2025-11-13T15:54:00-06:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 121 WEST BRIDGE STREET OWATONNA MN 55060 990 2024-01-01 410851905 GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS MINNESOTA GOOD 3202526525 1115 4TH AVENUE NORTH SAUK RAPIDS MN 56379 MICHAEL STORDAHL PRESIDENT/CEO 3202526525 2025-11-12 1 0 JUSTIN HARTERT P02236744 5074467100 2025-11-12 2024 2025-03-06 01:10:19Z MICHAEL STORDAHL 1115 4TH AVENUE NORTH SAUK RAPIDS MN 56379 29418168 0 X WWW.GOODSHEPHERDCAMPUS.ORG X 1963 MN HOUSING & HEALTH CARE SERVICES FOR THE YOUNG & OLDER ADULTS IN CENTRAL MINNESOTA. 12 12 475 124 0 0 5734544 815790 24091212 27192675 266622 392014 394644 322594 30487022 28723073 27431 41935 0 0 15748258 17097673 0 0 107771 9916348 9799700 25692037 26939308 4794985 1783765 33858785 34411061 31737198 30411654 2121587 3999407 X GOOD SHEPHERD LUTHERAN HOME AND ITS AFFLILIATES PROVIDE PERSONALIZED HOUSING & HEALTH CARE SERVICES FOR THE YOUNG & OLDER ADULTS IN CENTRAL MINNESOTA THROUGH A CONTINUUM OF CARE. 0 0 16238046 41935 19122987 NURSING FACILITY: THE SKILLED NURSING FACILITY CONSISTS OF 146 BEDS LOCATED IN 138 PRIVATE SUITES AND 4 SHARED SUITES. ALL OF THE BEDS ARE LICENSED AS MEDICARE/MEDICAID SKILLED CARE. GOOD SHEPHERD LUTHERAN HOME PROVIDES NURSING, DIETARY, SOCIAL SERVICES, REHABILITATION, MAINTENANCE, LAUNDRY, AND HOUSEKEEPING SERVICES TO ITS RESIDENTS, AS WELL AS SPIRITUAL CARE SERVICES INCLUDING A CHAPLAIN. OPTIONAL SERVICES SUCH AS BEAUTY AND BARBER SHOP, TELEPHONE, AND SATELLITE TV ARE AVAILABLE FOR AN ADDITIONAL COST.THE 146 BEDS ARE DIVIDED INTO SEVEN RESIDENT HOUSEHOLDS WITH A CENTRALLY LOCATED ENTRY. A SECOND, SEPARATE ENTRANCE IS AVAILABLE FOR OUR SUB-ACUTE/SHORT TERM REHABILITATION HOUSEHOLD. EACH OF THE SEVEN HOUSEHOLDS HAS ITS OWN DINING AREA. ALL OF THE FOOD IS PREPARED IN THE MAIN KITCHEN, BUT IS BROUGHT TO THE HOUSEHOLD IN HEATED CONTAINERS FOR A SMALLER, MORE INTIMATE DINING EXPERIENCE FOR THE RESIDENTS. EACH HOUSEHOLD HAS ITS OWN SPA AREA COMPLETE WITH A WHIRLPOOL TUB. IN THE LOWER LEVEL BELOW THE SHORT TERM REHABILITATION HOUSEHOLD, THE LARGE THERAPY DEPARTMENT IS HOUSED. COMPLETE WITH SMALL THERAPY KITCHENETTE, LARGE WORK OUT AREA, PRIVATE TREATMENT ROOMS, AND MUCH MORE. RESIDENTS ARE ABLE TO COMPLETE THE PRESCRIBED THERAPY SO THEY CAN GO HOME OR TO A LOWER LEVEL OF CARE AND LIVE INDEPENDENTLY ONCE MORE. THE FACILITY ENCOMPASSES A MAIN STREET AREA THAT IS THE HOME FOR THE MOVIE THEATRE, GIFT SHOP, PHYSICIAN'S OFFICE, AND LIBRARY. ALL SERVICES ARE DESIGNED TO MEET RESIDENT'S PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS AND TO PROMOTE THEIR HEALTH, SECURITY, AND HAPPINESS IN LONGER LIVING THROUGH A CHRISTIAN PERSPECTIVE. THE FACILITY IS A PART OF A 30 ACRE SENIOR LIVING CAMPUS IN SAUK RAPIDS, MINNESOTA WHICH INCLUDES SKILLED NURSING FACILITY CARE, SUB-ACUTE/SHORT TERM REHABILITATION SERVICES, OUTPATIENT THERAPY SERVICES, CONGREGATE DINING, SKILLED HOME CARE SERVICES, ASSISTED LIVING SERVICES, MEMORY CARE SERVICES, AND SENIOR INDEPENDENT LIVING APARTMENTS. ALL THE BUILDINGS ARE CONNECTED THROUGH ENCLOSED LINKS ALLOWING TENANTS TO FREELY MOVE BETWEEN BUILDINGS TO MEET FRIENDS OR ENJOY A WALK INSIDE AVOIDING HARSH MINNESOTA WINTER CONDITIONS. THE CAMPUS SETTING ALLOWS A FAMILY TO CONTINUE TO SEE EACH OTHER OFTEN IF ONE NEEDS SKILLED NURSING SERVICES WHILE THE OTHER MEMBER IS LIVING IN ANOTHER CAMPUS ENTITY. IF A HUSBAND RESIDES IN THE SKILLED NURSING FACILITY, THE WIFE IS ABLE TO LIVE IN ONE OF THE FOUR APARTMENTS BUILDINGS. WITH CONNECTED HALLWAYS BETWEEN ALL FACILITIES, THE WIFE IS ABLE TO VISIT HER HUSBAND WHENEVER SHE WOULD LIKE WITHOUT THE FEAR OF WEATHER CONDITIONS OR HAVING TO DRIVE. THE CAMPUS INCLUDES A CHAPEL WHERE VARIOUS FAITH DENOMINATIONS COME TO PROVIDE WEEKLY SPIRITUAL SERVICES. THE ENCLOSED LINKS ALLOW TENANTS TO WALK TO THE CHAPEL WITH EASE. THE CHAPEL IS OPEN 24 HOURS AND TENANTS ARE WELCOMED TO USE THE CHAPEL WHENEVER NEEDED. 2381971 0 2805165 SHEPHERD OF GRACE: SHEPHERD OF GRACE, LOCATED IN BECKER, MN, IS A 69 UNIT SENIOR HOUSING FACILITY CONSISTING OF 33 SENIOR APARTMENT UNITS, 18 ASSISTED LIVING UNITS, 18 MEMORY CARE UNITS, 20 PARKING STALLS AND A COMMUNITY CENTER. ALSO INCLUDED IN THE BUILDING ARE A LOBBY, LARGE DINING ROOM, ACTIVITY ROOM, BEAUTY SHOP, FAMILY LOUNGE AND LIBRARY, AND SECURED ENTRANCES. SERVICES ARE DESIGNED TO MEET TENANT'S PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS AND TO PROMOTE THEIR HEALTH, SECURITY, AND HAPPINESS IN LONGER LIVING THROUGH A CHRISTIAN PERSPECTIVE. THE COMMUNITY CENTER CONNECTS SHEPHERD OF GRACE WITH GRACE LUTHERAN CHURCH, A LUTHERAN MISSOURI SYNOD CONGREGATION. THE TENANTS OF SHEPHERD OF GRACE ARE ABLE TO WORSHIP AT GRACE LUTHERAN CHURCH WITHOUT LEAVING THE BUILDING COURTESY OF THE ENCLOSED LINK THROUGH COMMUNITY CENTER. THE TWO ORGANIZATIONS SHARE THE COMMUNITY CENTER.SHEPHERD OF GRACE IS DESIGNED TO ALLOW SENIOR ADULTS TO LIVE AND ENJOY A MAINTENANCE-FREE LIFESTYLE IN A SECURE AND CONVENIENT COMMUNITY ATMOSPHERE WITH OPTIONAL SERVICES AVAILABLE. AN EMERGENCY CALLS SYSTEM PROVIDES ASSISTANCE TO RESIDENTS TO ACCESS EMERGENCY MEDICAL SERVICES 24 HOURS A DAY.ALL SENIOR APARTMENTS HAVE A FULL KITCHEN INCLUDING A REFRIGERATOR, STOVE, DISHWASHER AND MICROWAVE. EACH APARTMENT ALSO HAS ITS OWN LAUNDRY WITH A STACKABLE WASHER AND DRYER, LARGE BATHROOMS WITH FIVE FOOT WALK-IN SHOWERS, AIR CONDITIONERS, AND MANY UNITS HAVE WALK-IN CLOSETS. THE SENIOR APARTMENTS HAVE LIGHT HOUSEKEEPING AND 10 MEALS PER MONTH INCLUDED IN THE MONTHLY RENT. ASSISTED LIVING SERVICES CAN BE BROUGHT TO THE TENANT'S APARTMENT IF AND WHEN THE SERVICES ARE NEEDED. OPTIONAL MEALS PLANS ARE AVAILABLE FOR THOSE TENANTS WHO PREFER TO EAT IN A MORE SOCIAL SETTING OR PREFER NOT TO COOK.THE ASSISTED LIVING APARTMENTS ARE DESIGNED WITH A ONE-BEDROOM EFFICIENCY SIZE FLOOR PLAN WITH A KITCHENETTE, LIVING ROOM, SEPARATE BEDROOM AND BATHROOM WITH A WALK-IN SHOWER. ASSISTED LIVING INCLUDES HEALTH CARE, SUPPORTIVE SERVICES AND PERSONALIZED ASSISTANCE DESIGNED TO HELP TENANTS MAINTAIN THEIR INDEPENDENCE FOR AS LONG AS POSSIBLE. THE BASE PACKAGE OF ASSISTED LIVING SERVICES INCLUDES 24 HOUR ON-SITE SUPERVISION, ASSISTANCE WITH PERSONAL CARE, EMERGENCY RESPONSE SYSTEM, WEEKLY HOUSEKEEPING AND LAUNDRY SERVICE, ASSISTANCE WITH SETTING UP MEDICAL TRANSPORTATION, LIFE ENRICHMENT PROGRAMMING, AND COMMUNICATION WITH PHYSICIAN REGARDING RESIDENT MEDICAL CARE. ADDITIONAL SERVICES ARE PROVIDED ON A FEE FOR SERVICE BASIS. ALL OF THE MEALS FOR THE ASSISTED LIVING TENANTS ARE PROVIDED IN THE LARGE MAIN DINING ROOM. 1861795 0 2192572 MEMORY CARE: IN AN EFFORT TO MEET THE NEEDS OF ADULTS WITH MEMORY LOSS, THE GOOD SHEPHERD COTTAGES WERE CONSTRUCTED IN 2004. THE GOOD SHEPHERD COTTAGES WERE DESIGNED SPECIFICALLY TO MEET THE NEEDS AND INCREASE THE QUALITY OF LIFE FOR OLDER ADULTS AFFECTED BY MEMORY LOSS (INCLUDING ALZHEIMER'S DISEASE, DEMENTIA, AND OTHER RELATED DISEASES).THE GOOD SHEPHERD COTTAGES CONSIST OF FOUR INDEPENDENT COTTAGES UNDER ONE ROOF. EACH OF THE FOUR COTTAGES HOUSE NINE RESIDENTS IN NINE PRIVATE SUITES. THE BEDROOM SUITES ARE LOCATED TO THE BACK OF THE COTTAGES FOR PRIVACY AND LESS HOUSEHOLD NOISE. THEY ARE RELATIVELY SMALL SUITES AS THEY ARE USED ONLY FOR SLEEPING. THE MAJORITY OF THE RESIDENT'S TIME IS SPENT OUT IN THE COMMON AREAS. EACH COTTAGE HAS A LARGE, OPEN KITCHEN, DINING ROOM, LIVING ROOM, AND LAUNDRY FACILITIES. A SUN ROOM IN EACH COTTAGE PROVIDES A SMALLER, MORE INTIMATE SETTING FOR FAMILY VISITS. A GREAT ROOM CONNECTS TWO OF THE COTTAGES TOGETHER AND PROVIDES A LARGER SPACE FOR GROUP ACTIVITIES AND FAMILY GATHERINGS. THE OVERALL DESIGN OF EACH COTTAGE IS CIRCULAR, ALLOWING RESIDENTS TO SAFELY WALK WITHOUT RUNNING INTO BARRIERS OR HALLWAY DEAD ENDS.THE PROGRAMMING AND SERVICES OF THE COTTAGES ARE BASED ON A SOCIAL MODEL COGNIZANT OF THE NEED OF PERSONS LIVING WITH MEMORY LOSS. RECENT STUDIES HAVE SHOWN THAT WHILE THERE IS NO TREATMENT FOR MEMORY LOSS, QUALITY OF LIFE CAN BE GREATLY ENHANCED BY APPROPRIATE PROGRAMMING AND WELL-DESIGNED FACILITIES. THE RESIDENTS OF EACH COTTAGE LIVE TOGETHER AS A FAMILY WHO HAS SIMILAR INTEREST, ABILITIES, AND CIRCUMSTANCES. THE DECOR OF EACH COTTAGE IS VERY MUCH A PART OF THE PROGRAMMING, COMPLETE WITH FURNITURE AND DECORATIONS REMINISCENT OF PAST EVENTS THAT ARE FAMILIAR AND MEMORABLE. 2608510 0 3071951 GOOD SHEPHERD ASSISTED LIVING: GOOD SHEPHERD ASSISTED LIVING IS A PACKAGE OF SERVICES DELIVERED TO TENANTS IN THEIR OWN APARTMENTS, WHEN THE NEED ARISES. ASSISTED LIVING INCLUDES HEALTH CARE, SUPPORTIVE SERVICES AND PERSONALIZED ASSISTANCE DESIGNED TO HELP RESIDENTS AGE IN PLACE AND MAINTAIN THEIR INDEPENDENCE FOR AS LONG AS POSSIBLE. THE BASE PACKAGE OF ASSISTED LIVING SERVICES INCLUDES, 24-HOUR AWAKE ON-SITE SUPERVISION, EMERGENCY RESPONSE SYSTEM, WEEKLY HOUSEKEEPING AND LAUNDRY SERVICES, ASSISTANCE WITH SETTING UP MEDICAL TRANSPORTATION, AND LIFE ENRICHMENT ACTIVITIES. GOOD SHEPHERD ASSISTED LIVING ALLOWS TENANTS LIVING IN ONE OF THE FOUR SAUK RAPIDS APARTMENT BUILDINGS TO CONTINUE TO LIVE IN THEIR APARTMENT AFTER THE NEED FOR ADDITIONAL SERVICES ARISE. TENANTS ARE NOT REQUIRED TO MOVE TO A SEPARATE ASSISTED LIVING BUILDING. THE MAJORITY OF THE CLIENTS RECEIVE FUNDING FROM THE MEDICAL ASSISTANCE PROGRAM.SHEPHERD COURT APARTMENTS: SHEPHERD COURT APARTMENTS IS A ONE-STORY 53 UNIT MARKET RATE APARTMENT COMPLEX FOR THE PURPOSE OF PROVIDING OLDER AND HANDICAPPED ADULTS WITH HOUSING FACILITIES. CONSTRUCTED IN 1985, SHEPHERD COURT APARTMENTS HAS SIX FLOOR PLANS OF ONE AND TWO BEDROOM UNITS, SURROUNDING AN OPEN COURTYARD IN THE CENTER OF THE BUILDING. IT INCLUDES ITS OWN SECURITY SYSTEM. SERVICES ARE DESIGNED TO MEET TENANTS' PHYSICAL, SOCIAL AND PSYCHOLOGICAL NEEDS AND TO PROMOTE THEIR HEALTH, SECURITY, AND HAPPINESS IN LONGER LIVING THROUGH A CHRISTIAN PERSPECTIVE. SHEPHERD COURT APARTMENTS IS A PART OF A 30 ACRE SENIOR LIVING CAMPUS IN SAUK RAPIDS, MINNESOTA WHICH INCLUDES SKILLED NURSING FACILITY CARE, SUB-ACUTE/SHORT TERM REHABILITATION SERVICES, CONGREGATE DINING, SKILLED HOME CARE SERVICES, ASSISTED LIVING SERVICES, MEMORY CARE SERVICES, AND INDEPENDENT LIVING APARTMENTS. ALL THE BUILDINGS ARE CONNECTED THROUGH ENCLOSED LINKS ALLOWING TENANTS TO FREELY MOVE BETWEEN BUILDINGS TO MEET FRIENDS OR ENJOY A WALK INSIDE AVOIDING HARSH MINNESOTA WINTER CONDITIONS. IF A TENANT OF SHEPHERD COURT APARTMENTS NEED SERVICES BEYOND HOUSING, SUCH AS MEALS, HOME CARE, OR ASSISTED LIVING, THOSE SERVICES ARE MET BY GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MINNESOTA STAFF IN THE TENANT APARTMENT. THIS ALLOWS THE TENANT TO REMAIN IN THEIR HOME FOR AS LONG AS POSSIBLE. INDEPENDENT TENANTS ARE WELCOMED TO JOIN ANY ACTIVITY PROGRAM OFFERED TO THE TENANTS WITH ASSISTED LIVING SERVICES. EXERCISE PROGRAM, POKENO, CARD CLUBS, BINGO, MOVIE NIGHT, QUILTING BEE, OUTSIDE MUSIC GROUPS, OUTSIDE SPEAKERS TO DISCUSS AREAS OF CONCERNS SUCH AS SCAMS AND MEDICARE QUESTION & ANSWER, REMINISCING TIMES, AND RED HAT SOCIETY ARE JUST A FEW OF THE ACTIVITIES THAT OCCUR AT SHEPHERD COURT APARTMENTS. SHEPHERD COURT APARTMENTS ALSO EMPLOYS A SOCIAL SERVICE COORDINATOR TO ASSIST TENANTS WITH THEIR PSYCHOSOCIAL NEEDS. TENANTS CAN MEET WITH THE SOCIAL SERVICE COORDINATOR TO DISCUSS SERVICES THAT ARE NEEDED, SUCH AS ASSISTANCE WITH PAYING OF BILLS, AND VARIOUS OTHER SERVICES. THE APARTMENT MANAGER IS ONSITE 20 HOURS PER WEEK TO ASSIST TENANTS WITH SERVICES AS WELL.GOOD SHEPHERD HOME HEALTH: GOOD SHEPHERD HOME HEALTH CARE PROVIDES HEALTH CARE AND HOMEMAKING SERVICES TO OLDER ADULTS IN THE COMFORT AND PRIVACY OF THEIR OWN HOME, WITHIN A 30-MILE SERVICES AREA OF THE SAUK RAPIDS CAMPUS. HOME HEALTH CARE HELPS INDIVIDUALS REGAIN INDEPENDENCE FOLLOWING AN ILLNESS OR INJURY, HOSPITALIZATION OR A NURSING HOME STAY THROUGH SERVICES SUCH AS SKILLED NURSING, REHABILITATION, IV THERAPY, MEDICATION TEACHING AND SET-UP, AND HOME HEALTH AIDE SERVICES. OUTREACH DEVELOPMENT: GOOD SHEPHERD OUTREACH DEVELOPMENT PROVIDES MANAGEMENT SERVICES TO THE DIVISIONS OF THE ORGANIZATION. NUTRITIONAL SERVICES TO THE APARTMENT TENANTS ARE A SERVICE OF THE OUTREACH SERVICES DIVISION. SOME OF THE TENANTS OF THE FOUR SAUK RAPIDS APARTMENTS PREFER NOT TO COOK OR PREFER TO EAT IN A MORE SOCIAL SETTING. SEVERAL DINING AREAS SERVE THE CULINARY NEEDS OF THE APARTMENT TENANTS. OPTIONAL MEAL PLANS ARE AVAILABLE TO THOSE WHO DESIRE THEM. ALONG WITH A WARM AND INVITING ATMOSPHERE, THE MEALS ARE AFFORDABLE, NUTRITIOUS, AND DELICIOUS. 2608510 0 3071951 23090322 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 42 0 1 475 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 MN X KRISTA MARTINI 3202593490 1115 4TH AVE NORTH SAUK RAPIDS MN 56379 MIKE FITCH CHAIR 1.00 1.00 X X 0 0 0 DAVID ZOELLER VICE CHAIR 1.00 1.00 X X 0 0 0 BARB MAHNKE TREASURER 1.00 2.50 X X 0 0 0 PAUL CLOETER SECRETARY 1.00 1.00 X X 0 0 0 BARRY KIRCHOFF BOARD MEMBER 1.00 1.00 X 0 0 0 CHERYL SCAPANSKI BOARD MEMBER 1.00 2.50 X 0 0 0 DAVID STROHSCHEIN BOARD MEMBER 1.00 1.00 X 0 0 0 DENNIS BACON BOARD MEMBER 1.00 2.50 X 0 0 0 DENNIS STUDENSKI BOARD MEMBER 1.00 1.00 X 0 0 0 DOROTHY KERSTEN BOARD MEMBER 1.00 1.00 X 0 0 0 JENNIFER MACHULA BOARD MEMBER 1.00 1.00 X 0 0 0 LOIS PERLEBERG BOARD MEMBER 1.00 2.50 X 0 0 0 MICHAEL STORDAHL PRESIDENT/CEO/ADMINISTRATO 32.00 8.00 X 197140 0 26425 KRISTA MARTINI CFO 3.50 36.50 X 148002 0 19689 RHONDA POHL VP OF HUMAN RESOURCES 32.00 8.00 X 114588 0 14874 JACQUELYN BARBER DON/VP OF NURSING 40.00 0.00 X 115243 0 19896 SHARON CARLSON LPN 49.21 0.00 X 103236 0 10999 NANCI ROSENBERG RN 51.16 0.00 X 121329 0 10653 KIM HANSON FORMER LPN 68.99 0.00 X 107194 0 8099 906732 0 110635 9 1 1 0 ARAMARK INC 27310 NETWORK PLACE CHICAGO IL 606731252 DIETARY SERVICES 1978822 AEGIS THERAPIES INC PO BOX 936653 ATLANTA GA 311936653 ACTIVITY & THERAPY SERVICES 981936 GRAPETREE MEDICAL STAFFING PO BOX 5340 SIOUX FALLS SD 571175340 CONTRACTED NURSING 277717 EXCEL RENOVATION 7550 MARK ST LORETTO MN 55357 CONSTRUCTION - INSURANCE PROJECT - ROOF/ 241904 CLIFTONLARSONALLEN 220 S 6TH ST STE 300 MINNEAPOLIS MN 55402 AUDITING, COST REPORTING, TAX RETURN PRE 101075 5 44381 771409 815790 NURSING FACILITY REV. 623000 19122987 19122987 SHEPHERD OF GRACE REV. 623000 2805165 2805165 MEMORY COTTAGES REV. 623000 2192572 2192572 ASSISTED LIVING REV. 623000 1184047 1184047 SHEPHERD COURT APMT REV. 623000 832980 832980 1054924 1054924 27192675 271247 271247 811440 922 691595 0 119845 922 120767 120767 3926 3500 426 426 MANAGEMENT FEE REVENUE 900099 124213 124213 TV REVENUE 900099 75629 75629 TELEPHONE REVENUE 900099 71015 71015 51311 51311 322168 28723073 27192675 0 714608 41935 41935 396307 396307 13621490 11963764 1574005 83721 190670 162638 26785 1247 1863557 1584235 260908 18414 1025649 880443 145000 206 3588 3588 54422 54422 1656533 1541258 111783 3492 89553 89553 378569 165257 213003 309 239281 107060 132006 215 2755497 2385068 370429 31110 28140 2970 4780 538 4180 62 3888 3739 149 1202201 1021871 180330 93970 93970 CONTRACTED MEALS 1082377 1082377 FOOD 941564 941564 LICENSE SURCHARGE 410990 410990 MEDICAL SUPPLIES 331458 331458 519919 437987 81827 105 26939308 23090322 3741215 107771 -156188 -111009 45875 35211 5158804 5158804 2843250 4032253 56994 53600 122265 150845 45703754 29547356 17020960 16156398 3092078 3125440 5674747 5809519 33858785 34411061 2922612 2718970 433671 70209 27979577 26947144 203355 211947 197983 463384 31737198 30411654 X 1556312 3369516 565275 629891 2121587 3999407 33858785 34411061 X 1783765 104368 -10313 X X 0 1 X 1 0 X 1553517 1216427 852891 5734544 815790 10173169 24164320 23337560 22133727 24091212 27192675 120919494 25717837 24553987 22986618 29825756 28008465 131092663 0 0 0 131092663 112126 129951 165847 245800 271247 924971 112126 129951 165847 245800 271247 924971 278839 272042 245730 394644 326094 1517349 26108802 24955980 23398195 30466200 28605806 133534983 0.98170 0.98200 0.00690 0.00640 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEAL REVENUE TV REVENUE GIFT SHOP REVENUE MISCELLANEOUS REVENUE MANAGEMENT FEE REVENUE TELEPHONE REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 295693 295693 36777581 21878684 14898897 1545852 1037616 508236 6951771 6508053 443718 132857 123003 9854 16156398 BOND FUNDS 4196443 EMPLOYEE, RESIDENT & TENANT FUNDS 230670 DUE FROM FOUNDATION 909869 DUE FROM HUD AFFILIATES 144326 TAX & INSURANCE ESCROW 47779 REPLACEMENT RESERVE 58938 DEVELOPMENT COSTS 221494 5809519 ASSET RETIREMENT OBLIGATION 8130 LINE OF CREDIT 455254 463384 X PART IV, LINE 2B: THE ORGANIZATION IS THE TRUSTEE OF VARIOUS RESIDENT AND TENANT FUNDS AND HAS A FIDUCIARY RESPONSIBILITY FOR THE ADMINISTRATION AND DISTRIBUTION OF THESE FUNDS FOR THE RESIDENTS AND TENANTS. THE ORGANIZATION ALSO HOLDS FUNDS FOR THE EMPLOYEES FLEXIBLE SPENDING ACCOUNTS UNTIL THE EMPLOYEE PROVIDES THE APPROPRIATE DOCUMENTATION TO THE CONTRACTED THIRD PARTY ADMINISTRATOR. ALL FUNDS ARE ON DEPOSIT IN SEPARATE BANK ACCOUNTS. PART X, LINE 2: GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MINNESOTA IS EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THIS ENTITY IS NOT A PRIVATE FOUNDATION, AND CONTRIBUTIONS TO THE ORGANIZATION QUALIFY AS CHARITABLE TAX DEDUCTIONS BY THE CONTRIBUTOR. SHEPHERD OF GRACE, LLC IS A SINGLE MEMBER LLC AND DISREGARDED ENTITY OF GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MINNESOTA AND IS, THEREFORE, EXEMPT FROM INCOME TAXES UNDER GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS, MINNESOTA'S TAX-EXEMPT STATUS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES INFORMATION RETURNS AS A TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S INFORMATION RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL AND STATE AUTHORITIES. 1 EMPLOYEE SCHOLARSHIPS 16 41935 PART I, LINE 2: ELIGIBLE EMPLOYEES OF GSLH MAY RECEIVE EDUCATION ASSISTANCE WHILE ATTENDING AN ACCREDITED INSTITUTION TO FURTHER THEIR EDUCATION IN THE HEALTHCARE INDUSTRY. ELIGIBLE EXPENSES FOR REIMBRUSEMENT BY GSLH ARE TUITION, BOOKS, SUPPLIES, AND OTHER FEES DIRECTLY RELATED TO THEIR COURSEWORK. IN ORDER TO RECEIVE THE FULL BENEFIT THE EMPLOYEE MUST REMAIN AN EMPLOYEE OF GSLH, WORKING 10 HOURS PER WEEK FOR NURSING HOME EMPLOYEES AND 10 HOURS PER WEEK FOR HOME AND COMMUNITY SERVICES EMPLOYEES IN ACCORDANCE WITH THE FUNDING SOURCE. RECENTLY HIRED RNS & CPNS ARE ELIGIBLE FOR STUDENT LOAN REIMBURSEMENT. IN ORDER TO RECEIVE THE FULL BENEFIT, THE EMPLOYEE MUST REMAIN AN EMPLOYEE OF THE NURSING HOME, WORK 10 HOURS PER WEEK AND MAKE PAYMENTS ON ELIGIBLE STUDENT LOANS. X X 0 0 0 0 0 0 0 0 0 MICHAEL STORDAHL PRESIDENT/CEO/ADMINISTRATO 193588 0 0 0 3552 0 5490 0 20935 0 223565 0 0 0 KRISTA MARTINI CFO 146504 0 0 0 1498 0 5305 0 14384 0 167691 0 0 0 KIM HANSON FORMER LPN 93995 0 13199 0 0 0 321 0 7778 0 115293 0 0 0 A THE CITY OF SAUK RAPIDS MN 416005534 804359BW6 2013-03-27 28563991 REFINANCING SERIES 2004 AND 2009 BONDS 0 0 0 B THE CITY OF BECKER MN 416004965 075683BA9 2014-12-23 8103842 REFINANCING SERIES 2006 BONDS 0 0 0 A 7375000 28563991 1960170 16452376 571280 9550383 2013 1 1 1 1 B 1810000 8103842 555205 7403742 144900 2014 1 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 1 0 0 0 1 A 1 B 1 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE IS COMPRISED OF THE OFFICERS OF THE BOARD. THE ENTIRE BOARD MAY DEFER A DECISION TO BE MADE BY THE EXECUTIVE COMMITTEE. AT THE NEXT BOARD MEETING, THE EXECUTIVE COMMITTEE WILL REVIEW THE DECISION WITH THE BOARD. THE EXECUTIVE COMMITTEE MAY ALSO MEET TO DISCUSS VARIOUS ITEMS THAT WILL BE BROUGHT TO THE ENTIRE BOARD FOR A VOTE. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERSHIP OF THE CORPORATION CONSIST OF THOSE CONGREGATIONS THAT BELONG TO THE LUTHERAN CHURCH-MISSOURI SYNOD OR ITS SUCCESSOR, WHICH ARE LOCATED IN CENTRAL MINNESOTA, AND WHICH HAVE SIGNIFIED THEIR WILLINGNESS TO BE AFFILIATED WITH THIS ORGANIZATION. EACH SPONSORING CONGREGATION MAY ELECT OR DESIGNATE UP TO THREE VOTES NOTWITHSTANDING THE NUMBER OF MEMBERS. HOW VOTES ARE TO BE CAST IS DETERMINED BY EACH CONGREGATION. EACH AFFILIATE CONGREGATION ELECTS TWO LAY DELEGATES, TOGETHER WITH THE CONSTITUTED PASTORS OF THE AFFILIATED CONGREGATIONS, TO ACT AS MEMBERS OF THE CORPORATION AND TO VOTE AT THE ANNUAL CORPORATE MEETINGS AND ANY SPECIALLY CALLED MEETINGS OF THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A TWO DELEGATES AND THE PASTOR FROM EACH SPONSORING CONGREGATION ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B AMENDMENTS TO THE ARTICLES OF INCORPORATION ARE SUBJECT TO APPROVAL BY A 2/3 VOTE OF THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE DRAFT 990 WAS REVIEWED BY THE CEO & CFO. THE DRAFT 990 WAS GIVEN TO THE BOARD FOR REVIEW PRIOR TO A BOARD MEETING PRIOR TO SUBMISSION TO THE IRS. THE BOARD VOTED TO APPROVE THE FORM 990 AT THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD MEMBERS, VICE PRESIDENTS, & CEO ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE. THE CEO MONITORS FOR CONFLICTS AND DECIDES WHETHER A CONFLICT EXISTS. WHEN A CONFLICT EXISTS, IT IS ACKNOWLEDGED AND THE BOARD IS NOTIFIED. THE INDIVIDUAL WITH THE CONFLICT IS UNABLE TO VOTE ON DECISIONS RELATED TO THAT CONFLICT. FORM 990, PART VI, SECTION B, LINE 15A THE SALARY RANGE FOR EACH POSITION IS COMPARED TO THE AGING SERVICES SCALES TO ENSURE THAT GOOD SHEPHERD IS COMPETITIVE WITH WAGES. WAGE SCALES ARE ADJUSTED AS THE BUDGET ALLOWS. THE BOARD OF DIRECTORS MAKES THE DETERMINATION OF THE CEO'S COMPENSATION AND THE CEO MAKES THE DETERMINATION OF THE CFO'S COMPENSATION. THE LAST REVIEW PROCESS WAS CONDUCTED IN 2024. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: RELEASE FROM TEMP RESTRICTED -10,313. FORM 990, PART XII, LINE 2C; THE PROCESS FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. SHEPHERD OF GRACE LLC 11175 27TH AVE SE BECKER MN 55308 204857807 SERVICES TO SENIORS MN 2867307 4523675 GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS MINNESOTA SHEPHERD OAK APARTMENTS INC 1115 FOURTH AVE N SAUK RAPIDS MN 56379 411773664 HOUSING FOR LOW INCOME SENIORS MN 501(C)(3) LINE 10 SEE SCHEDULE R - PART VII 1 SHEPHERD OAK WEST APARTMENTS INC 1115 FOURTH AVE N SAUK RAPIDS MN 56379 411870826 HOUSING FOR LOW INCOME SENIORS MN 501(C)(3) LINE 10 SEE SCHEDULE R - PART VII 1 THE GOOD SHEPHERD LUTHERAN FOUNDATION INC 1115 FOURTH AVE N SAUK RAPIDS MN 56379 411302004 SUPPORTING GOOD SHEPHERD LUTHERAN HOME & AFFILIATES MN 501(C)(3) LINE 12A, I SEE SCHEDULE R - PART VII 1 GOOD SHEPHERD HOMES INC 1115 FOURTH AVE N SAUK RAPIDS MN 56379 411330247 HOUSING FOR LOW INCOME SENIORS MN 501(C)(3) LINE 10 SEE SCHEDULE R - PART VII 1 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 GOOD SHEPHERD HOMES INC Q 343184 ACTUAL COST SHEPHERD OAK APARTMENTS INC Q 239407 ACTUAL COST SHEPHERD OAK WEST APARTMENTS INC Q 280757 ACTUAL COST GOOD SHEPHERD LUTHERAN FOUNDATION Q 16273 ACTUAL COST PART II EXPLANATION OF DIRECT CONTROL: FOR ENTITIES IN PART II, WITH THE EXCEPTION OF THE GOOD SHEPHERD LUTHERAN FOUNDATION AND GOOD SHPHERD LUTHERAN HOME OF SAUK RAPIDS, MINNESOTA, ALL ARE DEEMED TO BE DIRECT CONTROLLING ENTITIES OF EACH OTHER FOR THE PURPOSES OF COLUMN (F) BECAUSE THERE IS OVERLAP IN THE BOARD MEMBERS OF EACH OF THESE FACILITIES.