GOOD SHEPHERD LUTHERAN HOME: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: GOOD SHEPHERD LUTHERAN HOME (EIN 41-0880871)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-12
IRS object ID: 202022259349301902
Schema version: 2018v3.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-12T15:48:18-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	410746749	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CLIFTONLARSONALLEN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	220 S 6TH STREET SUITE 300	AddressLine1Txt
City	MINNEAPOLIS	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55402	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	410880871	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SHEPHERD LUTHERAN HOME	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GOOD	BusinessNameControlTxt
Phone	5078647714	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 747	AddressLine1Txt
City	RUSHFORD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	559710747	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID U'REN	PersonNm
Person Title	BOARD PRESIDENT	PersonTitleTxt
Phone	5078647714	PhoneNum
Signature	2020-08-03	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	RYAN STRUSZ	PreparerPersonNm
PTIN	P01604381	PTIN
Phone	6123764500	PhoneNum
Preparation	2020-08-03	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	67.137.57.251	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-08-03	IPDt
IP Tm	14:05:42	IPTm
IP Timezone	CD	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	944DFFFE68F0CBC872F86A91B7E3D8C8BA39686F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-22 18:59:49Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DAVID U'REN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 747	AddressLine1Txt
City	RUSHFORD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	559710747	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$7,435,542	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GOODSHEP-RUSHFORD.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1965	FormationYr
Legal Domicile State	MN	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE NURSING HOME CARE AND ASSISTED LIVING CARE SERVICES TO THE ELDERLY OF RUSHFORD, MINNESOTA AND THE SURROUNDING AREA AND ALSO TO PROVIDE CHILD CARE SERVICES FOR EMPLOYEES AND THE PUBLIC.	ActivityOrMissionDesc
Voting Members Governing Body	9	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	167	TotalEmployeeCnt
Total Volunteers	9	TotalVolunteersCnt
Total Gross UBI	$289,558	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$50,533	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$79,301	PYContributionsGrantsAmt
CY Contributions Grants	$74,219	CYContributionsGrantsAmt
PY Program Service Revenue	$6,883,754	PYProgramServiceRevenueAmt
CY Program Service Revenue	$7,280,423	CYProgramServiceRevenueAmt
PY Investment Income	$17,867	PYInvestmentIncomeAmt
CY Investment Income	$18,325	CYInvestmentIncomeAmt
PY Other Revenue	$48,631	PYOtherRevenueAmt
CY Other Revenue	$53,782	CYOtherRevenueAmt
PY Total Revenue	$7,029,553	PYTotalRevenueAmt
CY Total Revenue	$7,426,749	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$4,904,569	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$4,937,714	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$2,078,611	PYOtherExpensesAmt
CY Other Expenses	$2,158,567	CYOtherExpensesAmt
PY Total Expenses	$6,983,180	PYTotalExpensesAmt
CY Total Expenses	$7,096,281	CYTotalExpensesAmt
PY Revenues Less Expenses	$46,373	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$330,468	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,358,567	TotalAssetsBOYAmt
Total Assets EOY	$4,631,646	TotalAssetsEOYAmt
Total Liabilities BOY	$1,707,448	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,643,275	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,651,119	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,988,371	NetAssetsOrFundBalancesEOYAmt
Mission	TO PROVIDE NURSING HOME CARE AND ASSISTED LIVING CARE SERVICES TO THE ELDERLY OF RUSHFORD, MINNESOTA AND THE SURROUNDING AREA AND ALSO TO PROVIDE CHILD CARE SERVICES FOR EMPLOYEES AND THE PUBLIC.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$6,339,712	ExpenseAmt
Revenue	$6,990,865	RevenueAmt
Desc	TO PROVIDE NURSING HOME CARE AND ASSISTED LIVING CARE SERVICES TO THE ELDERLY AND YOUNG OF RUSHFORD, MINNESOTA AND THE SURROUNDING AREA THROUGH THE OPERATION OF A 75 BED NURSING HOME, 32 APARTMENT UNITS, A 15 UNIT ASSISTED LIVING FACILITY, AND CHILDCARE ALL LOCATED ON ONE CAMPUS.	Desc
Total Program Service Expenses	$6,339,712	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	8	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	167	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	9	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	MN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RHONDA SPECE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5078647714	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	800 HOME STREET	AddressLine1Txt
City	RUSHFORD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55971	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt
DAVID U'REN
PRESIDENT	0.50	Yes (X)	Yes (X)	$0	$0	$0
DARLENE CHIGLO
VICE PRESIDENT	0.50	Yes (X)	Yes (X)	$0	$0	$0
KAREN EICH
SECRETARY/TREASURER - PART	0.50	Yes (X)	Yes (X)	$0	$0	$0
DICK JOHNSON
DIRECTOR	0.50	Yes (X)		$0	$0	$0
LOUIS BOEHMKE
DIRECTOR	0.50	Yes (X)		$0	$0	$0
NANCY BENSON
DIRECTOR	0.50	Yes (X)		$0	$0	$0
MARVIN HOSCH
DIRECTOR	0.50	Yes (X)		$0	$0	$0
LUANNA DVORAK
DIRECTOR	0.50	Yes (X)		$0	$0	$0
LINDA PAULSON
DIRECTOR	0.50	Yes (X)		$0	$0	$0
TOM LINDH
ADMINISTRATOR	40.00		Yes (X)	$80,934	$0	$11,108
RHONDA SPECE
CHIEF FINANCIAL OFFICER	40.00		Yes (X)	$58,177	$0	$21,030

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$139,111	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$32,138	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
THERAPY NETWORK
66 SHADY OAK COURT	WINONA	MN	55987	RESIDENT THERAPY SERVICES	$328,693
ONESTAFF MEDICAL
PO BOX 3544	OMAHA	NE	68103	TRAVEL STAFF	$251,205
MARTIN BROTHERS
PO BOX 69	CEDAR FALLS	IA	50613	DIETARY FOOD & SUPPLIES	$228,340
ANNLEO
195 OKOBOJI AVE	MILFORD	IA	51360	TRAVEL STAFF	$124,644

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	4	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$74,219	AllOtherContributionsAmt
Total Contributions	$74,219	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID PMTS	623000	$3,708,063	$3,708,063
RESIDENT REVENUE	623000	$2,788,048	$2,788,048
APARTMENT REVENUE	623000	$426,846	$426,846
DAY CARE REVENUE	624410	$325,346	$35,788	$289,558
MGMT CONTRACT REVENUE	561000	$26,320	$26,320

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,800	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,800	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$7,280,423	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$27,118	TotalRevenueColumnAmt
Exclusion	$27,118	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23	TotalRevenueColumnAmt
Exclusion	$23	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$8,793	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$8,793	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$8,793	TotalRevenueColumnAmt
Exclusion	-$8,793	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
BEAUTY SHOP REVENUE	812900	$38,181	$38,181
GUEST/EMPLOYEE MEALS	900099	$11,011	$11,011
MISCELLANEOUS REVENUE	900099	$4,567	$4,567

Field	Value	IRS element (for citing)
Other Revenue Total	$53,759	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,426,749	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,990,865	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$289,558	UnrelatedBusinessRevenueAmt
Exclusion	$72,107	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$171,249	TotalAmt
Management And General	$171,249	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$3,686,513	TotalAmt
Program Services	$3,569,451	ProgramServicesAmt
Management And General	$117,062	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$36,071	TotalAmt
Program Services	$34,146	ProgramServicesAmt
Management And General	$1,925	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$767,533	TotalAmt
Program Services	$726,573	ProgramServicesAmt
Management And General	$40,960	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$276,348	TotalAmt
Program Services	$261,601	ProgramServicesAmt
Management And General	$14,747	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$88,167	TotalAmt
Management And General	$88,167	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$483,768	TotalAmt
Program Services	$414,512	ProgramServicesAmt
Management And General	$69,256	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$11,118	TotalAmt
Program Services	$41	ProgramServicesAmt
Management And General	$11,077	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$224,788	TotalAmt
Program Services	$205,051	ProgramServicesAmt
Management And General	$19,737	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$285,549	TotalAmt
Program Services	$285,549	ProgramServicesAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,080	TotalAmt
Management And General	$3,080	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$16,636	TotalAmt
Program Services	$4,768	ProgramServicesAmt
Management And General	$11,868	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$43,741	TotalAmt
Program Services	$43,741	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$217,354	TotalAmt
Program Services	$217,354	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$57,046	TotalAmt
Management And General	$57,046	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FOOD COSTS	$232,799	$232,799
MEDICAL CARE SURCHARGE	$196,533	$196,533
BAD DEBT EXPENSE	$132,618		$132,618
MISCELLANEOUS EXPENSE	$67,675	$58,382	$9,293

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$97,695	TotalAmt
Program Services	$89,211	ProgramServicesAmt
Management And General	$8,484	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,096,281	TotalAmt
Program Services	$6,339,712	ProgramServicesAmt
Management And General	$756,569	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$87,732	BOYAmt
EOY	$23,814	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,282,590	BOYAmt
EOY	$1,445,962	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$664,428	BOYAmt
EOY	$826,271	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$9,569	BOYAmt
EOY	$9,210	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$16,057	BOYAmt
EOY	$20,222	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$99,226	BOYAmt
EOY	$115,246	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$7,123,710	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$5,533,106	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,612,313	BOYAmt
EOY	$1,590,604	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$304,986	BOYAmt
EOY	$309,660	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$281,666	BOYAmt
EOY	$290,657	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,358,567	BOYAmt
EOY	$4,631,646	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$493,262	BOYAmt
EOY	$485,175	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,106,803	BOYAmt
EOY	$1,051,144	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,383	BOYAmt
EOY	$106,956	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,707,448	BOYAmt
EOY	$1,643,275	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,562,543	BOYAmt
EOY	$2,895,728	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$88,576	BOYAmt
EOY	$92,643	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,651,119	BOYAmt
EOY	$2,988,371	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,358,567	BOYAmt
EOY	$4,631,646	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$330,468	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$6,784	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$88,649	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$90,764	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$77,466	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$79,301	CurrentTaxYearMinus1YearAmt
Current Tax Year	$74,219	CurrentTaxYearAmt
Total	$410,399	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,661,286	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,225,987	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,035,852	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,883,754	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,280,423	CurrentTaxYearAmt
Total	$32,087,302	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,749,935	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,316,751	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,113,318	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$6,963,055	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,354,642	CurrentTaxYearAmt
Total	$32,497,701	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$75,158	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus1 Year	$79,301	CurrentTaxYearMinus1YearAmt
Current Tax Year	$74,219	CurrentTaxYearAmt
Total	$228,678	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$791,470	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,035,909	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,106,988	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,246,828	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,409,175	CurrentTaxYearAmt
Total	$8,590,370	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$866,628	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,035,909	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,106,988	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,326,129	CurrentTaxYearMinus1YearAmt
Current Tax Year	$2,483,394	CurrentTaxYearAmt
Total	$8,819,048	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$23,678,653	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$35,034	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$55,219	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$35,657	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,561	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,141	CurrentTaxYearAmt
Total	$171,612	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$35,034	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$55,219	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$35,657	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,561	CurrentTaxYearMinus1YearAmt
Current Tax Year	$27,141	CurrentTaxYearAmt
Total	$171,612	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$20,498	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$35,576	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$41,674	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$18,471	CurrentTaxYearMinus1YearAmt
Current Tax Year	$53,759	CurrentTaxYearAmt
Total	$169,978	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$5,805,467	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$6,407,546	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$6,190,649	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$7,000,087	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,435,542	CurrentTaxYearAmt
Total	$32,839,291	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.72100	PublicSupportCY509Pct
Public Support PY509	0.73220	PublicSupportPY509Pct
Investment Income CY	0.00520	InvestmentIncomeCYPct
Investment Income PY	0.00530	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$45,109	OtherCostOrOtherBasisAmt
Book Value	$45,109	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,166,943	OtherCostOrOtherBasisAmt
Depreciation	$3,560,286	DepreciationAmt
Book Value	$606,657	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,788,482	OtherCostOrOtherBasisAmt
Depreciation	$1,863,749	DepreciationAmt
Book Value	$924,733	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$123,176	OtherCostOrOtherBasisAmt
Depreciation	$109,071	DepreciationAmt
Book Value	$14,105	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,590,604	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM RELATED PARTY	$92,643
GUARANTY FUND CERTIFICATE	$117,870
LAND & MINERAL RIGHTS	$8,731
EQUITY IN COOPERATIVE	$43,396
OTHER ASSETS	$28,017

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$290,657	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
RESIDENT TRUST FUND	$6,108
RENTAL DEPOSITS	$8,646
ASSET RETIREMENT OBLIGATION	$26,202
DUE TO RELATED PARTY	$66,000

Field	Value	IRS element (for citing)
Total Liability	$106,956	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HOME AND APARTMENTS HAVE BEEN GRANTED EXEMPT STATUS FROM FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND APPLICABLE STATE CODES. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. NO LIABILITY HAS BEEN RECOGNIZED BY THE HOME OR APARTMENTS AS A RESULT OF THIS STANDARD. THE HOME AND APARTMENTS FILE AS TAX-EXEMPT ORGANIZATIONS. SHOULD THAT STATUS BE CHALLENGED IN THE FUTURE, ALL YEARS SINCE INCEPTION COULD BE SUBJECT TO REVIEW BY THE INTERNAL REVENUE SERVICE.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	THE ELEVEN AREA EVANGELICAL LUTHERAN CHURCHES ARE MEMBERS OF THE LUTHERAN HOME.
FORM 990, PART VI, SECTION A, LINE 7A	THE ELEVEN EVANGELICAL LUTHERAN CHURCHES NOMINATE AND ELECT MEMBERS OF THE GOVERNING BODY AT THE ANNUAL MEETING. EACH CHURCH SENDS TWO REPRESENTATIVES TO THE ANNUAL MEETING TO VOTE ON BEHALF OF THEIR CONGREGATION. AT THE ANNUAL MEETING BUT PRIOR TO VOTING, EACH MEMBER REPRESENTATIVE IS ALLOWED TO NOMINATE NEW CANDIDATES FOR THE GOVERNING BODY TO BE PUT ON THE BALLOT.
FORM 990, PART VI, SECTION B, LINE 11B	PRIOR TO BEING FILED WITH THE IRS, A COPY OF FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE BOARD PRESIDENT OR ACTING DIRECTOR AND THE CFO, INCLUDING A CONFIRMATION OF THE ACCURACY OF EVERY ANSWER AND OVERSIGHT OF THE APPROPRIATE DOCUMENTATION. UPON COMPLETION OF THE REVIEW, THE FORMS ARE REVIEWED AND VOTED ON AT A BOARD MEETING PRIOR TO SUBMITTAL TO THE IRS. THE ELECTED OFFICERS WILL SIGN THE FORMS WHERE NEEDED.
FORM 990, PART VI, SECTION B, LINE 12C	IF ANYONE REASONABLY BELIEVES THAT A POLICY, PRACTICE OR ACTIVITY OF GOOD SHEPHERD LUTHERAN SERVICES IS IN VIOLATION OF LAW, A WRITTEN COMPLAINT MUST BE FILED BY THE PERSON TO THEIR MANAGER, UP TO AND INCLUDING THE HUMAN RESOURCES DIRECTOR, ADMINISTRATOR OR A BOARD MEMBER OF GOOD SHEPHERD LUTHERAN SERVICES.
FORM 990, PART VI, SECTION B, LINE 15A	THE PROCESS FOR DETERMINING THE ADMINISTRATOR COMPENSATION IS REVIEWED ANNUALLY BY THE GOVERNING BODY. ALSO, THE BOARD WILL VOTE ON WHETHER TO APPROVE THE MINNESOTA COST OF LIVING ADJUSTMENT. IN THE CASE MINNESOTA DOES RECOMMEND A COST OF LIVING ADJUSTMENT, THE GOVERNING BODY WILL VOTE ON WHETHER TO APPROVE THE COST OF LIVING ADJUSTMENT FOR ALL EMPLOYEES OF THE HOME. THIS PROCESS WAS LAST CONDUCTED IN 2015 FOR ADMINISTRATOR COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE ALL MADE AVAILABLE TO THE PUBLIC IN THE ADMINISTRATIVE OFFICE AND ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:	FORM 990, PART XII, LINE 2C: THE ORGANIZATIONS BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF ITS INDEPENDENT ACCOUNTANT.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SHEPHERD SENIOR APARTMENTS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 747	AddressLine1Txt
City	RUSHFORD	CityNm
State Abbreviation	MN	StateAbbreviationCd
ZIP	55971	ZIPCd

Field	Value	IRS element (for citing)
EIN	411757528	EIN
Primary Activities	TO PROVIDE LOW INCOME HOUSING TO THE ELDERLY OR HANDICAPPED	PrimaryActivitiesTxt
Legal Domicile State	MN	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 11	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GOOD SHEPHERD LUTHERAN SERVICES	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	0	ControlledOrganizationInd

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	NO TRANSACTIONS OVER 50000	BusinessNameLine1Txt