2025-08-01T15:15:17-05:00 2024-09-30 420714325 RSM US LLP 400 LOCUST STREET SUITE 640 DES MOINES IA 503092354 990 2023-10-01 420725236 GOOD SHEPHERD GERIATRIC CENTER INC GOOD 6414241740 P O BOX 1707 MASON CITY IA 504021707 IAN STOCKBERGER CEO 6414241740 2025-07-28 1 1 KATHY FAIRCHILD P00222608 5155586600 2025-07-28 2023 2025-03-06 01:10:19Z GOOD SHEPHERD HEALTH CENTER INC GOOD SHEPHERD INC IAN STOCKBERGER P O BOX 1707 MASON CITY IA 504021707 22033975 0 X GOODSHEPHERDHEALTHCENTER.ORG X 1946 IA SKILLED NURSING FACILITY, ASSISTED LIVING FACILITY AND INDEPENDENT LIVING FOR ELDERLY. NURSING FACILITY IS MEDICARE AND MEDICAID CERTIFIED. PROVIDE SPEECH, PHYSICAL AND OCCUPATIONAL THERAPY. LICENSED FOR 210 BEDS. ASSISTED LIVING FACILITY - 2 LOCATIONS - LICENSED FOR 106 RESIDENTS. INDEPENDENT LIVING FACILITY - 2 LOCATIONS - PROVIDES LAUNDRY FACILITIES, A NOON MEAL AND INDOOR/OUTDOOR PARKING - 172 APARTMENTS. 16 16 368 26 0 0 0 5550 19612926 21502073 313681 502163 3484 3766 19930091 22013552 0 0 0 0 13269422 14485667 0 0 0 6625908 7243869 19895330 21729536 34761 284016 50632736 52939493 1816878 3100190 48815858 49839303 X MISSION STATEMENT: PROVIDING QUALITY CARE AND HOUSING SERVICES FOR NORTH IOWA'S 55+ POPULATION IN A NURTURING CHRISTIAN ATMOSPHERE.OUR COMMITMENT: OUR COMMITMENT IS TO SUPPORT THE ELDERLY IN MAINTAINING OR IMPROVING THEIR QUALTIY OF LIFE. TO FURTHER THAT GOAL WE PROVIDE A PLEASANT, HEALTHY ENVIRONMENT AND A WIDE RANGE OF SERVICES AND ACTIVITIES. OUR PROFESSIONAL STAFF IS DEDICATED TO RESPECTING AND SERVING THE ELDERLY ACCORDING TO THEIR CHOICES, ABILITIES AND NEEDS. 0 0 16321320 16180667 NURSING HOME CARE: LONG TERM CARE NURSING FACILITY WITH 210 LICENSED BEDS, PROVIDING PHARMACY AND THERAPY SERVICES TO THE RESIDENTS. (180 BEDS) 1890536 2849868 NURSING HOME CARE: ASSISTED LIVING FACILITY FOR ELDERLY (KENTUCKY RIDGE.) SERVICES INCLUDE PHARMACY AND THERAPY SERVICES. (60 UNITS) 1227725 1582133 NURSING HOME CARE: ASSISTED LIVING FACILITY FOR ELDERLY (CORNERSTONE.) SERVICES INCLUDE PHARMACY AND THERAPY SERVICES. (46 UNITS) 615721 889405 HOUSING PROVISION, GENERAL/OTHER: APARTMENT RENTALS FOR THE ELDERLY, HANDICAPPED AND DISABLED. ADDITIONAL SERVICES AVAILABLE INCLUDE DAILY NOON MEAL, LAUNDRY FACILITIES AND GARAGES/PARKING. 615721 889405 20055302 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 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 1 1 1 0 0 1 26 0 1 368 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X MICHELLE HORST 6414241740 302 2ND ST NE MASON CITY IA 50401 REV DAN GERRIETTS CHAIR THRU 11/23, DIRECTOR EFF 12/23 0.50 0.40 X X 0 0 0 LES SELTUN VICE CHAIR THRU 11/23, CHAIR EFF 12/23 0.50 0.40 X X 0 0 0 MASON HARMS SEC/TR THRU 11/23, VICE CHAIR EFF 12/23 0.50 0.40 X X 0 0 0 CONNIE BLEILE DIR THRU 11/23, SEC/TREAS EFF 12/23 0.50 0.40 X X 0 0 0 KATHRYN ALDEN DIRECTOR THRU 11/23 0.50 0.40 X 0 0 0 GREG BRAUN DIRECTOR 0.50 0.40 X 0 0 0 AMY DIXON DIRECTOR 0.50 0.40 X 0 0 0 DR JOHN BOEDEKER DIRECTOR EFF 12/23 0.50 0.40 X 0 0 0 BURTON EVERIST DIRECTOR THRU 11/23 0.50 0.40 X 0 0 0 JASON GEVING DIRECTOR THRU 11/23 0.50 0.40 X 0 0 0 REV JANE HARRIS DIRECTOR EFF 12/23 0.50 0.40 X 0 0 0 SAMUEL HUNT DIRECTOR THRU 11/23 0.50 0.40 X 0 0 0 WHITNEY JOHNSTON DIRECTOR 0.50 0.40 X 0 0 0 MARTHA KOCH DIRECTOR EFF 12/23 0.50 0.40 X 0 0 0 JOHN LANDER