2022-11-11T17:03:08-06:00 2021-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET STE 2800 MINNEAPOLIS MN 55402 990 2021-01-01 460422866 THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION EVAN 6053623100 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 MICHELLE BRUHN EVP, CFO & TREASURER 6053331000 2022-11-07 0 MICHELLE BRUHN XXX-XX-XXXX CHRIS MESKIMEN P01314196 6123974000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z BILL GASSEN 2301 EAST 60TH STREET SIOUX FALLS SD 57104 10501182 0 X WWW.GOOD-SAM.COM/FOUNDATION X 1992 MN TO INSPIRE PHILANTHROPIC INVESTMENT IN THE HEALTH AND WELL-BEING OF SENIORS SERVED BY THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. 13 6 0 11 0 0 6393239 5659906 0 0 4488624 3575530 -55299 24028 10826564 9259464 6124955 5271719 0 0 0 0 0 0 0 0 0 6124955 5271719 4701609 3987745 98444574 102471128 2765416 1905241 95679158 100565887 X TO INSPIRE PHILANTHROPIC INVESTMENT IN THE HEALTH AND WELL-BEING OF SENIORS SERVED BY THE SOCIETY AND EXEMPT ENTITIES. WITH FOUNDATION EXPENSES COVERED BY SANFORD HEALTH, 100% OF DONOR FUNDS ADVANCE HEALTH CARE, MEDICAL AND EDUCATIONAL SERVICES. 1 0 5213026 5213026 THE FOUNDATION IS HELPING TRANSFORM THE AGING EXPERIENCE BY INSPIRING AND FACILITATING PHILANTHROPIC INVESTMENT AND COMMUNITY ENGAGEMENT AROUND THE SOCIETY, THE NATION'S LARGEST NONPROFIT PROVIDER OF SENIOR HOUSING AND SERVICES. 100% OF EVERY DOLLAR RAISED SUPPORTS LOCAL PRIORITIES OF SOCIETY LOCATIONS, SUCH AS STAFF EDUCATION, HEALTH AND WELLNESS EQUIPMENT AND TECHNOLOGY, AND SERVICES THAT ENHANCE THE PHYSICAL, MENTAL AND SPIRITUAL WELL-BEING OF PEOPLE AS THEY AGE. 58693 58693 ADDITIONAL DONATIONS SUPPORT CONTINUING EDUCATION FOR STAFF AND RESEARCH PROGRAMS TO DRIVE INNOVATION AND THE HIGHEST STANDARDS OF SENIOR CARE. 5271719 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 AL AR CA CT FL GA HI IL KS KY MD MI MN MS NH NM NY NC ND OK OR PA RI TN VA WV WI X MICHELLE BRUHN EVP CFO & TREASURER 6053331000 2301 EAST 60TH STREET SIOUX FALLS SD 57104 BILL MARLETTE EVP, CFO & TREASURER-END 12/21 0.50 59.50 X 0 2180340 13341 BILL MARLETTE SEE SCH J, PART III, LINES 4A-4B 0.50 59.50 X 0 4817032 0 BILL GASSEN III TRUSTEE, PRESIDENT & CEO 0.50 59.50 X X 0 3147051 207603 BOBBIE TIBBETTS SVP, CHIEF PHIL OFFICER-END 11/21 5.00 55.00 X 0 526497 38812 BOBBIE TIBBETTS SEE SCH J, PART III, LINES 4A-4B 5.00 55.00 X 0 999049 0 MICHELLE BRUHN EVP, CFO & TREASURER-BEG 12/21 0.50 59.50 X 0 1150758 117377 MARIA BELL MD TRUSTEE, PHYSICIAN 0.50 59.50 X 0 1074403 42172 MARK LUNDEEN MD TRUSTEE, PHYSICIAN 0.50 59.50 X 0 421764 17875 DEB KOSKI VP, CHIEF PHIL OFFICER-BEG 12/21 5.00 55.00 X 0 320136 39797 JOANN KUNKEL FORMER CFO-SCH J, PART III, 4A-4B 0.00 0.00 X 0 339000 0 ANDY NORTH TRUSTEE, SECRETARY 0.50 6.61 X X 0 303056 0 MARK PAULSON MD TRUSTEE, PAST CHAIR, PHYSICIAN 0.50 59.50 X X 0 262715 38966 BRENT TEIKEN TRUSTEE, CHAIRPERSON 0.50 6.61 X X 0 63158 0 BARB EVERIST TRUSTEE-END 12/21 0.50 6.61 X 0 46308 0 NEIL GULSVIG TRUSTEE, TREASURER 0.50 6.61 X X 0 36000 0 WESLEY ENGBRECHT TRUSTEE-BEG 1/21 0.50 6.61 X 0 33000 0 ROBIN SMITH TRUSTEE-BEG 1/21 0.50 6.61 X 0 32000 0 JAMES CAIN TRUSTEE 0.50 6.61 X 0 29500 0 LAURIS MOLBERT TRUSTEE-BEG 1/21 0.50 6.61 X 0 29364 0 DON JACOBS TRUSTEE, VICE CHAIRPERSON 0.50 6.61 X X 0 28500 0 0 15839631 515943 0 1 1 0 0 33172 5626734 166935 5659906 3535429 3535429 1263626 1223525 40101 