F-M AMBULANCE SERVICE INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- F-M AMBULANCE SERVICE INC (EIN 45-0344371)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-10-28
- IRS object ID
- 202043029349302014
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-10-28T14:41:34-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 SOUTH SIXTH STREET SUITE 2800 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450344371 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | F-M AMBULANCE SERVICE INC | BusinessNameLine1Txt |
| Business Name Line2 | F AMBULANCE SERVICE INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | F-MA | BusinessNameControlTxt |
| Phone | 7012342000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5039 RTE 5218 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175039 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BILL MARLETTE | PersonNm |
| Person Title | CFO & TREASURER | PersonTitleTxt |
| Phone | 6053331000 | PhoneNum |
| Signature | 2020-10-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CHRIS MESKIMEN | PreparerPersonNm |
| PTIN | P01314196 | PTIN |
| Phone | 6123974000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 206.208.222.33 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-10-28 | IPDt |
| IP Tm | 14:41:10 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Federal Original Submission Id | 46120020202900348e04 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-10-16 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 870A371766499EB154DBF25C859883350D8D389B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E5BC8B5E57121AB33B8A1607D3C50835A925FFE9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KELBY KRABBENHOFT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 EAST 60TH ST | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,944,015 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.FMAMBULANCE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | "DEDICATED TO THE WORK OF HEALTH AND HEALING" | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $67,481 | PYContributionsGrantsAmt |
| CY Contributions Grants | $83,234 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,844,072 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,858,616 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$442 | PYInvestmentIncomeAmt |
| CY Investment Income | -$10,173 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,082 | PYOtherRevenueAmt |
| CY Other Revenue | -$13,976 | CYOtherRevenueAmt |
| PY Total Revenue | $7,912,193 | PYTotalRevenueAmt |
| CY Total Revenue | $17,917,701 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $960 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $960 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,930,882 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,957,144 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,770,870 | PYOtherExpensesAmt |
| CY Other Expenses | $3,678,638 | CYOtherExpensesAmt |
| PY Total Expenses | $6,702,712 | PYTotalExpensesAmt |
| CY Total Expenses | $13,636,742 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,209,481 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,280,959 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,264,730 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,987,738 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,717 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $123,451 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,220,013 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $6,864,287 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF F-M AMBULANCE, "DEDICATED TO SHARING GOD'S LOVE THROUGH THE WORK OF HEALTH, HEALING AND COMFORT AND THE VISION "IMPROVING THE HUMAN CONDITION THROUGH EXCEPTIONAL CARE, INNOVATION AND DISCOVERY", IS THE CONSTANT FORCE THAT DRIVES OUR PLANS, DECISIONS AND ACTIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,817,813 | ExpenseAmt |
| Grant | $960 | GrantAmt |
| Revenue | $17,858,616 | RevenueAmt |
| Desc | AS PART OF THE SANFORD HEALTH INTEGRATED DELIVERY SYSTEM, F-M AMBULANCE SERVICE, INC. (FMA) PROVIDES EMERGENCY MEDICAL CARE AND SPECIALTY CARE TRANSPORTATION SERVICES TO FARGO, NORTH DAKOTA/MOORHEAD, MINNESOTA METRO AREA AND SURROUNDING COMMUNITIES. FMA IS THE LARGEST ADVANCED LIFE SUPPORT GROUND AMBULANCE PROVIDER IN NORTH DAKOTA. FMA RESPONDS TO MORE THAN 35,000 CALLS FOR SERVICE ANNUALLY AND SERVES AS A RESOURCE TO RESCUE SQUADS, FIRE DEPARTMENTS, LAW ENFORCEMENT AGENCIES AND BASIC LIFE SUPPORT AMBULANCE PROVIDERS THROUGHOUT THE STATE. FMA PROVIDES TACTICAL PARAMEDICS FOR THE REGIONAL S.W.A.T. TEAM AND PROVIDES FIREFIGHTER REHAB SERVICES PRO-BONO. FMA WORKS CLOSELY WITH LOCAL VOLUNTEER SERVICES TO COORDINATE THE DELIVERY OF EMERGENCY MEDICAL CARE TO COMMUNITIES IN ITS SERVICE AREA AND IS A LEADER IN HOMELAND DEFENSE PREPAREDNESS BY SERVING AS A REGIONAL TRAINING SITE, RESOURCES PARTNER AND FIRST RESPONDER. THROUGH ITS READY WHEELS OPERATIONS (A SPECIALTY CARE TRANSPORTATION SERVICE), FMA PROVIDES LOCAL AND LONG DISTANCE TRANSPORTATION FOR INDIVIDUALS CONFINED TO WHEELCHAIRS. THIS SPECIALTY CARE TRANSPORTATION SERVICE IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK TO PROVIDE DOOR-TO-DOOR SERVICE. THESE SERVICES ALLOW INDIVIDUALS IN THE COMMUNITY TO ACCESS TRANSPORTATION SERVICES THAT ACCOMMODATE UNIQUE INDIVIDUAL NEEDS DUE TO HEALTH CONDITIONS. EDUCATION AND OTHER SERVICES:FMA PROMOTES COMMUNITY HEALTH AND INJURY PREVENTION. MORE THAN 10,000 PEOPLE EACH YEAR PARTICIPATE IN FIRST AID, AUTOMATED EXTERNAL DEFIBRILLATOR, CPR, BABYSITTER TRAINING AND OTHER COMMUNITY WELLNESS COURSES. | Desc |
