2019-05-15T11:28:39-05:00 2018-06-30 861065772 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2017-07-01 411761135 Sanford Health Foundation Thief River Falls SANF 2186834105 P O Box 5039 Rte 5218 Sioux Falls SD 571175039 Bill Marlette Treasurer 6053331000 2019-05-15 1 Chris Meskimen P01314196 6123974000 206.208.217.34 2019-05-15 11:28:23 CD P 06548BEA0FB372D2A4E2920B5E56EB060CD9C54A E5BC8B5E57121AB33B8A1607D3C50835A925FFE9 2017 2019-02-21 02:37:17Z X Kelby Krabbenhoft 2301 East 60th St Sioux Falls SD 57104 105547 0 X www.sanfordhealth.org/about/foundation X 1996 MN Dedicated to raising funds in support of Sanford Health's mission to improve the human condition through the work of health and healing. 14 6 0 50 0 0 100232 90860 0 0 2950 3631 5624 7537 108806 102028 0 536832 0 0 41007 46591 0 0 41698 60167 65196 101174 648619 7632 -546591 1301695 871091 1378 26 1300317 871065 X Sanford Health Foundation Thief River Falls exists to encourage philanthropy in support of Sanford Health and other exempt entities associated with Sanford Health in providing health care, medical and educational services as well as supporting research activities and initiatives. 0 0 536832 536832 0 The Foundation supports local healthcare-related programs, services and operations of Sanford Health while also seeking regional, national and international support for research and initiatives. Historically, donations helped provide equipment and facility improvement projects and other internal programs. 536832 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 14 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN X JoAnn Kunkel CFO 6053331000 2301 East 60th Street Sioux Falls SD 57104 X Barb Everist Trustee 0.10 5.50 X 0 725 0 Andy North Trustee 0.10 7.50 X 0 121718 0 Brent Teiken Vice Chair 0.10 5.50 X X 0 1215 0 David Beito Past Chair 0.10 5.50 X X 0 0 0 Don Jacobs Treasurer 0.10 5.50 X X 0 0 0 Don Morton through 1217 Trustee 0.10 5.50 X 0 1353 0 James Cain Secretary 0.10 5.50 X X 0 0 0 Maria Bell MD Trustee/Research Administrator 0.10 59.90 X 0 789033 29050 Mark Lundeen MD Trustee/Orthopedics Service Chair 0.10 59.90 X 0 726619 29050 Mark Paulson MD Chair/Physician Regional Chair 0.10 59.90 X X 0 266366 26202 Melissa Hinton Trustee 0.10 5.50 X 0 0 0 Michael LeBeau MD Trustee/Senior VP - Bismarck Clinic 0.10 59.90 X 0 1414632 29050 Patrick Durick Trustee 0.10 5.50 X 0 1177 0 Thomas Hruby Trustee 0.10 5.50 X 0 1360 0 Kelby K Krabbenhoft Sanford President & CEO 0.10 59.90 X X 0 2276185 12726 Kelby K Krabbenhoft Def Comp Sanford President & CEO 0.10 59.90 X X 0 0 877405 JoAnn L Kunkel Chief Financial Officer 0.10 59.90 X 0 1020341 43188 Bobbie Tibbetts VP Sanford Health Foundation 5.00 55.00 X 0 217235 21817 Micah Aberson Chief Global Brand Officer 5.00 55.00 X 0 539386 39501 0 7377345 1107989 0 0 1 0 0 21800 69060 90860 3631 3631 3491 21800 3519 -28 -28 Donor CSV Adj 525990 7565 7565 7565 102028 0 0 11168 536832 536832 39871 8802 31069 2300 575 1725 941 628 313 3479 1050 2429 11382 11382 301 80 221 440 90 350 374 58 316 200 200 Purchased Services 49355 47063 2292 Donor Stewardship 2805 2805 Fundraising Materials 178 178 161 161 648619 536832 70089 41698 153260 50114 62910 45732 53 976817 659568 108708 115624 1301695 871091 1378 26 1378 26 X 765034 771708 535283 89357 10000 1300317 871065 1301695 871091 X -546591 117339 X 0 1 X 1 0 X 197360 237969 151749 100232 90860 778170 197360 237969 151749 100232 90860 778170 207487 570683 2699 3911 2376 2950 3631 15567 3190 1441 5624 7565 17820 811557 6651 0.70320 0.68920 X Part II Line 12 Gross receipts from related activites is the total gross income from fundraising events (not including contributions) for tax year 2017. 