2013-05-15T08:07:02-05:00 2012-06-30 861065772 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2011-07-01 453791176 Sanford Group Return SANF 6053331000 801 Broadway N Fargo ND 58122 JoAnn Kunkel 6053331000 2013-05-15 1 Kristina Rasmussen P00143920 6123974000 2011 2016-02-24 21:20:13Z Kelby Krabbenhoft 1305 West 18th Street PO Box 5039 Sioux Falls SD 571175039 2833049186 1 1 5851 X www.sanfordhealth.org X "Dedicated to the Work of Health and Healing" 16 7 25323 1996 25169261 -2964155 51502647 59295812 2391657026 2755702179 21052136 3651009 2220633 1864337 2466432442 2820513337 15734710 18934965 0 0 1298802700 1440771373 0 0 723107 1081874697 1288286970 2396412107 2747993308 70020335 72520029 1778421400 1897147387 955944395 1059466486 822477005 837680901 X Sanford'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. 0 0 2314517695 18931965 2754593768 Sanford 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. 5293670 0 0 Medical 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. 24498548 3000 2269852 Sanford 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. 2344309913 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 1 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 1 0 1 1 1 1 0 1 0 1 1 1 1 1 0 1 X 1926 0 1 25323 1 1 1 1 BH 0 0 0 0 0 0 0 0 0 0 X 16 7 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MN OR CA X JoAnn Kunkel CFO 6053331000 801 Broadway N Fargo ND 58122 X Barb Everist 0.50 X 0 0 0 Barbara Stork 0.50 X 0 0 0 Barry Martin 0.50 X 0 0 0 Brent Teiken 0.50 X 0 0 0 David Beito 0.50 X 0 0 0 Don Morton 0.50 X 0 0 0 Jerome Feder 0.50 X 0 0 0 Jim Entenman 0.50 X 0 0 0 John C Vanderwoude 60.00 X 1183385 0 28640 John Jambois 0.50 X 0 0 0 Lauris Molbert 0.50 X 0 0 0 Mark Paulson MD 60.00 X 268151 0 30760 Michael L Olson 60.00 X 572221 0 6711 Michael L Olson Deferred Comp 60.00 X 0 0 49282 Mikal Claar 0.50 X 0 0 0 Pamela Anderson 0.50 X 0 0 0 Richard D Hardie 60.00 X 566503 0 24244 Ronald Moquist 0.50 X 0 0 0 Terrence Grimm MD thru Feb12 60.00 X 557673 0 26124 Terry Baloun 0.50 X 0 0 0 Thomas Hruby 0.50 X 0 0 0 Kelby K Krabbenhoft 60.00 X X 1484297 0 21738 Kelby K Krabbenhoft Deferred Comp 60.00 X X 0 0 565035 Lisa Carlson 60.00 X 717737 0 31290 Paul Richard 60.00 X 607930 0 31190 Rebecca Nelson 60.00 X 940477 0 15646 Rebecca Nelson Deferred Comp 60.00 X 0 0 114794 Bill Marlette 60.00 X 668135 0 1755 Bill Marlette Deferred Comp 60.00 X 0 0 136449 David Link 60.00 X 823104 0 23339 David Link Deferred Comp 60.00 X 0 0 146060 Arlyn Broekhuis 60.00 X 444547 0 25788 Bradley J Schipper 60.00 X 252219 0 27498 Bruce D Viessman 60.00 X 211653 0 26655 Bruce Pitts MD 60.00 X 710742 0 27312 Bryan J Nermoe 60.00 X 246455 0 23327 Cecily L Tucker 60.00 X 304636 0 28695 Charles P O'Brien 60.00 X 649904 0 22298 Charles P O'Brien Deferred Comp 60.00 X 0 0 57595 Christine Harff 60.00 X 242662 0 26902 Craig Boyer 60.00 X 272252 0 30117 Daniel Olson 60.00 X 234477 0 28238 Daniel W Blue 60.00 X 614421 0 63049 Dennis Millirons 60.00 X 666051 0 26514 Diana Berkland 60.00 X 229177 0 1539 Diana Berkland Deferred Comp 60.00 X 0 0 86449 Douglas Okland 60.00 X 232715 0 13987 Edmond L Weiland 60.00 X 409705 0 24704 Ellen Cooke 60.00 X 295444 0 17733 Gordon A Larson 60.00 X 197443 0 18120 H Eugene Hoyme 60.00 X 296712 0 11513 Jeff D Sandene 60.00 X 426154 0 30422 JoAnn L Kunkel 60.00 X 425808 0 25519 Joy Johnson 60.00 X 238299 0 38237 Leslie Wietstock 60.00 X 184496 0 19230 Linda O'Halloran 60.00 X 435150 0 19026 Michael E Farritor 60.00 X 367641 0 28180 Michelle A Bruhn 60.00 X 242967 0 5504 Nate White 60.00 X 243366 0 10509 Paul Hanson 60.00 X 566527 0 66386 Randy Bury 60.00 X 371974 0 8342 Randy Bury Deferred Comp 60.00 X 0 0 26662 Richard E Nordahl 60.00 X 205148 0 26439 Richard Giesel 60.00 X 432751 0 24481 Richard Marsden MD 60.00 X 644691 0 26987 Robert J Salmon 60.00 X 210380 0 8270 Robert J Salmon Deferred Comp 60.00 X 0 0 81650 Shirley Heintz 60.00 X 217365 0 43141 Steve W Goetsch 60.00 X 250409 0 23764 Tammy K Loosbrock 60.00 X 176647 0 23881 Tiffany Lawrence 60.00 X 271463 0 28534 Timothy J Tracy 60.00 X 214815 0 13576 Adam T Stys 60.00 X 1880035 0 26148 Tomasz P Stys 60.00 X 2093802 0 26148 William C Brunner 60.00 X 2040607 0 23698 Scott Pham 60.00 X 2055427 0 28148 Wilson T Asfora 60.00 X 2001951 0 26148 Roger Gilbertson MD 60.00 X 501987 0 0 Richard G Adcock 60.00 X 230777 0 29239 31831465 0 2579359 1552 1 1 0 Cardinal Health 7000 Cardinal Place Dublin OH 43017 Medical Services 82498191 Amerisource Corp 6810 Shady Oak Rd Eden Prairie MN 55344 Pharmaceuticals 65094351 Owens & Minor Inc 12199 Collection Ctr Dr Chicago IL 60693 Medical Supplies 