2022-11-11T17:10:57-06:00 2021-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET STE 2800 MINNEAPOLIS MN 55402 990 2021-01-01 271218956 SANFORD SANF 6053331000 P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 MICHELLE BRUHN EVP, CFO & TREASURER 6053331500 2022-11-11 1 MICHELLE BRUHN XXX-XX-XXXX CHRIS MESKIMEN P01314196 6123974000 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z BILL GASSEN 2301 EAST 60TH ST SIOUX FALLS SD 57104 126467601 0 5851 X WWW.SANFORDHEALTH.ORG X 2009 ND "DEDICATED TO SHARING GOD'S LOVE THROUGH THE WORK OF HEALTH, HEALING AND COMFORT." 13 6 33095 0 0 0 0 0 0 0 7217915 12274166 1510721 0 8728636 12274166 0 0 0 0 98652128 46471092 0 0 0 9359975 13589809 108012103 60060901 -99283467 -47786735 493192629 665368621 1046747274 1230871505 -553554645 -565502884 "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 1 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 0 0 33095 1 0 0 0 0 0 0 0 0 0 0 1 0 X 13 6 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MN X MICHELLE BRUHN EVP CFO & TREASURER 6053331000 2301 EAST 60TH STREET SIOUX FALLS SD 57104 X SANFORD GROUP RETURN SEE SCHEDULE O - TRUSTEE 0.50 5.10 X 0 2359768 99013 SANFORD GROUP RETURN SEE SCHEDULE O - OFFICER 10.00 50.00 X 11295181 0 338321 SANFORD GROUP RETURN SEE SCHEDULE O - KEY EMPLOYEE 5.00 55.00 X 15678740 0 1734993 SANFORD GROUP RETURN SEE SCHEDULE O - HCE 0.00 60.00 X 2882195 12275806 195315 SANFORD GROUP RETURN SEE SCHEDULE O - FORMER 0.00 60.00 X 1774086 0 53436 31630202 14635574 2421078 1357 1 1 0 LEAVITT PARTNERS LLC 299 S MAIN ST 2300 SALT LAKE CITY UT 84111 CONSULTING 1060356 NY LIFE 2601 S WESTERN AVE SIOUX FALLS SD 57105 INVESTMENT MANAGEMENT 729802 CROWDSTRIKE INC 150 MATHILDA PLACE STE 300 SUNNYVALE CA 94086 SOFTWARE/TECHNOLOGY 624410 ADVISORY BOARD COMPANY 655 NEW YORK AVE NW WASHINGTON DC 20001 CONSULTING 388587 BRAVANTI LLC 181 W MADISON STE 3700 CHICAGO IL 60602 CONSULTING 311182 28 9323654 9323654 117137947 6000 114193435 0 2944512 6000 2950512 2950512 12274166 0 0 12274166 38833017 38833017 201409 201409 2462740 2462740 4973926 4973926 53023 53023 1069 1069 1840827 1840827 3448733 3448733 210867 210867 164586 164586 698723 698723 213110 213110 2078557 2078557 1323253 1323253 118076 118076 100 100 INTERCOMPANY PURCHASES 1707100 1707100 BAD DEBT 1007737 1007737 OTHER EXPENSES 546826 546826 EMPLOYEE RECRUITMENT 143772 143772 33450 33450 60060901 0 60060901 0 35 65 518648 230241 306932 218650 1945410 1662515 279222 282895 486324734 542121972 5763058 7418548 0 115096250 493192629 665368621 185378537 138740881 784153277 761236105 77215460 81049519 0 249845000 1046747274 1230871505 X -553554645 -565502884 -553554645 -565502884 493192629 665368621 X -47786735 379703 35458793 X 0 1 X 1 0 X X X 16 SANFORD USD MEDICAL CENTER 460227855 3 1 14329616 0 SANFORD MEDICAL CENTER FARGO 460226909 3 1 16834104 0 SANFORD CLINIC 460447693 3 1 1072669 0 SANFORD CLINIC NORTH 911770748 10 1 1899671 0 SANFORD HOME HEALTH 460282134 10 1 121976 0 SANFORD HEALTH FOUNDATION NORTH 450398104 7 1 50480 0 SANFORD RESEARCH 460450378 4 1 205972 0 SANFORD HEALTH OF NORTHERN MINNESOTA 411266009 3 1 3662688 0 BAKER PARK INC 411372480 10 1 5485 0 SANFORD WORLD CLINICS 262707628 3 1 109229 0 SANFORD HEALTH FOUNDATION WEST 450397196 7 1 7663 0 SANFORD BISMARCK 450226700 3 1 7721871 0 SANFORD HEALTH NETWORK 460388596 3 1 3560608 0 SANFORD RESEARCH NORTH 450274828 4 1 40347 0 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 450228055 10 1 9387782 0 THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION 460422866 7 1 43003 0 16 59053164 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1945410 1662515 282895 282895 PROJECT FUND 115096250 115096250 SERIES 2021 BONDS 249845000 249845000 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, 2021; SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. X X X X 1 1 1 1 0 0 0 0 1 1 0 SANFORD GROUP RETURN SEE SCHEDULE O - KEY EMPLOYEE 7326310 0 3909463 0 4442967 0 1535967 0 199026 0 17413733 0 243758 0 SANFORD GROUP RETURN SEE SCHEDULE O - HCE 708024 12096583 253000 0 1921171 179223 14500 56663 24975 99177 2921670 12431646 0 0 SANFORD GROUP RETURN SEE SCHEDULE O - OFFICER 4054535 0 2230067 0 5010579 0 297800 0 40521 0 11633502 0 0 0 SANFORD GROUP RETURN SEE SCHEDULE O - TRUSTEE 0 2249629 0 54000 0 56139 0 40913 0 58100 0 2458781 0 0 SANFORD GROUP RETURN SEE SCHEDULE O - FORMER 984890 0 612000 0 177196 0 27139 0 26297 0 1827522 0 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 421688687 2019A: TO REFUND BONDS ISSUED 9/29/2009 AND 10/31/2014, AND 0 0 0 A 18725000 421688820 35 2894833 348797590 69996396 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 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: MARIA BELL, MARK LUNDEEN, MARK PAULSON, MICHAEL LEBEAU, BILL GASSEN, BILL MARLETTE, BRYAN NERMOE, JENNIFER GRENNAN, TOOD SCHAFFER, MICAH ABERSON, MICHELLE BRUHN, MICHELLE MICKA, PAUL HANSON, SUSAN JARVIS, AND MATT HOCKS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. AN EXTERNAL ACCOUNTING FIRM REVIEWS THE RETURN. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE BOARD OF TRUSTEES MEETING PRIOR TO THE RETURN FILING DATE. 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 THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY 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 2021. 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 XI, LINE 9: PAYROLL AND OTHER EXPENSES FOR RELATED TAX EXEMPT ENTITIES 45,494,535. PAYOFF BONDS FOR RELATED TAX EXEMPT ENTITY -10,035,742. 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