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THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (EIN 45-0228055)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-10-10
IRS object ID
201222849349300227
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-10-10T12:12:35-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN450228055EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETYBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlEVANNameControl
Phone6053623100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRAYE NAE NYLANDERName
TitleCFO/TREASURERTitle
Phone6053623100Phone
Date Signed2012-09-17DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRANCE O'REILLYName
PTINP00068340PTIN
Phone6123764500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDAVID HORAZDOVSKYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1360329074GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.GOOD-SAM.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1922YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionTO SHARE GOD'S LOVE IN WORD AND DEED BY PROVIDING SHELTER AND SUPPORTIVE SERVICES TO OTHERS IN NEED.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees28826TotalNbrEmployees
Total Nbr Volunteers4375TotalNbrVolunteers
Total Gross UBI1342728TotalGrossUBI
Net Unrelated Business Txbl Income-307218NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year10379320ContributionsGrantsPriorYear
Contributions Grants Current Year11021275ContributionsGrantsCurrentYear
Program Service Revenue Prior Year911161236ProgramServiceRevenuePriorYear
Program Service Revenue CY945148214ProgramServiceRevenueCY
Investment Income Prior Year14400882InvestmentIncomePriorYear
Investment Income Current Year14333366InvestmentIncomeCurrentYear
Other Revenue Prior Year4169470OtherRevenuePriorYear
Other Revenue Current Year4559289OtherRevenueCurrentYear
Total Revenue Prior Year940110908TotalRevenuePriorYear
Total Revenue Current Year975062144TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2259895GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1941707GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year557411688SalariesEtcPriorYear
Salaries Etc Current Year570563520SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year8500TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year3139359TotalFundrsngExpCurrentYear
Other Expense Prior Year345541170OtherExpensePriorYear
Other Expenses Current Year369885154OtherExpensesCurrentYear
Total Expenses Prior Year905221253TotalExpensesPriorYear
Total Expenses Current Year942390381TotalExpensesCurrentYear
Revenues Less Expenses Prior Year34889655RevenuesLessExpensesPriorYear
Revenues Less Expenses CY32671763RevenuesLessExpensesCY
Total Assets BOY1472935059TotalAssetsBOY
Total Assets EOY1485526932TotalAssetsEOY
Total Liabilities BOY774821895TotalLiabilitiesBOY
Total Liabilities EOY763636105TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY698113164NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY721890827NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO 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".MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense628934438Expense
Grants1918667Grants
Revenue755401542Revenue
DescriptionSKILLED NURSING SERVICES - THE SOCIETY HAD 3,812,372 SKILLED NURSING HOME RESIDENT DAYS IN 2011. SKILLED NURSING SERVICES ARE DESIGNED TO MEET THE DAILY LIVING NEEDS OF THE RESIDENTS. THE CARE PROVIDED REQUIRES SKILLED NURSING AND REHABILITATION INTERVENTION. THE CARE PROVIDED IN THIS SETTING IS VERY IMPORTANT, BUT THE SPIRITUAL AND SOCIAL NEEDS OF THE RESIDENTS ARE STILL A VERY IMPORTANT ELEMENT IN THE CARE OF THE ENTIRE PERSON. SKILLED NURSING SERVICES INCLUDE PROFESSIONAL NURSING CARE 24 HOURS A DAY, SEVEN DAYS A WEEK; THERAPY SERVICES; MEDICATION ADMINISTRATION; SPIRITUAL AND RECREATIONAL ACTIVITIES; AND ROOM AND MEALS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense51768979Expense
Grants0Grants
Revenue62178765Revenue
DescriptionASSISTED LIVING SERVICES - THE SOCIETY HAD 755,719 ASSISTED LIVING RESIDENT DAYS IN 2011. ASSISTED LIVING SERVICES OFFER RESIDENTS DAILY SUPERVISION AND A VARIETY OF SUPPORTIVE SERVICES IN A RESIDENTIAL ENVIRONMENT. SERVICES MAY FEATURE THREE MEALS A DAY, SPIRITUAL AND RECREATIONAL ACTIVITIES, HOUSEKEEPING, LAUNDRY SERVICE, SCHEDULED TRANSPORTATION, 24 HOUR STAFFING, EMERGENCY CALL SYSTEM, LIMITED PERSONAL CARE SERVICES, AND MEDICATION REMINDER/ASSISTANCE.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense74777435Expense
Grants0Grants
Revenue89813796Revenue
DescriptionTHE SOCIETY HAD 522.861 SENIOR LIVING RESIDENT DAYS IN 2011. SENIOR LIVING SERVICES OFFER BASIC SERVICES INCLUDING HOUSING, MEALS, HOUSEKEEPING, AND TRANSPORTATION. ADDITIONAL SERVICES INCLUDE THE SCHEDULING OF SPIRITUAL AND SOCIAL ACTIVITIES THAT ARE PLANNED TO MEET THE ACTIVE SPIRITUAL, SOCIAL AND PHYSICAL NEEDS OF THE RESIDENTS. THE SENIOR LIVING ENVIRONMENT FEATURES A VARIETY OF COMMON SPACES SUCH AS MULTI-PURPOSE ROOMS, LIBRARIES, LARGE COMMON KITCHENS, AND DINING ROOMS FOR RESIDENTS TO INTERACT AS A COMMUNITY.OTHER SENIOR LIVING SERVICES - THE SOCIETY HAD 1,290,698 OTHER SENIOR LIVING RESIDENT DAYS IN 2011. SENIOR LIVING SERVICES SERVE RESIDENTS NEEDING HOUSING AND OFFER A SECURE CONVENTIENT LOCATION WITH OPTIONAL SERVICES SUCH AS MEALS, HOUSEKEEPING AND TRANSPORTATION. SENIOR LIVING HOUSING GENERALLY IS AVAILABLE IN A CAMPUS ENVIRONMENT THAT INCLUDES SPIRITUAL AND SOCIAL ACTIVITIES AS WELL AS MEDICAL ASSISTANCE.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense34012273Expense
Grants0Grants
Revenue40851514Revenue
