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
2021
Open to Public Inspection
Name of the organization
SANFORD GROUP RETURN
 
Employer identification number

45-3791176
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
(1) 1527 BROADWAY LLC
1527 BROADWAY
ALEXANDRIA,MN56308
41-1336392 		REAL ESTATE MN 628,216 3,449,455 SANFORD CLINIC NORTH
 
(2) B&K PROPERTIES LLC
PO BOX 5039 RTE 5218
SIOUX FALLS,SD571175030
83-0614887 		REAL ESTATE SD -168 0 SANFORD HEALTH
 
(3) HEALTHCARE ENVIRONMENTAL SERVICES LLC
PO BOX 2010
FARGO,ND58122
20-5236701 		RETAIL ENTERPRISES ND 1,240,887 4,282,263 SANFORD NORTH
 
(4) LINCOLN COUNTY REAL ESTATE TRUST
100 S PHILLIPS AVE
SIOUX FALLS,SD57104
46-6126929 		REAL ESTATE SD 0 0 SANFORD HEALTH
 
(5) LYNX TRUST
PO BOX 5186
SIOUX FALLS,SD57117
26-6167201 		INVESTMENT SD     SANFORD HEALTH
 
(6) NATIONAL STUDENT HOUSING TRUST-SD
PO BOX 5186
SIOUX FALLS,SD57117
20-6831968 		INVESTMENT SD     SANFORD HEALTH
 
(7) NORTH COUNTRY SENIOR LIVING LLC
1000 ANNE ST NW
BEMIDJI,MN56601
26-3862586 		SENIOR HOUSING CO -444,794 6,046,542 SANFORD HEALTH OF NORTHERN MINNESOTA
 
(8) PPK FAMILY TRUST
100 S PHILLIPS AVE
SIOUX FALLS,SD57104
20-7317570 		RENTAL REAL ESTATE SD     SANFORD HEALTH
 
(9) SANFORD HEALTH MOBILE MED LLC
2603 E BROADWAY AVENUE
BISMARCK,ND58501
47-1209528 		MOBILE HEALTHCARE ND 0 0 SANFORD HEALTH
 
(10) SANFORD HEALTHCARE ACCESSORIES LLC
3223 32ND AVE SW
FARGO,ND58103
20-2404179 		SALES OF DURABLE MEDICAL EQUIP ND 8,010,607 50,892,989 SANFORD HEALTH
 
(11) SHETEK MEDICAL SERVICES LLC
251 5TH STREET E
TRACY,MN56175
41-2004685 		HOME HEALTH SERVICES MN -270,519 53,628 SANFORD HEALTH NETWORK
 
(12) SOUTHWEST MN RADIATION CENTER LLC
1018 6TH AVENUE
WORTHINGTON,MN56187
46-0447693 		RADIATION SERVICES MN -630,055 2,978 SANFORD HEALTH NETWORK
 
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)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
 
(2)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
 
(3)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
 
(4)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
 
(5)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
 
(6)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
 
(7)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
 
(8)F-M AMBULANCE SERVICE INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0344371 		EMT ND 501(C)(4)   SANFORD NORTH
 
Yes
 
(9)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
 
(10)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
 
(11)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
 
(12)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
 
(13)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
 
(14)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
 
(15)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
 
(16)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
 
(17)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
 
(18)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
 
(19)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
 
(20)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
 
(21)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
 
(22)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
 
(23)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
 
(24)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
 
(25)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
 
(26)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
 
(27)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
 
(28)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
 
(29)SANFORD
P O BOX 5039 RTE 5218

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

SIOUX FALLS,SD571175039
36-3297853 		FOUNDATION SD 501(C)(3) 12-II SANFORD HEALTH
 
Yes
 
(31)SANFORD HEALTH FOUNDATION NORTH
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0398104 		FOUNDATION ND 501(C)(3) 7 SANFORD NORTH
 
Yes
 
(32)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
 
(33)SANFORD HEALTH FOUNDATION WEST
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0397196 		FOUNDATION ND 501(C)(3) 7 SANFORD BISMARCK
 
Yes
 
(34)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
 
(35)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
 
(36)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
 
(37)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
 
(38)THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0422866 		FOUNDATION MN 501(C)(3) 7 SANFORD HEALTH
 
Yes
 
(39)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) 12-I SANFORD
 
Yes
 
(40)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
 
(41)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
 
(42)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) 2021
Schedule R (Form 990) 2021
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) 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  
(2) 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  
(3) 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  
(4) GOOD SAMARITAN INSURANCE PLAN LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-5051671 		INSURANCE DE N/A
         No     No  
(5) 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  
(6) 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  
(7) 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  
(8) NATIONAL STUDENT HOUSING-SOUTH DAKOTA LLC

100 S PHILLIPS AVE
SIOUX FALLS,SD57104
20-2129839 		INVESTMENT SD N/A
         No     No  
(9) 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  
(10) 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  
(11) 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  
(12) RAC RENTALS LLC

100 S PHILLIPS AVE
SIOUX FALLS,SD57104
26-1961077 		INVESTMENT SD N/A
         No     No  
(13) 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  
(14) 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  
(15) 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  
(16) 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  
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) 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       Yes  
(2) GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-5037667 		INSURANCE NE N/A
 C       Yes  
(3) GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-5020633 		INSURANCE ND N/A
 C       Yes  
(4) GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-4989242 		INSURANCE SD N/A
 C       Yes  
(5) GOOD SAMARITAN SOCIETY INSURANCE LTD

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
98-0379099 		INSURANCE CJ N/A
 C       Yes  
(6) 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       Yes  
(7) 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       Yes  
(8) 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       Yes  
(9) 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       Yes  
(10) 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       Yes  
(11) SANFORD FRONTIERS

1305 W 18TH STREET PO BOX 5039
SIOUX FALLS,SD571175039
45-5436599 		WEIGHT LOSS/FITNESS SD SANFORD HEALTH
  		C     100.000 % Yes  
(12) SANFORD HEALTH PLAN

300 CHERAPA PLACE
SIOUX FALLS,SD57103
91-1842494 		INSURANCE SD SANFORD HEALTH
  		C     100.000 % Yes  
(13) SANFORD HEALTH PLAN OF MN

300 CHERAPA PLACE
SIOUX FALLS,SD57103
46-0445852 		INSURANCE MN SANFORD HEALTH
  		C     100.000 % Yes  
(14) SANFORD INTERNATIONAL - MUNICH GMBH

NYMPHENBURGER STRASSE 3
MUNICH    
GM
HEALTHCARE GM SANFORD WORLD CLINICS
  		C 1,032 11,922,129 100.000 % Yes  
(15) SANFORD WORLD CLINICS - GHANA

SARBAH ROAD TANTRI LORRY STATION
CAPE COAST    
GH
HEALTHCARE GH SANFORD WORLD CLINICS
  		C -1,287,351 3,820,306 100.000 % Yes  
(16) SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD

188 YESHENG ROAD ROOM A-862 GUOMA
SHANGHAI    
CH
HEALTHCARE CH SANFORD WORLD CLINICS
  		C 129,795 733,182 100.000 % Yes  
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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
Yes
 
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
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
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 WORLD CLINICS - GHANA

 B 558,073 CASH METHOD
(2) SANFORD FRONTIERS

 B 67,964,440 CASH METHOD
(3) THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

 C 129,657 CASH METHOD
(4) SANFORD HEALTH FOUNDATION

 C 32,783,754 CASH METHOD
(5) SANFORD HEALTH FOUNDATION NORTH

 C 6,493,930 CASH METHOD
(6) SANFORD HEALTH FOUNDATION WEST

 C 750,158 CASH METHOD
(7) SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA

 C 324,562 CASH METHOD
(8) SANFORD SHANGHAI

 F 176,871 CASH METHOD
(9) THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION

 P 3,115,069 CASH METHOD
(10) SANFORD HEALTH FOUNDATION WEST

 P 1,031,857 CASH METHOD
(11) SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA

 P 732,442 CASH METHOD
(12) SANFORD HEALTH FOUNDATION NORTH

 P 2,166,778 CASH METHOD
(13) SANFORD HEALTH FOUNDATION

 P 6,439,015 CASH METHOD
(14) THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION

 Q 2,362,611 CASH METHOD
(15) FM AMBULANCE

 Q 3,452,233 CASH METHOD
(16) SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA

 R 221,668 CASH METHOD
(17) SANFORD HEALTH FOUNDATION NORTH

 R 3,054,692 CASH METHOD
(18) SANFORD HEALTH FOUNDATION

 R 5,815,357 CASH METHOD
(19) SANFORD

 R 35,458,792 CASH METHOD
(20) SANFORD HEALTH FOUNDATION WEST

 S 1,236,841 CASH METHOD
(21) SANFORD

 S 10,035,742 CASH METHOD
(22) THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

 S 29,205,803 CASH METHOD
(23) SANFORD HEALTH PLAN

 B 500,000 CASH METHOD
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
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) 2021
Schedule R (Form 990) 2021
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) 2021

Additional Data


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