2021-10-28T11:01:12-05:00 2020-12-31 420714325 RSM US LLP 6 S Patterson Blvd Dayton OH 45402 990 2020-01-01 351288674 Samaritan Health & Living Center Inc SAMA 5742623597 311 West High Street Elkhart IN 46516 Randal J Rhoade CEO 5742623597 2021-10-15 1 Randal Rhoade XXX-XX-XXXX Karen O Crim P00368385 9372980201 2021-10-15 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z Randal J Rhoade 311 West High Street Elkhart IN 46516 1648982 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. 19 19 13 20 0 0 393209 334333 534505 473126 64962 105055 -22168 -15296 970508 897218 0 0 0 0 611575 606128 0 0 27078 142373 152664 753948 758792 216560 138426 2148016 2307257 0 0 2148016 2307257 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 648928 0 473126 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 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. 648928 1 1 0 0 0 0 0 0 0 1 1 0 0 0 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 3 0 1 13 1 0 0 0 0 0 0 0 0 0 0 0 0 X 19 19 1 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 57500 0 2300 Melissa Ramey Past President 0.50 0.01 X X 0 0 0 Marc Anderson President 0.50 0.01 X X 0 0 0 Laura Ezzell Vice President 0.50 0.01 X 0 0 0 Brian Housand Treasurer 0.50 0.01 X X 0 0 0 Aimee Bontrager Secretary 0.50 0.01 X X 0 0 0 Jennifer Collins Board Member 0.10 0.01 X 0 0 0 Ben Holdread Board Member until 12/31/20 0.10 0.01 X 0 0 0 Patty Killoren Board Member until 12/31/20 0.10 0.01 X 0 0 0 Tim Koch Board Member 0.10 0.01 X 0 0 0 Dean Leazenby Board Member 0.10 0.01 X 0 0 0 Frank Lucchese Board Member 0.10 0.01 X 0 0 0 Katie McCormick Board Member 0.10 0.01 X 0 0 0 Ann Chris Nilsen Board Member until 12/31/20 0.10 0.01 X 0 0 0 Ginny Russell Board Member 0.10 0.01 X 0 0 0 Karen Smith Board Member 0.10 0.01 X 0 0 0 Betsy Tavernier Board Member until 12/31/20 0.10 0.01 X 0 0 0 Michael Terlep Board Member until 10/16/20 0.25 0.01 X 0 0 0 Sheila Terlep Board Member until 12/31/20 0.25 0.01 X 0 0 0 Joan Vidic Board Member until 12/31/20 0.10 0.01 X 0 0 0 57500 0 2300 0 0 0 0 0 164835 112900 56598 334333 Professional Fees 621300 473126 473126 473126 101504 101504 740019 736468 3551 3551 3551 0 164835 15296 -15296 -15296 897218 473126 0 89759 57500 26322 12951 18227 475228 466492 8736 21341 19742 868 731 9877 9137 402 338 42182 39021 1717 1444 7953 7953 30293 21150 8535 608 13972 11178 838 1956 11478 8608 2870 2293 283 2010 5830 1166 4579 85 30956 21669 9287 9405 7524 1631 250 Old Building Razing Exp 18191 18191 Credit Card Processing 11319 8376 2943 Education & Development 6201 6201 Dues & Subscriptions 2152 2152 2621 330 1795 496 758792 648928 82786 27078 60550 247440 457189 166000 806428 117262 713761 689166 508600 618896 407916 585755 2148016 2307257 0 0 X 1623591 1524662 524425 782595 2148016 2307257 2148016 2307257 138426 20815 0 X 0 0 0 X 708787 620174 572281 393209 334333 2628784 331526 402588 424151 534505 473126 2165896 1040313 1022762 996432 927714 807459 4794680 16600 38777 52996 51071 55920 215364 10675 10675 16600 49452 52996 51071 55920 226039 4568641 18259 24785 13893 64962 101504 223403 18259 24785 13893 64962 101504 223403 1058572 1047547 1010325 992676 908963 5018083 0.91040 0.70410 0.04450 0.02700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 407916 100000 85544 6465 1240 585755 266710 100251 49699 7810 934 407916 174956 100000 -7573 673 266710 62173 102650 10584 451 174956 36995 22800 2628 251 62173 0.00000 1.00000 0.00000 1 0 103725 15244 88481 626827 91464 535363 75876 10554 65322 689166 Funds held at Elkhart County Community Foundation 585755 585755 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. Dancing Competition 142010 142010 250 14864 Silent Samaritan 22825 22825 182 164835 164835 250 15046 15296 -15296 Form 990, Part VI, Section A, line 2 Sheila Terlep and Michael Terlep have a familial relationship. 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Elkhart County Samaritan Center Foundation Inc R 100000 FMV