2019-11-15T11:55:50-06:00 2018-12-31 420714325 RSM US LLP One South Wacker Dr Ste 800 Chicago IL 606063392 990 2018-01-01 351288674 Samaritan Health & Living Center Inc SAMA 5742623597 311 West High Street Elkhart IN 46516 Randal J Rhoade CEO 5742623597 2019-11-14 1 Rebekuh Eley P01247672 3126343400 2019-11-14 66.98.98.134 2019-11-14 14:28:09 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 49D5A1596642B6DD837368B1E984A310120BB776 2018 2020-04-17 16:48:07Z Randal J Rhoade 311 West High Street Elkhart IN 46516 1031125 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. 25 25 13 25 0 0 620174 572281 402588 424151 24785 13893 -26460 -28556 1021087 981769 0 0 0 0 403666 497047 0 0 13349 147982 175593 551648 672640 469439 309129 1618623 1904431 0 0 1618623 1904431 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 540576 424151 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 2018 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 2018 a total of $130,694 in fee assistance was applied directly to client accounts for 2,750 clinical hours of services. Approximately 35% of clients receive some level of fee assistance. 540576 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 8 0 1 13 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 25 25 1 0 0 0 1 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 Ginny Russell Past President 0.50 0.01 X X 0 0 0 Karen Smith President 0.50 0.20 X X 0 0 0 Melissa Ramey Vice President 0.50 0.01 X X 0 0 0 Brian Housand Treasurer 0.50 0.01 X X 0 0 0 Jennifer Collins Secretary 1.00 0.01 X X 0 0 0 Marc Anderson Board Member as of 1/1/18 0.25 0.01 X 0 0 0 Jessica Bond Board Member 0.25 0.01 X 0 0 0 Aimee Bontrager Board Member 0.25 0.01 X 0 0 0 Kathleen Bowers Board Member as of 1/1/18 0.10 0.01 X 0 0 0 Lauree Brown Board Member 0.10 0.01 X 0 0 0 Laura Ezzell Board Member 0.25 0.01 X 0 0 0 Ben Holdread Board Member as of 1/1/18 0.25 0.01 X 0 0 0 Patty Killoren Board Member as of 1/1/18 0.25 0.01 X 0 0 0 Dean Leazenby Board Member as of 1/1/18 0.25 0.01 X 0 0 0 Tim Koch Board Member 0.25 0.01 X 0 0 0 Katie McCormick Board Member 0.25 0.01 X 0 0 0 Jeff Miller Board Member 0.25 0.01 X 0 0 0 Ann Chris Nilsen Board Member 0.25 0.01 X 0 0 0 Betsy Tavernier Board Member as of 1/1/18 0.10 0.01 X 0 0 0 Michael Terlep Board Member 0.10 0.01 X 0 0 0 Sheila Terlep Board Member 0.10 0.01 X 0 0 0 Michelle Thomas Board Member 0.10 0.01 X 0 0 0 Joan Vidic Board Member 0.10 0.01 X 0 0 0 Frank Lucchese Board Member 0.10 0.01 X 0 0 0 Lynnette Valentijn Board Member as of 1/1/18 0.10 0.01 X 0 0 0 Randal Rhoade CEO 20.00 0.00 X 52500 0 0 52500 0 0 0 0 0 0 0 477685 94596 572281 Professional Fees 621300 424151 424151 424151 13893 13893 20800 477685 49356 -28556 -28556 981769 424151 0 -14663 52500 3172 41128 8200 391991 373063 18928 17814 15050 2436 328 34742 30099 3987 656 46094 25644 18745 1705 11245 8220 2521 504 10931 8964 983 984 31706 23730 7594 382 4264 1141 3123 32024 22577 9447 8760 7008 1502 250 Dues & Subscriptions 12061 5183 6793 85 Education & Development 11584 11584 Training Event Expense 4237 4237 2687 904 1528 255 672640 540576 118715 13349 158994 495563 746541 56285 715110 690256 569563 451902 174956 266710 1618623 1904431 0 0 X 1354174 1505745 89493 131976 174956 266710 1618623 1904431 1618623 1904431 309129 -23321 0 X 0 0 0 X 227136 418086 708787 620174 572281 2546464 193040 286379 331526 402588 424151 1637684 420176 704465 1040313 1022762 996432 4184148 39582 145923 408600 304377 263614 1162096 870 10675 11545 39582 146793 408600 315052 263614 1173641 3010507 6599 8530 18259 24785 13893 72066 6599 8530 18259 24785 13893 72066 426775 712995 1058572 1047547 1010325 4256214 0.70730 0.98270 0.01690 0.01730 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 174956 100000 -7573 673 266710 62173 102650 10584 451 174956 36995 22800 2628 251 62173 24263 13250 -451 67 36995 15887 7760 712 96 24263 1.00000 1 0 25000 25000 78725 3571 75154 577418 26191 551227 65398 26523 38875 690256 Funds held at Elkhart County Community Foundation 266710 266710 X 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. Part X, Line 2: The Organization is incorporated as a not-for-profit organization under the laws of the State of Indiana, and is exempt from federal and state income taxes pursuant to provisions of Section 501(c)(3) of the Internal Revenue Code. The Organization files Form 990 annually with the Federal Government and is still open to examination by taxing authorities for fiscal year 2015 and later. Dancing Competition 476050 455250 20800 2500 19516 500 26662 Silent Samaritan 22435 22435 178 498485 477685 20800 2500 19516 500 26840 49356 -28556 Form 990, Part VI, Section A, line 2 Sheila Terlep and Michael Terlep have a familial relationship. Form 990, Part VI, Section A, line 6 Section 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 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 compensation committee, which is comprised of independent persons, determines compensation for the executive director and key employees. The compensation is then reviewed annually. Minutes are taken for all executive committee meetings and comparative data, including the Samaritan Institute Report on Compensation, are used. 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Elkhart County Samaritan Center Foundation Inc C 100000 FMV