F-M AMBULANCE SERVICE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
F-M AMBULANCE SERVICE INC (EIN 45-0344371)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-08
IRS object ID
201501289349302155
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-08T15:20:21-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 South Sixth Street Suite 2800AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450344371EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1F-M Ambulance Service IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlF-MABusinessNameControlTxt
Phone7012342000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12215 18th Street SouthAddressLine1
CityFargoCity
StateNDState
ZIP Code58103ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoAnn KunkelPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone6053331000PhoneNum
Signature2015-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAnne FultonPreparerPersonNm
PTINP00941863PTIN
Phone6123974000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKelby KrabbenhoftPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 W 18th St PO Box 5039AddressLine1
CitySioux FallsCity
StateSDState
ZIP Code571175039ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$14,658,300GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.FMAmbulance.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or Mission"Dedicated to the Work of Health and Healing"ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee146TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$189,438PYContributionsGrantsAmt
CY Contributions Grants$30,124CYContributionsGrantsAmt
PY Program Service Revenue$12,458,341PYProgramServiceRevenueAmt
CY Program Service Revenue$14,545,710CYProgramServiceRevenueAmt
PY Investment Income$6,648PYInvestmentIncomeAmt
CY Investment Income$91CYInvestmentIncomeAmt
PY Other Revenue$37,351PYOtherRevenueAmt
CY Other Revenue$24,131CYOtherRevenueAmt
PY Total Revenue$12,691,778PYTotalRevenueAmt
CY Total Revenue$14,600,056CYTotalRevenueAmt
PY Grants And Similar Paid$550PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,610,438PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,651,878CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,128,751PYOtherExpensesAmt
CY Other Expenses$7,246,375CYOtherExpensesAmt
PY Total Expenses$10,739,739PYTotalExpensesAmt
CY Total Expenses$12,898,253CYTotalExpensesAmt
PY Revenues Less Expenses$1,952,039PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,701,803CYRevenuesLessExpensesAmt
Total Assets BOY$8,105,069TotalAssetsBOYAmt
Total Assets EOY$7,528,538TotalAssetsEOYAmt
Total Liabilities BOY$1,092,101TotalLiabilitiesBOYAmt
Total Liabilities EOY$994,596TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,012,968NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$6,533,942NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Mission of F-M Ambulance, "Dedicated to the Work of Health and Healing" and the vision "Improving the Human Condition through Exceptional Care, Innovation and Discovery", is the constant force that drives our plans, decisions and actions.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,262,480ExpenseAmt
Grant$0GrantAmt
Revenue$14,545,710RevenueAmt
DescAs part of the Sanford integrated delivery system, F-M Ambulance provides emergency medical and special transportation services to the Fargo, North Dakota/Moorhead, Minnesota metro area and other surrounding communities. F-M Ambulance is the largest advanced life support ground ambulance provider in North Dakota and serves as a resource to rescue and ambulance providers throughout the state. F-M Ambulance works closely with the local volunteer service to coordinate the delivery of emergency medical care to the communities in its service area and is a leader in Homeland Defense Preparedness by serving as a regional training, resources partner and responder.Through its Ready Wheels operations, F-M Ambulance provides local and long distance transportation for individuals using wheelchairs. This special transportation service is available 24 hours a day, seven days a week to provide door-to-door wheelchair service. These services allow individuals in the community to access transportation services that accommodate unique individual needs due to health conditions.Education and other services:F-M Ambulance also engages in various activities that promote the health of the community, including providing medical and safety education. F-M Ambulance provides educational programs for members of the community including first aid, automated external defibrillator, CPR and other courses. In addition, F-M Ambulance operates an on-site bookstore that is open to the public. The store sells education texts and reference books, trauma bags, first aid kits and supplies, medical supplies used in delivering emergency medical service outside the hospital and logo wear.F-M Ambulance also works with other organizations in the community to prepare for medical situations by having customized first aid supplies available to respond to workplace medical needs. These services help improve the health and well being of the community at large. F-M Ambulance is also very involved in numerous community activities that help promote health including participation in the national safe kids campaign, participating in bicycle safety helmet programs and providing non-dedicated stand-bys for community events.Desc
