STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SAMARITAN HEALTH & LIVING CENTER INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
SAMARITAN HEALTH & LIVING CENTER INC (EIN 35-1288674)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-09-25
IRS object ID
202042699349300309
Schema version
2019v5.1
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)
Return2020-09-25T08:39:47-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Line11 S Wacker Dr Ste 800AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP606063392ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

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
Signature2020-09-22SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebekuh EleyPreparerPersonNm
PTINP01247672PTIN
Phone3126343400PhoneNum
Preparation2020-09-22PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.226.130.40IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-09-22IPDt
IP Tm09:41:56IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id49D5A1596642B6DD837368B1E984A310120BB776AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$1,017,036GrossReceiptsAmt
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 Body23VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee15TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$572,281PYContributionsGrantsAmt
CY Contributions Grants$393,209CYContributionsGrantsAmt
PY Program Service Revenue$424,151PYProgramServiceRevenueAmt
CY Program Service Revenue$534,505CYProgramServiceRevenueAmt
PY Investment Income$13,893PYInvestmentIncomeAmt
CY Investment Income$64,962CYInvestmentIncomeAmt
PY Other Revenue-$28,556PYOtherRevenueAmt
CY Other Revenue-$22,168CYOtherRevenueAmt
PY Total Revenue$981,769PYTotalRevenueAmt
CY Total Revenue$970,508CYTotalRevenueAmt
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$497,047PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$611,575CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$22,653CYTotalFundraisingExpenseAmt
PY Other Expenses$175,593PYOtherExpensesAmt
CY Other Expenses$142,373CYOtherExpensesAmt
PY Total Expenses$672,640PYTotalExpensesAmt
CY Total Expenses$753,948CYTotalExpensesAmt
PY Revenues Less Expenses$309,129PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$216,560CYRevenuesLessExpensesAmt
Total Assets BOY$1,904,431TotalAssetsBOYAmt
Total Assets EOY$2,148,016TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,904,431NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,148,016NetAssetsOrFundBalancesEOYAmt
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$660,134ExpenseAmt
Grant$0GrantAmt
Revenue$534,505RevenueAmt
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 2019 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 2019 a total of $156,414 in fee assistance was applied directly to client accounts for 3,343 clinical hours of services. Approximately 37% of clients receive some level of fee assistance.Desc
Total Program Service Expenses$660,134TotalProgramServiceExpensesAmt
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
Employee15EmployeeCnt
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 Members23GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
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 (25 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
Karen Smith
Past President0.500.20Yes (X)$0$0$0Yes (X)
Melissa Ramey
President0.500.01Yes (X)$0$0$0Yes (X)
Marc Anderson
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)
Ginny Russell
Board Member0.500.01$0$0$0Yes (X)
Jennifer Collins
Board Member0.250.01$0$0$0Yes (X)
Jessica Bond
Board Member0.100.01$0$0$0Yes (X)
Kathleen Bowers
Board Member0.100.01$0$0$0Yes (X)
Lauree Brown
Board Member0.100.01$0$0$0Yes (X)
Laura Ezzell
Board Member0.100.01$0$0$0Yes (X)
Ben Holdread
Board Member0.100.01$0$0$0Yes (X)
Patty Killoren
Board Member0.100.01$0$0$0Yes (X)
Dean Leazenby
Board Member0.100.01$0$0$0Yes (X)
Tim Koch
Board Member0.100.01$0$0$0Yes (X)
Katie McCormick
Board Member0.100.01$0$0$0Yes (X)
Jeff Miller
Board Member until 6/16/190.100.01$0$0$0Yes (X)
Ann Chris Nilsen
Board Member0.100.01$0$0$0Yes (X)
Betsy Tavernier
Board Member0.100.01$0$0$0Yes (X)
Michael Terlep
Board Member0.250.01$0$0$0Yes (X)
Sheila Terlep
Board Member0.250.01$0$0$0Yes (X)
Michelle Thomas
Board Member0.100.01$0$0$0Yes (X)
Joan Vidic
Board Member0.100.01$0$0$0Yes (X)
Frank Lucchese
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$346,395FundraisingAmt
All Other Contributions$46,814AllOtherContributionsAmt
Total Contributions$393,209TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescProfessional FeesDesc
Business621300BusinessCd
Total Revenue Column$534,505TotalRevenueColumnAmt
Related Or Exempt Func Income$534,505RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$534,505TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,962TotalRevenueColumnAmt
Exclusion$64,962ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$24,360FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$346,395ContriRptFundraisingEventAmt
Fundraising Direct Expenses$46,528FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,168TotalRevenueColumnAmt
Exclusion-$22,168ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$970,508TotalRevenueColumnAmt
Related Or Exempt Func Income$534,505RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$42,794ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$52,500TotalAmt
Program Services$21,947ProgramServicesAmt
Management And General$16,295ManagementAndGeneralAmt
Fundraising$14,258FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$489,647TotalAmt
Program Services$472,035ProgramServicesAmt
Management And General$17,612ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,024TotalAmt
Program Services$24,097ProgramServicesAmt
Management And General$1,357ManagementAndGeneralAmt
Fundraising$570FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$43,404TotalAmt
Program Services$39,551ProgramServicesAmt
Management And General$2,713ManagementAndGeneralAmt
Fundraising$1,140FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$21,047TotalAmt
Program Services$17,036ProgramServicesAmt
Management And General$522ManagementAndGeneralAmt
Fundraising$3,489FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$787TotalAmt
Management And General$787ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$11,969TotalAmt
Program Services$8,458ProgramServicesAmt
Management And General$2,828ManagementAndGeneralAmt
Fundraising$683FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$12,657TotalAmt
Program Services$8,859ProgramServicesAmt
Management And General$2,025ManagementAndGeneralAmt
Fundraising$1,773FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$27,121TotalAmt
Program Services$18,039ProgramServicesAmt
Management And General$8,677ManagementAndGeneralAmt
Fundraising$405FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$5,602TotalAmt
Program Services$5,602ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$30,021TotalAmt
Program Services$21,015ProgramServicesAmt
Management And General$9,006ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$8,323TotalAmt
Program Services$6,658ProgramServicesAmt
Management And General$1,415ManagementAndGeneralAmt
Fundraising$250FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Education & Development$11,950$11,950
Dues & Subscriptions$10,111$4,254$5,772$85