| Total Program Service Expenses | $11,817,813 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | Yes (1) | NondeductibleContributionsInd |
| Nondeductible Contri Discl | Yes (1) | NondeductibleContriDisclInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BILL MARLETTE CFO & TREASURER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6053331000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 EAST 60TH STREET | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BARB EVERIST | ||||||||
| TRUSTEE | 0.10 | 7.11 | Yes (X) | $0 | $0 | $0 | ||
| ANDY NORTH | ||||||||
| TRUSTEE | 0.10 | 11.11 | Yes (X) | $0 | $258,864 | $0 | ||
| BRENT TEIKEN | ||||||||
| VICE CHAIR | 0.10 | 7.11 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID BEITO | ||||||||
| PAST CHAIR | 0.10 | 7.11 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DON JACOBS | ||||||||
| TREASURER | 0.10 | 7.11 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JAMES CAIN | ||||||||
| SECRETARY | 0.10 | 7.11 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARIA BELL MD | ||||||||
| TRUSTEE/RESEARCH ADMINISTRATOR | 0.10 | 59.90 | Yes (X) | $0 | $891,333 | $30,986 | ||
| MARK LUNDEEN MD | ||||||||
| TRUSTEE/ORTHOPEDICS SERVICE CHAIR | 0.10 | 59.90 | Yes (X) | $0 | $682,389 | $28,250 | ||
| MARK PAULSON MD | ||||||||
| CHAIR/PHYISICAN REGIONAL CHAIR | 0.10 | 59.90 | Yes (X) | $0 | $281,890 | $28,771 | Yes (X) | |
| MELISSA HINTON | ||||||||
| TRUSTEE (THRU 8/19) | 0.10 | 7.11 | Yes (X) | $0 | $0 | $0 | ||
| NEIL GULSVIG | ||||||||
| TRUSTEE | 0.10 | 7.11 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK DURICK | ||||||||
| TRUSTEE | 0.10 | 7.11 | Yes (X) | $0 | $491 | $0 | ||
| THOMAS HRUBY | ||||||||
| TRUSTEE (THRU 11/19) | 0.10 | 7.11 | Yes (X) | $0 | $1,010 | $0 | ||
| KELBY K KRABBENHOFT | ||||||||
| SANFORD PRESIDENT & CEO | 0.10 | 59.90 | Yes (X) | $0 | $3,088,308 | $14,171 | Yes (X) | |
| KELBY K KRABBENHOFT DEF COMP | ||||||||
| SANFORD PRESIDENT & CEO | 0.10 | 59.90 | Yes (X) | $0 | $0 | $1,081,296 | Yes (X) | |
| JOANN L KUNKEL | ||||||||
| CHIEF FINANCIAL OFFICER | 0.10 | 59.90 | $0 | $1,333,149 | $135,506 | Yes (X) | ||
| BRYAN NERMOE | ||||||||
| PRESIDENT FARGO | 5.00 | 55.00 | $0 | $1,009,343 | $81,571 | Yes (X) | ||
| NATE WHITE | ||||||||
| COO/PRESIDENT FARGO (THRU 9/19) | 5.00 | 55.00 | $0 | $1,532,070 | $137,491 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,078,847 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,538,042 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $819 | RelatedOrganizationsAmt |
| Government Grants | $82,926 | GovernmentGrantsAmt |
| All Other Contributions | -$511 | AllOtherContributionsAmt |
| Total Contributions | $83,234 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EMERGENCY MEDICAL SERV | 621910 | $16,947,882 | $16,947,882 |
| EDUCATION | 611430 | $704,909 | $704,909 |
| SPECIAL TRANSPORTATION | 621910 | $205,825 | $205,825 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,858,616 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $113 | TotalRevenueColumnAmt |
| Exclusion | $113 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $10,286 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$10,286 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,286 | TotalRevenueColumnAmt |
| Exclusion | -$10,286 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $2,052 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $16,028 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$13,976 | TotalRevenueColumnAmt |
| Exclusion | -$13,976 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,917,701 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,858,616 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$24,149 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $960 | TotalAmt |
| Program Services | $960 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,242,250 | TotalAmt |
| Program Services | $7,401,951 | ProgramServicesAmt |
| Management And General | $840,299 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $398,338 | TotalAmt |
| Program Services | $358,856 | ProgramServicesAmt |
| Management And General | $39,482 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $737,906 | TotalAmt |
| Program Services | $649,623 | ProgramServicesAmt |
| Management And General | $88,283 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $578,650 | TotalAmt |
| Program Services | $546,622 | ProgramServicesAmt |
| Management And General | $32,028 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,905 | TotalAmt |
| Management And General | $11,905 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,640 | TotalAmt |
| Program Services | $599,961 | ProgramServicesAmt |
| Management And General | $83,679 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,458 | TotalAmt |
| Program Services | $23,491 | ProgramServicesAmt |
| Management And General | $7,967 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,111 | TotalAmt |
| Program Services | $92,346 | ProgramServicesAmt |
| Management And General | $41,765 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,073 | TotalAmt |
| Program Services | $6,044 | ProgramServicesAmt |
| Management And General | $235,029 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,944 | TotalAmt |
| Program Services | $147,182 | ProgramServicesAmt |
| Management And General | $99,762 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $385,841 | TotalAmt |
| Program Services | $363,508 | ProgramServicesAmt |
| Management And General | $22,333 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $215,572 | TotalAmt |
| Program Services | $200,298 | ProgramServicesAmt |
| Management And General | $15,274 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $776,930 | TotalAmt |
| Program Services | $680,088 | ProgramServicesAmt |
| Management And General | $96,842 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,660 | TotalAmt |
| Management And General | $144,660 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $689,334 | $655,868 | $33,466 |
| MINNESOTACARE TAX | $63,295 | $63,295 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,875 | TotalAmt |
| Program Services | $27,720 | ProgramServicesAmt |
| Management And General | $26,155 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,636,742 | TotalAmt |
| Program Services | $11,817,813 | ProgramServicesAmt |
| Management And General | $1,818,929 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250 | BOYAmt |
| EOY | $247 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,922,407 | BOYAmt |
| EOY | $1,343,949 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,408 | BOYAmt |
| EOY | $2,407 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,383 | BOYAmt |
| EOY | $119,763 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,703,425 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,217,641 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,529,738 | BOYAmt |
| EOY | $3,485,784 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,393,082 | BOYAmt |
| EOY | $1,393,082 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,462 | BOYAmt |
| EOY | $642,506 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,264,730 | BOYAmt |
| EOY | $6,987,738 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,717 | BOYAmt |
| EOY | $106,273 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $17,178 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,717 | BOYAmt |
| EOY | $123,451 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,220,013 | BOYAmt |
| EOY | $6,864,287 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,220,013 | BOYAmt |
| EOY | $6,864,287 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,264,730 | BOYAmt |
| EOY | $6,987,738 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,280,959 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$4,636,685 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $410,810 | OtherCostOrOtherBasisAmt |
| Book Value | $410,810 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,372,230 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,287,875 | DepreciationAmt |
| Book Value | $1,084,355 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,785,332 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,822,122 | DepreciationAmt |
| Book Value | $1,963,210 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $135,053 | OtherCostOrOtherBasisAmt |
| Depreciation | $107,644 | DepreciationAmt |
| Book Value | $27,409 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,485,784 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ASSETS-CIP | $625,328 |
| RIGHT OF USE ASSET | $17,178 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $642,506 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| OPERATING LEASE PAYABLE - CURRENT | $16,128 |
| OPERATING LEASE PAYABLE - LONG TERM | $1,050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,178 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. F-M AMBULANCE SERVICE, INC DID NOT HAVE AN INCOME TAX LIABILITY AT DECEMBER 31, 2019; SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ANDY NORTH | ||||||||||||||
| TRUSTEE | $0 | $258,864 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $258,864 | $0 | $0 |
| MARIA BELL MD | ||||||||||||||
| TRUSTEE/RESEARCH ADMINISTRATOR | $0 | $832,401 | $0 | $38,167 | $0 | $20,765 | $0 | $0 | $0 | $30,986 | $0 | $922,319 | $0 | $0 |
| MARK LUNDEEN MD | ||||||||||||||
| TRUSTEE/ORTHOPEDICS SERVICE CHAIR | $0 | $682,389 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $28,250 | $0 | $710,639 | $0 | $0 |