40101 40101 32618 33172 18193 14425 14425 ALL OTHER REVENUE 525990 9603 9603 9603 9259464 0 0 3599558 X 5271719 5271719 8726 8726 40499 40499 1343 270 1073 13831 72 13759 32553 32553 31627 26918 4709 1786 1786 114 114 PURCHASED SALARIES 1207247 326329 880918 MISCELLANEOUS 636591 616416 20175 PURCHASED SERVICES 317493 309229 8264 DUES AND MEMBERSHIPS 26847 26677 170 -2318657 -1389589 -929068 5271719 5271719 0 0 1359161 2239941 119039 265514 15365 53550 53550 1785 0 92489285 95089967 4475304 4860341 98444574 102471128 608190 533 177784 188327 1979442 1716381 2765416 1905241 X 60871934 63318379 34807224 37247508 95679158 100565887 98444574 102471128 X 3987745 -385390 1284374 X 0 1 X 1 0 X 4787170 5867281 2894201 6393239 5659906 25601797 4787170 5867281 2894201 6393239 5659906 25601797 9824974 15776823 6222080 1136050 1488982 4548428 3535429 16930969 46170 9603 55773 42588539 0.37040 X PART II, SEC B. LINE 12 GROSS RECEIPTS FROM RELATED ACTIVITIES IS THE TOTAL GROSS INCOME FROM FUNDRAISING EVENTS (NOT INCLUDING CONTRIBUTIONS) FOR THE LAST 5 TAX YEARS: 2017 0 2018 0 2019 46,170 2020 0 2021 9,603 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 21054515 656448 21710963 20431084 623431 21054515 22010503 1579419 20431084 22334312 525687 472618 376878 22010503 20300182 714333 1514302 194505 22334312 0.00000 1.00000 0.00000 0 0 53550 53550 0 0 ANNUITIES PAYABLE 1716381 1716381 X PART IV, LINE 2B: THE ORGANIZATION MANAGES CUSTODIAL ACCOUNTS OWNED BY RELATED ORGANIZATIONS WITH THE FUNDS BALANCE CO-MINGLED WITH OTHER INVESTMENT ASSETS OF THE ORGANIZATION. THE USE OF THE FUNDS BALANCE WILL BE OVERSEEN AND EXPENDED BY THE OWNER. PART V, LINE 4: THE ORGANIZATION'S USE OF THE ENDOWMENT FUNDS IS TO MEET THE DONOR'S INTENT IN PROVIDING SUPPORT SERVICES FOR THE ORGANIZATION. PART X, LINE 2: CERTAIN CONTROLLED CORPORATIONS ARE SUBJECT TO INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISIONS REFLECTS THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. THE FOUNDATION DID NOT HAVE AN INCOME TAX LIABILITY AT DECEMBER 31, 2021; SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. GOLF EVENT 65790 33172 32618 3153 0 388 10251 0 4401 65790 33172 32618 3153 388 10251 4401 18193 14425 1 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY PO BOX 5039 RTE 5218 SIOUX FALLS SD 57117 450228055 501(C)(3) 5060528 0 SEE FORM 990, PAGE 2, PART III LEADING AGE 2519 CONN AVE NW WASHINGTON DC 20008 136213525 501(C)(3) 211191 0 GENERAL SUPPORT 2 0 PART I, LINE 2: THE FOUNDATION COMMUNICATES A LIST OF RESTRICTIONS TO EACH CENTER AT THE TIME OF DISTRIBUTION. THE ADMINSTRATOR AT EACH LOCATION IS RESPONSIBLE FOR ENSURING THAT THE FUNDS ARE USED IN ACCORDANCE WITH THE FOUNDATION'S DIRECTION. 1 1 0 0 0 0 0 0 0 BILL MARLETTE EVP, CFO & TREASURER-END 12/21 0 1504270 0 431002 0 245068 0 0 0 13341 0 2193681 0 0 BILL MARLETTE SEE SCH J, PART III, LINES 4A-4B 0 0 0 436802 0 4380230 0 0 0 0 0 4817032 0 0 BILL GASSEN III TRUSTEE, PRESIDENT & CEO 0 1703249 0 1182759 0 261043 0 205720 0 1883 0 3354654 0 0 BOBBIE TIBBETTS SVP, CHIEF PHIL OFFICER-END 11/21 0 347414 0 120001 0 59082 0 14500 0 24312 0 565309 0 0 BOBBIE TIBBETTS SEE SCH J, PART III, LINES 4A-4B 0 0 0 124802 0 874247 0 0 0 0 0 999049 0 0 MICHELLE BRUHN EVP, CFO & TREASURER-BEG 12/21 0 847016 0 179504 0 124238 0 92080 0 25297 0 1268135 0 0 MARIA BELL MD TRUSTEE, PHYSICIAN 0 966197 0 54000 0 54206 0 14500 0 