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,785TotalAmt
Program Services$633ProgramServicesAmt
Management And General$2,152ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$753,948TotalAmt
Program Services$660,134ProgramServicesAmt
Management And General$71,161ManagementAndGeneralAmt
Fundraising$22,653FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$495,563BOYAmt
EOY$60,550EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$457,189EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$800,067LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$86,306LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$690,256BOYAmt
EOY$713,761EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$451,902BOYAmt
EOY$508,600EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$266,710BOYAmt
EOY$407,916EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,904,431BOYAmt
EOY$2,148,016EOYAmt

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$1,505,745BOYAmt
EOY$1,623,591EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$398,686BOYAmt
EOY$524,425EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,904,431BOYAmt
EOY$2,148,016EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,904,431BOYAmt
EOY$2,148,016EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$216,560ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$27,025NetUnrlzdGainsLossesInvstAmt
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$418,086CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$708,787CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$620,174CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$572,281CurrentTaxYearMinus1YearAmt
Current Tax Year$393,209CurrentTaxYearAmt
Total$2,712,537TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$286,379CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$331,526CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$402,588CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$424,151CurrentTaxYearMinus1YearAmt
Current Tax Year$534,505CurrentTaxYearAmt
Total$1,979,149TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$704,465CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,040,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,022,762CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$996,432CurrentTaxYearMinus1YearAmt
Current Tax Year$927,714CurrentTaxYearAmt
Total$4,691,686TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$145,923CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$408,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$304,377CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$263,614CurrentTaxYearMinus1YearAmt
Current Tax Year$162,271CurrentTaxYearAmt
Total$1,284,785TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$870CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$10,675CurrentTaxYearMinus2YearsAmt
Total$11,545TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$146,793CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$408,600CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$315,052CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$263,614CurrentTaxYearMinus1YearAmt
Current Tax Year$162,271CurrentTaxYearAmt
Total$1,296,330TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$3,395,356PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,530CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,259CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,785CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,893CurrentTaxYearMinus1YearAmt
Current Tax Year$64,962CurrentTaxYearAmt
Total$130,429TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,530CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,259CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,785CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,893CurrentTaxYearMinus1YearAmt
Current Tax Year$64,962CurrentTaxYearAmt
Total$130,429TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$712,995CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,058,572CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,047,547CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,010,325CurrentTaxYearMinus1YearAmt
Current Tax Year$992,676CurrentTaxYearAmt
Total$4,822,115TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.70410PublicSupportCY509Pct
Public Support PY5090.70730PublicSupportPY509Pct
Investment Income CY0.02700InvestmentIncomeCYPct
Investment Income PY0.01690InvestmentIncomePYPct
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$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,263BeginningYearBalanceAmt
Contributions$13,250ContributionsAmt
Investment Earnings Or Losses-$451InvestmentEarningsOrLossesAmt
Administrative Expenses$67AdministrativeExpensesAmt
End Year Balance$36,995EndYearBalanceAmt
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$11,220DepreciationAmt
Book Value$92,505BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$626,827OtherCostOrOtherBasisAmt
Depreciation$67,319DepreciationAmt
Book Value$559,508BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$69,515OtherCostOrOtherBasisAmt
Depreciation$7,767DepreciationAmt
Book Value$61,748BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$713,761TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescFunds held at Elkhart County Community FoundationDesc
Book Value$407,916BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$407,916TotalBookValueOtherAssetsAmt

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$354,825GrossReceiptsEvent1Amt
Charitable Contri Event1$330,465CharitableContriEvent1Amt
Gross Revenue Event1$24,360GrossRevenueEvent1Amt
Rent Facility Costs Event1$1,575RentFacilityCostsEvent1Amt
Food And Beverage Event1$21,974FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$22,797OtherDirectExpensesEvent1Amt
Event2Silent SamaritanEvent2Nm
Gross Receipts Event2$15,930GrossReceiptsEvent2Amt
Charitable Contri Event2$15,930CharitableContriEvent2Amt
Other Direct Expenses Event2$182OtherDirectExpensesEvent2Amt
Gross Receipts Total$370,755GrossReceiptsTotalAmt
Charitable Contributions Tot$346,395CharitableContributionsTotAmt
Gross Revenue Total Events$24,360GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$1,575RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$21,974FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$22,979OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$46,528DirectExpenseSummaryEventsAmt
Net Income Summary-$22,168NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 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 A, line 6Section 1. Classes: Any person, church, or group interested in the Samaritan Health and Living Center, Inc. contributing directly $1.00 or more per year for membership shall hereby become an individual member of this corporation for the year for which the contribution was given and shall be entitled to attend and vote at all membership meetings during that period. Section 2. Rights, Preferences, Limitations, and Restrictions of Classes: There shall be only one class of membership. Section 3. Voting Rights of Classes: Each member shall be entitled to one vote.
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 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 TypeCTransactionTypeTxt
Involved$100,000InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt