2018-10-30T13:56:43-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2017-01-01 450228055 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY EVAN 6053623100 4800 WEST 57TH STREET BOX 5038 SIOUX FALLS SD 571175038 G GRANT TRIBBLE CFO & TREASURER 6053623100 2018-10-23 1 KACIE MCEWEN P01599614 6123764500 2018-10-23 67.137.57.251 2018-10-23 14:17:44 CD P 9E4ACA9A3A5583693B49D79FC84C6D308F7C5743 3B8AD87D3D4D2D1864CA6013C36879B94F3F1DCF 2017 2019-02-21 02:37:17Z DAVID HORAZDOVSKY 4800 WEST 57TH STREET BOX 5038 SIOUX FALLS SD 571175038 1350559725 0 X WWW.GOOD-SAM.COM X 1922 ND TO SHARE GOD'S LOVE IN WORD AND DEED BY PROVIDING SHELTER AND SUPPORTIVE SERVICES TO OTHERS IN NEED. 16 9 25343 4183 580770 -3454132 14047566 13910759 983921587 978517457 13248761 -2249465 16050386 19394291 1027268300 1009573042 4776758 5745345 0 0 597560577 593365251 138180 0 2211247 442310101 439961983 1044785616 1039072579 -17517316 -29499537 1648353979 1643161353 952843123 969782533 695510856 673378820 X TO SHARE GOD'S LOVE IN WORD AND DEED BY PROVIDING SHELTER AND SUPPORTIVE SERVICES TO OLDER PERSONS AND OTHERS IN NEED, BELIEVING THAT "IN CHRIST'S LOVE, EVERYONE IS SOMEONE."(CONTINUED ON SCHEDULE O) 1 0 613253116 5745345 723948514 SKILLED NURSING SERVICES - REHABILITATION/SKILLED NURSING SERVICES HAVE BEEN AT THE CORE OF THE SOCIETY'S SERVICES OVER ITS 95-YEAR HISTORY. THE SOCIETY APPROACHES CARE FOR THOSE WE SERVE IN A "HOLISTIC" MANNER. IN THAT REGARD, 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 2,959,577 SKILLED NURSING HOME DAYS OF CARE AND SERVICE IN 2017. THE SOCIETY CONTINUES TO REINVEST MUCH OF ITS REVENUE TO BUILD AND REVITALIZE ITS FACILITIES ON CAMPUSES NATIONWIDE. 81081545 0 95717189 HOUSING WITH SERVICES - ALSO REFERRED TO AS INDEPENDENT OR SENIOR HOUSING, HOUSING WITH SERVICES HAS BEEN A GROWING PART OF THE SOCIETY'S MINISTRY FOR MANY YEARS. WITH 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 ITS CORPORATE STRATEGIC PLANNING.IN 2017, THE SOCIETY RECORDED 1,843,844 SENIOR LIVING DAYS OF SERVICE TO RESIDENTS THROUGHOUT THE COUNTRY. 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; LARGE COMMON KITCHENS; 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. 61336229 0 72407740 ASSISTED LIVING SERVICES - ASSISTED LIVING SERVICES RESPOND TO THE SOCIETY'S RESIDENTS' NEEDS EACH DAY IN A "HOME-LIKE" ENVIRONMENT. IN 2017, THE SOCIETY PROVIDED 674,030 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. 78249154 0 92373535 HOME HEALTH SERVICES - THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY OFFERS LICENSED HOME HEALTH CARE, HOSPICE AND SERVICES@HOME (PRIVATE DUTY) SERVICES IN 18 STATES. OUR HOME HEALTH CARE AGENCIES SERVED APPROXIMATELY 12,822 CLIENTS IN 2017. 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 CARE FOR 1,202 PATIENTS IN 2017. THE SERVICES PROVIDED INCLUDE 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, PROVIDED CARE FOR 4,656 CLIENTS IN 2017. SERVICES@HOME 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. 