27672 0 1116575 0 0 MARK LUNDEEN MD TRUSTEE, PHYSICIAN 0 420939 0 0 0 825 0 14500 0 3375 0 439639 0 0 DEB KOSKI VP, CHIEF PHIL OFFICER-BEG 12/21 0 282288 0 600 0 37248 0 14500 0 25297 0 359933 0 0 JOANN KUNKEL FORMER CFO-SCH J, PART III, 4A-4B 0 0 0 339000 0 0 0 0 0 0 0 339000 0 0 ANDY NORTH TRUSTEE, SECRETARY 0 303056 0 0 0 0 0 0 0 0 0 303056 0 0 MARK PAULSON MD TRUSTEE, PAST CHAIR, PHYSICIAN 0 261607 0 0 0 1108 0 11913 0 27053 0 301681 0 0 PART I, LINE 1A CERTAIN ITEMS LISTED ON LINE 1 A ARE PROVIDED BY RELATED ORGANIZATIONS. PART I, LINE 3 THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES IN A NATIONALLY RECONGIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2021. PART I, LINES 4A-B LINE 4A - SEVERANCE OR CHANGE OF CONTROL PAYMENT UPON HIRE OR PROMOTION, SELECT OFFICERS AND KEY EMPLOYEES SIGN AN EXECUTIVE SEVERANCE AGREEMENT (THE "AGREEMENT"). THE AGREEMENT PROVIDES THAT THE EXECUTIVE WILL RECEIVE A MULTIPLE OF HIS OR HER SALARY (BASED ON YEARS OF SERVICE OR POSITION) AS A PAYMENT IN THE EVENT OF A DEFINED SEPARATION EVENT, WHICH CAN INCLUDE AN INVOLUNTARY SEPARATION OR AN EMPLOYEE VOLUNTARILY LEAVING FOR A DEFINED CONTRACTUAL REASON. FINAL SEPARATION PAYMENTS MIGHT VARY FROM THE AMOUNT PROVIDED IN THE AGREEMENT AS A RESULT OF NEGOTIATIONS SURROUNDING POST-SEPARATION OBLIGATIONS AND INCENTIVES (THE "SEPARATION" PAYMENT). LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS SANFORD SPONSORS NONQUALIFIED RETIREMENT PLANS FOR SELECT OFFICERS OR KEY EMPLOYEES. CERTAIN OF THE BELOW OFFICERS OR KEY EMPLOYEES WERE PAID AS A RESULT OF A VESTING EVENT. LINES 4A AND 4B - PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS AND/OR SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: BILL MARLETTE: 2021 BONUS AND INCENTIVE COMPENSATION $436,802 SEPARATION $2,924,223 NONQUALIFIED RETIREMENT PLAN $1,456,007 TOTAL $4,817,032 BOBBIE TIBBETTS: 2021 BONUS AND INCENTIVE COMPENSATION $124,802 SEPARATION $857,021 NONQUALIFIED RETIREMENT PLAN $17,225 TOTAL $999,049 JOANN KUNKEL: 2020 BONUS AND INCENTIVE COMPENSATION $339,000 X 2 155553 FMV X CHARITABLE GIFT ANNUITY - NON GIFT PORTION 1 11382 NPV 0 1 1 PART I, COLUMN (B): THE AMOUNTS REPORTED ON PART I, COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS. FORM 990, PART III, LINE 2 HEALTHCARE AND RESEARCH PROGRAM SERVICES HAVE BEEN PROVIDED IN PRIOR YEARS, BUT HAVE BEEN RECLASSIFIED IN THE CURRENT YEAR TO CONFORM WITH THE PRESENTATION OF FOUNDATION PROGRAM SERVICES ACROSS THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE EMPLOYEES OF SANFORD OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED SANFORD BOARDS, OR HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THAT SPAN THE ORGANIZATION AS A WHOLE: MARIA BELL, MARK LUNDEEN, MARK PAULSON, BOBBIE TIBBETTS, DEB KOSKI, MICHELLE BRUHN, BILL MARLETTE, AND BILL GASSEN. FORM 990, PART VI, SECTION A, LINE 6 SANFORD IS THE SOLE MEMBER OF SANFORD HEALTH. SANFORD HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE SANFORD BOARD OF TRUSTEES APPOINTS THE BOARD MEMBERS FOR THE BOARD OF DIRECTORS OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION (FOUNDATION). FORM 990, PART VI, SECTION A, LINE 7B THE SANFORD BOARD OF TRUSTEES DELEGATES TO THE BOARD OF DIRECTORS AUTHORITY AND RESPONSIBILITY TO MANAGE THE OPERATIONS OF THE FOUNDATION, SUBJECT TO CERTAIN RESERVED POWERS OF THE BOARD OF TRUSTEES. SUCH RESERVED POWERS