2017-09-29T13:07:15-05:00 2016-12-31 420714325 RSM US LLP PO BOX 99 ELKHART IN 465150099 990 2016-01-01 351288674 SAMARITAN HEALTH & LIVING CENTER INC SAMA 5742623597 311 WEST HIGH STREET ELKHART IN 46516 RANDAL J RHOADE CEO 5742623597 2017-09-18 1 ERIKA ENGLER P01379489 5745220410 108.171.130.186 2017-09-18 12:29:37 ED P 0E7F707857290DE5701119E3E094DACDBBE1B63C 0F3AA4A7BAC2059577889FBE5C1A7D3E2BF71AF4 2016 2021-01-29 14:40:06Z X RANDAL J RHOADE 311 WEST HIGH STREET ELKHART IN 46516 1058572 0 X N/A X 1973 IN WE PROVIDE PSYCHOTHERAPY, PASTORAL COUNSELING, CONSULTATION, AND EDUCATION WITH A "WHOLE PERSON-MIND, BODY AND SPIRIT" EMPHASIS, WITH THE GOAL OF OFFERING HEALING, HOPE AND GROWTH. OUR MISSION IS TO SHARE THE LOVE OF GOD BY HELPING PEOPLE UNDER STRESS. 19 19 12 25 0 0 418086 708787 286379 331526 8530 18259 -43407 -41718 669588 1016854 0 0 0 0 324678 347866 0 0 19143 93166 119159 417844 467025 251744 549829 594951 1144780 0 0 594951 1144780 WE PROVIDE PSYCHOTHERAPY, PASTORAL COUNSELING, CONSULTATION, AND EDUCATION WITH A "WHOLE PERSON-MIND,BODY, AND SPIRIT" EMPHASIS, WITH THE GOAL OF OFFERING HEALNG, HOPE AND GROWTH. OUR MISSION IS TO SHARE THE LOVE OF GOD BY HELPING PEOPLE UNDER STRESS. 0 0 401228 331526 PSYCHOTHERAPY, PASTORAL COUNSELING AND CONSULTATION 401228 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 0 0 0 1 12 0 1 12 1 0 0 0 0 0 1 1 0 0 0 0 X 19 19 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X RANDAL J RHOADE 5742623597 311 WEST HIGH STREET ELKHART IN 46516 BRIAN HOUSAND BOARD MEMBER 2.00 X X 0 0 0 FRANK LUCCHESE PRESIDENT 1.00 X X 0 0 0 JULIE APP BREITLING DOD 1316 SECRETARY 0.00 X X 0 0 0 MARY JO SARTORIUS BOARD MEMBER 1.00 X 0 0 0 GINNY RUSSELL VICE PRESIDENT 1.00 X 0 0 0 LINDA BURNS BOARD MEMBER 0.10 X 0 0 0 CHUCK WILLOUR BOARD MEMBER 0.10 X 0 0 0 KATIE MCCORMICK BOARD MEMBER 1.00 X 0 0 0 MEGHAN WENGER BOARD MEMBER 1.00 X 0 0 0 KAREN SMITH BOARD MEMBER 3.00 X 0 0 0 TIM KOCH BOARD MEMBER 1.00 X 0 0 0 MICHELLE THOMAS BOARD MEMBER 1.00 X 0 0 0 JENNIFER COLLINS SECRETARY 3.00 X 0 0 0 ANN CHRIS NILSEN TREASURER 1.00 X X 0 0 0 JESSICA BOND BOARD MEMBER 1.00 X 0 0 0 LAURA EZZELL BOARD MEMBER 1.00 X 0 0 0 DEB HALL BOARD MEMBER 0.10 X 0 0 0 MICHAEL TERLEP BOARD MEMBER 1.00 X 0 0 0 JOAN VIDIC BOARD MEMBER 1.00 X 0 0 0 ALANA WOODWORTH BOARD MEMBER 0.10 X 0 0 0 RANDAL RHOADE CEO 20.00 X 44200 0 0 44200 0 0 0 0 0 0 0 275935 432852 708787 PROFESSIONAL FEES 621300 331526 331526 331526 18259 18259 0 275935 41718 -41718 -41718 1016854 331526 0 -23459 41200 10300 24720 6180 281638 268810 4485 8343 25028 21633 2269 1126 29500 29500 15211 11432 2309 1470 7371 6328 269 774 10376 8300 2076 4361 3288 1073 1010 505 455 50 12315 8801 3264 250 TRAINING EVENT EXPENSE 18662 18662 DUES & SUBSCRIPTIONS 9561 5658 3372 531 EDUCATION & DEVELOPMENT 4995 4995 PAYROLL PROCESSING 163 163 5634 2853 2362 419 467025 401228 46654 19143 217570 368335 463765 0 113282 463765 227104 250507 36995 62173 594951 1144780 0 0 X 400456 929400 157500 153207 36995 62173 594951 1144780 594951 1144780 549829 0 X 0 0 0 X 177965 211772 227136 418086 708787 1743746 244002 192771 193040 286379 331526 1247718 421967 404543 420176 704465 1040313 2991464 0 0 0 2991464 2876 5125 6599 8530 18259 41389 2876 5125 6599 8530 18259 41389 424843 409668 426775 712995 1058572 3032853 0.98640 0.99000 0.01360 0.01000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 36995 22800 2628 251 62173 24263 13250 -451 67 36995 15887 7760 712 96 24263 14463 2125 580 121 15887 11707 1478 1500 222 14463 1.00000 1 0 463765 463765 463765 FUNDS HELD AT ELKHART COUNTY COMMUNITY FOUNDATION 62173 62173 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 PROVISIONS OF FASB ASC TOPIC 740-10 ACCOUNTING FOR INCOME TAXES HAS NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS AND, ACCORDINGLY, NO INTEREST OR PENALTIES WERE INCURRED AS OF DECEMBER 31, 2016. MANAGEMENT BELIEVES IT HAS NO MATERIAL UNCERTAIN TAX POSITIONS OR ANY RELATED PENALTIES AND INTEREST TO DISCLOSE FOR THE YEAR ENDED DECEMBER 31, 2016. THE ORGANIZATION FILES FORM 990 ANNUALLY WITH THE FEDERAL GOVERNMENT AND IS STILL OPEN TO EXAMINATION BY TAXING AUTHORITIES FOR FISCAL YEAR 2013 AND LATER. DANCING COMPETITION 263610 263610 40498 SILENT SAMAITAN LUNCHEON 12325 12325 1220 275935 275935 41718 41718 -41718 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. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0