DescriptionHOME HEALTH SERVICES - THE SOCIETY SERVED APPROXIMATELY 7,206 CLIENTS IN 2011 NEEDING HOME HEALTH SERVICES. HOME HEALTH SERVICES PROVIDE A RANGE OF SERVICES FROM VISITS BY PROFESSIONAL NURSES TO MEET MEDICAL CARE REQUIREMENTS TO HOMEMAKER VISITS THAT PROVIDE HOUSEKEEPING SERVICES. GENERALLY, THE HOME HEALTH SERVICES ARE PROVIDED TO SENIORS LIVING IN HOUSING OPERATED BY THE SOCIETY. RESIDENTS IN ASSISTED LIVING AND SENIOR LIVING SETTINGS MAY HAVE TEMPORARY NEED TO ACCESS THE SERVICES OF THE SOCIETY'S HOME HEALTH AGENCIES. THESE RESIDENTS MAY BE RECOVERING FROM A SURGERY OR HAVE AN ILLNESS THAT TEMPORARILY PREVENTS THEM FROM PERFORMING A DAILY LIVING TASK.SOCIETY-PROVIDED MEETING SPACE - 149 FACILITY LOCATIONS WERE ABLE TO MAKE AVAILABLE MEETING ROOM SPACE FOR NON-PROFIT OR SERVICE ORGANIZATIONS OR GROUPS TO GATHER TO ACCOMPLISH THEIR PURPOSE IN 2011. AN ESTIMATE OF THE TOTAL NUMBER OF GROUP MEMBERS SERVED IS AT LEAST 285,578 PEOPLE. MEETING SPACE WAS MADE AVAILABLE FOR CHURCH SERVICES, SERVICE CLUBS, SUPPORT GROUP MEETINGS, VOTING LOCATIONS FOR ELECTIONS AND OTHER GROUPS PROVIDING COMMUNITY BENEFITS.COMMUNITY MEALS & SNACKS - 99 FACILITY LOCATIONS WERE ABLE TO SERVE APPROXIMATELY 223,941 MEALS AND SNACKS IN 2011. THE SOCIETY PROVIDED MEALS AND SNACKS FOR THE COMMUNITY FOR A VARIETY OF PURPOSES INCLUDING NURSING HOME WEEK AND FOUNDER'S DAY CELEBRATIONS, MOTHER'S AND FATHER'S DAY TEAS, VOLUNTEER LUNCHEONS, OPEN HOUSES, HOLIDAY PARTIES, AND COMMUNITY FELLOWSHIP MEALS INVITING THE PUBLIC TO JOIN OUR FACILITIES' RESIDENTS IN A MEAL OR SNACK.MEALS ON WHEELS - 176 FACILITIES PREPARED AN ESTIMATED 411,612 MEALS FOR THE MEALS ON WHEELS PROGRAM IN 2011. THE MEALS ON WHEELS PROGRAM PROVIDES HOT, WELL-BALANCED MEALS TO ELDERLY INDIVIDUALS LIVING IN THE COMMUNITIES WHERE THE SOCIETY HAS FACILITIES. THE MEALS ARE DELIVERED BY VOLUNTEERS; MANY ARE EMPLOYEES OF THE SOCIETY.COMMUNITY EVENTS - APPROXIMATELY 200,328 COMMUNITY MEMBERS WERE SERVED IN 2011. THE SOCIETY'S STAFF MEMBERS PARTICIPATED IN A VARIETY OF COMMUNITY EVENTS SUCH AS FOOD DRIVES, HIGH SCHOOL MENTORING PROGRAMS, FUNDRAISING WALKS FOR CANCER AND ALZHEIMER'S, DONATIONS FOR CHRISTMAS GIFTS FOR UNDERPRIVILEGED CHILDREN, TRANSPORTATION OF ELDERLY TO CHURCH AND COMMUNITY FUNCTIONS AS WELL AS PARTICIPATION IN COMMUNITY FAIRS AND PARADES.HEALTH FAIRS & OTHER PROGRAMS SERVICES - APPROXIMATELY 65,864 COMMUNITY MEMBERS WERE SERVED IN 2011. THE SOCIETY HAS A VARIETY OF PROGRAM SERVICES PROVIDING HEALTH INFORMATION FOR SENIORS, INCLUDING TOPICS SUCH AS WELLNESS, BLOOD PRESSURE CHECKS, DIABETES TESTING, VULNERABLE ADULTS' EDUCATION, ESTATE PLANNING SEMINARS AND LONG-TERM CARE AWARENESS PROGRAMS. PROGRAMS SUCH AS SENIOR OLYMPICS AND PIANO RECITALS AT THE FACILITIES ARE ALSO INCLUDED TO PROVIDE OPPORTUNITIES FOR YOUTH AND ADULT GROUPS TO VISIT WITH RESIDENTS (I.E. ADOPT-A-GRANDPARENT) AND CRAFTS TO CREATE COMMUNITY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp34012273TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev40851514TotalOfOtherProgramServiceRev
Total Program Service Expense789493125TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling1CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming1Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art1DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962606NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees28826NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOKStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledNMStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RAYE NAE NYLANDER CFO & TREASURERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053623100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14800 W 57TH STAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code57108ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAVID J HORAZDOVSKY
PRESIDENT & CEO40.00XX618344023870
SUSAN E NICKERSON
CHAIRPERSON1.00XX000
PATRICIA K HAUGEN
FIRST VICE CHAIRPERSON1.00XX000
NEIL GULSVIG
DIRECTOR1.00X000
CHRISTOPHER T JOHNSON
DIRECTOR1.00X000
ELWIN BROWN
DIRECTOR1.00X000
LORI L BUSSLER
DIRECTOR40.00X78581030220
REV ANDREA DEGROOT-NESDAHL
DIRECTOR1.00X000
KARI BERIT RAMLO GUSTAFSON
DIRECTOR1.00X000
TERESA HILDEBRANDT
DIRECTOR40.00X93350029052
REV JOHN F HOLT
DIRECTOR1.00X000
MICHELE JUFFER
DIRECTOR40.00X71391028369
SHARON ST MARY
DIRECTOR40.00X146241017996
BRUCE O KALLIS
DIRECTOR40.00X69641032799
RONALD L KORTEMEYER
DIRECTOR40.00X91596030233
SCOTT PETERS
DIRECTOR1.00X000
JOANNA RANDALL
DIRECTOR40.00X117698014328
PAUL R BINDER
DIRECTOR1.00X000
CINDY MOEGENBURG
EXECUTIVE VICE PRESIDENT40.00X279152014160
RAYE NAE NYLANDER
EXECUTIVE VICE PRESIDENT, TREASURER40.00X284920013820
JOSEPH HERDINA
ASSISTANT TREASURER40.00X185877025120
SYLVIA GAUSE
SECRETARY40.00X62247017187
MISTY HAM-QUICK
ASSISTANT TREASURER40.00X4160006167
MARY KRAUS
2ND ASSISTANT SECRETARY1.00X000
DEAN MERTZ
VP - WORKFORCE SYSTEMS40.00277622013070X
TOM SYVERSON
VP - OPERATIONS40.00168377027620X
ALAN HIEB
VP - OPERATIONS40.00171599024420X
PAT KELLY
DIRECTOR OF OPERATIONS40.00159659013320X
RUSTAN WILLIAMS
CHIEF INFO. OFFICER40.00239711026120X
THOMAS KAPUSTA
CHIEF LEGAL OFFICER40.0023266608167X
DANNY HANSON
DIRECTOR OF OPERATIONS40.00174568013820X
LUANN FOOS
EXECUTIVE DIRECTOR40.0019997608350X
JACCI NICKELL
VP - DEVELOPMENT & OPS40.00170887025620X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3935703TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation443828TotalOtherCompensation
Number Individuals GT100 K62NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AEGIS THERAPIES INC
PO BOX 8103FT SMITHAR72902CONTRACT THERAPY17677335
SOLOMON BUILDERS INC
4539 TROUSDALE DRNASHVILLETN37204CONSTRUCTION - INCLUDES MATERIALS8056348
CBS CONSTRUCTION SERVICES
11124 ZEALAND AVENUE NORTHCHAMPLINMN55316CONSTRUCTION - INCLUDES MATERIALS4519129
RYAN BUILDERS
201 N HARRISON ST SUITE 400DAVENPORTIA52801CONSTRUCTION - INCLUDES MATERIALS3760145
DOHN CONSTRUCTION
2642 MIDPOINT DRIVE UNIT AFORT COLLINSCO80525CONSTRUCTION - INCLUDES MATERIALS3643995
FieldValueIRS element (for citing)
Number Of Contractors GT100 K188NumberOfContractorsGT100K
Related Organizations1156313RelatedOrganizations
Government Grants930578GovernmentGrants
All Other Contributions8934384AllOtherContributions
Noncash Contributions832539NoncashContributions
Total Contributions11021275TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
RESIDENT ROUTINE CARE623000863486187863486187
ANCILLARY SERVICES6230006264150962641509
EMPLOYEE & GUEST MEALS6230006009977$6,009,977
RENT6230002725658$2,725,658
MISCELLANEOUS6230002704696$2,704,696

