STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SAMARITAN HEALTH & LIVING CENTER INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HEALTH & LIVING CENTER INC (EIN 35-1288674)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-10-24
IRS object ID
202212979349300326
Schema version
2021v4.2
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)
Return2022-10-24T08:29:08-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

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
Signature2022-09-16SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebekuh EleyPreparerPersonNm
PTINP01247672PTIN
Phone3126343400PhoneNum
Preparation2022-09-16PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$1,146,683GrossReceiptsAmt
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 Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers14TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$334,333PYContributionsGrantsAmt
CY Contributions Grants$428,599CYContributionsGrantsAmt
PY Program Service Revenue$473,126PYProgramServiceRevenueAmt
CY Program Service Revenue$548,279CYProgramServiceRevenueAmt
PY Investment Income$105,055PYInvestmentIncomeAmt
CY Investment Income$146,917CYInvestmentIncomeAmt
PY Other Revenue-$15,296PYOtherRevenueAmt
CY Other Revenue-$25,266CYOtherRevenueAmt
PY Total Revenue$897,218PYTotalRevenueAmt
CY Total Revenue$1,098,529CYTotalRevenueAmt
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$606,128PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$697,651CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$17,957CYTotalFundraisingExpenseAmt
PY Other Expenses$152,664PYOtherExpensesAmt
CY Other Expenses$139,223CYOtherExpensesAmt
PY Total Expenses$758,792PYTotalExpensesAmt
CY Total Expenses$836,874CYTotalExpensesAmt
PY Revenues Less Expenses$138,426PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$261,655CYRevenuesLessExpensesAmt
Total Assets BOY$2,307,257TotalAssetsBOYAmt
Total Assets EOY$2,566,189TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,307,257NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,566,189NetAssetsOrFundBalancesEOYAmt
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$768,424ExpenseAmt
Grant$0GrantAmt
Revenue$548,279RevenueAmt
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 2021 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 2021 a total of $180,704 in fee assistance was applied directly to client accounts. Approximately 33% of clients receive some level of fee assistance.Desc
Total Program Service Expenses$768,424TotalProgramServiceExpensesAmt
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
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 (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Marc Anderson
Past President0.500.01Yes (X)Yes (X)$0$0$0
Laura Ezzell
President0.500.01Yes (X)Yes (X)$0$0$0
Katie McCormick
Vice President0.100.01Yes (X)Yes (X)$0$0$0
Brian Housand
Treasurer0.500.01Yes (X)Yes (X)$0$0$0
Aimee Bontrager
Secretary0.500.01Yes (X)Yes (X)$0$0$0
Jennifer Collins
Board Member0.100.01Yes (X)$0$0$0
Tim Koch
Board Member0.100.01Yes (X)$0$0$0
Dean Leazenby
Board Member0.100.01Yes (X)$0$0$0
Frank Lucchese
Board Member0.100.01Yes (X)$0$0$0
Joyce Menchinger
Board Member0.250.01Yes (X)$0$0$0
Melissa Ramey
Board Member0.100.01Yes (X)$0$0$0
Ginny Russell
Board Member0.100.01Yes (X)$0$0$0
Karen Smith
Board Member0.100.01Yes (X)$0$0$0
Virginia Wirt
Board Member0.250.01Yes (X)$0$0$0
Randal Rhoade
CEO20.000.50Yes (X)$52,500$0$2,100
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$251,763FundraisingAmt
Government Grants$112,900GovernmentGrantsAmt
All Other Contributions$63,936AllOtherContributionsAmt
Total Contributions$428,599TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProfessional FeesDesc
Business621300BusinessCd
Total Revenue Column$548,279TotalRevenueColumnAmt
Related Or Exempt Func Income$548,279RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$548,279TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$133,910TotalRevenueColumnAmt
Exclusion$133,910ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$13,007SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,007SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,007TotalRevenueColumnAmt
Exclusion$13,007ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$22,888FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$251,763ContriRptFundraisingEventAmt
Fundraising Direct Expenses$48,154FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$25,266TotalRevenueColumnAmt
Exclusion-$25,266ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,098,529TotalRevenueColumnAmt
Related Or Exempt Func Income$548,279RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$121,651ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$52,500TotalAmt
Program Services$24,618ProgramServicesAmt
Management And General$15,800ManagementAndGeneralAmt
Fundraising$12,082FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$560,179TotalAmt
Program Services$554,982ProgramServicesAmt
Management And General$5,197ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$22,082TotalAmt
Program Services$20,890ProgramServicesAmt
Management And General$757ManagementAndGeneralAmt
Fundraising$435FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,452TotalAmt
Program Services$14,618ProgramServicesAmt
Management And General$530ManagementAndGeneralAmt
Fundraising$304FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$47,438TotalAmt
Program Services$44,877ProgramServicesAmt
Management And General$1,626ManagementAndGeneralAmt
Fundraising$935FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$28,689TotalAmt
Program Services$23,301ProgramServicesAmt
Management And General$4,762ManagementAndGeneralAmt
Fundraising$626FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$16,318TotalAmt
Program Services$13,870ProgramServicesAmt
Management And General$163ManagementAndGeneralAmt
Fundraising$2,285FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,205TotalAmt
Program Services$8,964ProgramServicesAmt
Management And General$2,241ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$456TotalAmt
Program Services$456ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$12,720TotalAmt
Program Services$2,544ProgramServicesAmt
Management And General$10,176ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,696TotalAmt
Program Services$22,157ProgramServicesAmt
Management And General$5,539ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,698TotalAmt
Program Services$7,758ProgramServicesAmt
Management And General$1,690ManagementAndGeneralAmt
Fundraising$250FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Credit Card Processing$16,268$14,967$488$813
Staff Training and Deve$7,940$7,940
Dues and Subscriptions$2,339$2,339
Old Building Razing Exp$158$158