10000 10000 1.00000 0 0 0 Cash value (life insurance policies) 115624 115624 X Part V, Line 4: Endowment Funds are to be used for scholarships in the Thief River Falls, MN area. Part X, Line 2: Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the difference 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 Thief River Falls did not have an income tax liability at June 30, 2018; however, some related organizations have established reserves. Kings of the Wings 25291 21800 3491 1235 180 1250 854 25291 21800 3491 1235 180 1250 854 3519 -28 1 Sanford Medical Center Thief River Falls PO Box 5039 Rte 5218 Sioux Falls SD 571175039 450409348 501(c)(3) 536832 Grant money given to fulfill other charitable purposes. 1 0 Part I, Line 2: The organization requires proof of financial need before grant assistance is made. Requests for funds are reviewed at multiple levels throughout the organization. Once funds are distributed no further monitoring takes place. 0 1 0 0 0 0 0 0 0 Maria Bell MD Trustee/Research Administrator 0 775124 0 10000 0 3909 0 0 0 29050 0 818083 0 0 Mark Lundeen MD Trustee/Orthopedics Service Chair 0 725227 0 0 0 1392 0 0 0 29050 0 755669 0 0 Mark Paulson MD Chair/Physician Regional Chair 0 268457 0 0 0 -2091 0 0 0 26202 0 292568 0 0 Michael LeBeau MD Trustee/Senior VP - Bismarck Clinic 0 1342178 0 3000 0 69454 0 0 0 29050 0 1443682 0 0 Kelby K Krabbenhoft Sanford President & CEO 0 1644254 0 542500 0 89431 0 0 0 12726 0 2288911 0 0 Kelby K Krabbenhoft Def Comp Sanford President & CEO 0 0 0 0 0 0 0 877405 0 0 0 877405 0 0 JoAnn L Kunkel Chief Financial Officer 0 703270 0 202500 0 114571 0 21375 0 21813 0 1063529 0 0 Bobbie Tibbetts VP Sanford Health Foundation 0 176546 0 20300 0 20389 0 0 0 21817 0 239052 0 0 Micah Aberson Chief Global Brand Officer 0 395781 0 86250 0 57355 0 13275 0 26226 0 578887 0 0 Part I, Line 1a Certain items listed on Line 1a are provided by related organizations. Part I, Line 3 The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm annually to review the total compensation arrangements of the officers and executives of the organization, including the CEO, and to report the findings to them for deliberation and action. The deliberations and actions are recorded in the minutes of the Sanford Board of Trustees. The most recent study was completed in 2018. Part I, Line 4b Certain executives participate in a defined benefit SERP Plan. There were no individuals who received payments during the year. 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, Michael LeBeau, Kelby Krabbenhoft, JoAnn Kunkel, Micah Aberson, and Bobbie Tibbetts. Form 990, Part VI, Section A, line 6 Sanford is governed by a Board of Trustees (BOT) that has ultimate strategic and decision making authority. The BOT delegates certain activities and responsibilities to Boards of each of Sanford's primary operating subsidiaries. The unique nature and complexity of the subsidiaries requires each to have a delegated Board with a singular entity focus. Such bodies, referred to as Boards of Directors and Boards of Governors, address matters such as credentialing, accreditation standards, developing budgets, programs and facilities on an entity-specific basis, and generally consist of individuals distinct from the BOT. These Boards function much like committees in a traditional corporate structure. The BOT then acts as a holding company Board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. This structure of governance produces a significant number of trustees, governors and directors. Sanford Medical Center Thief River Falls, a wholly-controlled subsidiary of Sanford, Sanford North and Sanford Health Network North, is the sole member of the organization. The Board of Trustees of Sanford also comprises the Board of Trustees for Sanford Medical Center Thief River Falls and for the organization. The Board of Trustees delegates authority to the Board of Directors of the organization. Certain actions of the Board of Directors are subject to member approval. Form 990, Part VI, Section A, line 7a The Sanford Board of Trustees appoints the board members for the Board of Directors of Sanford Health Foundation Thief River Falls. 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 Thief River Falls. Form 990, Part VI, Section B, line 11b The Form 990 is prepared internally by Finance and reviewed by executive management. An external accounting firm reviews the return prior to filing and prepares return highlights and key disclosures for the Board of Trustees meeting prior to the return filing date. Before the return is filed, a complete copy is provided to the current Board of Trustees. Form 990, Part VI, Section B, line 12c The annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of Interest questionnaires are sent to System Trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the IRS Form 990 filings. The disclosures are summarized for review by the executive committee of the Board of Trustees, pursuant to policy. This review allows: 1) The Board to acquire an awareness of financial relationships of board members and key 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 2018. 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 from related tax-exempt org for payroll and operating expenses 116,815. Loss on Uncollectible Pledges 524. Sanford P O Box 5039 Rte 5218 Sioux Falls SD 571175039 271218956 Supporting Organization ND 501(c)(3) 12-II 0 Sanford Health Foundation P O Box 5039 Rte 5218 Sioux Falls SD 571175039 363297853 Foundation SD 501(c)(3) 12-II Sanford Health 1 Edith Sanford Breast Cancer Foundation P O Box 5039 Rte 5218 Sioux Falls SD 571175039 450404126 Foundation ND 501(c)(3) 12-II Sanford Health 1 F-M Ambulance Service Inc P O Box 5039 Rte 5218 Sioux Falls SD 571175039 450344371 EMT ND 501(c)(4) Sanford North 1 Sanford Health Foundation North P O Box 5039 Rte 5218 Sioux Falls SD 571175039 450398104 Foundation ND 501(c)(3) 7 Sanford North 1 Sanford Health Foundation Hillsboro P O Box 5039 Rte 5218 Sioux Falls SD 571175039 363542187 Foundation ND 501(c)(3) 7 Sanford Hillsboro 1 Sanford Health Foundation of Northern Minnesota P O Box 5039 Rte 5218 Sioux Falls SD 571175039 411389317 Foundation MN 501(c)(3) 12-II Sanford Health of Northern Minnesota 1 Sanford Health Foundation West P O Box 5039 Rte 5218 Sioux Falls SD 571175039 450397196 Foundation ND 501(c)(3) 7 Sanford Bismarck 1 Medcenter One Inc Auxiliary P O Box 5039 Rte 5218 Sioux Falls SD 571175039 237293043 Supporting Organization ND 501(c)(3) 12-II Sanford Bismarck 1 Sanford Heart of America Health Plan P O Box 5039 Rte 5218 Sioux Falls SD 571175039 450346132 Insurance ND 501(c)(4) Sanford Health Plan 1 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 Sanford Home Medical Equipment Inc 2710 W 12th Street Sioux Falls SD 57105 460388597 Healthcare Equipment SD N/A C 1 Sanford Health Plan 300 Cherapa Place Sioux Falls SD 57103 911842494 Insurance SD N/A C 1 Sanford Health Plan of MN 300 Cherapa Place Sioux Falls SD 57103 460445852 Insurance MN N/A C 1 Sanford Frontiers 1305 W 18th Street PO Box 5039 Sioux Falls SD 571175039 455436599 Weight Loss/Fitness SD N/A C 1 SOB Inc 2701 S Minnesota Avenue Suite 2 Sioux Falls SD 57105 460442628 Air Transportation SD N/A C 1 Sanford Affiliated Services Inc 300 N 7th Street Bismarck ND 58501 450403146 Investment Activity ND N/A C 1 Sanford World Clinics - Ghana Sarbah Road Tantri Lorry Station Cape Coast GH Healthcare GH N/A C 1 Shanghai Sanford Healthcare Management Consulting Co Ltd 188 Yesheng Road Room A-862 Guoma Shanghai CH Healthcare CH N/A C 1 Sanford International - Munich GmbH Nymphenburger Strasse 3 Munich GM Healthcare GM N/A C 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 Sanford Medical Center Thief River Falls B 536832 Cash Method Sanford Health S 419094 Cost