78249154 0 92373535 833920044 1 1 0 1 0 0 0 0 1 1 1 0 1 0 1 1 0 1 0 0 1 1 0 0 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 0 0 1 2316 0 25343 1 1 1 1 CJ 0 0 0 1 1 0 0 0 0 X 16 9 0 0 0 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 AL AK AR CA CO CT DC FL GA HI IL KS KY LA ME MD MI MN MS NV NH NJ NM NY NC ND OH OK PA RI TN UT WA VA WV WI X G GRANT TRIBBLE CFO & TREASURER 6053623100 4800 W 57TH ST SIOUX FALLS SD 57108 DAVID J HORAZDOVSKY PRESIDENT & CEO 55.40 0.60 X X 779485 0 21494 H THEODORE GRINDAL CHAIR & FIRST VICE CHAIR 3.30 1.40 X X 0 0 0 DR GWEN WAGSTROM HALAAS MEMBER-EXEC COMM & FIRST VICE CHAIR 3.30 0.70 X X 0 0 0 ALAN R GARD MEMBER-EXECUTIVE COMMITTEE 3.30 0.10 X 0 0 0 DALE THOMPSON MEMBER-EXECUTIVE COMMITTEE 3.30 0.10 X 0 0 0 BENJAMIN P ANDERSON DIRECTOR (THROUGH JANUARY 2017) 50.00 0.10 X 55658 0 3002 REBECCA BOLLIG DIRECTOR 50.00 0.10 X 99196 0 45121 NORVAL BUCKNEBERG DIRECTOR 3.30 0.70 X 0 0 0 PATRICIA L CAMERO DIRECTOR 50.00 0.10 X 174024 0 22348 MICHAEL DEUTH DIRECTOR 50.00 0.10 X 137174 0 30540 HEATHER L KRZMARZICK DIRECTOR 50.00 0.10 X 124996 0 22520 LEE LAAVEG DIRECTOR 3.30 0.70 X 0 0 0 CONNIE MARCH-CURTIS DIRECTOR (THROUGH JUNE 2017) 3.30 0.70 X 0 0 0 LISA MELBY DIRECTOR 50.00 0.10 X 150875 0 18295 TIMOTHY PHILLIPPE DIRECTOR 3.30 0.10 X 0 0 0 JOHN RACEK DIRECTOR 3.30 0.70 X 0 0 0 DINA ROBINSON DIRECTOR 50.00 0.10 X 105887 0 21238 JILL A SCHUMANN DIRECTOR 3.30 0.10 X 0 0 0 DENNIS STENE DIRECTOR (THROUGH JUNE 2017) 3.30 0.70 X 0 0 0 SHARON ST MARY DIRECTOR (THROUGH JUNE 2017) 50.00 0.10 X 169268 0 17793 BERGEN J PETERSON EXECUTIVE VICE PRESIDENT 55.00 0.00 X 294267 0 33164 THOMAS SYVERSON EXECUTIVE VICE PRESIDENT 55.00 0.10 X 338875 0 32218 G GRANT TRIBBLE TREASURER & CFO 54.50 0.60 X 343571 0 28768 JOSEPH HERDINA ASSISTANT TREASURER 55.00 0.10 X 217131 0 30768 THOMAS KAPUSTA SECRETARY 54.50 0.60 X 331655 0 21468 SYLVIA GAUSE ASSISTANT SECRETARY (THROUGH JANUARY 2017) 40.90 0.10 X 13896 0 1615 DEAN MERTZ VICE PRESIDENT, WORKFORCE (THROUGH MARCH 2017) 55.00 0.00 X 275175 0 10752 JAN RITTER VICE PRESIDENT, HR 55.00 0.00 X 205717 0 43274 LINDA STUDER VICE PRESIDENT, OPERATIONS 55.00 0.00 X 255186 0 11545 DUSTIN SCHOLZ REGIONAL VICE PRESIDENT 55.00 0.00 X 153135 0 31964 SUSAN RAPER REGIONAL VICE PRESIDENT 55.00 0.00 X 197610 0 32218 JAMES DROPPERS REGIONAL VICE PRESIDENT 55.00 0.00 X 191391 0 21710 DAN HAMES REGIONAL VICE PRESIDENT 55.00 0.00 X 187722 0 32218 NATE SCHEMA REGIONAL VICE PRESIDENT 55.00 0.00 X 161176 0 32859 RUSTAN WILLIAMS VICE PRESIDENT, IST 55.00 0.00 X 331606 0 21358 VICTORIA WALKER CHIEF MEDICAL OFFICER 55.00 0.00 X 262921 0 32218 JULIE RIEKEN STAFF NURSE - RN 99.90 0.00 X 259895 0 7688 JAMES KREKELBERG VP, ACCOUNTING AND CONTROLLER 54.50 0.60 X 211931 0 18145 KIMBERLY JOHANSEN VICE PRESIDENT, HOME & COMMUNITY BASED SERVICES 55.00 0.00 X 210313 0 21495 6239736 0 667796 124 0 1 0 AEGIS THERAPIES INC PO BOX 8103 FT SMITH AR 72902 CONTRACT THERAPY SERVICES 26715519 INFINITY REHAB 25117 SW PARKWAY SUITE D WILSONVILLE OR 97070 CONTRACT THERAPY SERVICES 7742380 BENSON-ORTH ASSOCIATES INC 10700 HWY 55 SUITE 310 PLYMOUTH MN 55441 GENERAL CONTRACTOR - INCLUDES MATERIALS 6135491 SCULL CONSTRUCTION SERVICE PO BOX 7636 RAPID CITY SD 57709 GENERAL CONTRACTOR - INCLUDES MATERIALS 5657782 PRIME TIME HEALTHCARE LLC PO BOX 3544 OMAHA NE 68103 POOL STAFF SERVICES 5111340 214 19000 736357 2386111 379434 10389857 487816 13910759 RESIDENT ROUTINE CARE 623000 858999462 858999462 ANCILLARY SERVICES 623000 98380480 98380480 SURCHARGE 623000 6965286 6965286 NURSING SERVICES 623000 5789946 5789946 RENT 623000 3048063 3048063 5334220 5334220 978517457 7071453 7071453 5273701 190951 0 0 5273701 190951 5464652 190951 5273701 329003103 2327712 317015003 23636730 11988100 -21309018 -9320918 -9320918 51898 736357 199740 -147842 -147842 59107 48690 10417 10417 254396 86520 167876 167876 ADMINISTRATIVE SERVICES 561000 7465669 5929521 1536148 EMPLOYEE & GUEST MEALS 722210 4986921 564590 4422331 BARBER & BEAUTY SHOP 623990 574370 574370 872228 -1519968 2392196 