THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (EIN 45-0228055)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-13
IRS object ID: 202533179349302108
Schema version: 2024v5.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-13T07:59:59-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	155 N WACKER DRIVE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60606	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	450228055	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE EVANGELICAL LUTHERAN GOOD SAMARITAN	BusinessNameLine1Txt
Business Name Line2	SOCIETY	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	EVAN	BusinessNameControlTxt
Phone	6053623100	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 5039 RTE 5218	AddressLine1Txt
City	SIOUX FALLS	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	571175039	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	NICHOLAS OLSON	PersonNm
Person Title	EVP, CFO	PersonTitleTxt
Phone	6053331000	PhoneNum
Signature	2025-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JESS WAGENER	PreparerPersonNm
PTIN	P01622613	PTIN
Phone	3128792000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	NATHAN SCHEMA	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4800 W 57TH ST	AddressLine1Txt
City	SIOUX FALLS	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57108	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,186,987,760	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GOOD-SAM.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1922	FormationYr
Legal Domicile State	ND	LegalDomicileStateCd
Activity Or Mission	TO CARE, COMFORT AND CURE	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	16518	TotalEmployeeCnt
Total Volunteers	747	TotalVolunteersCnt
Total Gross UBI	$5,945,680	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$15,850,892	PYContributionsGrantsAmt
CY Contributions Grants	$15,233,280	CYContributionsGrantsAmt
PY Program Service Revenue	$911,306,536	PYProgramServiceRevenueAmt
CY Program Service Revenue	$898,546,578	CYProgramServiceRevenueAmt
PY Investment Income	$11,546,880	PYInvestmentIncomeAmt
CY Investment Income	$88,983,955	CYInvestmentIncomeAmt
PY Other Revenue	$14,573,496	PYOtherRevenueAmt
CY Other Revenue	$11,732,060	CYOtherRevenueAmt
PY Total Revenue	$953,277,804	PYTotalRevenueAmt
CY Total Revenue	$1,014,495,873	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,136,909	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$830,645	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$544,592,111	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$550,945,860	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$827	CYTotalFundraisingExpenseAmt
PY Other Expenses	$438,349,122	PYOtherExpensesAmt
CY Other Expenses	$396,269,151	CYOtherExpensesAmt
PY Total Expenses	$985,078,142	PYTotalExpensesAmt
CY Total Expenses	$948,045,656	CYTotalExpensesAmt
PY Revenues Less Expenses	-$31,800,338	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$66,450,217	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,105,454,446	TotalAssetsBOYAmt
Total Assets EOY	$970,388,128	TotalAssetsEOYAmt
Total Liabilities BOY	$193,170,490	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$159,930,299	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$912,283,956	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$810,457,829	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	GOOD SAMARITAN IS COMMITTED TO THE HEALTHCARE NEEDS OF THE COMMUNITIES THAT IT SERVES AND STRIVES TO BE THE PREMIER RURAL HEALTH SYSTEM IN THE UNITED STATES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$630,923,654	ExpenseAmt
Grant	$830,645	GrantAmt
Revenue	$683,977,306	RevenueAmt
Desc	SKILLED NURSING SERVICES - REHABILITATION/SKILLED NURSING SERVICES HAVE BEEN AT THE CORE OF THE SOCIETY'S SERVICES OVER ITS 100-YEAR HISTORY. THE SOCIETY APPROACHES CARE FOR THE SPIRITUAL, EMOTIONAL AND SOCIAL DIMENSIONS OF OUR SKILLED NURSING RESIDENTS IS AS IMPORTANT AS THE PHYSICAL CARE THAT IS PROVIDED TO SOCIETY RESIDENTS EVERY HOUR OF EVERY DAY. SERVICES PROVIDED IN SOCIETY SKILLED NURSING FACILITIES INCLUDE COMPREHENSIVE PROFESSIONAL NURSING CARE; REHABILITATION SERVICES; AS WELL AS A HIGH QUALITY OF RELATED SERVICES SUCH AS DIETARY, RECREATIONAL AND OTHER ACTIVITIES; MEDICATION ADMINISTRATION; AND OTHER SERVICES THAT MEET THE HOLISTIC NEEDS OF THOSE THE SOCIETY IS CALLED TO SERVE. THE SOCIETY IS THE LARGEST NOT-FOR-PROFIT PROVIDER OF REHABILITATION/SKILLED NURSING SERVICES IN THE UNITED STATES. BUT SIZE IS NOT THE SOCIETY'S OBJECTIVE. INSTEAD, SEEKING TO MEET THE NEEDS OF "OLDER PERSONS AND OTHERS IN NEED" TO IMPROVE THEIR WELL-BEING - AS THEY DEFINE IT - REMAINS PARAMOUNT. STATISTICALLY, THE SOCIETY PROVIDED A TOTAL OF 1,730,888 SKILLED NURSING HOME DAYS OF CARE AND SERVICE IN 2024. THE SOCIETY CONTINUES TO REINVEST MUCH OF ITS REVENUE TO BUILD AND REVITALIZE ITS FACILITIES ON CAMPUSES THROUGHOUT THE COUNTRY.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$74,687,946	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$81,482,983	RevenueAmt
Desc	INDEPENDENT LIVING - HAS BEEN A GROWING PART OF THE SOCIETY'S MINISTRY FOR MANY YEARS. WITH ABOUT 10,000 PEOPLE RETIRING EACH AND EVERY DAY IN THE UNITED STATES - AND WITH EVER-INCREASING NUMBERS OCCURRING IN FUTURE YEARS - THE PROVISION OF SENIOR LIVING/HOUSING WILL TAKE ON INCREASING IMPORTANCE IN YEARS TO COME. THE SOCIETY RECOGNIZES THIS GROWTH AND HAS MADE EXPANSION OF SENIOR LIVING SERVICES AND LOCATIONS A MAJOR PART OF THIS CORPORATE STRATEGIC PLANNING. CAMPUSES FEATURE ATTRACTIVE GROUNDS; A VARIETY OF COMMON SPACE AND MULTI-PURPOSE ROOMS FOR RESIDENT AND FAMILY INTERACTION AND COMMUNITY GATHERINGS; LIBRARIES AND READING ROOMS; DINING SERVICES; CABLE TV AND PHONE SERVICE; AND THE AVAILABILITY OF COMPUTER/INTERNET SERVICES TO ALLOW AND ENCOURAGE ELECTRONIC CONNECTIVITY WITH FAMILY AND FRIENDS. FURTHER, VARIOUS SENIOR LEARNING OPPORTUNITIES ARE PROVIDED ON SENIOR LIVING CAMPUSES IN ADDITION TO THE SPIRITUAL AND SOCIAL PROGRAMS OFFERED IN REHABILITATION/SKILLED NURSING SERVICES AND ASSISTED LIVING.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$85,449,849	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$83,837,780	RevenueAmt