INCLUDE: A.AMENDMENT OF THE FOUNDATION'S GOVERNING DOCUMENTS INCLUDING, BUT NOT LIMITED TO, THE ARTICLES OF INCORPORATION AND BYLAWS; B.APPROVAL OF ANY MERGER, CONSOLIDATION, DISSOLUTION, OR LIQUIDATION' C.THE SALE OF THE CORPORATION'S ASSETS OR OPERATIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS; D.THE FOUNDATION BECOMING A PARTY TO OR OTHERWISE PARTICIPATING IN A JOINT VENTURE OR PARTNERSHIP WITH ANOTHER ENTITY OR INDIVIDUAL; E.ANY CHANGE IN THIS FOUNDATION'S MISSION, VISION OR STRATEGIC PLAN; F.OPERATION; G.APPROVAL OF THE NAMES OR CHANGES TO THE NAMES OF THE FOUNDATION'S ENTITIES AND FACILITIES; H.UNLESS CONTEMPLATED BY A PREVIOUSLY APPROVED BUDGET OR PLAN, THE SALE LEASE, TRANSFER, PLEDGE, ENCUMBRANCE, EXCHANGE OR OTHER DISPOSITION OF ASSETS OF THE FOUNDATION; I.INCURRENCE OF AN UNBUDGETED DEBT OR UNBUDGETED CAPITAL LEASE OBLIGATION BY THIS CORPORATION; AND, J.ADOPTION OF AN ANNUAL OPERATING BUDGET, MODIFICATION OF AN APPROVED ANNUAL OPERATING BUDGET, ADOPTION OF AN ANNUAL CAPITAL BUDGET OR MODIFICATION OF AN APPROVED ANNUAL CAPITAL BUDGET. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. AN EXTERNAL ACCOUNTING FIRM REVIEWS THE RETURN. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDE TO THE CURRENT BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS IS MANAGED BY THE CHIEF COMPLIANCE OFFICER (CCO). THE CCO IS RESPONSIBLE FOR ASSURING THAT ALL COMPLETED FORMS ARE RETURNED IN A TIMELY AND COMPLETE MANNER. CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO THE SYSTEM TRUSTEES, MEMBERS OF THE GOVERNING BOARDS OF SUBSIDIARY ENTITIES, OFFICERS, AND KEY EMPLOYEES FOR ALL ENTITIES SUBJECT TO THE IRS FORM 990 FILINGS. THE DISCLOSURES ARE SUMMARIZED FOR REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, PURSUANT TO POLICY. THIS REVIEW ALLOWS THE FOLLOWING: 1) THE BOARD TO ACQUIRE AN AWARENESS OF FINANCIAL RELATIONSHIPS OF BOARD MEMBERS AND KEY MANAGEMENT EMPLOYEES AND CAN INVOKE THE RECUSAL PROCESS ON A CASE BY CASE BASIS IF POTENTIAL CONFLICTS ARE IMPLICATED IN BOARD DECISIONS AND DELIBERATIONS, AND 2) GIVES THE BOARD THE OPPORTUNITY TO SEEK ADDITIONAL INFORMATION AND CLARIFICATION ABOUT DISCLOSURES TO DETERMINE POTENTIAL CONFLICTS OF INTEREST AND HOW TO MANAGE THEM. FORM 990, PART VI, SECTION B, LINE 15 SANFORD AS THE PARENT ORGANIZATION DOES HAVE A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII SECTION A, INCLUDING A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION FOR SUCH COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES IN A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2021. FORM 990, PART VI, SECTION C, LINE 19 ALTHOUGH THE ORGANIZATION DOES NOT MAINTAIN A WEBSITE WHERE THE PUBLIC CAN ACCESS THESE DOCUMENTS, IT WOULD RESPOND INDIVIDUALLY TO ANY REQUESTS OR INQUIRIES FROM THE PUBLIC FOR THESE DOCUMENTS. FORM 990, PART IX, LINE 24E FUNDRAISING MATERIALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 24,038. TOTAL EXPENSES 24,038. WRITE OFF OF UNCOLLECTIBLE PLEDGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,184. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,184. DONOR STEWARDSHIP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 506. FUNDRAISING EXPENSES 3,226. TOTAL EXPENSES 3,732. EXPENSES REIMBURSED BY SANFORD HEALTH (SEE EXPLANATION BELOW): PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -1,406,279. FUNDRAISING EXPENSES -956,332. TOTAL EXPENSES -2,362,611. FORM 990, PART XI, LINE 9: NET ASSETS RELEASED FOR PROPERTY, PLANT, AND EQUIPMENT -1,830,695. TRANSFER FROM RELATED TAX-EXEMPT ORG FOR PAYROLL AND OPERATING EXPENSES 3,115,069. FORM 990, PART IX, LINE 24E, EXPENSES REIMBURSED BY SANFORD HEALTH ALL GENERAL AND ADMINISTRATIVE EXPENSES AND FUNDRAISING EXPENSES (THE "EXPENSES") ARE PAID FOR BY SANFORD HEALTH TO ENSURE THAT 100% OF DONOR FUNDS ARE USED TO SUPPORT THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY'S (GSS) WORK OF HEALTHCARE, MEDICAL, AND EDUCATIONAL SERVICES. AS A RESULT, THE NET COST OF THESE EXPENSES FUNDED BY THE FOUNDATION IS $0. ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 461495572 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 ALLIANCE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 204714573 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 ARLINGTON GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 371805492 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 BOISE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363370371 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 BROOKINGS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460439509 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 COLLISTER DRIVE HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 300872973 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 EL PASO GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 272876627 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 F-M AMBULANCE SERVICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450344371 EMT ND 501(C)(4) SANFORD NORTH 1 GOOD SAMARITAN SOCIETY INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460349951 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GRANTS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460439511 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GREELEY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460456087 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HASTINGS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460434693 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271212446 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HOWARD LAKE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 364885253 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 760789504 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 JASONVILLE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460396355 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 JEFFERSONTOWN GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 911751137 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 KEARNEY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460421846 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LEA COUNTY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 453946645 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LEMARS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 204714415 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LILAC WAY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 465740381 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LOVINGTON GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460392944 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 MILLARD GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 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