DIRECTOR EFF 12/23 0.50 0.40 X 0 0 0 KIRK PAULSON DIRECTOR THRU 11/23 0.50 0.40 X 0 0 0 DAVID RUEN DIRECTOR 0.50 0.40 X 0 0 0 TYLER SCHAEFER DIRECTOR 0.50 0.40 X 0 0 0 SCOTT SHIPMAN DIRECTOR 0.50 0.40 X 0 0 0 SCOTT SMED DIRECTOR 0.50 0.40 X 0 0 0 DR JERROLD WHITE DIRECTOR 0.50 0.40 X 0 0 0 ANNE ZOOK DIRECTOR THRU 11/23 0.50 0.40 X 0 0 0 IAN STOCKBERGER CEO 50.00 5.00 X 303465 0 711 KIMBER KLEVEN ADMINISTRATOR 47.00 3.00 X 169624 0 0 TARA DICKINSON NURSING SUPERVISOR 65.00 0.00 X 139871 0 287 SUSAN MADESEN LPN 53.00 0.00 X 114243 0 12822 THEODORE HINES NURSING SUPERVISOR 50.00 0.00 X 110127 0 14922 ROBIN RALLS DIRECTOR OF NURSING 50.00 0.00 X 111462 0 15675 MICHELLE HORST CONTROLLER 45.00 5.00 X 117383 0 11742 1066175 0 56159 7 0 1 0 UNITIMED 1000 NORTH 90TH ST SUITE 400 OMAHA NE 68114 STAFFING AGENCY 1981278 GRAPETREE MEDICAL STAFFING 2501 BOJI BLEND DRIVE SUITE 100 MILFORD IA 51351 STAFFING AGENCY 1121458 BLUE STONE THERAPY 6750 WESTOWN PARKWAY SUITE 110 WEST DES MOINES IA 50266 THERAPY SERVICES 704559 NURSEFINDERS PO BOX 910738 DALLAS TX 753910738 STAFFING AGENCY 164161 4 5550 5550 NURSING HOME 623000 16180667 16180667 KENTUCKY RIDGE ASSISTED LIVING 623000 2849868 2849868 CORNERSTONE ASSISTED LIVING 623000 1582133 1582133 THE MANOR APT RENTALS FOR ELDERLY 624200 889405 889405 21502073 516144 516144 10208 6442 3766 3766 3766 13981 -13981 -13981 -13981 22013552 21502073 0 505929 473800 473800 12496314 11776042 720272 776198 704739 71459 739355 671288 68067 2876 2876 47700 47700 30952 30952 122040 33182 88858 120303 120303 41690 41690 199492 124094 75398 1044318 1036578 7740 60615 39602 21013 36444 27453 8991 1266684 1264510 2174 562859 562859 SUPPLIES 1986995 1986995 THERAPY SERVICES 753813 753813 BAD DEBT 308723 308723 EQUIPMENT RENTAL & MAIN 95118 95118 563247 550003 13244 21729536 20055302 1674234 0 1971800 2402022 18963449 16144307 1384648 1616344 926735 878335 95218 94088 101631 106007 54083929 26592377 23714172 27491552 3298723 4077902 176360 128936 50632736 52939493 1675871 2944311 141007 155879 1816878 3100190 X 48815858 49839303 48815858 49839303 50632736 52939493 X 284016 786853 -47424 X X 0 1 X 1 0 X 9297 2351950 538030 5550 2904827 20764483 19873990 19418227 19612926 21504847 101174473 20773780 22225940 19956257 19612926 21510397 104079300 0 0 0 104079300 298095 278697 193964 324189 526352 1621297 298095 278697 193964 324189 526352 1621297 21071875 22504637 20150221 19937115 22036749 105700597 0.98470 0.98640 0.01530 0.01360 X 1812678 1812678 37964324 20708781 17255543 6728279 5030961 1697318 7578648 852635 6726013 27491552 PATIENT TRUST PAYABLE 11324 SECURITY DEPOSIT PAYABLE 144555 155879 X 23076805 786853 276400 1063253 22013552 0 22013552 22053360 323824 323824 21729536 0 21729536 PART X, LINE 2: INCOME TAXES: THE HEALTH CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTIONS 501(C)(3) OF THE INTERNAL REVENUE CODE AND A SIMILAR SECTIONS OF THE IOWA CODE. THE HEALTH CENTER FOLLOWS ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES. THE HEALTH CENTER IS SUBJECT TO FEDERAL AND STATE INCOME TAXES TO THE EXTENT IT HAS UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES, MANAGEMENT EVALUATED THE HEALTH CENTER'S TAX POSITIONS AND CONCLUDED THAT THE HEALTH CENTER HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE NETTED WITH REVENUE ON 990 6,442. PRAIRIE PLACE ON 1ST CONSOLIDATED INCOME 269,958. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSE NETTED WITH REVENUE ON 990 6,442. PRAIRIE PLACE ON 1ST CONSOLIDATED EXPENSES 317,382. 1 X X X 0 0 0 0 0 0 0 0 0 IAN STOCKBERGER CEO 303465 0 0 0 0 0 0 0 711 0 304176 0 0 0 KIMBER KLEVEN ADMINISTRATOR 169624 0 0 0 0 0 0 0 0 0 169624 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBERS OF THE CORPORATION ARE ST JAMES LUTHERAN, ST PAUL LUTHERAN, TRINITY LUTHERAN, OUR SAVIOR LUTHERAN AND BETHLEHEM LUTHERAN ALL IN MASON CITY IA; ST PETER LUTHERAN ROCKWELL IA; ZION LUTHERAN CLEAR LAKE, IA; OTHER LUTHERAN CONGREGATIONS WITHIN 50 MILES OF MASON CITY IOWA MAY BECOME MEMBERS BY FOLLWING PROCEDURES DESCRIBED IN THE ORGANIZATIONS ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE CORPORATION HAVE TWO VOTING DELEGATES, ONE OF WHOM IS THE PASTOR OR HIS/HER DESIGNATE AND ALSO HAS ONE ADDITIONAL VOTING DELEGATE FOR EACH 400 CONFIRMED MEMBERS OR MAJOR FRACTION THEREOF OVER THE FIRST 200 CONFIRMED MEMBERS. EACH VOTING DELEGATE HAS ONE VOTE ON ANY MATTER TO BE VOTED UPON AT ANY MEETING OF THE MEMBERSHIP. FORM 990, PART VI, SECTION A, LINE 7B THE ACTIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEMBERS OF THE CORPORATION BECAUSE MEMBERS ARE ALLOWED TO VOTE ON ALL MATTERS AT ALL MEETINGS. FORM 990, PART VI, SECTION B, LINE 11B COPIES OF FORM 990'S ARE PRESENTED TO EACH MEMBER OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS THEN VOTE TO APPROVE THE FORM 990 PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS MONITORED BY REQUIRING A WRITTEN STATEMENT ANNUALLY FROM EACH BOARD OF DIRECTOR AND KEY EMPLOYEE CONCERNING POTENTIAL CONFLICTS. BOARD MEMBERS ARE EXCLUDED FROM VOTING ON MOTIONS WHEN CONFICTS ARISE. FORM 990, PART VI, SECTION B, LINE 15 A COMPENSATION COMMITTEE SETS SALARIES BY RESEARCHING PUBLISHED DATA FOR THE STATE OF IOWA FOR COMPENSATION PAID TO EMPLOYEES OF ORGANIZATIONS (BOTH TAXABLE AND NONTAXABLE) OF A COMPARABLE SIZE, PURPOSE AND RESOURCES FOR SIMILAR SERVICES. INDEPENDENT SALARY SURVEYS ARE CONSIDERED AS WELL AS OFFERS FROM SIMILAR ORGANIZATIONS. THE COMMITTEE DOCUMENTS THEIR METHODS AND THE CONCLUSIONS REACHED. PROPOSED SALARIES SET BY THE COMMITTEE ARE SUBJECT TO APPROVAL BY GOVERNING BODY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: LOSS ON CONSOLIDATED ENTITY -47,424. FORM 990, PART XII, LINE 2C THE FINANCE COMMITTEE REVIEWS THE AUDITED FINANCIAL STATEMENTS WITH THE INDEPENDENT AUDITOR ANNUALLY. GOOD SHEPHERD TELEPHONE REASSURANCE P O BOX 1707 MASON CITY IA 504021707 421440083 DAILY PHONE CALL TO ELDERLY TO ENSURE SAFETY IA 501(C)(3) LINE 7 GOOD SHEPHERD GERIATRIC CENTER INC 1 SHALOM TOWER TWO INC 302 2ND STREET NE MASON CITY IA 504013412 421135447 APARTMENT RENTALS FOR ELDERLY/DISABLED INDIVIDUALS IA 501(C)(3) LINE 11 GOOD SHEPHERD GERIATRIC CENTER INC 1 PRAIRIE PLACE ON 1ST INC P O BOX 1707 MASON CITY IA 504021707 474394134 AFFORDABLE HOUSING FOR SENIOR INDIVIDUALS IA 501(C)(4) GOOD SHEPHERD GERIATRIC CENTER INC 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 GOOD SHEPHERD TELEPHONE REASSURANCE INC Q 88966 TIME SPENT & ACTUAL COST PRAIRIE PLACE ON 1ST INC D 641084 LOAN SHALOM TOWER TWO INC Q 79134 TIME SPENT & ACTUAL COST PRAIRIE PLACE ON 1ST INC Q 47423 TIME SPENT & ACTUAL COST