SANFORD-GOOD SAMARITAN COMMUNITY HEALTH: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SANFORD-GOOD SAMARITAN COMMUNITY HEALTH (EIN 37-1834045)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-12
IRS object ID
201933169349304808
Schema version
2018v3.1
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)
Return2019-11-12T14:24:58-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN410746749PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1220 SOUTH SIXTH STREET SUITE 300AddressLine1Txt
CityMINNEAPOLISCityNm
State AbbreviationMNStateAbbreviationCd
ZIP55402ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN371834045EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SANFORD-GOOD SAMARITAN COMMUNITY HEALTHBusinessNameLine1Txt
Business Name Line2SERVICES LLCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlSANFBusinessNameControlTxt
Phone6053623100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 W 57TH STREET BOX 5038AddressLine1Txt
CitySOUIX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP571175038ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNATHAN SCHEMAPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6053623100PhoneNum
Signature2019-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRISTOPHER STEINHOFFPreparerPersonNm
PTINP01587351PTIN
Phone6123764500PhoneNum
Preparation2019-11-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address67.137.57.251IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-11IPDt
IP Tm14:49:48IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id2CCFC7E30E1C7F7287E1A5F09795F66155F6CA59AtSubmissionCreationDeviceId
At Submission Filing Device Id06C6282D018575128FE0891D0F3A4E057D2D2323AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1PROSPERABusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerTHOMAS A SYVERSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 W 57TH STREET BOX 5038AddressLine1Txt
CitySOUIX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP571175038ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$49,175,434GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PROSPERACARES.COMWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Other Organization DscLLCOtherOrganizationDsc
Formation2016FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionOPERATE, FINANCE AND DEVELOP LONG-TERM CARE, SENIOR LIVING, AND POST-ACUTE FACILITIES.ActivityOrMissionDesc
Voting Members Governing Body6VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee1079TotalEmployeeCnt
Total Volunteers99TotalVolunteersCnt
Total Gross UBI$117,078TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$64,134NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$24,666PYContributionsGrantsAmt
CY Contributions Grants$41,574CYContributionsGrantsAmt
PY Program Service Revenue$43,259,104PYProgramServiceRevenueAmt
CY Program Service Revenue$48,864,912CYProgramServiceRevenueAmt
PY Investment Income$6,987PYInvestmentIncomeAmt
CY Investment Income$8,826CYInvestmentIncomeAmt
PY Other Revenue$199,861PYOtherRevenueAmt
CY Other Revenue$257,355CYOtherRevenueAmt
PY Total Revenue$43,490,618PYTotalRevenueAmt
CY Total Revenue$49,172,667CYTotalRevenueAmt
PY Grants And Similar Paid$4,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,748,346PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$29,551,310CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$18,838,984PYOtherExpensesAmt
CY Other Expenses$19,666,774CYOtherExpensesAmt
PY Total Expenses$46,591,330PYTotalExpensesAmt
CY Total Expenses$49,218,084CYTotalExpensesAmt
PY Revenues Less Expenses-$3,100,712PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$45,417CYRevenuesLessExpensesAmt
Total Assets BOY$44,498,348TotalAssetsBOYAmt
Total Assets EOY$50,831,919TotalAssetsEOYAmt
Total Liabilities BOY$27,149,282TotalLiabilitiesBOYAmt
Total Liabilities EOY$29,105,784TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,349,066NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,726,135NetAssetsOrFundBalancesEOYAmt
MissionOPERATE, FINANCE AND DEVELOP LONG-TERM CARE, SENIOR LIVING, AND POST-ACUTE FACILITIES IN A MANNER CONSISTENT WITH THE MEMBERS' CHARITABLE PURPOSES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$43,396,708ExpenseAmt
Grant$0GrantAmt
Revenue$48,864,912RevenueAmt
DescPROVIDE LONG-TERM CARE, SENIOR LIVING AND POST-ACUTE SERVICES FOR OLDER PERSONS AND OTHERS IN NEED. DURING 2018, PROSPERA PROVIDED SERVICES FOR 140,978 SKILLED NURSING DAYS, 10,588 ASSISTED LIVING DAYS, AND 29,265 SENIOR HOUSING DAYS.Desc
Total Program Service Expenses$43,396,708TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit CounselingYes (1)CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document44IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1079EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members6GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonERIC VANDEN HULLPersonNm
Phone6053623100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14800 W 57TH STAddressLine1Txt
CitySIOUX FALLSCityNm
