2025-11-13T08:09:39-06:00 2024-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2024-01-01 363297853 SANFORD HEALTH FOUNDATION SANF 6053285700 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 NICHOLAS OLSON EVP, CFO 6053331000 2025-11-13 1 0 JESS WAGENER P01622613 3128792000 2024 2025-03-06 01:10:19Z BILL GASSEN 2301 EAST 60TH ST SIOUX FALLS SD 57104 474348950 0 X WWW.SANFORDHEALTHFOUNDATION.ORG X 1983 SD TO INSPIRE PHILANTHROPY TO ADVANCE THE MISSION OF SANFORD HEALTH - TO CARE, COMFORT AND CURE. 12 8 0 101 0 0 128931860 162659047 0 0 62337452 52121544 -144017 -346341 191125295 214434250 48812932 55013694 0 0 0 0 0 0 0 0 0 48812932 55013694 142312363 159420556 1197031734 1283437010 100455246 46196908 1096576488 1237240102 X TO INSPIRE PHILANTHROPY TO ADVANCE THE MISSION OF SANFORD HEALTH, THE PREMIER RURAL HEALTH SYSTEM IN THE U.S., AND RELATED EXEMPT ENTITIES. 100% OF DONOR DOLLARS FUEL LOCAL PRIORITIES TO CARE, COMFORT AND CURE. 0 0 42223761 42223761 DONATIONS HELP SUPPORT THE SANFORD INITIATIVES:THE SANFORD INITIATIVES ENHANCE THE CAPABILITIES OF SANFORD HEALTH AND ALLOW THE ORGANIZATION TO SHARE ITS EXPERTISE WITH THE COMMUNITIES IT SERVES. AREAS OF FOCUS FOR THE SANFORD INITIATIVES INCLUDE SANFORD RESEARCH, CHILDREN'S HEALTH, SPORTS MEDICINE, WEIGHT LOSS, GENETICS, BREAST CANCER, VIRTUAL CARE, INNOVATION AND MORE. SINCE ITS INCEPTION, THE SANFORD INITIATIVES HAVE CONTINUED TO ACHIEVE MAJOR MILESTONES, GIVING WAY TO NEW BREAKTHROUGHS AND NEW DISCOVERIES, ALL OF WHICH ARE HELPING TO TRANSFORM THE FUTURE OF HEALTH CARE. -CHILDHOOD NUTRITION AND FITNESS INITIATIVESSANFORD HEALTH HAS CREATED SANFORD FIT, A HEALTH ACTIVATION PROGRAM DEVELOPED TO EMPOWER CHILDREN AND PARENTS TO MAKE HEALTHY LIFESTYLE CHOICES THAT HELP PREVENT CHILDHOOD OBESITY. SANFORD FIT IS COMPRISED OF A SYSTEM OF RESOURCES AND PROGRAMS INCLUDING SCHOOL PROGRAMS, DAYCARE TRAINING, MOBILE APPS, AND WAS DEVELOPED USING A COMBINATION OF THE LATEST SCIENTIFIC AND BEHAVIORAL RESEARCH DESIGNED TO EDUCATE, MOTIVATE, AND INSPIRE CHILDREN OF ALL AGES TO LIVE A BALANCED, HEALTHY LIFESTYLE.-THE SANFORD PROJECT SINCE 2008, SANFORD HEALTH HAS BEEN SEEKING A CURE FOR TYPE 1 DIABETES. THE SANFORD PROJECT TEAM IS FOCUSED ON THE NATURAL REGENERATION OF INSULIN-PRODUCING BETA CELLS IN THE DIABETIC PANCREAS AND THE BODY'S AUTOIMMUNE RESPONSE IN PATIENTS WITH DIABETES. THE PROJECT TEAM LAUNCHED ITS FIRST CLINICAL TRIAL AND BEGAN ENROLLING PATIENTS IN AUGUST 2010.-SANFORD IMAGENETICSBECAUSE OF ONE MAN'S CONTINUED GENEROSITY, SANFORD HEALTH LAUNCHED A REVOLUTIONARY PROGRAM TO IMPROVE HEALTH AND PREVENT DISEASE WITH PERSONALIZED PLANS OF CARE. SANFORD IMAGENETICS IS A COMPREHENSIVE PROGRAM THAT FULLY INTEGRATES GENETICS WITH INTERNAL MEDICINE, CREATING A FIRST-OF ITS-KIND MODEL FOR EXCEPTIONAL, HIGH-QUALITY, AND INNOVATIVE PRIMARY CARE FOR ADULTS.-EDITH SANFORD BREAST CENTEREDITH SANFORD BREAST CENTER HAS PIONEERED THE FUTURE OF BREAST CANCER RESEARCH AND CARE. BY PIECING TOGETHER THE ENTIRE GENETIC PUZZLE OF EACH WOMAN, WE ARE DISCOVERING HOW TO REVOLUTIONIZE TREATMENT AND ERADICATE BREAST CANCER. WE ARE MOBILIZING PARTICIPANTS -- MOTHERS, WIVES, SISTERS, AND DAUGHTERS -- TO DONATE THEIR GENETIC INFORMATION AS WE BUILD AN EXTENSIVE BIO BANK THAT WILL UNDERPIN OUR GROUNDBREAKING RESEARCH. AS WE DECODE THIS DEADLY DISEASE, WE WILL KNOW MORE SPECIFICALLY WHAT TREATMENTS WILL WORK FOR EACH PATIENT, HOW TO PREVENT DISEASE ON AN INDIVIDUAL BASIS, AND ULTIMATELY, HOW TO FIND A CURE.