41036860 Medtronic USA 4642 Collection Ctr Dr Chicago IL 60693 Surgery Supplies 23157775 Henry Carlson Company PO Box 84010 Sioux Falls SD 57118 Construction 18721060 936 40573704 16219484 2502624 43951 59295812 Patient services 621400 1780067208 1780067208 Medicare/Medicaid 621400 557216826 557216826 Purch svcs allocations 541900 293689693 293689693 Product & Retail Sales 446199 24593039 21645468 2947571 Reference lab revenue 900099 14315836 1378184 12937652 85819577 53617833 9283913 22917831 2755702179 4083867 4083867 50827 50827 4275162 3515600 759562 759562 759562 5774609 2160652 6148202 2270744 -373593 -110092 -483685 -483685 1030711 601303 429408 429408 Data Processing/IT Ser 561000 1125685 1125685 Miscellaneous 541300 35881 35756 125 Debt Extinguishment 525990 -486199 -486199 675367 2820513337 2708776653 25169261 27271611 18886651 18886651 48314 48314 23633135 23633135 1159612140 1037742450 121344675 525015 47105009 44001346 3087174 16489 135097045 112891315 22148414 57316 75324044 66426196 8857339 40509 519195 519195 3478725 3478725 1287914 26897 1261017 852545 852545 200703 200703 127127862 107138740 19932552 56570 16940055 13741242 3186364 12449 74114446 62249144 11862609 2693 48254450 18466487 29787963 67149562 53559439 13590123 11021719 8440712 2577624 3383 5696266 4402473 1293793 28236243 24331224 3905019 116854112 98699872 18154240 16343775 14556624 1787151 Medical Supplies 368795299 366513393 2273223 8683 Intercompany Purchases 271925923 173281038 98644885 Bad Debt 98188529 96586047 1602482 Miscellaneous 31299647 22320309 8979338 2747993308 2344309913 402960288 723107 X 50844653 27898546 62683073 13927738 338901003 434022677 495022 274086 8677496 17588183 29169586 36678403 33196716 47387164 2192711227 1033320123 1011430448 1159391104 110790037 30058354 2706733 796 37097482 43807855 42956521 55702749 49472630 30409732 1778421400 1897147387 274545381 323909317 365433 247784 8354814 1700736 490097721 521041194 97365813 100098902 4739784 85215233 107728769 955944395 1059466486 X 822029878 837237812 89725 94200 357402 348889 822477005 837680901 1778421400 1897147387 X 72520029 -57316133 X 0 1 1 X 1 1 X Schedule 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) Schedule 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) 1,251,865 Schedule 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: X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 0 1 70724 0 1 781821 852545 0 Explanation of Lobbying Activities: Part II-B, Line 1: The 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. 36816089 4631456 33855 3144 6341 4738 41467177 28450099 8185089 194469 3066 6269 4233 36816089 25621868 2700378 260797 23508 105017 4419 28450099 25472108 431296 -175923 26748 69167 9698 25621868 1.00000 0 1 1 100940271 100940271 886164734 356651250 529513484 55563805 19364307 36199498 1064252063 654350603 409901460 85790354 2953963 82836391 1159391104 Deferred compensation 55912706 Long-term lease obligation 1088676 Defined benefit pension liability 36301071 Other non-current liabilities 2182677 Interest rate swap obligation 5513250 Minority Interest 18915 Special assessments 2926746 Asset retirement obligations 3784728 107728769 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. 1 East Asia and the Pacific 0 0 Program Services Obtain goods/services 4213 Europe (Including Iceland & Greenland) 0 0 Program Services Investigate potential clinic sites and obtain goods/services 138681 Middle East and North Africa 0 0 Program Services Investigate potential clinic sites 9014 North America 0 0 Program Services Investigate potential clinic sites and obtain goods/services 30504 South America 0 0 Program Services Travel 5393 South Asia 0 0 Program Services Mission healthcare work and obtain good/services 31142 Sub-Saharan Africa 1 43 Program Services Clinic operations and travel 2186211 Russia & the Newly Independent States 0 0 Program Services Travel 2838 1 43 0 0 1 43 2407996 0 2407996 1 0 1 0 0 0 1 1 X 1 X 225.000000000000 1 X 375.000000000000 1 1 0 1 1 30235579 0 30235579 0.01140 194843545 131240110 63603435 0.02400 0 0 225079124 131240110 93839014 0.03540 3374549 112029 3262520 0.00120 15035769 8408423 6627346 0.00250 434091579 314822523 119269056 0.04500 28710883 15120745 13590138 0.00510 11878304 0 11878304 0.00450 493091084 338463720 154627364 0.05830 718170208 469703830 248466378 0.09370 12500 0 12500 0.00000 3211 0 3211 0.00000 61931 0 61931 0.00000 2372 0 2372 0.00000 0 0 116334 0 116334 0.00000 41271 0 41271 0.00000 102310 0 102310 0.00000 4225 0 4225 0.00000 344154 344154 1 66817701 0 425976716 419850545 6126171 X 1 1 20 1 Sanford USD Medical Center