Desc	ASSISTED LIVING SERVICES - ASSISTED LIVING SERVICES RESPOND TO THE SOCIETY'S RESIDENTS' NEEDS EACH DAY IN A "HOME-LIKE" ENVIRONMENT. IN 2024, THE SOCIETY PROVIDED 969,683 RESIDENT DAYS IN ASSISTED LIVING LOCATIONS. THIS IMPORTANT LEVEL OF CARE PROVIDES A VITAL, INTERMEDIATE LEVEL OF CARE FOR INDIVIDUALS WHO ARE NEITHER ABLE TO LIVE INDEPENDENTLY NOR ARE IN NEED OF SKILLED NURSING SERVICES. THE LIST OF SERVICES PROVIDED IN SOCIETY ASSISTED LIVING FACILITIES HIGHLIGHTS AN ENVIRONMENT THAT PROVIDES FOR THE HOLISTIC CARE OF ITS RESIDENTS. SERVICES INCLUDE THREE NUTRITIOUS MEALS A DAY, HOUSEKEEPING, LAUNDRY SERVICE, 24-HOUR STAFFING (IN ADDITION TO EMERGENCY CALL SYSTEMS), SCHEDULED TRANSPORTATION, SPIRITUAL SERVICES, AND MEDICATION ASSISTANCE. COORDINATED SPIRITUAL AND SOCIAL PROGRAMS ARE OFFERED FOR THE TOTAL WELL-BEING OF THE RESIDENTS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$67,106,482	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$50,244,482	RevenueAmt
Desc	HOME HEALTH SERVICES - THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY OFFERS LICENSED HOME HEALTH CARE, HOSPICE AND SERVICES@HOME (PRIVATE DUTY) SERVICES IN 18 STATES. THESE AGENCIES PROVIDE SKILLED HEALTH CARE IN A CLIENT'S HOME. SKILLED CARE INCLUDES PROFESSIONAL NURSING CARE, HOME HEALTH AIDE ASSISTANCE, SOCIAL SERVICES AND THERAPISTS TO MEET THE SKILLED-MEDICAL NEEDS OF THE CLIENT. WE PROVIDE CLINICAL SUPERVISION AND TREATMENT FOR THE PERSON ON A SHORT-TERM OR INTERMITTENT BASIS TO MEET HIS OR HER MEDICAL AND PERSONAL NEEDS.THE LICENSED HOSPICE AGENCIES AND GENERAL INPATIENT UNIT PROVIDED SERVICES INCLUDING PHYSICIAN, PROFESSIONAL NURSE, MEDICAL SOCIAL WORKER, CHAPLAIN, BEREAVEMENT SERVICE, HOME HEALTH AIDE, VOLUNTEERS AND THERAPY AS DIRECTED BY THE PATIENT'S CARE PLAN. THE COMPASSIONATE, LOVING CARE AT THE END OF A PERSON'S LIFE PROVIDES THE PATIENT AND THEIR FAMILIES WITH THE SUPPORT AND CARE NEEDED TO MEET THE GOALS OF CARE.SERVICES@HOME, OUR PRIVATE DUTY AGENCIES, TAILORS SERVICES TO SUPPORT SENIORS, WHICH ALLOWS THEM THE CHOICE TO REMAIN HOME WHILE RECEIVING THE COMPASSIONATE CARE AND SERVICES NEEDED. THESE SERVICES INCLUDE MEAL PREPARATION, HOUSEKEEPING, COMPANIONSHIP, PERSONAL HYGIENE AND GROOMING, BATHING, EXERCISE, RESPITE CARE, MEMORY CARE, TRANSPORTATION, APPOINTMENT ESCORT, MEDICATION REMINDERS AND MORE.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$67,106,482	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$50,244,482	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$858,167,931	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	Yes (1)	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	140	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	16518	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	AL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	AR	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	CO	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	FL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	GA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	HI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	KY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MD	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	MS	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NC	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	ND	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	OK	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	PA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	TN	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	VA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WA	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	WI	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NJ	StatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is Fld	NM	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	NICHOLAS OLSON EVP CFO	PersonNm
Phone	6053331000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2301 EAST 60TH STREET	AddressLine1Txt
City	SIOUX FALLS	CityNm
State Abbreviation	SD	StateAbbreviationCd
ZIP	57104	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BILL GASSEN
TRUSTEE, PRESIDENT & CEO (BEG 6/24)	4.80	55.20	Yes (X)	Yes (X)	$0	$4,414,119	$585,241
MATT HOCKS
DIRECTOR (END 5/24)	1.00	59.00	Yes (X)		$0	$2,798,445	$276,533
MICHAEL LEBEAU MD
DIRECTOR (END 6/24)	1.00	59.00	Yes (X)		$0	$1,824,864	$209,688
ANDY NORTH
TRUSTEE, SEC, INDEP CONT (BEG 6/24)	0.39	4.51	Yes (X)	Yes (X)	$0	$379,383	$0
LAURIS MOLBERT
TRUSTEE, CHAIRPERSON (BEG 6/24)	0.39	4.51	Yes (X)	Yes (X)	$0	$107,199	$0
BRENT TEIKEN
TRUSTEE (BEG 6/24)	0.39	4.51	Yes (X)		$0	$84,246	$0
JAMES CAIN
TRUSTEE, TREASURER (BEG 6/24)	0.39	4.51	Yes (X)	Yes (X)	$0	$81,651	$0
MARNIE HERMANN
TRUSTEE, VICE CHAIR (BEG 6/24)	0.39	4.51	Yes (X)	Yes (X)	$0	$80,382	$0
NEIL GULSVIG
TRUSTEE, PAST CHAIR (BEG 6/24)	0.39	4.51	Yes (X)	Yes (X)	$0	$80,055	$0
MARK LUNDEEN MD
TRUSTEE (BEG 6/24)	0.39	4.51	Yes (X)		$0	$80,000	$0
DAVID SHULKIN
TRUSTEE (BEG 6/24)	0.39	4.51	Yes (X)		$0	$79,826	$0
STEPHANIE HERSETH SANDLIN
TRUSTEE (BEG 6/24)	0.39	4.51	Yes (X)		$0	$78,750	$0
WESLEY ENGBRECHT
TRUSTEE (BEG 6/24)	0.39	4.51	Yes (X)		$0	$77,594	$0
DANA DYKHOUSE
TRUSTEE (BEG 6/24)	0.39	4.51	Yes (X)		$0	$76,727	$0
DAVID AUSTAD
DIRECTOR (END 6/24)	3.30	0.14	Yes (X)		$0	$0	$0
RYAN AUSTAD
DIRECTOR (END 6/24)	3.30	0.10	Yes (X)		$0	$0	$0
JEAN BOKINSKIE
DIRECTOR (END 6/24)	3.30	0.10	Yes (X)		$0	$0	$0
DEAN BRESCIANI PHD
DIRECTOR (END 6/24)	3.30	0.10	Yes (X)		$0	$0	$0
THOMAS KOOP
DIRECTOR (END 6/24)	3.30	0.10	Yes (X)		$0	$0	$0
HELEN MELLAND
DIRECTOR (END 6/24)	3.30	0.10	Yes (X)		$0	$0	$0
LINDA NORMAN
DIRECTOR, VICE CHAIR (END 6/24)	3.30	0.10	Yes (X)	Yes (X)	$0	$0	$0
SCOTT PETERSEN
DIRECTOR (END 6/24)	3.30	0.14	Yes (X)		$0	$0	$0
DANA RITCHIE
DIRECTOR (END 6/24)	3.30	0.10	Yes (X)		$0	$0	$0
DARRELL SCHMITH
DIRECTOR, CHAIRPERSON (END 6/24)	3.30	0.14	Yes (X)	Yes (X)	$0	$0	$0
SCOTT WOOTEN
TREASURER (END 4/24)	4.80	55.20		Yes (X)	$0	$2,525,208	$51,220
NATHAN SCHEMA
PRESIDENT & CEO, GSS	59.66	0.34		Yes (X)	$0	$1,130,470	$151,326
NICK OLSON
TREASURER (BEG 4/24)	4.80	55.20		Yes (X)	$0	$1,047,876	$123,386
BILL MARLETTE
INTERIM TREASURER (END 1/24)	4.80	55.20		Yes (X)	$0	$894,301	$275
JOEL FLUIT
CFO, GSS	60.00	0.00		Yes (X)	$0	$413,973	$56,343
AIMEE MIDDLETON
CHIEF OPERATING OFFICER, GSS	60.00	0.00			$0	$427,874	$78,624	Yes (X)
JULIE RIEKEN
STAFF NURSE - RN	102.09	0.00			$343,732	$0	$25,388		Yes (X)
ANNERIS ZACHMAN
STAFF NURSE - RN	67.94	0.00			$230,101	$0	$22,568		Yes (X)
LOLA OMO-OLAOYE
STAFF NURSE - RN	66.28	0.00			$210,111	$0	$5,095		Yes (X)
DEEANDRA SANDGREN
CHIEF NURSING OFFICER	60.00	0.00			$0	$272,428	$61,616		Yes (X)
WANDA HARRIS
VP, CHIEF HUMAN RESOURCES OFFICER	60.00	0.00			$0	$240,609	$10,999		Yes (X)
ERIC VANDEN HULL
FORMER OFFICER - VP, FINANCE	0.00	60.00			$0	$612,093	$93,150			Yes (X)
MICHELLE BRUHN
FORMER TREASURER	0.00	0.00			$0	$293,725	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$783,944	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$18,101,798	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,751,452	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	407	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FOCUSONE SOLUTIONS LLC
1010 N 102ND ST SUITE 300	OMAHA	NE	68114	NURSING POOL SERVICES	$13,691,137
GRAPETREE MEDICAL STAFFING LLC
2501 BOJI BEND DR SUITE 100	MILFORD	IA	51351	NURSING POOL SERVICES	$2,191,725
SELECT REHABILITATION INC
PO BOX 809056	CHICAGO	IL	606809056	CONTRACT THERAPY SERVICES	$2,182,836
DAYTONA FL OPERATING COMPANY LLC
325 S SEGRAVE ST	DAYTONA BEACH	FL	32114	GENERAL CONTRACTOR	$465,309
GO-TO HEALTHCARE PLACEMENT INC
58 VILLA ST	MANCHESTER	TN	37355	RECRUITING/CONSULT/TEMPS	$349,012

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	22	CntrctRcvdGreaterThan100KCnt
Related Organizations	$6,194,115	RelatedOrganizationsAmt
Government Grants	$8,957,794	GovernmentGrantsAmt
All Other Contributions	$81,371	AllOtherContributionsAmt
Total Contributions	$15,233,280	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
LTC - ROOM REVENUE	623000	$652,313,391	$652,313,391
LTC - THERAPY SERVICES	623000	$156,912,930	$156,912,930
ANCILLARY & PHARMACY	623000	$44,126,559	$44,126,559
HCBS REVENUE	623000	$33,466,829	$33,466,829
ALL OTHER PROGRAM SERV	623000	$11,154,255	$7,370,650	$3,783,605

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$572,614	TotalRevenueColumnAmt
Related Or Exempt Func Income	$572,614	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$898,546,578	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,350,530	TotalRevenueColumnAmt
Exclusion	$1,350,530	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,660,952	RealAmt
Personal	$1,447	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$4,660,952	RealAmt
Personal	$1,447	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,662,399	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,447	RelatedOrExemptFuncIncomeAmt
Exclusion	$4,660,952	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5	SecuritiesAmt
Other	$260,125,307	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$10	SecuritiesAmt
Other	$172,491,877	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$5	SecuritiesAmt
Other	$87,633,430	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$87,633,425	TotalRevenueColumnAmt
Exclusion	$87,633,425	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA/VENDING	722514	$3,549,698	$3,549,698
ADMINISTRATIVE SERVICE	561000	$2,947,379		$994,526	$1,952,853
EQUITY EARNINGS ON JVS	623990	$299,636	$299,636

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$272,948	TotalRevenueColumnAmt
Unrelated Business Revenue	$209,222	UnrelatedBusinessRevenueAmt
Exclusion	$63,726	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$7,069,661	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,014,495,873	TotalRevenueColumnAmt
Related Or Exempt Func Income	$895,758,946	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,945,680	UnrelatedBusinessRevenueAmt
Exclusion	$97,557,967	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$830,645	TotalAmt
Program Services	$830,645	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$18,215,566	TotalAmt
Program Services	$16,568,417	ProgramServicesAmt
Management And General	$1,647,149	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$998,966	TotalAmt
Program Services	$908,634	ProgramServicesAmt
Management And General	$90,332	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$430,065,426	TotalAmt
Program Services	$429,904,883	ProgramServicesAmt
Management And General	$160,543	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$15,501,918	TotalAmt
Program Services	$15,487,585	ProgramServicesAmt
Management And General	$14,333	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$46,755,228	TotalAmt
Program Services	$46,459,487	ProgramServicesAmt
Management And General	$295,741	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$39,408,756	TotalAmt
Program Services	$39,135,627	ProgramServicesAmt
Management And General	$273,129	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$19,624	TotalAmt
Program Services	$13,925	ProgramServicesAmt
Management And General	$5,699	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$830,365	TotalAmt
Program Services	$637,877	ProgramServicesAmt
Management And General	$192,488	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$171,386	TotalAmt
Program Services	$43,581	ProgramServicesAmt
Management And General	$127,805	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$313,464	TotalAmt
Management And General	$313,464	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	-$511	TotalAmt
Management And General	-$511	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$64,923,864	TotalAmt
Program Services	$64,658,353	ProgramServicesAmt
Management And General	$265,511	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,827,495	TotalAmt
Program Services	$1,827,324	ProgramServicesAmt
Management And General	$171	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,878,909	TotalAmt
Program Services	$7,017,539	ProgramServicesAmt
Management And General	-$1,138,630	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$42,058,234	TotalAmt
Program Services	$41,161,267	ProgramServicesAmt
Management And General	$896,967	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,121,622	TotalAmt
Program Services	$7,120,371	ProgramServicesAmt
Management And General	$1,251	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$1,383,318	TotalAmt
Program Services	$1,372,507	ProgramServicesAmt
Management And General	$10,811	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$22,423,573	TotalAmt
Program Services	$21,256,751	ProgramServicesAmt
Management And General	$1,166,822	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$40,629,722	TotalAmt