13899188 1009573042 973513763 580770 21567750 4435018 4435018 1273497 1273497 36830 36830 5529964 5529964 487265134 389462301 96469153 1333680 8737639 7001522 1712443 23674 52694497 42111774 10438413 144310 39138017 31361525 7670449 106043 1610712 1610712 -420166 -420166 241879 241879 101974129 93171543 8774881 27705 5363036 1705 5358378 2953 12590042 92575 12451244 46223 10301619 10301619 37038557 37038557 9130126 4962338 4161734 6054 118945 118945 28600460 28142402 450691 7367 75848847 59933948 15658953 255946 15622811 12344772 3225321 52718 MEDICAL SUPPLIES 77227431 77227431 LICENSE SURCHARGE 17483337 17483337 EQUIPMENT MAINTENANCE 17123455 14926335 2197120 UNCOLLECTIBLE EXPENSE 9145566 9145566 20961197 7382670 13373953 204574 1039072579 833920044 202941288 2211247 11888399 14997597 854589 901575 491336 409976 96629699 98681443 13567111 12591062 3673016 3768546 5215029 3509571 2148271655 1139698580 1045830339 1008573075 354521592 365783952 4024157 4271486 83938342 102095438 7903301 13157430 19817069 14420202 1648353979 1643161353 111465896 106244578 4847824 3640608 562361770 431261292 115078347 115228865 86325202 226347362 469576 482233 72294508 86577595 952843123 969782533 X 654870438 632467062 21391612 20701627 19248806 20210131 695510856 673378820 1648353979 1643161353 X -29499537 3476848 3890653 X 0 1 X 1 0 X 19112946 16176540 10478332 14047566 13962657 73778041 945993052 952770064 958776405 983921587 978517457 4819978565 366252 371370 363494 351192 313503 1765811 965472250 969317974 969618231 998320345 992793617 4895522417 0 0 0 4895522417 9381581 9069280 7892300 12386594 12536105 51265860 9381581 9069280 7892300 12386594 12536105 51265860 8395068 10242472 7220485 13559113 13318418 52735556 983248899 988629726 984731016 1024266052 1018648140 4999523833 0.97920 0.98050 0.01030 0.00960 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: ADMINISTRATIVE SERVICES GAINLOSS ON EXTINGUISHMENT OF DEBT OTHER REVENUE FUNDRAISING EVENT REVENUE EMPLOYEE GUEST MEALS BARBER BEAUTY SHOP REVENUE 1 1 0 1 52671 0 0 1 363023 0 0 415694 0 PART II-B, LINE 1: ONE STAFF MEMBER IS DEVOTED FULL TIME TO PUBLIC POLICY ISSUES, INCLUDING ADVOCACY ACTIVITIES. AN OUTSIDE REPRESENTATIVE IS ALSO ENGAGED TO ASSIST WITH COORDINATING THIS ACTIVITY. SEVERAL STAFF MEMBERS AND RESIDENTS WRITE LETTERS TO ELECTED OFFICIALS WHICH PROVIDE BACKGROUND AND EXPRESS RECOMMENDED POSITIONS ON SPECIFIC ISSUES. IN ADDITION, PERIODIC CORRESPONDENCE AND PERSONAL VISITS OCCUR BETWEEN STAFF MEMBERS AND ELECTED OFFICIALS TO ADVOCATE PARTICULAR POSITIONS ON ISSUES. IT IS ESTIMATED THAT TWO PERCENT OF ONE AVERAGE STAFF MEMBERS' TIME IS DEVOTED TO THIS ACTIVITY. 0 1 X 2406000 205000 346000 2265000 2388000 16000 26000 24000 2406000 2289000 -1000 181000 81000 2388000 2980000 -1109000 13000 -405000 2289000 1966000 617000 -3000 -400000 2980000 0.14100 0.06200 0.79700 0 0 58721381 58721381 1588149556 833736485 754413071 111130255 66860262 44269993 318684184 239101833 79582351 71586279 71586279 1008573075 INVESTMENT IN JOINT VENTURES 31781227 F INVESTMENT IN FOUNDATION 70314211 F 102095438 REAL ESTATE TAXES & OTHER LIABILITIES 15419918 UNAMORTIZED BOND PREMIUM 35656415 ANNUITIES PAYABLE 2111201 PAYABLE UNDER INVESTMENT LOAN AGREEMENT 13599415 NON-REFUNDABLE APARTMENT ENTRANCE FEES 19790646 86577595 X 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. PART V, LINE 4: THE SOCIETY'S ENDOWMENT FUNDS ARE USED AS DIRECTED BY THE DONOR'S RESTRICTIONS OR THE BOARD'S DESIGNATION. PART X, LINE 2: TAX EXEMPT STATUS FOOTNOTE - THE SOCIETY'S U.S. DOMICILED ENTITIES ARE EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR ARE PASS-THROUGH ENTITIES NOT SUBJECT TO TAX AT THE ENTITY LEVEL. GOOD SAMARITAN SOCIETY INSURANCE, LTD. IS AN EXEMPT COMPANY UNDER THE COMPANIES LAW OF THE CAYMAN ISLANDS. THE SOCIETY FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES IN EVALUATING THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX PROVISIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. THE SOCIETY'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE SOCIETY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. PART IV, LINE 2A 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. 1 SOUTH AMERICA - ARGENTINA, BOLIVIA, BRAZIL, CHILE, COLUMBIA, ECUADOR 0 0 GRANTS TO ORGANIZATIONS 36830 0 0 0 0 0 0 36830 0 36830 SOUTH AMERICA OUR CONTRIBUTION TO THE EVANGELICAL LUTHERAN CHURCH IN COLOMBIA GOES TO SUPPORT THEIR WORK WITH ELDERS IN TWO LOCATIONS - SOACHA AND TUNJA. SPECIFICALLY, OUR CONTRIBUTION HELPS PROVIDE SHELTER, FOOD AND SOCIAL SERVICES FOR ABOUT 50 ELDERS IN SOACHA AND 30 ELDERS IN TUNJA. 36830 WIRE TRANSFERS 1 0 1 0 1 0 0 0 PART I, LINE 2: REGULAR CORRESPONDENCE IS RECEIVED FROM THE GRANTEE REGARDING THE PROGRESS OF THEIR INITIATIVES. SISTER BAY 51600 5952 45648 500 1007 4214 4860 132 BOWLING EVENT 83410 77160 6250 6177 14481 188 653245 653245 168369 788255 736357 51898 500 1007 10391 4860 182982 199740 -147842 58288 45395 3103 1 1.00000 819 192 0 59107 45587 3103 48690 10417 FL MN 0 THE SOCIETY IS REGISTERED IN THE STATE OF MINNESOTA. IT IS NOT REQUIRED TO BE REGISTERED IN THE STATE OF FLORIDA SO IT HAS NOT REGISTERED IN THAT STATE. 0 1 0 1.00000 0.00000 SUZIE O'MEARA HERNES 4800 WEST 57TH STREET SIOUX FALLS SD 57108 0 SEE PART IV FOR A LIST THE SOCIETY'S VARIOUS FACILITIES CONDUCT LIMITED CHARITABLE GAMING ACTIVITIES. EACH FACILITY'S ADMINISTRATOR OR EXECUTIVE DIRECTOR IS IN CHARGE OF THAT FACILITY'S CHARITABLE GAMING ACTIVITIES. THEY ARE:EMILY HENDERSON - ADMINISTRATOR - WESTBROOK, MN - $221LUANN FOOS - EXECUTIVE DIRECTOR - KISSIMMEE, FL - $3,510 X 0 SCHEDULE G, PART III, LINE 6, COLUMN C PERCENT OF VOLUNTEER LABOR THE SOCIETY'S VARIOUS FACILITIES CONDUCT LIMITED CHARITABLE GAMING ACTIVITIES AND EACH USES VOLUNTEER LABOR. EACH FACILITY REPORTED A DIFFERENT AMOUNT OF VOLUNTEER LABOR FOR THEIR GAMING ACTIVITIES, THEY ARE: WESTBROOK - 100% KISSIMMEE - 100% 1 WORLD MISSION PRAYER LEAGUE 232 CLIFTON AVE MINNEAPOLIS MN 55403 410786986 501(C)(3) 30464 CONTRIBUTIONS SUPPORT THE WORK OF LAMB HOSPITAL IN BANGLADESH. SPECIFICALLY, OUR CONTRIBUTIONS SUPPORT THE "POOR FUND" WHICH IS MONEY USED FOR OPERATIONS AND MEDICINE FOR THOSE PATIENTS WHO HAVE LITTLE OR NO MONEY. THE CONTRIBUTIONS ARE ALSO USED TO SUPPORT THE WORK OF THE CHAPLAINS IN THE HOSPITAL. TEAM PO BOX 969 WHEATON IL 601890969 362169146 501(C)(3) 30956 CONTRIBUTIONS SUPPORT THE WORK OF THE KARANDA MISSION HOSPITAL IN ZIMBABWE. SPECIFICALLY, OUR CONTRIBUTION HELPS PROVIDE MEDICAL SUPPLIES, MEDICINE, AND GENERAL HOSPITAL COSTS FOR THIS MISSION HOSPITAL WHICH IS LOCATED ABOUT 4 HOURS FROM HARARE, THE CAPITAL OF ZIMBABWE. SIOUX EMPIRE UNITED WAY 1000 N WEST AVE SUITE 120 SIOUX FALLS SD 57104 460233701 501(C)(3) 9000 TO SUPPORT EXEMPT MISION. THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION 4800 W 57TH ST SIOUX FALLS SD 57117 460422866 501(C)(3) 4283333 TO SUPPORT THE GENERAL OPERATIONS AND TRANSFER OF GIFTS TO BE HELD BY THE FOUNDATION. SENIOR COMPANION FUND 1000 N WEST AVE SUITE 260 SIOUX FALLS SD 57104 460379180 501(C)(3) 9083 TO SUPPORT EXEMPT MISSION. 