-SANFORD WORLD CLINICSTHE SANFORD WORLD CLINICS INITIATIVE WAS DESIGNED TO MEET THE UNIQUE NEEDS OF THE AREAS WE SERVE. BROADER PRIMARY CARE SERVICES, REGENERATIVE MEDICINE, SPECIALIZED PROCEDURES, WEIGHT LOSS PROGRAMS, AND CLINIC EDUCATION ARE JUST A FEW OF THE SPECIALIZATIONS DEVELOPED TO SERVE POPULATIONS AROUND THE WORLD. OUTSIDE OF THE NATIONAL FOOTPRINT, SANFORD HAS ESTABLISHED RELATIONSHIPS IN GHANA, CHINA, GERMANY, NEW ZEALAND, SOUTH AFRICA, COSTA RICA, VIETNAM, AND IRELAND. 12033080 12033080 THE FOUNDATION INSPIRES AND FACILITATES PHILANTHROPIC INVESTMENT AND BUILDS COMMUNITY ENGAGEMENT AROUND LOCAL HEALTH CARE-RELATED PROGRAMS, SERVICES AND OPERATIONS OF SANFORD HEALTH WHILE ALSO SEEKING REGIONAL, NATIONAL AND INTERNATIONAL SUPPORT FOR RESEARCH AND OTHER HEALTH INITIATIVES. SPECIFICALLY, DONATIONS HELP PROVIDE PATIENT CARE AND FAMILY SUPPORT ($3,400,795), EQUIPMENT AND FACILITY IMPROVEMENT PROJECTS ($8,434,076), OTHER INTERNAL PROGRAMS ($114,070) AND COMMUNITY BENEFIT ($84,139). 756853 756853 ADDITIONAL DONATIONS SUPPORT CONTINUING EDUCATION FOR STAFF AND RESEARCH PROGRAMS THAT SUPPORT THE HIGHEST STANDARDS OF PATIENT CARE TODAY AND DRIVE INNOVATION AND DISCOVERY OF THE TREATMENTS AND CURES OF TOMORROW. 55013694 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 0 0 0 1 3 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 12 8 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 AL AK AR CA CO CT FL GA HI IL KS KY ME MD MA MI MN MS NJ NM NY NC ND OH OK OR PA RI SC TN VA WA WV WI X NICHOLAS OLSON EVP CFO 6053331000 2301 EAST 60TH STREET SIOUX FALLS SD 57104 X BILL GASSEN TRUSTEE, PRESIDENT & CEO 0.75 59.25 X X 0 4414119 585241 ANDY NORTH TRUSTEE, SECRETARY, INDEP CONTRACTOR 0.24 4.66 X X 0 379383 0 LAURIS MOLBERT TRUSTEE, CHAIRPERSON 0.24 4.66 X X 0 107199 0 BRENT TEIKEN TRUSTEE 0.24 4.66 X 0 84246 0 JAMES CAIN TRUSTEE, TREASURER 0.24 4.66 X X 0 81651 0 MARNIE HERMANN TRUSTEE, VICE CHAIR 0.24 4.66 X X 0 80382 0 NEIL GULSVIG TRUSTEE, PAST CHAIR 0.24 4.66 X X 0 80055 0 MARK LUNDEEN MD TRUSTEE 0.24 4.66 X 0 80000 0 DAVID SHULKIN TRUSTEE 0.24 4.66 X 0 79826 0 STEPHANIE HERSETH SANDLIN TRUSTEE 0.24 4.66 X 0 78750 0 WESLEY ENGBRECHT TRUSTEE 0.24 4.66 X 0 77594 0 DANA DYKHOUSE TRUSTEE 0.24 4.66 X 0 76727 0 SCOTT WOOTEN EVP, CFO (END 4/24) 0.75 59.25 X 0 2525208 51220 NICK OLSON EVP, CFO (BEG 4/24) 0.75 59.25 X 0 1047876 123386 BILL MARLETTE INTERIM, EVP, CFO (END 1/24) 0.75 59.25 X 0 894301 275 DEB KOSKI CHIEF PHILANTHROPY OFFICER 12.00 48.00 X 0 485983 48491 DON JACOBS FORMER TRUSTEE 0.00 0.00 X 0 13502 0 MICHELLE BRUHN FORMER EVP, CFO & TREASURER 0.00 0.00 X 0 293725 0 0 10880527 808613 0 1 1 0 FIRST PREMIER BANK PO BOX 2640 SIOUX FALLS SD 571012640 INVESTMENT MANAGEMENT 988820 CUMBERLAND ADVISORS 2 N TAMIAMI TR STE 303 SARASOTA FL 34236 INVESTMENT MANAGEMENT 845354 SCHRODER INVESTMENT MANAGEMENT