Program Services	$38,199,450	ProgramServicesAmt
Management And General	$2,430,272	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$17,788,623	TotalAmt
Program Services	$17,523,990	ProgramServicesAmt
Management And General	$264,633	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PURCHASED SERVICES FROM	$82,396,469	$85,293	$82,311,176
MEDICAL SUPPLIES	$62,845,779	$62,774,619	$71,160
UNCOLLECTIBLE EXPENSE	$18,960,485	$18,665,699	$294,786
PROVIDER CARE TAXES	$14,917,503	$14,917,503

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,779,227	TotalAmt
Program Services	$11,596,604	ProgramServicesAmt
Management And General	$181,796	ManagementAndGeneralAmt
Fundraising	$827	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$948,045,656	TotalAmt
Program Services	$858,167,931	ProgramServicesAmt
Management And General	$89,876,898	ManagementAndGeneralAmt
Fundraising	$827	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$8,585,011	BOYAmt
EOY	$10,332,656	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,828,436	BOYAmt
EOY	$2,954,199	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$88,743,032	BOYAmt
EOY	$79,753,489	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,108,474	BOYAmt
EOY	$741,603	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,780,445	BOYAmt
EOY	$1,918,453	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$338,913	BOYAmt
EOY	$286,526	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,544,148,007	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$801,110,196	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$937,624,489	BOYAmt
EOY	$743,037,811	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$5,627,818	BOYAmt
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$5,303,804	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,477,120	BOYAmt
EOY	$15,278,176	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$40,340,708	BOYAmt
EOY	$110,781,411	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,105,454,446	BOYAmt
EOY	$970,388,128	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$51,568,323	BOYAmt
EOY	$56,307,641	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,268,272	BOYAmt
EOY	$8,828,259	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$121,380,039	BOYAmt
EOY	$85,132,725	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$333,927	BOYAmt
EOY	$297,620	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$13,619,929	BOYAmt
EOY	$9,364,054	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$193,170,490	BOYAmt
EOY	$159,930,299	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$912,283,956	BOYAmt
EOY	$810,457,829	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$912,283,956	BOYAmt
EOY	$810,457,829	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,105,454,446	BOYAmt
EOY	$970,388,128	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$66,450,217	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$16,506	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$168,259,837	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$97,147,346	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$30,984,170	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$23,047,294	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,850,892	CurrentTaxYearMinus1YearAmt
Current Tax Year	$15,233,280	CurrentTaxYearAmt
Total	$182,262,982	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$925,626,155	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$919,511,974	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$984,515,367	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$911,622,084	CurrentTaxYearMinus1YearAmt
Current Tax Year	$894,762,973	CurrentTaxYearAmt
Total	$4,636,038,553	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,022,773,501	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$950,496,144	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,007,562,661	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$927,472,976	CurrentTaxYearMinus1YearAmt
Current Tax Year	$909,996,253	CurrentTaxYearAmt
Total	$4,818,301,535	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,036,084	CurrentTaxYearMinus4YearsAmt
Total	$6,036,084	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$6,036,084	CurrentTaxYearMinus4YearsAmt
Total	$6,036,084	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$4,812,265,451	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,051,102	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,068,877	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,422,723	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,266,484	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,012,929	CurrentTaxYearAmt
Total	$25,822,115	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,051,102	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,068,877	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$4,422,723	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,266,484	CurrentTaxYearMinus1YearAmt
Current Tax Year	$6,012,929	CurrentTaxYearAmt
Total	$25,822,115	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$619,174	CurrentTaxYearMinus3YearsAmt
Total	$619,174	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,841,756	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,698,887	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,270,213	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,002,802	CurrentTaxYearMinus1YearAmt
Current Tax Year	$4,907,586	CurrentTaxYearAmt
Total	$32,721,244	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,034,666,359	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$962,883,082	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,018,255,597	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$940,742,262	CurrentTaxYearMinus1YearAmt
Current Tax Year	$920,916,768	CurrentTaxYearAmt
Total	$4,877,464,068	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.98660	PublicSupportCY509Pct
Public Support PY509	0.96420	PublicSupportPY509Pct
Investment Income CY	0.00530	InvestmentIncomeCYPct
Investment Income PY	0.02590	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:	FormAndLineReferenceDesc
Explanation	ADMINISTRATIVE SERVICES OTHER REVENUE EMPLOYEE GUEST MEALS CAFETERIA/VENDING	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	Yes (1)	VolunteersInd
