2017-05-11T15:51:05-05:00 2016-06-30 861065722 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2015-07-01 450397196 Sanford Health Foundation West SANF 7013236000 300 North 7th Street Bismarck ND 58501 JoAnn Kunkel Chief Financial Officer 7013236000 2017-05-11 1 Anne Fulton P00941863 6123974000 2015 2021-01-29 14:40:06Z Kelby Krabbenhoft 2301 East 60th St Sioux Falls SD 57104 8159669 0 X www.sanfordhealth.org/about/foundation X 1986 ND Dedicated to raising funds in support of Sanford Health's mission to improve the human condition through the work of health and healing. 15 9 0 75 0 0 1652122 1873162 0 0 712545 331798 5279 -15256 2369946 2189704 905796 569964 0 0 360289 438025 0 0 734614 384918 852761 1651003 1860750 718943 328954 17358476 17862511 831504 217760 16526972 17644751 Sanford Health Foundation West 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 433514 433514 0 The Foundation continues its proud tradition of supporting the local healthcare-related programs, services, and operations of Sanford Health while also seeking regional, national and international support for research and initiatives. Specifically, grants helped provide patient care and family support ($345,660), equipment and facility improvement projects ($65,171) and other internal programs ($22,683). 136450 136450 0 Additional grants helped support healthcare education and research programs. Sanford Health is dedicated to providing continuing training and educations for its employees, ensuring that patients have the benefit of the most current protocols in care delivery. 569964 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 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 3 0 1 0 0 0 0 0 0 1 1 0 0 0 0 X 15 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X JoAnn Kunkel CFO 6053331000 2301 East 60th Street Sioux Falls SD 57104 X Barb Everist Trustee 0.10 1.40 X 0 0 0 Brent Teiken Trustee 0.10 1.40 X 0 0 0 David Beito Trustee 0.10 1.40 X 0 0 0 Don Jacobs Trustee 0.10 1.40 X 0 0 0 Don Morton Trustee 0.10 1.40 X 0 0 0 James Cain Trustee 0.10 1.40 X 0 0 0 Jim Entenman Trustee (thru Nov 15) 0.10 1.40 X 0 0 0 Lauris Molbert Trustee 0.10 1.40 X 0 0 0 Maria Bell MD Trustee/Sanford Physician 0.10 59.90 X 0 821799 37764 Mark Lundeen MD Trustee/Sanford Physician 0.10 59.90 X 0 948187 27126 Mark Paulson MD Trustee/Sanford Physician 0.10 59.90 X 0 234209 32587 Melissa Hinton Trustee 0.10 1.40 X 0 0 0 Michael LeBeau MD Trustee/Sanford Physician 0.10 59.90 X 0 1287761 30916 Patrick Durick Trustee 0.10 1.40 X 0 0 0 Richard Hardie MD Trustee/Sanford Physician (thru Nov 15) 0.10 59.90 X 0 624505 34022 Thomas Hruby Trustee 0.10 1.40 X 0 0 0 Kelby K Krabbenhoft Sanford President & CEO 0.10 59.90 X X 0 3896486 21654 Kelby K Krabbenhoft Deferred Comp Sanford President & CEO 0.10 59.90 X X 0 0 717699 JoAnn L Kunkel Chief Financial Officer 0.10 59.90 X 0 826615 33636 Craig Lambrecht Exec VP Bismarck 5.00 55.00 X 0 885399 33416 Kirk Cristy VP Finance Bismarck 5.00 55.00 X 0 310877 18090 0 9835838 986910 0 0 1 0 0 557044 1316118 1873162 597752 597752 5628822 5894776 -265954 -265954 -265954 59402 557044 75189 -15787 -15787 Donor CSV Adj 525990 531 531 531 2189704 0 0 316542 145290 145290 424674 424674 356028 70176 285852 14598 2331 12267 39599 6724 32875 27800 5896 21904 7600 7600 42864 319 42545 22717 3483 19234 32467 32467 17363 5235 12128 6332 2371 3961 9550 9550 Purchased Services 404086 394614 9472 Uncollectible Pledges 315525 315525 Donor Stewardship 16127 16127 Fundraising Materials -38590 -38590 16720 15406 1314 1860750 569964 556172 734614 2612773 2704365 1507361 1655065 93064 46861 49389 46203 13109036 13334064 79917 122814 17358476 17862511 2077 3725 745660 149633 83767 64402 831504 217760 X 9167834 9408588 2968358 3209416 4390780 5026747 16526972 17644751 17358476 17862511 X 328954 -103217 892042 X 0 1 X 1 0 X 670904 1870763 1982335 1652122 1873162 8049286 670904 1870763 1982335 1652122 1873162 8049286 483708 7565578 26519 441780 323475 604713 597752 1994239 10043525 206932 0.75330 0.82210 X Schedule A Part II Line 12 Gross receipts from related activities is the total gross income from fundraising events (not including contributions) for the last 5 tax years: 2011: 5,913 2012: 23,527 2013: 47,774 2014: 70,316 2015: 59,402 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 4390780 635967 5026747 3676628 714152 4390780 2262934 957370 511137 54813 3676628 1188251 879703 194980 2262934 1177772 10479 1188251 1.00000 0 0 86700 46543 40157 6364 318 6046 46203 Annuities payable 64402 64402 X Part IV, Line 2b: Sanford Health Foundation West is raising funds on behalf of Family Wellness Bismarck Mandan LLC ("Family Wellness"). Family Wellness is a joint venture between Sanford Bismarck and the Missouri Valley Family YMCA to build and operate a health and wellness facility in the Bismarck community. Part V, Line 4: Permanently restricted net assets are restricted to investments to be held in perpetuity, the income from which is expendable for nursing scholarships and charity care. 