SANFORD HEALTH FOUNDATION NORTH: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- SANFORD HEALTH FOUNDATION NORTH (EIN 45-0398104)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-15
- IRS object ID
- 201211369349301901
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-15T09:02:28-05:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 South Sixth Street Suite 2800 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450398104 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sanford Health Foundation North | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SANF | NameControl |
| Phone | 7012342000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2010 | AddressLine1 |
| City | Fargo | City |
| State | ND | State |
| ZIP Code | 581220302 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Lisa Carlson | Name |
| Title | Chief Financial Officer | Title |
| Phone | 7012342000 | Phone |
| Date Signed | 2012-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kristina Rasmussen | Name |
| Phone | 6123974000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Brian Mortenson | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 2010 | AddressLine1 |
| City | Fargo | City |
| State | ND | State |
| ZIP Code | 581220302 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8919231 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.sanfordhealth.org/about/foundation/fargo | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | ND | StateLegalDomicile |
| Activity Or Mission Description | The Foundation's purpose is to encourage and assist Sanford North in its activities. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 395 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1742114 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 6354163 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 658930 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 610956 | InvestmentIncomePriorYear |
| Investment Income Current Year | 434954 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 32719 | OtherRevenuePriorYear |
| Other Revenue Current Year | 9464 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3044719 | TotalRevenuePriorYear |
| Total Revenue Current Year | 6798581 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1712110 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1409260 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 0 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 817553 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 864462 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1021306 | OtherExpensePriorYear |
| Other Expenses Current Year | 549074 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2733416 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2775887 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 311303 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 4022694 | RevenuesLessExpensesCY |
| Total Assets BOY | 6883589 | TotalAssetsBOY |
| Total Assets EOY | 12741059 | TotalAssetsEOY |
| Total Liabilities BOY | 33964 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 35305 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6849625 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 12705754 | NetAssetsOrFundBalancesEOY |
| Mission Description | Sanford Health Foundation North was incorporated for the purpose of encouraging and assisting Sanford North in its activities and to encourage and assist other exempt entities associated with Sanford North in providing health care, medical, or educational services. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1105543 | Expense |
| Grants | 1105543 | Grants |
| Description | The Foundation continues its proud tradition of supporting the programs, services and operations of Sanford as it continues its growth regionally. Specifically, grants helped provide patient care and family support ($718,039), equipment and renovation projects ($273,518) and other internal programs ($113,986). | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 181184 | Expense |
| Grants | 181184 | Grants |
| Description | Additional grants helped support healthcare education. Sanford North is dedicated to providing continuing training and education for its employees, ensuring that patients are receiving the very best, and latest, in care. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 122533 | Expense |
| Grants | 122533 | Grants |
| Description | Grants continually help support our investment in research. These special project areas include the Community Clinical Oncology Program (CCOP), the National Cancer Institute Studies, and the Children's Oncology Group. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 1409260 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 2 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Marlin Van Peursem Director of Fin | NamePerson |