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column7580187TotalRevenueColumn
Related Or Exempt Function Income2170556RelatedOrExemptFunctionIncome
Exclusion$5,409,631ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue945148214TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7824773TotalRevenueColumn
Exclusion$7,824,773ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1191386Real
Personal165934Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1191386Real
Personal165934Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1357320TotalRevenueColumn
Related Or Exempt Function Income1357320RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities381896321Securities
Other9245711Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities366555341Securities
Other18078098Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities15340980Securities
Other-8832387Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column6508593TotalRevenueColumn
Exclusion$6,508,593ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events661219GrossIncomeFundraisingEvents
Fundraising Direct Expenses562990FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column98229TotalRevenueColumn
Exclusion$98,229ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming88098GrossIncomeGaming
Gaming Direct Expenses70501GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column17597TotalRevenueColumn
Exclusion$17,597ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
ADMINISTRATIVE SERVICE561000308281117400831342728
GAIN ON EXTINGUISHMENT9000993332$3,332
FieldValueIRS element (for citing)
Total Other Revenue3086143TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column975062144TotalRevenueColumn
Related Or Exempt Function Income931395655RelatedOrExemptFunctionIncome
Unrelated Business Revenue1342728UnrelatedBusinessRevenue
Exclusion$31,302,486ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1274485Total
Program Services1274485ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total618379Total
Program Services618379ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total48843Total
Program Services48843ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2917895Total
Program Services2917895ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total475421632Total
Program Services399266636ProgramServices
Management And General74409123ManagementAndGeneral
Fundraising1745873Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total9832107Total
Program Services8257160ProgramServices
Management And General1538841ManagementAndGeneral
Fundraising36106Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total43162011Total
Program Services36248142ProgramServices
Management And General6755367ManagementAndGeneral
Fundraising158502Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total39229875Total
Program Services32945872ProgramServices
Management And General6139941ManagementAndGeneral
Fundraising144062Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1169444Total
Management And General1169444ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total267503Total
Management And General267503ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total64015129Total
Program Services58151592ProgramServices
Management And General5723767ManagementAndGeneral
Fundraising139770Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3804341Total
Management And General3794698ManagementAndGeneral
Fundraising9643Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total99734158Total
Program Services88484414ProgramServices
Management And General11190840ManagementAndGeneral
Fundraising58904Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1649895Total
Management And General1649895ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total33135092Total
Program Services33135092ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total4649693Total
Program Services1797068ProgramServices
Management And General2841680ManagementAndGeneral
Fundraising10945Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total67371Total
Management And General67371ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total19111602Total
Program Services19035122ProgramServices
Management And General74948ManagementAndGeneral
Fundraising1532Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total62730894Total
Program Services52620449ProgramServices
Management And General9907958ManagementAndGeneral
Fundraising202487Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total13878583Total
Program Services11641748ProgramServices
Management And General2192037ManagementAndGeneral
Fundraising44798Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
EQUIPMENT MAINTENANCE20250389176403762610013
LICENSE SURCHARGE1483229514832295
STAFF DEVELOPMENT38291101774906203430519899
UNCOLLECTIBLE EXPENSE36870383687038

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total23072617Total
Program Services8802651ProgramServices
Management And General13703128ManagementAndGeneral
Fundraising566838Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total942390381Total
Program Services789493125ProgramServices
Management And General149757897ManagementAndGeneral
Fundraising3139359Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY27557285BOY
EOY10488916EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4624468BOY
EOY4996523EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY715211BOY
EOY657653EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY72484974BOY
EOY75952741EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY26568883BOY
EOY30356123EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4516168BOY
EOY6185822EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5426287BOY
EOY5231785EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1723685223LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec863249759LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY838896955BOY
EOY860435464EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY391012296BOY
EOY380668688EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4408228BOY
EOY4087452EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY43367187BOY
