2016-11-04T11:38:01-05:00 2015-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2015-01-01 410851905 GOOD SHEPHERD LUTHERAN HOME OF SAUK RAPIDS MINNESOTA GOOD 3202526525 1115 4TH AVENUE NORTH SAUK RAPIDS MN 56379 BRUCE GLANZER PRESIDENT/CEO 3202526525 2016-10-31 1 KACIE MCEWEN P01599614 6123764500 2015 2017-02-10 21:41:12Z BRUCE GLANZER 1115 4TH AVENUE NORTH SAUK RAPIDS MN 56379 20825571 0 X WWW.GOODSHEPHERDCAMPUS.ORG X 1963 MN HOUSING & SERVICES FOR THE ELDERLY. 12 12 548 332 0 0 95945 15311 19935754 19966225 165009 93437 -81057 264186 20115651 20339159 44783 57496 0 0 11053629 11775370 0 0 97704 8768522 8579038 19866934 20411904 248717 -72745 36816597 35862338 38449966 37668416 -1633369 -1806078 X GOOD SHEPHERD LUTHERAN HOME, A LUTHERAN CHURCH-MISSOURI SYNOD ORGANIZATION, PROVIDES A MINISTRY OF SPECIALIZED HEALTH CARE AND HOUSING SERVICES FOR YOUNG AND OLDER ADULTS IN CENTRAL MINNESOTA WITH CAMPUSES IN SAUK RAPIDS AND BECKER, MINNESOTA. GOOD SHEPHERD SERVES PEOPLE FROM A CHRISTIAN PERSPECTIVE BY MINISTERING TO THE WHOLE PERSON THROUGH A CONTINUUM OF QUALITY SERVICES. GOOD SHEPHERD PROVIDES CARE TO OVER 400 PEOPLE ON A DAILY BASIS. 0 0 12118803 0 13327026 NURSING FACILITY: THE SKILLED NURSING FACILITY CONSISTS OF 162 BEDS LOCATED IN 154 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 FULL-TIME AND PART-TIME CHAPLAIN. OPTIONAL SERVICES SUCH AS BEAUTY AND BARBER SHOP, TELEPHONE, AND SATELLITE TV ARE AVAILABLE FOR AN ADDITIONAL COST.THE 162 BEDS ARE DIVIDED INTO EIGHT RESIDENT HOUSEHOLDS WITH A CENTRALLY LOCATED ENTRY. A SECOND, SEPARATE ENTRANCE IS AVAILABLE FOR OUR SUB-ACUTE/SHORT TERM REHABILITATION HOUSEHOLD. EACH OF THE EIGHT 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. WEEKLY MOVIES ARE SHOWN TO PROVIDE ENTERTAINMENT FOR THE ENTIRE 30 ACRE CAMPUS. THE GIFT SHOP PROVIDES A CENTRALLY LOCATED AREA FOR FAMILY AND RESIDENTS TO PURCHASE A CUP OF COFFEE AND VISIT AS WELL AS PURCHASE OTHER SNACKS AND SMALL GIFT ITEMS. THE GIFT SHOP PROCEEDS ARE GIVEN BACK TO THE RESIDENTS, TENANTS, VOLUNTEERS, AND EMPLOYEES WHO HELP MAKE THE GIFT SHOP POSSIBLE. THE FACILITY HAS DEVELOPED RELATIONSHIPS WITH A LOCAL EYE CLINIC TO PROVIDE FREE IN HOUSE EYE GLASS ADJUSTMENTS. A LOCAL CHIROPRACTOR PROVIDES CLINICAL ADJUSTMENTS AND A LOCAL MASSAGE THERAPIST PROVIDES A CHAIR OR TABLE MASSAGES FOR THOSE RESIDENTS OR EMPLOYEES THAT DESIRE THE SERVICE. HEALING TOUCH PHILOSOPHY AND PROGRAM HAS BEEN IMPLEMENTED IN THE FACILITY TO HELP RESIDENTS AND THEIR FAMILIES ASSIST WITH THE PAIN MANAGEMENT.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, HOME DELIVERED MEALS, 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. THE CHAPEL HAS BEEN THE SITE FOR WEDDINGS, BAPTISMS, FUNERALS, AND FAMILY REUNIONS. THE CAMPUS ALSO INCLUDES A FOUNDATION THAT RECENTLY RAISED FUNDS FOR BLANKET WARMERS ON EACH OF THE EIGHT HOUSEHOLDS. THE BLANKET WARMERS ARE LOCATED IN THE HOUSEHOLD SPA AREA SO A RESIDENT CAN BE WRAPPED IN A WARM BLANKET AS SOON AS THEY ARE DONE BATHING. THE BLANKET WARMERS ARE ALSO USED IN PAIN MANAGEMENT. 1908436 0 2098704 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 THEY 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 MEMORY CARE SUITES ARE SECURED UNITS THAT PROVIDE ALL BASIC LIVING SERVICES FOR RESIDENTS WHO ARE EXPERIENCING MILD TO MODERATE DEMENTIA. THE MEMORY UNITS CONSIST OF TWO COTTAGES CONJOINED UNDER ONE ROOF. EACH COTTAGE HOUSES 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 SPECIAL NEEDS OF PERSONS SUFFERING FROM 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 INTERESTS, ABILITIES, AND CIRCUMSTANCES. EACH PERSON IS PROVIDED OPPORTUNITIES FOR SUCCESS AS THEY HELP WITH THE NORMAL TASKS OF RUNNING A HOUSEHOLD SUCH AS LAUNDRY, MEAL SET UP AND CLEAN UP, ETC. THE DECOR OF EACH COTTAGE IS VERY MUCH LIKE A LARGE HOME. SERVICES PROVIDED TO THE RESIDENTS OF THE COTTAGES AS PART OF THEIR MONTHLY FEE INCLUDE MEALS, MEDICATION MONITORING AND ADMINISTRATION, HOUSEKEEPING, LAUNDRY, AND LIFE ENRICHMENT ACTIVITIES. MONTHLY RENT IS CHARGED SEPARATE FROM SERVICES.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, UP TO THREE MEALS EACH DAY, 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. 1802589 0 1982304 MEMORY CARE: IN AN EFFORT TO MEET THE NEEDS OF SENIORS 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 SPECIAL NEEDS OF PERSONS SUFFERING FROM 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. EACH PERSON IS PROVIDED OPPORTUNITIES FOR SUCCESS AS THEY HELP WITH THE NORMAL TASKS OF RUNNING A HOUSEHOLD SUCH AS LAUNDRY, MEAL PREPARATION, ETC. 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. EACH COTTAGE IS DECORATED WITH A THEME TO BRING BACK THOSE FOND MEMORIES OF THE PAST. SERVICES PROVIDED TO THE RESIDENTS OF THE COTTAGES AS PART OF THEIR MONTHLY FEE INCLUDE ROOM, MEALS, MEDICATION MONITORING, HOUSEKEEPING, LAUNDRY, AND HEALTH SCREENINGS. 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. GOOD SHEPHERD COTTAGES ARE PART OF A 30 ACRE SENIOR LIVING CAMPUS IN SAUK RAPIDS, MINNESOTA WHICH INCLUDES SKILLED NURSING FACILITY CARE, SUB-ACUTE/SHORT TERM REHABILITATION SERVICES, HOME DELIVERED MEALS, CONGREGATE DINING, SKILLED HOME CARE SERVICES, ASSISTED LIVING SERVICES, MEMORY CARE SERVICES, AND INDEPENDENT LIVING APARTMENTS. 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. THE CHAPEL HAS BEEN THE SITE FOR WEDDINGS, BAPTISMS, FUNERALS, AND FAMILY REUNIONS. THE CAMPUS ALSO INCLUDES A FOUNDATION THAT RAISED FUNDS FOR THE IT'S NEVER 2 LATE COMPUTER HARDWARE AND SOFTWARE. IT'S NEVER 2 LATE PROGRAMMING STARTS WITH A LARGE COMPUTER MONITOR. BY TOUCHING THE MONITOR, RESIDENTS ARE ABLE TO PUT TOGETHER PUZZLES, VIEW TELEVISION PROGRAMS FROM DECADES PAST, DRIVE A CAR, AND OTHER ACTIVITIES. 2326268 57496 2558191 GOOD SHEPHERD COMMUNITY 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, UP TO THREE MEALS EACH DAY, 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. DURING 2004, SHEPHERD COURT APARTMENTS EXPANDED ITS FRONT LOBBY AREA AND DINING ROOM. NEW SHINGLES AND IMPROVEMENTS TO THE FIRE SAFETY, TENANT SAFETY, AND EMERGENCY SYSTEMS WERE COMPLETED AS WELL. AFTER THE CONSTRUCTION WAS COMPLETED, SHEPHERD COURT APARTMENTS IS ABLE TO GIVE PRIORITY ON THEIR WAITING LIST FOR THOSE POTENTIAL TENANTS WHO REQUIRE ASSISTED LIVING SERVICES. 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, HOME DELIVERED MEALS, 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 SIMPLE 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.TENANTS OF SHEPHERD COURT APARTMENTS HAVE MONTHLY TENANT COUNCIL MEETINGS TO DISCUSS WITH MANAGEMENT PROGRAMMING THAT IS WORKING WELL AND ITEMS THAT MAY NEED TO BE IMPROVED UPON. THE CAMPUS ALSO INCLUDES A FOUNDATION THAT RAISED FUNDS SO THAT SHEPHERD COURT APARTMENTS COULD HAVE A COMPUTER IN ITS COMMON AREA FOR ALL TENANTS TO USE. VOLUNTEERS ARE HELPING TENANTS LEARN TO USE SKYPE, FACEBOOK, AND E-MAIL TO KEEP IN TOUCH WITH THEIR FRIENDS AND FAMILIES. OTHER TENANTS HAVE BEGUN TO ORDER THEIR GROCERIES, DO BANKING, AND TAKE CARE OF OTHER NEEDS ONLINE TO BE DELIVERED TO THEIR APARTMENT USING THE COMPUTER IN THE COMMON AREA.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, HOME HEALTH AIDE, AND HOMEMAKING. THE MAJORITY OF THE CLIENTS RECEIVED FUNDING FROM THE MEDICAL ASSISTANCE OR MEDICARE PROGRAM.OUTREACH DEVELOPMENT: GOOD SHEPHERD OUTREACH DEVELOPMENT PROVIDES MANAGEMENT SERVICES TO THE DIVISIONS OF THE ORGANIZATION. NUTRITIONAL SERVICES TO THE APARTMENT TENANTS AND HOME DELIVERED MEALS ARE A SERVICE OF THE OUTREACH DEVELOPMENT 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. THE HOME DELIVERED MEAL PROGRAM IS DESIGNED TO MEET THE NUTRITIONAL NEEDS OF SENIORS WHO ARE HOME-BOUND OR WHO HAVE A DIFFICULT TIME COOKING, BUT WANT TO STAY IN THEIR OWN HOME. A HOT, NUTRITIOUS NOON MEAL IS DELIVERED WITHIN THE CITY LIMITS OF SAUK RAPIDS AND SARTELL, TO THE CLIENT'S DOOR EVERY WEEKDAY BY A FRIENDLY VOLUNTEER. 2326268 57496 2558191 18156096 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 44 0 548 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 0 MN X X KRISTA MARTINI 3202593490 1115 4TH AVE NORTH SAUK RAPIDS MN 56379 LEONARD SMALLWOOD PRESIDENT 1.00 2.50 X X 0 0 0 TERRY KURASH VICE PRESIDENT 1.00 1.00 X X 0 0 0 CORKY RAINER TREASURER 1.00 1.50 X X 0 0 0 JON LENTZ SECRETARY 1.00 1.00 X X 0 0 0 ROBERT BEEDLE BOARD MEMBER 1.00 1.00 X 0 0 0 DIANE DOERING BOARD MEMBER 1.00 1.00 X 0 0 0 ROGER DYKHUIZEN BOARD MEMBER 1.00 1.00 X 0 0 0 HARVEY EHLERS BOARD MEMBER 1.00 1.50 X 0 0 0 RENEE FRAUENDIENST BOARD MEMBER 1.00 1.00 X 0 0 0 JOYCE HAWKINSON BOARD MEMBER 1.00 1.00 X 0 0 0 PETER HOLM BOARD MEMBER 1.00 1.00 X 0 0 0 CHARLIE LUEDTKE BOARD MEMBER 1.00 1.00 X 0 0 0 BARB MAHNKE BOARD MEMBER 1.00 1.00 X 0 0 0 TOM ZIPOY BOARD MEMBER 1.00 1.00 X 0 0 0 BRUCE GLANZER PRESIDENT/CEO 32.00 8.00 X 137143 0 23078 KRISTA MARTINI VP OF FINANCE 28.00 12.00 X 76430 0 15564 KATHY HOLTBERG DIRECTOR OF NURSING 40.00 X 100291 0 11176 313864 0 49818 2 0 1 0 ARAMARK 25271 NETWORK PLACE CHICAGO IL 606731252 DIETARY SERVICES 1220239 AEGIS THERAPIES INC 7160 DALLAS PARKWAY STE 400 PLANO TX 75024 THERAPY SERVICES 870269 MILLER ARCHITECTS & BUILDERS 3355 W ST GERMAIN ST ST CLOUD MN 56301 CONSTRUCTION 159735 AMERIPRIDE 6500 SAUKVIEW DRIVE ST CLOUD MN 56303 LAUNDRY SERVICES 135416 4 5634 9677 15311 NURSING FACILITY REV. 623000 13327026 13327026 SHEPHERD OF GRACE REV. 623000 2098704 2098704 MEMORY COTTAGES REV. 623000 1982304 1982304 HOME HEALTH REVENUE 623000 858744 858744 ASSISTED LIVING REV. 623000 693324 693324 1006123 1006123 19966225 84544 84544 427220 416751 1576 10469 -1576 8893 8893 70768 68085 2683 2683 MANAGEMENT FEE REVENUE 900099 89382 89382 TV REVENUE 900099 87568 87568 OTHER MISCELLANEOUS REVENUE 900099 47982 47982 36571 36571 261503 20339159 19966225 0 357623 57496 57496 363681 111466 252215 8922952 7968642 876098 78212 98001 82010 12759 3232 1704810 1473803 229297 1710 685926 588399 91544 5983 10636 10636 50903 50903 1385541 1344460 38434 2647 77953 77953 295447 187497 106691 1259 132723 98291 34324 108 2627031 2519830 107201 31819 23374 7938 507 40722 33053 6556 1113 4537 4063 474 1366413 1159043 204537 2833 6961 6961 CONTRACTED MEALS 845032 845032 FOOD 748595 748595 LICENSE SURCHARGE 456030 456030 MEDICAL SUPPLIES 351315 351315 147380 103697 43583 100 20411904 18156096 2158104 97704 329918 126990 1949002 2189093 1631781 1475101 13161 13161 180499 191573 41448370 18435507 23916505 23012863 2545171 2568851 899682 867572 5350878 5417134 36816597 35862338 2011165 1895316 737 26 36234150 35615713 161531 152120 37392 0 4991 5241 38449966 37668416 X -2014413 -2183494 381044 377416 -1633369 -1806078 36816597 35862338 X -72745 -85275 -14689 X 0 1 X 1 0 X 64939 175686 126090 95945 15311 477971 18670936 17764026 18806180 19935754 19966225 95143121 18735875 17939712 18932270 20031699 19981536 95621092 0 0 0 95621092 102342 116810 86081 84525 84544 474302 102342 116810 86081 84525 84544 474302 296272 330455 328574 332271 1287572 18838217 18352794 19348806 20444798 20398351 97382966 0.98190 0.98490 0.00490 0.00500 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MEAL REVENUE TV REVENUE GIFT SHOP REVENUE MISCELLANEOUS REVENUE MANAGEMENT FEE REVENUE RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 295693 295693 33819284 13015510 20803774 1330645 517482 813163 5897798 4822112 1075686 104950 80403 24547 23012863 BOND FUNDS 3964488 EMPLOYEE, RESIDENT & TENANT FUNDS 160504 DUE FROM FOUNDATION 856121 DUE FROM HUD AFFILIATES 54615 TAX & INSURANCE ESCROW 154054 REPLACEMENT RESERVE 17254 DEVELOPMENT COSTS 210098 5417134 ASSET RETIREMENT OBLIGATION 5241 5241 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: 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 30 57496 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 20 HOURS PER WEEK, AND RECEIVE NO GRADE LESS THAN A "C." X X 0 0 0 0 0 0 0 0 0 BRUCE GLANZER PRESIDENT/CEO 135118 0 2025 0 0 0 5641 0 17437 0 160221 0 0 0 A THE CITY OF SAUK RAPIDS MN 416005534 804359BC0 2009-07-01 15570000 FUND NURSING HOME EXPANSION AND RENOVATION PROJECT 1 0 0 B THE CITY OF SAUK RAPIDS MN 416005534 804359BW6 2013-03-27 28563991 REFINANCING SERIES 2004 AND 2009 BONDS 0 0 0 C THE CITY OF BECKER MN 416004965 075683BA9 2014-12-23 8103842 REFINANCING SERIES 2006 BONDS 0 0 0 A 895000 14675000 15570000 1322000 1348627 612361 12287012 2011 0 0 1 1 B 985000 28563991 1960088 16452376 571280 9550383 2013 1 1 1 1 C 60000 8103842 555200 7403742 144900 2014 1 0 0 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 C 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 1 0 0 1 0 0 0 1 C 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: THE CITY OF SAUK RAPIDS, MN DATE THE REBATE COMPUTATION WAS PERFORMED: 03/27/2013 FORM 990, PART VI, SECTION A, LINE 1 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 11 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 2015. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS ALSO AVAILABLE AT WWW.GUIDESTAR.ORG. 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 -14,689. SHEPHERD OF GRACE LLC 11175 27TH AVE SE BECKER MN 55308 204857807 SERVICES TO SENIORS MN 2368901 6424236 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) 9 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) 9 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) 11 -TYPE 1 GSLH 1 GOOD SHEPHERD HOMES INC 1115 FOURTH AVE N SAUK RAPIDS MN 56379 411330247 HOUSING FOR LOW INCOME SENIORS MN 501(C)(3) 9 SEE SCHEDULE R - PART VII 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 GOOD SHEPHERD HOMES INC Q 224614 ACTUAL COST SHEPHERD OAK APARTMENTS INC Q 160705 ACTUAL COST SHEPHERD OAK WEST APARTMENTS INC Q 156219 ACTUAL COST PART II EXPLANATION OF DIRECT CONTROL: FOR ENTITIES IN PART II, WITH THE EXCEPTION OF THE GOOD SHEPHERD LUTHERAN FOUNDATION, 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.