STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SAMARITAN HEALTH & LIVING CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HEALTH & LIVING CENTER INC (EIN 35-1288674)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-28
IRS object ID
202123019349301762
Schema version
2020v4.1
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)
Return2021-10-28T11:01:12-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Line16 S Patterson BlvdAddressLine1Txt
CityDaytonCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-10-15SignatureDt
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 PersonKaren O CrimPreparerPersonNm
PTINP00368385PTIN
Phone9372980201PhoneNum
Preparation2021-10-15PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
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$1,648,982GrossReceiptsAmt
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 Body19VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee13TotalEmployeeCnt
Total Volunteers20TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$393,209PYContributionsGrantsAmt
CY Contributions Grants$334,333CYContributionsGrantsAmt
PY Program Service Revenue$534,505PYProgramServiceRevenueAmt
CY Program Service Revenue$473,126CYProgramServiceRevenueAmt
PY Investment Income$64,962PYInvestmentIncomeAmt
CY Investment Income$105,055CYInvestmentIncomeAmt
PY Other Revenue-$22,168PYOtherRevenueAmt
CY Other Revenue-$15,296CYOtherRevenueAmt
PY Total Revenue$970,508PYTotalRevenueAmt
CY Total Revenue$897,218CYTotalRevenueAmt
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$611,575PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$606,128CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$27,078CYTotalFundraisingExpenseAmt
PY Other Expenses$142,373PYOtherExpensesAmt
CY Other Expenses$152,664CYOtherExpensesAmt
PY Total Expenses$753,948PYTotalExpensesAmt
CY Total Expenses$758,792CYTotalExpensesAmt
PY Revenues Less Expenses$216,560PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$138,426CYRevenuesLessExpensesAmt
Total Assets BOY$2,148,016TotalAssetsBOYAmt
Total Assets EOY$2,307,257TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,148,016NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,307,257NetAssetsOrFundBalancesEOYAmt
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$648,928ExpenseAmt
Grant$0GrantAmt
Revenue$473,126RevenueAmt
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 2020 the standard charge was $110 - $135 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 2020 a total of $140,766 in fee assistance was applied directly to client accounts. Approximately 35% of clients receive some level of fee assistance.Desc
Total Program Service Expenses$648,928TotalProgramServiceExpensesAmt
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 Assets0ReportOtherAssetsInd
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 Document3IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee13EmployeeCnt
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 Contributions0QuidProQuoContributionsInd
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 Members19GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
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 (20 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)$57,500$0$2,300
Melissa Ramey
Past President0.500.01Yes (X)$0$0$0Yes (X)
Marc Anderson
President0.500.01Yes (X)$0$0$0Yes (X)
Laura Ezzell
Vice President0.500.01$0$0$0Yes (X)
Brian Housand
Treasurer0.500.01Yes (X)$0$0$0Yes (X)
Aimee Bontrager
Secretary0.500.01Yes (X)$0$0$0Yes (X)
Jennifer Collins
Board Member0.100.01$0$0$0Yes (X)
Ben Holdread
Board Member until 12/31/200.100.01$0$0$0Yes (X)
Patty Killoren
Board Member until 12/31/200.100.01$0$0$0Yes (X)
Tim Koch
Board Member0.100.01$0$0$0Yes (X)
Dean Leazenby
Board Member0.100.01$0$0$0Yes (X)
Frank Lucchese
Board Member0.100.01$0$0$0Yes (X)
Katie McCormick
Board Member0.100.01$0$0$0Yes (X)
Ann Chris Nilsen
Board Member until 12/31/200.100.01$0$0$0Yes (X)
Ginny Russell
Board Member0.100.01$0$0$0Yes (X)
Karen Smith
Board Member0.100.01$0$0$0Yes (X)
Betsy Tavernier
Board Member until 12/31/200.100.01$0$0$0Yes (X)
Michael Terlep
Board Member until 10/16/200.250.01$0$0$0Yes (X)
Sheila Terlep
Board Member until 12/31/200.250.01$0$0$0Yes (X)
Joan Vidic
Board Member until 12/31/200.100.01$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$57,500TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$2,300TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$164,835FundraisingAmt
Government Grants$112,900GovernmentGrantsAmt
All Other Contributions$56,598AllOtherContributionsAmt
Total Contributions$334,333TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProfessional FeesDesc
Business621300BusinessCd
Total Revenue Column$473,126TotalRevenueColumnAmt
Related Or Exempt Func Income$473,126RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$473,126TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$101,504TotalRevenueColumnAmt
Exclusion$101,504ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$740,019SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$736,468SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,551SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,551TotalRevenueColumnAmt
Exclusion$3,551ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$164,835ContriRptFundraisingEventAmt
Fundraising Direct Expenses$15,296FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,296TotalRevenueColumnAmt
Exclusion-$15,296ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$897,218TotalRevenueColumnAmt
Related Or Exempt Func Income$473,126RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$89,759ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$57,500TotalAmt
Program Services$26,322ProgramServicesAmt
Management And General$12,951ManagementAndGeneralAmt
Fundraising$18,227FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$475,228TotalAmt
Program Services$466,492ProgramServicesAmt
Management And General$8,736ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$21,341TotalAmt
Program Services$19,742ProgramServicesAmt
Management And General$868ManagementAndGeneralAmt
Fundraising$731FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,877TotalAmt
Program Services$9,137ProgramServicesAmt
Management And General$402ManagementAndGeneralAmt
Fundraising$338FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$42,182TotalAmt
Program Services$39,021ProgramServicesAmt
Management And General$1,717ManagementAndGeneralAmt
Fundraising$1,444FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,953TotalAmt
Program Services$7,953ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$30,293TotalAmt
Program Services$21,150ProgramServicesAmt
Management And General$8,535ManagementAndGeneralAmt
Fundraising$608FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$13,972TotalAmt
Program Services$11,178ProgramServicesAmt
Management And General$838ManagementAndGeneralAmt
Fundraising$1,956FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$11,478TotalAmt
Program Services$8,608ProgramServicesAmt
Management And General$2,870ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,293TotalAmt
Program Services$283ProgramServicesAmt
Management And General$2,010ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$5,830TotalAmt
Program Services$1,166ProgramServicesAmt
Management And General$4,579ManagementAndGeneralAmt
Fundraising$85FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,956TotalAmt
Program Services$21,669ProgramServicesAmt
Management And General$9,287ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,405TotalAmt
Program Services$7,524ProgramServicesAmt
Management And General$1,631ManagementAndGeneralAmt
Fundraising$250FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmt
Old Building Razing Exp$18,191$18,191
Credit Card Processing$11,319$8,376$2,943
Education & Development$6,201$6,201
Dues & Subscriptions$2,152$2,152

