2025-02-07T10:55:15-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-01-01 271218956 SANFORD SANF 6053331000 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 NICHOLAS OLSON EVP, CFO 6053331000 2025-02-07 1 0 JESS WAGENER P01622613 3128792000 2023 2025-03-06 01:10:19Z BILL GASSEN 2301 EAST 60TH ST SIOUX FALLS SD 57104 78878181 0 X WWW.SANFORDHEALTH.ORG X 2009 ND "DEDICATED TO SHARING GOD'S LOVE THROUGH THE WORK OF HEALTH, HEALING AND COMFORT." 10 5 33490 0 0 0 0 0 0 0 13687193 16207242 0 1172597 13687193 17379839 0 0 0 0 25152674 19426961 0 0 0 19149618 23556351 44302292 42983312 -30615099 -25603473 429967937 667435449 1255345781 1233542279 -825377844 -566106830 "DEDICATED TO SHARING GOD'S LOVE THROUGH THE WORK OF HEALTH, HEALING AND COMFORT." 0 0 0 0 0 SANFORD IS A NON-PROFIT ORGANIZATION DEVELOPED TO PROMOTE THE HEALTH AND WELL-BEING OF PERSONS IN ITS SERVICE AREA THROUGH PLANNING AND ESTABLISHMENT OF POLICY FOR COORDINATION AND OVERSIGHT OF SANFORD'S CONTROLLED ORGANIZATIONS. 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 0 0 33490 1 0 0 0 0 0 0 0 0 0 0 1 0 X 10 5 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X NICHOLAS OLSON EVP CFO 6053331000 2301 EAST 60TH STREET SIOUX FALLS SD 57104 SANFORD GROUP RETURN SEE SCHEDULE O - TRUSTEE 0.50 5.10 X 0 1209069 16560 SANFORD GROUP RETURN SEE SCHEDULE O - OFFICER 10.00 50.00 X 7653943 0 545101 SANFORD GROUP RETURN SEE SCHEDULE O - KEY EMPLOYEE 5.00 55.00 X 8609788 0 1221783 SANFORD GROUP RETURN SEE SCHEDULE O - HCE 0.00 60.00 X 0 14995381 232575 SANFORD GROUP RETURN SEE SCHEDULE O - FORMER 0.00 0.00 X 2607518 0 141301 18871249 16204450 2157320 1659 1 1 0 MCKINSEY & COMPANY INC US 140 FOUNTAIN PARKWAY NORTH STE 800 ST PETERSBURG FL 33716 PROFESSIONAL SERVICES 8457500 PAUL WEISS REFKIND WHARTON & GARRISON LL 1285 AVENUE OF THE AMERICAS NEW YORK NY 10019 PROFESSIONAL SERVICES 4466457 KAUFMAN HALL & ASSOCIATES LLC 5215 OLD ORCHARD ROAD SUITE 800 SKOKIE IL 60077 HEALTHCARE CONSULTING 1031260 CHARLES RIVER ASSOCIATES 200 CLARENDON STREET BOSTON MA 021165092 GLOBAL CONSULTING FIRM 829969 ADVISORY BOARD COMPANY PO BOX 84019 CHICAGO IL 60689 CONSULTING 577429 23 12411052 12411052 65294532 61498342 3796190 3796190 3796190 ERC INTEREST 900099 1172597 1172597 1172597 17379839 0 0 17379839 X 16193489 16193489 60725 60725 2275638 2275638 897109 897109 73061 73061 520617 520617 1190202 1190202 14833863 14833863 81859 81859 79028 79028 142906 142906 2055289 2055289 513477 513477 228728 228728 51749 51749 1195 1195 PURCHASED SERVICES 2336649 2336649 SALES TAX 927840 927840 OTHER EXPENSES 443808 443808 PROFESSIONAL DUES 64454 64454 11626 11626 42983312 0 42983312 0 119801 15717 39308 263026 127 124900 649169 1137059 754397 434411 382662 342786384 589137611 8548406 29180386 6912312 6411196 79431187 32966783 429967937 667435449 202622407 218280960 375433642 360240864 71469732 61345455 605820000 593675000 1255345781 1233542279 X -825377844 -566106830 -825377844 -566106830 429967937 667435449 X -25603473 -17853494 302727981 X 0 1 X 1 0 X X X 16 BAKER PARK INC 411372480 10 1 5299 0 SANFORD BISMARCK 450226700 3 1 6396674 0 SANFORD CLINIC 460447693 10 1 431208 0 SANFORD CLINIC NORTH 911770748 10 1 886752 0 SANFORD HEALTH FOUNDATION NORTH 450398104 7 1 30130 0 SANFORD HEALTH FOUNDATION WEST 450397196 7 1 4682 0 SANFORD HEALTH NETWORK 460388596 3 1 2637414 0 SANFORD HEALTH OF NORTHERN MINNESOTA 411266009 3 1 2999441 0 SANFORD HOME HEALTH 460282134 10 1 76472 0 SANFORD MEDICAL CENTER 460227855 3 1 11054789 0 SANFORD MEDICAL CENTER FARGO 460226909 3 1 13570188 0 SANFORD RESEARCH 460450378 4 1 157205 0 SANFORD RESEARCH NORTH 450274828 4 1 36241 0 SANFORD WORLD CLINICS 262707628 10 1 53986 0 THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION 460422866 7 1 45258 0 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 450228055 10 1 4597573 0 16 42983312 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 500000 1 20617 0 0 0 0 520617 0 PART II-B, LINE 1: THE FILING ORGANIZATION HAS MEMBERSHIPS IN THE FOLLOWING ORGANIZATIONS: THE COALITION TO STRENGTHEN AMERICA'S HEALTHCARE 100% OF MEMBERSHIP DUES PAID TO THIS ORGANIZATION RELATES TO LOBBYING EXPENSES. IN ADDITION, THE ORGANIZATION EMPLOYS CERTAIN INDIVIDUALS, AND CONTRACTS WITH VARIOUS LOBBYISTS TO MONITOR LEGISLATIVE ACTS IMPORTANT TO ALL SANFORD ENTITIES ON BOTH STATE AND NATIONAL LEVELS. 1137059 754397 382662 382662 SERIES 2019 AND 2021 TAXABLE BONDS 593675000 593675000 X PART X, LINE 2: CERTAIN CONTROLLED ORGANIZATIONS ARE SUBJECT TO INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISION REFLECTS THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. SANFORD DID NOT HAVE A TAX LIABILITY AT DECEMBER 31, 2023; SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. X X X X 1 1 1 1 0 0 0 1 1 1 0 SANFORD GROUP RETURN SEE SCHEDULE O - HCE 0 14572975 0 644 0 421762 0 81669 0 150906 0 15227956 0 0 SANFORD GROUP RETURN SEE SCHEDULE O - KEY EMPLOYEE 6187952 0 1307582 0 1114254 0 1048435 0 173348 0 9831571 0 0 0 SANFORD GROUP RETURN SEE SCHEDULE O - OFFICER 3479266 0 573471 0 3601206 0 527204 0 17897 0 8199044 0 430889 0 SANFORD GROUP RETURN SEE SCHEDULE O - FORMER 635599 0 98282 0 1873637 0 114000 0 27301 0 2748819 0 0 0 SANFORD GROUP RETURN SEE SCHEDULE O - TRUSTEE 0 928048 0 0 0 281021 0 16500 0 60 0 1225629 0 0 SCHEDULE J PART III PLEASE SEE SCHEDULE O FOR ELECTION UNDER TREASURY REGULATION SECTION 1.6033-2(D)(5) TO DISCLOSE COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES AND CERTAIN OTHER HIGHLY PAID EMPLOYEES ON A CONSOLIDATED BASIS ON THE SANFORD GROUP RETURN, EIN: 45-3791176. A COLORADO HEALTH FACILITIES AUTHORITY 840752932 19648FPR9 2019-11-20 422438544 2019A: TO REFUND BONDS ISSUED 9/29/2009 AND 10/31/2014, AND 0 0 0 A 39425000 3279857 422438676 17149 2894833 348797590 70746253 2019 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 A 0 SCHEDULE K, PART I, BOND ISSUE: (F) DESCRIPTION OF PURPOSE: 2019A: TO REFUND BONDS ISSUED 9/29/2009 AND 10/31/2014, AND ACQUISITION OF ASSETS FROM THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY. WITH THE DIVESTITURE OF SEVERAL TAX-EXEMPT FINANCED PROPERTIES FOR THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY, WE HAVE A CHANGE IN USE OF THE PROCEEDS AND ARE SUBSTITUTING THE PROJECTS SOLD WITH OTHER TAX-EXEMPT ELIGIBLE PROJECTS. FORM 990, PART V, SECTION A, LINE 1C ALTHOUGH SANFORD REPORTED PAYMENTS TO 24 DIFFERENT INDEPENDENT CONTRACTORS OF OVER $100,000, NO 1099S WERE REPORTED ON PART V, LINE 1A. THE REASON FOR THIS IS BECAUSE ALL FORMS FOR 2023 WERE REPORTED UNDER SANFORD HEALTH (EIN 31-1527032). FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE EMPLOYEES OF SANFORD OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED SANFORD BOARDS, OR HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THAT SPAN THE ORGANIZATION AS A WHOLE: MARK LUNDEEN, MICHAEL LEBEAU, BILL GASSEN, JENNIFER GRENNAN, TODD SCHAFFER, MICHELLE BRUHN, PAUL HANSON, KARKA EISCHENS, TIFFANY LAWRENCE, MATT HOCKS AND BILL MARLETTE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE EXECUTIVE MANAGEMENT TEAM. AN EXTERNAL ACCOUNTING FIRM REVIEWS AND SIGNS THE RETURN. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDED TO THE CURRENT BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS IS MANAGED BY THE CHIEF COMPLIANCE OFFICER (CCO). THE CCO IS RESPONSIBLE FOR ASSURING THAT ALL COMPLETED FORMS ARE RETURNED IN A TIMELY AND COMPLETE MANNER. CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO SYSTEM TRUSTEES, MEMBERS OF THE GOVERNING BOARDS OF SUBSIDIARY ENTITIES, OFFICERS, AND KEY EMPLOYEES FOR ALL ENTITIES SUBJECT TO THE IRS FORM 990 FILINGS. THE DISCLOSURES ARE SUMMARIZED FOR REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, PURSUANT TO POLICY. THIS REVIEW ALLOWS: 1) THE BOARD TO ACQUIRE AN AWARENESS OF FINANCIAL RELATIONSHIPS OF BOARD MEMBERS AND KEY MANAGEMENT EMPLOYEES AND CAN INVOKE THE RECUSAL PROCESS ON A CASE-BY-CASE BASIS IF POTENTIAL CONFLICTS ARE IMPLICATED IN BOARD DECISIONS AND DELIBERATIONS, AND, 2) GIVES THE BOARD THE OPPORTUNITY TO SEEK ADDITIONAL INFORMATION AND CLARIFICATION ABOUT DISCLOSURES TO DETERMINE POTENTIAL CONFLICTS OF INTEREST, AND HOW TO MANAGE SUCH. FORM 990, PART VI, SECTION B, LINE 15 SANFORD HAS A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII, SECTION A. THIS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION FOR SUCH COMPENSATION. SANFORD ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 ALTHOUGH THE ORGANIZATION DOES NOT MAINTAIN A WEBSITE WHERE THE PUBLIC CAN ACCESS THESE DOCUMENTS, IT WOULD RESPOND INDIVIDUALLY TO ANY REQUESTS OR INQUIRIES FROM THE PUBLIC FOR THESE DOCUMENTS. ELECTION PURSUANT TO TREASURY REG SECTION 1.6033-2(D)(5), SANFORD HAS ELECTED TO REPORT INFORMATION ABOUT CONTRIBUTIONS, GIFTS & GRANTS, COMPENSATION, AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES, CERTAIN OTHER HIGHLY PAID EMPLOYEES, CERTAIN PROFESSIONAL CONTRACTORS, AND CERTAIN OTHER CONTRACTORS ON A CONSOLIDATED BASIS FOR ALL OF THE MEMBERS OF THE GROUP, INCLUDING THE PARENT ORGANIZATION, ON THE GROUP RETURN, SANFORD GROUP RETURN, EIN 45-3791176. FORM 990, PART IX, LINE 11G CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 13,926,167. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,926,167. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 907,696. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 907,696. FORM 990, PART XI, LINE 9: CASH SWEEP FROM AFFILIATED COMPANIES FOR POOLED INVESTMENTS 284,347,960. PAYROLL AND OTHER EXPENSES FOR RELATED TAX EXEMPT ENTITIES 18,380,021. ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 461495572 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 ARLINGTON GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 371805492 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 BOISE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363370371 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 COLLISTER DRIVE HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 300872973 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 F-M AMBULANCE SERVICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450344371 EMT ND 501(C)(4) SANFORD NORTH 1 GOOD SAMARITAN SOCIETY INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460349951 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271212446 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LEA COUNTY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 453946645 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LILAC WAY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 465740381 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 MILLARD GOOD SAMARITAN HOUSING GP INC P O 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