SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
THE EVANGELICAL LUTHERAN GOOD SAMARITAN
FOUNDATION
Employer identification number

46-0422866
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)SANFORD
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
27-1218956 		SUPPORTING ORGANIZATION ND 501(C)(3) 12-II  
 
No
(2)SANFORD HEALTH FOUNDATION
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
36-3297853 		FOUNDATION SD 501(C)(3) 12-II SANFORD HEALTH
 
Yes
 
(3)F-M AMBULANCE SERVICE INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0344371 		EMT ND 501(C)(4)   SANFORD NORTH
 
Yes
 
(4)SANFORD HEALTH FOUNDATION NORTH
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0398104 		FOUNDATION ND 501(C)(3) 7 SANFORD NORTH
 
Yes
 
(5)SANFORD HEALTH FOUNDATION HILLSBORO
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
36-3542187 		FOUNDATION ND 501(C)(3) 7 SANFORD HEALTH NETWORK NORTH
 
Yes
 
(6)SANFORD HEALTH FOUNDATION WEST
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0397196 		FOUNDATION ND 501(C)(3) 7 SANFORD BISMARCK
 
Yes
 
(7)SANFORD HEART OF AMERICA HEALTH PLAN
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0346132 		INSURANCE ND 501(C)(4)   SANFORD HEALTH PLAN
 
Yes
 
(8)SANFORD HEALTH FOUNDATION THIEF RIVER FALLS
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
41-1761135 		FOUNDATION MN 501(C)(3) 7 SANFORD HEALTH NETWORK NORTH
 
Yes
 
(9)SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
41-1389317 		FOUNDATION MN 501(C)(3) 7 SANFORD HEALTH OF NORTHERN MINNESOTA
 
Yes
 
(10)SANFORD-GOOD SAMARITAN COMMUNITY HEALTH SERVICES LLC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
37-1834045 		LONG-TERM CARE, SENIOR LIVING, AND POST-ACUTE FACILITIES ND 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(11)ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-1495572 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(12)ALLIANCE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
20-4714573 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(13)ARLINGTON GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
37-1805492 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(14)BOISE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
36-3370371 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(15)BROOKINGS GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0439509 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(16)COLLISTER DRIVE HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
30-0872973 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(17)EL PASO GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
27-2876627 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(18)GOOD SAMARITAN HOLDINGS LLC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
75-2979560 		DEVELOPMENT OF SENIOR HOUSING AND ASSISTED LIVING SERVICES SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(19)GOOD SAMARITAN SOCIETY INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0349951 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(20)GRANTS GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0439511 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(21)GREELEY GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0456087 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(22)HASTINGS GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0434693 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(23)HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
27-1212446 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(24)HOWARD LAKE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
36-4885253 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(25)INDIANOLA COUNTY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-1328052 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(26)INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
76-0789504 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(27)JASONVILLE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0396355 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(28)JEFFERSONTOWN GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
91-1751137 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(29)KEARNEY GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0421846 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(30)LEA COUNTY GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-3946645 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(31)LEMARS GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
20-4714415 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(32)LILAC WAY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-5740381 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(33)LOVINGTON GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0392944 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(34)MILLARD GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0396332 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(35)NORTHPORT GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
38-3993597 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(36)OLATHE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0396398 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(37)PRESCOTT GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
27-5114421 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(38)PROPHETSTOWN GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0392943 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(39)RAPID CITY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-1579750 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(40)SIOUX FALLS 57 GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
20-4714647 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(41)SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-2473519 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(42)SIOUX FALLS GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0385187 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(43)SOUTH DAYTONA BEACH GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0461264 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(44)THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0228055 		LONG-TERM CARE, SENIOR HOUSING & HOME AND COMMUNITY BASED SERVICES ND 501(C)(3) 10 SANFORD
 
Yes
 
(45)VALENTINE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
91-1751139 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(46)WELD COUNTY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-1591360 		LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(47)WINFIELD GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
20-1115155 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
(48)WISCONSIN GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0447338 		PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Page 2
Schedule R (Form 990) 2020
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) NATIONAL STUDENT HOUSING-SOUTH DAKOTA LLC

100 S PHILLIPS AVE
SIOUX FALLS,SD57104
20-2129839 		INVESTMENT SD N/A
         No     No  
(2) RAC RENTALS LLC

100 S PHILLIPS AVE
SIOUX FALLS,SD57104
26-1961077 		INVESTMENT SD N/A
         No     No  
(3) ADA COUNTY GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
36-4799439 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(4) ADAMS COUNTY GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
38-3896526 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(5) BELINGTON GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
32-0493132 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(6) COLLISTER DRIVE HOUSING LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
61-1752929 		LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
         No     No  
(7) COLORADO GOOD SAMARITAN HOUSING GP LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
30-1164681 		LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
         No     No  
(8) FARGO GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
30-1141316 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(9) GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-5020633 		INSURANCE ND N/A
         No     No  
(10) GOOD SAMARITAN INSURANCE PLAN LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-5051671 		INSURANCE DE N/A
         No     No  
(11) HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
27-1212511 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(12) HMS HERITAGE MANAGEMENT SERVICES LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
90-0915850 		PROVIDE HOME HEALTH SERVICES TX N/A
         No     No  
(13) INDIANOLA GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
30-0755780 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(14) LILAC WAY GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
36-4786577 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(15) MILLARD GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
27-1212324 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(16) OLATHE GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
20-5297369 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(17) OLDS HALL GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
35-2626242 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(18) PENNINGTON COUNTY GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
38-4060178 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(19) PRESCOTT GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
27-5115281 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(20) RAPID CITY GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
35-2466169 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(21) ROSEVILLE GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(22) RUTH STREET GOOD SAMARITAN HOUSING LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
61-1748321 		LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
         No     No  
(23) SIOUX FALLS DOWNTOWN GOOD SAMARITAN LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
32-0377442 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
(24) TEXAS GOOD SAMARITAN HOUSING LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
37-1774574 		LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
         No     No  
(25) WELD COUNTY GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
32-0584614 		PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
         No     No  
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) SANFORD HOME MEDICAL EQUIPMENT INC

2710 W 12TH STREET
SIOUX FALLS,SD57105
46-0388597 		HEALTHCARE EQUIPMENT SD N/A
 C         No
(2) SANFORD HEALTH PLAN

300 CHERAPA PLACE
SIOUX FALLS,SD57103
91-1842494 		INSURANCE SD N/A
 C         No
(3) SANFORD HEALTH PLAN OF MN

300 CHERAPA PLACE
SIOUX FALLS,SD57103
46-0445852 		INSURANCE MN N/A
 C         No
(4) SANFORD FRONTIERS

1305 W 18TH STREET PO BOX 5039
SIOUX FALLS,SD571175039
45-5436599 		WEIGHT LOSS/FITNESS SD N/A
 C         No
(5) SOB INC

2701 S MINNESOTA AVENUE SUITE 2
SIOUX FALLS,SD57105
46-0442628 		AIR TRANSPORTATION SD N/A
 C         No
(6) SANFORD WORLD CLINICS - GHANA

SARBAH ROAD TANTRI LORRY STATION
CAPE COAST    
GH
HEALTHCARE GH N/A
 C         No
(7) SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD

188 YESHENG ROAD ROOM A-862 GUOMA
SHANGHAI    
CH
HEALTHCARE CH N/A
 C         No
(8) SANFORD INTERNATIONAL - MUNICH GMBH

NYMPHENBURGER STRASSE 3
MUNICH    
GM
HEALTHCARE GM N/A
 C         No
(9) ALWAYS ABOVE AND BEYOND HOME HEALTH CARE SERVICES LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
26-3456679 		PROVIDE HOME AND COMMUNITY BASED SERVICES TX N/A
 S         No
(10) ANGELS IN WAITING HOSPICE LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
03-0597309 		PROVIDE HOME AND COMMUNITY BASED SERVICES TX N/A
 S         No
(11) GOOD SAMARITAN HUMANITARIAN SERVICE INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
20-5533741 		MANAGEMENT AND UNBUNDLED SERVICES; UNRELATED BUSINESS ACTIVITIES SD N/A
 C         No
(12) GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-5037667 		INSURANCE NE N/A
 C         No
(13) GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-4989242 		INSURANCE SD N/A
 C         No
(14) GOOD SAMARITAN SOCIETY INSURANCE LTD

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
98-0379099 		INSURANCE CJ N/A
 C         No
(15) HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
90-0491537 		PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
 S         No
(16) HERITAGE HEALTHCARE SERVICES INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
85-0418562 		PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
 S         No
(17) HERITAGE HOME HEALTHCARE & HOSPICE INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
85-0463468 		PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
 S         No
(18) HERITAGE HOME HEALTHCARE OF ARIZONA INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
20-4243949 		PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
 S         No
(19) HERITAGE HOME HEALTHCARE SERVICES INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
85-0463469 		PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
 S         No
(20) JJEA LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
77-0713538 		PROVIDE HOME AND COMMUNITY BASED SERVICES TX N/A
 S         No
(21) OLDS HALL GOOD SAMARITAN HOUSING GP INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
61-1861635 		LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
 C         No
(22) ROSEVILLE GOOD SAMARITAN HOUSING GP INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
 LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
 C         No
Schedule R (Form 990) 2020
Page 3
Schedule R (Form 990) 2020
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) SANFORD HEALTH MANAGEMENT & GENERAL EXPENSES FUNDING

 Q 1,518,615 CASH
(2) SANFORD HEALTH FUNDRAISING EXPENSES FUNDING

 Q 587,004 CASH
(3) THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

 B 6,116,975 COST
(4) SANFORD HEALTH

 R 231,674 COST


Schedule R (Form 990) 2020
Page 4
Schedule R (Form 990) 2020
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2020
Page 5
Schedule R (Form 990) 2020
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2020

Additional Data


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