Sanford Heart of America Health Plan: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- Sanford Heart of America Health Plan (EIN 45-0346132)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-11
- IRS object ID
- 201721319349305102
- Schema version
- 2015v3.0
- 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 | 2017-05-11T15:49:35-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450346132 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sanford Heart of America Health Plan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANF | BusinessNameControlTxt |
| Phone | 7017765848 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 810 South Main | AddressLine1Txt |
| City | Rugby | CityNm |
| State Abbreviation | ND | StateAbbreviationCd |
| ZIP | 58368 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JoAnn Kunkel | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 6053331000 | PhoneNum |
| Signature | 2017-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Anne Fulton | PreparerPersonNm |
| PTIN | P00941863 | PTIN |
| Phone | 6123974000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $5,828,276 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.hoahp.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | To coordinate effective and efficient delivery of high-quality health care in a cost effective manner. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,543,218 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,911,373 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,251 | PYInvestmentIncomeAmt |
| CY Investment Income | $39,356 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $3,572,469 | PYTotalRevenueAmt |
| CY Total Revenue | $3,950,729 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $109,084 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $99,758 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,253,741 | PYOtherExpensesAmt |
| CY Other Expenses | $3,955,021 | CYOtherExpensesAmt |
| PY Total Expenses | $4,362,825 | PYTotalExpensesAmt |
| CY Total Expenses | $4,054,779 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$790,356 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$104,050 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,316,773 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,551,389 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $999,117 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,314,504 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,317,656 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,236,885 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The Sanford Heart of America Health Plan is a rural, nonprofit health maintenance organization. Our mission is to coordinate effective and efficient delivery of high-quality health care in a cost effective manner. Member service is our priority. We are committed to the development of personal responsibility for a healthy lifestyle. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $3,935,230 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,911,373 | RevenueAmt |
| Desc | Sanford Heart of America Health Plan was incorporated for the purpose of providing comprehensive health care services on a prepaid basis and for the purpose of establishing and operating organized health maintenance and health care delivery systems.Sanford Heart of America Health Plan (SHAHP) served 328 Medicare members during fiscal year 2016 and 370 commercial and individual members. Through June 30, 2016, the following community services were provided:SHAHP hosted their annual Fun Walk event in August.Other miscellaneous items involved a sponsorship at a Turkey Trot event. | Desc |
| Total Program Service Expenses | $3,935,230 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JoAnn Kunkel CFO | PersonNm |
| 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 (21 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 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Brent Teiken | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| David Beito | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Don Jacobs | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Don Morton | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| James Cain | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Jim Entenman | ||||||||
| Trustee (thru Nov 15) | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Lauris Molbert | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Maria Bell MD | ||||||||
| Trustee/Sanford Physician | 0.10 | 59.90 | Yes (X) | $0 | $821,799 | $37,764 | ||
| Mark Lundeen MD | ||||||||
| Trustee/Sanford Physician | 0.10 | 59.90 | Yes (X) | $0 | $948,187 | $27,126 | ||
| Mark Paulson MD | ||||||||
| Trustee/Sanford Physician | 0.10 | 59.90 | Yes (X) | $0 | $234,209 | $32,587 | ||
| Melissa Hinton | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Michael LeBeau MD | ||||||||
| Trustee/Sanford Physician | 0.10 | 59.90 | Yes (X) | $0 | $1,287,761 | $30,916 | ||
| Patrick Durick | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Richard Hardie MD | ||||||||
| Trustee/Sanford Physician (thru Nov 15) | 0.10 | 59.90 | Yes (X) | $0 | $624,505 | $34,022 | ||
| Thomas Hruby | ||||||||
| Trustee | 0.10 | 1.40 | Yes (X) | $0 | $0 | $0 | ||
| Kelby K Krabbenhoft | ||||||||
| Sanford President & CEO | 0.10 | 59.90 | Yes (X) | $0 | $3,896,486 | $21,654 | Yes (X) | |
| Kelby K Krabbenhoft Deferred Comp | ||||||||
| Sanford President & CEO | 0.10 | 59.90 | Yes (X) | $0 | $0 | $717,699 | Yes (X) | |
| JoAnn L Kunkel | ||||||||
| Chief Financial Officer | 0.10 | 59.90 | $0 | $826,615 | $33,636 | Yes (X) | ||
| Ruth Krystopolski | ||||||||
| Exec VP Sanford Health Plan (thru Dec 15) | 10.00 | 50.00 | $0 | $456,262 | $34,938 | Yes (X) | ||
| Cecily Tucker | ||||||||
| VP Finance Sanford Health Plan | 10.00 | 50.00 | $0 | $294,975 | $16,000 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,390,799 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $986,342 | 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 |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Premiums | 524114 | $3,262,180 | $3,262,180 |
| Medicare Reimbursement | 524114 | $535,858 | $535,858 |
| Reinsurance Recoveries | 524114 | $113,335 | $113,335 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,911,373 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,195 | TotalRevenueColumnAmt |
| Exclusion | $40,195 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,876,708 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,877,547 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$839 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$839 | TotalRevenueColumnAmt |
| Exclusion | -$839 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,950,729 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,911,373 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $39,356 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $76,568 | TotalAmt |
| Program Services | $65,083 | ProgramServicesAmt |
| Management And General | $11,485 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,443 | TotalAmt |
| Program Services | $2,927 | ProgramServicesAmt |
| Management And General | $516 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,464 | TotalAmt |
| Program Services | $12,294 | ProgramServicesAmt |
| Management And General | $2,170 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,283 | TotalAmt |
| Program Services | $4,490 | ProgramServicesAmt |
| Management And General | $793 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,446 | TotalAmt |
| Management And General | $96,446 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,253 | TotalAmt |
| Program Services | $51,915 | ProgramServicesAmt |
| Management And General | $338 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,206 | TotalAmt |
| Program Services | $4,425 | ProgramServicesAmt |
| Management And General | $781 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,700 | TotalAmt |
| Program Services | $20,145 | ProgramServicesAmt |
| Management And General | $3,555 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,500 | TotalAmt |
| Program Services | $14,025 | ProgramServicesAmt |
| Management And General | $2,475 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,023 | TotalAmt |
| Program Services | $1,719 | ProgramServicesAmt |
| Management And General | $304 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201 | TotalAmt |
| Program Services | $171 | ProgramServicesAmt |
| Management And General | $30 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,102 | TotalAmt |
| Program Services | $2,637 | ProgramServicesAmt |
| Management And General | $465 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Claims | $3,346,642 | $3,346,642 |
| Capitation Services | $115,802 | $115,802 |
| Reinsurance | $68,091 | $68,091 |
| Premiums Tax | $60,149 | $60,149 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,906 | TotalAmt |
| Program Services | $164,715 | ProgramServicesAmt |
| Management And General | $191 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,054,779 | TotalAmt |
| Program Services | $3,935,230 | ProgramServicesAmt |
| Management And General | $119,549 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,776 | BOYAmt |
| EOY | $856,404 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,613,184 | BOYAmt |
| EOY | $1,633,817 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,028 | BOYAmt |
| EOY | $488,474 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,442 | BOYAmt |
| EOY | $10,340 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $525,343 | BOYAmt |
| EOY | $562,354 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,316,773 | BOYAmt |
| EOY | $3,551,389 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,188 | BOYAmt |
| EOY | $247,670 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $312,586 | BOYAmt |
| EOY | $504,480 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $525,343 | BOYAmt |
| EOY | $562,354 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $999,117 | BOYAmt |
| EOY | $1,314,504 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,317,656 | BOYAmt |
| EOY | $2,236,885 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,317,656 | BOYAmt |
| EOY | $2,236,885 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,316,773 | BOYAmt |
| EOY | $3,551,389 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$104,050 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $23,279 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,000,000 | 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 D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Claims Payable | Desc |