1305 W 18th Street Sioux Falls SD 57117

X X X X X 2 Sanford Medical Center Fargo

801 Broadway North Fargo ND 58122

X X X X X 3 Sanford Medical Center South University

1720 South University Fargo ND 58103

X X X 4 Sanford Bemidji Medical Center

1300 Anne St NW Bemidji MN 56601

X X X 5 Sanford Medical Center Thief River Falls

120 Labree Avenue South Thief River Falls MN 56701

X X X X Inpatient Mental Health 6 Sanford Regional Hospital Worthington

1018 6th Avenue Worthington MN 56187

X X X X 7 Sanford Sheldon Medical Center

118 N 7th Avenue Sheldon IA 51201

X X X X Nursing Facility 8 Sanford Hospital Luverne

1600 N Kniss Avenue Luverne MN 56156

X X X X 9 Sanford Vermillion Hospital

20 S Plum Vermillion SD 57069

X X X X Nursing Facility 10 Sanford Chamberlain Hospital

300 S Byron Blvd Chamberlain SD 57325

X X X X Nursing Facility 11 Sanford Canby Medical Center

112 St Olaf Avenue S Canby MN 56220

X X X X Nursing Facility 12 Sanford Jackson Medical Center

1430 N Highway Jackson MN 56143

X X X X 13 Sanford Tracy Medical Center

251 Fifth Street E Tracy MN 56175

X X X X 14 Sanford Medical Center Mayville

42 6th Avenue SE Mayville ND 58257

X X X X 15 Sanford Hospital Webster

1401 W 1st Street Webster SD 57274

X X X X 16 Sanford Hospital Canton-Inwood

440 N Hiawatha Drive Canton SD 57013

X X X X 17 Sanford Hospital Rock Rapids

801 S Greene Street Rock Rapids IA 51246

X X X X 18 Sanford Deuel County Medical Center

701 3rd Avenue Clear Lake SD 57226

X X X X 19 Sanford Westbrook Medical Center

920 Bell Avenue Westbrook MN 56183

X X X X 20 Sanford Bagley Medical Center

203 4th St N Bagley MN 56621

X X X Sanford USD Medical Center 1 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Medical Center Fargo 2 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Medical Center South University 3 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Bemidji Medical Center 4 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Medical Center Thief River Falls 5 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Regional Hospital Worthington 6 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Sheldon Medical Center 7 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Hospital Luverne 8 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Vermillion Hospital 9 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Chamberlain Hospital 10 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Canby Medical Center 11 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Jackson Medical Center 12 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Tracy Medical Center 13 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Medical Center Mayville 14 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Hospital Webster 15 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Hospital Canton-Inwood 16 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Hospital Rock Rapids 17 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Deuel County Medical Center 18 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Westbrook Medical Center 19 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 Sanford Bagley Medical Center 20 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X 1 1 X X X X X X 1 X 1 X X X X 1 X 0 0 81 Sanford Health Neilson Place

803 Dewey Ave Bemidji MN 56601

Skilled Nursing Facility Sanford Home Care Fargo

1711 S Unversity Dr Fargo ND 58122

Home Health Agency Sanford Clinic Sheldon

800 Oak Street Sheldon IA 51201

Rural Health Clinic Sanford Care Center Vermillion

125 Walker St Vermillion SD 57069

Nursing Facility Sanford Senior Care Sheldon

118 North Seventh Avenue PO Box 250 Sheldon IA 51201

Hospital Based-Nursing Facilities Sanford Health Oakes Clinic

420 S 7th St Oakes ND 58474

Rural Health Clinic Sanford Chamberlain Care Center

300 S Byron Blvd Chamberlain SD 57325

Nursing Facility Sanford Transplant Center

736 Broadway Fargo ND 58122

Transplant Center Sanford Hospice

2710 West 12th Street Sioux Falls SD 57104

Hospice (licensed in MN and SD) Sanford Health Walker Clinic

614 Michigan Avenue Walker MN 56484

Rural Health Clinic Sanford Regional Hospital Worthington

1018 Sixth Avenue Worthington MN 56187

Medicare Certified End Stage Renal Dialysis Sanford Clinic Canby

112 St Olaf Avenue Canby MN 56220

Medicare Certified Rural Health Clinic Sanford Clinic Rock Rapids

803 South Green Street Rock Rapids IA 51246

Rural Health Clinic Sanford Clinic Tracy

251 Fifth Street East Tracy MN 56175

Medicare Certified Rural Health Clinic Sanford Visiting Nurses Association

2710 West 12th Street Sioux Falls SD 57104

Professional Home Care Agency (licensed in MN and SD) Sanford Health Mahnomen Clinic

414 West Jefferson PO Box 396 Mahnomen MN 56557

Rural Health Clinic Sanford Clinic Webster

101 Peabody Drive Webster SD 57274

Rural Health Clinic Sanford Health Hillsboro Clinic

315 East Caledonia Hillsboro ND 58045

Rural Health Clinic Trillium

930 Anne St N Bemidji MN 56601

Assisted Living Center Windsong

1010 Anne St N Bemidji MN 56601

Assisted Living Center Sanford Health Pelican Rapids Clinic

211 East Mill Street Pelican Rapids MN 56572

Rural Health Clinic Sanford Clinic Aberdeen Surgical Center

3015 3rd Ave SE Aberdeen SD 57401

Ambulatory Surgery Center Sanford Clinic Windom

591 2nd Avenue North Windom MN 56101

Medicare Certified Rural Health Clinic Northern Lights Community Residence

324 10th Street East Thief River Falls MN 56701

Adult Treatment Center Sanford Clinic Jackson

1430 North Highway Jackson MN 56143

Medicare Certified Rural Health Clinic Sanford Home Health and Hospice

118 North Seventh Avenue PO Box 250 Sheldon IA 51201

Home Health Agency Sanford Health Detroit Lakes ASC

1245 Washington Avenue Detroit Lakes MN 56501

Ambulatory Surgery Center Sanford Clinic Beresford

600 W Cedar St Beresford SD 57004

Rural Health Clinic Orchard Hills

200 W 10th St Dell Rapids SD 57022

Assisted Living Center Sanford Health Blackduck Clinic

81 1st Street NW PO Box 188 Blackduck MN 56630

Rural Health Clinic Northwest Iowa Dialysis Center

112 Sunrise Drive Hospers IA 51239

End Stage Renal Dialysis Sanford Clinic Ipswich

110 5th Ave Ipswich SD 57451

Rural Health Clinic Worthington Regional Hospital Hospice

1151 Ryans Road Suite 100 Worthington MN 56187

Hospice (licensed in SD) Sanford Clinic Clark

117 W 1st Ave Clark SD 57225

Rural Health Clinic Sanford Clinic Westbrook

920 Bell Avenue Westbrook MN 56183

Medicare Certified Rural Health Clinic Pathfinder Children's Treatment Center

923 Atlantic Avenue North Thief River Falls MN 56701

Children's Treatment Center Sanford Health Cass Lake Clinic

219 Grant Utley Avenue Cass Lake MN 56633

Rural Health Clinic Sanford Clear Lake Clinic

701 3rd Ave South Clear Lake SD 57226

Rural Health Clinic Baker Park Inc

803 Dewey Ave Bemidji MN 56601

Assisted Living Center Sanford Home Health and Hospice Sheldon

118 North Seventh Avenue Sheldon IA 51201

Hospice Sylvan Place

212 St Olaf Avenue South Canby MN 56220

Housing with Services Sanford Canby Medical Center

213 St Olat Ave N Ste B Canby MN 56220

Medicare Certified Home Health Agency Sanford Canby Dialysis Unit

112 St Olaf Avenue Canby MN 56220

Medicare Certified End Stage Renal Dialysis Sanford Luverne Hospice

211 East Main Street Suite 101 Luverne MN 56156

Medicare Certified Hospice Shetek Home Care

251 Fifth Street East Tracy MN 56175

Medicare Certified Home Health Agency Sanford Hospice

20 S Plum St Vermillion SD 57069

Hospice Sanford Worthington Home Care

1018 Sixth Avenue Worthington MN 56187

Medicare Certified Home Health Agency Sanford Hospice

803 South Green Street Rock Rapids IA 51246

Hospice (licensed in SD) Sanford Clinic Lakefield

209 Main Street PO Box 546 Lakefield MN 56150

Medicare Certified Rural Health Clinic Dakota Gardens Senior Living

126 S Plum Vermillion SD 57069

Residential Living Center Canby Community Hospice

131 St Olaf Ave N Canby MN 56220

Hospice (licensed in SD) Sanford Clinic Lennox

108 S Main Lennox SD 57039

Rural Health Clinic Sanford Health Enderlin Clinic

201 4th Ave Suite 1 Enderlin ND 58027

Rural Health Clinic Sanford Health Lamoure Clinic

Omega City Plaza Lamoure ND 58458

Rural Health Clinic O'Brien Court

410 State Street Tracy MN 56175

Housing with Services Sanford Hospice Centennial Cottage

6301 W 43rd St Sioux Falls SD 57106

Residential Hospice Sanford Clinic Lake Norden

Main Street Lake Norden SD 57248

Rural Health Clinic Sanford Clinic Estelline

305 Hospital Dr Estelline SD 57234

Rural Health Clinic Sanford Hiawatha Heights

398 N Hiawatha Dr Canton SD 57013

Assisted Living Center Sanford Visiting Nurses Assoc-Vermillion

20 S Plum Vermillion SD 57069

Home Health Care Sanford Health Forman Clinic

PO Box 184 Forman ND 58032

Rural Health Clinic Sanford Hospice

510 E 8th St Freeman SD 57029

Hospice Sanford Health Twin Valley Clinic

212 Main Avenue West Twin Valley MN 56584

Rural Health Clinic Sanford Health Ellendale Clinic

PO Box 306 Ellendale ND 58436

Rural Health Clinic Sanford Health Gwinner Clinic

69 Hwy 13 West Gwinner ND 58040

Rural Health Clinic Sanford Health Lidgerwood Clinic

PO Box 276 Lidgerwood ND 58053

Rural Health Clinic Peterson Estates

1012 9th Street Westbrook MN 16183

Housing with Services Sanford Health Halstad Clinic

445 1st Street East Halstad MN 56548

Rural Health Clinic Deuel County Memorial Home Health

701 3rd Ave South Clear Lake SD 57226

Home Health Care Sanford Health Ulen Clinic

108 Viking Avenue West Ulen MN 56585

Rural Health Clinic Sanford Visiting Nurses Assoc-Chamberlai

110 W Beede Ste 1 Chamberlain SD 57325

Home Health Care Sanford Hospice

745 E 8th St Winner SD 57580

Hospice Mid-Dakota Community Based Hospice

300 S Byran Blvd Chamberlain SD 57325

Hospice Sanford Clinic Balaton

Highway 14E Balaton MN 56115

Medicare Certified Rural Health Clinic Sanford Tracy Walnut Grove Clinic

830 Eighth Street Walnut Grove MN 56180

Medicare Certified Rural Health Clinic Sanford Hospice

912 4th Avenue Windom MN 56101

Hospice (licensed in SD) Sanford Hospice

900 2nd Ave Madison MN 56256

Hospice (licensed in SD) Sanford Hospice Foundation Cottage

6309 W 43rd St Sioux Falls SD 57106

Residential Hospice Madison Hospital Hospice

917 N Washington Ave Madison SD 57042

Hospice Sanford USD Medical Center Dialysis

1305 W 18th Street Sioux Falls SD 571175039

End Stage Renal Dialysis Sanford Wagner Dialysis

111 Washington Street Wagner SD 57380

End Stage Renal Dialysis 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. 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 in 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 with 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 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 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram Sanford 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/CommunityCareProgram 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/CommunityCareProgram 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. 1 Aberdeen Catholic School System 1400 N Dakota Street Aberdeen SD 57401 460334005 501(c)(3) 25000 General support Aberdeen Family YMCA 5 South State Street Aberdeen SD 57401 460255779 501(c)(3) 10000 General support Absolutely Aberdeen 416 Production St N Aberdeen SD 57401 522424588 501(c)(6) 20000 General support American Academy of PE 38367 Eagle Way Chicago IL 606781383 362275597 501(c)(3) 10000 General support American Cancer Society 4904 S Technopolis Dr Sioux Falls SD 57106 410724036 501(c)(3) 16000 General support American Diabetes Association 14216 Dayton Circle Ste 6 Omaha NE 68137 131623888 501(c)(3) 37884 General support American Heart Association 208 S LaSalle St Ste 1500 Chicago IL 60604 135613797 501(c)(3) 116250 General support Augustana College 2001 S Summit Ave Sioux Falls SD 57197 460224588 501(c)(3) 1140500 Facilities development, Science Center development, Student athlete support Brandon Valley Booster Club PO Box 572 Brandon SD 57005 466002577 501(c)(6) 7500 General support CCHS (Children's Care Hospital Foundation) 2501 W 26th St Sioux Falls SD 571052498 460233030 501(c)(3) 6000 General support Chamber of Commerce PO Box 1425 Sioux Falls SD 571011425 460189300 501(c)(6) 7625 General support Matson Halverson Christiansen Hamilton Foundation PO Box 84 Kimball SD 57355 460461691 501(c)(3) 15000 General support Childrens Home Society Foundation 801 N Sycamore Ave PO Box 1749 Sioux Falls SD 571011749 460224542 501(c)(3) 6000 General support Cystic Fibrosis Foundation 8011 34th Ave S Ste 116 Bloomington MN 55425 131930701 501(c)(3) 10000 General support Dakota Alliance 401 W 39th Street Sioux Falls SD 57105 460359817 501(c)(3) 40000 General support Dakotabilities 3600 S Duluth Ave Sioux Falls SD 57105 460306216 501(c)(3) 6000 General support Dakota Schoolers 1809 W Oak Street Sioux Falls SD 57105 203452350 501(c)(3) 7500 General support Family Visitation 311 E 14th St Sioux Falls SD 57104 263654937 501(c)(3) 6000 General support First Tee of SD 2604 West Russell St Sioux Falls SD 57104 460449824 501(c)(3) 7000 General support Focus Watertown PO Box 332 Watertown SD 57201 470813269 501(c)(6) 7500 General support Forward Sioux Falls PO Box 907 Sioux Falls SD 571010907 460396647 501(c)(6) 300000 Area economic development Furniture Mission 209 N Nesmith Sioux Falls SD 57103 810584500 501(c)(3) 13290 General support Great Plains Zoo 805 S Kiwanis Ave Sioux Falls SD 57104 466015015 501(c)(3) 84200 General support Susan G Komen for the Cure 5005 LBJ Freeway Suite 250 Dallas TX 75244 751835298 501(c)(3) 65160 General support Junior Achievement 1000 N West Ave 100 Sioux Falls SD 57104 460306352 501(c)(3) 24000 General support Juvenile Diabetes Research Foundation (JDRF) South Dakota 1301 W 18th Street Sioux Falls SD 57117 231907729 501(c)(3) 25000 General support Kilian Community College 300 East 6th St Sioux Falls SD 57103 460385443 501(c)(3) 10000 General support Lincoln High School 201 E 38th Street Sioux Falls SD 57105 466002540 501(c)(3) 14000 General support McCrossan Boys Ranch 47135 260th Street Sioux Falls SD 57107 460311913 501(c)(3) 12500 General support Mike Miller Foundation 2107 Quiett Lane Mitchell SD 57301 300015773 501(c)(3) 27000 General support Multiple Sclerosis (aka Upper Midwest MS Chapter - SD & MN) 2508 S Carolyn Ave Sioux Falls SD 57106 450255544 501(c)(3) 7500 General support National Kidney Foundation 1970 Oakcrest Ave Ste 208 St Paul MN 55113 131673104 501(c)(3) 12000 General support Nike Team National One Bowerman Drive Beaverton OR 97005 270479547 501(c)(3) 7500 General support Northern Bull Riding PO Box 96 Long Valley SD 57547 202241939 501(c)(3) 10000 General support Roosevelt High School 201 E 38th Street Sioux Falls SD 57105 466002586 501(c)(3) 14350 General support SD EMT Association PO Box 864 Aberdeen SD 574020864 460352015 501(c)(3) 7000 General support SD High School Act 804 N Euclid Suite 102 Pierre SD 57501 460226282 501(c)(3) 120000 Support South Dakota Activities Association SD Law Enforcement Charities 5214 Sweetbriar Court Sioux Falls SD 57108 460440378 501(c)(3) 10500 General support SD Symphony Orchestra 300 North Dakota Ave Ste 116 Sioux Falls SD 57104 466017026 501(c)(3) 40000 General support SD Voices for Children PO Box 2196 Sioux Falls SD 571012196 460425502 501(c)(3) 15500 General support SDSU 815 Medary Ave PO Box 525 Brookings SD 57007 460273801 501(c)(3) 9165 General support SF Arts Council 300 S Phillips Ave L104 Sioux Falls SD 57104 208535871 501(c)(3) 7500 General support SF Catholic School 3100 W 41st St Sioux Falls SD 57105 460413591 501(c)(3) 253000 Teacher endowment SF Cyclones 7605 Loganberry St Sioux Falls SD 57106 274705069 501(c)(3) 10000 General support SF Jazz & Blues Society 123 S Main Ave Ste 204 Sioux Falls SD 57104 460418356 501(c)(3) 15000 General support SF Youth Hockey Assoc 4235 West Mesa Pass Sioux Falls SD 57106 460427805 501(c)(3) 7875 General support Sioux Empire Arts PO Box 1165 Sioux Falls SD 57101 208535871 501(c)(3) 8500 General support Sioux Falls Christian 6120 Charger Circle Sioux Falls SD 571091110 460340024 501(c)(3) 250100 Teacher endowment Sioux Falls Schools 201 E 38th Street Sioux Falls SD 57105 466002586 501(c)(3) 73600 General support Sioux Falls Seminary 1525 S Grange Avenue Sioux Falls SD 57105 460237098 501(c)(3) 100000 Scholarship endowment Sioux Falls Sports Authority Summit League 200 N Phillips Ave Ste 303 Sioux Falls SD 57104 205850491 501(c)(3) 50000 General support Southeast Technical 2320 N Career Ave Sioux Falls SD 57107 364112897 501(c)(3) 11000 General support Special Olympics 305 W 39th St Sioux Falls SD 57105 460359776 501(c)(3) 10000 General support Transitional Living 2601 S Minnesota Ave Ste 105 PMB 378 Sioux Falls SD 571054750 200293050 501(c)(3) 50000 General support United Way 1000 North West Ave 120 Sioux Falls SD 571041314 460233701 501(c)(3) 105750 General support United Way Northeastern SD Inc (Aberdeen) 12 4th Ave SE PO Box 1065 Aberdeen SD 57401 237086355 501(c)(3) 15355 General support University of Sioux Falls 1101 West 22nd Street Sioux Falls SD 57105 460224600 501(c)(3) 5400 General support University of South Dakota 1110 N Dakota Street PO Box 5555 Vermillion SD 570695555 466018891 501(c)(3) 3069749 Support research, Program development of Medical School with emphasis on Pediatrics University of Wisconsin 600 Highland Ave Madison WI 53792 390743975 501(c)(3) 36000 General support USD Coyote Athletics 1110 N Dakota Street PO Box 5555 Vermillion SD 570695555 466018891 501(c)(3) 135750 Sports medicine program Volunteers of America 1309 West 51st St PO Box 89306 Sioux Falls SD 571099306 237353508 501(c)(3) 17000 General support Washington Pavilion 301 S Main Ave PO Box 984 Sioux Falls SD 571010984 460435791 501(c)(3) 55000 General support Webster WAVE 513 Main St Webster SD 57274 201307620 501(c)(3) 7500 General support YMCA 230 S Minnesota Ave Sioux Falls SD 57104 460225021 501(c)(3) 136000 Local support YMCA - Worthington Area 211 Eleventh St Worthington MN 56187 416007569 501(c)(3) 100000 Local support YWCA 300 W 11th Street Sioux Falls SD 57104 460234998 501(c)(3) 5750 General support USD School of Medicine 1400 W 22nd Street Sioux Falls SD 571051581 460418678 501(c)(3) 51504 General support South Dakota Lion's Eye & Tissue Bank 4501 W 61st Street Sioux Falls SD 57107 460413527 501(c)(3) 10000 General support NW Iowa Community College Foundation 603 W Park St Sheldon IA 51201 421275893 501(c)(3) 9125 General support Sheldon Education Foundation 1700 East 4th Street Sheldon IA 51201 421316980 501(c)(3) 10950 General support Orab Booster Club 1700 East 4th Street Sheldon IA 51201 200235491 501(c)(3) 5539 General support Greater North Dakota Chamber of Commerce PO Box 2639 Bismarck ND 58502 450141100 501(c)(6) 28500 General support University of North Dakota 3501 University Ave Stop 8157 Grand Forks ND 58202 450348296 501(c)(3) 360000 Dr. Roger Gilbertson Endowed Chair in Neurology Northland Community & Technical College Foundation 1101 Highway One East Thief River Falls MN 56701 411287038 501(c)(3) 10000 General support American Cancer Society 250 Williams Street NW Atlanta GA 30303 131788491 501(c)(3) 15308 General support Boys and Girls Club of the Bemidji Area PO Box 191 Bemidji MN 56619 810599601 501(c)(3) 15000 General support Cullen Children's Foundation PO Box 594 West Fargo ND 58078 770636521 501(c)(3) 20000 General support Detroit Lakes Community & Cultural Center 826 Summit Ave Detroit Lakes MN 56501 411970351 501(c)(3) 10500 General support Downtown Community Partnership 203 4th Ave N Fargo ND 58102 450314187 501(c)(3) 30000 General support FM Rotary Foundation PO Box 684 Fargo ND 58107 203453808 501(c)(3) 6000 General support Greater Fargo Moorhead Economic Development Corporation 51 Broadway Suite 500 Fargo ND 58102 456011769 501(c)(3) 40000 General support Metro Sports Foundations Inc 5225 31st Ave S Fargo ND 58104 208723123 501(c)(3) 120000 Youth sports programs and facilities Tri-College University 650 NP Ave Suite 110 Fargo ND 58102 237102720 501(c)(3) 75000 General support West Central Initiative 1000 Western Ave Fergus Falls MN 56537 363453471 501(c)(3) 20000 General support Mayville State University Foundation 330 3rd St NE Mayville ND 58257 456013477 501(c)(3) 6000 General support Roger Maris Celebrity Benefit Golf PO Box 3202 Fargo ND 58108 450425333 501(c)(3) 10000 General support United Way of Cass-Clay 219 7th St S Fargo ND 58103 410810008 501(c)(3) 68250 General support NDSCS Foundation 800 6th St N Wahpeton ND 58076 450407617 501(c)(3) 10000 General support Valley City State University 101 College St Valley City ND 58072 237178785 501(c)(3) 10000 General support West Fargo Baseball Inc 232 6th Ave W West Fargo ND 58078 262739297 501(c)(3) 6000 General support West Fargo Packer Backers PO Box 863 West Fargo ND 58078 363767101 501(c)(3) 6000 General support Sanford Health Foundation 1305 W 18th Street Sioux Falls SD 57105 363297853 501(c)(3) 10307 General support Sanford Health Foundation North PO Box 2010 Fargo ND 58122 450398104 501(c)(3) 260000 General support Burnham Institute for Medical Research 10901 N Torrey Pines Road LaJolla CA 92037 510197108 501(c)(3) 4000000 Research Sanford Health Foundation of Northern Minnesota 1300 Anne St NW Bemidji MN 56601 411389317 501(c)(3) 20000 General support 89 6 Scholarships 31 41000 Rad Tech Program 1 6875 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule 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. X X X X X 1 1 X X X X X 1 1 0 0 0 1 0 0 0 John C Vanderwoude 1000000 0 0 0 183385 0 4900 0 23740 0 1212025 0 0 0 Mark Paulson MD 236419 0 0 0 31732 0 12250 0 18510 0 298911 0 0 0 Michael L Olson 563933 0 0 0 8288 0 0 0 6711 0 578932 0 0 0 Michael L Olson Deferred Comp 0 0 0 0 0 0 49282 0 0 0 49282 0 0 0 Richard D Hardie 562511 0 0 0 3992 0 7350 0 16894 0 590747 0 0 0 Terrence Grimm MD thru Feb12 500004 0 0 0 57669 0 12250 0 13874 0 583797 0 0 0 Kelby K Krabbenhoft 913461 0 0 0 570836 0 0 0 21738 0 1506035 0 0 0 Kelby K Krabbenhoft Deferred Comp 0 0 0 0 0 0 565035 0 0 0 565035 0 0 0 Lisa Carlson 500321 0 0 0 217416 0 12250 0 19040 0 749027 0 0 0 Paul Richard 436132 0 0 0 171798 0 12250 0 18940 0 639120 0 0 0 Rebecca Nelson 609961 0 0 0 330516 0 0 0 15646 0 956123 0 0 0 Rebecca Nelson Deferred Comp 0 0 0 0 0 0 114794 0 0 0 114794 0 0 0 Bill Marlette 423231 0 0 0 244904 0 0 0 1755 0 669890 0 0 0 Bill Marlette Deferred Comp 0 0 0 0 0 0 136449 0 0 0 136449 0 0 0 David Link 529038 0 0 0 294066 0 0 0 23339 0 846443 0 0 0 David Link Deferred Comp 0 0 0 0 0 0 146060 0 0 0 146060 0 0 0 Arlyn Broekhuis 324423 0 0 0 120124 0 7350 0 18438 0 470335 0 0 0 Bradley J Schipper 225923 0 0 0 26296 0 6042 0 21456 0 279717 0 0 0 Bruce D Viessman 192835 0 0 0 18818 0 5794 0 20861 0 238308 0 0 0 Bruce Pitts MD 520260 0 0 0 190482 0 12250 0 15062 0 738054 0 0 0 Bryan J Nermoe 213257 0 0 0 33198 0 6407 0 16920 0 269782 0 0 0 Cecily L Tucker 231000 0 0 0 73636 0 7289 0 21407 0 333332 0 0 0 Charles P O'Brien 440865 0 0 0 209039 0 0 0 22298 0 672202 0 0 0 Charles P O'Brien Deferred Comp 0 0 0 0 0 0 57595 0 0 0 57595 0 0 0 Christine Harff 220915 0 0 0 21747 0 8535 0 18367 0 269564 0 0 0 Craig Boyer 190183 0 0 0 82069 0 23978 0 6139 0 302369 0 0 0 Daniel Olson 187010 0 0 0 47467 0 10522 0 17716 0 262715 0 0 0 Daniel W Blue 424038 0 0 0 190383 0 41851 0 21198 0 677470 0 0 0 Dennis Millirons 465027 0 0 0 201024 0 12250 0 14264 0 692565 0 0 0 Diana Berkland 202227 0 0 0 26950 0 0 0 1539 0 230716 0 0 0 Diana Berkland Deferred Comp 0 0 0 0 0 0 86449 0 0 0 86449 0 0 0 Douglas Okland 208805 0 0 0 23910 0 9543 0 4444 0 246702 0 0 0 Edmond L Weiland 308077 0 0 0 101628 0 7350 0 17354 0 434409 0 0 0 Ellen Cooke 260619 0 0 0 34825 0 10305 0 7428 0 313177 0 0 0 Gordon A Larson 184811 0 0 0 12632 0 5335 0 12786 0 215564 0 0 0 H Eugene Hoyme 259707 0 0 0 37005 0 6044 0 5469 0 308225 0 0 0 Jeff D Sandene 299691 0 0 0 126463 0 12250 0 18172 0 456576 0 0 0 JoAnn L Kunkel 315385 0 0 0 110423 0 7081 0 18438 0 451327 0 0 0 Joy Johnson 194211 0 0 0 44088 0 30430 0 7807 0 276536 0 0 0 Leslie Wietstock 165920 0 0 0 18576 0 7441 0 11789 0 203726 0 0 0 Linda O'Halloran 387487 0 0 0 47663 0 12250 0 6776 0 454176 0 0 0 Michael E Farritor 315135 0 0 0 52506 0 7225 0 20955 0 395821 0 0 0 Michelle A Bruhn 214227 0 0 0 28740 0 4552 0 951 0 248470 0 0 0 Nate White 223077 0 0 0 20289 0 5539 0 4970 0 253875 0 0 0 Paul Hanson 374881 0 0 0 191646 0 57603 0 8783 0 632913 0 0 0 Randy Bury 329726 0 0 0 42248 0 0 0 8342 0 380316 0 0 0 Randy Bury Deferred Comp 0 0 0 0 0 0 26662 0 0 0 26662 0 0 0 Richard E Nordahl 182992 0 0 0 22156 0 5197 0 21242 0 231587 0 0 0 Richard Giesel 314566 0 0 0 118185 0 12250 0 12231 0 457232 0 0 0 Richard Marsden MD 526097 0 0 0 118594 0 12250 0 14737 0 671678 0 0 0 Robert J Salmon 186685 0 0 0 23695 0 0 0 8270 0 218650 0 0 0 Robert J Salmon Deferred Comp 0 0 0 0 0 0 81650 0 0 0 81650 0 0 0 Shirley Heintz 175824 0 0 0 41541 0 34358 0 8783 0 260506 0 0 0 Steve W Goetsch 225965 0 0 0 24444 0 4496 0 19268 0 274173 0 0 0 Tammy K Loosbrock 165594 0 0 0 11053 0 4977 0 18905 0 200529 0 0 0 Tiffany Lawrence 250890 0 0 0 20573 0 12145 0 16390 0 299998 0 0 0 Timothy J Tracy 190877 0 0 0 23938 0 5014 0 8562 0 228391 0 0 0 Adam T Stys 1862661 0 0 0 17374 0 7350 0 18798 0 1906183 0 0 0 Tomasz P Stys 2093091 0 0 0 711 0 7350 0 18798 0 2119950 0 0 0 William C Brunner 2032182 0 0 0 8425 0 4900 0 18798 0 2064305 0 0 0 Scott Pham 2055427 0 0 0 0 0 7350 0 20798 0 2083575 0 0 0 Wilson T Asfora 1751777 0 0 0 250174 0 7350 0 18798 0 2028099 0 0 0 Roger Gilbertson MD 501987 0 0 0 0 0 0 0 0 0 501987 0 0 0 Richard G Adcock 212873 0 0 0 17904 0 5868 0 23371 0 260016 0 0 0 Part I, Line 1a On 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-b Part 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 6 Sanford 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. Supplemental Information Part III Supplemental: 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. South Dakota Health and Educational Facilities Authority 460315509 83755VHY3 2004-09-14 70073989 New construction of healthcare facilities 0 0 0 South Dakota Health and Educational Facilities Authority 460315509 83755VME1 2007-04-19 75002140 New construction and remodeling of healthcare facilities 0 0 0 South Dakota Health and Educational Facilities Authority 460315509 83755VNZ3 2009-09-29 71015042 New construction and remodeling of healthcare facilities 0 0 0 City of Fargo 456002069 307479CK9 2011-02-09 134069821 Refunding bonds issued 12/5/1996, 11/8/2000, and 6/18/2002 0 0 0 1690000 71703205 1 870306 70832899 2006 0 0 1 1 2110000 78211481 1 736362 77475119 2009 0 0 1 1 71409534 1 997167 70412367 2011 0 0 1 1 3000000 134069821 796 134069821 1 1 1 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 0 1 1 0 0.00000 0.00000 0.00000 1 0 1 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 Part I, Column e and Part II, Line 3 Differences between the issue price (Part I, column e) and total proceeds (Part II, line 3) are due to investment earnings. Part II, Line 4 The amounts shown here consist of debt service fund deposits. Part III, column C and D Part 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 D This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of bonds. Bryan Nermoe Retention Loan X 20000 4767 0 0 1 Wilson Asfora Physician Recruitment/Retention Loan X 1094257 248065 0 0 1 Bryan Nermoe Retention Loan X 30000 21254 0 0 1 274086 Kim Goetsch Steve Goetsch - family relationship 38032 Compensation 0 Deborah Olson Michael Olson - family relationship 28965 Compensation 0 Kathryn Edwards-Olson Michael Olson - family relationship 90620 Compensation 0 Nancy Salmon Robert Salmon - family relationship 87789 Compensation 0 Emily Tracy Timothy Tracy - family relationship 10439 Compensation 0 Amy Entenman James Entenman - family relationship 54244 Compensation 0 Jan Feder Jerome Feder - family relationship 80080 Compensation 0 Julie Paulson Mark Paulson - family relationship 17765 Compensation 0 Megan Hemmelgarn Mark Paulson - family relationship 17712 Compensation 0 Midwest Catering Barbara Stork - Owner 284424 Catering Services 0 Midwest Provisions Barbara Stork - Owner 286310 Vending Services 0 SunDog Brent Teiken - Owner 2333574 Marketing 0 US Bank Barry Martin - Division President 580807 Bank Fees and Commissions 0 First National Bank Rebecca Nelson - Board Member 239792 Bank Fees and Commissions 0 X 1 12000 FMV X Medical equipment 4 31951 FMV 0 0 1 0 Investments 2012-05-31 12043040 Cost 311527032 Sanford Health 1305 West 18th Street Sioux Falls SD 57117 501(c)(3) Cash 2012-05-31 3750 Cost 311527032 Sanford Health 1305 West 18th Street Sioux Falls SD 57117 501(c)(3) Premium receivable 2012-05-31 4039998 Cost 271218956 Sanford 801 Broadway Drive Fargo ND 58122 501(c)(3) 0 0 0 0 1 1 1 1 0 0 Agassiz Assurance Company underwent a dissolution during the tax year effective May 31, 2012. 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 2 Lisa 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 6 Sanford 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 7a The 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 7b The 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 11 The 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 12c The annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of Interest questionnaires are sent to System Trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the IRS Form 990 filings. The disclosures are summarized for review by the executive committee of the Board of Trustees, pursuant to policy. This review allows: 1) The Board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis 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 15 The 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 19 Although the organization does not maintain a website where the public can access these documents, it would respond individually to any requests or inquiries from the public for these documents. Form 990, Part VII: 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. Changes in Net Assets or Fund Balances: 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. Elections Form 990 Elections Form 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: 41-1372480 General MeritCare Minnesota will not have responses similar to other subordinates as this entity did not have current year activity. Sanford Consumer Services LLC 1305 W 18th Street Sioux Falls SD 57117 208736919 Medical Spa SD -538562 286353 Sanford Clinic Southwest MN Radiation Center LLC 1018 6th Ave Worthington MN 56187 460388596 Radiation SD -570187 243327 Sanford Health Network Lincoln County Real Estate Trust 100 S Phillips Ave Sioux Falls SD 57104 466126929 Real Estate SD 0 586467 Sanford Health PPK Family Trust 100 S Phillips Ave Sioux Falls SD 57104 207317570 Rental Real Estate SD 9509 93 Sanford Health Lynx Trust PO Box 5186 Sioux Falls SD 57117 266167201 Investment SD -4 1 Sanford Health National Student Housing Trust-SD PO Box 5186 Sioux Falls SD 57117 206831968 Investment SD -3 441 Sanford Health Sanford Healthcare Accessories LLC 3223 32nd Ave SW Fargo ND 58103 202404179 Sales of Durable Medical Equip ND 24606036 12107008 Sanford North Healthcare Environmental Services LLC PO Box 2010 Fargo ND 58122 205236701 Retail Enterprises ND 3472022 2140307 Sanford North North Country Senior Living LLC 1000 Anne St NW Bemidji MN 56601 263862586 Senior Housing CO 2765150 -9027606 Sanford Health of Northern Minnesota 1527 Broadway LLC 1527 Broadway Alexandria MN 56308 411336392 Real Estate MN 387673 7709369 Sanford Clinic North Sanford Health Foundation 1305 West 18th Street Sioux Falls SD 57117 363297853 Supporting Organization SD 501(c)(3) 11-II Sanford Health 1 Sanford 801 Broadway Drive Fargo ND 58122 271218956 Supporting Organization ND 501(c)(3) 11-II 0 Sanford Medical Center Wheaton 401 12th Street North Wheaton MN 56296 272042143 Hospital/Clinic MN 501(c)(3) 3 Sanford North 1 Sanford Health Foundation North PO Box 2010 Fargo ND 58122 450398104 Fundraising ND 501(c)(3) 7 Sanford North 1 MeritCare Health Enterprises Inc PO Box 2010 Fargo ND 58122 450359785 Prescription drugs ND 501(c)(4) Sanford North 1 FM Ambulance Service Inc 2215 18 St South Fargo ND 58103 450344371 EMT ND 501(c)(4) Sanford North 1 Sanford Health Foundation of Northern Minnesota 1300 Anne St NW Bemidji MN 56601 411389317 Fundraising - Support MN 501(c)(3) 11-II Sanford Health of Northern Minnesota 1 North Country Medical Clinic 1300 Anne St NW Bemidji MN 56601 411753855 Family Practice Medical Clinic MN 501(c)(3) 3 Sanford Health of Northern Minnesota 1 MeritCare Health Enterprises Inc 201 Fifth Street North 14 Floor Fargo ND 58102 453788040 Prescription drugs PA 501(c)(4) Sanford North 1 Edith Sanford Breast Cancer Foundation 2301 60th Street N Sioux Falls SD 57104 450404126 Foundation ND 501(c)(3) 11-II Sanford Health 1 National Student Housing-South Dakota LLC 100 S Phillips Ave Sioux Falls SD 57104 202129839 Investment SD Sanford Health Related -32592 4664650 0 0 0.99990 RAC Rentals LLC 100 S Phillips Ave Sioux Falls SD 57104 261961077 Investment SD Sanford Health Related -35531 3951010 0 0 0.99990 Sanford Home Medical Equipment Inc 2710 W 12th Street Sioux Falls SD 57105 460388597 Healthcare Equipment SD Sanford Health C 10005086 8625696 1.00000 Sanford Health Plan 300 Cherapa Place Sioux Falls SD 57103 911842494 Insurance SD Sanford Health C 581904 42192407 1.00000 Sanford Health Plan of MN 300 Cherapa Place Sioux Falls SD 57103 460445852 Insurance MN Sanford Health C -13288 1904963 1.00000 Bemidji Medical Equipment Inc 1300 Anne St NW Bemidji MN 56601 411551725 Retail Sales of DME MN Sanford Health of Northern Minnesota C 407418 16560 1.00000 North Country Management Inc 1300 Anne St NW Bemidji MN 56601 411820025 Management Services MN Sanford Health of Northern Minnesota C 513234 1.00000 Sanford Frontiers 1305 W 18th St PO Box 5039 Sioux Falls SD 571175039 455436599 Weight Loss Management SD Sanford Health C 1.00000 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 Sanford Health Foundation C 35505599 Cost Sanford Health Foundation North C 1706214 Cost Sanford Health Foundation North B 250000 Cost Sanford Q 72406112 Cost Sanford Medical Center Wheaton N 311000 Cost