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Nonprofiteer
← GOOD SAMARITAN INDEPENDENT LIVING INC

Form 990 for tax year 2022

Filed by GOOD SAMARITAN INDEPENDENT LIVING INC.

Totals

Total revenue
$10,402,265
Total expenses
$9,737,089
Contributions and grants received
$15,013
Grants paid
$96,300
Program service revenue
$9,696,202
Investment income
$636,457
Other revenue
$54,593
Total assets, end of year
$42,119,875
Total liabilities, end of year
$24,109,453
Net assets or fund balances, end of year
$18,010,422
Program services expenses (Part IX)
$7,368,081
Management and general expenses
$2,369,008
Fundraising expenses
$0
Program service expenses (Part III)
$7,368,081

Program services were 75.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $15,013

  • 2a · Program service revenue: RESIDENT SERVICE REVENUE

    total $5,439,366 · related or exempt $5,439,366

  • 2b · Program service revenue: ASSISTED LIVING

    total $4,256,836 · related or exempt $4,256,836

  • 3 · Investment income

    total $719,033 · excluded $719,033

  • 6a · Gross rents

    real property $1,000

  • 6b · Less rental expenses

    real property $0

  • 6c · Rental income or loss

    real property $1,000

  • 6d · Net rental income or loss

    total $1,000 · excluded $1,000

  • 7b · Less cost or other basis and sales expenses

    securities $82,576

  • 7c · Gain or loss

    securities -$82,576

  • 7d · Net gain or loss

    total -$82,576 · excluded -$82,576

  • 11a · Other revenue: SALON SERVICES

    total $14,495 · excluded $14,495

  • 11b · Other revenue: OTHER INCOME

    total $12,692 · excluded $12,692

  • 11c · Other revenue: MEALS

    total $11,472 · excluded $11,472

  • 11d · All other revenue

    total $14,934 · excluded $14,934

  • 11e · Other revenue, total

    $53,593

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $96,300 · program services $96,300