Paid Staff Or Management	Yes (1)	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$200,847	DirectContactLegislatorsAmt
Rallies Demonstrations	Yes (1)	RalliesDemonstrationsInd
Rallies Demonstrations	$10,000	RalliesDemonstrationsAmt
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$102,617	OtherActivitiesAmt
Total Lobbying Expenditures	$313,464	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE FILING ORGANIZATION HAS MEMBERSHIPS IN THE AMER COLLEGE HEALTHCARE EXEC, AMERICAN MEDICAL ASSOCIATION, BISMARCK MANDAN CHAMBER EDC, CATHOLIC HEALTH ASSOCIATION OF US, FLORIDA ASSISTED LIVING ASSOCIATION, FLORIDA HEALTHCARE ASSOCIATION, FT COLLINS CHAMBER OF COMMERCE, GREATER OMAHA CHAMBER OF COMMERCE, GREATER OTTUMWA PARTNERS, GREATER SF CHAMBER OF COMMERCE, HEALTH CARE ASSOCIATION HI, HI HOSPITAL EDUC & RESEARCH, IA HEALTH CARE ASSOC, CARE PROVIDERS OF MN, LEADINGAGE AZ, LEADINGAGE CO, LEADINGAGE KS, NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE, NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION, NE HEALTH CARE ASSOC, NM HEALTH CARE ASSOC, NORTH DAKOTA LONG TERM CARE ASSOCIATION, SD HEALTH CARE ASSOC, SOCIETY FOR POST-ACUTE & LTC MEDICINE, SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATION, THE CHAMBER FARGO MOORHEAD WF, TN HEALTH CARE ASSOCIATION, TX ASSOCIATION OF HOME CARE & HOSPICE . A PERCENTAGE OF MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS RELATE TO LOBBYING EXPENSES. IN ADDITION, THE ORGANIZATION EMPLOYS CERTAIN INDIVIDUALS, AND CONTRACTS WITH VARIOUS LOBBYISTS, TO MONITOR LEGISLATIVE ACTS IMPORTANT TO ALL GOOD SAMARITAN SOCIETY ENTITIES ON BOTH STATE AND NATIONAL LEVELS. OCCASIONALLY, EMPLOYEES SEND MAILINGS TO LEGISLATORS ON ISSUES THAT MAY AFFECT LONG TERM CARE OR POST-ACUTE ISSUES.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd
Incl Escrow Custodial Acct Liab	Yes (1)	InclEscrowCustodialAcctLiabInd
Explanation Provided	Yes (X)	ExplanationProvidedInd

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,214,865	BeginningYearBalanceAmt
Contributions	$2,974	ContributionsAmt
Investment Earnings Or Losses	-$7,836	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$1,761,167	GrantsOrScholarshipsAmt
End Year Balance	$14,448,836	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,862,373	BeginningYearBalanceAmt
Contributions	$9,958	ContributionsAmt
Investment Earnings Or Losses	-$147,531	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$4,509,935	GrantsOrScholarshipsAmt
End Year Balance	$16,214,865	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,824,287	BeginningYearBalanceAmt
Contributions	$11,330	ContributionsAmt
Investment Earnings Or Losses	-$751,575	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$221,669	GrantsOrScholarshipsAmt
End Year Balance	$20,862,373	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,167,839	BeginningYearBalanceAmt
Contributions	$366,880	ContributionsAmt
Investment Earnings Or Losses	$395,606	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$106,038	GrantsOrScholarshipsAmt
End Year Balance	$21,824,287	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,586,709	BeginningYearBalanceAmt
Contributions	$623,431	ContributionsAmt
Other Expenditures	$42,301	OtherExpendituresAmt
End Year Balance	$21,167,839	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$118,303,051	OtherCostOrOtherBasisAmt
Book Value	$118,303,051	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,126,875,347	OtherCostOrOtherBasisAmt
Depreciation	$616,809,354	DepreciationAmt
Book Value	$510,065,993	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,335,508	OtherCostOrOtherBasisAmt
Depreciation	$1,256,733	DepreciationAmt
Book Value	$78,775	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$218,826,032	OtherCostOrOtherBasisAmt
Depreciation	$133,899,572	DepreciationAmt
Book Value	$84,926,460	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,808,069	OtherCostOrOtherBasisAmt
Depreciation	$49,144,537	DepreciationAmt
Book Value	$29,663,532	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$743,037,811	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DEFERRED COMPENSATION	$3,160,337
NON-OPERATING PROPERTY	$28,352,076
OTHER ASSETS	$16,224
LIMITED USE ASSETS/ RESIDENT FUNDS	$4,573,143
LEASE RECEIVABLE	$74,679,631

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$110,781,411	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ENVIRONMENTAL REMEDIATION LIABILITY	$3,747,796
DEFERRED COMPENSATION	$3,160,337
RESERVE FOR OUTSTANDING LOSS	$2,124,312
OTHER NONCURRENT LIABILITIES	$331,609

Field	Value	IRS element (for citing)
Total Liability	$9,364,054	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART IV, LINE 2B:	AS SET FORTH BY FEDERAL AND STATE REGULATIONS, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (SOCIETY) PROVIDES RESIDENT TRUST ACCOUNT (RTA) SERVICES FOR RESIDENTS. THESE RTA FUNDS ARE NOT COMMINGLED WITH SOCIETY FUNDS, ARE ACCESSIBLE FOR RESIDENTS' USE, HAVE DETAILED ACCOUNTING RECORDS MAINTAINED ON AN INDIVIDUAL RESIDENT BASIS, AND FOLLOW BOTH FEDERAL AND STATE REGULATIONS REGARDING THE HANDLING AND DOCUMENTATION OF ACTIVITY. AS RTA FUNDS ARE HELD IN TRUST FOR RESIDENTS, A RESIDENT MAY AUTHORIZE THAT THEIR RTA FUNDS BE RETURNED TO THE RESIDENT OR THEIR DESIGNEE (REPRESENTATIVE PAYEE, FINANCIAL POWER OF ATTORNEY, GUARDIAN, ETC.) AT ANY TIME. ADDITIONALLY, WHEN A RESIDENT IS DISCHARGED FROM A FACILITY, THEIR RTA FUNDS ARE RETURNED TO THE RESIDENT OR THEIR AUTHORIZED DESIGNEE. IF A RESIDENT EXPIRES WITH RTA FUNDS ON HAND, SPECIFIC STATE REGULATIONS ALONG WITH STATE AND/OR FEDERAL AGENCIES GUIDELINES ARE REVIEWED TO ENSURE THESE RTA FUNDS ARE MANAGED APPROPRIATELY. THE SOCIETY HAS HOUSING ENTRANCE FEES FOR ADMITTANCE INTO HOUSING UNITS AT VARIOUS LOCATIONS. THESE CONTRACTS FOR HOUSING ENTRANCE FEES VARY BY LOCATION, AND TYPICALLY HAVE VARYING REFUNDABLE PORTIONS UP TO 100% OF THESE ENTRANCE FEES. THE REFUNDABLE PORTIONS OF THE HOUSING ENTRANCE FEES ARE REFUNDABLE BASED UPON TIME RESTRICTIONS AND VACANCY OF THE HOUSING UNIT. THE NONREFUNDABLE PORTION OF THE HOUSING ENTRANCE FEES ARE RECORDED AS DEFERRED REVENUE AND AMORTIZED INTO INCOME OVER THE LIFE EXPECTANCY OF THE RESIDENT AND FULLY RECOGNIZED WHEN THE RESIDENT VACATES ITS UNIT. THE SOCIETY RECORDS A CURRENT PORTION OF HOUSING ENTRANCE FEES THAT IS EXPECTED TO BE REFUNDED IN THE NEXT YEAR.
