2018-11-12T11:41:17-06:00 2017-12-31 420714325 RSM US LLP PO Box 99 Elkhart IN 465150099 990 2017-01-01 351288674 Samaritan Health & Living Center Inc SAMA 5742623597 311 West High Street Elkhart IN 46516 Randal J Rhoade CEO 5742623597 2018-11-07 1 Erika Engler P01379489 5745220410 108.171.131.189 2018-11-07 14:59:29 ES P 225B2193E6665E9B8C2EFAAF2AC39F217EF7C7E8 1F162D7675324D9BBA4D5CF083C904A293BE978E 2017 2019-02-21 02:37:17Z Randal J Rhoade 311 West High Street Elkhart IN 46516 1065147 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 11 19 0 0 708787 620174 331526 402588 18259 24785 -41718 -26460 1016854 1021087 0 0 0 0 347866 403666 0 0 17848 119159 147982 467025 551648 549829 469439 1144780 1618623 0 0 1144780 1618623 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 430906 402588 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 2017 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 2017 a total of $ 58,591 in fee assistance was applied directly to client accounts for 1,845 clinical hours of services. Approximately 30% of clients receive some level of fee assistance. 430906 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 4 0 1 11 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 0 0 0 0 IN X Randal J Rhoade 5742623597 311 West High Street Elkhart IN 46516 Frank Lucchese Past President 1.00 0.00 X X 0 0 0 Ginny Russell President 1.00 0.00 X X 0 0 0 Karen Smith Vice President 3.00 0.00 X X 0 0 0 Ann Chris Nilsen Treasurer 1.00 0.00 X X 0 0 0 Jennifer Collins Secretary 3.00 0.00 X X 0 0 0 Jessica Bond Board Member 1.00 0.00 X 0 0 0 Aimee Bontrager Board Member 0.25 0.00 X 0 0 0 Lauree Brown Board Member 0.25 0.00 X 0 0 0 Laura Ezzell Board Member 0.50 0.00 X 0 0 0 Brian Housand Board Member 2.00 0.00 X 0 0 0 Tim Koch Board Member 1.00 0.00 X 0 0 0 Katie McCormick Board Member 1.00 0.00 X 0 0 0 Jeff Miller Board Member 0.25 0.00 X 0 0 0 Melissa Ramey Board Member 0.25 0.00 X 0 0 0 Michael Terlep Board Member 0.25 0.00 X 0 0 0 Sheila Terlep Board Member 0.25 0.00 X 0 0 0 Michelle Thomas Board Member 0.25 0.00 X 0 0 0 Joan Vidic Board Member 1.00 0.00 X 0 0 0 Chuck Willour Board Member 0.10 0.00 X 0 0 0 Randal Rhoade CEO 20.00 0.00 X 48263 0 0 48263 0 0 0 0 0 0 Cadet Construction PO Box 1293 Elkhart IN 46515 Remodeling 227519 1 284216 335958 620174 Professional Fees 621300 402588 402588 402588 11520 11520 13265 0 13265 13265 13265 17600 284216 44060 -26460 -26460 1021087 402588 0 -1675 48263 9653 25494 13116 325932 297984 27071 877 29471 24240 4140 1091 34184 27775 5817 592 253 55 198 12589 9306 2885 398 7974 6538 638 798 19949 14579 4927 443 5095 1972 3123 23251 16392 6859 8154 6523 1381 250 Donations 15000 15000 Dues & Subscriptions 9828 4696 5047 85 Education & Development 5179 5179 Training Event Expense 5165 5165 1361 904 457 551648 430906 102894 17848 368335 158994 739371 24261 463765 715110 250507 569563 62173 174956 1144780 1618623 0 0 X 929400 1354174 153207 89493 62173 174956 1144780 1618623 1144780 1618623 469439 4404 0 X 0 0 0 X 211772 227136 418086 708787 620174 2185955 192771 193040 286379 331526 402588 1406304 404543 420176 704465 1040313 1022762 3592259 0 0 0 3592259 5125 6599 8530 18259 24785 63298 5125 6599 8530 18259 24785 63298 409668 426775 712995 1058572 1047547 3655557 0.98270 0.98640 0.01730 0.01360 X 0 62173 102650 10584 451 174956 36995 22800 2628 251 62173 24263 13250 -451 67 36995 15887 7760 712 96 24263 14463 2125 580 121 15887 1.00000 1 0 25000 25000 656143 13151 642992 58228 11110 47118 715110 Funds held at Elkhart County Community Foundation 174956 174956 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, 2017. Management believes it has no material uncertain tax positions or any related penalties and interest to disclose for the year ended December 31, 2017. The organization files Form 990 annually with the Federal Government and is still open to examination by taxing authorities for fiscal year 2014 and later. Dancing Competition 301816 284216 17600 589 5019 16720 21732 301816 284216 17600 589 5019 16720 21732 44060 -26460 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