5 0 SCHOLARSHIPS 574 1273497 PART I, LINE 2: THE SOCIETY PROVIDES GRANTS TO ORGANIZATIONS TO SUPPORT VARIOUS CAUSES EACH YEAR. GENERAL CORRESPONDENCE WITH THE RECIPIENTS OF THESE GRANTS IS USED WHEN NEEDED WHILE MONITORING THE USE OF THE GRANTED MONIES. THE SOCIETY PROVIDES SCHOLARSHIPS TO EMPLOYEES WHO ARE ENROLLED IN A QUALIFIED EDUCATION PROGRAM. THE SOCIETY PAYS THE SCHOLARSHIP DIRECTLY TO THE EDUCATIONAL INSTITUTION WHERE THE EMPLOYEE IS ENROLLED. IF AN EMPLOYEE HAS ALREADY PAID THE EXPENSES, THE SOCIETY REQUIRES RECEIPT OF PAYMENT BEFORE REIMBURSEMENT IS MADE TO THE EMPLOYEE. X X X X X 1 1 0 0 0 0 0 0 0 DAVID J HORAZDOVSKY PRESIDENT & CEO 681167 0 0 0 98318 0 0 0 21951 0 801436 0 0 0 PATRICIA L CAMERO DIRECTOR 120299 0 0 0 53725 0 0 0 22805 0 196829 0 0 0 MICHAEL DEUTH DIRECTOR 115196 0 0 0 21978 0 0 0 30996 0 168170 0 0 0 LISA MELBY DIRECTOR 115882 0 0 0 34993 0 0 0 18752 0 169627 0 0 0 SHARON ST MARY DIRECTOR (THROUGH JUNE 2017) 115295 0 0 0 53973 0 0 0 18250 0 187518 0 0 0 BERGEN J PETERSON EXECUTIVE VICE PRESIDENT 233842 0 0 0 60425 0 0 0 33621 0 327888 0 0 0 THOMAS SYVERSON EXECUTIVE VICE PRESIDENT 290573 0 0 0 48302 0 0 0 32675 0 371550 0 0 0 G GRANT TRIBBLE TREASURER & CFO 310373 0 0 0 33198 0 0 0 29225 0 372796 0 0 0 JOSEPH HERDINA ASSISTANT TREASURER 164169 0 0 0 52962 0 0 0 31225 0 248356 0 0 0 THOMAS KAPUSTA SECRETARY 250310 0 0 0 81345 0 0 0 21925 0 353580 0 0 0 DEAN MERTZ VICE PRESIDENT, WORKFORCE (THROUGH M 40722 0 0 0 234453 0 0 0 10866 0 286041 0 0 0 JAN RITTER VICE PRESIDENT, HR 178766 0 0 0 26951 0 14560 0 29171 0 249448 0 0 0 LINDA STUDER VICE PRESIDENT, OPERATIONS 203286 0 0 0 51900 0 0 0 12002 0 267188 0 0 0 DUSTIN SCHOLZ REGIONAL VICE PRESIDENT 128079 0 0 0 25056 0 0 0 32421 0 185556 0 0 0 SUSAN RAPER REGIONAL VICE PRESIDENT 155305 0 0 0 42305 0 0 0 32675 0 230285 0 0 0 JAMES DROPPERS REGIONAL VICE PRESIDENT 131231 0 0 0 60160 0 0 0 22167 0 213558 0 0 0 DAN HAMES REGIONAL VICE PRESIDENT 131814 0 0 0 55908 0 0 0 32675 0 220397 0 0 0 NATE SCHEMA REGIONAL VICE PRESIDENT 117238 0 0 0 43938 0 0 0 33316 0 194492 0 0 0 RUSTAN WILLIAMS VICE PRESIDENT, IST 242763 0 0 0 88843 0 0 0 21815 0 353421 0 0 0 VICTORIA WALKER CHIEF MEDICAL OFFICER 192420 0 0 0 70501 0 0 0 32675 0 295596 0 0 0 JULIE RIEKEN STAFF NURSE - RN 242133 0 0 0 17762 0 0 0 7745 0 267640 0 0 0 JAMES KREKELBERG VP, ACCOUNTING AND CONTROLLER 144089 0 0 0 67842 0 0 0 18602 0 230533 0 0 0 KIMBERLY JOHANSEN VICE PRESIDENT, HOME & COMMUNITY BAS 149050 0 0 0 61263 0 0 0 21951 0 232264 0 0 0 PART I, LINES 4A-B BENJAMIN ANDERSON RECEIVED $30,074 IN SEVERANCE PAY . DEAN MERTZ RECEIVED $131,500 IN 457(F) CONTRIBUTIONS. A COHFA 840752932 1964BAYW9 2012-05-23 175711853 NONREFUNDING; REFUNDED 1997, 1998, 2000, 2009 BOND ISSUES & 2006 TERM LOANS 0 0 1 B COHFA 840752932 19648AM44 2013-10-02 62441164 NONREFUNDING AND REFUNDED A PRIOR TAXABLE BOND ISSUE 0 0 1 C COHFA 840752932 19648A2Y0 2015-07-23 219045391 NONREFUNDING; REFUNDED 2004, 2005 (PARTIAL) & 2006 (PARTIAL) BOND ISSUES 0 0 1 D COHFA 840752932 19648FDL5 2017-09-21 244074136 NONREFUNDING; REFUNDED 2005 (PARTIAL) & 2006 (PARTIAL), 2007, 2011, BOND IS 0 0 1 A 3265000 175711853 15291365 2409249 35000000 2013 1 1 1 1 B 62441164 6396154 1073664 16700000 2014 1 0 1 1 C 3170000 219045391 16733558 2604602 64407405 2015 1 1 1 1 D 244074136 18225276 2903786 29553168 2017 1 0 0 1 A 0 0 0 0 0 1 0.25000 1 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 D 0 0 0 0 0 0 1 A 0 0 0 1 0 0 NA 0 0 0 NA 0 0 1 B 0 1 