PART V, LINE 4:	THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION HOLDS ENDOWMENT FUNDS ON BEHALF OF THE FILING ORGANIZATION TO BE USED AS DIRECTED BY THE DONOR'S RESTRICTIONS OR THE BOARD'S DESIGNATION FOR ASSISTANCE IN ACTIVITIES AND PROVIDING FOR THE GOOD SAMARITAN SOCIETY'S SERVICES.
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 SOCIETY DID NOT HAVE AN INCOME TAX LIABILITY AT DECEMBER 31, 2024; HOWEVER, SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	1	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	PROGRAM SERVICES	TypeOfActivitiesConductedTxt
Specific Services Provided	PREMIUMS	SpecificServicesProvidedTxt
Region Total Expenditures	$3,910,000	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$3,910,000	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$3,910,000	TotalSpentAmt
Transfer To Foreign Corp	0	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	EXPENDITURES ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING.	ExplanationTxt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc	Purpose Of GrantPurposeOfGrantTxt
GOD'S TREASURE CHILDCARE LEARNING CENTER
506 W HIGH ST	WINTHROP	MN	55396	932578188	501(C)(3)	$0	$749,500	FMV	REAL ESTATE	SEE FORM 990, PAGE 2, PART III
VETTER SENIOR LIVING INC
20220 HARNEY ST	ELKHORN	NE	68022	471108168	501(C)(3)	$0	$79,545	FMV	REAL ESTATE	SEE FORM 990, PAGE 2, PART III

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE ADMINSTRATOR AT EACH LOCATION IS RESPONSIBLE FOR ENSURING THAT THE FUNDS ARE USED IN ACCORDANCE WITH THE GOOD SAMARITAN SOCIETY'S DIRECTION.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BILL GASSEN
TRUSTEE, PRESIDENT & CEO (BEG 6/24)	$0	$2,334,458	$0	$1,624,395	$0	$455,266	$0	$584,349	$0	$892	$0	$4,999,360	$0	$0
MATT HOCKS
DIRECTOR (END 5/24)	$0	$1,499,992	$0	$1,059,337	$0	$239,116	$0	$240,957	$0	$35,576	$0	$3,074,978	$0	$0
SCOTT WOOTEN
TREASURER (END 4/24)	$0	$245,207	$0	$0	$0	$2,280,001	$0	$43,522	$0	$7,698	$0	$2,576,428	$0	$0
MICHAEL LEBEAU MD
DIRECTOR (END 6/24)	$0	$1,034,038	$0	$613,493	$0	$177,333	$0	$174,475	$0	$35,213	$0	$2,034,552	$0	$0
NATHAN SCHEMA
PRESIDENT & CEO, GSS	$0	$656,994	$0	$360,785	$0	$112,691	$0	$117,174	$0	$34,152	$0	$1,281,796	$0	$0
NICK OLSON
TREASURER (BEG 4/24)	$0	$783,688	$0	$138,354	$0	$125,834	$0	$122,494	$0	$892	$0	$1,171,262	$0	$0
BILL MARLETTE
INTERIM TREASURER (END 1/24)	$0	$420,002	$0	$470,299	$0	$4,000	$0	$0	$0	$275	$0	$894,576	$0	$0
ERIC VANDEN HULL
FORMER OFFICER - VP, FINANCE	$0	$461,954	$0	$84,604	$0	$65,535	$0	$60,566	$0	$32,584	$0	$705,243	$0	$0
AIMEE MIDDLETON
CHIEF OPERATING OFFICER, GSS	$0	$324,782	$0	$59,042	$0	$44,050	$0	$47,911	$0	$30,713	$0	$506,498	$0	$0
JOEL FLUIT
CFO, GSS	$0	$314,417	$0	$57,695	$0	$41,861	$0	$43,499	$0	$12,844	$0	$470,316	$0	$0
ANDY NORTH
TRUSTEE, SEC, INDEP CONT (BEG 6/24)	$0	$379,383	$0	$0	$0	$0	$0	$0	$0	$0	$0	$379,383	$0	$0
JULIE RIEKEN
STAFF NURSE - RN	$95,841	$0	$0	$0	$247,891	$0	$14,566	$0	$10,822	$0	$369,120	$0	$0	$0
DEEANDRA SANDGREN
CHIEF NURSING OFFICER	$0	$216,384	$0	$20,303	$0	$35,741	$0	$31,169	$0	$30,447	$0	$334,044	$0	$0
MICHELLE BRUHN
FORMER TREASURER	$0	$0	$0	$293,725	$0	$0	$0	$0	$0	$0	$0	$293,725	$0	$0
ANNERIS ZACHMAN
STAFF NURSE - RN	$75,687	$0	$5,300	$0	$149,114	$0	$11,306	$0	$11,262	$0	$252,669	$0	$0	$0
WANDA HARRIS
VP, CHIEF HUMAN RESOURCES OFFICER	$0	$207,687	$0	$0	$0	$32,922	$0	$9,997	$0	$1,002	$0	$251,608	$0	$0
LOLA OMO-OLAOYE
STAFF NURSE - RN	$61,978	$0	$300	$0	$147,833	$0	$5,071	$0	$24	$0	$215,206	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	FIRST CLASS OR CHARTER TRAVEL - FIRST CLASS TRAVEL OR CHARTER TRAVEL IS PROVIDED FOR INDIVIDUALS AS NEEDED AND AS COST APPROPRIATE, IN ACCORDANCE WITH WRITTEN POLICIES. THESE COSTS ARE NOT INCLUDED IN THE W-2'S OF THE INDIVIDUALS AS THEY ARE INCURRED FOR BUSINESS PURPOSES OF THE SOCIETY. CERTAIN ITEMS LISTED ON LINE 1A ARE PROVIDED BY RELATED ORGANIZATIONS.
