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Nonprofiteer
← ARLINGTON GOOD SAMARITAN HOUSING INC

Form 990 for tax year 2022

Filed by ARLINGTON GOOD SAMARITAN HOUSING INC.

Totals

Total revenue
$342,700
Total expenses
$67,614
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$38,480
Investment income
$304,220
Other revenue
$0
Total assets, end of year
$169,970
Total liabilities, end of year
$0
Net assets or fund balances, end of year
$169,970
Program services expenses (Part IX)
$26,617
Management and general expenses
$40,997
Fundraising expenses
$0
Program service expenses (Part III)
$26,617

Program services were 39.4% 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.

  • 2a · Program service revenue: RENTAL CHARGES

    total $38,240 · related or exempt $38,240

  • 2b · Program service revenue: ANCILLARY CHARGES

    total $240 · related or exempt $240

  • 3 · Investment income

    total $646 · excluded $646

  • 7a · Gross sales of assets other than inventory

    other assets $2,550,000

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

    other assets $2,246,426

  • 7c · Gain or loss

    other assets $303,574

  • 7d · Net gain or loss

    total $303,574 · excluded $303,574

Functional expenses

Part IX, the statement of functional expenses.

  • 11b · Fees: legal

    total $35 · management and general $35

  • 11c · Fees: accounting

    total $12,476 · management and general $12,476

  • 13 · Office expenses

    total $18,784 · program services $1,344 · management and general $17,440

  • 16 · Occupancy

    total $9,294 · program services $9,294

  • 20 · Interest

    total $7,642 · program services $7,642

  • 23 · Insurance

    total $812 · program services $812

  • 24a · Other expenses: MISCELLANEOUS OTHER EXP

    total $11,046 · management and general $11,046

  • 24b · Other expenses: CONTRACT SERVICES

    total $7,525 · program services $7,525

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $65,774 · end of year $169,970

  • 4 · Accounts receivable

    beginning of year $3,245 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $842 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,459 · end of year $0

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

    $0

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $2,143,439 · end of year $0

  • 15 · Other assets

    beginning of year $394,863 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $70,275 · end of year $0

  • 19 · Deferred revenue

    beginning of year $655 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $2,609,234 · end of year $0

  • 25 · Other liabilities

    beginning of year $34,893 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year -$102,435 · end of year $169,970

Mission and programs · 2022

Mission

TO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS.

  • TO PROVIDE LOW INCOME HOUSING FOR ELDERLY AND DISABLED PERSONS. 1,178 RESIDENT DAYS IN 2022.

    Expenses $26,617 · Revenue $38,480

As filed on the 2022 return.

Listed in Part VII

  • Eric Vanden Hull

    VP; DIRECTOR; TREAS

    Total calculated
    $570,818
    From this org
    $0
    From related orgs
    $529,683
    Other
    $41,135
    Hours/week
    0.02 + 54.98 related

    Schedule J breakdown matched by us

    Base
    $0 + $411,619 related
    Bonus
    $0 + $60,986 related
    Other
    $0 + $57,078 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $25,885 related
    Filer's total
    $0 + $570,818 related

  • Thomas A Syverson

    DIRECTOR

    Total calculated
    $386,131
    From this org
    $0
    From related orgs
    $343,564
    Other
    $42,567
    Hours/week
    0.02 + 54.98 related

    Schedule J breakdown matched by us

    Base
    $0 + $341,742 related
    Bonus
    $0 + $300 related
    Other
    $0 + $1,522 related
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $27,317 related
    Filer's total
    $0 + $386,131 related

  • Nathan Schema

    PRESIDENT & CEO

    Total calculated
    $901,826
    From this org
    $0
    From related orgs
    $774,197
    Other
    $127,629
    Hours/week
    0.02 + 54.98 related

    Schedule J breakdown matched by us

    Base
    $0 + $603,028 related
    Bonus
    $0 + $67,815 related
    Other
    $0 + $103,354 related
    Deferred
    $0 + $101,312 related
    Nontaxable benefits
    $0 + $26,317 related
    Filer's total
    $0 + $901,826 related

  • Shane Knutson

    DIRECTOR

    Total calculated
    $167,164
    From this org
    $0
    From related orgs
    $134,280
    Other
    $32,884
    Hours/week
    0.02 + 54.98 related

    Schedule J breakdown matched by us

    Base
    $0 + $102,903 related
    Bonus
    $0 + $30,300 related
    Other
    $0 + $1,077 related
    Deferred
    $0 + $7,261 related
    Nontaxable benefits
    $0 + $25,623 related
    Filer's total
    $0 + $167,164 related

  • Chad Jungman

    SECRETARY

    Total calculated
    $561,623
    From this org
    $0
    From related orgs
    $483,767
    Other
    $77,856
    Hours/week
    0.02 + 59.98 related

    Schedule J breakdown matched by us

    Base
    $0 + $350,245 related
    Bonus
    $0 + $87,101 related
    Other
    $0 + $46,421 related
    Deferred
    $0 + $56,161 related
    Nontaxable benefits
    $0 + $21,695 related
    Filer's total
    $0 + $561,623 related

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

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 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

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

No itemized grants to organizations 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.

  • ADA COUNTY GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • ADAMS COUNTY GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • COLLISTER DRIVE HOUSING LLC

    LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP · SD

  • HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • LILAC WAY GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • MILLARD GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • NATIONAL STUDENT HOUSING-SOUTH DAKOTA LLC

    INVESTMENT · SD

  • OLATHE GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • PENNINGTON COUNTY GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • PRESCOTT GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • RAC RENTALS LLC

    INVESTMENT · SD

  • RAPID CITY GOOD SAMARITAN HOUSING LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • RUTH STREET GOOD SAMARITAN HOUSING LLC

    LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP · SD

  • SIOUX FALLS DOWNTOWN GOOD SAMARITAN LP

    PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS · SD

  • TEXAS GOOD SAMARITAN HOUSING LLC

    LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP · SD

Related corporations and trusts

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

  • GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC

    C · INSURANCE · NE

  • GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA

    C · INSURANCE · ND

  • GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA INC

    C · INSURANCE · SD

  • GOOD SAMARITAN SOCIETY INSURANCE LTD

    C · INSURANCE · CJ

  • HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO INC

    S · PROVIDE HOME AND COMMUNITY BASED SERVICES · NM

  • HERITAGE HEALTHCARE SERVICES INC

    S · PROVIDE HOME AND COMMUNITY BASED SERVICES · NM

  • HERITAGE HOME HEALTHCARE & HOSPICE INC

    S · PROVIDE HOME AND COMMUNITY BASED SERVICES · NM

  • HERITAGE HOME HEALTHCARE OF ARIZONA INC

    S · PROVIDE HOME AND COMMUNITY BASED SERVICES · NM

  • HERITAGE HOME HEALTHCARE SERVICES INC

    S · PROVIDE HOME AND COMMUNITY BASED SERVICES · NM

  • SANFORD FRONTIERS

    C · WEIGHT LOSS/FITNESS · SD

  • SANFORD HEALTH PLAN

    C · INSURANCE · SD

  • SANFORD HEALTH PLAN OF MN

    C · INSURANCE · MN

  • SANFORD INTERNATIONAL - MUNICH GMBH

    C · HEALTHCARE · GM

  • SANFORD WORLD CLINICS - GHANA

    C · HEALTHCARE · GH

  • SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD

    C · HEALTHCARE · CH

Assets distributed on this return

Schedule N, as filed: what the organization did with its assets when it liquidated or dissolved, or disposed of more than a quarter of them, and who received them. A recipient with an EIN is usually a successor organization; filers also list expenses such as legal fees here.

  • CALIFORNIA COMMERCIAL INVESTMENT

    $2,550,000

    Disposition · LAND, BUILDINGS, EQUIPMENT · Feb 1, 2022 · CORPORATION

  • CALIFORNIA COMMERCIAL INVESTMENT

    $6,866

    Disposition · PREPAID MIP AND ESCROW MIP · Feb 1, 2022 · CORPORATION

  • CALIFORNIA COMMERCIAL INVESTMENT

    $33,902

    Disposition · RESIDUAL RECEIPTS · Feb 1, 2022 · CORPORATION

  • CALIFORNIA COMMERCIAL INVESTMENT

    $337,705

    Disposition · RESERVE FOR REPLACEMENTS · Feb 1, 2022 · CORPORATION

Provenance

Return type
form_990
Tax year
2022
Filed
30 August 2023
IRS schema version
2022v5.0
Source object
202322499349301532

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