| MARK PAULSON MD | ||||||||||||||
| CHAIR/PHYISICAN REGIONAL CHAIR | $0 | $241,710 | $0 | $40,000 | $0 | $180 | $0 | $0 | $0 | $28,771 | $0 | $310,661 | $0 | $0 |
| KELBY K KRABBENHOFT | ||||||||||||||
| SANFORD PRESIDENT & CEO | $0 | $2,606,133 | $0 | $402,500 | $0 | $79,675 | $0 | $0 | $0 | $14,171 | $0 | $3,102,479 | $0 | $0 |
| KELBY K KRABBENHOFT DEF COMP | ||||||||||||||
| SANFORD PRESIDENT & CEO | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,081,296 | $0 | $0 | $0 | $1,081,296 | $0 | $0 |
| JOANN L KUNKEL | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $0 | $1,018,824 | $0 | $145,204 | $0 | $169,121 | $0 | $111,720 | $0 | $23,786 | $0 | $1,468,655 | $0 | $0 |
| BRYAN NERMOE | ||||||||||||||
| PRESIDENT FARGO | $0 | $566,095 | $0 | $316,804 | $0 | $126,444 | $0 | $53,400 | $0 | $28,171 | $0 | $1,090,914 | $0 | $0 |
| NATE WHITE | ||||||||||||||
| COO/PRESIDENT FARGO (THRU 9/19) | $0 | $994,860 | $0 | $149,000 | $0 | $388,210 | $0 | $109,320 | $0 | $28,171 | $0 | $1,669,561 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2019. |
| PART I, LINE 4B | CERTAIN EXECUTIVES PARTICIPATE IN A DEFINED BENEFIT SERP PLAN. THERE WERE NO INDIVIDUALS WHO RECEIVED PAYMENTS DURING THE YEAR. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 THAT SPAN THE ORGANIZATION AS A WHOLE: MARIA BELL, MARK LUNDEEN, MARK PAULSON, BRYAN NERMOE, KELBY KRABBENHOFT, JOANN KUNKEL, AND NATE WHITE. |
| FORM 990, PART VI, SECTION A, LINE 6 | SANFORD NORTH IS THE SOLE STOCKHOLDER OF F-M AMBULANCE. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOARD MEMBERS ARE APPOINTED BY THE PRESIDENT AND CEO OF SANFORD NORTH. |
| FORM 990, PART VI, SECTION A, LINE 7B | SANFORD NORTH MUST APPROVE THE FOLLOWING ACTIONS: * MODIFYING THE PURPOSE OF THE CORPORATION * UNBUDGETED CAPITAL EXPENSES IN EXCESS OF 1/2 OF 1% OF APPROVED OPERATING BUDGETS *ADOPTION OF CAPITAL AND OPERATING BUDGETS *ACQUISITION, SALE, LEASE, DISPOSITION, OR MORTGAGING OF REAL PROPERTY *GUARANTEE OF DEBTS OR OBLIGATIONS OF ANY OTHER PERSON, FIRM, CORPORATION, PARTNERSHIP, ASSOCIATION, OR OTHER ENTITY WHICH IF HELD IN DEFAULT WOULD OBLIGATE THE CORPORATION TO AN AGGREGATE AMOUNT IN EXCESS OF $100,000 *MERGER OR CONSOLIDATION OF THE CORPORATION *INCURRING A LOAN OR OTHER OBLIGATION IN AN AGREEMENT IN EXCESS OF $500,000 FOR MORE THAN 60 DAYS *MAKING OF A GIFT, GRANT OR OTHER DONATION IN AN AMOUNT IN EXCESS OF $5,000 TO AN ORGANIZATION NOT RELATED TO THE CORPORATION OR MEMBER *MEMBER HAS THE AUTHORITY TO DIRECT THE CORPORATION REGARDLESS OF THE VOTE BY THE CORPORATION'S BOARD OF DIRECTORS TO TRANSFER ASSETS AND/OR FUNDS TO THE HEALTH SYSTEM TO SATISFY OBLIGATIONS OF THE HEALTH SYSTEM. |
| FORM 990, PART VI, SECTION B, LINE 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 FOR SUBSIDIARY ENTITIES, OFFICERS, AND KEY EMPLOYEES FOR ALL ENTITIES SUBJECT TO THE IRS FORM 990 FILINGS. THE DISCLOSURES ARE SUMMARIZED FOR REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, PURSUANT TO POLICY. THIS REVIEW ALLOWS: 1) THE BOARD TO ACQUIRE AN AWARENESS OF FINANCIAL RELATIONSHIPS OF BOARD MEMBERS AND KEY MANAGEMENT EMPLOYEES AND CAN INVOKE THE RECUSAL PROCESS ON A CASE-BY-CASE BASIS 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 2019. |
| 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 | 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 XI, LINE 9: | TRANSFER TO RELATED TAX-EXEMPT ORG FOR PAYROLL AND OPERATING EXPENSES -4,636,685. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (48 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) | SANFORD HEALTH |
| SANFORD HEALTH FOUNDATION NORTH | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450398104 | FOUNDATION | ND | 501(C)(3) | 7 | Yes (1) | SANFORD NORTH |
| SANFORD HEALTH FOUNDATION HILLSBORO | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 363542187 | FOUNDATION | ND | 501(C)(3) | 7 | Yes (1) | SANFORD HEALTH NETWORK NORTH |
| SANFORD HEALTH FOUNDATION WEST | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450397196 | FOUNDATION | ND | 501(C)(3) | 7 | Yes (1) | SANFORD BISMARCK |
| SANFORD HEART OF AMERICA HEALTH PLAN | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450346132 | INSURANCE | ND | 501(C)(4) | Yes (1) | SANFORD HEALTH PLAN | |
| SANFORD HEALTH FOUNDATION THIEF RIVER FALLS | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 411761135 | FOUNDATION | MN | 501(C)(3) | 7 | Yes (1) | SANFORD HEALTH NETWORK NORTH |
| SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 411389317 | FOUNDATION | MN | 501(C)(3) | 7 | Yes (1) | SANFORD HEALTH OF NORTHERN MINNESOTA |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| 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 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 271212446 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| HOWARD LAKE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 364885253 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| INDIANOLA COUNTY GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 461328052 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| INVER GROVE HEIGHTS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 760789504 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| JASONVILLE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460396355 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| JEFFERSONTOWN GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 911751137 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| KEARNEY GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460421846 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | PF | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| LEA COUNTY GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 453946645 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| LEMARS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 204714415 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| LILAC WAY GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 465740381 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| LOVINGTON GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460392944 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| MILLARD GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460396332 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| NORTHPORT GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 383993597 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| OLATHE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460396398 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| PRESCOTT GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 275114421 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| PROPHETSTOWN GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460392943 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| RAPID CITY GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 461579750 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| SIOUX FALLS 57 GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 204714647 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 452473519 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| SIOUX FALLS GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460385187 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| SOUTH DAYTONA BEACH GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460461264 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460422866 | FOUNDATION | MN | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450228055 | LONG-TERM CARE, SENIOR HOUSING & HOME AND COMMUNITY BASED SERVICES | ND | 501(C)(3) | 10 | Yes (1) | SANFORD |
| VALENTINE GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 911751139 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| WELD COUNTY GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 461591360 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| WINFIELD GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 201115155 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
| WISCONSIN GOOD SAMARITAN HOUSING INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460447338 | PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | 501(C)(3) | 10 | Yes (1) | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| 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 |
| ADA COUNTY GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 364799439 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| ADAMS COUNTY GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 383896526 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| BELINGTON GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 320493132 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| COLLISTER DRIVE HOUSING LLC | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 611752929 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A |
| COLORADO GOOD SAMARITAN HOUSING GP LLC | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 301164681 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A |
| FARGO GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 301141316 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| GOOD SAMARITAN INSURANCE PLAN OF NORTH DAKOTA | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 815020633 | INSURANCE | ND | N/A |
| GOOD SAMARITAN INSURANCE PLAN LLC | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 815051671 | INSURANCE | DE | N/A |
| HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 271212511 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| HMS HERITAGE MANAGEMENT SERVICES LLC | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 900915850 | PROVIDE HOME HEALTH SERVICES | TX | N/A |