EOY42042091EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY238497EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY53357117BOY
EOY64185177EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1472935059BOY
EOY1485526932EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY98694320BOY
EOY85696133EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY5282924BOY
EOY5914918EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY329746763BOY
EOY312724139EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY96015116BOY
EOY96402435EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY173748174BOY
EOY180093739EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY71334598BOY
EOY82804741EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY774821895BOY
EOY763636105EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY664592163BOY
EOY686122093EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17179118BOY
EOY19198510EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY16341883BOY
EOY16570224EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY698113164BOY
EOY721890827EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1472935059BOY
EOY1485526932EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses32671763ReconcilationRevenueExpenses
Reconcilation Other Changes-8894100ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15141414CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14266986CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8940807CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10983028CurrentTaxYearMinus1Year
Current Tax Year11021275CurrentTaxYear
Total60353510Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years843265625CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years877901286CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years904602868CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year911859071CurrentTaxYearMinus1Year
Current Tax Year945148214CurrentTaxYear
Total4482777064Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years858407039CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years892168272CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years913543675CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year922842099CurrentTaxYearMinus1Year
Current Tax Year956169489CurrentTaxYear
Total4543130574Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total5094543130574PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15151064CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9186363CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11053276CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9998217CurrentTaxYearMinus1Year
Current Tax Year9182093CurrentTaxYear
Total54571013Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15151064CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9186363CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11053276CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9998217CurrentTaxYearMinus1Year
Current Tax Year9182093CurrentTaxYear
Total54571013Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1791756CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years990496CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1927402CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1224976CurrentTaxYearMinus1Year
Current Tax Year1688943CurrentTaxYear
Total7623573Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years875349859CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years902345131CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years926524353CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year934065292CurrentTaxYearMinus1Year
Current Tax Year967040525CurrentTaxYear
Total4605325160Total
FieldValueIRS element (for citing)
Public Support Percentage5090.98650PublicSupportPercentage509
Prior Year Support Percentage0.98500PriorYearSupportPercentage
Investment Income Percentage0.01180InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01310PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers1Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Mailings Members$39,459MailingsMembersAmount
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$317,296DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Total Lobbying Expenditures IIB356755TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF OTHER LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1I:ReturnReference
ExplanationONE STAFF MEMBER IS DEVOTED FULL TIME TO PUBLIC POLICY ISSUES, INCLUDING LOBBYING 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtc
Included On FS1IncludedOnFS

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1077000BeginningOfYearBalance
Contributions81000Contributions
Investment Earnings Or Losses-6000InvestmentEarningsOrLosses
Other Expenditures356000OtherExpenditures
End Of Year Balance1508000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1348000BeginningOfYearBalance
Investment Earnings Or Losses-16000InvestmentEarningsOrLosses
Other Expenditures-255000OtherExpenditures
End Of Year Balance1077000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1277000BeginningOfYearBalance
Contributions51000Contributions
Investment Earnings Or Losses-25000InvestmentEarningsOrLosses
Other Expenditures-45000OtherExpenditures
End Of Year Balance1348000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1311000BeginningOfYearBalance
Contributions-30000Contributions
Investment Earnings Or Losses24000InvestmentEarningsOrLosses
Other Expenditures28000OtherExpenditures
End Of Year Balance1277000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.07000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.40200PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.52800TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis55745950OtherCostOrOtherBasis
Book Value55745950BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1243516920OtherCostOrOtherBasis
Depreciation610513596Depreciation
Book Value633003324BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis84693715OtherCostOrOtherBasis
Depreciation48059635Depreciation
