2023-05-04T10:43:43-05:00 2022-12-31 420714325 RSM US LLP 30 South Wacker Dr Suite 3300 Chicago IL 606063392 990 2022-01-01 351288674 Samaritan Health & Living Center Inc SAMA 5742623597 311 West High Street Elkhart IN 46516 Randal J Rhoade CEO 5742623597 2023-05-03 1 Randal Rhoade XXX-XX-XXXX 0 Rebekuh Eley P01247672 3126343400 2023-05-03 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z Randal J Rhoade 311 West High Street Elkhart IN 46516 1084535 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. 13 13 12 18 0 0 428599 353477 548279 637162 146917 54376 -25266 -25742 1098529 1019273 0 0 0 0 697651 747919 0 0 16776 139223 153562 836874 901481 261655 117792 2566189 2475789 0 0 2566189 2475789 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 838437 0 637162 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 2022 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 2022 a total of $202,559 in fee assistance was applied directly to client accounts. Approximately 40% of clients receive some level of fee assistance. 838437 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 0 0 12 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 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 Randal Rhoade CEO 20.00 0.50 X 52500 0 2100 Laura Ezzell Past Presdient 0.50 0.01 X X 0 0 0 Katie McCormick President 0.50 0.01 X X 0 0 0 Aimee Bontrager Vice President 0.50 0.01 X X 0 0 0 Brian Housand Treasurer 0.50 0.01 X X 0 0 0 Virginia Wirt Secretary 0.50 0.01 X X 0 0 0 Marc Anderson Board Member 0.50 0.01 X 0 0 0 Jennifer Collins Board Member 0.10 0.01 X 0 0 0 Bill Haughee Board Member 0.10 0.01 X 0 0 0 Tim Koch 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 52500 0 2100 0 0 0 0 0 331696 21781 353477 Professional Fees 621300 637162 637162 637162 27991 27991 26385 0 26385 26385 26385 39520 331696 65262 -25742 -25742 1019273 637162 0 28634 52500 29172 12131 11197 610722 605325 5397 25014 23833 695 486 8377 7982 233 162 51306 48541 1880 885 1782 1426 356 38724 31870 5684 1170 12445 10579 747 1119 11784 9427 2357 333 333 6360 636 5724 26319 21055 5264 10667 8534 1883 250 Merchant Process. Fees 23659 22240 118 1301 Staff Education & Dev. 12761 12761 Dues and Subscriptions 2932 2349 583 5796 2374 3216 206 901481 838437 46268 16776 290233 40597 165470 635023 793102 151757 661112 641345 646295 389994 803079 768830 2566189 2475789 0 0 X 1567963 1514085 998226 961704 2566189 2475789 2566189 2475789 117792 -208192 0 X 0 0 0 X 572281 393209 334333 428599 353477 2081899 424151 534505 473126 548279 637162 2617223 996432 927714 807459 976878 990639 4699122 46976 30071 45079 90505 33549 246180 0 46976 30071 45079 90505 33549 246180 4452942 13893 64962 101504 133910 27991 342260 13893 64962 101504 133910 27991 342260 1010325 992676 908963 1110788 1018630 5041382 0.88330 0.88510 0.06790 0.06690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 803079 100615 -117858 15000 2006 768830 585755 100000 125585 6465 1796 803079 407916 100000 85544 6465 1240 585755 266710 100251 49699 7810 934 407916 174956 100000 -7573 673 266710 0.00000 1.00000 0.00000 1 0 25000 25000 78725 11543 67182 626827 92867 533960 62550 47347 15203 641345 Funds held at Elkhart County Community Foundation 768830 768830 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 347595 308075 39520 427 1375 41709 500 19814 Silent Samaritan Luncheon 23621 23621 1437 371216 331696 39520 427 1375 41709 500 21251 65262 -25742 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Elkhart County Samaritan Center Foundation Inc B 100000 FMV