2019-05-15T11:31:03-05:00 2018-06-30 861065772 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2017-07-01 363297853 Sanford Health Foundation SANF 6053285700 P O Box 5039 Rte 5218 Sioux Falls SD 571175039 Bill Marlette Treasurer 6053331000 2019-05-15 1 Chris Meskimen P01314196 6123974000 206.208.217.34 2019-05-15 11:30:44 CD P 06548BEA0FB372D2A4E2920B5E56EB060CD9C54A E5BC8B5E57121AB33B8A1607D3C50835A925FFE9 2017 2019-02-21 02:37:17Z Kelby Krabbenhoft 2301 East 60th St Sioux Falls SD 57104 134290228 0 X www.sanfordhealthfoundation.org X 1983 SD Dedicated to raising funds in support of Sanford Health's mission to improve the human condition through the work of health and healing. 14 6 0 700 0 0 25619461 20765205 0 0 32773434 33990451 903612 547015 59296507 55302671 41623300 38512577 0 0 2820025 2831540 0 40000 1604267 1648644 3438443 46091969 44822560 13204538 10480111 772722732 772453523 52490860 61474702 720231872 710978821 X Sanford Health Foundation exists to encourage philanthropy in support of Sanford Health and other exempt entities associated with Sanford Health in providing health care, medical and educational services as well as supporting research activities and initiatives. 0 0 8302360 8302360 0 The Foundation continues its proud tradition of supporting the local healthcare-related programs, services, and operations of Sanford Health while also seeking regional, national and international support for research and initiatives. Specifically, donations help provide patient care and family support ($2,379,814), equipment and facility improvement projects ($5,885,246) and other internal programs ($37,300). 832107 832107 0 Additional donations help support healthcare education and research programs. Sanford Health is dedicated to providing continuing training and education for its employees. 29378110 29378110 0 Donations help support the Sanford InitiativesIn February 2007, the Sanford Initiatives were introduced as a unique and defining element of Sanford Health. These activities have been designed to enhance the health care capabilities of the organization, to establish a health research center recognized for translational discovery and cures, and to help build a world-class reputation. Over the early course of implementation, these initiatives have been expanded to include a number of new projects and programs. By integrating strategic partnerships, and working quickly to engage fortuitous opportunity, the rapid meeting of milestones is exemplary of Sanford's commitment to care and discovery.The Sanford World Clinic initiative was designed to meet the unique needs of the areas we serve. Broader primary care services, regenerative medicine, specialized procedures, weight loss programs, and clinic education are just a few of the specializiations developed to serve populations around the world.Outside of the national footprint, Sanford has established relationships in Ghana, China, Germany, New Zealand, South Africa, Costa Rica, Vietnam, and Ireland.Childhood Nutrition and Fitness Initiatives - Sanford Health has created Sanford fit, a health activation program developed to empower children and parents to make healthy lifestyle choices that help prevent childhood obesity. Sanford fit is comprised of a system of resources and programs including school programs, daycare training, mobile apps, and was developed using a combination of the latest scientific and behavioral research designed to educate, motivate, and inspire children of all ages to live a balanced, healthy lifestyle.Sanford International Board - This board has been developed as a group of ambassadors who help determine pace and areas of growth and evaluate overall performance. The Sanford International Board will help identify and steer initiatives that support Sanford's global efforts.The Sanford Project Beginning in April 2008, Sanford Health is seeking a cure for type 1 diabetes. The Sanford Project team is focused on the natural regeneration of insulin-producing beta cells in the diabetic pancreas and the body's autoimmune response in patients with diabetes. The Project team launched its first clinical trial and began enrolling patients in August 2010.Sanford ImageneticsBecause of one man's continued generosity, Sanford Health launched a revolutionary program to improve health and prevent disease with personalized plans of care. Sanford Imagenetics is a comprehensive program that fully integrates genetics with internal medicine, creating a first-of its-kind model for exceptional, high-quality, and innovative primary care for adults.Edith Sanford Breast CenterEdith Sanford Breast Center has pioneered the future of breast cancer research and care. By piecing together the entire genetic puzzle of each woman, we are discovering how to revolutionize treatment and eradicate breast cancer. We are mobilizing participants -- mothers, wives, sisters, and daughters -- to donate their genetic information as we build an extensive bio bank that will underpin our groundbreaking research. As we decode this deadly disease, we will know more specifically what treatments will work for each patient, how to prevent disease on an individual basis, and ultimately, how to find a cure. 38512577 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 0 0 1 7 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 14 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN OR X JoAnn Kunkel CFO 6053331000 2301 East 60th Street Sioux Falls SD 57104 X Barb Everist Trustee 0.10 5.50 X 0 725 0 Andy North Trustee 0.10 7.50 X 0 121718 0 Brent Teiken Vice Chair 0.10 5.50 X X 0 1215 0 David Beito Past Chair 0.10 5.50 X X 0 0 0 Don Jacobs Treasurer 0.10 5.50 X X 0 0 0 Don Morton through 1217 Trustee 0.10 5.50 X 0 1353 0 James Cain Secretary 0.10 5.50 X X 0 0 0 Maria Bell MD Trustee/Research Administrator 0.10 59.90 X 0 789033 29050 Mark Lundeen MD Trustee/Orthopedics Service Chair 0.10 59.90 X 0 726619 29050 Mark Paulson MD Chair/Physician Regional Chair 0.10 59.90 X X 0 266366 26202 Melissa Hinton Trustee 0.10 5.50 X 0 0 0 Michael LeBeau MD Trustee/Sr VP Bismarck Clinic 0.10 59.90 X 0 1414632 29050 Patrick Durick Trustee 0.10 5.50 X 0 1177 0 Thomas Hruby Trustee 0.10 5.50 X 0 1360 0 Kelby K Krabbenhoft Sanford President & CEO 0.10 59.90 X X 0 2276185 12726 Kelby K Krabbenhoft Def Comp Sanford President & CEO 0.10 59.90 X X 0 0 877405 JoAnn L Kunkel Chief Financial Officer 0.10 59.90 X 0 1020341 43188 Bobbie Tibbetts VP Sanford Health Foundation 20.00 40.00 X 0 217235 21817 Micah Aberson Chief Global Brand Officer 5.00 55.00 X 0 539386 39501 0 7377345 1107989 0 0 1 0 First Premier Bank PO Box 2640 Sioux Falls SD 571012640 Investment Management 1072491 Independent Portfolio Consultants 5002 T-Rex Ave 225 Boca Raton FL 33431 Investment Management 681470 Bockorny Group Inc 1305 I Street NW Suite 800 Washington DC 20005 Sanford Ambassador (relationship mngr) 120000 3 413388 6000 20345817 1031725 20765205 36853558 36853558 75789426 78633052 19481 -2843626 -19481 -2863107 -2863107 98925 413388 335024 -236099 -236099 Shared Corp Services 541900 771863 771863 Donor CSV Adj 525990 7806 7806 Other Revenue 525990 3445 3445 783114 55302671 771863 0 33765603 38512577 38512577 2292700 1658487 634213 100824 76713 24111 286954 201501 85453 151062 107263 43799 25661 25661 40000 40000 1619350 1619350 394261 27440 366821 31901 31901 56896 23932 32964 47566 45787 1779 346216 345577 639 58605 18850 39755 43331 37499 5832 46751 46561 190 16710 16710 Purchased Services 435800 435800 Dues and Memberships 129385 634 128751 Donor Stewardship 102028 260 101768 Fundraising Materials 60145 60145 23837 17691 6146 44822560 38512577 4705716 1604267 501 500 525926 403212 7114631 6030179 56333 56455 9159 493249 304348 244041 188901 758109750 764484132 6671428 1281107 772722732 772453523 1076140 169784 58000 1682003 1773314 49674717 59531604 52490860 61474702 X 564891065 557996464 118368834 115750400 36971973 37231957 720231872 710978821 772722732 772453523 X 10480111 -17264921 -2468241 X 0 1 X 1 0 X X 1 Sanford USD Medical Center 460227855 3 1 38512577 0 1 38512577 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 X 36971973 259984 37231957 36277849 694124 36971973 34946341 1331508 36277849 33762349 1170837 13155 34946341 32738447 952641 71261 33762349 1.00000 0 0 60156 40426 19730 433093 263922 169171 188901 Annuities payable 138435 Deferred revenue 59393169 59531604 X Part IV, Line 2b: The organization manages custodial accounts owned by related organizations of Sanford Health with the funds balance co-mingled with other investment assets of the organization. The use of the funds balance will be overseen and expended by the owner. Part V, Line 4: The organization's use of the endowment funds is to meet the donors intent in providing health care, medical, or educational services to Sanford Health. 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 Health Foundation did not have an income tax liability at June 30, 2018; however, some related organizations have established reserves. X X X 1 Jana K Olslund & Associates LLC 14309 Cottage Lake Rd Jacksonville FL 32224 Consultant retained to identify and solicit gifts 0 0 40000 -40000 40000 -40000 MN OR Sanford Classic 464292 366617 97675 103319 71618 35898 6153 114016 Great American Bike Race 48021 46771 1250 523 995 186 2316 512313 413388 98925 103842 72613 36084 6153 116332 335024 -236099 Sch G, Part I, 2b (ii)Activity: Consultant retained to identify and solicit gifts for Sanford 1 Sanford USD Medical Center P O Box 5039 Rte 5218 Sioux Falls SD 571175039 460227855 501(c)(3) 38512577 See Form 990, Page 2, Part III 1 0 Part I, Line 2: Grants are disbursed by supporting organization only after the expenditure has been made and properly authorized by the supported organization along with related documentation indicating the fulfillment of donor wishes. 0 1 0 0 0 0 0 0 0 Maria Bell MD Trustee/Research Administrator 0 775124 0 10000 0 3909 0 0 0 29050 0 818083 0 0 Mark Lundeen MD Trustee/Orthopedics Service Chair 0 725227 0 0 0 1392 0 0 0 29050 0 755669 0 0 Mark Paulson MD Chair/Physician Regional Chair 0 268457 0 0 0 -2091 0 0 0 26202 0 292568 0 0 Michael LeBeau MD Trustee/Sr VP Bismarck Clinic 0 1342178 0 3000 0 69454 0 0 0 29050 0 1443682 0 0 Kelby K Krabbenhoft Sanford President & CEO 0 1644254 0 542500 0 89431 0 0 0 12726 0 2288911 0 0 Kelby K Krabbenhoft Def Comp Sanford President & CEO 0 0 0 0 0 0 0 877405 0 0 0 877405 0 0 JoAnn L Kunkel Chief Financial Officer 0 703270 0 202500 0 114571 0 21375 0 21813 0 1063529 0 0 Bobbie Tibbetts VP Sanford Health Foundation 0 176546 0 20300 0 20389 0 0 0 21817 0 239052 0 0 Micah Aberson Chief Global Brand Officer 0 395781 0 86250 0 57355 0 13275 0 26226 0 578887 0 0 Part I, Line 1a Certain items listed on Line 1a are provided by related organizations. Part I, Line 3: 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 officers and executives of the organization, including 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 2018. Part I, Line 4b Certain executives participate in a defined benefit SERP Plan. There were no individuals who received payments during the year. Substant Contributor #14 Substantial Contributor 120000 A substantial contributor was also paid as a vendor of services. 0 X 6 1031725 FMV 0 0 1 0 Part I, Column (b): The organization is reporting the number of items contributed. 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, Micah Aberson, Kelby Krabbenhoft, JoAnn Kunkel and Bobbie Tibbetts. Form 990, Part VI, Section A, line 6 Sanford Health is governed by a Board of Trustees (BOT) that has ultimate strategic and decision making authority. The BOT delegates certain activities and responsibilities to Boards of each of Sanford's primary operating subsidiaries. The unique nature and complexity of the subsidiaries requires each to have a delegated Board with a singular entity focus. Such bodies, referred to as Boards of Directors and Boards of Governors, address matters such as credentialing, accreditation standards, developing budgets, programs and facilities on an entity-specific basis, and generally consist of individuals distinct from the BOT. These Boards function much like committees in a traditional corporate structure. The BOT then act as a holding company Board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. Sanford is the sole member of Sanford Health. Sanford Health is the sole member of the organization. The Board of Trustees of Sanford also comprises the Board of Trustees for Sanford Health and for the organization. The Board of Trustees delegates authority to the Board of Directors of the organization. Actions approved by the organization's Board of Directors are then subject to approval by the Board of Trustees. Form 990, Part VI, Section A, line 7a The Sanford Board of Trustees appoints the board members for the Board of Directors of Sanford Health Foundation. Form 990, Part VI, Section A, line 7b The Sanford Board of Trustees approves the actions approved by the Board of Directors of Sanford Health Foundation. Form 990, Part VI, Section B, line 11b The Form 990 is prepared internally by Finance and reviewed by executive management. An external accounting firm reviews the return and 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 them. Form 990, Part VI, Section B, line 15 A related party, Sanford Health, does have a process for determining compensation of the persons listed on Part VII Section A, including a review and approval by independent persons, review of comparability data and contemporaneous substantiation of the deliberation and decision for such compensation. 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 officers and executives of the organization, including 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 2018. 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. Form 990, Part VII The Sanford Board of Trustees has ultimate governance responsibilities for each major operation entity within Sanford. In addition, a Board of Directors is established for each major operating entity. This Board has specific responsibilities delegated from the Board of Trustees. Generally these responsibilities are related to the oversight of the day to day operations of that entity. Form 990, Part XI, line 9: Transfer from related tax-exempt org for payroll and operating expenses 7,325,611. Losses on Uncollectible Pledges -12,522. Transfer of Sanford House to Sanford Health -9,781,330. Sanford PO Box 5039 Rte 5218 Sioux Falls SD 571175039 271218956 Supporting Organization ND 501(c)(3) 12-II 0 Edith Sanford Breast Cancer Foundation PO Box 5039 Rte 5218 Sioux Falls SD 571175039 450404126 Foundation ND 501(c)(3) 12-II Sanford Health 1 F-M Ambulance Service Inc PO Box 5039 Rte 5218 Sioux Falls SD 571175039 450344371 EMT ND 501(c)(4) Sanford North 1 Sanford Health Foundation North PO Box 5039 Rte 5218 Sioux Falls SD 571175039 450398104 Foundation ND 501(c)(3) 7 Sanford North 1 Sanford Health Foundation Hillsboro PO Box 5039 Rte 5218 Sioux Falls SD 571175039 363542187 Foundation ND 501(c)(3) 7 Sanford Hillsboro 1 Sanford Health Foundation of Northern Minnesota PO Box 5039 Rte 5218 Sioux Falls SD 571175039 411389317 Foundation MN 501(c)(3) 12-II Sanford Health of Northern Minnesota 1 Sanford Health Foundation West PO Box 5039 Rte 5218 Sioux Falls SD 571175039 450397196 Foundation ND 501(c)(3) 7 Sanford Bismarck 1 Medcenter One Inc Auxiliary PO Box 5039 Rte 5218 Sioux Falls SD 571175039 237293043 Supporting Organization ND 501(c)(3) 12-II Sanford Bismarck 1 Sanford Heart of America Health Plan PO Box 5039 Rte 5218 Sioux Falls SD 571175039 450346132 Insurance ND 501(c)(4) Sanford Health Plan 1 Sanford Health Foundation Thief River Falls PO Box 5039 Rte 5218 Sioux Falls SD 571175039 411761135 Foundation MN 501(c)(3) 7 Sanford Medical Center Thief River Falls 1 National Student Housing-South Dakota LLC 100 S Phillips Ave Sioux Falls SD 57104 202129839 Investment SD N/A RAC Rentals LLC 100 S Phillips Ave Sioux Falls SD 57104 261961077 Investment SD N/A Sanford Home Medical Equipment Inc 2710 W 12th Street Sioux Falls SD 57105 460388597 Healthcare Equipment SD N/A C 1 Sanford Health Plan 300 Cherapa Place Sioux Falls SD 57103 911842494 Insurance SD N/A C 1 Sanford Health Plan of MN 300 Cherapa Place Sioux Falls SD 57103 460445852 Insurance MN N/A C 1 Sanford Frontiers 1305 W 18th Street PO Box 5039 Sioux Falls SD 571175039 455436599 Weight Loss/Fitness SD N/A C 1 SOB Inc 2701 S Minnesota Avenue Suite 2 Sioux Falls SD 57105 460442628 Air Transportation SD Sanford Health Foundation C 558176 713454 1.00000 1 Sanford Affiliated Services Inc 300 N 7th Street Bismarck ND 58501 450403146 Investment Activity ND N/A C 1 Sanford World Clinics - Ghana Sarbah Road Tantri Lorry Station Cape Coast GH Healthcare GH N/A C 1 Shanghai Sanford Healthcare Management Consulting Co Ltd 188 Yesheng Road Room A-862 Guoma Shanghai CH Healthcare CH N/A C 1 Sanford International - Munich GmbH Nymphenburger Strasse 3 Munich GM Healthcare GM N/A C 1 Split Interest Trust (10) Trust SD N/A T 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 Sanford USD Medical Center B 38512577 Cash Method Sanford Health S 7325611 Cost Method