Total Program Service Expenses$11,262,480TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee146EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible ContributionsYes (1)NondeductibleContributionsInd
Nondeductible Contri DisclYes (1)NondeductibleContriDisclInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JoAnn Kunkel CFOBusinessNameLine1
FieldValueIRS element (for citing)
Phone6053331000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 West 18th StreetAddressLine1
CitySioux FallsCity
StateSDState
ZIP Code57117ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Barb Everist
Trustee0.105.30Yes (X)$0$0$0
Barbara Stork
Trustee (thru Dec 13)0.105.30Yes (X)$0$0$0
Brent Teiken
Trustee0.105.30Yes (X)$0$0$0
Christopher Meeker MD
Trustee0.1059.90Yes (X)$0$393,696$30,403
David Beito
Trustee0.105.30Yes (X)$0$0$0
Don Morton
Trustee0.105.30Yes (X)$0$0$0
Jerome Feder
Trustee0.105.30Yes (X)$0$0$0
Jim Entenman
Trustee0.105.30Yes (X)$0$0$0
Lauris Molbert
Trustee0.105.30Yes (X)$0$0$0
Maria Bell MD
Trustee0.1059.90Yes (X)$0$776,820$40,322
Mark Paulson MD
Trustee0.1059.90Yes (X)$0$221,733$29,828
Patrick Durick
Trustee0.105.30Yes (X)$0$0$0
Richard Hardie MD
Trustee0.1059.90Yes (X)$0$760,534$40,425
Ronald Moquist
Trustee0.105.30Yes (X)$0$0$0
Thomas Hruby
Trustee0.105.30Yes (X)$0$0$0
Kelby K Krabbenhoft
Sanford Health President & CEO0.1059.90Yes (X)$0$1,320,464$22,992Yes (X)
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO0.1059.90Yes (X)$0$0$608,477Yes (X)
JoAnn L Kunkel
Chief Financial Officer Corp0.1059.90$0$463,362$39,674Yes (X)
Dennis Millirons
President - SMC Fargo (thru Dec 13)5.0055.00$0$603,333$24,634Yes (X)
Karen Tobin
COO - SMC Fargo5.0055.00$0$313,972$25,488Yes (X)
Paul Richard
President - SMC Fargo5.0055.00$0$508,066$32,346Yes (X)
Tiffany Lawrence
CFO - SMC Fargo5.0055.00$0$278,067$29,563Yes (X)
Lisa Carlson
Former Chief Financial Officer Corp0.1059.90$0$1,614,478$21,738Yes (X)
Linda O'Halloran
Former COO - SMC Fargo5.0055.00$0$458,550$4,426Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,713,075TotReportableCompRltdOrgAmt
Total Other Compensation$950,316TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$27,396RelatedOrganizationsAmt
All Other Contributions$2,728AllOtherContributionsAmt
Total Contributions$30,124TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Emergency Medical Serv621910$13,713,843$13,713,843
Education900099$714,515$714,515
Special Transportation621910$117,352$117,352
FieldValueIRS element (for citing)
Total Program Service Revenue$14,545,710TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$91TotalRevenueColumnAmt
Exclusion$91ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,200RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,200RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,200TotalRevenueColumnAmt
Exclusion$1,200ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$81,175GrossSalesOfInventoryAmt
Cost Of Goods Sold$58,244CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,931TotalRevenueColumnAmt
Exclusion$22,931ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,600,056TotalRevenueColumnAmt
Related Or Exempt Func Income$14,545,710RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,222ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,393,989TotalAmt
Program Services$3,997,551ProgramServicesAmt
Management And General$396,438ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$223,823TotalAmt
Program Services$199,457ProgramServicesAmt
Management And General$24,366ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$630,839TotalAmt
Program Services$568,769ProgramServicesAmt
Management And General$62,070ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$403,227TotalAmt
Program Services$301,799ProgramServicesAmt
Management And General$101,428ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,728TotalAmt
Program Services$11,666ProgramServicesAmt
Management And General$16,062ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$14,519TotalAmt
Program Services$10,952ProgramServicesAmt
Management And General$3,567ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$145,330TotalAmt
Program Services$73,075ProgramServicesAmt
Management And General$72,255ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$94,419TotalAmt
Program Services$48,857ProgramServicesAmt
Management And General$45,562ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$172,194TotalAmt
Program Services$73,585ProgramServicesAmt
Management And General$98,609ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$421,811TotalAmt
Program Services$410,015ProgramServicesAmt
Management And General$11,796ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$104,500TotalAmt
Program Services$101,633ProgramServicesAmt
Management And General$2,867ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,459TotalAmt
