SAMARITAN HEALTH & LIVING CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SAMARITAN HEALTH & LIVING CENTER INC (EIN 35-1288674)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-09-09
- IRS object ID
- 201332529349300518
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-09-09T10:28:36-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 99 | AddressLine1 |
| City | ELKHART | City |
| State | IN | State |
| ZIP Code | 465150099 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351288674 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN HEALTH AND LIVING CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SAMA | NameControl |
| Phone | 5742623597 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 EAST CRAWFORD STREET | AddressLine1 |
| City | ELKHART | City |
| State | IN | State |
| ZIP Code | 46514 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGORY HINKLE PH D | Name |
| Title | DIRECTOR | Title |
| Phone | 5742623597 | Phone |
| Date Signed | 2013-08-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EMILY LYONS | Name |
| PTIN | P01281169 | PTIN |
| Phone | 5745220410 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | GREGORY HINKLE PH D | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 EAST CRAWFORD STREET | AddressLine1 |
| City | ELKHART | City |
| State | IN | State |
| ZIP Code | 46514 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 424843 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1973 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | 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 TO ALL IN NEED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 9 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 158376 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 177965 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 242918 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 244002 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 635 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2876 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -7116 | OtherRevenuePriorYear |
| Other Revenue Current Year | -29664 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 394813 | TotalRevenuePriorYear |
| Total Revenue Current Year | 395179 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 261559 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 259452 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 76306 | OtherExpensePriorYear |
| Other Expenses Current Year | 82462 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 337865 | TotalExpensesPriorYear |
| Total Expenses Current Year | 341914 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 56948 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 53265 | RevenuesLessExpensesCY |
| Total Assets BOY | 156802 | TotalAssetsBOY |
| Total Assets EOY | 206867 | TotalAssetsEOY |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 156802 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 206867 | NetAssetsOrFundBalancesEOY |
| Mission Description | 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 TO ALL IN NEED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 258024 | Expense |
| Revenue | 244002 | Revenue |
| Description | PSYCHOTHERAPY, PASTORAL COUNSELING AND CONSULTATION | Description |
| Total Program Service Expense | 258024 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 9 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GREGORY HINKLE PH D | NamePerson |
| Telephone Number | 5742623597 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22493 PEPPERWOOD LANE | AddressLine1 |
| City | GOSHEN | City |
| State | IN | State |
| ZIP Code | 46528 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| GREGORY HINKLE | ||||||
| DIRECTOR | 40.00 | X | 65780 | 0 | 27115 | |
| JULI MEYER | ||||||
| PAST PRESIDENT | 0.00 | X | 0 | 0 | 0 | X |
| ANN MCCUISTION | ||||||
| TREASURER | 0.00 | X | 0 | 0 | 0 | X |
| JULIE APP BREITLING | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| RANDALL LIPPS | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| LAIN RUCH DOWNS | ||||||
| PRESIDENT | 0.00 | X | 0 | 0 | 0 | X |
| REV NAN MORGAN ADAMS | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| DEAN E LEAZENBY | ||||||
| SECRETARY | 0.00 | X | 0 | 0 | 0 | X |
| DAVID MARKS | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| JENNIFER PITCHER | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| MARY JO SARTORIUS | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| CINDY BURNS | ||||||
| VICE PRESIDENT | 0.00 | X | 0 | 0 | 0 | X |
| GINNY RUSSELL | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| KIM WELCH | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| CHUCK WILLOUR | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| KATIE MCCORMICK | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| BRIAN HOUSAND | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| TRUDY DISCH | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| JASON R HESSLER | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| REV STEVE BRADEN | ||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 65780 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 27115 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 124123 | FundraisingEvents |
| All Other Contributions | 53842 | AllOtherContributions |
| Total Contributions | 177965 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PROFESSIONAL FEES | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 244002 | TotalRevenueColumn |
| Related Or Exempt Function Income | 244002 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 244002 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2876 | TotalRevenueColumn |
| Exclusion | $2,876 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 0 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 124123 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 29664 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -29664 | TotalRevenueColumn |