NA 7 BRYANT PARK NEW YORK NY 10018 INVESTMENT MANAGEMENT 243710 3 2236084 160422963 546044 162659047 52985560 52985560 258577296 259441312 -864016 -864016 -864016 122300 2236084 473388 -351088 -351088 NON-OPERATING REVENUE 525990 4747 4747 4747 214434250 0 0 51775203 X 55013694 55013694 5780 5780 2187237 2187237 1252 1252 41241 600 40641 35274 6727 28547 129636 128588 1048 20500 8077 12423 31025 20317 10708 4078 4078 21453 21453 PURCHASED SALARIES 1506820 607096 899724 PURCHASED SERVICES 558550 515528 43022 FUNDRAISING MATERIALS 217838 98 217740 DONOR STEWARDSHIP 99814 641 99173 -4860498 -3507472 -1353026 55013694 55013694 0 0 1572506 1888678 1373380 3744885 3235024 200 0 191479 212614 373979 360086 17970 13893 1179255612 1263795224 10588235 11176471 1660847 1741726 1197031734 1283437010 14846 103366 98639046 44072000 1754114 1986122 47240 35420 100455246 46196908 X 933895356 1069538456 162681132 167701646 1096576488 1237240102 1197031734 1283437010 X 159420556 -23379106 4622164 X 0 1 X 1 0 X X 7 SANFORD MEDICAL CENTER 460227855 3 1 53392425 0 SANFORD CLINIC 460447693 10 1 273289 0 SANFORD HOME HEALTH 460282134 10 1 312954 0 SANFORD HEALTH NETWORK 460388596 3 1 493727 0 SANFORD RESEARCH 460450378 4 1 489680 0 SANFORD WORLD CLINICS 262707628 3 1 49086 0 SANFORD MEDICAL CENTER FARGO 450226909 3 1 2533 0 7 55013694 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE A, PART I, LINE 12G, COLUMN (IV) WE HAVE ANSWERED YES THAT THE ORGANIZATIONS ARE LISTED IN OUR GOVERNING DOCUMENTS BECAUSE THE ARTICLES DESCRIBE THE SPECIFIED SUPPORTED ORGANIZATIONS AND THE OTHER SUPPORTED ORGANIZATIONS BY CLASS (AFFILIATED WITH THE SPECIFIED SUPPORTED ORGANIZATIONS). SCHEDULE A, PART IV, SECTION A, LINE 1 THE ARTICLES OF INCORPORATION OF SANFORD HEALTH FOUNDATION PROVIDE THAT THEY SHALL OPERATE FOR THE BENEFIT OF, TO SUPPORT THE FUNCTIONS OF, AND TO CARRY OUT SOME OR ALL OF THE CHARITABLE PURPOSES OF THE NAMED SUBSIDIARY ORGANIZATIONS WHICH ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ALL OTHER 501(C)(3) ORGANIZATIONS, QUALIFYING AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE CODE, NOW OR HEREAFTER AFFILIATED WITH, OPERATED, SUPERVISED OR CONTROLLED BY OR SUPERVISED OR CONTROLLED IN CONNECTION WITH, SUCH ORGANIZATIONS. FURTHER, PURSUANT TO THEIR BY-LAWS, THE GOVERNING BODY OF SANFORD (PARENT), SERVES AS THE GOVERNING BODY OF SANFORD HEALTH FOUNDATION AS WELL AS ALL OF THE NAMED TAX-EXEMPT SUBSIDIARY ORGANIZATIONS. THUS, SANFORD HEALTH FOUNDATION MEETS THE RELATIONSHIP TEST AS A TYPE II ORGANIZATION BECAUSE THERE IS COMMON SUPERVISION AND CONTROL BETWEEN SANFORD HEALTH FOUNDATION AND ITS NAMED SUPPORTED ORGANIZATIONS. SANFORD HEALTH FOUNDATION ALSO SUPPORTS ORGANIZATIONS WHICH ARE 501(C)(3) ORGANIZATIONS AFFILIATED WITH THE SUPPORTED ORGANIZATIONS OR ARE 501(C)(3) PUBLIC CHARITIES AFFILIATED WITH THESE AFFILIATED ENTITIES. THEY ARE DESCRIBED BY CLASS. IN ADDITION, THE ARTICLES PROVIDE THAT IN FURTHERANCE OF THEIR PURPOSES, THIS CORPORATION MAY ENGAGE IN, ADVANCE, PROMOTE, SUPPORT, AND ADMINISTER CHARITABLE, SCIENTIFIC, AND EDUCATIONAL ACTIVITIES AND PROJECTS OF EVERY KIND AND NATURE WHATSOEVER IN ITS OWN BEHALF OR AS THE AGENT, TRUSTEE, OR REPRESENTATIVE OF OTHERS. THIS INCLUDES TO AID OR ASSIST OTHER ORGANIZATIONS WHOSE ACTIVITIES ARE SUCH AS TO FURTHER, ACCOMPLISH, FOSTER, OR ATTAIN ANY SUCH PURPOSES. ALL POWERS OF THIS CORPORATION SHALL BE EXERCISED ONLY SO THAT THIS CORPORATION'S OPERATIONS SHALL BE EXCLUSIVELY WITHIN THE CONTEMPLATION OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TO QUALIFY AS A SECTION 509(A)(3) SUPPORTING ORGANIZATION, AN ORGANIZATION MUST SUPPORT ONE OR MORE SPECIFIED ORGANIZATIONS. FOR TYPE II SUPPORTING ORGANIZATION'S ARTICLES OF INCORPORATION, THE ARTICLES MUST DESIGNATE THE SUPPORTING ORGANIZATION(S) BY CLASS OR PURPOSE, AND WHICH INCLUDE PUBLICLY SUPPORTED ORGANIZATIONS WHICH ARE CLOSELY RELATED IN PURPOSE OR FUNCTION TO THE PUBLICLY SUPPORTED ORGANIZATION SPECIFIED IN THE ARTICLES. THEREFORE, THE LACK OF INCLUDING THE NAME OF THE AFFILIATED ORGANIZATIONS THAT SANFORD HEALTH FOUNDATION WILL SUPPORT IN ITS ARTICLES OF INCORPORATION DOES NOT OTHERWISE DEFEAT THE ORGANIZATION'S STATUS AS A TYPE II SUPPORTING ORGANIZATION, BECAUSE ITS ARTICLES DESCRIBE THESE SUPPORTED ORGANIZATIONS BY CLASS (AFFILIATED WITH THE SPECIFIED SUPPORTED ORGANIZATION) AND REQUIRE THAT THEY BE EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 45736885 187201 17449 45941535 45550729 97976 88180 45736885 46288628 -452884 -285015 45550729 45603927 478014 206687 46288628 43970267 1524212 109448 45603927 0.00000 1.00000 0.00000 0 0 40157 34607 5550 333822 325479 8343 13893 ANNUITIES PAYABLE 35420 35420 X PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS OWNED BY AN UNRELATED FOUNDATION IN CUSTODIAL ACCOUNTS WITH THE FUNDS BALANCE COMMINGLED WITH OTHER INVESTMENT ASSETS OF THE ORGANIZATION. THE USE OF THE FUNDS BALANCE IS OVERSEEN AND EXPENDED BY THE OWNER. 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 HEALTH'S ORGANIZATIONS. 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 DID NOT HAVE AN INCOME TAX LIABILITY AT DECEMBER 31, 2024; HOWEVER, SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. CHILDREN GALA 1174941 1106241 68700 32624 83890 89994 90594 EDITH BIG STARS PINK GUITARS 1021767 992542 29225 11475 22560 8063 121423 2 161676 137301 24375 12050 715 2358384 2236084 122300 23525 55184 91953 89994 212732 473388 -351088 1 SANFORD MEDICAL CENTER P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460227855 501(C)(3) 53392425 0 SEE FORM 990, PAGE 2, PART III SANFORD CLINIC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460447693 501(C)(3) 273289 0 SEE FORM 990, PAGE 2, PART III SANFORD HOME HEALTH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460282134 501(C)(3) 312954 0 SEE FORM 990, PAGE 2, PART III SANFORD HEALTH NETWORK P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460388596 501(C)(3) 493727 0 SEE FORM 990, PAGE 2, PART III SANFORD RESEARCH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460450378 501(C)(3) 489680 0 SEE FORM 990, PAGE 2, PART III SANFORD WORLD CLINICS P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 262707628 501(C)(3) 49086 0 SEE FORM 990, PAGE 2, PART III 6 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 1 0 BILL GASSEN TRUSTEE, PRESIDENT & CEO 0 2334458 0 1624395 0 455266 0 584349 0 892 0 4999360 0 0 SCOTT WOOTEN EVP, CFO (END 4/24) 0 245207 0 0 0 2280001 0 43522 0 7698 0 2576428 0 0 NICK OLSON EVP, CFO (BEG 4/24) 0 783688 0 138354 0 125834 0 122494 0 892 0 1171262 0 0 BILL MARLETTE INTERIM, EVP, CFO (END 1/24) 0 420002 0 470299 0 4000 0 0 0 275 0 894576 0 0 DEB KOSKI CHIEF PHILANTHROPY OFFICER 0 367914 0 68372 0 49697 0 14338 0 34153 0 534474 0 0 ANDY NORTH TRUSTEE, SECRETARY, INDEP CONTRACTOR 0 379383 0 0 0 0 0 0 0 0 0 379383 0 0 MICHELLE BRUHN FORMER EVP, CFO & TREASURER 0 0 0 293725 0 0 0 0 0 0 0 293725 0 0 DON JACOBS FORMER TRUSTEE 0 13502 0 0 0 0 0 0 0 0 0 13502 0 0 PART I, LINE 1A CERTAIN ITEMS LISTED ON LINE 1A ARE PROVIDED BY RELATED ORGANIZATIONS. PART I, LINE 3 SANFORD 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. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES APPROVES ALL COMPENSATION CHANGES FOR THE CEO IN ADVANCE, RELIES ON THE MARKET DATA PROVIDED BY THE INDEPENDENT CONSULTING FIRM IN MAKING CHANGES, AND DOCUMENTS THE BASIS FOR ANY CHANGES IN COMMITTEE MINUTES. PART I, LINES 4A-B LINE 4A - SEVERANCE OR CHANGE OF CONTROL PAYMENT 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. EXECUTIVES MAY ALSO QUALIFY FOR A PAYMENT FOR SATISFYING A NON-COMPETE. FINAL SEPARATION PAYMENTS MIGHT VARY FROM THE AMOUNT PROVIDED IN THE AGREEMENT AS A RESULT OF NEGOTIATIONS SURROUNDING POST-SEPARATION OBLIGATIONS AND INCENTIVES (THE "SEPARATION" PAYMENT). LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS FOR EXECUTIVES, A PORTION OF THE RETIREMENT AND OTHER DEFERRED COMPENSATION REPORTED RELATES TO A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THIS PLAN PROVIDES FOR A SUBSTANTIAL RISK OF FORFEITURE AND THERE IS NO GUARANTEE THAT ANY AMOUNT WILL ULTIMATELY BE PAID. SANFORD SPONSORS NONQUALIFIED RETIREMENT PLANS FOR SELECT OFFICERS OR KEY EMPLOYEES. CERTAIN OF THE BELOW OFFICERS OR KEY EMPLOYEES WERE PAID AS A RESULT OF A VESTING EVENT. LINES 4A AND 4B - PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS AND/OR SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: SCOTT WOOTEN: SEPARATION..................................$2,143,876 NONQUALIFIED RETIREMENT PLAN...................$33,255 TOTAL.......................................$2,177,131 PART I, LINE 7 A MATERIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED TO ACHIEVING ORGANIZATIONAL GOALS RELATED TO QUALITY OF CARE, PATIENT EXPERIENCE, EMPLOYEE EXPERIENCE AND FINANCIAL PERFORMANCE. THE GOALS ARE SET IN ADVANCE AND APPROVED BY THE BOARD OF TRUSTEES. SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 988820 INDEPENDENT CONTRACTOR ARRANGEMENT 0 X 2 51044 FMV X SIMUL TRUCK 1 495000 FMV 0 1 0 PART I, COLUMN (B): THE AMOUNTS REPORTED ON PART I, COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS. SCHEDULE M, LINE 25 TYPE OF PROPERTY - SIMULATION IN MOTION TRUCK 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: BILL GASSEN, DEB KOSKI, BILL MARLETTE, NICK OLSON AND SCOTT WOOTEN. 