2022-10-24T08:29:08-05:00 2021-12-31 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2021-01-01 351288674 Samaritan Health & Living Center Inc SAMA 5742623597 311 West High Street Elkhart IN 46516 Randal J Rhoade CEO 5742623597 2022-09-16 1 Randal Rhoade XXX-XX-XXXX Rebekuh Eley P01247672 3126343400 2022-09-16 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Randal J Rhoade 311 West High Street Elkhart IN 46516 1146683 0 X www.elkhartsamaritan.org X 1973 IN To be an expression of the love of God through a ministry of helping people under stress. 14 14 12 14 0 0 334333 428599 473126 548279 105055 146917 -15296 -25266 897218 1098529 0 0 0 0 606128 697651 0 0 17957 152664 139223 758792 836874 138426 261655 2307257 2566189 0 0 2307257 2566189 The 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. 0 0 768424 0 548279 The 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. 768424 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 12 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 0 0 0 0 IN X Randal J Rhoade 5742623597 311 West High Street Elkhart IN 46516 Marc Anderson Past President 0.50 0.01 X X 0 0 0 Laura Ezzell President 0.50 0.01 X X 0 0 0 Katie McCormick Vice President 0.10 0.01 X X 0 0 0 Brian Housand Treasurer 0.50 0.01 X X 0 0 0 Aimee Bontrager Secretary 0.50 0.01 X X 0 0 0 Jennifer Collins Board Member 0.10 0.01 X 0 0 0 Tim Koch Board Member 0.10 0.01 X 0 0 0 Dean Leazenby Board Member 0.10 0.01 X 0 0 0 Frank Lucchese Board Member 0.10 0.01 X 0 0 0 Joyce Menchinger Board Member 0.25 0.01 X 0 0 0 Melissa Ramey Board Member 0.10 0.01 X 0 0 0 Ginny Russell Board Member 0.10 0.01 X 0 0 0 Karen Smith Board Member 0.10 0.01 X 0 0 0 Virginia Wirt Board Member 0.25 0.01 X 0 0 0 Randal Rhoade CEO 20.00 0.50 X 52500 0 2100 52500 0 2100 0 0 0 0 0 251763 112900 63936 428599 Professional Fees 621300 548279 548279 548279 133910 133910 13007 0 13007 13007 13007 22888 251763 48154 -25266 -25266 1098529 548279 0 121651 52500 24618 15800 12082 560179 554982 5197 22082 20890 757 435 15452 14618 530 304 47438 44877 1626 935 28689 23301 4762 626 16318 13870 163 2285 11205 8964 2241 456 456 12720 2544 10176 27696 22157 5539 9698 7758 1690 250 Credit Card Processing 16268 14967 488 813 Staff Training and Deve 7940 7940 Dues and Subscriptions 2339 2339 Old Building Razing Exp 158 158 5736 4143 1366 227 836874 768424 50493 17957 247440 290233 166000 165470 805090 143978 689166 661112 618896 646295 585755 803079 2307257 2566189 0 0 X 1524662 1567963 782595 998226 2307257 2566189 2307257 2566189 261655 -2723 0 X 0 0 0 X 620174 572281 393209 334333 428599 2348596 402588 424151 534505 473126 548279 2382649 1022762 996432 927714 807459 976878 4731245 20177 46976 30071 45079 90505 232808 10675 10675 30852 46976 30071 45079 90505 243483 4487762 24785 13893 64962 101504 133910 339054 24785 13893 64962 101504 133910 339054 1047547 1010325 992676 908963 1110788 5070299 0.88510 0.91040 0.06690 0.04450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 585755 100000 125585 6465 1796 803079 407916 100000 85544 6465 1240 585755 266710 100251 49699 7810 934 407916 174956 100000 -7573 673 266710 62173 102650 10584 451 174956 0.00000 1.00000 0.00000 1 0 103725 29640 74085 626827 90484 536343 74538 23854 50684 661112 Funds held at Elkhart County Community Foundation 803079 803079 Part V, Line 4: The 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. Still Dancing in Elkhart 260441 237553 22888 1300 29345 650 16782 Silent Samaritan 14210 14210 77 274651 251763 22888 1300 29345 650 16859 48154 -25266 Form 990, Part VI, Section B, line 11b A 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 12c The 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 15 The 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 19 The 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). Elkhart County Samaritan Center Foundation Inc 311 West High Street Elkhart IN 46516 311164839 Endowment Fund - Support of the Samaritan Health and Living Center IN 501(c)(3) 509(A)(3), Type I Samaritan Health and Living Center 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Elkhart County Samaritan Center Foundation Inc R 100000 FMV