SANFORD: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SANFORD (EIN 45-3791176)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201311359349300806
Schema version
2011v1.2
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)
Timestamp2013-05-15T08:07:02-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line150 South Sixth Street Suite 2800AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN453791176EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sanford Group ReturnBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSANFNameControl
Phone6053331000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 Broadway NAddressLine1
CityFargoCity
StateNDState
ZIP Code58122ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoAnn KunkelName
TitleChief Financial OfficerTitle
Phone6053331000Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKristina RasmussenName
PTINP00143920PTIN
Phone6123974000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKelby KrabbenhoftNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11305 West 18th Street PO Box 5039AddressLine1
CitySioux FallsCity
StateSDState
ZIP Code571175039ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2833049186GrossReceipts
Group Return For Affiliates1GroupReturnForAffiliates
All Affiliates Included1AllAffiliatesIncluded
Group Exemption Number5851GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.sanfordhealth.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission Description"Dedicated to the Work of Health and Healing"ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees25323TotalNbrEmployees
Total Nbr Volunteers1996TotalNbrVolunteers
Total Gross UBI25169261TotalGrossUBI
Net Unrelated Business Txbl Income-2964155NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year51502647ContributionsGrantsPriorYear
Contributions Grants Current Year59295812ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2391657026ProgramServiceRevenuePriorYear
Program Service Revenue CY2755702179ProgramServiceRevenueCY
Investment Income Prior Year21052136InvestmentIncomePriorYear
Investment Income Current Year3651009InvestmentIncomeCurrentYear
Other Revenue Prior Year2220633OtherRevenuePriorYear
Other Revenue Current Year1864337OtherRevenueCurrentYear
Total Revenue Prior Year2466432442TotalRevenuePriorYear
Total Revenue Current Year2820513337TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15734710GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY18934965GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1298802700SalariesEtcPriorYear
Salaries Etc Current Year1440771373SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year723107TotalFundrsngExpCurrentYear
Other Expense Prior Year1081874697OtherExpensePriorYear
Other Expenses Current Year1288286970OtherExpensesCurrentYear
Total Expenses Prior Year2396412107TotalExpensesPriorYear
Total Expenses Current Year2747993308TotalExpensesCurrentYear
Revenues Less Expenses Prior Year70020335RevenuesLessExpensesPriorYear
Revenues Less Expenses CY72520029RevenuesLessExpensesCY
Total Assets BOY1778421400TotalAssetsBOY
Total Assets EOY1897147387TotalAssetsEOY
Total Liabilities BOY955944395TotalLiabilitiesBOY
Total Liabilities EOY1059466486TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY822477005NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY837680901NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSanford's mission is "Dedicated to the Work of Health and Healing." Part of the Sanford Health System, Sanford is committed to the healthcare needs of communities throughout South Dakota, North Dakota, Minnesota and Iowa. Sanford provides a full range of primary and specialty health care services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2314517695Expense
Grants18931965Grants
Revenue2754593768Revenue
DescriptionSanford is the nation's largest not-for-profit integrated rural health system providing medical services at every level from critical access hospitals to tertiary and quaternary care. The Sanford footprint includes over 130,000 square miles with an eight state service area including a network of children's primary care clinic locations across the country and the world. Sanford operates full-time emergency centers and provides emergency care to everyone regardless of their ability to pay. Sanford facilities and clinics provide services to remote and medically underserved areas that would otherwise not have access to even primary care services. Sanford is the health care home for nearly 2 million people. Sanford financially supports health and wellness, education and community development activities to improve the quality of life and strengthen communities throughout the region. Each of Sanford's facilities promotes health and healing that responds to the unique needs of the patients in the communities that Sanford serves, ensuring access to comprehensive and specialized services. A recently completed and soon to be published community health needs assessment indicated the important need for behavioral health services for our community members. Sanford is meeting this need through an integrated delivery system providing behavioral health within the medical home structure.Please see Schedule H for a description of additional services, community benefit activities, and the full spectrum of charity care that Sanford provides within the community.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5293670Expense
Grants0Grants
Revenue0Revenue
DescriptionMedical education is an important service for Sanford. Sanford provides the medical community with high quality educational and professional development that is evidence and research based; accredited for physicians, nurses, pharmacists, and Allied Health Professionals; inclusive of cultural diversity and addresses the need for specialty training. Sanford is dedicated to preparing health care professionals for the future. The Sanford PROMISE program connects students, educators and communities with science and research in health care at a secondary education age. Sanford works in partnership with the University of South Dakota - Sanford School of Medicine, and the University of North Dakota - School of Medicine to provide rotations for medical students, residencies and fellowships. Sanford works in partnership with an extensive group of higher learning organizations to provide student training and learning opportunities in many venues across our region.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense24498548Expense
Grants3000Grants
Revenue2269852Revenue
DescriptionSanford Research is a non-profit research organization formed between Sanford Health and the University of South Dakota. Additionally, Sanford has established collaborations with other leading health and research organizations throughout the United States. Sanford Research is composed of several research centers, including: Cancer Biology with an emphasis on breast and cervical cancers; Cardiovascular Health with international leadership in Omega 3 fatty acids, preventive screenings and heart failure studies; Health Disparities focusing on sudden infant death syndrome and birth-related disorders at study sites including United States Native American Reservations and South Africa; Sanford Children's Health including sites in Sioux Falls, South Dakota and the Sanford-Burnham Medical Research Institute in La Jolla, California as well as collaborations with Mayo Clinic; Clinic Research including participation in drug and devise studies, the National Cancer Institute Community Clinical Oncology Program and the National Community Cancer Center Pilot Project; Women's Health specific to reproductive endocrinology, human papillomavirus, urogynecology, pre-term labor and other concerns; and The Sanford Project which is specifically focused on the identification of a cure for Type I diabetes.Sanford Research offers exciting challenges for researchers both in well-established projects and ever expanding research opportunities. Sanford offer opportunities to participate in clinical trials and to be a part of the changing face of medicine.Description
FieldValueIRS element (for citing)
Total Program Service Expense2344309913TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office1ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP1LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated1Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10961926NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees25323NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryBHNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form1098 C Filed0Form1098CFiled
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledORStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JoAnn Kunkel CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053331000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1801 Broadway NAddressLine1
CityFargoCity
StateNDState
ZIP Code58122ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (79 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Barb Everist
Trustee0.50X000
Barbara Stork
Trustee0.50X000
Barry Martin
Trustee0.50X000
Brent Teiken
Trustee0.50X000
David Beito
Trustee0.50X000
Don Morton
Trustee0.50X000
Jerome Feder
Trustee0.50X000
Jim Entenman
Trustee0.50X000
John C Vanderwoude
Trustee60.00X1183385028640
John Jambois
Trustee0.50X000
Lauris Molbert
Trustee0.50X000
Mark Paulson MD
Trustee60.00X268151030760
Michael L Olson
Trustee60.00X57222106711
Michael L Olson Deferred Comp
Trustee60.00X0049282
Mikal Claar
Trustee0.50X000
Pamela Anderson
Trustee0.50X000
Richard D Hardie
Trustee60.00X566503024244
Ronald Moquist
Trustee0.50X000
Terrence Grimm MD thru Feb12
Trustee60.00X557673026124
Terry Baloun
Trustee0.50X000
Thomas Hruby
Trustee0.50X000
Kelby K Krabbenhoft
Sanford Health President & CEO60.00X1484297021738X
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO60.00X00565035X
Lisa Carlson
Chief Financial Officer Corp60.00717737031290X
Paul Richard
Chief Legal Officer60.00607930031190X
Rebecca Nelson
Senior Vice President & COO - HSD60.00940477015646X
Rebecca Nelson Deferred Comp
Senior Vice President & COO - HSD60.0000114794X
Bill Marlette
Treasurer60.0066813501755X
Bill Marlette Deferred Comp
Treasurer60.0000136449X
David Link
Executive VP - D&R60.00823104023339X
David Link Deferred Comp
Executive VP - D&R60.0000146060X
Arlyn Broekhuis
Vice President & CIO60.00444547025788X
Bradley J Schipper
COO - Sanford Health Network60.00252219027498X
Bruce D Viessman
CFO Finance - Sanford Health Network60.00211653026655X
Bruce Pitts MD
Chief Medical Officer60.00710742027312X
Bryan J Nermoe
COO - Sanford Clinic60.00246455023327X
Cecily L Tucker
Chief Financial Officer D&R60.00304636028695X
Charles P O'Brien
President - SMC60.00649904022298X
Charles P O'Brien Deferred Comp
President - SMC60.000057595X
Christine Harff
CEO TRF Medical Center60.00242662026902X
Craig Boyer
CFO - Bemidji60.00272252030117X
Daniel Olson
COO - Bemidji Clinic60.00234477028238X
Daniel W Blue
President - Sanford Clinic60.00614421063049X
Dennis Millirons
President - Sanford Medical Center Fargo60.00666051026514X
Diana Berkland
Chief Nurse Executive - SMC60.0022917701539X
Diana Berkland Deferred Comp
Chief Nurse Executive - SMC60.000086449X
Douglas Okland
CFO - Sanford Clinic North60.00232715013987X
Edmond L Weiland
President - Sanford Health Network60.00409705024704X
Ellen Cooke
COO - Sanford Clinic North60.00295444017733X
Gordon A Larson
CEO - Aberdeen60.00197443018120X
H Eugene Hoyme
President - Sanford Research60.00296712011513X
Jeff D Sandene
COO Health Services North Division60.00426154030422X
JoAnn L Kunkel
Chief Financial Officer HSD60.00425808025519X
Joy Johnson
COO - Bemidji60.00238299038237X
Leslie Wietstock
CFO Sanford Health Network North60.00184496019230X
Linda O'Halloran
COO - Sanford Medical Center Fargo60.00435150019026X
Michael E Farritor
COO - Sanford Clinic60.00367641028180X
Michelle A Bruhn
Chief Financial Officer - SMC60.0024296705504X
Nate White
COO Health Services South Division60.00243366010509X
Paul Hanson
President Bemidji60.00566527066386X
Randy Bury
Chief Admin Officer - SMC60.0037197408342X
Randy Bury Deferred Comp
Chief Admin Officer - SMC60.000026662X
Richard E Nordahl
CEO - Sheldon60.00205148026439X
Richard Giesel
President - Sanford Health Network North60.00432751024481X
Richard Marsden MD
COO - Sanford Clinic North60.00644691026987X
Robert J Salmon
CEO - Canby & Clear Lake60.0021038008270X
Robert J Salmon Deferred Comp
CEO - Canby & Clear Lake60.000081650X
Shirley Heintz
CNO - Bemidji60.00217365043141X
Steve W Goetsch
CFO - Sanford Clinic60.00250409023764X
Tammy K Loosbrock
CEO - Luverne60.00176647023881X
Tiffany Lawrence
CFO - Sanford Medical Center Fargo60.00271463028534X
Timothy J Tracy
CEO - Vermillion60.00214815013576X
Adam T Stys
Physician SC SF60.001880035026148X
Tomasz P Stys
Physician SC SF60.002093802026148X
William C Brunner
Physician SC SF60.002040607023698X
Scott Pham
Physician SC SF60.002055427028148X
Wilson T Asfora
Physician SC SF60.002001951026148X
Roger Gilbertson MD
Former President60.0050198700X
Richard G Adcock
Former Executive VP - Sanford Clinic60.00230777029239X
FieldValueIRS element (for citing)
Total Reportable Comp From Org31831465TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation2579359TotalOtherCompensation
Number Individuals GT100 K1552NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Cardinal Health
7000 Cardinal PlaceDublinOH43017Medical Services82498191
Amerisource Corp
6810 Shady Oak RdEden PrairieMN55344Pharmaceuticals65094351
Owens & Minor Inc
12199 Collection Ctr DrChicagoIL60693Medical Supplies41036860
Medtronic USA
4642 Collection Ctr DrChicagoIL60693Surgery Supplies23157775
Henry Carlson Company
PO Box 84010Sioux FallsSD57118Construction18721060
FieldValueIRS element (for citing)
Number Of Contractors GT100 K936NumberOfContractorsGT100K
Related Organizations40573704RelatedOrganizations
Government Grants16219484GovernmentGrants
All Other Contributions2502624AllOtherContributions
Noncash Contributions43951NoncashContributions
Total Contributions59295812TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient services62140017800672081780067208
Medicare/Medicaid621400557216826557216826
Purch svcs allocations541900293689693293689693
Product & Retail Sales44619924593039216454682947571
Reference lab revenue90009914315836137818412937652