| Telephone Number | 6053285704 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1305 West 18th Street PO Box 5039 | AddressLine1 |
| City | Sioux Falls | City |
| State | SD | State |
| ZIP Code | 571175039 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Ronald M Moquist | |||||||||
| Trustee/Chairman | 0.50 | X | 0 | 0 | 0 | ||||
| Lauris Molbert | |||||||||
| Trustee/Vice Chairman | 0.50 | X | 0 | 0 | 0 | ||||
| Barbara J Stork | |||||||||
| Trustee/Secretary | 0.50 | X | 0 | 0 | 0 | ||||
| David Beito | |||||||||
| Trustee/Treasurer | 0.50 | X | 0 | 0 | 0 | ||||
| Pamela Anderson | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Terry D Baloun | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Ann Christenson | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Mikal L Claar | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Jim Entenman | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Barbara M Everist | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Jerome D Feder | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Terrence Grimm MD | |||||||||
| Trustee | 60.00 | X | 0 | 585887 | 42328 | ||||
| Richard D Hardie MD | |||||||||
| Trustee | 60.00 | X | 0 | 444434 | 18343 | ||||
| John C Jambois | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Kelby K Krabbenhoft | |||||||||
| Sanford Health President/CEO | 60.00 | X | 0 | 1274514 | 19513 | X | |||
| Kelby K Krabbenhoft Def Comp | |||||||||
| Sanford Health President/CEO | 60.00 | X | 0 | 0 | 565838 | X | |||
| Barry L Martin | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Don Morton | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| Michael L Olson MD | |||||||||
| Trustee | 60.00 | X | 0 | 518455 | 6998 | ||||
| Michael L Olson MD Def Comp | |||||||||
| Trustee | 60.00 | X | 0 | 0 | 46935 | ||||
| Mark Paulson MD | |||||||||
| Trustee | 60.00 | X | 0 | 220036 | 46521 | ||||
| Brent Teiken | |||||||||
| Trustee | 0.50 | X | 0 | 0 | 0 | ||||
| John VanderWoude Jr MD | |||||||||
| Trustee | 60.00 | X | 0 | 1184560 | 30701 | ||||
| Lisa Carlson | |||||||||
| Sanford Health CFO | 60.00 | 0 | 418112 | 51907 | X | ||||
| Brian Mortenson | |||||||||
| President | 60.00 | 0 | 314403 | 26676 | X | ||||
| Deborah Soliah | |||||||||
| Vice President | 60.00 | 148874 | 0 | 22431 | X | ||||
| Roger Gilbertson MD | |||||||||
| Former President | 60.00 | 0 | 549117 | 0 | X | ||||
| Steven Berndt MD | |||||||||
| Former Dir/Member at Large | 60.00 | 0 | 424328 | 40652 | X | ||||
| Michael Gibbs | |||||||||
| Former Sr Vice President | 60.00 | 0 | 308310 | 38809 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 148874 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 6242156 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 957652 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Fundraising Events | 176147 | FundraisingEvents |
| Related Organizations | 5040250 | RelatedOrganizations |
| All Other Contributions | 1137766 | AllOtherContributions |
| Noncash Contributions | 32727 | NoncashContributions |
| Total Contributions | 6354163 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130513 | TotalRevenueColumn |
| Exclusion | $130,513 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2394405 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2089964 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 304441 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 304441 | TotalRevenueColumn |
| Exclusion | $304,441 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 40150 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 176147 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 30686 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9464 | TotalRevenueColumn |
| Exclusion | $9,464 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6798581 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $444,418 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1409260 | Total |
| Program Services | 1409260 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 648960 | Total |
| Management And General | 250334 | ManagementAndGeneral |
| Fundraising | 398626 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38433 | Total |
| Management And General | 20898 | ManagementAndGeneral |
| Fundraising | 17535 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81344 | Total |
| Management And General | 50415 | ManagementAndGeneral |
| Fundraising | 30929 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48816 | Total |