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,621TotalAmt
Program Services$330ProgramServicesAmt
Management And General$1,795ManagementAndGeneralAmt
Fundraising$496FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$758,792TotalAmt
Program Services$648,928ProgramServicesAmt
Management And General$82,786ManagementAndGeneralAmt
Fundraising$27,078FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$60,550BOYAmt
EOY$247,440EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$457,189BOYAmt
EOY$166,000EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$806,428LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$117,262LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$713,761BOYAmt
EOY$689,166EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$508,600BOYAmt
EOY$618,896EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$407,916BOYAmt
EOY$585,755EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,148,016BOYAmt
EOY$2,307,257EOYAmt

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$1,623,591BOYAmt
EOY$1,524,662EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$524,425BOYAmt
EOY$782,595EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,148,016BOYAmt
EOY$2,307,257EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,148,016BOYAmt
EOY$2,307,257EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$138,426ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$20,815NetUnrlzdGainsLossesInvstAmt
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$708,787CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$620,174CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$572,281CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$393,209CurrentTaxYearMinus1YearAmt
Current Tax Year$334,333CurrentTaxYearAmt
Total$2,628,784TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$331,526CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$402,588CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$424,151CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$534,505CurrentTaxYearMinus1YearAmt
Current Tax Year$473,126CurrentTaxYearAmt
Total$2,165,896TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,040,313CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,022,762CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$996,432CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$927,714CurrentTaxYearMinus1YearAmt
Current Tax Year$807,459CurrentTaxYearAmt
Total$4,794,680TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$38,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,996CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,071CurrentTaxYearMinus1YearAmt
Current Tax Year$55,920CurrentTaxYearAmt
Total$215,364TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$10,675CurrentTaxYearMinus3YearsAmt
Total$10,675TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,600CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$49,452CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$52,996CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$51,071CurrentTaxYearMinus1YearAmt
Current Tax Year$55,920CurrentTaxYearAmt
Total$226,039TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$4,568,641PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,259CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,785CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,893CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,962CurrentTaxYearMinus1YearAmt
Current Tax Year$101,504CurrentTaxYearAmt
Total$223,403TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$18,259CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,785CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,893CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$64,962CurrentTaxYearMinus1YearAmt
Current Tax Year$101,504CurrentTaxYearAmt
Total$223,403TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,058,572CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,047,547CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,010,325CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$992,676CurrentTaxYearMinus1YearAmt
Current Tax Year$908,963CurrentTaxYearAmt
Total$5,018,083TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91040PublicSupportCY509Pct
Public Support PY5090.70410PublicSupportPY509Pct
Investment Income CY0.04450InvestmentIncomeCYPct
Investment Income PY0.02700InvestmentIncomePYPct
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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$36,995BeginningYearBalanceAmt
Contributions$22,800ContributionsAmt
Investment Earnings Or Losses$2,628InvestmentEarningsOrLossesAmt
Administrative Expenses$251AdministrativeExpensesAmt
End Year Balance$62,173EndYearBalanceAmt
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$15,244DepreciationAmt
Book Value$88,481BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$626,827OtherCostOrOtherBasisAmt
Depreciation$91,464DepreciationAmt
Book Value$535,363BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,876OtherCostOrOtherBasisAmt
Depreciation$10,554DepreciationAmt
Book Value$65,322BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$689,166TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescFunds held at Elkhart County Community FoundationDesc
Book Value$585,755BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$585,755TotalBookValueOtherAssetsAmt

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)
Event1Dancing CompetitionEvent1Nm
Gross Receipts Event1$142,010GrossReceiptsEvent1Amt
Charitable Contri Event1$142,010CharitableContriEvent1Amt
Non Cash Prizes Event1$250NonCashPrizesEvent1Amt
Other Direct Expenses Event1$14,864OtherDirectExpensesEvent1Amt
Event2Silent SamaritanEvent2Nm
Gross Receipts Event2$22,825GrossReceiptsEvent2Amt
Charitable Contri Event2$22,825CharitableContriEvent2Amt
Other Direct Expenses Event2$182OtherDirectExpensesEvent2Amt
Gross Receipts Total$164,835GrossReceiptsTotalAmt
Charitable Contributions Tot$164,835CharitableContributionsTotAmt
Non Cash Prizes Total Events$250NonCashPrizesTotalEventsAmt
Oth Direct Expnss Total Events$15,046OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$15,296DirectExpenseSummaryEventsAmt
Net Income Summary-$15,296NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2Sheila Terlep and Michael Terlep have a familial relationship.
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