  • 7 · Other salaries and wages

    total $2,972,649 · program services $2,536,180 · management and general $436,469

  • 8 · Pension plan contributions

    total $22,843 · program services $17,818 · management and general $5,025

  • 9 · Other employee benefits

    total $618,758 · program services $482,631 · management and general $136,127

  • 10 · Payroll taxes

    total $252,911 · program services $197,271 · management and general $55,640

  • 11a · Fees: management

    total $497,645 · management and general $497,645

  • 11b · Fees: legal

    total $104,299 · program services $81,353 · management and general $22,946

  • 11c · Fees: accounting

    total $29,525 · management and general $29,525

  • 11f · Fees: investment management

    total $51,131 · management and general $51,131

  • 11g · Fees: other

    total $256,620 · program services $209,562 · management and general $47,058

  • 12 · Advertising and promotion

    total $256,863 · management and general $256,863

  • 13 · Office expenses

    total $475,489 · program services $378,696 · management and general $96,793

  • 14 · Information technology

    total $240,715 · program services $194,623 · management and general $46,092

  • 16 · Occupancy

    total $925,091 · program services $721,571 · management and general $203,520

  • 17 · Travel

    total $8,260 · program services $6,443 · management and general $1,817

  • 19 · Conferences, conventions and meetings

    total $10,962 · program services $8,550 · management and general $2,412

  • 20 · Interest

    total $806,600 · program services $793,955 · management and general $12,645

  • 22 · Depreciation, depletion and amortization

    total $1,179,193 · program services $919,771 · management and general $259,422

  • 23 · Insurance

    total $248,954 · program services $194,184 · management and general $54,770

  • 24a · Other expenses: FOOD EXPENSE

    total $621,584 · program services $484,836 · management and general $136,748

  • 24b · Other expenses: RECRUITING/EMPLOYMENT S

    total $33,765 · program services $26,337 · management and general $7,428

  • 24c · Other expenses: BAD DEBT

    total $18,000 · program services $18,000

  • 24d · Other expenses: UNRECOVERED COST BASIS

    total $8,932 · management and general $8,932

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $833 · end of year $161,961

  • 2 · Savings and temporary cash investments

    beginning of year $2,726,201 · end of year $3,172,742

  • 4 · Accounts receivable

    beginning of year $40,542 · end of year $105,150

  • 8 · Inventories for sale or use

    beginning of year $39,753 · end of year $30,235

  • 9 · Prepaid expenses and deferred charges

    beginning of year $49,707 · end of year $44,485

  • 10a · Land, buildings and equipment: cost or other basis

    $32,409,575

  • 10b · Land, buildings and equipment: accumulated depreciation

    $19,746,563

  • 10c · Land, buildings and equipment, net

    beginning of year $12,924,870 · end of year $12,663,012

  • 11 · Investments: publicly traded securities

    beginning of year $25,212,092 · end of year $24,843,518

  • 12 · Investments: other securities

    beginning of year $22,828 · end of year $18,867

  • 15 · Other assets

    beginning of year $1,524,757 · end of year $1,079,905

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,030,755 · end of year $1,063,980

  • 19 · Deferred revenue

    beginning of year $644,882 · end of year $486,881

  • 20 · Tax-exempt bond liabilities

    beginning of year $15,560,916 · end of year $15,288,114

  • 25 · Other liabilities

    beginning of year $7,212,681 · end of year $7,270,478

  • 27 · Net assets without donor restrictions

    beginning of year $18,092,349 · end of year $18,010,422

Mission and programs · 2022

Mission

TO PROVIDE A RETIREMENT COMMUNITY THAT INCLUDES FACILITIES FOR INDEPENDENT LIVING AND ASSISTED LIVING THAT OFFERS A VARIETY OF PROGRAMS AND SERVICES TO RESIDENTS TO AID THEIR SPIRITUAL, EMOTIONAL, AND PHYSICAL HEALTH.

Activities or mission (Part I)

TO PROVIDE ASSISTED AND INDEPENDENT LIVING TO THE ELDERLY.

  • THE GOOD SAMARITAN INDEPENDENT LIVING, INC. (DBA "CAPE ALBEON") WAS INCORPORATED ON AUGUST 24, 1998 TO OWN AND OPERATE A RETIREMENT COMMUNITY IN WEST ST. LOUIS COUNTY, MISSOURI. CAPE ALBEON PROVIDES SERVICES TO ITS RESIDENTS IN ASSISTED AND INDEPENDENT LIVING SETTINGS CONSISTING OF APARTMENTS, COTTAGES, AND OTHER RELATED FACILITIES. IT ALSO HAS A STATE-LICENSED ASSISTED LIVING FACILITY CATERING TO PERSONS WHO NEED THEIR ACTIVITIES OF DAILY LIVING TO BE MONITORED AND ASSISTED BY CARE-GIVING PROFESSIONALS.

    Expenses $4,133,339 · Grants $96,300 · Revenue $5,503,099

  • OUR ASSISTED LIVING COMMUNITY -- KNOWN AS THE VILLAGE -- IS LICENSED AS AN ASSISTED LIVING FACILITY IN THE FENTON & KIRKWOOD AREA. PERSONAL CARE SERVICES ARE PROVIDED TO MAKE LIFE EASIER FOR RESIDENTS AND THEIR FAMILIES. CHOOSE FROM PRIVATE STUDIO, ONE-BEDROOM OR TWO-BEDROOM APARTMENTS SPECIALLY DESIGNED FOR COMFORT AND STYLE. OUR CARING STAFF PROVIDES AS MUCH ASSISTANCE AS NEEDED WHILE CONTINUALLY RESPECTING OUR RESIDENTS' DIGNITY.OUR RESIDENT CARE TEAM PROVIDES RESIDENTS WITH A VARIETY OF PERSONAL CARE SERVICES, INCLUDING MEDICATION MANAGEMENT AND ASSISTANCE WITH BATHING AND DRESSING. THE STAFF ALSO ARRANGES ON-SITE PHYSICAL THERAPY SESSIONS, BLOOD TESTING, AND DOCTOR APPOINTMENTS, AND THEY PROVIDE FRIENDLY REMINDERS ABOUT MEAL TIMES AND EVENTS TO RESIDENTS WHO NEED THEM.

    Expenses $3,234,742 · Revenue $4,256,836

  • THE ORGANIZATION PROVIDES CARE WITHOUT CHARGE OR AT AMOUNTS LESS THAN ITS ESTABLISHED RATES TO RESIDENTS AND OTHER CLIENTS MEETING CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY. BECAUSE THE PROJECT DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THESE AMOUNTS ARE REPORTED AS A DEDUCTION TO NET RESIDENT SERVICE REVENUE.

    Revenue -$63,733

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Ross Osiek

    CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Dr Robert Hill

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Reverend Richard Ellerbrake

    TREASURER/SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Steffanie Rauscher

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Reverend Kevin Gregory

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Diane Meatheany

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 2 related
  • Harry Wilson

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Reverend Richard Brandon

    BOARD MEMBER

    Total calculated
    $0
    Hours/week
    1 + 1 related
  • Tyler Troutman Term Ended 123

    COO

    Total calculated
    $272,858
    From this org
    $0
    From related orgs
    $260,785
    Other
    $12,073
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $260,785 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $4,489 related
    Nontaxable benefits
    $0 + $7,584 related
    Filer's total
    $0 + $272,858 related
  • Joseph Girardi

    CFO

    Total calculated
    $272,080
    From this org
    $0
    From related orgs
    $260,785
    Other
    $11,295
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $260,785 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $3,711 related
    Nontaxable benefits
    $0 + $7,584 related
    Filer's total
    $0 + $272,080 related
  • Susan Leonard

    CIO

    Total calculated
    $159,735
    From this org
    $0
    From related orgs
    $149,461
    Other
    $10,274
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $149,461 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0 + $2,690 related
    Nontaxable benefits
    $0 + $7,584 related
    Filer's total
    $0 + $159,735 related
  • Bill Holman

    PRESIDENT & CEO

    Total calculated
    $414,951
    From this org
    $0
    From related orgs
    $397,050
    Other
    $17,901
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $380,250 related
    Bonus
    $0 + $16,800 related
    Other
    $0
    Deferred
    $0 + $4,398 related
    Nontaxable benefits
    $0 + $13,503 related
    Filer's total
    $0 + $414,951 related
  • Janet Leigh

    CDO

    Total calculated
    $103,615
    From this org
    $0
    From related orgs
    $102,825
    Other
    $790
    Hours/week
    1 + 39 related
  • Maureen Dunn

    CPSO

    Total calculated
    $168,652
    From this org
    $0
    From related orgs
    $161,068
    Other
    $7,584
    Hours/week
    1 + 39 related

    Schedule J breakdown matched by us

    Base
    $0 + $158,169 related
    Bonus
    $0 + $2,899 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,584 related
    Filer's total
    $0 + $168,652 related
  • Carol Disanza

    EXECUTIVE DIRECTOR

    Total calculated
    $127,271
    From this org
    $0
    From related orgs
    $117,571
    Other
    $9,700
    Hours/week
    40

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
THE TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY A RELATED ORGANIZATION AND THE ORGANIZATION USES THE FOLLOWING METHODS IN ORDER TO ESTABLISH COMPENSATION FOR THESE INDIVIDUALS: COMPENSATION COMMITTEE, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • SASC LLC

    HOME HEALTH CARE · MO

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ST ANDREW'S MANAGEMENT SERVICES

    C · NURSING HOME MANAGEMENT · MO

  • ST ANDREW'S REAL ESTATE TRUST

    T · REAL ESTATE TRUST · MO

Provenance

Return type
form_990
Tax year
2022
Filed
6 March 2024
IRS schema version
2022v5.0
Source object
202410809349301006

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