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 ACT AS A HOLDING COMPANY BOARD, SYNTHESIZING AND RECONCILING EACH ENTITY'S PROGRAMS AND BUDGETS INTO A SYSTEM-WIDE STRATEGIC PLAN. SANFORD IS THE SOLE MEMBER OF SANFORD HEALTH. SANFORD HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. THE BOARD OF TRUSTEES OF SANFORD ALSO COMPRISES THE BOARD OF TRUSTEES FOR SANFORD HEALTH AND FOR THE ORGANIZATION. THE BOARD OF TRUSTEES DELEGATES AUTHORITY TO THE BOARD OF DIRECTORS OF THE ORGANIZATION. ACTIONS APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS ARE THEN SUBJECT TO APPROVAL BY THE BOARD OF TRUSTEES. 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. 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. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE EXECUTIVE MANAGEMENT TEAM. AN EXTERNAL ACCOUNTING FIRM REVIEWS AND SIGNS THE RETURN. 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 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 SANFORD HAS A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII, SECTION A. THIS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION FOR SUCH COMPENSATION. SANFORD 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. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES APPROVES ALL COMPENSATION CHANGES FOR THE CEO IN ADVANCE, RELIES ON THE MARKET DATA PROVIDED BY THE INDEPENDENT CONSULTING FIRM IN MAKING CHANGES, AND DOCUMENTS THE BASIS FOR ANY CHANGES IN COMMITTEE MINUTES. 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 IX, LINE 24E ALL OTHER EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,567. FUNDRAISING EXPENSES 8,868. TOTAL EXPENSES 34,435. EXPENSES REIMBURSED BY SANFORD HEALTH (SEE EXPLANATION BELOW): PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -3,533,039. FUNDRAISING EXPENSES -1,361,894. TOTAL EXPENSES -4,894,933. 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. FORM 990, PART XI, LINE 9: REIMBURSEMENT FOR CASH FLOW INCURRED BY SANFORD HEALTH ON BEHALF OF THE FOUNDATION 5,540,936. UNCOLLECTIBLE PLEDGES -1,020,541. NON-GIFT ADJUSTMENTS TO REVENUE 101,769. 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 0 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 0 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 0 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 0 F-M AMBULANCE SERVICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450344371 EMT ND 501(C)(4) SANFORD NORTH 0 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 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 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 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 0 SANFORD P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271218956 SUPPORTING ORGANIZATION ND 501(C)(3) 12-II 0 SANFORD HEALTH FOUNDATION NORTH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450398104 FOUNDATION ND 501(C)(3) 7 SANFORD NORTH 0 SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 411389317 FOUNDATION MN 501(C)(3) 7 SANFORD HEALTH OF NORTHERN MINNESOTA 0 SANFORD HEALTH 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SARBAH ROAD TANTRI LORRY STATION CAPE COAST GH HEALTHCARE GH N/A C 0 SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD 188 YESHENG ROAD ROOM A-862 GUOMA SHANGHAI CH HEALTHCARE CH N/A C 0 0 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1