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column85819577TotalRevenueColumn
Related Or Exempt Function Income53617833RelatedOrExemptFunctionIncome
Unrelated Business Revenue9283913UnrelatedBusinessRevenue
Exclusion$22,917,831ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue2755702179TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4083867TotalRevenueColumn
Exclusion$4,083,867ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column50827TotalRevenueColumn
Exclusion$50,827ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4275162Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real3515600Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real759562Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column759562TotalRevenueColumn
Exclusion$759,562ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5774609Securities
Other2160652Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities6148202Securities
Other2270744Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-373593Securities
Other-110092Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-483685TotalRevenueColumn
Exclusion-$483,685ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory1030711GrossSalesOfInventory
Cost Of Goods Sold601303CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column429408TotalRevenueColumn
Exclusion$429,408ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
Data Processing/IT Ser56100011256851125685
Miscellaneous5413003588135756125
Debt Extinguishment525990-486199-$486,199
FieldValueIRS element (for citing)
Total Other Revenue675367TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2820513337TotalRevenueColumn
Related Or Exempt Function Income2708776653RelatedOrExemptFunctionIncome
Unrelated Business Revenue25169261UnrelatedBusinessRevenue
Exclusion$27,271,611ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total18886651Total
Program Services18886651ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total48314Total
Program Services48314ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total23633135Total
Management And General23633135ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1159612140Total
Program Services1037742450ProgramServices
Management And General121344675ManagementAndGeneral
Fundraising525015Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total47105009Total
Program Services44001346ProgramServices
Management And General3087174ManagementAndGeneral
Fundraising16489Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total135097045Total
Program Services112891315ProgramServices
Management And General22148414ManagementAndGeneral
Fundraising57316Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total75324044Total
Program Services66426196ProgramServices
Management And General8857339ManagementAndGeneral
Fundraising40509Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total519195Total
Management And General519195ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3478725Total
Management And General3478725ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1287914Total
Program Services26897ProgramServices
Management And General1261017ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total852545Total
Management And General852545ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total200703Total
Management And General200703ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total127127862Total
Program Services107138740ProgramServices
Management And General19932552ManagementAndGeneral
Fundraising56570Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total16940055Total
Program Services13741242ProgramServices
Management And General3186364ManagementAndGeneral
Fundraising12449Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total74114446Total
Program Services62249144ProgramServices
Management And General11862609ManagementAndGeneral
Fundraising2693Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total48254450Total
Program Services18466487ProgramServices
Management And General29787963ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total67149562Total
Program Services53559439ProgramServices
Management And General13590123ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total11021719Total
Program Services8440712ProgramServices
Management And General2577624ManagementAndGeneral
Fundraising3383Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5696266Total
Program Services4402473ProgramServices
Management And General1293793ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total28236243Total
Program Services24331224ProgramServices
Management And General3905019ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total116854112Total
Program Services98699872ProgramServices
Management And General18154240ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total16343775Total
Program Services14556624ProgramServices
Management And General1787151ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Medical Supplies36879529936651339322732238683
Intercompany Purchases27192592317328103898644885
Bad Debt98188529965860471602482
Miscellaneous31299647223203098979338

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2747993308Total
Program Services2344309913ProgramServices
Management And General402960288ManagementAndGeneral
Fundraising723107Fundraising
FieldValueIRS element (for citing)
Joint CostsXJointCosts

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50844653BOY
EOY27898546EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY62683073BOY
EOY13927738EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY338901003BOY
EOY434022677EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY495022BOY
EOY274086EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY8677496BOY
EOY17588183EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY29169586BOY
EOY36678403EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY33196716BOY
EOY47387164EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2192711227LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1033320123LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1011430448BOY
EOY1159391104EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY110790037BOY
EOY30058354EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2706733BOY
EOY796EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY37097482BOY
EOY43807855EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY42956521BOY
EOY55702749EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY49472630BOY
EOY30409732EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1778421400BOY
EOY1897147387EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY274545381BOY
EOY323909317EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY365433BOY
EOY247784EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY8354814BOY
EOY1700736EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY490097721BOY
EOY521041194EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY97365813BOY
EOY100098902EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY4739784EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY85215233BOY
EOY107728769EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY955944395BOY
EOY1059466486EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY822029878BOY
EOY837237812EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY89725BOY
EOY94200EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY357402BOY
EOY348889EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY822477005BOY
EOY837680901EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1778421400BOY
EOY1897147387EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses72520029ReconcilationRevenueExpenses
Reconcilation Other Changes-57316133ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
General ExplanationSchedule A, Part IV, Supplemental Information: Sanford Health 509(a)(3) Sanford Medical Center 170(b)(1)(A)(iii) Sanford Clinic 170(b)(1)(A)(iii) Sanford Research / USD 170(b)(1)(A)(iii) Sanford Home Health 509(a)(2) Sanford Health Network 509(a)(3) Sanford World Clinics 170(b)(1)(A)(iii) Sanford North 509(a)(3) Sanford Clinic North 509(a)(2) Sanford Medical Center Fargo 170(b)(1)(A)(iii) Sanford Health Network North 509(a)(3) Sanford Medical Center Thief River Falls 170(b)(1)(A)(iii) Sanford Medical Center Mayville 170(b)(1)(A)(iii) MeritCare Minnesota 170(b)(1)(A)(iii) Agassiz Assurance Company 509(a)(3) Sanford Health of Northern Minnesota 170(b)(1)(A)(iii) Baker Park, Inc. 509(a)(2)GeneralExplanation
General ExplanationSchedule A, Part IV, Supplemental Information: Detail for Schedule A, Part I Line 11, Column: (i) Sanford Medical Center; (ii) 46-0227855; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 124,643,279 Line 11, Column: (i) Sanford Clinic; (ii) 46-0447693; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 59,600,392 Line 11, Column: (i) Sanford Research / USD; (ii) 46-0450378; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 3,194,674 Line 11, Column: (i) Sanford Home Health; (ii) 46-0282134; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 1,263,226 Line 11, Column: (i) Sanford Clinic North; (ii) 91-1770748; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 72,220,416 Line 11, Column: (i) Sanford Medical Center Fargo; (ii) 45-0226909; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 165,597,233 Line 11, Column: (i) Sanford Medical Center Thief River Falls; (ii) 41-0709579; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 13,952,797 Line 11, Column: (i) Sanford Medical Center Mayville; (ii) 45-0228899; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 1,458,966 Line 11, Column: (i) MeritCare Minnesota; (ii) 26-1530302; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Sanford World Clinics; (ii) 26-2707628; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 43,919 Line 11, Column: (i) Sanford Medical Center Wheaton; (ii) 27-2042143; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 1,332,598 Line 11, Column: (i) Sanford Health of Northern Minnesota; (ii) 41-1266009; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 25,696,745 Line 11, Column: (i) North Country Medical Clinic; (ii) 41-1753855; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Baker Park, Inc.; (ii) 41-1372480; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 132,881 Line 11, Column: (i) Sanford Health Foundation North; (ii) 45-0398104; (iii) 170(b)(1)(A)(vi); (iv) Yes; (v) Yes; (vi) Yes; (vii) 1,251,865GeneralExplanation
General ExplanationSchedule A, Part IV, Supplemental Information: Detail for Schedule A, Part III Line 1 - column: (a) 999,288; (b) 937,109; (c) 1,215,685; (d) 1,278,208; (e) 689,058; (f) 5,119,348 Line 2 - column: (a) 404,080,355; (b) 429,141,173; (c) 455,935,182; (d) 458,367,357; (e) 365,101,234; (f) 2,112,625,301 Line 6 - column: (a) 405,079,643; (b) 430,078,282; (c) 457,150,867; (d) 459,645,565; (e) 365,790,292; (f) 2,117,744,649 Line 8 - column: (f) 2,117,744,649 Line 9 - column: (a) 405,079,643; (b) 430,078,282; (c) 457,150,867; (d) 459,645,565; (e) 365,790,292; (f) 2,117,744,649 Line 10a - column: (a) 628,601; (b) 446,223; (c) 740,555; (d) 808,746; (e) 830,883; (f) 3,455,008 Line 10c - column: (a) 405,708,244; (b) 430,524,505; (c) 457,891,422; (d) 460,454,311; (e) 366,621,175; (f) 2,121,199,657 Line 11 - column: (a) 1,134,591; (b) 825,088; (c) 1,108,312; (d) 392,690; (e) 285,582; (f) 3,746,263 Line 13 - column: (a) 406,842,835; (b) 431,349,593; (c) 458,999,734; (d) 460,847,001; (e) 366,906,757; (f) 2,124,945,920 Line 15: 99.66% Line 16: 99.02% Line 17: 0.16% Line 18: 0.16% Line 19a: X Line 19b: XGeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management1PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members1MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$70,724DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$781,821OtherActivitiesAmount
Total Lobbying Expenditures IIB852545TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationThe filing organization has memberships in the South Dakota Association of Healthcare Organizations, North Dakota Hospital Association, Minnesota Hospital Association, Iowa Hospital Association and American Hospital Association. A percentage of membership dues paid to these organizations relate 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. Occasionally, Sanford employees send mailings to legislators on issues that may affect healthcare.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance36816089BeginningOfYearBalance
Contributions4631456Contributions
Investment Earnings Or Losses33855InvestmentEarningsOrLosses
Grants Or Scholarships3144GrantsOrScholarships
Other Expenditures6341OtherExpenditures
Administrative Expenses4738AdministrativeExpenses
End Of Year Balance41467177EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance28450099BeginningOfYearBalance
Contributions8185089Contributions
Investment Earnings Or Losses194469InvestmentEarningsOrLosses
Grants Or Scholarships3066GrantsOrScholarships
Other Expenditures6269OtherExpenditures
Administrative Expenses4233AdministrativeExpenses
End Of Year Balance36816089EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25621868BeginningOfYearBalance
Contributions2700378Contributions
Investment Earnings Or Losses260797InvestmentEarningsOrLosses
Grants Or Scholarships23508GrantsOrScholarships
Other Expenditures105017OtherExpenditures
Administrative Expenses4419AdministrativeExpenses
End Of Year Balance28450099EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance25472108BeginningOfYearBalance
Contributions431296Contributions
Investment Earnings Or Losses-175923InvestmentEarningsOrLosses
Grants Or Scholarships26748GrantsOrScholarships
Other Expenditures69167OtherExpenditures
Administrative Expenses9698AdministrativeExpenses
End Of Year Balance25621868EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R1AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis100940271OtherCostOrOtherBasis
Book Value100940271BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis886164734OtherCostOrOtherBasis
Depreciation356651250Depreciation
Book Value529513484BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis55563805OtherCostOrOtherBasis
Depreciation19364307Depreciation
Book Value36199498BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1064252063OtherCostOrOtherBasis
Depreciation654350603Depreciation
Book Value409901460BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis85790354OtherCostOrOtherBasis
Depreciation2953963Depreciation
Book Value82836391BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1159391104TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescriptionAmountAmount
Deferred compensation$55,912,706
Long-term lease obligation$1,088,676
Defined benefit pension liability$36,301,071
Other non-current liabilities$2,182,677
Interest rate swap obligation$5,513,250
Minority Interest$18,915
Special assessments$2,926,746
Asset retirement obligations$3,784,728
FieldValueIRS element (for citing)
Total Of Amounts107728769TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:Sanford Health Foundation, Sanford Health Foundation North and Sanford Health Foundation of Northern Minnesota hold endowment funds on behalf of the filing organization to be used for assistance in its activities and for providing health care, medical, or educational services.
Description of Uncertain Tax Positions Under FIN 48:Part X: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 Group did not have a material income tax liability at June 30, 2012; some related organizations have established reserves.
Part V, Endowment Funds This section has been restated to include the endowment funds of Sanford Health of Northern Minnesota. This entity was added to the Sanford Group Return for this tax year 2011.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained1GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (8 entries)