0 0 0 0 NA 0 0 0 NA 0 0 1 C 0 1 0 0 0 0 NA 0 0 0 NA 0 0 1 D 0 1 0 0 0 0 NA 0 0 0 NA 0 0 1 A 1 B 1 C 1 D 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COHFA DATE THE REBATE COMPUTATION WAS PERFORMED: 12/13/2016 MICHAEL DROPPERS FAMILY RELATIONSHIP - SON OF JIM DROPPERS, KEY EMPLOYEE 47834 COMPENSATION & BENEFITS 0 RYAN MERTZ FAMILY RELATIONSHIP - SON OF DEAN MERTZ, KEY EMPLOYEE 116401 COMPENSATION & BENEFITS 0 DEBORAH HAMES FAMILY RELATIONSHIP - WIFE OF DAN HAMES, KEY EMPLOYEE 58967 COMPENSATION & BENEFITS 0 KELLY HORAZDOVSKY FAMILY RELATIONSHIP - DAUGHTER OF DAVID HORAZDOVSKY, TELGSS PRESIDENT 51398 COMPENSATION & BENEFITS 0 JACOB STUDER FAMILY RELATIONSHIP - SON OF LINDA STUDER, KEY EMPLOYEE 74467 COMPENSATION & BENEFITS 0 KATHERYN STUDER FAMILY RELATIONSHIP - DAUGHTER-IN LAW OF LINDA STUDER, KEY EMPLOYEE 100592 COMPENSATION & BENEFITS 0 BREANNA GOEMBEL FAMILY RELATIONSHIP - DAUGHTER OF LINDA STUDER, KEY EMPLOYEE 78865 COMPENSATION & BENEFITS 0 GREG WILCOX FAMILY RELATIONSHIP - GRANDSON OF FOUNDER 201129 COMPENSATION & BENEFITS 0 GREG KRZMARZICK FAMILY RELATIONSHIP - HUSBAND OF HEATHER KRZMARZICK, DIRECTOR 82374 COMPENSATION & BENEFITS 0 CHELSI TEEL FAMILY RELATIONSHIP - DAUGHTER OF DINA ROBINSON, DIRECTOR 34264 COMPENSATION & BENEFITS 0 CANDICE MEIER FAMILY RELATIONSHIP - DAUGHTER OF DINA ROBINSON, DIRECTOR 33451 COMPENSATION & BENEFITS 0 KELLIE SCHOLZ FAMILY RELATIONSHIP - WIFE OF DUSTIN SCHOLZ, KEY EMPLOYEE 58320 COMPENSATION & BENEFITS 0 ROGER SCHOLZ FAMILY RELATIONSHIP - FATHER OF DUSTIN SCHOLZ, KEY EMPLOYEE 38909 COMPENSATION & BENEFITS 0 MARY ELLEN SCHOLZ FAMILY RELATIONSHIP - MOTHER OF DUSTIN SCHOLZ, KEY EMPLOYEE 24621 COMPENSATION & BENEFITS 0 X 12 16554 FAIR MARKET VALUE X 384 FAIR MARKET VALUE X 49309 FAIR MARKET VALUE X 31 348101 FAIR MARKET VALUE X 19 22409 FAIR MARKET VALUE X MISCELLANEOUS 185 30130 FAIR MARKET VALUE X EQUIPMENT 36 20928 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART III, LINE 1 IN 2017, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (THE SOCIETY) CELEBRATED ITS 95TH YEAR OF EXISTENCE SINCE ITS FOUNDING IN A SMALL NORTH DAKOTA COMMUNITY. AS THE SOCIETY RAPIDLY APPROACHES A CENTURY OF SERVICE, MISSION AND MINISTRY, ITS STRATEGIC AND OPERATIONAL WORK IS FOCUSED ON THE GOOD SAMARITAN SOCIETY WAY: - GUIDED BY OUR OBLIGATION (MISSION) TO SHARE GOD'S LOVE, THE SOCIETY IS CHALLENGED TO DO NOTHING LESS THAN TO BE OUTSTANDING IN BOTH OPERATIONS AND STRATEGY. - TO SHARE GOD'S LOVE, THE SOCIETY SEEKS OUT AND FINDS OPPORTUNITIES (OUR STRATEGIC DIRECTION) TO HELP IMPROVE WELL-BEING AND LET PEOPLE LEAD THE LIVES THEY WANT TO LIVE IN THE PLACES WHERE THEY WANT TO BE. - AND THE SOCIETY IS SUCCESSFUL WHEN IT ACHIEVES ITS OUTCOME (VISION) OF CREATING ENVIRONMENTS WHERE PEOPLE FEEL LOVED, VALUED AND AT PEACE. EVERY ONE OF OUR 20,250 STAFF MEMBERS HAS TRAINED IN THE GOOD SAMARITAN SOCIETY WAY. THE CHALLENGE OF MEETING PEOPLE'S NEEDS WHERE THEY ARE COMPELS AND PROPELS THE SOCIETY TO MEET THE CHALLENGES OF THE FUTURE. ALTHOUGH THE SOCIETY'S CONSTANCY AND CONSISTENCY OF MISSION HAS STAYED TRUE, THE ENVIRONMENT SURROUNDING THE ORGANIZATION HAS CHANGED GREATLY OVER THESE PAST 95 YEARS. WE STAND AT A CRITICAL JUNCTURE IN OUR NATION'S HISTORY, AS CONDITIONS OF OUR ECONOMY, DEMOGRAPHICS, SOCIETY AND CULTURE HAVE SEEN REVOLUTIONARY CHANGE. THE SOCIETY RECOGNIZES THESE CHANGING NEEDS AND DEMANDS AND STANDS READY TO SERVE PEOPLE'S NEEDS FOR THE NEXT 100 YEARS. FORM 990, PART III, LINE 2 THE FOLLOWING RELATED PARTNERSHIPS AND S-CORPORATIONS