| INDIANOLA GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 300755780 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| LILAC WAY GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 364786577 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| MILLARD GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 271212324 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| OLATHE GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 205297369 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| OLDS HALL GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 352626242 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| PENNINGTON COUNTY GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 384060178 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| PRESCOTT GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 275115281 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| RAPID CITY GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 352466169 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| ROSEVILLE GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | |
| RUTH STREET GOOD SAMARITAN HOUSING LLC | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 611748321 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A |
| SIOUX FALLS DOWNTOWN GOOD SAMARITAN LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 320377442 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
| TEXAS GOOD SAMARITAN HOUSING LLC | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 371774574 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A |
| WELD COUNTY GOOD SAMARITAN HOUSING LP | |||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 320584614 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (38 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANFORD HOME MEDICAL EQUIPMENT INC | |||||||||||||
| 2710 W 12TH STREET | SIOUX FALLS | SD | 57105 | 460388597 | HEALTHCARE EQUIPMENT | SD | N/A | C | Yes (1) | ||||
| SANFORD HEALTH PLAN | |||||||||||||
| 300 CHERAPA PLACE | SIOUX FALLS | SD | 57103 | 911842494 | INSURANCE | SD | N/A | C | Yes (1) | ||||
| SANFORD HEALTH PLAN OF MN | |||||||||||||
| 300 CHERAPA PLACE | SIOUX FALLS | SD | 57103 | 460445852 | INSURANCE | MN | N/A | C | Yes (1) | ||||
| SANFORD FRONTIERS | |||||||||||||
| 1305 W 18TH STREET PO BOX 5039 | SIOUX FALLS | SD | 571175039 | 455436599 | WEIGHT LOSS/FITNESS | SD | N/A | C | Yes (1) | ||||
| SOB INC | |||||||||||||
| 2701 S MINNESOTA AVENUE SUITE 2 | SIOUX FALLS | SD | 57105 | 460442628 | AIR TRANSPORTATION | SD | N/A | C | Yes (1) | ||||
| SANFORD WORLD CLINICS - GHANA | |||||||||||||
| HEALTHCARE | N/A | C | Yes (1) | SARBAH ROAD TANTRI LORRY STATION | CAPE COAST | GH | GH | ||||||
| SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD | |||||||||||||
| HEALTHCARE | N/A | C | Yes (1) | 188 YESHENG ROAD ROOM A-862 GUOMA | SHANGHAI | CH | CH | ||||||
| SANFORD INTERNATIONAL - MUNICH GMBH | |||||||||||||
| HEALTHCARE | N/A | C | Yes (1) | NYMPHENBURGER STRASSE 3 | MUNICH | GM | GM | ||||||
| ALWAYS ABOVE AND BEYOND HOME HEALTH CARE SERVICES LLC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 263456679 | PROVIDE HOME AND COMMUNITY BASED SERVICES | TX | N/A | S | Yes (1) | ||||
| ANGELS IN WAITING HOSPICE LLC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 030597309 | PROVIDE HOME AND COMMUNITY BASED SERVICES | TX | N/A | S | Yes (1) | ||||
| GOOD SAMARITAN HUMANITARIAN SERVICE INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 205533741 | MANAGEMENT AND UNBUNDLED SERVICES; UNRELATED BUSINESS ACTIVITIES | SD | N/A | C | Yes (1) | ||||
| GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 815037667 | INSURANCE | NE | N/A | C | Yes (1) | ||||
| GOOD SAMARITAN INSURANCE PLAN OF SOUTH DAKOTA INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 814989242 | INSURANCE | SD | N/A | C | Yes (1) | ||||
| GOOD SAMARITAN SOCIETY INSURANCE LTD | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 980379099 | INSURANCE | N/A | C | Yes (1) | CJ | ||||
| HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 900491537 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||
| HERITAGE HEALTHCARE SERVICES INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850418562 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||
| HERITAGE HOME HEALTHCARE & HOSPICE INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850463468 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||
| HERITAGE HOME HEALTHCARE OF ARIZONA INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 204243949 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||
| HERITAGE HOME HEALTHCARE SERVICES INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850463469 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | Yes (1) | ||||
| JJEA LLC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 770713538 | PROVIDE HOME AND COMMUNITY BASED SERVICES | TX | N/A | S | Yes (1) | ||||
| OLDS HALL GOOD SAMARITAN HOUSING GP INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 611861635 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A | C | Yes (1) | ||||
| ROSEVILLE GOOD SAMARITAN HOUSING GP INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A | C | Yes (1) | |||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| (no name) | |||||||||||||
| Yes (1) | |||||||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANFORD HEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | R | TransactionTypeTxt |
| Involved | $4,636,685 | InvolvedAmt |
| Method Of Amount Determination | CASH METHOD | MethodOfAmountDeterminationTxt |