State AbbreviationSDStateAbbreviationCd
ZIP57108ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
THOMAS A SYVERSON
PRESIDENT & CHAIR0.10Yes (X)Yes (X)$0$0$0
CRAIG LAMBRECHT
VICE PRESIDENT0.10Yes (X)Yes (X)$0$0$0
G GRANT TRIBBLE
TREASURER0.10Yes (X)Yes (X)$0$0$0
KIRK CRISTY
DIRECTOR0.10Yes (X)$0$0$0
CLINT GRAYBILL
DIRECTOR0.10Yes (X)$0$0$0
BERGEN PETERSON
DIRECTOR0.10Yes (X)$0$0$0
MISTY HAM-QUICK
SECRETARY0.10Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
4800 W 57TH STSIOUX FALLSSD57108MANAGEMENT FEES & SHARED EMPLOYEES$2,653,577
INFINITY REHAB
25117 SW PARKWAY SUITE DWILSONVILLEOR97070THERAPY SERVICES$2,357,196
DTN STAFFING INC
1200 COLLINS AVENUEMANDANND58554POOL STAFF SERVICES$1,106,587
PRIME TIME HEALTHCARE LLC
PO BOX 3544OMAHANE681030544POOL STAFF SERVICES$963,612
SANFORD HEALTH
PO BOX 5074SIOUX FALLSSD571175074LAB SERVICES$109,388
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
All Other Contributions$41,574AllOtherContributionsAmt
Total Contributions$41,574TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescHOUSING AND RESIDENT SERVICESDesc
Business623000BusinessCd
Total Revenue Column$48,864,912TotalRevenueColumnAmt
Related Or Exempt Func Income$48,864,912RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$48,864,912TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,173TotalRevenueColumnAmt
Exclusion$9,173ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,996RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,996RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,996TotalRevenueColumnAmt
Exclusion$6,996ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$347OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$347OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$347TotalRevenueColumnAmt
Exclusion-$347ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$5,587GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,420CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,167TotalRevenueColumnAmt
Exclusion$3,167ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MEALS722320$117,078$117,078
TRANSPORTATION485000$52,965$52,965
CABLE TV900099$49,426$49,426

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,723TotalRevenueColumnAmt
Exclusion$27,723ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$247,192OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,172,667TotalRevenueColumnAmt
Related Or Exempt Func Income$48,864,912RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$117,078UnrelatedBusinessRevenueAmt
Exclusion$149,103ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,135,874TotalAmt
Program Services$23,189,648ProgramServicesAmt
Management And General$946,226ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$553,983TotalAmt
Program Services$524,299ProgramServicesAmt
Management And General$29,684ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,042,015TotalAmt
Program Services$2,925,577ProgramServicesAmt
Management And General$116,438ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,819,438TotalAmt
Program Services$1,748,074ProgramServicesAmt
Management And General$71,364ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,946,335TotalAmt
Management And General$2,946,335ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$60,594TotalAmt
Management And General$60,594ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,036,156TotalAmt
Program Services$4,707,769ProgramServicesAmt
Management And General$328,387ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,842TotalAmt
Management And General$19,842ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$159,875TotalAmt
Program Services$5,569ProgramServicesAmt
Management And General$154,306ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$49,666TotalAmt
Management And General$49,666ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,823,597TotalAmt
Program Services$3,823,597ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$111,810TotalAmt
Program Services$71,170ProgramServicesAmt
Management And General$40,640ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$678,602TotalAmt
Program Services$598,319ProgramServicesAmt
Management And General$80,283ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,918,723TotalAmt
Program Services$1,691,726ProgramServicesAmt
Management And General$226,997ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$103,005TotalAmt
Program Services$90,819ProgramServicesAmt
Management And General$12,186ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FOOD$1,596,999$1,596,999
MEDICAL SUPPLIES$1,256,761$1,256,761
DRUGS$760,483$760,483
BAD DEBT EXPENSE$469,602$469,602

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$674,724TotalAmt
Program Services$405,898ProgramServicesAmt
Management And General$268,826ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,218,084TotalAmt
Program Services$43,396,708ProgramServicesAmt
Management And General$5,821,376ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$634,152BOYAmt
EOY$9,083,691EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$29,389BOYAmt
EOY$30,960EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,204,283BOYAmt
EOY$4,409,031EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$87,689BOYAmt
EOY$96,487EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,928BOYAmt
EOY$19,618EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$32,112,062LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,920,061LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,535,020BOYAmt
EOY$29,192,001EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$8,000,131BOYAmt
EOY$8,000,131EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,756BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,498,348BOYAmt
EOY$50,831,919EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,888,537BOYAmt
EOY$8,186,628EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,892,352BOYAmt
EOY$19,453,230EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$29,389BOYAmt
EOY$30,960EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,339,004BOYAmt
EOY$1,434,966EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,149,282BOYAmt
EOY$29,105,784EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,324,400BOYAmt
EOY$21,711,415EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$24,666BOYAmt
EOY$14,720EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,349,066BOYAmt
EOY$21,726,135EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,498,348BOYAmt
EOY$50,831,919EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$45,417ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$4,422,486OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations2SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (2 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
45022805510Yes (1)$0$0
SANFORD LIVING CENTERS
4504164543Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total2SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART I, LINE 12G, COLUMN VFormAndLineReferenceDesc
ExplanationSANFORD-GOOD SAMARITAN COMMUNITY HEALTH SERVICES, LLC IS AN INTEGRAL PART OF AND PROVIDES SUPPORT TO EACH OF THE ORGANIZATIONS LISTED, HOWEVER, SUCH SERVICES CANNOT EASILY BE QUANTIFIED IN DOLLAR-BASED TERMS.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Agent Trustee Etc0AgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabYes (1)InclEscrowCustodialAcctLiabInd
Explanation ProvidedYes (X)ExplanationProvidedInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,060,465OtherCostOrOtherBasisAmt
Book Value$2,060,465BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,011,279OtherCostOrOtherBasisAmt
Depreciation$1,739,981DepreciationAmt
Book Value$22,271,298BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,772,073OtherCostOrOtherBasisAmt
Depreciation$162,666DepreciationAmt
Book Value$1,609,407BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,265,837OtherCostOrOtherBasisAmt
Depreciation$1,017,414DepreciationAmt
Book Value$3,248,423BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,408OtherCostOrOtherBasisAmt
Book Value$2,408BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,192,001TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
RELATED PARTY PAYABLE$692,113
RESIDENT SECURITY DEPOSITS$28,200
ENTRANCE FEE$206,905
SPECIAL ASSESSMENT PAYABLE$507,748
FieldValueIRS element (for citing)
Total Liability$1,434,966TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$49,166,976TotalRevEtcAuditedFinclStmtAmt
Other Revenue$39,804OtherRevenueAmt
Revenue Not Reported$39,804RevenueNotReportedAmt
Revenue Subtotal$49,127,172RevenueSubtotalAmt
Other Revenues Not Included$45,495OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$45,495RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$49,172,667TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$49,225,055TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$6,971OtherExpensesIncludedAmt
Expenses Not Reported$6,971ExpensesNotReportedAmt
Expenses Subtotal$49,218,084ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$49,218,084TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, LINE 2B:AS SET FORTH BY FEDERAL AND STATE REGULATIONS, SANFORD-GOOD SAMARITAN COMMUNITY HEALTH SERVICES PROVIDES RESIDENT TRUST ACCOUNT (RTA) SERVICES FOR RESIDENTS. THESE RTA FUNDS ARE NOT COMMINGLED WITH THE ORGANZIATION'S FUNDS, ARE ACCESSIBLE FOR RESIDENTS' USE, HAVE DETAILED ACCOUNTING RECORDS MAINTAINED ON AN INDIVIDUAL RESIDENT BASIS, AND FOLLOW BOTH FEDERAL AND STATE REGULATIONS REGARDING THE HANDLING AND DOCUMENTATION OF ACTIVITY. AS RTA FUNDS ARE HELD IN TRUST FOR RESIDENTS, A RESIDENT MAY AUTHORIZE THAT THEIR RTA FUNDS BE RETURNED TO THE RESIDENT OR THEIR DESIGNEE (REPRESENTATIVE PAYEE, FINANCIAL POWER OF ATTORNEY, GUARDIAN, ETC.) AT ANY TIME. ADDITIONALLY, WHEN A RESIDENT IS DISCHARGED FROM A FACILITY, THEIR RTA FUNDS ARE RETURNED TO THE RESIDENT OR THEIR AUTHORIZED DESIGNEE. IF A RESIDENT EXPIRES WITH RTA FUNDS ON HAND, SPECIFIC STATE REGULATIONS ALONG WITH STATE AND/OR FEDERAL AGENCIES GUIDELINES ARE REVIEWED TO ENSURE THESE RTA FUNDS ARE MANAGED APPROPRIATELY.
PART X, LINE 2:THE ORGANIZATION IS A NONPROFIT LIMITED LIABILITY CORPORATION AND IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION 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 ORGANIZATION'S INCOME TAX RETURNS ARE SUBJECT TO REVIEW AND EXAMINATION BY FEDERAL, STATE, AND LOCAL AUTHORITIES. THE ORGANIZATION IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:GIFT SHOP EXPENSES 2,420. NET ASSETS RELEASED FROM RESTRICTION 32,486. VENDING MACHINE EXPENSES 4,551. LOSS ON DISPOSAL OF ASSETS 347.
PART XI, LINE 4B - OTHER ADJUSTMENTS:INTEREST INCOME 4,497. CONTRIBUTIONS WITH DONOR RESTRICTIONS 40,998.
PART XII, LINE 2D - OTHER ADJUSTMENTS:GIFT SHOP EXPENSES 2,420. VENDING MACHINE EXPENSES 4,551.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MORTON COUNTY NORTH DAKOTABusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN456002226BondIssuerEIN
Bond Issued2017-08-04BondIssuedDt
Issue Price$20,470,000IssuePriceAmt
PurposeFUND PURCHASE OF MILLER POINTE IN MANDAN, NDPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$634,055RetiredAmt
Total Proceeds$20,470,000TotalProceedsAmt
Issuance Costs From Proceeds$368,253IssuanceCostsFromProceedsAmt
Capital Expenditures$20,101,747CapitalExpendituresAmt
Substantial Completion2017SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY (THE SOCIETY) HAS BEEN DELEGATED CONTROL OVER THE MANAGEMENT OF THE ORGANIZATION. THE SOCIETY WAS COMPENSATED $2,467,444 FOR MANAGEMENT SERVICES RENDERED IN 2018.
FORM 990, PART VI, SECTION A, LINE 6THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY AND SANFORD LIVING CENTERS ARE THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AEACH MEMBER CAN ELECT THREE MEMBERS TO THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE ANY COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO ITS FILING. THE ORGANIZATION'S OFFICERS AND MANAGEMENT WERE AN INTEGRAL PART OF THE PREPARATION OF THE FORM 990. THEREFORE, THEY HAD AN ON-GOING REVIEW OF THE INFORMATION AS IT WAS PREPARED FOR THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS AND OFFICERS ARE COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. THEY ARE REQUIRED AT LEAST ANNUALLY TO DISCLOSE POTENTIAL CONFLICTS OF INTEREST TO THE ORGANIZATION'S SECRETARY. ANY CONFLICT IS BROUGHT TO THE BOARD FOR REVIEW AND VOTE TO DETERMINE IF AN ACTUAL CONFLICT EXISTS. IF A CONFLICT DOES IN FACT EXIST, THE INTERESTED PERSON MAY PRESENT RELEVANT FACTS TO THE BOARD, BUT IS THEN REQUIRED TO LEAVE THE MEETING FOR FURTHER DISCUSSION AND VOTES ON THE MATTER. THE CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION. THE DISINTERESTED BOARD MEMBERS THEN VOTE ON WHETHER TO ENTER THE TRANSACTION. IF THE BOARD HAS REASON TO BELIEVE AN INDIVIDUAL HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, THE INDIVIDUAL IS GIVEN THE CHANCE TO EXPLAIN, AFTER WHICH THE DISINTERESTED BOARD MEMBERS DETERMINE WHETHER A VIOLATION OCCURRED. IF A VIOLATION OCCURS, THE BOARD WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
FORM 990, PART VI, SECTION B, LINE 15ATHE EXECUTIVE DIRECTOR FOR THE ORGANIZATION IS COMPENSATED BY ONE OF THE MEMBERS, THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. A COMPENSATION STUDY WAS USED TO DETERMINE THE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIALS STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GCONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,547,759. MANAGEMENT AND GENERAL EXPENSES 292,043. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,839,802. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 60,235. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,235. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 99,775. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 99,775. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 36,344. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,344.
FORM 990, PART XI, LINE 9:EQUITY TRANSFER - THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 2,222,486. EQUITY TRANSFER - SANFORD LIVING CENTERS 2,200,000.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.