WERE CONVERTED INTO TAX-EXEMPT ENTITIES AND TRANSFERRED INTO GOOD SAMARITAN SOCIETY HCBS-TX, LLC, A DISREGARDED ENTITY, DURING THE YEAR. JJEA, LLC - CONVERTED 10/1/2017 ANGELS IN WAITING HOSPICE, LLC - CONVERTED 10/1/2017 HMS HERITAGE MANAGEMENT SERVICES, LLC - CONVERTED 12/1/2017 ALWAYS ABOVE AND BEYOND HOME HEALTH CARE SERVICES, LLC - CONVERTED 12/1/2017 FORM 990, PART VI, SECTION A, LINE 1 THE GOVERNING BODY DELEGATED BROAD AUTHORITY TO THE EXECUTIVE COMMITTEE OF THE BOARD TO ACT ON ITS BEHALF ON MATTERS THAT NEED ATTENTION WHEN THE BOARD IS NOT IN SESSION. ALL ACTIONS OF THE EXECUTIVE COMMITTEE ARE RATIFIED AT THE NEXT SCHEDULED BOARD MEETING. THE EXECUTIVE COMMITTEE IS COMPRISED OF THE FOLLOWING BOARD MEMBERS: CHAIRPERSON, FIRST VICE CHAIRPERSON, THREE OTHER MEMBERS OF THE EXECUTIVE COMMITTEE AND THE PRESIDENT. FORM 990, PART VI, SECTION A, LINE 5 IN 2017, THE SOCIETY IDENTIFIED TWO SEPARATE INCIDENTS THAT RESULTED IN THE DIVERSION OF SOCIETY'S ASSETS. THE INCIDENTS INVOLVED EMPLOYEES WHO DIVERTED ORGANIZATIONAL FUNDS TOTALING APPROXIMATELY $453,924 FOR PERSONAL EXPENSES. THE TWO INCIDENTS WERE UNRELATED AND OCCURRED AT DIFFERENT LOCATIONS. BOTH IDENTIFIED EMPLOYEES' EMPLOYMENT WAS TERMINATED AND INTERNAL AUDIT INVESTIGATIONS WERE COMPLETED. LAW ENFORCEMENT WAS NOTIFIED AND PROVIDED DOCUMENTATION OF THE ASSET DIVERSIONS. BOTH INCIDENTS HAVE LEGAL ACTION IN-PROCESS. AS A RESULT OF THESE INCIDENTS, THE SOCIETY HAS IMPLEMENTED ADDITIONAL PROCEDURES TO IMPROVE INTERNAL CONTROLS. FORM 990, PART VI, SECTION A, LINE 6 THE FOLLOWING ARE ELIGIBLE VOTING MEMBERS OF THE SOCIETY BY VIRTUE OF THEIR RELATIONSHIP WITH THE SOCIETY: 1. ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE SOCIETY WHO ARE MEMBERS OF A CHRISTIAN CHURCH. 2. ALL SOCIETY CORPORATE OFFICERS AND ASSISTANT OFFICERS WHO ARE MEMBERS OF A CHRISTIAN CHURCH. 3. ALL REGIONAL VICE PRESIDENTS WHO ARE MEMBERS OF A CHRISTIAN CHURCH. 4. ALL ADMINISTRATOR/EXECUTIVE DIRECTOR/EXECUTIVE MANAGER EMPLOYEES OF THE SOCIETY WHO ARE MEMBERS OF A CHRISTIAN CHURCH. 5. ALL MEMBERS OF EXECUTIVE LEADERSHIP WHO ARE MEMBERS OF A CHRISTIAN CHURCH. 6. ALL MEMBERS WHO ARE MEMBERS OF A CHRISTIAN CHURCH WHO WERE MEMBERS ON JANUARY 1, 2002, THE DAY OF THE ADOPTION OF THIS AMENDED BYLAW. HOWEVER, VOTING MEMBERSHIP FOR ALL SUCH MEMBERS UNDER THIS ARTICLE II. A. 6. SHALL CEASE, AFTER REASONABLE NOTICE, WHEN SUCH MEMBER FAILS TO VOTE AT THE ANNUAL METING OF THE SOCIETY FOR TWO CONSECUTIVE YEARS. 7. ALL MEMBERS OF THE BOARD OF DIRECTORS OF THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION WHO ARE MEMBERS OF A CHRISTIAN CHURCH. FORM 990, PART VI, SECTION A, LINE 7A VOTING MEMBERS ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS MUST APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED AND APPROVED BY THE BOARD PRIOR TO ITS FILING. THE ORGANIZATION'S OFFICERS AND MANAGEMENT WERE AN INTEGRAL PART OF THE PREPARATION OF THE FORM 990. THEREFORE, THEY HAD AN ON-GOING REVIEW OF THE INFORMATION AS IT WAS PREPARED FOR THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. ALL POTENTIAL DIRECTOR CONFLICTS ARE INVESTIGATED BY THE SOCIETY'S CHIEF LEGAL OFFICER. THE CHIEF LEGAL OFFICER REPORTS HIS FINDINGS TO THE BOARD CHAIR. THE BOARD ULTIMATELY DETERMINES WHETHER OR NOT AN ACTUAL CONFLICT OF INTEREST EXISTS AND THE REMEDIAL STEPS NECESSARY BASED UPON SUCH LEGAL OPINION. THE SOCIETY HAS A CONFLICT OF INTEREST POLICY THAT COVERS SUBSTANTIALLY ALL EMPLOYEES. ALL EMPLOYEES ARE REQUIRED TO REPORT ANY POTENTIAL CONFLICTS TO THE