| Amt | $562,354 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $562,354 | 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. Sanford Heart of America Health Plan did not have an income tax liability at June 30, 2016; 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 | Yes (1) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Maria Bell MD | ||||||||||||||
| Trustee/Sanford Physician | $0 | $767,249 | $0 | $0 | $0 | $54,550 | $0 | $13,250 | $0 | $24,514 | $0 | $859,563 | $0 | $0 |
| Mark Lundeen MD | ||||||||||||||
| Trustee/Sanford Physician | $0 | $849,011 | $0 | $0 | $0 | $99,176 | $0 | $13,250 | $0 | $13,876 | $0 | $975,313 | $0 | $0 |
| Mark Paulson MD | ||||||||||||||
| Trustee/Sanford Physician | $0 | $234,209 | $0 | $0 | $0 | $0 | $0 | $11,917 | $0 | $20,670 | $0 | $266,796 | $0 | $0 |
| Michael LeBeau MD | ||||||||||||||
| Trustee/Sanford Physician | $0 | $1,287,761 | $0 | $0 | $0 | $0 | $0 | $10,600 | $0 | $20,316 | $0 | $1,318,677 | $0 | $0 |
| Richard Hardie MD | ||||||||||||||
| Trustee/Sanford Physician (thru Nov | $0 | $618,653 | $0 | $0 | $0 | $5,852 | $0 | $13,250 | $0 | $20,772 | $0 | $658,527 | $0 | $0 |
| Kelby K Krabbenhoft | ||||||||||||||
| Sanford President & CEO | $0 | $1,468,928 | $0 | $2,352,758 | $0 | $74,800 | $0 | $0 | $0 | $21,654 | $0 | $3,918,140 | $0 | $0 |
| Kelby K Krabbenhoft Deferred Comp | ||||||||||||||
| Sanford President & CEO | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $717,699 | $0 | $0 | $0 | $717,699 | $0 | $0 |
| JoAnn L Kunkel | ||||||||||||||
| Chief Financial Officer | $0 | $584,610 | $0 | $165,000 | $0 | $77,005 | $0 | $11,852 | $0 | $21,784 | $0 | $860,251 | $0 | $0 |
| Ruth Krystopolski | ||||||||||||||
| Exec VP Sanford Health Plan (thru De | $0 | $399,816 | $0 | $0 | $0 | $56,446 | $0 | $13,250 | $0 | $21,668 | $0 | $491,180 | $0 | $0 |
| Cecily Tucker | ||||||||||||||
| VP Finance Sanford Health Plan | $0 | $254,295 | $0 | $13,100 | $0 | $27,580 | $0 | $13,250 | $0 | $2,750 | $0 | $310,975 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (5 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 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. |
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, Michael LeBeau, Richard Hardie, Kelby Krabbenhoft, JoAnn Kunkel, Ruth Krystopolski and Cecily Tucker. |
| Form 990, Part VI, Section A, line 6 | Sanford Health Plan is the sole member of the organization. |
| Form 990, Part VI, Section A, line 7a | Board members are members of the Board of Directors of Sanford Health Plan. |
| Form 990, Part VI, Section A, line 7b | Sanford Health Plan, as sole member, reviews the actions of Sanford Heart of America Health Plan. |
| 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 the 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 org (capital contribution) 1,000,000. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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 | ||||||||||
| 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 | Yes (1) | Sanford Health |
| Edith Sanford Breast Cancer Foundation | ||||||||||
| 101 S Reid Street | Sioux Falls | SD | 57103 | 450404126 | Foundation | ND | 501(c)(3) | 11-II | Yes (1) | Sanford Health |
| F-M Ambulance Service Inc | ||||||||||
| 2215 18th Street S | Fargo | ND | 58103 | 450344371 | EMT | ND | 501(c)(4) | Yes (1) | Sanford North | |
| Sanford Health Foundation North | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 450398104 | Foundation | ND | 501(c)(3) | 7 | Yes (1) | Sanford North |
| Sanford Health Foundation Hillsboro | ||||||||||
| PO Box 609 | Hillsboro | ND | 58045 | 363542187 | Foundation | ND | 501(c)(3) | 7 | Yes (1) | Sanford Hillsboro |
| Sanford Health Foundation of Northern Minnesota | ||||||||||
| 1300 Anne Street NW | Bemidji | MN | 56601 | 411389317 | Foundation | MN | 501(c)(3) | 11-II | Yes (1) | Sanford Health of Northern Minnesota |
| Sanford Health Foundation West | ||||||||||
| 300 North 7th Street | Bismarck | ND | 58501 | 450397196 | Foundation | ND | 501(c)(3) | 7 | Yes (1) | Sanford Bismarck |
| Medcenter One Inc Auxiliary | ||||||||||
| 300 North 7th Street | Bismarck | ND | 58501 | 237293043 | Supporting Organization | ND | 501(c)(3) | 11-I | Yes (1) | Sanford Bismarck |
| Sanford Health Foundation Thief River Falls | ||||||||||
| 120 Labree Avenue S | Thief River Falls | MN | 56701 | 411761135 | Foundation | MN | 501(c)(3) | 7 | Yes (1) | Sanford Medical Center Thief River Falls |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 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 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 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 Affiliated Services Inc | |||||||||||||
| 300 N 7th Street | Bismarck | ND | 58501 | 450403146 | Investment Activity | ND | 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 | ||||||
| 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 | 0 | 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 Plan | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionTypeTxt |
| Involved | $1,000,000 | InvolvedAmt |
| Method Of Amount Determination | Cash | MethodOfAmountDeterminationTxt |