAX RETURNS IN THE U.S. FEDERAL AND STATE OF INDIANA TAX JURISDICTIONS. WITH A FEW EXCEPTIONS, THE HOME IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2021. X X 0 0 0 0 0 0 0 0 0 SOLD ALL ASSETS OF NURSING FACILITY 2023-06-30 15600000 0 0 0 0 FORM 990, PART III, LINE 3 THE ORGANIZATION CEASED OPERATIONS OF ITS INTERMEDIATE CARE NURSING HOME, MEDICARE CERTIFIED SKILLED UNIT, ALZHEIMER'S UNIT AND RESIDENTIAL CARE APARTMENT UNITS. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP CONSISTS OF ALL PASTORS OF THE UNITED CHURCH OF CHRIST WITHIN THE EVANSVILLE TRI-STATE ASSOCIATION AND LINCOLNLAND ASSOCIATION OF THE INDIANA-KENTUCKY CONFERENCE OF THE UNITED CHURCH OF CHRIST, ST. JOHN'S UNITED CHURCH OF CHRIST IN VINCENNES AND SARON UNITED CHURCH OF CHRIST IN LINTON, PLUS THREE LAY DELEGATES FROM EACH CHURCH. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERSHIP CONSISTS OF ALL PASTORS OF THE UNITED CHURCH OF CHRIST WITHIN THE EVANSVILLE TRI-STATE ASSOCIATION AND LINCOLNLAND ASSOCIATION OF THE INDIANA-KENTUCKY CONFERENCE OF THE UNITED CHURCH OF CHRIST, ST. JOHN'S UNITED CHURCH OF CHRIST IN VINCENNES AND SARON UNITED CHURCH OF CHRIST IN LINTON, PLUS THREE LAY DELEGATES FROM EACH CHURCH. FORM 990, PART VI, SECTION B, LINE 11B A DRAFT OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING. THE FINANCE COMMITTEE THEN REPORTS TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS OVERSEES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. ALL MEMBERS OF THE BOARD OF DIRECTORS ARE COVERED BY THIS POLICY AND SIGN A CONFLICT OF INTEREST POLICY STATEMENT. ANY POTENTIAL CONFLICTS ARE DISCLOSED PRIOR TO ENTERING INTO THE AGREEMENT AND MEMBERS OF THE BOARD OF DIRECTORS DECIDE IF THE CONFLICT WARRANTS RESIGNATION FROM THE BOARD OR ABSTINANCE IN VOTING IN MATTERS RELATING TO THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS NOT DISCLOSED TO THE PUBLIC AT THIS TIME. HOWEVER, THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATIONS CONFLICT OF INTEREST POLICY IS NOT DISCLOSED TO THE PUBLIC AT THIS TIME. HOWEVER, THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 42,025. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,025. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST TRUST 130,104. LOSS ON DISCONTINUED OPERATIONS -1,431,829.