Book Value36634080BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis274748410OtherCostOrOtherBasis
Depreciation204676528Depreciation
Book Value70071882BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis64980228OtherCostOrOtherBasis
Book Value64980228BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings860435464TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
REAL ESTATE TAXES & OTHER LIABILITIES$11,366,029
UNAMORTIZED BOND PREMIUM$2,160,493
ANNUITIES PAYABLE$4,388,241
PAYABLE UNDER INVESTMENT LOAN AGREEMENT$64,889,978
FieldValueIRS element (for citing)
Total Of Amounts82804741TotalOfAmounts
Total Revenue975062144TotalRevenue
Total Expenses942390381TotalExpenses
Excess Or Deficit For Year32671763ExcessOrDeficitForYear
Net Unrealized GL On Investments-11141507NetUnrealizedGLOnInvestments
Other$2,247,407OtherAmount
Total Adjustments-8894100TotalAdjustments
Excess Or Deficit Per FS23777663ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt948988000TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities7128DonatedSrvcAndUseOfFacilities
Other Revenues633491OtherRevenues
Revenue Not Rptd F990640619RevenueNotRptdF990
Revenue Subtotal948347381RevenueSubtotal
Other Revenues Not Included26714763OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt26714763RevenueNotRptdOnFinStmt
Total Revenue Per Form990975062144TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt933035000TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities7128DonatedServicesUseOfFacilities
Other Expenses Included633491OtherExpensesIncluded
Expenses Not Rptd F990640619ExpensesNotRptdF990
Expenses Subtotal932394381ExpensesSubtotal
Other Expenses Not Included9996000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt9996000ExpensesNotRptdOnFinStmt
Total Expenses Per Form990942390381TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 HANDLED APPROPRIATELY.
PART V, LINE 4:THE SOCIETY'S ENDOWMENT FUNDS WILL BE USED AS DIRECTED BY THE DONOR'S RESTRICTIONS OR THE BOARD'S DESIGNATION.DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:
PART X: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. GOOD SAMARITAN SOCIETY INSURANCE, LTD. IS AN EXEMPTED 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. THE TAX RETURNS FOR THE YEARS 2008 TO 2010 ARE OPEN TO EXAMINATION BY FEDERAL, LOCAL, AND STATE AUTHORITIES.DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:
TEMPORARILY RESTRICTED CONTRIBUTIONS 9,700,407. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -7,762,000. TRANSFER TO FOUNDATION FROM SOCIETY -104,000. INCREASE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF THE FOUNDATION 38,000. LOSS FROM DISCONTINUED OPERATIONS -249,000. CONTRIBUTIONS FOR ENDOWMENT FUNDS AND TRUSTS 477,000. DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -320,000. DECREASE IN INTEREST IN THE PERM. RESTRICTED NET ASSETS OF THE FOUNDATION 467,000. TOTAL TO SCHEDULE D, PART XI, LINE 8: 2,247,407.PART XI, LINE 8 - OTHER ADJUSTMENTS:
FUNDRAISING EXPENSE 562,990. GAMING EXPENSE 70,501.PART XII, LINE 2D - OTHER ADJUSTMENTS:
INTEREST INCOME 7,824,773. REALIZED GAIN ON SECURITIES 15,340,980. REALIZED LOSS ON SALE OF PROPERTY -8,832,387. GAIN ON EXTINGUISHMENT OF DEBT 3,332. ASSETS RELEASED FOR CAPITAL PURPOSES 4,283,065. REVENUE FROM DISCONTINUED OPERATIONS 8,095,000.PART XII, LINE 4B - OTHER ADJUSTMENTS:
SPECIAL EVENT FUNDRAISING EXPENSES 562,990. GAMING EXPENSES 70,501.PART XIII, LINE 2D - OTHER ADJUSTMENTS:
LOSS ON DISCONTINUED OPERATIONS 9,996,000.PART XIII, LINE 4B - OTHER ADJUSTMENTS:
PART IV, LINE 2A THE SOCIETY HAS HOUSING ENTRY FEES FOR ADMITTANCE INTO HOUSING UNITS AT VARIOUS LOCATIONS. THESE CONTRACTS FOR HOUSING ENTRY FEES VARY BY LOCATION, AND TYPICALLY HAVE VARYING REFUNDABLE PORTIONS UP TO 100% OF THESE ENTRY FEES. THE REFUNDABLE PORTIONS OF THE HOUSING ENTRY FEES ARE REFUNDABLE BASED UPON TIME RESTRICTIONS AND VACANCY OF THE HOUSING UNIT. THE NONREFUNDABLE PORTION OF THE HOUSING ENTRY 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.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent0SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent0TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionSOUTH AMERICARegion
Purpose Of GrantTHE GRANT WAS USED TO OPEN A SECOND SENIOR CENTER AND SOUP KITCHEN IN TUNJA WHICH PURCHASES AND PREPARES FOOD FOR SENIORS IN SOACHA AND TUNJA, UPGRADING OF 3 SHACKS WHERE SENIORS LIVE, PROVISION OF PROGRAMMING FOR SENIORS AND SUPPORT FOR SHORT-TERM DEVELOPMENT WORK.PurposeOfGrant
Amount Of Cash Grant48843AmountOfCashGrant
Manner Of Cash DisbursementCHECKS & WIRE TRANSFERSMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.:Identifier
ExplanationSCHEDULE F, PART I, LINE 2: REGULAR CORRESPONDENCE IS RECEIVED FROM THE GRANTEE REGARDING THE PROGRESS OF THEIR INITIATIVES.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising0AgreementRefFundraising
Licensed StatesALLicensedStates
Licensed StatesAKLicensedStates
Licensed StatesAZLicensedStates
Licensed StatesARLicensedStates
Licensed StatesCALicensedStates
Licensed StatesCOLicensedStates
Licensed StatesCTLicensedStates
Licensed StatesDELicensedStates
Licensed StatesFLLicensedStates
Licensed StatesGALicensedStates
Licensed StatesHILicensedStates
Licensed StatesIDLicensedStates
Licensed StatesILLicensedStates
Licensed StatesINLicensedStates
Licensed StatesIALicensedStates
Licensed StatesKSLicensedStates
Licensed StatesKYLicensedStates
Licensed StatesLALicensedStates
Licensed StatesMELicensedStates
Licensed StatesMDLicensedStates
Licensed StatesMALicensedStates
Licensed StatesMILicensedStates
Licensed StatesMNLicensedStates
Licensed StatesMSLicensedStates
Licensed StatesMOLicensedStates
Licensed StatesMTLicensedStates
Licensed StatesNELicensedStates
Licensed StatesNVLicensedStates
Licensed StatesNHLicensedStates
Licensed StatesNJLicensedStates
Licensed StatesNMLicensedStates
Licensed StatesNYLicensedStates
Licensed StatesNCLicensedStates
Licensed StatesNDLicensedStates
Licensed StatesOHLicensedStates
Licensed StatesOKLicensedStates
Licensed StatesORLicensedStates
Licensed StatesPALicensedStates
Licensed StatesRILicensedStates
Licensed StatesSCLicensedStates
Licensed StatesSDLicensedStates
Licensed StatesTNLicensedStates
Licensed StatesTXLicensedStates
Licensed StatesUTLicensedStates
Licensed StatesVTLicensedStates
Licensed StatesVALicensedStates
Licensed StatesWALicensedStates
Licensed StatesWVLicensedStates
Licensed StatesWILicensedStates
Licensed StatesWYLicensedStates
Licensed StatesDCLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENT #1NameOfEvent1
Gross Receipts Event130849GrossReceiptsEvent1
Gross Revenue Event130849GrossRevenueEvent1
Rent Facility Costs Event13400RentFacilityCostsEvent1
Other Direct Expenses Event16243OtherDirectExpensesEvent1
Name Of Event2GOLF TOURNAMENT #2NameOfEvent2
Gross Receipts Event256695GrossReceiptsEvent2
Gross Revenue Event256695GrossRevenueEvent2
Non Cash Prizes Event22726NonCashPrizesEvent2
Rent Facility Costs Event23407RentFacilityCostsEvent2
Other Direct Expenses Event29609OtherDirectExpensesEvent2
Total Number Of Other Events143TotalNumberOfOtherEvents
Gross Receipts Other Events573675GrossReceiptsOtherEvents
Gross Revenue Other Events573675GrossRevenueOtherEvents
Other Direct Expenses Other Events537605OtherDirectExpensesOtherEvents
Gross Receipts Total661219GrossReceiptsTotal
Gross Revenue Total Events661219GrossRevenueTotalEvents
Non Cash Prizes Total Events2726NonCashPrizesTotalEvents
Rent Facility Costs Total Events6807RentFacilityCostsTotalEvents
Other Direct Expenses Total Events553457OtherDirectExpensesTotalEvents
Direct Expense Summary Events562990DirectExpenseSummaryEvents
Net Income Summary98229NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Bingo65174GrossRevenueBingo
Cash Prizes Bingo49795CashPrizesBingo
Other Direct Expenses Bingo3349OtherDirectExpensesBingo
Volunteer Labor Bingo1VolunteerLaborBingo
Volunteer Labor Percentage Bingo1.00000VolunteerLaborPercentageBingo
Gross Revenue Other Gaming22924GrossRevenueOtherGaming
Cash Prizes Other Gaming14008CashPrizesOtherGaming
Other Direct Expenses Other Gaming3349OtherDirectExpensesOtherGaming
Volunteer Labor Other Gaming0VolunteerLaborOtherGaming
Gross Revenue Total Gaming88098GrossRevenueTotalGaming
Cash Prizes Total Gaming63803CashPrizesTotalGaming
Other Direct Expenses Total Gaming6698OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming70501DirectExpenseSummaryGaming
Net Gaming Income Summary17597NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedFLStatesWhereGamingConducted
States Where Gaming ConductedMNStatesWhereGamingConducted
Licensed1Licensed
License Suspended Etc0LicenseSuspendedEtc
Gaming With Nonmembers1GamingWithNonmembers
Member Of Other Entity0MemberOfOtherEntity
Percentage Of Gaming Own Facility1.00000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility0.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonCHARLES HIATTNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line14800 WEST 57TH STREET PO BOX 5038AddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code571175038ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam Rev0ContractWith3rdPartyForGamRev
Gaming Manager Name PersonSEE PART IV FOR A LISTGamingManagerNamePerson
Gaming Manager Services ProvidedTHE 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:TIM SWOBODA - EXECUTIVE DIRECTOR - ST. JAMES, MN - $184SUSAN JENSEN - ADMINISTRATOR - MAPLEWOOD, MN - $184LUANN FOOS - EXECUTIVE DIRECTOR - KISSIMMEE, FL - $3,028MICHAEL DEUTH - EXECUTIVE DIRECTOR - BRAINERD, MN - $194TONY LINN - ADMINISTRATOR - LUVERNE, MN - $151TERESA HILDEBRANDT - DIRECTOR - WINTHROP, MN - $159GamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib Required0CharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
WORLD MISSION PRAYER LEAGUE
232 CLIFTON AVEMINNEAPOLISMN55403410786986501(C)(3)23179CONTRIBUTIONS 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 969WHEATONIL601890969362169146501(C)(3)18671CONTRIBUTIONS 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
100 N WEST AVE SUITE 120SIOUX FALLSSD57104460233701501(C)(3)6500CONTRIBUTION
WALLACE COUNTY
303 N MAIN STSHARON SPRINGSKS67758486011089KDS 19-01THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY IS A 501(C)(3) NONPROFIT CORPORATION WHOSE PURPOSES INCLUDE: TO ENGAGE IN WORK OF A CHARITABLE AND RELIGIOUS NATURE BY PARTICIPATION IN ANY CHARITABLE OR RELIGIOUS ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. THE DONATION OF THIS PROPERTY TO THE LOCAL COMMUNITY GROUP WILL BENEFIT AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IN WHICH IT IS LOCATED.58834BOOK VALUEFIXED ASSET INVENTORY
NEW TOWN HEALTH SUPPORT CORPORATION
8583 39TH ST NWNEW TOWNND58763363296437501(C)(3)THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY IS A 501(C)(3) NONPROFIT CORPORATION WHOSE PURPOSES INCLUDE: TO ENGAGE IN WORK OF A CHARITABLE AND RELIGIOUS NATURE BY PARTICIPATION IN ANY CHARITABLE OR RELIGIOUS ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. THE DONATION OF THIS PROPERTY TO THE LOCAL COMMUNITY GROUP WILL BENEFIT AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IN WHICH IT IS LOCATED.702550BOOK VALUELAND, BUILDING, AND EQUIPMENT
PARSHALL 2000
3515 66TH AVE NW PO BOX 116PARSHALLND58770450441275501(C)(3)THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY IS A 501(C)(3) NONPROFIT CORPORATION WHOSE PURPOSES INCLUDE: TO ENGAGE IN WORK OF A CHARITABLE AND RELIGIOUS NATURE BY PARTICIPATION IN ANY CHARITABLE OR RELIGIOUS ACTIVITY DESIGNED AND CARRIED ON TO PROMOTE THE GENERAL HEALTH OF THE COMMUNITY. THE DONATION OF THIS PROPERTY TO THE LOCAL COMMUNITY GROUP WILL BENEFIT AND PROMOTE THE GENERAL HEALTH OF THE COMMUNITY IN WHICH IT IS LOCATED.441711BOOK VALUELAND, BUILDING, AND EQUIPMENT
LUTHERAN SOCIAL SERVICES OF THE SOUTHWEST
5049 E BROADWAY SUITE 102TUCSONAZ85712860252302501(C)(3)5000SOCIAL ACCOUNTABILITY GRANT-PROVIDING HEALTH CARE TO HOMELESS SINGLE WOMEN
SENECA AREA AGENCY ON AGING
117 N COOPEROTTUMWAIA52501421321239501(C)(3)5327SOCIAL ACCOUNTABILITY GRANT-MATTER OF BALANCE
FAMILY FOCUS COALITION BBC
PO BOX 5ALLIANCENE69301470794311501(C)(3)6713SOCIAL ACCOUNTABILITY GRANT-BACK PACK PROGRAM
GRACE UNITED METHODIST CHURCH
11485 S RIDGEVIEWOLATHEKS66061480670634501(C)(3)6000SOCIAL ACCOUNTABILITY GRANT-A+ CURRICULUM FOR CESPRO AND BFS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients382NumberOfRecipients
Amount Of Cash Grant618379AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID J HORAZDOVSKY
503311000115033000278870646231000
SHARON ST MARY
9969600046545000179960164237000
CINDY MOEGENBURG
20065200078500000161670295319000
RAYE NAE NYLANDER
20609700078823000158780300798000
JOSEPH HERDINA
14368100042196000264050212282000
DEAN MERTZ
20003900077583000150170292639000
TOM SYVERSON
13523100033146000288930197270000
ALAN HIEB
13635400035245000256930197292000
PAT KELLY
10775700051902000145540174213000
RUSTAN WILLIAMS
17227900067432000279490267660000
THOMAS KAPUSTA
1677980006486800099390242605000
DANNY HANSON
13389400040674000152070189775000
LUANN FOOS
1100670008990900083620208338000
JACCI NICKELL
12750600043381000269100197797000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationTRAVEL FOR COMPANIONS: PATRICIA PETERS (SPOUSE OF BOARD MEMBER SCOTT PETERS) $294.20 BRADY RANDALL(SPOUSE OF BOARD MEMBER JOANNA RANDALL) $626.87 KURT HILDEBRANDT (SPOUSE OF BOARD MEMBER TERESA HILDEBRANDT) $84.11 NANCY PENN (SPOUSE OF BOARD MEMBER JOHN PENN) $563.71 BOB BUSSLER(SPOUSE OF BOARD MEMBER LORI BUSSLER) $19.20 GARY NESDAHL(SPOUSE OF BOARD MEMBER REV. ANDREA DEGROOT-NESDAHL) $275.00 MARILYN JOHNSON + 2 CHILDREN (SPOUSE OF BOARD MEMBER CHRISTOPHER JOHNSON) $825.00 JANICE GULSVIG (SPOUSE OF BOARD MEMBER NEIL GULSVIG) $275.00 EILEEN BROWN (SPOUSE OF BOARD MEMBER AL BROWN) $275.00 DAWN BINDER (SPOUSE OF BOARD MEMBER PAUL BINDER) $270.00 JOAN HOLT (SPOUSE OF BOARD MEMBER JOHN HOLT) $294.20Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COHFA
840752932196474P462004-08-3128168375REFUNDED 1992-1993 AND 2004 BOND ISSUES000
COHFA
8407529321964742TG2005-11-1564472262REFUNDED 1995, 2003, AND 2005 BOND ISSUES000
COHFA
8407529321964745B22006-10-31108145790REFUNDED 2000 AND 2001 BOND ISSUES000
COHFA
84075293219648AFY62007-12-0623830000REFUNDED 2003 AND 2006 BOND ISSUES000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapital ExpendituresCapitalExpenditures
25283752816837525637352515459342081220041011
3677262644722624430998507087031046025200710118283287
1069579010814579079873414068046813658822008111158112099
23830000123470004766002009101111006400

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateBusiness Name Line2NameOfGICProvider/BusinessNameLine2
NA
000001MBIA INC13.000000000000100
NA
000001AIG FINANCIAL5.000000000000100PRODUCTS CORP
NA
000000NA000
NA
010000NA000
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
COHFA
84075293219648ANT82008-12-1128305000REFUNDED 2004 BOND ISSUE000
COHFA
84075293219648APC32009-05-2780414461REFUNDED 2004 BOND ISSUE000

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindAmount In Reserve FundAmountInReserveFundCapital ExpendituresCapitalExpenditures
10315000283050002773958556541520081011
8041446120713680138194620101011817548650000

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
00000
00000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
NA
010000NA001
NA
010000NA000

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
THOMAS FRASER
FAMILY RELATIONSHIP45124SALARY AND BENEFIT COSTS0
WILLIAM KORTEMEYER
FAMILY RELATIONSHIP13998SALARY AND BENEFIT COSTS0
RYAN MERTZ
FAMILY RELATIONSHIP64240SALARY AND BENEFIT COSTS0
BUSSLER CONSTRUCTION
FAMILY RELATIONSHIP21073CONSTRUCTION PROJECTS0
WELLAWARE
BOARD REPRESENTATION3487569PRODUCTS AND SERVICES0

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99014780NoncashContribsRptdF990

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99040397NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions9NumberOfContributions
Noncash Contribs Rptd F990242135NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F990219615NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F99033908NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9909520NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F990807NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions27NumberOfContributions
Noncash Contribs Rptd F99026286NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMISCELLANEOUS ITEMSDescription
Number Of Contributions168NumberOfContributions
Noncash Contribs Rptd F990245091NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE GOVERNING BODY DELEGATED BOARD 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 COMMITTE IS COMPRISED OF THE FOLLOWING BOARD MEMBERS: CHAIRPERSON, FIRST VICE CHAIRPERSON, MEMBER-EXECUTIVE COMMITTEE, MEMBER-EXECUTIVE COMMITTE, AND THE PRESIDENT.
FORM 990, PART VI, SECTION A, LINE 6THERE ARE VOTING AND NON-VOTING MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AVOTING MEMBERS ELECT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBERS MUST APPROVE ANY AMENDMENTS TO THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED AND APPROVED BY THE BOARD PRIOR TO ITS FILING. THE ORGANIZATION'S OFFICERS AND MANAGEMENT ARE AN INTEGRAL PART OF THE PREPARATION OF THE FORM 990. THEREFORE, THEY WILL HAVE AN ON-GOING REVIEW OF THE INFORMATION AS IT IS PREPARED FOR THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12COFFICERS 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 15THE SOCIETY'S EMPLOYEE COMPENSATION PLAN IS REVIEWED AND UPDATED EVERY FIVE YEARS BY AN EXTERNAL CONSULTANT. DURING THE REVIEW, THE COMPENSATION IS EVALUATED, UPDATED, AND RECALIBRATED TO BE 100% COMPETITIVE AT THE 50TH PERCENTILE OF THE NATIONAL LABOR MARKET UTILIZING A NATIONALLY RECOGNIZED DATA BASE. THE COMPENSATION PLAN INCLUDES ALL POSITIONS WITHIN THE SOCIETY INCLUDING EXECUTIVE MANAGEMENT, KEY EMPLOYEES, AND OFFICERS. FOR POSITIONS OTHER THAN THE PRESIDENT/CEO, THE RECOMMENDATIONS BY THE EXTERNAL CONSULTANT ARE REVIEWED AND APPROVED BY THE PRESIDENT/CEO OF THE SOCIETY. FOR THE PRESIDENT/CEO POSITION, THE RECOMMENDATIONS ARE APPROVED BY THE BOARD. SEE SCHEDULE J, PART I, LINE 3 FOR ADDITIONAL DETAILS RELATED TO THE PRESIDENT/CEO POSITION.
FORM 990, PART VI, SECTION C, LINE 19THE SOCIETY'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST. THE SOCIETY'S FINANCIAL STATEMENTS ARE AVAILABLE THROUGH ITS EXTERNAL WEBSITE.
FORM 990, PART VI, SECTION A, LINE 1BEACH 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 6 BOARD MEMBERS TO BE SELECTED FROM THE LOCAL LEADERSHIP. INDEPENDENT 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.INDEPENDENT BOARD MEMBERS
FORM 990, PART VII, SECTION A, LINE 1THE ORGANIZATION'S OFFICERS AND DIRECTORS SHARE THEIR TIME BETWEEN THE REPORTING ORGANIZATION AND RELATED ORGANIZATIONS. SEE BELOW FOR ALLOCATION OF HOURS: CEO & PRESIDENT DAVID J HORAZDOVSKY: 55 HOURS GOOD SAMARITAN SOCIETY, 1 HOUR GOOD SAMARITAN FOUNDATION AS CHAIRPERSON. CHAIRPERSON SUSAN E NICKERSON: 1 HOUR GOOD SAMARITAN SOCIETY, 1 HOUR GOOD SAMARITAN FOUNDATION AS VICE CHAIRSHARING OF HOURS
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -11,141,507. TEMPORARILY RESTRICTED CONTRIBUTIONS 9,700,407. TEMPORARILY RESTRICTED NET ASSETS RELEASED FROM RESTRICTIONS -7,762,000. TRANSFER TO FOUNDATION FROM SOCIETY -104,000. INCREASE IN INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF THE FOUNDATION 38,000. LOSS FROM DISCONTINUED OPERATIONS -249,000. CONTRIBUTIONS FOR ENDOWMENT FUNDS AND TRUSTS 477,000. DECREASE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -320,000. DECREASE IN INTEREST IN THE PERM. RESTRICTED NET ASSETS OF THE FOUNDATION 467,000. TOTAL TO FORM 990, PART XI, LINE 5: -8,894,100.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1GOOD SAMARITAN HERITAGE COMMUNITIES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14800 W 57TH STAddressLine1
CitySIOUX FALLSCity
StateSDState
ZIP Code57108ZIPCode
FieldValueIRS element (for citing)
EIN203709355EIN
Primary ActivitiesDEVELOP FACILITIES THAT PROVIDE CONGREGATE AND ASSISTED LIVING TO SENIORSPrimaryActivities
Legal Domicile StateSDLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1TELGSSBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GOOD SAMARITAN SOCIETY INC
4800 W 57TH STSIOUX FALLSSD57108460349951PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
BOISE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108363370371PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)PFTELGSS1
LOVINGTON GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460392944PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
PROPHETSTOWN GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460392943PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
JASONVILLE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460396355PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
OLATHE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460396398GENERAL PARTNER OF OLATHE GOOD SAMARITAN HOUSING LIMITED PARTNERSHIPSD501(C)(3)11 - TYPE 1TELGSS1
MILLARD GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STSIOUX FALLSSD57108460396332PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)11 - TYPE 1TELGSS1
THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
4800 W 57TH STSIOUX FALLSSD57108460422866ASSIST TELGSS IN PROVIDNG SENIOR CAREMN501(C)(3)11 - TYPE 1TELGSS1
SIOUX FALLS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460385187PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
KEARNEY GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460421846PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)PFTELGSS1
HASTINGS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460434693PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
BROOKINGS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460439509PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
GRANTS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460439511PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
VALENTINE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108911751139PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
JEFFERSONTOWN GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108911751137PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
GOLDBECK TOWERS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108911751135PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
WISCONSIN GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460447338PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
GREELEY GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460456087PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
SOUTH DAYTONA BEACH GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460461264PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
WINFIELD GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108201115155PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108760789504PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
LEMARS GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108204714415PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
ALLIANCE GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108204714573PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
SIOUX FALLS 57 GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108204714647PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
HASTING VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STSIOUX FALLSSD57108271212446PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)11 - TYPE 1TELGSS1
GOOD SAMARITAN HOLDINGS LLC
4800 W 57TH STSIOUX FALLSSD57108752979560OWNER OF GOOD SAMARITAN HERITAGE LLCSD501(C)(3)11 - TYPE 1TELGSS1
EL PASO GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108272876627PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
LEA COUNTY GOOD SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108453946645PROVIDE LOW INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSD501(C)(3)9TELGSS1
SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STSIOUX FALLSSD57108452473519FUTURE GENERAL PARTNER OF LIHTC LIMITED PARTNERSHIPSD501(C)(3)11 - TYPE 1TELGSS1
PRESCOTT GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STSIOUX FALLSSD57108275114421GENERAL PARTNER OF PRESCOTT GOOD SAMARITAN HOUSING, LPSD501(C)(3)11 - TYPE 1TELGSS1

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartner
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP
4800 W 57TH STSIOUX FALLSSD57108271212511PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDHASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INCRELATED00
OLATHE GOOD SAMARITAN HOUSING LP
4800 W 57TH STSIOUX FALLSSD57108205297369PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDOLATHE GOOD SAMARITAN HOUSING INCRELATED00
HOBBS GOOD SAMARITAN HOUSING LP
4800 W 57TH STSIOUX FALLSSD57108261817167PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDHOBBS GOOD SAMARITAN HOUSING GP INCRELATED00
OLATHE GOOD SAMARITAN HOUSING LP
4800 W 57TH STSIOUX FALLSSD57108271212324PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDMILLARD GOOD SAMARITAN HOUSING INCRELATED00
PRESCOTT GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
4800 W 57TH STSIOUX FALLSSD57108275115281PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDPRESCOTT GOOD SAMARITAN HOUSING INCRELATED00

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
IDAHO SAMARITAN HOUSING INC
4800 W 57TH STSIOUX FALLSSD57108460424311PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDTELGSSC1.00000
GOOD SAMARITAN SOCIETY INSURANCE LTD
900379099INSURANCETELGSSC1.00000PO BOX 69 GTCJCJ
GOOD SAMARITAN HUMANITARIAN SERVICES INC
4800 W 57TH STSIOUX FALLSSD57108205533741MANAGEMENT SERVICES, UNBUNDLED SERVICES, UNRELATED BUSINESS ACTIVITIESSDTELGSSC1.00000
HOBBS GOOD SAMARITAN HOUSING GP INC
4800 W 57TH STSIOUX FALLSSD57108261817059PROVIDE LOW-INCOME HOUSING TO ELDERLY AND DISABLED PERSONSSDTELGSSC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (22 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
GOOD SAMARITAN SOCIETY INC
K156689FMV OF TRANSACTION
GOOD SAMARITAN SOCIETY INC
P811536FMV OF TRANSACTION
BOISE GOOD SAMARITAN HOUSING INC
P234814FMV OF TRANSACTION
PROPHETSTOWN GOOD SAMARITAN HOUSING INC
P64761FMV OF TRANSACTION
OLATHE GOOD SAMARITAN HOUSING INC
D51312FMV OF TRANSACTION
THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
B-2125256FMV OF TRANSACTION
THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
C1300065FMV OF TRANSACTION
SIOUX FALLS GOOD SAMARITAN HOUSING INC
P84274FMV OF TRANSACTION
KEARNEY GOOD SAMARITAN HOUSING INC
P289264FMV OF TRANSACTION
HASTINGS GOOD SAMARITAN HOUSING INC
P52280FMV OF TRANSACTION
JEFFERSONTOWN GOOD SAMARITAN HOUSING INC
P75759FMV OF TRANSACTION
GREELEY GOOD SAMARITAN HOUSING INC
P76506FMV OF TRANSACTION
SOUTH DAYTONA BEACH GOOD SAMARITAN HOUSING INC
P89179FMV OF TRANSACTION
INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC
P65651FMV OF TRANSACTION
SIOUX FALLS 57 GOOD SAMARITAN HOUSING INC
P117243FMV OF TRANSACTION
OLATHE GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
K73844FMV OF TRANSACTION
OLATHE GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
P127036FMV OF TRANSACTION
HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
D5338973FMV OF TRANSACTION
MILLARD GOOD SAMARITAN HOUSING LIMITED PARTNERSHIP
D579462FMV OF TRANSACTION
GOOD SAMARITAN SOCIETY INSURANCE LTD
I12131893FMV OF TRANSACTION
GOOD SAMARITAN SOCIETY INSURANCE LTD
C1025000FMV OF TRANSACTION
GOOD SAMARITAN HERITAGE COMMUNITIES LLC
A101142FMV OF TRANSACTION