APPROPRIATE INDIVIDUAL AS INDICATED IN THE POLICY. ALL POTENTIAL CONFLICTS ARE INVESTIGATED TO DETERMINE IF A CONFLICT EXISTS. IF APPROVAL IS GIVEN TO PROCEED WITH THE ACTION, A COPY OF THE APPROVAL IS DOCUMENTED IN THE EMPLOYEE'S PERSONNEL FILE. FORM 990, PART VI, SECTION B, LINE 15 THE SOCIETY'S CEO'S TOTAL COMPENSATION PLAN IS DETERMINED BY THE EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE (EECC) OF THE BOARD OF DIRECTORS. AS PART OF THEIR RESPONSIBILITIES, THE EXECUTIVE EVALUATION AND COMPENSATION COMMITTEE SHALL REVIEW AND DETERMINE THE ANNUAL BASE SALARY LEVEL, EMPLOYEE AGREEMENTS IF AND WHEN APPROPRIATE, FRINGE BENEFITS, ANY COMPENSATION INCENTIVES AND SUPPLEMENTAL BENEFITS (THE "COMPENSATION") FOR THE PRESIDENT/CEO. THE COMMITTEE WILL USE BEST EFFORTS TO REVIEW AND DETERMINE THE COMPENSATION IN ACCORDANCE WITH THE IRS REBUTTABLE PRESUMPTION PROCEDURE UNDER IRC 4958. THE COMMITTEE INTENDS TO COMPLY WITH THIS PROCEDURE BY MEETING THE THREE GENERAL REQUIREMENTS LISTED BELOW: (1) THE COMPENSATION SHALL BE APPROVED IN ADVANCE BY THE COMMITTEE WITH NO COMMITTEE MEMBERS HAVING A CONFLICT OF INTEREST AS STATED UNDER IRC 4958. (2) THE DETERMINATION SHALL BE BASED UPON COMPARABLE DATA OF SIMILARLY SITUATED POSITIONS WITH DATA PREFERABLY PROVIDED BY AN OUTSIDE COMPENSATION CONSULTANT. (3) THE REVIEW AND DETERMINATION SHALL BE ADEQUATELY AND TIMELY DOCUMENTED. THE DOCUMENTATION SHALL BE IN SIMILAR FORM AND SUBSTANCE. THE EECC ALSO ENGAGES AN EXTERNAL CONSULTANT, HAY GROUP, TO HELP DETERMINE THE COMPENSATION PACKAGE FOR THE CEO. THE EXTERNAL CONSULTANT IS ENGAGED AS NEEDED BUT AT LEAST EVERY FIVE YEARS. SEE SCHEDULE J, PART 1, LINE 3 FOR ADDITIONAL DETAILS RELATED TO THE PRESIDENT/CEO POSITION. THE SOCIETY'S EMPLOYEE COMPENSATION PLAN IS REVIEWED BY THE EXECUTIVE LEADERSHIP TEAM. DURING THE REVIEW, THE COMPENSATION IS EVALUATED, UPDATED, AND RESET TO BE 100% COMPETITIVE AT THE 50TH PERCENTILE OF THE NATIONAL LABOR MARKET UTILIZING A NATIONALLY RECOGNIZED DATABASE. THE COMPENSATION PLAN INCLUDES ALL NATIONAL CAMPUS POSITIONS WITHIN THE SOCIETY, INCLUDING EXECUTIVE MANAGEMENT, KEY EMPLOYEES AND OFFICERS. THIS EMPLOYEE COMPENSATION PLAN WAS REVIEWED AND UPDATED BY HAY GROUP AS THE OUTSIDE CONSULTANT. HAY GROUP PROVIDED A WRITTEN REVIEW BASED UPON CURRENT MARKET CONDITIONS WHICH IS ON FILE. COMPENSATION WAS REVIEWED IN 2016 AND IMPLEMENTED IN 2017 FOR OTHER OFFICERS AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE SOCIETY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIALS STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION A, LINE 1B EACH AND EVERY DAY THE SOCIETY'S TOP LOCAL LEADER POSITION AT ITS 200+ DECENTRALIZED LOCATIONS CARRYOUT THE SOCIETY'S MISSION BY ASSURING CARE AND SERVICES ARE PROVIDED TO THOSE MOST IN NEED. IN ORDER FOR THE SOCIETY'S BOARD TO STAY CONNECTED WITH ITS MISSION AND TO ASSURE ALL STRATEGIES HAVE LOCAL LEADERSHIP INPUT, THE SOCIETY'S BYLAWS REQUIRE SIX BOARD MEMBERS TO BE SELECTED FROM THE LOCAL LEADERSHIP. INDEPENDENT BOARD MEMBERS PERIODICALLY REVIEW THE BYLAWS FOR THE MAKEUP OF THE BOARD MEMBERS AND CONTINUE TO DETERMINE THAT IT IS EXTREMELY VALUABLE TO INCLUDE LOCAL LEADERSHIP BOARD REPRESENTATION TO PROVIDE THE INPUT FOR SETTING STRATEGIES FOR THE SOCIETY. THE SEVENTH NON-INDEPENDENT BOARD MEMBER IS THE CEO OF THE SOCIETY. FORM 990, PART XI, LINE 9: INCREASE IN NET ASSETS OF FOUNDATION 3,643,653. INCREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST 247,000. 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