| Management And General | 18660 | ManagementAndGeneral |
| Fundraising | 30156 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168882 | Total |
| Management And General | 118979 | ManagementAndGeneral |
| Fundraising | 49903 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18909 | Total |
| Fundraising | 18909 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111363 | Total |
| Management And General | 7808 | ManagementAndGeneral |
| Fundraising | 103555 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27032 | Total |
| Management And General | 27032 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21327 | Total |
| Management And General | 5835 | ManagementAndGeneral |
| Fundraising | 15492 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25673 | Total |
| Management And General | 828 | ManagementAndGeneral |
| Fundraising | 24845 | Fundraising |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| Professional Dues | 112100 | 1376 | 110724 |
| Bad Debt Expense | 63788 | 63788 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2775887 | Total |
| Program Services | 1409260 | ProgramServices |
| Management And General | 502165 | ManagementAndGeneral |
| Fundraising | 864462 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 45163 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 896561 | BOY |
| EOY | 5430496 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7738 | BOY |
| EOY | 2236 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5979290 | BOY |
| EOY | 7263164 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6883589 | BOY |
| EOY | 12741059 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 6098 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33964 | BOY |
| EOY | 29207 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33964 | BOY |
| EOY | 35305 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 407292 | BOY |
| EOY | 536027 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5167279 | BOY |
| EOY | 5236738 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1275054 | BOY |
| EOY | 6932989 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6849625 | BOY |
| EOY | 12705754 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6883589 | BOY |
| EOY | 12741059 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 4022694 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1833435 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2331795 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1534324 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1512185 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1742114 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6354163 | CurrentTaxYear |
| Total | 13474581 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2331795 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1534324 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1512185 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1742114 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6354163 | CurrentTaxYear |
| Total | 13474581 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 4751167 | AmountsSubstContributorsTotal |
| Public Support Total170 | 8723414 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 346912 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus1 Year | 610956 | CurrentTaxYearMinus1Year |
| Current Tax Year | 130513 | CurrentTaxYear |
| Total | 1088381 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 14562962 | TotalSupport |
| Gross Receipts From Admissions Etc | 3279171 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.59900 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.85410 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1275054 | BeginningOfYearBalance |
| Contributions | 5657935 | Contributions |
| End Of Year Balance | 6932989 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1236381 | BeginningOfYearBalance |
| Contributions | 10897 | Contributions |
| Investment Earnings Or Losses | 142717 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 18200 | GrantsOrScholarships |
| Other Expenditures | 96741 | OtherExpenditures |
| End Of Year Balance | 1275054 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1364340 | BeginningOfYearBalance |
| Contributions | 108233 | Contributions |
| Investment Earnings Or Losses | -158380 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 19750 | GrantsOrScholarships |
| Other Expenditures | 58062 | OtherExpenditures |
| End Of Year Balance | 1236381 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Annuities Payable | Description |
| Amount | $29,207 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 29207 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | The organization's use of the endowment funds is to meet the donors intent in providing health care, medical, or educational services to Sanford North. |
| 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 Health Foundation North did not have an income tax liability at June 30, 2011; however, some related organizations have established reserves. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 61for61/Home Run Walk | NameOfEvent1 |
| Gross Receipts Event1 | 181467 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 145297 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 36170 | GrossRevenueEvent1 |
| Food And Beverage Event1 | 194 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 24637 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Children's Golf Classic | NameOfEvent2 |
| Gross Receipts Event2 | 34830 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 30850 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 3980 | GrossRevenueEvent2 |
| Food And Beverage Event2 | 1163 | FoodAndBeverageEvent2 |
| Other Direct Expenses Event2 | 4692 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 216297 | GrossReceiptsTotal |
| Charitable Contributions Total | 176147 | CharitableContributionsTotal |
| Gross Revenue Total Events | 40150 | GrossRevenueTotalEvents |
| Food And Beverage Total Events | 1357 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 29329 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 30686 | DirectExpenseSummaryEvents |
| Net Income Summary | 9464 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Sanford North | |||||||
| PO Box 2010 | Fargo | ND | 58122 | 450385890 | 501(c)(3) | 8269 | See Form 990, Page 2, Part III |
| Sanford Medical Center Fargo | |||||||
| PO Box 2010 | Fargo | ND | 58122 | 450226909 | 501(c)(3) | 990459 | See Form 990, Page 2, Part III |
| Sanford Clinic North | |||||||
| PO Box 2010 | Fargo | ND | 58122 | 911770748 | 501(c)(3) | 410532 | See Form 990, Page 2, Part III |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 3 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: Grants are disbursed by the organization only after the expenditure has been made and properly authorized by the related tax-exempt organizations along with related documentation indicating the fulfillment of donor wishes. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Terrence Grimm MD | |||||||||||||
| 0 | 500004 | 0 | 0 | 0 | 85883 | 0 | 34928 | 0 | 7400 | 0 | 628215 | 0 | 0 |
| Richard D Hardie MD | |||||||||||||
| 0 | 414473 | 0 | 0 | 0 | 29961 | 0 | 7350 | 0 | 10993 | 0 | 462777 | 0 | 0 |
| Kelby K Krabbenhoft | |||||||||||||
| 0 | 789232 | 0 | 0 | 0 | 485282 | 0 | 0 | 0 | 19513 | 0 | 1294027 | 0 | 0 |
| Kelby K Krabbenhoft Def Comp | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 565838 | 0 | 0 | 0 | 565838 | 0 | 0 |
| Michael L Olson MD | |||||||||||||
| 0 | 504486 | 0 | 0 | 0 | 13969 | 0 | 0 | 0 | 6998 | 0 | 525453 | 0 | 0 |
| Michael L Olson MD Def Comp | |||||||||||||
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 46935 | 0 | 0 | 0 | 46935 | 0 | 0 |
| Mark Paulson MD | |||||||||||||
| 0 | 196432 | 0 | 0 | 0 | 23604 | 0 | 31527 | 0 | 14994 | 0 | 266557 | 0 | 0 |
| John VanderWoude Jr MD | |||||||||||||
| 0 | 1000000 | 0 | 0 | 0 | 184560 | 0 | 7350 | 0 | 23351 | 0 | 1215261 | 0 | 0 |
| Lisa Carlson | |||||||||||||
| 0 | 335811 | 0 | 0 | 0 | 82301 | 0 | 34928 | 0 | 16979 | 0 | 470019 | 0 | 0 |
| Brian Mortenson | |||||||||||||
| 0 | 225302 | 0 | 0 | 0 | 89101 | 0 | 7350 | 0 | 19326 | 0 | 341079 | 0 | 0 |
| Deborah Soliah | |||||||||||||
| 134000 | 0 | 0 | 0 | 14874 | 0 | 19151 | 0 | 3280 | 0 | 171305 | 0 | 0 | 0 |
| Roger Gilbertson MD | |||||||||||||
| 0 | 549117 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 549117 | 0 | 0 |
| Steven Berndt MD | |||||||||||||
| 0 | 417000 | 0 | 0 | 0 | 7328 | 0 | 34928 | 0 | 5724 | 0 | 464980 | 0 | 0 |
| Michael Gibbs | |||||||||||||
| 0 | 273000 | 0 | 0 | 0 | 35310 | 0 | 34928 | 0 | 3882 | 0 | 347120 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | Certain items listed on Line 1a are provided by related organizations. Part I, Line 3: Sanford's 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 Trustees for deliberation and action. The most recent study was completed in 2011. | |
| Part I, Lines 4a-b | Roger Gilbertson, MD, former MeritCare President and CEO, received a payment of $549,117 upon his retirement, per employment contract. Part I, Line 4b / Schedule J, Part II, Column C: 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 $420,519 | |
| 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: Dr. Richard Hardie, Dr. Michael Olson. | |
| 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. It also includes the one-time payout of previously deferred compensation (which was also reported as compensation in the earned period). To be in compliance with the IRS regulatory environment, listed individuals compensation includes a one-time payment of deferred compensation; this compensation was earned over multiple periods, and should be treated as earned over that length of time in exchange for services provided. (C) Deferred compensation includes employer contributions to pension plans and the increase (or decrease) in the actuarial value (actuarial value factors include age, tenure and salary) of the benefit plans. (D) Nontaxable benefits generally includes health insurance premiums. A memo regarding executive compensation, written by the Chairman of Sanford's 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 $1,274,514 is comprised of Base Salary of $789,232 and Other Taxable Earnings of $485,282. In addition, an amount of $565,838 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. | Supplemental Information |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 32727 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Average high/low price | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Method for Determining Number of Contributors: | Identifier |
| Return Reference | Part I, Column (b): | ReturnReference |
| Explanation | The organization is using the number of contributors method. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| 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: Dr. Terrence Grimm, Dr. Richard Hardie, Kelby Krabbenhoft, Dr. Michael Olson, Dr. Mark Paulson, Dr. John VanderWoude,Jr., Lisa Carlson, Brian Mortenson, Deborah Soliah, Dr. Roger Gilbertson, Dr. Steven Berndt, Michael Gibbs. | |
| Form 990, Part VI, Section A, line 6 | Sanford is governed by a Board of Trustees that has ultimate strategic and decision making authority. Sanford's Trustees 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 Sanford's Trustees. These Boards function much like committees in a traditional corporate structure. Sanford's Trustees 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. | |
| Form 990, Part VI, Section A, line 7a | Sanford's Trustees appoints the board members for the Board of Directors of Sanford Health Foundation North. | |
| Form 990, Part VI, Section A, line 7b | Sanford's Trustees approve the actions approved by the Board of Directors of Sanford Health Foundation North. | |
| 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 Trustees meeting immediately following the return filing date. After the return is filed, a complete copy is made available to the current Trustees. | |
| 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 Sanford's 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 its 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 12c | |
| Sanford's 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's Trustees. The most recent study was completed in 2011. 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. | Form 990, Part VI, Section B, line 15 | |
| 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, Section A: Sanford's 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's 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 Trustees related to the oversight of day to day operations of that entity. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized gains on investments: 517,160. Change in value of split-interest agreements 1,286. Transfers from related tax-exempt organization 1,314,989. Total to Form 990, Part XI, Line 5: 1,833,435. | Form 990, Part XI, line 5: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (25 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| Sanford North | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 450385890 | Supporting Organization | ND | 501(c)(3) | 11-II | Sanford | 0 |
| Sanford Clinic North | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 911770748 | Clinics | ND | 501(c)(3) | 9 | Sanford North | 1 |
| MeritCare Minnesota | ||||||||||
| 1720 South Highway 59 | Thief River Falls | MN | 56701 | 261530302 | Promotion of health | MN | 501(c)(3) | 3 | Sanford North | 1 |
| Sanford Medical Center Fargo | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 450226909 | Hospital | ND | 501(c)(3) | 3 | Sanford North | 1 |
| Sanford Health Network North | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 450409348 | Hospitals / Clinics | ND | 501(c)(3) | 11-II | 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 | ||||||||||
| 2215 18th St South | Fargo | ND | 58103 | 450344371 | Emergency Medical Transport Services | ND | 501(c)(4) | Sanford North | 1 | |
| Sanford Medical Center Thief River Falls | ||||||||||
| 120 Labree Ave S | Thief River Falls | MN | 56701 | 410709579 | Hospital | MN | 501(c)(3) | 3 | Sanford North | 1 |
| Sanford Medical Center Mayville | ||||||||||
| 42 6th Ave SE | Mayville | ND | 58257 | 450228899 | Hospital | ND | 501(c)(3) | 3 | Sanford North | 1 |
| Sanford Medical Center Wheaton | ||||||||||
| 401 12st St N | Wheaton | MN | 56296 | 272042143 | Hospital / Clinic | MN | 501(c)(3) | 3 | Sanford North | 1 |
| Agassiz Assurance Company | ||||||||||
| 100 Bank Street Suite 610 | Burlington | VT | 05401 | 743121855 | Insurance | VT | 501(c)(3) | 11-II | Sanford North | 1 |
| Sanford Health | ||||||||||
| 1305 W 18th St PO Box 5039 | Sioux Falls | SD | 571175039 | 311527032 | Supporting Organization | SD | 501(c)(3) | 11-III | Sanford | 0 |
| Sanford USD Medical Center | ||||||||||
| 1305 W 18th St PO Box 5039 | Sioux Falls | SD | 571175039 | 460227855 | Hospital | SD | 501(c)(3) | 3 | Sanford Health | 1 |
| Sanford Clinic | ||||||||||
| 1305 W 18th St PO Box 5039 | Sioux Falls | SD | 571175039 | 460447693 | Clinics | SD | 501(c)(3) | 3 | Sanford Health | 1 |
| Sanford Health Network | ||||||||||
| 1305 W 18th St PO Box 5039 | Sioux Falls | SD | 571175039 | 460388596 | Hospitals / Clinics | SD | 501(c)(3) | 11-I | Sanford Health | 1 |
| Sanford Home Health | ||||||||||
| 1305 W 18th St PO Box 5039 | Sioux Falls | SD | 571175039 | 460282134 | Home Health Services | SD | 501(c)(3) | 9 | Sanford Health | 1 |
| Sanford Health Foundation | ||||||||||
| 1305 W 18th St PO Box 5039 | Sioux Falls | SD | 571175039 | 363297853 | Supporting Organization | SD | 501(c)(3) | 11-I | Sanford Health | 1 |
| Sanford ResearchUSD | ||||||||||
| 1305 W 18th St PO Box 5039 | Sioux Falls | SD | 571175039 | 460450378 | Research | SD | 501(c)(3) | 3 | Sanford Health | 1 |
| SHM-Sanford | ||||||||||
| 1305 W 18th St PO Box 5039 | Sioux Falls | SD | 571175039 | 271213769 | Supporting Organization | SD | 501(c)(3) | 11-II | 0 | |
| SHM-MeritCare | ||||||||||
| 801 N Broadway Drive | Fargo | ND | 58122 | 271213717 | Supporting Organization | ND | 501(c)(3) | 11-II | 0 | |
| Sanford | ||||||||||
| 801 N Broadway Drive | Fargo | ND | 58122 | 271218956 | Supporting Organization | ND | 501(c)(3) | 11-II | 0 | |
| Sanford Health of Northern Minnesota | ||||||||||
| 1300 Anne Street NW | Bemidji | MN | 56601 | 411266009 | Hospital | MN | 501(c)(3) | 3 | Sanford North | 1 |
| Baker Park Inc | ||||||||||
| 803 Dewey Avenue NW | Bemidji | MN | 56601 | 411372480 | Low Income Senior Housing | MN | 501(c)(3) | 9 | Sanford Health of Northern Minnesota | 1 |
| Sanford Health Foundation of Northern Minnesota | ||||||||||
| 1300 Anne Street NW | Bemidji | MN | 56601 | 411389317 | Supporting Organization | MN | 501(c)(3) | 11-I | Sanford Health of Northern Minnesota | 1 |
| North Country Medical Clinic | ||||||||||
| 1300 Anne Street NW | Bemidji | MN | 56601 | 411753855 | Clinic | MN | 501(c)(3) | 3 | Sanford Health of Northern Minnesota | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| National Student Housing - South Dakota LLC | |||||||
| 100 S Phillips Ave | Sioux Falls | SD | 57104 | 202129839 | Investment | SD | N/A |
| RAC Rentals LLC | |||||||
| 100 S Phillips Ave | Sioux Falls | SD | 57104 | 261961077 | Investment | SD | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| Healthcare Environmental Services Inc | ||||||||
| 1420 40th Street NW | Fargo | ND | 58102 | 450336598 | Laundry & Incineration Services | ND | N/A | C |
| Heart Partners at Sanford | ||||||||
| 1305 West 18th Street | Sioux Falls | SD | 57117 | 460449572 | Healthcare | SD | N/A | C |
| Sanford Home Medical Equipment Inc | ||||||||
| 2710 West 12th Street N | Sioux Falls | SD | 571043701 | 460388597 | Healthcare Equipment | SD | N/A | C |
| Sanford Health Plan | ||||||||
| 300 Cherapa Place | Sioux Falls | SD | 57103 | 911842494 | Insurance | SD | N/A | C |
| Sanford Health Plan of MN | ||||||||
| 301 Cherapa Place | Sioux Falls | SD | 57103 | 460445852 | Insurance | MN | N/A | C |
| Bemidji Medical Equipment Inc | ||||||||
| 1300 Anne Street NW | Bemidji | MN | 56601 | 411551725 | Retail Sales of DME | MN | N/A | C |
| North Country Management Inc | ||||||||
| 1300 Anne Street NW | Bemidji | MN | 56601 | 411820025 | Management Services | MN | N/A | C |
| Sanford World Clinics | ||||||||
| 1305 West 18th Street | Sioux Falls | SD | 57117 | 262707628 | Healthcare | SD | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Sanford Medical Center Fargo | ||
| B | 990459 | Cash Method |
| Sanford Clinic North | ||
| B | 410532 | Cash Method |
| Sanford North | ||
| C | 5015250 | Accrual Method |