Program Services$8,459ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$630,372TotalAmt
Program Services$527,260ProgramServicesAmt
Management And General$103,112ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$182,158TotalAmt
Program Services$197ProgramServicesAmt
Management And General$181,961ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Bad Debt$4,491,445$4,491,445
Purchased Services$484,238$10,015$474,223
Medical Supplies$389,404$362,287$27,117
Minnesota Care Tax$41,762$41,762

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$38,036TotalAmt
Program Services$23,696ProgramServicesAmt
Management And General$14,340ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,898,253TotalAmt
Program Services$11,262,480ProgramServicesAmt
Management And General$1,635,773ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,854,361BOYAmt
EOY$2,315,227EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$59,863BOYAmt
EOY$9,724EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$39,525BOYAmt
EOY$48,097EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,285,938LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,523,530LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,758,238BOYAmt
EOY$3,762,408EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$1,393,082BOYAmt
EOY$1,393,082EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$8,105,069BOYAmt
EOY$7,528,538EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$904,091BOYAmt
EOY$970,828EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$24,844BOYAmt
EOY$23,768EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$163,166BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,092,101BOYAmt
EOY$994,596EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,012,968BOYAmt
EOY$6,533,942EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,012,968BOYAmt
EOY$6,533,942EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,105,069BOYAmt
EOY$7,528,538EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,701,803ReconcilationRevenueExpnssAmt
Prior Period Adjustments$29,532PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$2,210,361OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$481,239OtherCostOrOtherBasisAmt
Book Value$481,239BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,762,068OtherCostOrOtherBasisAmt
Depreciation$1,109,422DepreciationAmt
Book Value$1,652,646BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$135,053OtherCostOrOtherBasisAmt
Depreciation$70,715DepreciationAmt
Book Value$64,338BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,457,078OtherCostOrOtherBasisAmt
Depreciation$1,537,658DepreciationAmt
Book Value$919,420BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,450,500OtherCostOrOtherBasisAmt
Depreciation$1,805,735DepreciationAmt
Book Value$644,765BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,762,408TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationCertain 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. F-M Ambulance Service, Inc did not have an income tax liability at June 30, 2014; some related organizations have established reserves.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher Meeker MD
Trustee$0$393,696$0$0$0$0$0$10,000$0$20,403$0$424,099$0$0
Maria Bell MD
Trustee$0$695,606$0$0$0$81,214$0$17,152$0$23,170$0$817,142$0$0
Mark Paulson MD
Trustee$0$207,989$0$0$0$13,744$0$11,296$0$18,532$0$251,561$0$0
Richard Hardie MD
Trustee$0$754,303$0$0$0$6,231$0$20,400$0$20,025$0$800,959$0$0
Kelby K Krabbenhoft
Sanford Health President & CEO$0$1,117,709$0$0$0$202,755$0$0$0$22,992$0$1,343,456$0$0
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO$0$0$0$0$0$0$0$608,477$0$0$0$608,477$0$0
JoAnn L Kunkel
Chief Financial Officer Corp$0$408,018$0$0$0$55,344$0$19,176$0$20,498$0$503,036$0$0
Dennis Millirons
President - SMC Fargo (thru Dec 13)$0$472,243$0$50,000$0$81,090$0$10,200$0$14,434$0$627,967$0$0
Karen Tobin
COO - SMC Fargo$0$261,645$0$0$0$52,327$0$17,012$0$8,476$0$339,460$0$0
Paul Richard
President - SMC Fargo$0$439,739$0$0$0$68,327$0$12,750$0$19,596$0$540,412$0$0
Tiffany Lawrence
CFO - SMC Fargo$0$253,760$0$0$0$24,307$0$12,395$0$17,168$0$307,630$0$0
Lisa Carlson
Former Chief Financial Officer Corp$0$243,062$0$0$0$1,371,416$0$12,153$0$9,585$0$1,636,216$0$0
Linda O'Halloran
Former COO - SMC Fargo$0$87,116$0$0$0$371,434$0$3,485$0$941$0$462,976$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aPart 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 2014.
Part I, Lines 4a-bPart I, Line 4a: The following individuals participated in a severance arrangement and received payments during the year: Linda O'Halloran $357,705 Lisa Carlson $1,331,670 Part I, Line 4b: Certain executives participate in a defined benefit SERP Plan. There were no individuals who received payments during the year.
Part I, Line 6Sanford physicians are compensated based on the professional services they perform within the clinic in which they provide care. Generally, the model is based on production.
Part I, Line 7Certain employees are eligible for a discretionary incentive bonus, based on financial targets and other goals.
Form 990, Schedule J, Supplemental:Compensation reported on Schedule J, Part II includes: (B)(i) Base compensation - salaries are based on the experience and performance of each executive and bench-marked using independent compensation survey information. (B)(ii) Bonus & incentive compensation - as part of executive compensation, individuals may be eligible for incentive performance compensation, however if the organization does not make its financial targets, incentive payments are not paid regardless of performance. (B)(iii) Other Reportable Compensation - generally includes taxable executive benefits. (C) Deferred Compensation - includes employer contributions to pension plans and the increase (or decrease) in the actuarial value (actuarial value factors include age, tenure and salary) of the benefit plans. (D) Nontaxable Benefits - generally includes health insurance premiums. A memo regarding executive compensation, written by the Chairman of the Sanford Board of Trustees, is on file and available upon request. Compensation paid to trustees is for full-time professional responsibilities as physicians, administrators or employees of the organization. The total compensation paid to Kelby Krabbenhoft of $1,320,464 is comprised of Base Salary of $1,117,709, Incentive Compensation of $0 and Other Taxable Earnings of $202,755. In addition, an amount of $608,477 has been reported for the estimated amount of ratable increase in value of the defined benefit pension plan, defined benefit SERP and a Gift Agreement Management Continuity Retention plan.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2The 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: Christopher Meeker Maria Bell Mark Paulson Richard Hardie Kelby Krabbenhoft JoAnn Kunkel Tiffany Lawrence Paul Richard Dennis Millirons Karen Tobin
Form 990, Part VI, Section A, line 6Sanford North is the sole stockholder of F-M Ambulance.
Form 990, Part VI, Section A, line 7aBoard members are appointed by the President and CEO of Sanford North.
Form 990, Part VI, Section A, line 7bSanford North must approve the following actions: * Modifying the purpose of the Corporation * Unbudgeted capital expenses in excess of 1/2 of 1% of approved operating budgets *Adoption of capital and operating budgets *Acquisition, sale, lease, disposition, or mortgaging of real property *Guarantee of debts or obligations of any other person, firm, corporation, partnership, association, or other entity which if held in default would obligate the corporation to an aggregate amount in excess of $100,000 *Merger or consolidation of the Corporation *Incurring a loan or other obligation in an agreement in excess of $500,000 for more than 60 days *Making of a gift, grant or other donation in an amount in excess of $5,000 to an organization not related to the Corporation or Member *Member has the authority to direct the Corporation regardless of the vote by the Corporation's Board of Directors to transfer assets and/or funds to the health system to satisfy obligations of the health system.
Form 990, Part VI, Section B, line 11The Form 990 is prepared internally by the finance department and reviewed by executive management. An external accounting firm reviews the return prior to filing 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 12cThe 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 for 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 when 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 15The 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 2014.
Form 990, Part VI, Section C, line 19Although 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 XI, line 9:Transfer from related tax-exempt org for payroll and operating expenses -2,210,361.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Sanford
801 Broadway DriveFargoND58122271218956Supporting OrganizationND501(c)(3)11-II0
Sanford Health
1305 West 18th StreetSioux FallsSD57117311527032Supporting OrganizationSD501(c)(3)11-IIYes (1)Sanford
Sanford USD Medical Center
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460227855HospitalSD501(c)(3)3Yes (1)Sanford Health
Sanford Health Foundation
1305 West 18th StreetSioux FallsSD57117363297853FoundationSD501(c)(3)11-IIYes (1)Sanford Health
Edith Sanford Breast Cancer Foundation
2301 60th Street NSioux FallsSD57104450404126FoundationND501(c)(3)11-IIYes (1)Sanford Health
Sanford Clinic
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460447693Clinical ServicesSD501(c)(3)3Yes (1)Sanford Health
Sanford Home Health
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460282134Home Health ServicesSD501(c)(3)9Yes (1)Sanford Health
Sanford Health Network
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460388596Hospitals/ClinicsSD501(c)(3)3Yes (1)Sanford Health
Sanford Research
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460450378ResearchSD501(c)(3)3Yes (1)Sanford Health
Sanford World Clinics
1305 West 18th StreetSioux FallsSD57117262707628HealthcareSD501(c)(3)3Yes (1)Sanford Health
Sanford North
PO Box 2010FargoND58122450385890Supporting OrganizationND501(c)(3)11-IIYes (1)Sanford
Sanford Medical Center Fargo
PO Box 2010FargoND58122450226909HospitalND501(c)(3)3Yes (1)Sanford North
Sanford Health Foundation North
PO Box 2010FargoND58122450398104FoundationND501(c)(3)7Yes (1)Sanford North
Sanford Clinic North
PO Box 2010FargoND58122911770748ClinicsND501(c)(3)9Yes (1)Sanford North
Sanford Health Network North
PO Box 2010FargoND58122450409348Hospitals/ClinicsND501(c)(3)11-IIYes (1)Sanford North
Sanford Hillsboro
PO Box 609HillsboroND58045450230400HospitalND501(c)(3)3Yes (1)Sanford Health Network North
Sanford Health Foundation Hillsboro
PO Box 609HillsboroND58045363542187FoundationND501(c)(3)7Yes (1)Sanford Hillsboro
Sanford Medical Center Mayville
42 6th Ave SEMayvilleND58257450228899HospitalND501(c)(3)3Yes (1)Sanford Health Network North
Sanford Medical Center Thief River Falls
120 Labree Ave SThief River FallsMN56701410709579HospitalMN501(c)(3)3Yes (1)Sanford Health Network North
Sanford Medical Center Wheaton
401 12th Street NorthWheatonMN56296272042143Hospital/ClinicMN501(c)(3)3Yes (1)Sanford Health Network North
Sanford Health of Northern Minnesota
1300 Anne St NWBemidjiMN56601411266009HospitalMN501(c)(3)3Yes (1)Sanford North
Sanford Health Foundation of Northern Minnesota
1300 Anne St NWBemidjiMN56601411389317FoundationMN501(c)(3)11-IIYes (1)Sanford Health of Northern Minnesota
Baker Park Inc
803 Dewey Ave NWBemidjiMN56601411372480Low Income Senior HousingMN501(c)(3)9Yes (1)Sanford Health of Northern Minnesota
North Country Medical Clinic
1300 Anne St NWBemidjiMN56601411753855Family Practice Medical ClinicMN501(c)(3)3Yes (1)Sanford Health of Northern Minnesota
Sanford West
300 North 7th StreetBismarckND58501450397195Supporting OrganizationND501(c)(3)11-IIYes (1)Sanford
Sanford Bismarck
300 North 7th StreetBismarckND58501450226700HospitalND501(c)(3)3Yes (1)Sanford West
Sanford Living Centers
1000 18th Street NW Suite 1BismarckND58554450416454Long-term Care FacilityND501(c)(3)9Yes (1)Sanford Bismarck
Sanford Health Foundation West
300 North 7th StreetBismarckND58501450397196FoundationND501(c)(3)7Yes (1)Sanford Bismarck
Medcenter One Inc Auxiliary
300 North 7th StreetBismarckND58501237293043Supporting OrganizationND501(c)(3)11-IYes (1)Sanford Bismarck
Sanford Heart of America Health Plan
810 South MainRugbyND58368450346132InsuranceND501(c)(4)Yes (1)Sanford Health Plan

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
National Student Housing-South Dakota LLC
100 S Phillips AveSioux FallsSD57104202129839InvestmentSDN/A
RAC Rentals LLC
100 S Phillips AveSioux FallsSD57104261961077InvestmentSDN/A
Southwest MN Radiation Center LLC
1018 6th AvenueWorthingtonMN56187460447693Radiation ServicesMNN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Sanford Home Medical Equipment Inc
2710 W 12th StreetSioux FallsSD57105460388597Healthcare EquipmentSDN/ACYes (1)
Sanford Health Plan
300 Cherapa PlaceSioux FallsSD57103911842494InsuranceSDN/ACYes (1)
Sanford Health Plan of MN
300 Cherapa PlaceSioux FallsSD57103460445852InsuranceMNN/ACYes (1)
Bemidji Medical Equipment Inc
1300 Anne Street NWBemidjiMN56601411551725Retail Sales of DMEMNN/ACYes (1)
North Country Management Inc
1300 Anne Street NWBemidjiMN56601411820025Management ServicesMNN/ACYes (1)
Sanford Frontiers
1305 W 18th Street PO Box 5039Sioux FallsSD571175039455436599Weight Loss/FitnessSDN/ACYes (1)
SOB Inc
2701 S Minnesota Avenue Suite 2Sioux FallsSD57105460442628Air TransportationSDN/ACYes (1)
Sanford Affiliated Services Inc
300 N 7th StreetBismarckND58501450403146Investment ActivityNDN/ACYes (1)
Sanford World Clinics - Ghana
HealthcareN/ACYes (1)Sarbah Road Tantri Lorry StationCape CoastGHGH
Shanghai Sanford Healthcare Management Consulting Co Ltd
HealthcareN/ACYes (1)188 Yesheng Road Room A-862 GuomaShanghaiCHCH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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