PART I, LINE 3	SANFORD ENGAGES 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. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES APPROVES ALL COMPENSATION CHANGES FOR THE CEO IN ADVANCE, RELIES ON THE MARKET DATA PROVIDED BY THE INDEPENDENT CONSULTING FIRM IN MAKING CHANGES, AND DOCUMENTS THE BASIS FOR ANY CHANGES IN COMMITTEE MINUTES.
PART I, LINES 4A-B	LINE 4A - SEVERANCE OR CHANGE OF CONTROL 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. EXECUTIVES MAY ALSO QUALIFY FOR A PAYMENT FOR SATISFYING A NON-COMPETE. 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 FOR EXECUTIVES, A PORTION OF THE RETIREMENT AND OTHER DEFERRED COMPENSATION REPORTED RELATES TO A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THIS PLAN PROVIDES FOR A SUBSTANTIAL RISK OF FORFEITURE AND THERE IS NO GUARANTEE THAT ANY AMOUNT WILL ULTIMATELY BE PAID. 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: SCOTT WOOTEN: SEPARATION..................................$2,143,876 NONQUALIFIED RETIREMENT PLAN...................$33,255 TOTAL.......................................$2,177,131
PART I, LINE 7	A MATERIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED TO ACHIEVING ORGANIZATIONAL GOALS RELATED TO QUALITY OF CARE, PATIENT EXPERIENCE, EMPLOYEE EXPERIENCE AND FINANCIAL PERFORMANCE. THE GOALS ARE SET IN ADVANCE AND APPROVED BY THE BOARD OF TRUSTEES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	THE FOLLOWING OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE EMPLOYEES OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED ORGANIZATION BOARDS OR HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THAT SPAN THE ORGANIZATION AS A WHOLE: MATT HOCKS, AIMEE MIDDLETON, NATHAN SCHEMA, JOEL FLUIT, BILL GASSEN, SCOTT WOOTEN, NICK OLSON, BILL MARLETTE, AND MICHAEL LEBEAU. THE FOLLOWING BOARD MEMBER AND DIRECTOR NOTED A BUSINESS RELATIONSHIP, DANA DYKHOUSE AND DARRELL SCHMITH.
FORM 990, PART VI, SECTION A, LINE 4	REVISED ARTICLES OF INCORPORATION AND BYLAWS TO REFLECT SANFORD BOARD OF TRUSTEES AS GOVERNING BODY OF THE ENTITY RATHER THAN THE LOCAL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 6	ON JANUARY 1, 2019, SANFORD BECAME THE CLASS A CORPORATE MEMBER OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. AT THAT TIME, THE EXISTING MEMBERSHIP OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (THE "SOCIETY") BECAME THE CLASS B MEMBER THAT RETAINED THE ABILITY TO RECOMMEND MEMBERS OF THE SOCIETY BOARD OF DIRECTORS FOR APPOINTMENT BY THE CLASS A CORPORATE MEMBER, SANFORD. THE SOCIETY BOARD OF DIRECTORS ADMINISTERS THE AFFAIRS OF THE SOCIETY, INCLUDING BUDGET DEVELOPMENT AND PROVIDING ADVICE AND CONSENT TO SANFORD IN SELECTING AND EVALUATING THE SOCIETY PRESIDENT. SOME ACTIONS OF THE SOCIETY BOARD OF DIRECTORS REQUIRE APPROVAL OF THE SANFORD BOARD OF TRUSTEES (SEE PART VI, LINE 7B).
FORM 990, PART VI, SECTION A, LINE 7A	THE CLASS A CORPORATE MEMBER, SANFORD, APPOINTS THE BOARD MEMBERS FOR THE BOARD OF DIRECTORS OF THE SOCIETY.
FORM 990, PART VI, SECTION A, LINE 7B	THE FOLLOWING ACTIONS OF THE SOCIETY BOARD OF DIRECTORS MUST BE APPROVED BY THE CLASS A CORPORATE MEMBER, SANFORD: (1) APPROVAL OF THE SOCIETY'S ANNUAL AND LONG-TERM STRATEGIC PLANS; (2) APPROVAL OF THE SOCIETY'S ANNUAL OPERATING AND CAPITAL BUDGET AND FINANCIAL FORECAST; (3) MERGER, CONSOLIDATION, DISSOLUTION, SALE OF SUBSTANTIALLY ALL OF SOCIETY'S ASSETS, OR ANY OF THE SAME ACTIONS WITH RESPECT TO ANY SOCIETY SUBSIDIARY TO THE EXTENT SUCH TRANSACTION WOULD REPRESENT SUBSTANTIALLY ALL OF THE SOCIETY'S ASSETS; (4) AMENDMENT, MODIFICATION OR TERMINATION OF THE ARTICLES OF INCORPORATION OR BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE EXECUTIVE MANAGEMENT TEAM. AN EXTERNAL ACCOUNTING FIRM REVIEWS AND SIGNS THE RETURN. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDED 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 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: 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 HAS A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII, SECTION A. THIS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION FOR SUCH COMPENSATION. SANFORD ENGAGES 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. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES APPROVES ALL COMPENSATION CHANGES FOR THE CEO IN ADVANCE, RELIES ON THE MARKET DATA PROVIDED BY THE INDEPENDENT CONSULTING FIRM IN MAKING CHANGES, AND DOCUMENTS THE BASIS FOR ANY CHANGES IN COMMITTEE MINUTES.
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 VII	THE SANFORD BOARD OF TRUSTEES HAS ULTIMATE GOVERNANCE RESPONSIBILITIES FOR EACH MAJOR OPERATION ENTITY WITHIN SANFORD. IN ADDITION, A BOARD OF DIRECTORS IS ESTABLISHED FOR EACH MAJOR OPERATING ENTITY. THIS BOARD HAS SPECIFIC RESPONSIBILITIES DELEGATED FROM THE BOARD OF TRUSTEES. GENERALLY THESE RESPONSIBILITIES ARE RELATED TO THE OVERSIGHT OF THE DAY TO DAY OPERATIONS OF THAT ENTITY.