| Exclusion | -$29,664 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 395179 | TotalRevenueColumn |
| Related Or Exempt Function Income | 244002 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$26,788 | ExclusionAmount |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 92895 | Total |
| Program Services | 92895 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138717 | Total |
| Program Services | 90879 | ProgramServices |
| Management And General | 47838 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9079 | Total |
| Program Services | 9079 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 465 | Total |
| Program Services | 465 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18296 | Total |
| Program Services | 14517 | ProgramServices |
| Management And General | 3779 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24000 | Total |
| Program Services | 24000 | ProgramServices |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3467 | Total |
| Program Services | 1770 | ProgramServices |
| Management And General | 1697 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18426 | Total |
| Program Services | 8597 | ProgramServices |
| Management And General | 9829 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 159 | Total |
| Program Services | 37 | ProgramServices |
| Management And General | 122 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9699 | Total |
| Program Services | 1719 | ProgramServices |
| Management And General | 7980 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OFFICE MAINTENANCE AND | 6623 | 5246 | 1377 |
| AGENCY DUES | 6199 | 6199 | |
| MISC. EXPENSE | 5793 | 5080 | 713 |
| UTILITIES | 2714 | 316 | 2398 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5382 | Total |
| Program Services | 3424 | ProgramServices |
| Management And General | 1958 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 341914 | Total |
| Program Services | 258024 | ProgramServices |
| Management And General | 83890 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156802 | BOY |
| EOY | 206867 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156802 | BOY |
| EOY | 206867 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156802 | BOY |
| EOY | 206867 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156802 | BOY |
| EOY | 206867 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 156802 | BOY |
| EOY | 206867 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 53265 | ReconcilationRevenueExpenses |
| Reconcilation Prior Adjustment | -3200 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 269563 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 332992 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 173741 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 158376 | CurrentTaxYearMinus1Year |
| Current Tax Year | 177965 | CurrentTaxYear |
| Total | 1112637 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 235424 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 242918 | CurrentTaxYearMinus1Year |
| Current Tax Year | 244002 | CurrentTaxYear |
| Total | 722344 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 269563 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 332992 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 409165 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 401294 | CurrentTaxYearMinus1Year |
| Current Tax Year | 421967 | CurrentTaxYear |
| Total | 1834981 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1834981 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 206 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 635 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2876 | CurrentTaxYear |
| Total | 3741 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 18 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 206 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 635 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2876 | CurrentTaxYear |
| Total | 3741 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 60 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 652 | CurrentTaxYearMinus3Years |
| Total | 712 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 269641 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 333850 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 409171 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 401929 | CurrentTaxYearMinus1Year |
| Current Tax Year | 424843 | CurrentTaxYear |
| Total | 1839434 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99760 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99800 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00200 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00160 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | DANCING COMPETITION | NameOfEvent1 |
| Gross Receipts Event1 | 124123 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 124123 | CharitableContributionsEvent1 |
| Other Direct Expenses Event1 | 29664 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 124123 | GrossReceiptsTotal |
| Charitable Contributions Total | 124123 | CharitableContributionsTotal |
| Other Direct Expenses Total Events | 29664 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 29664 | DirectExpenseSummaryEvents |
| Net Income Summary | -29664 | NetIncomeSummary |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 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 ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELKHART COUNTY SAMARITAN CENTER FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 221 E CRAWFORD ST | AddressLine1 |
| City | ELKHART | City |
| State | IN | State |
| ZIP Code | 46514 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311164839 | EIN |
| Primary Activities | ENDOWMENT FUND - SUPPORT OF THE SAMARITAN HEALTH AND LIVING CENTER | PrimaryActivities |
| Legal Domicile State | IN | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 509(A)(3), TYPE I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAMARITAN HEALTH AND LIVING CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |