2021-11-15T06:41:19-06:00 2020-12-31 861065772 DELOITTE TAX LLP 50 SOUTH SIXTH STREET SUITE 2800 MINNEAPOLIS MN 55402 990 2020-01-01 411389317 SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA SANF 2187515430 P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 BILL MARLETTE CFO & TREASURER 6053331000 2021-11-15 1 BILL MARLETTE XXX-XX-XXXX CHRIS MESKIMEN P01314196 6123974000 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z BILL GASSEN 2301 EAST 60TH ST SIOUX FALLS SD 57104 1585675 0 X WWW.SANFORDHEALTH.ORG/ABOUT/FOUNDATION X 1977 MN DEDICATED TO RAISING FUNDS THAT ARE 100% DEVOTED TO SANFORD'S WORK OF HEALTH, HEALING, AND COMFORT. 12 5 0 31 0 0 495056 744244 0 0 470221 339263 9854 0 975131 1083507 973118 657842 0 0 223671 0 0 0 0 316082 0 1512871 657842 -537740 425665 12609577 14140976 2363 128 12607214 14140848 PHILANTHROPY IN SUPPORT OF RELATED EXEMPT ENTITIES. BECAUSE THE EXPENSES ARE COVERED BY SANFORD, 100% OF EVERY DOLLAR RAISED HELPS DELIVER COMPASSIONATE, PATIENT-CENTER CARE & DRIVES MEDICAL RESEARCH & COLLABORATION TO ACCELERATE BOLD SOLUTIONS FOR A BRIGHTER TOMORROW. 0 0 657842 657842 THE FOUNDATION CONTINUES ITS PROUD TRADITION OF SUPPORTING THE LOCAL HEALTHCARE-RELATED PROGRAMS, SERVICES, AND OPERATIONS OF SANFORD HEALTH WHILE ALSO SEEKING REGIONAL, NATIONAL AND INTERNATIONAL SUPPORT FOR RESEARCH AND INITIATIVES. SPECIFICALLY, DONATIONS HELP PROVIDE PATIENT CARE AND FAMILY SUPPORT ($7,591), EQUIPMENT AND FACILITY IMPROVEMENT ($616,833), HEALTHCARE AND RESEARCH PROGRAMS ($33,256) AND OTHER INTERNAL PROGRAMS ($162). 657842 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X BILL MARLETTE CFO & TREASURER 6053331000 2301 EAST 60TH STREET SIOUX FALLS SD 57104 X BRENT TEIKEN CHAIRPERSON 0.50 6.61 X X 0 68500 0 DON JACOBS VICE CHAIRPERSON 0.50 6.61 X X 0 44000 0 NEIL GULSVIG TREASURER 0.50 6.61 X X 0 38500 0 ANDY NORTH SECRETARY 0.50 6.61 X X 0 310804 0 MARK PAULSON MD PAST CHAIR/REG CHAIR 0.50 59.50 X X 0 294486 39555 BARB EVERIST TRUSTEE 0.50 6.61 X 0 36500 0 DAVID BEITO TRUSTEE 0.50 6.61 X 0 41500 0 JAMES CAIN TRUSTEE 0.50 6.61 X 0 35500 0 MARIA BELL MD TRUSTEE/RESEARCH ADM 0.50 59.50 X 0 1013142 42910 MARK LUNDEEN MD TRUSTEE/ORTHO CHAIR 0.50 59.50 X 0 692452 36756 MARK LUNDEEN MD SEE SCH J, PART III, LINES 4A-4B 0.50 59.50 X 0 1000000 0 PATRICK DURICK TRUSTEE 0.50 6.61 X 0 36000 0 KELBY KRABBENHOFT PRESIDENT & CEO (THRU 11/20) 0.50 59.50 X X 0 5077342 68524 KELBY KRABBENHOFT SEE SCH J, PART III, LINES 4A-4B 0.50 59.50 X X 0 44353819 0 BILL GASSEN III CAO/PRESIDENT & CEO (START 11/20) 0.50 59.50 X X 0 1517211 103667 BILL GASSEN III SEE SCH J, PART III, LINES 4A-4B 0.50 59.50 X X 0 1100000 0 JOANN KUNKEL CHIEF FINANCIAL OFFICER (THRU 9/20) 0.50 59.50 X 0 1312771 34314 JOANN KUNKEL SEE SCH J, PART III, LINES 4A-4B 0.50 59.50 X 0 6847438 0 BILL MARLETTE CFO (START 10/20) & TREASURER 0.50 59.50 X 0 1749053 31556 BILL MARLETTE SEE SCH J, PART III, LINES 4A-4B 0.50 59.50 X 0 5903232 0 BOBBIE TIBBETTS PRESIDENT 5.00 55.00 X 0 458560 36829 MICAH ABERSON EXECUTIVE VP, SANFORD 5.00 55.00 X 0 1463400 125764 MICAH ABERSON SEE SCH J, PART III, LINES 4A-4B 5.00 55.00 X 0 1100000 0 0 74494210 519875 0 0 1 0 0 744244 744244 340534 340534 500897 502168 -1271 -1271 -1271 1083507 0 0 339263 X 657842 657842 7004 7004 15571 15571 20180 180 20000 3813 1469 2344 5018 5018 5102 3631 1471 PURCHASED SERVICES 285696 285696 PURCHASED SALARIES 256103 81588 174515 DONOR STEWARDSHIP 13944 496 13448 FUNDRAISING MATERIALS 4194 4194 -616625 -400653 -215972 657842 657842 0 0 1610491 1582123 3010829 2664050 1985 0 7986272 9619555 275248 12609577 14140976 2363 128 2363 128 X 9041525 10025645 3565689 4115203 12607214 14140848 12609577 14140976 X 425665 581870 526099 X 0 1 X 1 0 X X 1 SANFORD HEALTH OF NORTHERN MINNESOTA 411266009 3 1 657842 0 1 657842 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 290521 13795 67 304248 290521 290521 290521 290521 290521 290521 290121 400 290521 1.00000 0 0 0 X PART V, LINE 4: THE ORGANIZATION'S INTENDED USE OF THE PERMANENTLY RESTRICTED FUNDS ARE FOR CAPITAL IMPROVEMENT PROJECTS, GRIEF SUPPORT TRAINING, ORTHOPEDIC CHALLENGE AND CANCER. NO FUNDS WERE DESIGNATED THIS YEAR. PART X, LINE 2: CERTAIN CONTROLLED ORGANIZATIONS ARE SUBJECT TO INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISION REFLECTS THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA DID NOT HAVE A MATERIAL INCOME TAX LIABILITY AT DECEMBER 31, 2020; SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. 1 SANFORD HEALTH OF NORTHERN MINNESOTA P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 411266009 501(C)(3) 657842 TO FUND GENERAL OPERATIONS 1 0 PART I, LINE 2: GRANTS ARE DISBURSED BY SUPPORTING ORGANIZATION ONLY AFTER THE EXPENDITURE HAS BEEN MADE AND PROPERLY AUTHORIZED BY THE SUPPORTED ORGANIZATION ALONG WITH RELATED DOCUMENTATION INDICATING THE FULFILLMENT OF DONOR WISHES. 1 1 0 0 0 0 0 0 0 ANDY NORTH SECRETARY 0 310804 0 0 0 0 0 0 0 0 0 310804 0 0 MARK PAULSON MD PAST CHAIR/REG CHAIR 0 281084 0 15000 0 -1598 0 12271 0 27284 0 334041 0 0 MARIA BELL MD TRUSTEE/RESEARCH ADM 0 906084 0 54000 0 53058 0 14250 0 28660 0 1056052 0 0 MARK LUNDEEN MD TRUSTEE/ORTHO CHAIR 0 691892 0 0 0 560 0 14250 0 22506 0 729208 0 0 MARK LUNDEEN MD SEE SCH J, PART III, LINES 4A-4B 0 0 0 0 0 1000000 0 0 0 0 0 1000000 0 0 KELBY KRABBENHOFT PRESIDENT & CEO (THRU 11/20) 0 3028187 0 1971204 0 77951 0 45148 0 23376 0 5145866 0 0 KELBY KRABBENHOFT SEE SCH J, PART III, LINES 4A-4B 0 0 0 0 0 44353819 0 0 0 0 0 44353819 0 8183861 BILL GASSEN III CAO/PRESIDENT & CEO (START 11/20) 0 1098215 0 244003 0 174993 0 101820 0 1847 0 1620878 0 0 BILL GASSEN III SEE SCH J, PART III, LINES 4A-4B 0 0 0 1100000 0 0 0 0 0 0 0 1100000 0 0 JOANN KUNKEL CHIEF FINANCIAL OFFICER (THRU 9/20) 0 852418 0 309501 0 150852 0 11827 0 22487 0 1347085 0 0 JOANN KUNKEL SEE SCH J, PART III, LINES 4A-4B 0 0 0 0 0 6847438 0 0 0 0 0 6847438 0 221828 BILL MARLETTE CFO (START 10/20) & TREASURER 0 1210291 0 317501 0 221261 0 29289 0 2267 0 1780609 0 0 BILL MARLETTE SEE SCH J, PART III, LINES 4A-4B 0 0 0 0 0 5903232 0 0 0 0 0 5903232 0 1662810 BOBBIE TIBBETTS PRESIDENT 0 391213 0 2000 0 65347 0 14250 0 22579 0 495389 0 0 MICAH ABERSON EXECUTIVE VP, SANFORD 0 1044294 0 252003 0 167103 0 101820 0 23944 0 1589164 0 0 MICAH ABERSON SEE SCH J, PART III, LINES 4A-4B 0 0 0 1100000 0 0 0 0 0 0 0 1100000 0 0 PART I, LINE 1A CERTAIN ITEMS LISTED ON LINE 1A ARE PROVIDED BY RELATED ORGANIZATIONS. PART I, LINE 3 THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2020. PART I, LINES 4A-B LINA 4A - SEVERANCE OR CHANGE OF CONTROL UPON HIRE OR PROMOTION, SELECT OFFICERS AND KEY EMPLOYEES SIGN AN EXECUTIVE SEVERANCE AGREEMENT (THE "AGREEMENT"). THE AGREEMENT PROVIDES THAT THE EXECUTIVE WILL RECEIVE A MULTIPLE OF HIS OR HER SALARY (BASED ON YEARS OF SERVICE OR POSITION) AS A PAYMENT IN THE EVENT OF A DEFINED SEPARATION EVENT, WHICH CAN INCLUDE AN INVOLUNTARY SEPARATION OR AN EMPLOYEE VOLUNTARILY LEAVING FOR A DEFINED CONTRACTUAL REASON. FINAL SEPARATION PAYMENTS MIGHT VARY FROM THE AMOUNT PROVIDED IN THE AGREEMENT AS A RESULT OF NEGOTIATIONS SURROUNDING EARLY RETIREMENTS AND POST-SEPARATION OBLIGATIONS AND INCENTIVES (THE "SEPARATION" PAYMENT). LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS - DEFINED BENEFIT SERP ANNUITY PLAN IN 1983, A DEFINED BENEFIT SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("DB SERP ANNUITY PLAN") WAS ESTABLISHED. THE DB SERP ANNUITY PLAN PROVIDED LIFETIME ANNUITY PAYMENTS TO PLAN PARTICIPANTS BASED ON THEIR HISTORICAL SALARY AND YEARS OF SERVICE. THE ANNUITY BENEFIT WAS DESIGNED TO PROVIDE A SIMILAR BENEFIT AS PROVIDED BY THE QUALIFIED DEFINED BENEFIT PENSION PLAN. AS OF 2020, KELBY KRABBENHOFT AND BILL MARLETTE, WITH 24 AND 31 YEARS OF SERVICE RESPECTIVELY, WERE THE ONLY TWO REMAINING PARTICIPANTS. IN NOVEMBER 2020, THE SANFORD BOARD OF TRUSTEES MADE THE DECISION TO ACCELERATE TERMINATION OF THE DB SERP ANNUITY PLAN TO LIMIT FUTURE FINANCIAL LIABILITY AND BECAUSE SANFORD DOES NOT INTEND TO USE AN AVERAGE PAY/ANNUITY SUPPLEMENTAL STRUCTURE ON A GO FORWARD BASIS. KELBY KRABBENHOFT'S AND BILL MARLETTE'S BENEFIT HAD BEEN PREVIOUSLY ACCRUED FOR AND DISCLOSED AS RETIREMENT AND OTHER DEFERRED COMPENSATION ON HISTORICAL 990 FORMS. AS A RESULT OF THE PLAN TERMINATION, THE TOTAL BENEFIT WAS VESTED AND REPORTABLE AS TAXABLE INCOME ON THE PLAN PARTICIPANTS' W-2S IN 2020. LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS - DEFINED BENEFIT SERP LUMP SUM PLANS AS ALSO REQUIRED BY PLAN TERMINATION RULES, SANFORD TERMINATED ALL OTHER DEFINED BENEFIT SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS. KELBY KRABBENHOFT PARTICIPATED IN A DB SERP LUMP SUM PLAN TIED TO RETENTION AND HIS SUCCESSION PLAN. MARK LUNDEEN PARTICIPATED IN A SEPARATE DB SERP LUMP SUM PLAN TIED TO RETENTION. LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS - DEFINED CONTRIBUTION SERP PLAN SANFORD SPONSORS A DEFINED CONTRIBUTION SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN ("DC SERP PLAN") FOR SELECT OFFICERS OR KEY EMPLOYEES. THE DC SERP PLAN PROVIDES THAT SANFORD WILL MAKE DISCRETIONARY CONTRIBUTIONS INTO PARTICIPANT ACCOUNTS. CERTAIN OF THE BELOW OFFICERS OR KEY EMPLOYEES WERE PAID AS A RESULT OF A VESTING EVENT WHICH INCLUDE REACHING A PRE-ESTABLISHED RETIREMENT AGE OR A DEFINED SEPARATION EVENT. LINES 4A AND 4B - PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS AND/OR SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: MARK LUNDEEN, 40 YEARS OF SERVICE: DB SERP LUMP SUM PLAN $1,000,000 KELBY KRABBENHOFT, 24 YEARS OF SERVICE: SEPARATION $15,000,000 DB SERP ANNUITY AND LUMP SUM PLANS $29,353,819 TOTAL $44,353,819 BILL GASSEN III, 9 YEARS OF SERVICE: RETENTION PLAN AGREEMENT $1,100,000 JOANN KUNKEL, 28 YEARS OF SERVICE: SEPARATION $6,498,707 DC SERP PLAN $348,731 TOTAL $6,847,438 BILL MARLETTE, 31 YEARS OF SERVICE: DB SERP ANNUITY PLAN $5,903,232 MICAH ABERSON, 6 YEARS OF SERVICE: RETENTION PLAN AGREEMENT $1,100,000 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING OFFICERS, BOARD MEMBERS AND KEY EMPLOYEES ARE EMPLOYEES OF SANFORD OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED SANFORD BOARDS, OR HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THAN SPAN THE ORGANIZATION AS A WHOLE: MARIA BELL, MARK LUNDEEN, MARK PAULSON, KELBY KRABBENHOFT, JOANN KUNKEL, BOBBIE TIBBETTS, MICAH ABERSON, BILL MARLETTE, AND BILL GASSEN. FORM 990, PART VI, SECTION A, LINE 6 SANFORD HEALTH 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 PRIMARY OPERATING 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. SANFORD HEALTH OF NORTHERN MINNESOTA, A WHOLLY-CONTROLLED SUBSIDIARY OF SANFORD AND SANFORD NORTH, IS THE SOLE MEMBER OF THE ORGANIZATION. CERTAIN ACTIONS OF THE BOARD OF DIRECTORS OF THE ORGANIZATION ARE SUBJECT TO MEMBER APPROVAL. FORM 990, PART VI, SECTION A, LINE 7A THE SANFORD BOARD OF TRUSTEES APPOINTS THE BOARD MEMBERS FOR THE BOARD OF DIRECTORS OF SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA. FORM 990, PART VI, SECTION A, LINE 7B THE SANFORD BOARD OF TRUSTEES APPROVES THE ACTIONS APPROVED BY THE BOARD OF DIRECTORS OF SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. AN EXTERNAL ACCOUNTING FIRM REVIEWS THE RETURN. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE BOARD OF TRUSTEES MEETING PRIOR TO THE RETURN FILING DATE. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDED TO THE CURRENT BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS IS MANAGED BY THE CHIEF COMPLIANCE OFFICER (CCO). THE CCO IS RESPONSIBLE FOR ASSURING THAT ALL COMPLETED FORMS ARE RETURNED IN A TIMELY AND COMPLETE MANNER. CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO SYSTEM TRUSTEES, MEMBERS OF THE GOVERNING BOARDS OF SUBSIDIARY ENTITIES, OFFICERS AND KEY EMPLOYEES FOR ALL 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 MANAGMENT EMPLOYEES AND CAN INVOKE THE RECUSAL PROCESS ON A CASE-BY-CASE BASIS IF POTENTIAL CONFLICTS ARE IMPLICATED IN BOARD DECISIONS AND DELIBERATIONS, AND 2)GIVES THE BOARD THE OPPORTUNITY TO SEEK ADDITIONAL INFORMATION AND CLARIFICATION ABOUT DISCLOSURES TO DETERMINE POTENTIAL CONFLICTS OF INTEREST AND HOW TO MANAGE THEM. FORM 990, PART VI, SECTION B, LINE 15 A RELATED PARTY, SANFORD HEALTH, DOES HAVE A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII SECTION A, INCLUDING A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION FOR SUCH COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2020. 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 THE DOCUMENTS. FORM 990, PART VII THE SANFORD BOARD OF TRUSTEES HAS ULTIMATE GOVERNANCE RESPONSIBILITIES FOR EACH MAJOR OPERATION ENTITY WITHIN SANFORD. IN ADDITION, A BOARD OF DIRECTORS IS ESTABLISHED FOR EACH MAJOR OPERATING ENTITY. THIS BOARD HAS SPECIFIC RESPONSIBILITIES DELEGATED FROM THE BOARD OF TRUSTEES. GENERALLY THESE RESPONSIBILITIES ARE RELATED TO THE OVERSIGHT OF THE DAY TO DAY OPERATIONS OF THAT ENTITY. FORM 990, PART IX, LINE 24E MISCELLANEOUS EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,933. FUNDRAISING EXPENSES -2,570. TOTAL EXPENSES -637. EXPENSES REIMBURSED BY SANFORD HEALTH (SEE EXPLANATION BELOW): PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -402,586. FUNDRAISING EXPENSES -213,402. TOTAL EXPENSES -615,988. FORM 990, PART XI, LINE 9: TRANSFER FROM RELATED TAX-EXEMPT ORG FOR PAYROLL AND OPERATING EXPENSES 532,038. LOSS ON UNCOLLECTIBLE PLEDGES -5,939. FORM 990, PART IX, LINE 24E, EXPENSES REIMBURSED BY SANFORD HEALTH ALL GENERAL AND ADMINISTRATIVE EXPENSES AND FUNDRAISING EXPENSES (THE "EXPENSES") ARE PAID FOR BY SANFORD HEALTH TO ENSURE THAT 100% OF DONOR FUNDS ARE USED TO SUPPORT SANFORD'S WORK OF HEALTH, HEALING, AND COMFORT. AS A RESULT, THE NET COST OF THESE EXPENSES FUNDED BY THE FOUNDATION IS $0. PRIOR TO 2020, SANFORD HEALTH'S FUNDING OF EXPENSES WERE PRESENTED AS A NET ASSET TRANSFER ON HISTORICAL 990 FORMS. HOWEVER, THE PRESENTATION IN 2020 MORE APPROPRIATELY REFLECTS THAT 0% OF DONOR FUNDS ARE USED TO FUND THESE EXPENSES. SANFORD P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271218956 SUPPORTING ORGANIZATION ND 501(C)(3) 12-II 0 SANFORD HEALTH FOUNDATION P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363297853 FOUNDATION SD 501(C)(3) 12-II SANFORD HEALTH 1 F-M AMBULANCE SERVICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450344371 EMT ND 501(C)(4) SANFORD NORTH 1 SANFORD HEALTH FOUNDATION NORTH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450398104 FOUNDATION ND 501(C)(3) 7 SANFORD NORTH 1 SANFORD HEALTH FOUNDATION HILLSBORO P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363542187 FOUNDATION ND 501(C)(3) 7 SANFORD HEALTH NETWORK NORTH 1 SANFORD HEALTH FOUNDATION WEST P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450397196 FOUNDATION ND 501(C)(3) 7 SANFORD BISMARCK 1 SANFORD HEART OF AMERICA HEALTH PLAN P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450346132 INSURANCE ND 501(C)(4) SANFORD HEALTH PLAN 1 SANFORD HEALTH FOUNDATION THIEF RIVER FALLS P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 411761135 FOUNDATION MN 501(C)(3) 7 SANFORD HEALTH NETWORK NORTH 1 SANFORD-GOOD SAMARITAN COMMUNITY HEALTH SERVICES LLC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 371834045 LONG-TERM CARE, SENIOR LIVING, AND POST-ACUTE FACILITIES ND 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 461495572 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 ALLIANCE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 204714573 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 ARLINGTON GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 371805492 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 BOISE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363370371 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 BROOKINGS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460439509 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 COLLISTER DRIVE HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 300872973 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 EL PASO GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 272876627 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GOOD SAMARITAN HOLDINGS LLC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 752979560 DEVELOPMENT OF SENIOR HOUSING AND ASSISTED LIVING SERVICES SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GOOD SAMARITAN SOCIETY INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460349951 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GRANTS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460439511 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 GREELEY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460456087 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HASTINGS GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460434693 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD 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