RegionRegionNumber Of OfficesNumberOfOfficesNumber Of EmployeesNumberOfEmployeesType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
East Asia and the Pacific00Program ServicesObtain goods/services4213
Europe (Including Iceland & Greenland)00Program ServicesInvestigate potential clinic sites and obtain goods/services138681
Middle East and North Africa00Program ServicesInvestigate potential clinic sites9014
North America00Program ServicesInvestigate potential clinic sites and obtain goods/services30504
South America00Program ServicesTravel5393
South Asia00Program ServicesMission healthcare work and obtain good/services31142
Sub-Saharan Africa143Program ServicesClinic operations and travel2186211
Russia & the Newly Independent States00Program ServicesTravel2838
FieldValueIRS element (for citing)
Subtotal Number Of Offices1SubtotalNumberOfOffices
Subtotal Number Of Employees43SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices1TotalNumberOfOffices
Total Number Of Employees43TotalNumberOfEmployees
Subtotal Amount Spent2407996SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent2407996TotalAmountSpent
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage225.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted Care1FPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage375.000000000000DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense30235579TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense30235579NetCommunityBenefitExpense
Percent Of Total Expense0.01140PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense194843545TotalCommunityBenefitExpense
Direct Offsetting Revenue131240110DirectOffsettingRevenue
Net Community Benefit Expense63603435NetCommunityBenefitExpense
Percent Of Total Expense0.02400PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense225079124TotalCommunityBenefitExpense
Direct Offsetting Revenue131240110DirectOffsettingRevenue
Net Community Benefit Expense93839014NetCommunityBenefitExpense
Percent Of Total Expense0.03540PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3374549TotalCommunityBenefitExpense
Direct Offsetting Revenue112029DirectOffsettingRevenue
Net Community Benefit Expense3262520NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense15035769TotalCommunityBenefitExpense
Direct Offsetting Revenue8408423DirectOffsettingRevenue
Net Community Benefit Expense6627346NetCommunityBenefitExpense
Percent Of Total Expense0.00250PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense434091579TotalCommunityBenefitExpense
Direct Offsetting Revenue314822523DirectOffsettingRevenue
Net Community Benefit Expense119269056NetCommunityBenefitExpense
Percent Of Total Expense0.04500PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense28710883TotalCommunityBenefitExpense
Direct Offsetting Revenue15120745DirectOffsettingRevenue
Net Community Benefit Expense13590138NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense11878304TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense11878304NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense493091084TotalCommunityBenefitExpense
Direct Offsetting Revenue338463720DirectOffsettingRevenue
Net Community Benefit Expense154627364NetCommunityBenefitExpense
Percent Of Total Expense0.05830PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense718170208TotalCommunityBenefitExpense
Direct Offsetting Revenue469703830DirectOffsettingRevenue
Net Community Benefit Expense248466378NetCommunityBenefitExpense
Percent Of Total Expense0.09370PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense12500TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense12500NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense3211TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3211NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense61931TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense61931NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense2372TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense2372NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense116334TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense116334NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense41271TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense41271NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense102310TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense102310NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense4225TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense4225NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense344154TotalCommunityBuildingExpense
Net Community Building Expense344154NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$66,817,701BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare425976716AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare419850545CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall6126171MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities20NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (20 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalChildrens HospitalChildrensHospitalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursCritical Access HospitalCriticalAccessHospitalOtherOther
Sanford USD Medical Center
11305 W 18th StreetSioux FallsSD57117XXXXX
Sanford Medical Center Fargo
2801 Broadway NorthFargoND58122XXXXX
Sanford Medical Center South University
31720 South UniversityFargoND58103XXX
Sanford Bemidji Medical Center
41300 Anne St NWBemidjiMN56601XXX
Sanford Medical Center Thief River Falls
5120 Labree Avenue SouthThief River FallsMN56701XXXXInpatient Mental Health
Sanford Regional Hospital Worthington
61018 6th AvenueWorthingtonMN56187XXXX
Sanford Sheldon Medical Center
7118 N 7th AvenueSheldonIA51201XXXXNursing Facility
Sanford Hospital Luverne
81600 N Kniss AvenueLuverneMN56156XXXX
Sanford Vermillion Hospital
920 S PlumVermillionSD57069XXXXNursing Facility
Sanford Chamberlain Hospital
10300 S Byron BlvdChamberlainSD57325XXXXNursing Facility
Sanford Canby Medical Center
11112 St Olaf Avenue SCanbyMN56220XXXXNursing Facility
Sanford Jackson Medical Center
121430 N HighwayJacksonMN56143XXXX
Sanford Tracy Medical Center
13251 Fifth Street ETracyMN56175XXXX
Sanford Medical Center Mayville
1442 6th Avenue SEMayvilleND58257XXXX
Sanford Hospital Webster
151401 W 1st StreetWebsterSD57274XXXX
Sanford Hospital Canton-Inwood
16440 N Hiawatha DriveCantonSD57013XXXX
Sanford Hospital Rock Rapids
17801 S Greene StreetRock RapidsIA51246XXXX
Sanford Deuel County Medical Center
18701 3rd AvenueClear LakeSD57226XXXX
Sanford Westbrook Medical Center
19920 Bell AvenueWestbrookMN56183XXXX
Sanford Bagley Medical Center
20203 4th St NBagleyMN56621XXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (20 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationOther FactorsOtherFactorsExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAttached To InvoicesAttachedToInvoicesPosted In Emergency RoomPostedInEmergencyRoomPosted In Admission OfficePostedInAdmissionOfficeProvided On AdmissionProvidedOnAdmissionAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentPermit Report To Credit AgencyPermitReportToCreditAgencyCollection ActivitiesCollectionActivitiesReport To Credit AgencyReportToCreditAgencyNotify Upon AdmissionNotifyUponAdmissionNotify Before DischargeNotifyBeforeDischargeNotified All PatientsNotifiedAllPatientsNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAverage Negotiated RatesAverageNegotiatedRatesAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
Sanford USD Medical Center
111225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Medical Center Fargo
211225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Medical Center South University
311225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Bemidji Medical Center
411225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Medical Center Thief River Falls
511225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Regional Hospital Worthington
611225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Sheldon Medical Center
711225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Hospital Luverne
811225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Vermillion Hospital
911225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Chamberlain Hospital
1011225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Canby Medical Center
1111225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Jackson Medical Center
1211225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Tracy Medical Center
1311225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Medical Center Mayville
1411225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Hospital Webster
1511225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Hospital Canton-Inwood
1611225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Hospital Rock Rapids
1711225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Deuel County Medical Center
1811225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Westbrook Medical Center
1911225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00
Sanford Bagley Medical Center
2011225.0000000000001375.0000000000001XXXXXXXX11XXXXXX1X1XXXX1X00

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities81NumberOfOtherFacilities

Other Facilities OtherFacilities (81 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Sanford Health Neilson Place
803 Dewey AveBemidjiMN56601Skilled Nursing Facility
Sanford Home Care Fargo
1711 S Unversity DrFargoND58122Home Health Agency
Sanford Clinic Sheldon
800 Oak StreetSheldonIA51201Rural Health Clinic
Sanford Care Center Vermillion
125 Walker StVermillionSD57069Nursing Facility
Sanford Senior Care Sheldon
118 North Seventh Avenue PO Box 250SheldonIA51201Hospital Based-Nursing Facilities
Sanford Health Oakes Clinic
420 S 7th StOakesND58474Rural Health Clinic
Sanford Chamberlain Care Center
300 S Byron BlvdChamberlainSD57325Nursing Facility
Sanford Transplant Center
736 BroadwayFargoND58122Transplant Center
Sanford Hospice
2710 West 12th StreetSioux FallsSD57104Hospice (licensed in MN and SD)
Sanford Health Walker Clinic
614 Michigan AvenueWalkerMN56484Rural Health Clinic
Sanford Regional Hospital Worthington
1018 Sixth AvenueWorthingtonMN56187Medicare Certified End Stage Renal Dialysis
Sanford Clinic Canby
112 St Olaf AvenueCanbyMN56220Medicare Certified Rural Health Clinic
Sanford Clinic Rock Rapids
803 South Green StreetRock RapidsIA51246Rural Health Clinic
Sanford Clinic Tracy
251 Fifth Street EastTracyMN56175Medicare Certified Rural Health Clinic
Sanford Visiting Nurses Association
2710 West 12th StreetSioux FallsSD57104Professional Home Care Agency (licensed in MN and SD)
Sanford Health Mahnomen Clinic
414 West Jefferson PO Box 396MahnomenMN56557Rural Health Clinic
Sanford Clinic Webster
101 Peabody DriveWebsterSD57274Rural Health Clinic
Sanford Health Hillsboro Clinic
315 East CaledoniaHillsboroND58045Rural Health Clinic
Trillium
930 Anne St NBemidjiMN56601Assisted Living Center
Windsong
1010 Anne St NBemidjiMN56601Assisted Living Center
Sanford Health Pelican Rapids Clinic
211 East Mill StreetPelican RapidsMN56572Rural Health Clinic
Sanford Clinic Aberdeen Surgical Center
3015 3rd Ave SEAberdeenSD57401Ambulatory Surgery Center
Sanford Clinic Windom
591 2nd Avenue NorthWindomMN56101Medicare Certified Rural Health Clinic
Northern Lights Community Residence
324 10th Street EastThief River FallsMN56701Adult Treatment Center
Sanford Clinic Jackson
1430 North HighwayJacksonMN56143Medicare Certified Rural Health Clinic
Sanford Home Health and Hospice
118 North Seventh Avenue PO Box 250SheldonIA51201Home Health Agency
Sanford Health Detroit Lakes ASC
1245 Washington AvenueDetroit LakesMN56501Ambulatory Surgery Center
Sanford Clinic Beresford
600 W Cedar StBeresfordSD57004Rural Health Clinic
Orchard Hills
200 W 10th StDell RapidsSD57022Assisted Living Center
Sanford Health Blackduck Clinic
81 1st Street NW PO Box 188BlackduckMN56630Rural Health Clinic
Northwest Iowa Dialysis Center
112 Sunrise DriveHospersIA51239End Stage Renal Dialysis
Sanford Clinic Ipswich
110 5th AveIpswichSD57451Rural Health Clinic
Worthington Regional Hospital Hospice
1151 Ryans Road Suite 100WorthingtonMN56187Hospice (licensed in SD)
Sanford Clinic Clark
117 W 1st AveClarkSD57225Rural Health Clinic
Sanford Clinic Westbrook
920 Bell AvenueWestbrookMN56183Medicare Certified Rural Health Clinic
Pathfinder Children's Treatment Center
923 Atlantic Avenue NorthThief River FallsMN56701Children's Treatment Center
Sanford Health Cass Lake Clinic
219 Grant Utley AvenueCass LakeMN56633Rural Health Clinic
Sanford Clear Lake Clinic
701 3rd Ave SouthClear LakeSD57226Rural Health Clinic
Baker Park Inc
803 Dewey AveBemidjiMN56601Assisted Living Center
Sanford Home Health and Hospice Sheldon
118 North Seventh AvenueSheldonIA51201Hospice
Sylvan Place
212 St Olaf Avenue SouthCanbyMN56220Housing with Services
Sanford Canby Medical Center
213 St Olat Ave N Ste BCanbyMN56220Medicare Certified Home Health Agency
Sanford Canby Dialysis Unit
112 St Olaf AvenueCanbyMN56220Medicare Certified End Stage Renal Dialysis
Sanford Luverne Hospice
211 East Main Street Suite 101LuverneMN56156Medicare Certified Hospice
Shetek Home Care
251 Fifth Street EastTracyMN56175Medicare Certified Home Health Agency
Sanford Hospice
20 S Plum StVermillionSD57069Hospice
Sanford Worthington Home Care
1018 Sixth AvenueWorthingtonMN56187Medicare Certified Home Health Agency
Sanford Hospice
803 South Green StreetRock RapidsIA51246Hospice (licensed in SD)
Sanford Clinic Lakefield
209 Main Street PO Box 546LakefieldMN56150Medicare Certified Rural Health Clinic
Dakota Gardens Senior Living
126 S PlumVermillionSD57069Residential Living Center
Canby Community Hospice
131 St Olaf Ave NCanbyMN56220Hospice (licensed in SD)
Sanford Clinic Lennox
108 S MainLennoxSD57039Rural Health Clinic
Sanford Health Enderlin Clinic
201 4th Ave Suite 1EnderlinND58027Rural Health Clinic
Sanford Health Lamoure Clinic
Omega City PlazaLamoureND58458Rural Health Clinic
O'Brien Court
410 State StreetTracyMN56175Housing with Services
Sanford Hospice Centennial Cottage
6301 W 43rd StSioux FallsSD57106Residential Hospice
Sanford Clinic Lake Norden
Main StreetLake NordenSD57248Rural Health Clinic
Sanford Clinic Estelline
305 Hospital DrEstellineSD57234Rural Health Clinic
Sanford Hiawatha Heights
398 N Hiawatha DrCantonSD57013Assisted Living Center
Sanford Visiting Nurses Assoc-Vermillion
20 S PlumVermillionSD57069Home Health Care
Sanford Health Forman Clinic
PO Box 184FormanND58032Rural Health Clinic
Sanford Hospice
510 E 8th StFreemanSD57029Hospice
Sanford Health Twin Valley Clinic
212 Main Avenue WestTwin ValleyMN56584Rural Health Clinic
Sanford Health Ellendale Clinic
PO Box 306EllendaleND58436Rural Health Clinic
Sanford Health Gwinner Clinic
69 Hwy 13 WestGwinnerND58040Rural Health Clinic
Sanford Health Lidgerwood Clinic
PO Box 276LidgerwoodND58053Rural Health Clinic
Peterson Estates
1012 9th StreetWestbrookMN16183Housing with Services
Sanford Health Halstad Clinic
445 1st Street EastHalstadMN56548Rural Health Clinic
Deuel County Memorial Home Health
701 3rd Ave SouthClear LakeSD57226Home Health Care
Sanford Health Ulen Clinic
108 Viking Avenue WestUlenMN56585Rural Health Clinic
Sanford Visiting Nurses Assoc-Chamberlai
110 W Beede Ste 1ChamberlainSD57325Home Health Care
Sanford Hospice
745 E 8th StWinnerSD57580Hospice
Mid-Dakota Community Based Hospice
300 S Byran BlvdChamberlainSD57325Hospice
Sanford Clinic Balaton
Highway 14EBalatonMN56115Medicare Certified Rural Health Clinic
Sanford Tracy Walnut Grove Clinic
830 Eighth StreetWalnut GroveMN56180Medicare Certified Rural Health Clinic
Sanford Hospice
912 4th AvenueWindomMN56101Hospice (licensed in SD)
Sanford Hospice
900 2nd AveMadisonMN56256Hospice (licensed in SD)
Sanford Hospice Foundation Cottage
6309 W 43rd StSioux FallsSD57106Residential Hospice
Madison Hospital Hospice
917 N Washington AveMadisonSD57042Hospice
Sanford USD Medical Center Dialysis
1305 W 18th StreetSioux FallsSD571175039End Stage Renal Dialysis
Sanford Wagner Dialysis
111 Washington StreetWagnerSD57380End Stage Renal Dialysis

Form990 Schedule H Part VI Form990ScheduleHPartVI (53 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 3c: Sanford Health does not deny care to anyone based on the ability to pay. Sanford's charity care policy provides discounted and free services to patients who lack the resources to be fully responsible for the healthcare they receive. The Community Care Policy is designed to ensure the entire community served by Sanford has access to needed healthcare services. Eligibility for discounted or free services under the Community Care Policy is based on income levels and family size. Generally, individuals earning income of up to 375% of the Federal Poverty Income Guidelines are eligible for varying levels of discounts, including full discounts for certain income levels. Applications for coverage under the program may be obtained at any Sanford patient registration area.The primary scope of Sanford's financial assistance matrix considers family income and family size to objectively determine financial need. The family income range varies from 225% to 375% of the Federal Poverty Level (FPL). An applicant over 375% may be eligible for some level of financial assistance based on a review of additional factors such as: the size of the account balance, debt-to-income ratio, current assets, current liabilities, IRS food expense allowances, monthly cash flow, etc.Additionally, it is possible for a family to qualify in one segment (based on income and family size alone) but be moved to a more generous (for the patient) segment based on the other financial variables mentioned above.Part I, Line 5b: While Sanford as a whole did not exceed its charity care budget, there were separate hospitals that did, however, exceeding that budget did not impact the ability to serve any patients and no patients were disallowed services. The organization provided free or discounted services to patients who were eligible for free or discounted care.Part I, Line 6: Several legal entities within the organization were included in a community benefit report during the tax year. This report is availabe to the public via the Sanford Health website at http://www.sanfordhealth.org/About/CommunityBenefit/AnnualReport
Part I, Line 7: Either a Cost to Charge Ratio or a cost accounting methodology is used to calculate the amounts on Line 7a - 7c (Charity Care, Medicaid Shortfall, and Other Means-Tested Government Programs) for each of the subsidiaries included in the return. The amounts for Lines 7e - 7i would come from the books and records of specific segments of the organization and would not be based on a Cost to Charge Ratio, or similar cost accounting methodology.
Part I, Line 7g: Subsidized health services are clinical services provided to both inpatients and outpatients despite a financial loss to Sanford. Each loss has been calculated after removing losses associated with bad debts, charity care and medicaid. Although these services generate overall losses to Sanford, they continue to meet the needs of the communities served. Various services that generate losses are provided by Sanford through physician practices. For 2012, subsidized health services provided through these physician practices generated losses of $90,017,894.
Part I, L7 Col(f): Total expenses reported on Form 990, Part IX, line 25, Column (A) include bad debt expense. This expense has been removed from the denominator when calculating the percent of total expense considered the net community benefit expense and reported in Part I, Line 7, Column (f). The amount of bad debt expense excluded from this percentage calculation is $98,188,529.
Part II: Sanford is a not for profit organization dedicated to the work of health and healing for the public good. Sanford is committed to giving back to the communities in which its employees and patients live and work. Sanford invests resources in order to produce the best outcomes for patient care, education, research, and community enrichment, and partners with others to ensure that the community is a welcoming, healthy environment and one that attracts and sustains a diverse Sanford workforce to deliver the best patient care and much needed medical research. Sanford considers requests for funding and in kind support for new and ongoing programs with all areas supporting the above goals, such as basic human services, education and workforce development by recruiting physicians and other health professionals to medical shortage or underserved areas and collaborating with educational institutions to train and recruit health professionals, advocating community health improvement through efforts to support policies and programs that safeguard or improve public health and help to ensure access to health care services, and others.
Part III, Line 4: The audited financial statements of Sanford do not include a bad debt footnote. Sanford reports bad debt in accordance with generally accepted accounting principles (GAAP). Bad debt expense at cost is determined using the same methodology that is used to calculate Charity Care and Medicaid Shortfall. Discounts and allowances are accounted for separately from Bad debt expense.It is Sanford's policy to make charity care available to patients who fit the charity care criteria. It is the organization's goal to make certain that Sanford is proactive in identification of the patients who need help with financial concerns. Financial counselors make every effort to ensure that charity care patients do not progress to bad debt. For this reason, a dollar amount for bad debt is not included.
Part III, Line 8: Per IRS instructions, Sanford has identified the cost associated with providing Medicare services from the Medicare cost report. The Medicare cost report calculations are total expense less expenses deemed "unallowable" per Medicare regulations. The net expense is then used to calculate the cost per day and cost to charge ratios which are multiplied by the Medicare days and ancillary charges to determine the cost of providing Medicare services. If all expenses that Sanford incurred were included on the Medicare cost report; this would show a shortfall of approximately $68,565,480. Sanford believes this shortfall should be considered community benefit because these services would need to be provided by either another charitable organization or the government if it was not provided by Sanford.
Part III, Line 9b: Sanford will provide services at no cost or reduced cost to patients who qualify for the program. Patients with incomes at or below 225% of the United States Department of Health and Human Services poverty guideline will receive a 100% reduction of their payment responsibility. Patients with income between 225% - 375% of the poverty guideline will be given a discount based on a sliding scale and assets are considered in the calculation of the income of the patient, with the exception of the patient's principal residence. Patients above 375% of the FPG will be reviewed for additional factors such as size of medical debt before a final determination. Patients must make their financial need known to appropriate personnel and be engaged in filing appropriate and complete applications. The program is available to those patients without health care benefits from any source as well as to those who have coverage for health care costs through a government program, commercial insurance, or other health benefit plan but continue to have a remaining balance after benefits have been applied to the charges. Sanford will not deny financial assistance based on race, creed, sex, national origin, handicap or age.Every effort is made to identify patients with financial need as early as possible in the revenue cycle.
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford USD Medical Center
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Medical Center Fargo
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Medical Center South University
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Bemidji Medical Center
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Medical Center Thief River Falls
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Regional Hospital Worthington
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement with other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Sheldon Medical Center
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Hospital Luverne
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Vermillion Hospital
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Chamberlain Hospital
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Canby Medical Center
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Jackson Medical Center
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Tracy Medical Center
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Medical Center Mayville
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Hospital Webster
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Hospital Canton-Inwood
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Hospital Rock Rapids
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Deuel County Medical Center
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Westbrook Medical Center
Part V, Section B, Line 11h: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score.Sanford Bagley Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford USD Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Medical Center Fargo
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Medical Center South University
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Bemidji Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Medical Center Thief River Falls
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Regional Hospital Worthington
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Sheldon Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Hospital Luverne
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Vermillion Hospital
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Chamberlain Hospital
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Canby Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Jackson Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Tracy Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Medical Center Mayville
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Hospital Webster
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Hospital Canton-Inwood
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Hospital Rock Rapids
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Deuel County Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Westbrook Medical Center
Part V, Section B, Line 13g: Other methods to publicize the financial assistance policy within the community served include publishing with collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgramSanford Bagley Medical Center
Part VI, Line 2: Sanford has a well-established connection with their communities and as a result is a committed community partner that can mobilize its resources to improve community health. For decades, an ongoing informal community health care needs assessment occurs through participation in and/or leadership roles with community task forces, schools, government entities, social service agencies, churches, and other community organizations. It is through these interactions and participation that Sanford identifies or is apprised of health care needs. The response to these needs includes but is not limited to, financial support, educational efforts to reduce or avoid risky behaviors, screenings and health risk assessments, vaccination programs, loaned management expertise, as well as wellness programs and initiatives. These activities serve to improve the health of the communities and fulfills Sanford's mission. A more formalized community needs assessment program is being established to meet the new 990 requirements.Sanford Medical Center Fargo conducted a Community Health Needs Assessment during 2008. The purpose was to advance the charitable mission of the organization by identifying community health needs, seeking information for health improvement, identifying existing strengths within the community, and facilitating strategic prioritization from findings, focusing on gaps in service, population health problems, opportunities to shape public policy, and the potential for community partnerships.Sanford will conduct a comprehensive health needs assessment for the entire system and each hospital entity during 2012/2013. Sanford will initiate collaborative community groups for this purpose. The process of completing a comprehensive health assessment may be as valuable to forming community collaborative partnerships as the actual findings. Through a diverse group of community stakeholders Sanford will strengthen partnerships and relationships within the community and region, and strive to provide community health improvement with key outcomes for community members and patients.
Part VI, Line 3: Sanford employs a variety of strategies to make certain that the organization is transparent in the communication of financial assistance guidelines. The staff at Sanford makes every effort to identify patients needing financial assistance as early in the revenue cycle as possible. All Sanford entities display signage in registration areas advising patients of their ability to request financial assistance upon request. The signage is made available in English and Spanish. Financial Assistance application is available in English or Spanish upon request.All healthcare workers who identify patients with financial need are encouraged to provide patients or their designees a financial application. This may include, but not be limited to the following areas: Administration, Admissions, Patient Financial Services, Financial Counselors, Social Services, Physicians, Nursing, Clinic Director, Reception staff and Human Resources.Financial Counselors are trained to work individually with patients to determine the financial need and recommend appropriate assistance in application for charity care, government programs or discounted services.Community Care information is also available on the Sanford website athttp://www.sanfordhealth.org/About/CommunityBenefit/CommunityCareProgram
Part VI, Line 4: Sanford Health System, together with its subsidiaries and affiliates as described in Part VI, Line 7, coordinate community benefit activities and identify community needs as a system to promote the health of the communities served by the organization. A large percent of Sanford's patients come from counties surrounding the metropolitan areas of Fargo, ND and Sioux Falls, SD. Additional patients are made up of residents from the smaller counties in North Dakota, South Dakota, Minnesota and Iowa, but include patients from across the U.S. Sanford USD Medical Center - Sioux Falls, South DakotaSanford USD Medical Center is the largest Sioux Falls Region hospital and is located within a diverse, urban area near downtown Sioux Falls and within Minnehaha County, the largest populated county in the state of South Dakota. Lincoln County is located next to Minnehaha County and is part of the immediate service area. Based on 2010 US Census data, Lincoln County and Minnehaha County have a combined population of 214,296 individuals. In Minnehaha County 7.6% of the population is under 5 years of age and 25.1% is under 18 years of age. 11.1% of the population is over 65 years old. The median income in Minnehaha County is $51,799 and people living below the poverty level is 9.7%. In Lincoln County, 9.8% of the population is under the age of 5 years old and 29.7% is under 18 years of age. 9% of the population is over 65 years of age. The median income is $67,365 and people living below the poverty level is 4.3%.Sanford USD Medical Center served nearly 27,000 inpatients and over 155,000 outpatients from around the states of South Dakota, Minnesota, Iowa and throughout the United States.Sanford Medical Center Fargo - Fargo, North DakotaFargo is the largest city in North Dakota, and serves as the county seat. At the crossroads and economic center of southeastern North Dakota and a portion of northwestern Minnesota, Fargo is a cultural, retail, manufacturing, health care and educational hub for the region. Sanford Medical Center-Fargo is located in Cass County and sits across the river from Clay County, Minnesota. Based on 2010 US Census data, Cass and Clay Counties have a combined population of 208,777 individuals. In Cass County 7% of the population is under 5 years of age and 21.8% is under 18 years of age. 9.7% of the population is over 65 years old. The median income in Cass County is $47,600 and people living below the poverty level is 12.8%. In Clay County 6.9% of the population is under 5 years of age and 23.3% is under 18 years of age. 12% of the population is over 65 years old. The median income is $50,057 and people living below the poverty level is 12%. Sanford Medical Center Fargo served over 26,000 inpatients during 2012 and had over 2,343,000 outpatient encounters. Sanford Bemidji Medical Center - Bemidji, MinnesotaBemidji is located in Beltrami County, Minnesota and is the principal city in North Central Minnesota as the largest commercial center between Grand Forks, North Dakota and Duluth, Minnesota. Bemidji houses many Native American services, including the Indian Health Service. The city is the central hub of the Red Lake Indian Reservation, White Earth Indian Reservation and the Leech Lake Indian Reservation. Based on 2010 US Census data, Bemidji has a population of 13,431. The median age in the city was 27.1 years old. 19.4% of residents were under the age of 18; 26.7% were between the ages of 18 and 24; 21.6% were from 25 to 44; 17.5% were from 45 to 64; and 14.8% were 65 years of age or older. The average household income is $43,394.Sanford Network HospitalsSanford Health Network Hospitals is a network of rural hospitals located throughout South Dakota, North Dakota, Minnesota, and Iowa. These facilities serve many rural communities in the region. Sanford ClinicsSanford Clinic is a multi-specialty clinic comprised of over 900 physicians providing services in an 8 state area as well as internationally. Over 4,000,000 clinic visits occur each year by this network of highly trained and dedicated physicians.
Part VI, Line 5: Sanford maintains an open medical staff. Community Boards - The Sanford Board of Trustees was comprised of 16 members at the end of the fiscal year, including 12 volunteer community members, three physicians and the CEO. Surplus Funds - Surplus funds are invested back into the community, as well as to resource development and facility development to better serve patients and communities.
Part VI, Line 6: Sanford is an integrated health system headquartered in Fargo, ND and Sioux Falls, SD and consists of two long-standing organizations that merged in 2009. Sanford is the largest, rural, not-for-profit health care system in the nation with a presence in 140 communities in eight states as well as internationally in countries such as Ghana.With a mission dedicated to the work of health and healing, Sanford serves urban, suburban and rural communities through 37 hospitals, 225 clinic locations and 900 physicians in 81 specialty areas of medicine. Services include inpatient and outpatient care, primary care, community health and wellness, occupational health, home health, mental health, rehabilitation, long-term care, assisted living and hospice. With more than 25,000 employees, Sanford is the largest employer in North and South Dakota. The system is experiencing dynamic growth and development in conjunction with Denny Sanford's $400 million gift in 2007, the largest gift ever to a health care organization in America. This gift is making possible the implementation of several initiatives including global children's clinics, multiple research centers and finding a cure for type 1 diabetes. Sanford consistently reaches beyond its facilities to collaborate with health-related organizations promoting health and wellness, supports education through academic and athletic programs, and partners with communities in economic development efforts.Part VI, Line 7: Community benefit reporting is not required and therefore not filed in North Dakota, South Dakota, Nebraska or Iowa. Filing in Minnesota is voluntary.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (95 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
Aberdeen Catholic School System
1400 N Dakota StreetAberdeenSD57401460334005501(c)(3)25000General support
Aberdeen Family YMCA
5 South State StreetAberdeenSD57401460255779501(c)(3)10000General support
Absolutely Aberdeen
416 Production St NAberdeenSD57401522424588501(c)(6)20000General support
American Academy of PE
38367 Eagle WayChicagoIL606781383362275597501(c)(3)10000General support
American Cancer Society
4904 S Technopolis DrSioux FallsSD57106410724036501(c)(3)16000General support
American Diabetes Association
14216 Dayton Circle Ste 6OmahaNE68137131623888501(c)(3)37884General support
American Heart Association
208 S LaSalle St Ste 1500ChicagoIL60604135613797501(c)(3)116250General support
Augustana College
2001 S Summit AveSioux FallsSD57197460224588501(c)(3)1140500Facilities development, Science Center development, Student athlete support
Brandon Valley Booster Club
PO Box 572BrandonSD57005466002577501(c)(6)7500General support
CCHS (Children's Care Hospital Foundation)
2501 W 26th StSioux FallsSD571052498460233030501(c)(3)6000General support
Chamber of Commerce
PO Box 1425Sioux FallsSD571011425460189300501(c)(6)7625General support
Matson Halverson Christiansen Hamilton Foundation
PO Box 84KimballSD57355460461691501(c)(3)15000General support
Childrens Home Society Foundation
801 N Sycamore Ave PO Box 1749Sioux FallsSD571011749460224542501(c)(3)6000General support
Cystic Fibrosis Foundation
8011 34th Ave S Ste 116BloomingtonMN55425131930701501(c)(3)10000General support
Dakota Alliance
401 W 39th StreetSioux FallsSD57105460359817501(c)(3)40000General support
Dakotabilities
3600 S Duluth AveSioux FallsSD57105460306216501(c)(3)6000General support
Dakota Schoolers
1809 W Oak StreetSioux FallsSD57105203452350501(c)(3)7500General support
Family Visitation
311 E 14th StSioux FallsSD57104263654937501(c)(3)6000General support
First Tee of SD
2604 West Russell StSioux FallsSD57104460449824501(c)(3)7000General support
Focus Watertown
PO Box 332WatertownSD57201470813269501(c)(6)7500General support
Forward Sioux Falls
PO Box 907Sioux FallsSD571010907460396647501(c)(6)300000Area economic development
Furniture Mission
209 N NesmithSioux FallsSD57103810584500501(c)(3)13290General support
Great Plains Zoo
805 S Kiwanis AveSioux FallsSD57104466015015501(c)(3)84200General support
Susan G Komen for the Cure
5005 LBJ Freeway Suite 250DallasTX75244751835298501(c)(3)65160General support
Junior Achievement
1000 N West Ave 100Sioux FallsSD57104460306352501(c)(3)24000General support
Juvenile Diabetes Research Foundation (JDRF) South Dakota
1301 W 18th StreetSioux FallsSD57117231907729501(c)(3)25000General support
Kilian Community College
300 East 6th StSioux FallsSD57103460385443501(c)(3)10000General support
Lincoln High School
201 E 38th StreetSioux FallsSD57105466002540501(c)(3)14000General support
McCrossan Boys Ranch
47135 260th StreetSioux FallsSD57107460311913501(c)(3)12500General support
Mike Miller Foundation
2107 Quiett LaneMitchellSD57301300015773501(c)(3)27000General support
Multiple Sclerosis (aka Upper Midwest MS Chapter - SD & MN)
2508 S Carolyn AveSioux FallsSD57106450255544501(c)(3)7500General support
National Kidney Foundation
1970 Oakcrest Ave Ste 208St PaulMN55113131673104501(c)(3)12000General support
Nike Team National
One Bowerman DriveBeavertonOR97005270479547501(c)(3)7500General support
Northern Bull Riding
PO Box 96Long ValleySD57547202241939501(c)(3)10000General support
Roosevelt High School
201 E 38th StreetSioux FallsSD57105466002586501(c)(3)14350General support
SD EMT Association
PO Box 864AberdeenSD574020864460352015501(c)(3)7000General support
SD High School Act
804 N Euclid Suite 102PierreSD57501460226282501(c)(3)120000Support South Dakota Activities Association
SD Law Enforcement Charities
5214 Sweetbriar CourtSioux FallsSD57108460440378501(c)(3)10500General support
SD Symphony Orchestra
300 North Dakota Ave Ste 116Sioux FallsSD57104466017026501(c)(3)40000General support
SD Voices for Children
PO Box 2196Sioux FallsSD571012196460425502501(c)(3)15500General support
SDSU
815 Medary Ave PO Box 525BrookingsSD57007460273801501(c)(3)9165General support
SF Arts Council
300 S Phillips Ave L104Sioux FallsSD57104208535871501(c)(3)7500General support
SF Catholic School
3100 W 41st StSioux FallsSD57105460413591501(c)(3)253000Teacher endowment
SF Cyclones
7605 Loganberry StSioux FallsSD57106274705069501(c)(3)10000General support
SF Jazz & Blues Society
123 S Main Ave Ste 204Sioux FallsSD57104460418356501(c)(3)15000General support
SF Youth Hockey Assoc
4235 West Mesa PassSioux FallsSD57106460427805501(c)(3)7875General support
Sioux Empire Arts
PO Box 1165Sioux FallsSD57101208535871501(c)(3)8500General support
Sioux Falls Christian
6120 Charger CircleSioux FallsSD571091110460340024501(c)(3)250100Teacher endowment
Sioux Falls Schools
201 E 38th StreetSioux FallsSD57105466002586501(c)(3)73600General support
Sioux Falls Seminary
1525 S Grange AvenueSioux FallsSD57105460237098501(c)(3)100000Scholarship endowment
Sioux Falls Sports Authority Summit League
200 N Phillips Ave Ste 303Sioux FallsSD57104205850491501(c)(3)50000General support
Southeast Technical
2320 N Career AveSioux FallsSD57107364112897501(c)(3)11000General support
Special Olympics
305 W 39th StSioux FallsSD57105460359776501(c)(3)10000General support
Transitional Living
2601 S Minnesota Ave Ste 105 PMBSioux FallsSD571054750200293050501(c)(3)50000General support378
United Way
1000 North West Ave 120Sioux FallsSD571041314460233701501(c)(3)105750General support
United Way Northeastern SD Inc (Aberdeen)
12 4th Ave SE PO Box 1065AberdeenSD57401237086355501(c)(3)15355General support
University of Sioux Falls
1101 West 22nd StreetSioux FallsSD57105460224600501(c)(3)5400General support
University of South Dakota
1110 N Dakota Street PO Box 5555VermillionSD570695555466018891501(c)(3)3069749Support research, Program development of Medical School with emphasis on Pediatrics
University of Wisconsin
600 Highland AveMadisonWI53792390743975501(c)(3)36000General support
USD Coyote Athletics
1110 N Dakota Street PO Box 5555VermillionSD570695555466018891501(c)(3)135750Sports medicine program
Volunteers of America
1309 West 51st St PO Box 89306Sioux FallsSD571099306237353508501(c)(3)17000General support
Washington Pavilion
301 S Main Ave PO Box 984Sioux FallsSD571010984460435791501(c)(3)55000General support
Webster WAVE
513 Main StWebsterSD57274201307620501(c)(3)7500General support
YMCA
230 S Minnesota AveSioux FallsSD57104460225021501(c)(3)136000Local support
YMCA - Worthington Area
211 Eleventh StWorthingtonMN56187416007569501(c)(3)100000Local support
YWCA
300 W 11th StreetSioux FallsSD57104460234998501(c)(3)5750General support
USD School of Medicine
1400 W 22nd StreetSioux FallsSD571051581460418678501(c)(3)51504General support
South Dakota Lion's Eye & Tissue Bank
4501 W 61st StreetSioux FallsSD57107460413527501(c)(3)10000General support
NW Iowa Community College Foundation
603 W Park StSheldonIA51201421275893501(c)(3)9125General support
Sheldon Education Foundation
1700 East 4th StreetSheldonIA51201421316980501(c)(3)10950General support
Orab Booster Club
1700 East 4th StreetSheldonIA51201200235491501(c)(3)5539General support
Greater North Dakota Chamber of Commerce
PO Box 2639BismarckND58502450141100501(c)(6)28500General support
University of North Dakota
3501 University Ave Stop 8157Grand ForksND58202450348296501(c)(3)360000Dr. Roger Gilbertson Endowed Chair in Neurology
Northland Community & Technical College Foundation
1101 Highway One EastThief River FallsMN56701411287038501(c)(3)10000General support
American Cancer Society
250 Williams Street NWAtlantaGA30303131788491501(c)(3)15308General support
Boys and Girls Club of the Bemidji Area
PO Box 191BemidjiMN56619810599601501(c)(3)15000General support
Cullen Children's Foundation
PO Box 594West FargoND58078770636521501(c)(3)20000General support
Detroit Lakes Community & Cultural Center
826 Summit AveDetroit LakesMN56501411970351501(c)(3)10500General support
Downtown Community Partnership
203 4th Ave NFargoND58102450314187501(c)(3)30000General support
FM Rotary Foundation
PO Box 684FargoND58107203453808501(c)(3)6000General support
Greater Fargo Moorhead Economic Development Corporation
51 Broadway Suite 500FargoND58102456011769501(c)(3)40000General support
Metro Sports Foundations Inc
5225 31st Ave SFargoND58104208723123501(c)(3)120000Youth sports programs and facilities
Tri-College University
650 NP Ave Suite 110FargoND58102237102720501(c)(3)75000General support
West Central Initiative
1000 Western AveFergus FallsMN56537363453471501(c)(3)20000General support
Mayville State University Foundation
330 3rd St NEMayvilleND58257456013477501(c)(3)6000General support
Roger Maris Celebrity Benefit Golf
PO Box 3202FargoND58108450425333501(c)(3)10000General support
United Way of Cass-Clay
219 7th St SFargoND58103410810008501(c)(3)68250General support
NDSCS Foundation
800 6th St NWahpetonND58076450407617501(c)(3)10000General support
Valley City State University
101 College StValley CityND58072237178785501(c)(3)10000General support
West Fargo Baseball Inc
232 6th Ave WWest FargoND58078262739297501(c)(3)6000General support
West Fargo Packer Backers
PO Box 863West FargoND58078363767101501(c)(3)6000General support
Sanford Health Foundation
1305 W 18th StreetSioux FallsSD57105363297853501(c)(3)10307General support
Sanford Health Foundation North
PO Box 2010FargoND58122450398104501(c)(3)260000General support
Burnham Institute for Medical Research
10901 N Torrey Pines RoadLaJollaCA92037510197108501(c)(3)4000000Research
Sanford Health Foundation of Northern Minnesota
1300 Anne St NWBemidjiMN56601411389317501(c)(3)20000General support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants89TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations6TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
Scholarships3141000
Rad Tech Program16875

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: All grants given are donations to individual organizations. The funds are to be used for the general support of the organization receiving the funds.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (64 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John C Vanderwoude
10000000001833850490002374001212025000
Mark Paulson MD
236419000317320122500185100298911000
Michael L Olson
563933000828800067110578932000
Michael L Olson Deferred Comp
0000004928200049282000
Richard D Hardie
5625110003992073500168940590747000
Terrence Grimm MD thru Feb12
500004000576690122500138740583797000
Kelby K Krabbenhoft
9134610005708360002173801506035000
Kelby K Krabbenhoft Deferred Comp
000000565035000565035000
Lisa Carlson
5003210002174160122500190400749027000
Paul Richard
4361320001717980122500189400639120000
Rebecca Nelson
609961000330516000156460956123000
Rebecca Nelson Deferred Comp
000000114794000114794000
Bill Marlette
42323100024490400017550669890000
Bill Marlette Deferred Comp
000000136449000136449000
David Link
529038000294066000233390846443000
David Link Deferred Comp
000000146060000146060000
Arlyn Broekhuis
324423000120124073500184380470335000
Bradley J Schipper
22592300026296060420214560279717000
Bruce D Viessman
19283500018818057940208610238308000
Bruce Pitts MD
5202600001904820122500150620738054000
Bryan J Nermoe
21325700033198064070169200269782000
Cecily L Tucker
23100000073636072890214070333332000
Charles P O'Brien
440865000209039000222980672202000
Charles P O'Brien Deferred Comp
0000005759500057595000
Christine Harff
22091500021747085350183670269564000
Craig Boyer
19018300082069023978061390302369000
Daniel Olson
187010000474670105220177160262715000
Daniel W Blue
4240380001903830418510211980677470000
Dennis Millirons
4650270002010240122500142640692565000
Diana Berkland
2022270002695000015390230716000
Diana Berkland Deferred Comp
0000008644900086449000
Douglas Okland
2088050002391009543044440246702000
Edmond L Weiland
308077000101628073500173540434409000
Ellen Cooke
26061900034825010305074280313177000
Gordon A Larson
18481100012632053350127860215564000
H Eugene Hoyme
2597070003700506044054690308225000
Jeff D Sandene
2996910001264630122500181720456576000
JoAnn L Kunkel
315385000110423070810184380451327000
Joy Johnson
19421100044088030430078070276536000
Leslie Wietstock
16592000018576074410117890203726000
Linda O'Halloran
38748700047663012250067760454176000
Michael E Farritor
31513500052506072250209550395821000
Michelle A Bruhn
214227000287400455209510248470000
Nate White
2230770002028905539049700253875000
Paul Hanson
374881000191646057603087830632913000
Randy Bury
3297260004224800083420380316000
Randy Bury Deferred Comp
0000002666200026662000
Richard E Nordahl
18299200022156051970212420231587000
Richard Giesel
3145660001181850122500122310457232000
Richard Marsden MD
5260970001185940122500147370671678000
Robert J Salmon
1866850002369500082700218650000
Robert J Salmon Deferred Comp
0000008165000081650000
Shirley Heintz
17582400041541034358087830260506000
Steve W Goetsch
22596500024444044960192680274173000
Tammy K Loosbrock
16559400011053049770189050200529000
Tiffany Lawrence
250890000205730121450163900299998000
Timothy J Tracy
1908770002393805014085620228391000
Adam T Stys
1862661000173740735001879801906183000
Tomasz P Stys
20930910007110735001879802119950000
William C Brunner
203218200084250490001879802064305000
Scott Pham
205542700000735002079802083575000
Wilson T Asfora
17517770002501740735001879802028099000
Roger Gilbertson MD
501987000000000501987000
Richard G Adcock
21287300017904058680233710260016000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aOn Part I, Questions Regarding Compensation, Sanford checked several of the items as provided to listed persons: First Class or Charter Travel - Charter travel for business purposes is provided for individuals as needed and as cost appropriate, in accordance with written policies. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Travel for Companions - Limited travel for companions is required for certain annual meetings. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Tax Indemnification and gross-up payments - Certain compensation may be grossed up to include appropriate tax amounts. Health or social club dues or initiation fees - All Sanford employees are eligible for discounted wellness memberships, a portion of these discounts and other club dues are included as fringe benefits, and taxed as such. Personal services - Individuals may have benefits which include tax preparation or planning, this benefit is included in income and taxed. Part I, Line 3: The Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm to annually review the total compensation of arrangements of the officers of the organization, and to report findings and recommendations to the Sanford Board of Trustees for deliberation and action. The most recent study was completed in 2012.
Part I, Lines 4a-bPart I, Line 4a: Roger Gilbertson, former MeritCare President and CEO, received a payment of $501,987 upon his retirement, per employment contract. Part I, Line 4b / Schedule J, Part II, Column C: Employer contributions to defined contribution SERP Plans are included in Column C. Participants and contributions include: Daniel Blue $43,050, Kim Patrick $31,170. In addition to employer contributions to pension plans, amounts representing increases and decreases in actuarial value (actuarial value factors include age, tenure and salary) of defined benefit SERP Plans are included in Column C. Participants and changes in values include: Kelby Krabbenhoft $418,302, David Link $100,988, Bill Marlette $97,860, Rebecca Nelson $91,597.
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 revenues less expenses. Physicians listed that were paid on this model include: Michael Olson, Richard Hardie, Adam Stys, Tomasz Stys, William Brunner, Scott Pham, Wilson Asfora.
Part IIISupplemental: Compensation reported on Schedule J 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 meet 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 defined 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 $1,484,297 is comprised of Base salary of $913,461, and Other Taxable Earnings of $570,836. In addition, an amount of $565,035 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.Supplemental Information

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
South Dakota Health and Educational Facilities Authority
46031550983755VHY32004-09-1470073989New construction of healthcare facilities000
South Dakota Health and Educational Facilities Authority
46031550983755VME12007-04-1975002140New construction and remodeling of healthcare facilities000
South Dakota Health and Educational Facilities Authority
46031550983755VNZ32009-09-2971015042New construction and remodeling of healthcare facilities000
City of Fargo
456002069307479CK92011-02-09134069821Refunding bonds issued 12/5/1996, 11/8/2000, and 6/18/2002000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindOther Spent ProceedsOtherSpentProceeds
16900007170320518703067083289920060011
21100007821148117363627747511920090011
7140953419971677041236720110011
30000001340698217961111134069821

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
001100.000000.000000.000001
001100.000000.000000.000001
001100.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
010001
000001
000000
000001

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Column e and Part II, Line 3Differences between the issue price (Part I, column e) and total proceeds (Part II, line 3) are due to investment earnings.
Part II, Line 4The amounts shown here consist of debt service fund deposits.
Part III, column C and DPart III has not been completed for the 2011 bonds. The 2011 bonds refunded pre-2003 debt that does not have to be reported.
Part IV, Line 5, column DThis question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of bonds.

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
Bryan Nermoe
Retention LoanX$20,0004767001
Wilson Asfora
Physician Recruitment/Retention LoanX$1,094,257248065001
Bryan Nermoe
Retention LoanX$30,00021254001
FieldValueIRS element (for citing)
Total Balance Due274086TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (14 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Kim Goetsch
Steve Goetsch - family relationship38032Compensation0
Deborah Olson
Michael Olson - family relationship28965Compensation0
Kathryn Edwards-Olson
Michael Olson - family relationship90620Compensation0
Nancy Salmon
Robert Salmon - family relationship87789Compensation0
Emily Tracy
Timothy Tracy - family relationship10439Compensation0
Amy Entenman
James Entenman - family relationship54244Compensation0
Jan Feder
Jerome Feder - family relationship80080Compensation0
Julie Paulson
Mark Paulson - family relationship17765Compensation0
Megan Hemmelgarn
Mark Paulson - family relationship17712Compensation0
Midwest Catering
Barbara Stork - Owner284424Catering Services0
Midwest Provisions
Barbara Stork - Owner286310Vending Services0
SunDog
Brent Teiken - Owner2333574Marketing0
US Bank
Barry Martin - Division President580807Bank Fees and Commissions0
First National Bank
Rebecca Nelson - Board Member239792Bank Fees and Commissions0

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99012000NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionMedical equipmentDescription
Number Of Contributions4NumberOfContributions
Noncash Contribs Rptd F99031951NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail (3 entries)

Description Of AssetDescriptionOfAssetDate Of DistributionDateOfDistributionFMV Of AssetFMVOfAssetMethod Of FMV DeterminationMethodOfFMVDeterminationEINEINAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeIRC SectionIRCSection
Sanford Health
Investments2012-05-3112043040Cost3115270321305 West 18th StreetSioux FallsSD57117501(c)(3)
Sanford Health
Cash2012-05-313750Cost3115270321305 West 18th StreetSioux FallsSD57117501(c)(3)
Sanford
Premium receivable2012-05-314039998Cost271218956801 Broadway DriveFargoND58122501(c)(3)
FieldValueIRS element (for citing)
Director Of Successor0DirectorOfSuccessor
Employee Of Successor0EmployeeOfSuccessor
Owner Of Successor0OwnerOfSuccessor
Receive Compensation0ReceiveCompensation
Assets Distributed1AssetsDistributed
Required To Notify AG1RequiredToNotifyAG
AG Notified1AGNotified
Liabilities Paid1LiabilitiesPaid
Bonds Outstanding0BondsOutstanding
Bond Liabilities Discharged0BondLiabilitiesDischarged

Form990 Schedule N Part III Form990ScheduleNPartIII

FieldValueIRS element (for citing)
ExplanationAgassiz Assurance Company underwent a dissolution during the tax year effective May 31, 2012.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part V, Line 3a:Sanford Health, Sanford Medical Center, Sanford Clinic, Sanford North, Sanford Medical Center Fargo, Sanford Clinic North, Sanford Health Network North and Sanford Health of Northern Minnesota have unrelated business gross income over $1,000.
Part V, Line 4a:Sanford Health has an interest in a financial account in the foreign country of Belize.
Form 990, Part VI, Section A, line 2Lisa Carlson and Pamela Anderson have a business relationship. 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: John Vanderwoude, Mark Paulson, Michael Olson, Richard Hardie, Terrence Grimm, Kelby Krabbenhoft, Lisa Carlson, Bill Marlette, David Link, Paul Richard, Rebecca Nelson, Arlyn Broekhuis, Bradley Schipper, Bruce Viessman, Bruce Pitts, Bryan Nermoe, Cecily Tucker, Charles O'Brien, Christine Harff, Craig Boyer, Daniel Olson, Daniel Blue, Dennis Millirons, Diana Berkland, Douglas Okland, Edmond Weiland, Ellen Cooke, Gordon Larson, H Eugene Hoyme, Jeff Sandene, JoAnn Kunkel, Joy Johnson, Leslie Wietstock, Linda O'Halloran, Michael Farritor, Michelle Bruhn, Nate White, Paul Hanson, Randy Bury, Richard Nordahl, Richard Giesel, Richard Marsden, Robert Salmon, Shirley Heintz, Steve Goetsch, Tammy Loosbrock, Tiffany Lawrence, Timothy Tracy, Adam Stys, William Brunner, Scott Pham, Tomasz Stys, Wilson Asfora.
Form 990, Part VI, Section A, line 6Sanford 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 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 acts as a holding company Board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. This structure of governance produces a significant number of trustees, governors and directors, creating a 400+ person collective which acts as a team of ambassadors for Sanford in their respective communities. Subsidiaries included within this group tax return consist of Sanford Health, Sanford North, Sanford Medical Center, Sanford Medical Center Fargo, Sanford Clinic, Sanford Clinic North, Sanford Health Network, Sanford Health Network North, Sanford Medical Center Thief River Falls, Sanford Medical Center Mayville, Sanford Home Health, Sanford Research/USD, Sanford World Clinics, MeritCare Minnesota, Agassiz Assurance Company, Sanford Health of Northern Minnesota, and Baker Park, Inc. The Board of Trustees of Sanford is also the Board of Trustees for Sanford Health and Sanford North, and Sanford is the sole corporate member of these entities. These entities, in turn, are the sole corporate members of the subsidiaries. The actions approved by individual entity's Board of Directors are then approved by the Sanford Board of Trustees.
Form 990, Part VI, Section A, line 7aThe Sanford Board of Trustees appoints the board members for the Boards of Directors and Boards of Governors of the subsidiary entities.
Form 990, Part VI, Section A, line 7bThe Sanford Board of Trustees approve the actions approved by the Boards of Directors and Boards of Governors of the subsidiary entities. Form 990, Part VI, Section B, line 10b: Sanford North, Sanford Clinic and Sanford Health Network has local chapters branches or affiliates over which the organization has the legal authority to exercise direct or indirect supervision and control.
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 Audit Committee prior to the return filing date. Before the return is filed, a complete copy is made available 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 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 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 such.
Form 990, Part VI, Section B, line 15The Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm to annually review the total compensation arrangements of the officers and operating unit executives of the organization, including the CEO, and to report the findings and recommendations 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 2012. Additionally, Sanford periodically engages an independent compensation consultant to review and issue a report regarding the reasonableness of the total compensation arrangements of all physicians employed by the organization. The most recent study of physician total compensation arrangements was completed in 2009. Part VI, Line 16a: Sanford Health and Sanford Clinic have participated in joint ventures with taxable entities.
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 VII:Sanford Trustees provide services to Sanford and its subsidiaries. Hours reported for each individual reflect the time spent on work related to either the filing organization or a related organization. Sanford Board of Trustees has ultimate governance responsibilities for each entity within the Sanford system. In addition, a Board of Directors is established for each entity, which has specific delegated responsibilities from the Board of Trustees related to the oversight of day to day operations of that entity.
Form 990, Part XI, line 5:Prior period adjustments -1,750,000. Unrealized gain/loss on investments -250,875. Investment transfer to parent -72,406,111. Net payroll and other expenses paid on behalf of parent/affiliates 37,469,442. Transfer CVS outreach operations from SMC 906,501. Net assets released from restriction 1,213,574. Pension FAS 158 -22,498,664. Total to Form 990, Part XI, Line 5: -57,316,133.Changes in Net Assets or Fund Balances:
Form 990 ElectionsForm 990, Page 1, Line H(a) - Listing of Subordinate Organization: Names, Addresses, and EINs Sanford Health 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 31-1527032 Sanford USD Medical Center 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0227855 Sanford Home Health 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0282134 Sanford Health Network 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0388596 Sanford Clinic 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0447693 Sanford Research / USD 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0450378 Sanford World Clinics 1305 West 18th Street Sioux Falls, SD 57117 EIN: 26-2707628 Sanford North 801 Broadway Drive Fargo, ND 58122 EIN: 45-0385890 Sanford Clinic North 801 Broadway Drive Fargo, ND 58122 EIN: 91-1770748 Sanford Medical Center Fargo 801 Broadway Drive Fargo, ND 58122 EIN: 45-0226909 Sanford Health Network North 801 Broadway Drive Fargo, ND 58122 EIN: 45-0409348 Sanford Medical Center Thief River Falls 801 Broadway Drive Fargo, ND 58122 EIN: 41-0709579 Sanford Medical Center Mayville 801 Broadway Drive Fargo, ND 58122 EIN: 45-0228899 MeritCare Minnesota 801 Broadway Drive Fargo, ND 58122 EIN: 26-1530302 Agassiz Assurance Company 100 Bank Street, Suite 610 Burlington, VT 05401 EIN: 74-3121855 Sanford Health of Northern Minnesota 1300 Anne St NW Bemidji, MN 56601 EIN: 41-1266009 Baker Park, Inc. 803 Dewey Ave NW Bemidji, MN 56601 EIN: 41-1372480Elections
GeneralMeritCare Minnesota will not have responses similar to other subordinates as this entity did not have current year activity.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Sanford Consumer Services LLC
1305 W 18th StreetSioux FallsSD57117208736919Medical SpaSD-538562286353Sanford Clinic
Southwest MN Radiation Center LLC
1018 6th AveWorthingtonMN56187460388596RadiationSD-570187243327Sanford Health Network
Lincoln County Real Estate Trust
100 S Phillips AveSioux FallsSD57104466126929Real EstateSD0586467Sanford Health
PPK Family Trust
100 S Phillips AveSioux FallsSD57104207317570Rental Real EstateSD950993Sanford Health
Lynx Trust
PO Box 5186Sioux FallsSD57117266167201InvestmentSD-41Sanford Health
National Student Housing Trust-SD
PO Box 5186Sioux FallsSD57117206831968InvestmentSD-3441Sanford Health
Sanford Healthcare Accessories LLC
3223 32nd Ave SWFargoND58103202404179Sales of Durable Medical EquipND2460603612107008Sanford North
Healthcare Environmental Services LLC
PO Box 2010FargoND58122205236701Retail EnterprisesND34720222140307Sanford North
North Country Senior Living LLC
1000 Anne St NWBemidjiMN56601263862586Senior HousingCO2765150-9027606Sanford Health of Northern Minnesota
1527 Broadway LLC
1527 BroadwayAlexandriaMN56308411336392Real EstateMN3876737709369Sanford Clinic North

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Sanford Health Foundation
1305 West 18th StreetSioux FallsSD57117363297853Supporting OrganizationSD501(c)(3)11-IISanford Health1
Sanford
801 Broadway DriveFargoND58122271218956Supporting OrganizationND501(c)(3)11-II0
Sanford Medical Center Wheaton
401 12th Street NorthWheatonMN56296272042143Hospital/ClinicMN501(c)(3)3Sanford North1
Sanford Health Foundation North
PO Box 2010FargoND58122450398104FundraisingND501(c)(3)7Sanford North1
MeritCare Health Enterprises Inc
PO Box 2010FargoND58122450359785Prescription drugsND501(c)(4)Sanford North1
FM Ambulance Service Inc
2215 18 St SouthFargoND58103450344371EMTND501(c)(4)Sanford North1
Sanford Health Foundation of Northern Minnesota
1300 Anne St NWBemidjiMN56601411389317Fundraising - SupportMN501(c)(3)11-IISanford Health of Northern Minnesota1
North Country Medical Clinic
1300 Anne St NWBemidjiMN56601411753855Family Practice Medical ClinicMN501(c)(3)3Sanford Health of Northern Minnesota1
MeritCare Health Enterprises Inc
201 Fifth Street North 14 FloorFargoND58102453788040Prescription drugsPA501(c)(4)Sanford North1
Edith Sanford Breast Cancer Foundation
2301 60th Street NSioux FallsSD57104450404126FoundationND501(c)(3)11-IISanford Health1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
National Student Housing-South Dakota LLC
100 S Phillips AveSioux FallsSD57104202129839InvestmentSDSanford HealthRelated-325924664650000.99990
RAC Rentals LLC
100 S Phillips AveSioux FallsSD57104261961077InvestmentSDSanford HealthRelated-355313951010000.99990

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Sanford Home Medical Equipment Inc
2710 W 12th StreetSioux FallsSD57105460388597Healthcare EquipmentSDSanford HealthC1000508686256961.00000
Sanford Health Plan
300 Cherapa PlaceSioux FallsSD57103911842494InsuranceSDSanford HealthC581904421924071.00000
Sanford Health Plan of MN
300 Cherapa PlaceSioux FallsSD57103460445852InsuranceMNSanford HealthC-1328819049631.00000
Bemidji Medical Equipment Inc
1300 Anne St NWBemidjiMN56601411551725Retail Sales of DMEMNSanford Health of Northern MinnesotaC407418165601.00000
North Country Management Inc
1300 Anne St NWBemidjiMN56601411820025Management ServicesMNSanford Health of Northern MinnesotaC5132341.00000
Sanford Frontiers
1305 W 18th St PO Box 5039Sioux FallsSD571175039455436599Weight Loss ManagementSDSanford HealthC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Sanford Health Foundation
C35505599Cost
Sanford Health Foundation North
C1706214Cost
Sanford Health Foundation North
B250000Cost
Sanford
Q72406112Cost
Sanford Medical Center Wheaton
N311000Cost

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