FORM 990, PART XI, LINE 9:	HERITAGE DISTRIBUTION 6,005,972. TRANSFER OF NET PROCEEDS FROM SALES OF GSS CENTERS TO SANFORD HEALTH -160,245,265. OTHER CHANGES IN NET ASSETS -14,020,544.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	EINEIN
AH GOOD SAMARITAN HOUSING LTD
PO BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	SENIOR HOUSING	SD	$0	$0	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
GOOD SAMARITAN SOCIETY HCBS - SERVICESHOME LLC
PO BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	PROVIDER OF PRIVATE DUTY SERVICES	ND	$0	$0	GOOD SAMARITAN SOCIETY HCBS - HERITAGE LLC	352013106
GOOD SAMARITAN SOCIETY HCBS LLC
PO BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	SOLE MEMBER OF HOME AND COMMUNITY BASED SERVICES & HOSPICE LLC'S	SD	$0	$0	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	364798232
GOOD SAMARITAN SOCIETY HCBS-HERITAGE LLC
PO BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	PROVIDE HOME AND COMMUNITY BASED SERVICES	SD	$0	$0	GOOD SAMARITAN SOCIETY HCBS LLC	352545815
GOOD SAMARITAN SOCIETY HCBS-TX LLC
PO BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	PROVIDE HOME AND COMMUNITY BASED SERVICES	ND	$0	$0	GOOD SAMARITAN SOCIETY HCBS LLC	384044054
PENNINGTON COUNTY GOOD SAMARITAN HOUSING GP LLC
PO BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	PROVIDER OF AFFORDABLE SENIOR HOUSING	SD	$0	$0	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	611866334

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
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	Yes (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	Yes (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	Yes (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	Yes (1)
F-M AMBULANCE SERVICE INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	450344371	EMT	ND	501(C)(4)		SANFORD NORTH	0
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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (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	Yes (1)
MILLARD GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	460396332	LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP	SD	501(C)(3)	12-I	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Yes (1)
OLATHE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	460396398	LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP	SD	501(C)(3)	12-I	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Yes (1)
PRESCOTT GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	275114421	LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP	SD	501(C)(3)	12-I	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Yes (1)
PROPHETSTOWN GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	460392943	PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS	SD	501(C)(3)	10	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Yes (1)
RAPID CITY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	461579750	LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP	SD	501(C)(3)	12-I	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Yes (1)
SANFORD
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	271218956	SUPPORTING ORGANIZATION	ND	501(C)(3)	12-II		0
SANFORD HEALTH FOUNDATION
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	363297853	FOUNDATION	SD	501(C)(3)	12-II	SANFORD HEALTH	0
SANFORD HEALTH FOUNDATION NORTH
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	450398104	FOUNDATION	ND	501(C)(3)	7	SANFORD NORTH	0
SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	411389317	FOUNDATION	MN	501(C)(3)	7	SANFORD HEALTH OF NORTHERN MINNESOTA	0
SANFORD HEALTH FOUNDATION WEST
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	450397196	FOUNDATION	ND	501(C)(3)	7	SANFORD BISMARCK	0
SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	452473519	LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP	SD	501(C)(3)	12-I	THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY	Yes (1)
THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	460422866	FOUNDATION	MN	501(C)(3)	7	SANFORD HEALTH	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
COLLISTER DRIVE HOUSING LLC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	611752929	LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP	SD	N/A	0	0
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	271212511	PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS	SD	N/A	0	0
OLATHE GOOD SAMARITAN HOUSING LP
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	205297369	PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS	SD	N/A	0	0
RUTH STREET GOOD SAMARITAN HOUSING LLCPROVIDE LOW-INCOME HOUSING TO SENIORS
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	611748321	LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP	SD	N/A	0	0
TEXAS GOOD SAMARITAN HOUSING LLC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	371774574	LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP	SD	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd
GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	815037667	INSURANCE	NE	N/A	C	0
GOOD SAMARITAN SOCIETY INSURANCE LTD
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	980379099	INSURANCE		N/A	C	0	CJ
HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	900491537	PROVIDE HOME AND COMMUNITY BASED SERVICES	NM	N/A	S	0
HERITAGE HEALTHCARE SERVICES INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	850418562	PROVIDE HOME AND COMMUNITY BASED SERVICES	NM	N/A	S	0
HERITAGE HOME HEALTHCARE & HOSPICE INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	850463468	PROVIDE HOME AND COMMUNITY BASED SERVICES	NM	N/A	S	0
HERITAGE HOME HEALTHCARE OF ARIZONA INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	204243949	PROVIDE HOME AND COMMUNITY BASED SERVICES	NM	N/A	S	0
HERITAGE HOME HEALTHCARE SERVICES INC
P O BOX 5039 RTE 5218	SIOUX FALLS	SD	571175039	850463469	PROVIDE HOME AND COMMUNITY BASED SERVICES	NM	N/A	S	0
SANFORD FRONTIERS
1305 W 18TH STREET PO BOX 5039	SIOUX FALLS	SD	571175039	455436599	SPORTS/ALTERNATIVE INVESTMENTS	SD	N/A	C	0
SANFORD HEALTH PLAN
300 CHERAPA PLACE	SIOUX FALLS	SD	57103	911842494	INSURANCE	SD	N/A	C	0
SANFORD HEALTH PLAN OF MN
300 CHERAPA PLACE	SIOUX FALLS	SD	57103	460445852	INSURANCE	MN	N/A	C	0
SANFORD INTERNATIONAL - MUNICH GMBH
					HEALTHCARE		N/A	C	0	GM	NYMPHENBURGER STRASSE 3	MUNICH	GM
SANFORD WORLD CLINICS - GHANA LBG
					HEALTHCARE		N/A	C	0	GH	SARBAH ROAD TANTRI LORRY STATION	CAPE COAST	GH
SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD
					HEALTHCARE		N/A	C	0	CH	188 YESHENG ROAD ROOM A-862 GUOMA	SHANGHAI	CH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
C	$6,194,115	CASH METHOD
HERITAGE HEALTHCARE SERVICES INC
C	$6,005,972	CASH METHOD
GOOD SAMARITAN SOCIETY INSURANCE LTD
P	$3,910,000	CASH METHOD