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 West did not have an income tax liability at June 30, 2016; however, some related organizations have established reserves. Great American Bike Race 408823 408823 18070 Savor the Flavor 207623 148221 59402 7656 8925 40538 616446 557044 59402 7656 8925 58608 75189 -15787 1 Sanford Bismarck 300 North 7th Street Bismarck ND 58501 450226700 501(c)(3) 135290 Grant money given to fulfill other charitable purposes Sanford Health 1305 W 18th Street Sioux Falls SD 57117 311527032 501(c)(3) 10000 Grant money given to fulfill other charitable purposes 2 0 Home renovations, medical services, vans, medical equipment and technology, travel reimbursements 300 317074 Assistance provided to employees facing sudden, emergent trauma 9 8750 Scholarships and educational assistance provided to employees 80 98850 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 1 1 0 Maria Bell MD Trustee/Sanford Physician 0 767249 0 0 0 54550 0 13250 0 24514 0 859563 0 0 Mark Lundeen MD Trustee/Sanford Physician 0 849011 0 0 0 99176 0 13250 0 13876 0 975313 0 0 Mark Paulson MD Trustee/Sanford Physician 0 234209 0 0 0 0 0 11917 0 20670 0 266796 0 0 Michael LeBeau MD Trustee/Sanford Physician 0 1287761 0 0 0 0 0 10600 0 20316 0 1318677 0 0 Richard Hardie MD Trustee/Sanford Physician (thru Nov 0 618653 0 0 0 5852 0 13250 0 20772 0 658527 0 0 Kelby K Krabbenhoft Sanford President & CEO 0 1468928 0 2352758 0 74800 0 0 0 21654 0 3918140 0 0 Kelby K Krabbenhoft Deferred Comp Sanford President & CEO 0 0 0 0 0 0 0 717699 0 0 0 717699 0 0 JoAnn L Kunkel Chief Financial Officer 0 584610 0 165000 0 77005 0 11852 0 21784 0 860251 0 0 Craig Lambrecht Exec VP Bismarck 0 632327 0 150000 0 103072 0 10600 0 22816 0 918815 0 0 Kirk Cristy VP Finance Bismarck 0 256089 0 17100 0 37688 0 10233 0 7857 0 328967 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 2016. Part I, Line 4b Certain executives participate in a defined benefit SERP Plan. There were no individuals who received payments during the year. Part I, Line 6 Sanford physicians are compensated based on the professional services they perform within the clinic in which they provide care. Generally, the model is based on production. Part I, Line 7 Certain employees are eligible for a discretionary incentive bonus. Bonuses are paid based on the achievement of financial and other goals. 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, Richard Hardie, Kelby Krabbenhoft, JoAnn Kunkel, Craig Lambrecht and Kirk Cristy. 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 is the sole member of Sanford West. Sanford West is the sole member of Sanford Bismarck. Sanford Bismarck is the sole member of the organization. The Board of Trustees of Sanford also comprises the Board of Trustees for Sanford Bismarck 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 West. 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 West. Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by Finance and reviewed by executive management. An external accounting firm reviews the return 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 2016. 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 operating 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 944,889. Contribution returned from related tax-exempt org -52,847. Sanford 801 Broadway Drive Fargo ND 58122 271218956 Supporting Organization ND 501(c)(3) 11-II 0 Sanford Health Foundation 101 S Reid Street Sioux Falls SD 57103 363297853 Foundation SD 501(c)(3) 11-II Sanford Health 1 Edith Sanford Breast Cancer Foundation 101 S Reid Street Sioux Falls SD 57103 450404126 Foundation ND 501(c)(3) 11-II Sanford Health 1 F-M Ambulance Service Inc 2215 18th Street S Fargo ND 58103 450344371 EMT ND 501(c)(4) Sanford North 1 Sanford Health Foundation North PO Box 2010 Fargo ND 58122 450398104 Foundation ND 501(c)(3) 7 Sanford North 1 Sanford Health Foundation Hillsboro PO Box 609 Hillsboro ND 58045 363542187 Foundation ND 501(c)(3) 7 Sanford Hillsboro 1 Sanford Health Foundation of Northern Minnesota 1300 Anne Street NW Bemidji MN 56601 411389317 Foundation MN 501(c)(3) 11-II Sanford Health of Northern Minnesota 1 Medcenter One Inc Auxiliary 300 North 7th Street Bismarck ND 58501 237293043 Supporting Organization ND 501(c)(3) 11-I Sanford Bismarck 1 Sanford Heart of America Health Plan 810 South Main Rugby ND 58368 450346132 Insurance ND 501(c)(4) Sanford Health Plan 1 Sanford Health Foundation Thief River Falls 120 Labree Avenue S Thief River Falls MN 56701 411761135 Foundation MN 501(c)(3) 7 Sanford Medical Center Thief River Falls 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 0 1 Sanford Bismarck B 135290 Cash Sanford Health S 73431 Cash Sanford Health Foundation S 416722 Cash