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$5,736TotalAmt
Program Services$4,143ProgramServicesAmt
Management And General$1,366ManagementAndGeneralAmt
Fundraising$227FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$836,874TotalAmt
Program Services$768,424ProgramServicesAmt
Management And General$50,493ManagementAndGeneralAmt
Fundraising$17,957FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$247,440BOYAmt
EOY$290,233EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$166,000BOYAmt
EOY$165,470EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$805,090LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$143,978LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$689,166BOYAmt
EOY$661,112EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$618,896BOYAmt
EOY$646,295EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$585,755BOYAmt
EOY$803,079EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,307,257BOYAmt
EOY$2,566,189EOYAmt

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$1,524,662BOYAmt
EOY$1,567,963EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$782,595BOYAmt
EOY$998,226EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,307,257BOYAmt
EOY$2,566,189EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,307,257BOYAmt
EOY$2,566,189EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$261,655ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,723NetUnrlzdGainsLossesInvstAmt
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$620,174CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$572,281CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$393,209CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$334,333CurrentTaxYearMinus1YearAmt
Current Tax Year$428,599CurrentTaxYearAmt
Total$2,348,596TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$402,588CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$424,151CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$534,505CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$473,126CurrentTaxYearMinus1YearAmt
Current Tax Year$548,279CurrentTaxYearAmt
Total$2,382,649TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,022,762CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$996,432CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$927,714CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$807,459CurrentTaxYearMinus1YearAmt
Current Tax Year$976,878CurrentTaxYearAmt
Total$4,731,245TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$20,177CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,976CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,079CurrentTaxYearMinus1YearAmt
Current Tax Year$90,505CurrentTaxYearAmt
Total$232,808TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,675CurrentTaxYearMinus4YearsAmt
Total$10,675TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$30,852CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$46,976CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$30,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$45,079CurrentTaxYearMinus1YearAmt
Current Tax Year$90,505CurrentTaxYearAmt
Total$243,483TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,487,762PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,785CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,893CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$101,504CurrentTaxYearMinus1YearAmt
Current Tax Year$133,910CurrentTaxYearAmt
Total$339,054TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$24,785CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,893CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$64,962CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$101,504CurrentTaxYearMinus1YearAmt
Current Tax Year$133,910CurrentTaxYearAmt
Total$339,054TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,047,547CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,010,325CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$992,676CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$908,963CurrentTaxYearMinus1YearAmt
Current Tax Year$1,110,788CurrentTaxYearAmt
Total$5,070,299TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.88510PublicSupportCY509Pct
Public Support PY5090.91040PublicSupportPY509Pct
Investment Income CY0.06690InvestmentIncomeCYPct
Investment Income PY0.04450InvestmentIncomePYPct
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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$62,173BeginningYearBalanceAmt
Contributions$102,650ContributionsAmt
Investment Earnings Or Losses$10,584InvestmentEarningsOrLossesAmt
Administrative Expenses$451AdministrativeExpensesAmt
End Year Balance$174,956EndYearBalanceAmt
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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$103,725OtherCostOrOtherBasisAmt
Depreciation$29,640DepreciationAmt
Book Value$74,085BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$626,827OtherCostOrOtherBasisAmt
Depreciation$90,484DepreciationAmt
Book Value$536,343BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,538OtherCostOrOtherBasisAmt
Depreciation$23,854DepreciationAmt
Book Value$50,684BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$661,112TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescFunds held at Elkhart County Community FoundationDesc
Book Value$803,079BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$803,079TotalBookValueOtherAssetsAmt

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$260,441GrossReceiptsEvent1Amt
Charitable Contri Event1$237,553CharitableContriEvent1Amt
Gross Revenue Event1$22,888GrossRevenueEvent1Amt
Rent Facility Costs Event1$1,300RentFacilityCostsEvent1Amt
Food And Beverage Event1$29,345FoodAndBeverageEvent1Amt
Entertainment Event1$650EntertainmentEvent1Amt
Other Direct Expenses Event1$16,782OtherDirectExpensesEvent1Amt
Event2Silent SamaritanEvent2Nm
Gross Receipts Event2$14,210GrossReceiptsEvent2Amt
Charitable Contri Event2$14,210CharitableContriEvent2Amt
Other Direct Expenses Event2$77OtherDirectExpensesEvent2Amt
Gross Receipts Total$274,651GrossReceiptsTotalAmt
Charitable Contributions Tot$251,763CharitableContributionsTotAmt
Gross Revenue Total Events$22,888GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$1,300RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$29,345FoodAndBeverageTotalEventsAmt
Entertainment Total Events$650EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$16,859OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$48,154DirectExpenseSummaryEventsAmt
Net Income Summary-$25,266NetIncomeSummaryAmt

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 Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)TransferToOtherOrgInd
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 TypeRTransactionTypeTxt
Involved$100,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt