STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SAMARITAN HEALTH & LIVING CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HEALTH & LIVING CENTER INC (EIN 35-1288674)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-05-04
IRS object ID
202331249349301323
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-04T10:43:43-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line130 South Wacker Dr Suite 3300AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606063392ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351288674EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Samaritan Health & Living Center IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAMABusinessNameControlTxt
Phone5742623597PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 West High StreetAddressLine1Txt
CityElkhartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46516ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRandal J RhoadePersonNm
Person TitleCEOPersonTitleTxt
Phone5742623597PhoneNum
Signature2023-05-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRandalPersonFirstNm
Person LastRhoadePersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebekuh EleyPreparerPersonNm
PTINP01247672PTIN
Phone3126343400PhoneNum
Preparation2023-05-03PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRandal J RhoadePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 West High StreetAddressLine1Txt
CityElkhartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46516ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,084,535GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.elkhartsamaritan.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1973FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionTo be an expression of the love of God through a ministry of helping people under stress.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers18TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$428,599PYContributionsGrantsAmt
CY Contributions Grants$353,477CYContributionsGrantsAmt
PY Program Service Revenue$548,279PYProgramServiceRevenueAmt
CY Program Service Revenue$637,162CYProgramServiceRevenueAmt
PY Investment Income$146,917PYInvestmentIncomeAmt
CY Investment Income$54,376CYInvestmentIncomeAmt
PY Other Revenue-$25,266PYOtherRevenueAmt
CY Other Revenue-$25,742CYOtherRevenueAmt
PY Total Revenue$1,098,529PYTotalRevenueAmt
CY Total Revenue$1,019,273CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$697,651PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$747,919CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$16,776CYTotalFundraisingExpenseAmt
PY Other Expenses$139,223PYOtherExpensesAmt
CY Other Expenses$153,562CYOtherExpensesAmt
PY Total Expenses$836,874PYTotalExpensesAmt
CY Total Expenses$901,481CYTotalExpensesAmt
PY Revenues Less Expenses$261,655PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$117,792CYRevenuesLessExpensesAmt
Total Assets BOY$2,566,189TotalAssetsBOYAmt
Total Assets EOY$2,475,789TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,566,189NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,475,789NetAssetsOrFundBalancesEOYAmt
MissionThe Center is an expression of the love of God through a ministry of helping people under stress. It offers the following services: counseling, educational programs, and consultation for pastors and other professionals.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$838,437ExpenseAmt
Grant$0GrantAmt
Revenue$637,162RevenueAmt
DescThe Center provides counseling services with fee assistance for those who could not otherwise afford services. Fee assistance is provided on a sliding fee based on household size and income. For 2022 the standard charge was $110 - $150 per clinical hour. With fee assistance the minimum fee paid per standard policy is $20 per clinical hour, although there are exceptions where a lesser amount may be charged due to special circumstances. For the year 2022 a total of $202,559 in fee assistance was applied directly to client accounts. Approximately 40% of clients receive some level of fee assistance.Desc
Total Program Service Expenses$838,437TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee12EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Randal J RhoadeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5742623597PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 West High StreetAddressLine1Txt
CityElkhartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46516ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Randal Rhoade
CEO20.000.50Yes (X)$52,500$0$2,100
Laura Ezzell
Past Presdient0.500.01Yes (X)$0$0$0Yes (X)
Katie McCormick
President0.500.01Yes (X)$0$0$0Yes (X)
Aimee Bontrager
Vice President0.500.01Yes (X)$0$0$0Yes (X)
Brian Housand
Treasurer0.500.01Yes (X)$0$0$0Yes (X)
Virginia Wirt
Secretary0.500.01Yes (X)$0$0$0Yes (X)
Marc Anderson
Board Member0.500.01$0$0$0Yes (X)
Jennifer Collins
Board Member0.100.01$0$0$0Yes (X)
Bill Haughee
Board Member0.100.01$0$0$0Yes (X)
Tim Koch
Board Member0.100.01$0$0$0Yes (X)
Frank Lucchese
Board Member0.100.01$0$0$0Yes (X)
Joyce Menchinger
Board Member0.250.01$0$0$0Yes (X)
Melissa Ramey
Board Member0.100.01$0$0$0Yes (X)
Ginny Russell
Board Member0.100.01$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$52,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,100TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$331,696FundraisingAmt
All Other Contributions$21,781AllOtherContributionsAmt
Total Contributions$353,477TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProfessional FeesDesc
Business621300BusinessCd
Total Revenue Column$637,162TotalRevenueColumnAmt
Related Or Exempt Func Income$637,162RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$637,162TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,991TotalRevenueColumnAmt
Exclusion$27,991ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$26,385SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$26,385SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,385TotalRevenueColumnAmt
Exclusion$26,385ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$39,520FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$331,696ContriRptFundraisingEventAmt
Fundraising Direct Expenses$65,262FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$25,742TotalRevenueColumnAmt
Exclusion-$25,742ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,019,273TotalRevenueColumnAmt
Related Or Exempt Func Income$637,162RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$28,634ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$52,500TotalAmt
Program Services$29,172ProgramServicesAmt
Management And General$12,131ManagementAndGeneralAmt
Fundraising$11,197FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$610,722TotalAmt
Program Services$605,325ProgramServicesAmt
Management And General$5,397ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$25,014TotalAmt
Program Services$23,833ProgramServicesAmt
Management And General$695ManagementAndGeneralAmt
Fundraising$486FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$8,377TotalAmt
Program Services$7,982ProgramServicesAmt
Management And General$233ManagementAndGeneralAmt
Fundraising$162FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$51,306TotalAmt
Program Services$48,541ProgramServicesAmt
Management And General$1,880ManagementAndGeneralAmt
Fundraising$885FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,782TotalAmt
Program Services$1,426ProgramServicesAmt
Management And General$356ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$38,724TotalAmt
Program Services$31,870ProgramServicesAmt
Management And General$5,684ManagementAndGeneralAmt
Fundraising$1,170FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,445TotalAmt
Program Services$10,579ProgramServicesAmt
Management And General$747ManagementAndGeneralAmt
Fundraising$1,119FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,784TotalAmt
Program Services$9,427ProgramServicesAmt
Management And General$2,357ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$333TotalAmt
Program Services$333ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$6,360TotalAmt
Program Services$636ProgramServicesAmt
Management And General$5,724ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,319TotalAmt
Program Services$21,055ProgramServicesAmt
Management And General$5,264ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,667TotalAmt
Program Services$8,534ProgramServicesAmt
Management And General$1,883ManagementAndGeneralAmt
Fundraising$250FundraisingAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Merchant Process. Fees$23,659$22,240$118$1,301
Staff Education & Dev.$12,761$12,761
Dues and Subscriptions$2,932$2,349$583

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,796TotalAmt
Program Services$2,374ProgramServicesAmt
Management And General$3,216ManagementAndGeneralAmt
Fundraising$206FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$901,481TotalAmt
Program Services$838,437ProgramServicesAmt
Management And General$46,268ManagementAndGeneralAmt
Fundraising$16,776FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$290,233BOYAmt
EOY$40,597EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$165,470BOYAmt
EOY$635,023EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$793,102LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$151,757LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$661,112BOYAmt
EOY$641,345EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$646,295BOYAmt
EOY$389,994EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$803,079BOYAmt
EOY$768,830EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,566,189BOYAmt
EOY$2,475,789EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,567,963BOYAmt
EOY$1,514,085EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$998,226BOYAmt
EOY$961,704EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,566,189BOYAmt
EOY$2,475,789EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,566,189BOYAmt
EOY$2,475,789EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$117,792ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$208,192NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$572,281CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$393,209CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$334,333CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$428,599CurrentTaxYearMinus1YearAmt
Current Tax Year$353,477CurrentTaxYearAmt
Total$2,081,899TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$424,151CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$534,505CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$473,126CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$548,279CurrentTaxYearMinus1YearAmt
Current Tax Year$637,162CurrentTaxYearAmt
Total$2,617,223TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$996,432CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$927,714CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$807,459CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$976,878CurrentTaxYearMinus1YearAmt
Current Tax Year$990,639CurrentTaxYearAmt
Total$4,699,122TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,976CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,071CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,079CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$90,505CurrentTaxYearMinus1YearAmt
Current Tax Year$33,549CurrentTaxYearAmt
Total$246,180TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$46,976CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$30,071CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$45,079CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$90,505CurrentTaxYearMinus1YearAmt
Current Tax Year$33,549CurrentTaxYearAmt
Total$246,180TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,452,942PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,893CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,504CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$133,910CurrentTaxYearMinus1YearAmt
Current Tax Year$27,991CurrentTaxYearAmt
Total$342,260TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,893CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$64,962CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$101,504CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$133,910CurrentTaxYearMinus1YearAmt
Current Tax Year$27,991CurrentTaxYearAmt
Total$342,260TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,010,325CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$992,676CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$908,963CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,110,788CurrentTaxYearMinus1YearAmt
Current Tax Year$1,018,630CurrentTaxYearAmt
Total$5,041,382TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88330PublicSupportCY509Pct
Public Support PY5090.88510PublicSupportPY509Pct
Investment Income CY0.06790InvestmentIncomeCYPct
Investment Income PY0.06690InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$803,079BeginningYearBalanceAmt
Contributions$100,615ContributionsAmt
Investment Earnings Or Losses-$117,858InvestmentEarningsOrLossesAmt
Grants Or Scholarships$15,000GrantsOrScholarshipsAmt
Administrative Expenses$2,006AdministrativeExpensesAmt
End Year Balance$768,830EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$585,755BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Investment Earnings Or Losses$125,585InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,465GrantsOrScholarshipsAmt
Administrative Expenses$1,796AdministrativeExpensesAmt
End Year Balance$803,079EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$407,916BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Investment Earnings Or Losses$85,544InvestmentEarningsOrLossesAmt
Grants Or Scholarships$6,465GrantsOrScholarshipsAmt
Administrative Expenses$1,240AdministrativeExpensesAmt
End Year Balance$585,755EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$266,710BeginningYearBalanceAmt
Contributions$100,251ContributionsAmt
Investment Earnings Or Losses$49,699InvestmentEarningsOrLossesAmt
Grants Or Scholarships$7,810GrantsOrScholarshipsAmt
Administrative Expenses$934AdministrativeExpensesAmt
End Year Balance$407,916EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$174,956BeginningYearBalanceAmt
Contributions$100,000ContributionsAmt
Investment Earnings Or Losses-$7,573InvestmentEarningsOrLossesAmt
Administrative Expenses$673AdministrativeExpensesAmt
End Year Balance$266,710EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$25,000OtherCostOrOtherBasisAmt
Book Value$25,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,725OtherCostOrOtherBasisAmt
Depreciation$11,543DepreciationAmt
Book Value$67,182BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$626,827OtherCostOrOtherBasisAmt
Depreciation$92,867DepreciationAmt
Book Value$533,960BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$62,550OtherCostOrOtherBasisAmt
Depreciation$47,347DepreciationAmt
Book Value$15,203BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$641,345TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescFunds held at Elkhart County Community FoundationDesc
Book Value$768,830BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$768,830TotalBookValueOtherAssetsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationThe Elkhart Community Foundation Inc. (The Foundation) holds a fund named the Samaritan Center Kintner-Ross Fund (The Fund). The purpose of the fund is to further the charitable purposes of the organization.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Still Dancing in ElkhartEvent1Nm
Gross Receipts Event1$347,595GrossReceiptsEvent1Amt
Charitable Contri Event1$308,075CharitableContriEvent1Amt
Gross Revenue Event1$39,520GrossRevenueEvent1Amt
Non Cash Prizes Event1$427NonCashPrizesEvent1Amt
Rent Facility Costs Event1$1,375RentFacilityCostsEvent1Amt
Food And Beverage Event1$41,709FoodAndBeverageEvent1Amt
Entertainment Event1$500EntertainmentEvent1Amt
Other Direct Expenses Event1$19,814OtherDirectExpensesEvent1Amt
Event2Silent Samaritan LuncheonEvent2Nm
Gross Receipts Event2$23,621GrossReceiptsEvent2Amt
Charitable Contri Event2$23,621CharitableContriEvent2Amt
Other Direct Expenses Event2$1,437OtherDirectExpensesEvent2Amt
Gross Receipts Total$371,216GrossReceiptsTotalAmt
Charitable Contributions Tot$331,696CharitableContributionsTotAmt
Gross Revenue Total Events$39,520GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$427NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$1,375RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$41,709FoodAndBeverageTotalEventsAmt
Entertainment Total Events$500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$21,251OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$65,262DirectExpenseSummaryEventsAmt
Net Income Summary-$25,742NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bA copy of the form 990 is emailed to the executive director for distribution to the board prior to filing.
Form 990, Part VI, Section B, line 12cThe organization regularly and consistently monitors and enforces their conflict of interest policy via annual disclosure questionnaires. Board members agree to alert the Board of any potential conflict that may arise subsequent to the completion of the disclosure statement. If such conflict arises, the Board reviews and votes on the transaction while the member with the conflict abstains from voting.
Form 990, Part VI, Section B, line 15The CEO compensation is approved by the board annually with the approval of the next year's annual budget.
Form 990, Part VI, Section C, line 19The governing documents, conflict of interest policy, and financial statements available to the public upon request for the same period of disclosure as set forth in IRC Section 6104(d).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Elkhart County Samaritan Center Foundation IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1311 West High StreetAddressLine1Txt
CityElkhartCityNm
State AbbreviationINStateAbbreviationCd
ZIP46516ZIPCd
FieldValueIRS element (for citing)
EIN311164839EIN
Primary ActivitiesEndowment Fund - Support of the Samaritan Health and Living CenterPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status509(A)(3), Type IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Samaritan Health and Living CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Elkhart County Samaritan Center Foundation IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$100,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt