2019-05-15T11:32:06-05:00 2018-06-30 861065772 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2017-07-01 450346132 Sanford Heart of America Health Plan SANF 7017765848 P O Box 5039 Route 5218 Sioux Falls SD 571175039 Bill Marlette Treasurer 6053331000 2019-05-15 1 Chris Meskimen P01314196 6123974000 206.208.217.34 2019-05-15 11:31:50 CD P 06548BEA0FB372D2A4E2920B5E56EB060CD9C54A E5BC8B5E57121AB33B8A1607D3C50835A925FFE9 2017 2019-02-21 02:37:17Z Kelby Krabbenhoft 2301 East 60th St Sioux Falls SD 57104 3584207 0 X www.hoahp.com X 1978 ND To coordinate effective and efficient delivery of high-quality health care in a cost effective manner. 14 6 0 7 0 0 0 0 3273291 3235295 36916 39599 0 0 3310207 3274894 0 0 0 0 96687 96471 0 0 0 2854044 3078600 2950731 3175071 359476 99823 3457148 3293388 902407 673360 2554741 2620028 X The Sanford Heart of America Health Plan is a rural, nonprofit health maintenance organization. Our mission is to coordinate effective and efficient delivery of high-quality health care in a cost effective manner. Member service is our priority. We are committed to the development of personal responsibility for a healthy lifestyle. 0 0 3073261 3235295 Sanford Heart of America Health Plan was incorporated for the purpose of providing comprehensive health care services on a prepaid basis and for the purpose of establishing and operating organized health maintenance and health care delivery systems.Sanford Heart of America Health Plan (SHAHP) served 326 Medicare members during fiscal year 2018 and 266 commercial and individual members. Through June 30, 2018, the following community services were provided:SHAHP hosted their annual Fun Walk event in August. 3073261 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 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 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/Senior 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 Kirk Zimmer President, Health Plan 15.00 45.00 X 0 713869 40401 0 7334593 1087072 0 0 1 0 0 Premiums 524114 3149353 3149353 Medicare Reimbursement 524114 85942 85942 3235295 47550 47550 301362 309313 -7951 -7951 -7951 3274894 3235295 0 39599 74962 63718 11244 3824 3250 574 12356 10503 1853 5329 4530 799 77126 77126 4348 4348 3028 2949 79 888 755 133 15764 13399 2365 17875 15194 2681 202 172 30 3102 2637 465 Claims 2730459 2730459 Purchased Services 117641 117641 Reinsurance 66133 66133 Premiums Tax 41223 41223 811 698 113 3175071 3073261 101810 0 1175435 1015863 73649 41641 86912 89222 8613 4136 2112539 2142526 3457148 3293388 115625 96201 162743 214744 624039 362415 902407 673360 X 2554741 2620028 2554741 2620028 3457148 3293388 99823 -34536 0 X 0 1 X 1 0 0 Claims Payable 362415 362415 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 Heart of America Health Plan did not have an income tax liability at June 30, 2018; some related organizations have established reserves. 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/Senior 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 Kirk Zimmer President, Health Plan 0 505000 0 121250 0 87619 0 0 0 40401 0 754270 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. 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, Kelby Krabbenhoft, JoAnn Kunkel, and Kirk Zimmer. Form 990, Part VI, Section A, line 6 Sanford Health Plan is the sole member of the organization. Form 990, Part VI, Section A, line 7a Board members are members of the Board of Directors of Sanford Health Plan. Form 990, Part VI, Section A, line 7b Sanford Health Plan, as sole member, reviews the actions of Sanford Heart of America Health Plan. 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 the 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. Sanford P O Box 5039 Rte 5218 Sioux Falls SD 571175039 271218956 Supporting Organization ND 501(c)(3) 12-II 0 Sanford Health Foundation P O Box 5039 Rte 5218 Sioux Falls SD 571175039 363297853 Foundation SD 501(c)(3) 12-II Sanford Health 1 Edith Sanford Breast Cancer Foundation P O Box 5039 Rte 5218 Sioux Falls SD 571175039 450404126 Foundation ND 501(c)(3) 12-II Sanford Health 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 Sanford Health Foundation North P O Box 5039 Rte 5218 Sioux Falls SD 571175039 450398104 Foundation ND 501(c)(3) 7 Sanford North 1 Sanford Health Foundation Hillsboro P O Box 5039 Rte 5218 Sioux Falls SD 571175039 363542187 Foundation ND 501(c)(3) 7 Sanford Hillsboro 1 Sanford Health Foundation of Northern Minnesota P O 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 P O Box 5039 Rte 5218 Sioux Falls SD 571175039 450397196 Foundation ND 501(c)(3) 7 Sanford Bismarck 1 Medcenter One Inc Auxiliary P O Box 5039 Rte 5218 Sioux Falls SD 571175039 237293043 Supporting Organization ND 501(c)(3) 12-II Sanford Bismarck 1 Sanford Health Foundation Thief River Falls P O 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 N/A C 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 Sanford Health P 495788 Cash Sanford Health Plan P 117014 Cash