F-M AMBULANCE SERVICE INC: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- F-M AMBULANCE SERVICE INC (EIN 45-0344371)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-11-13
- IRS object ID
- 202523179349302757
- Schema version
- 2024v5.2
- 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 | 2025-11-13T08:42:56-06:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 346565596 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N WACKER DRIVE | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450344371 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | F-M AMBULANCE SERVICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | F-MA | BusinessNameControlTxt |
| Phone | 7012342000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 5039 RTE 5218 | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 571175039 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICHOLAS OLSON | PersonNm |
| Person Title | EVP, CFO | PersonTitleTxt |
| Phone | 6053331000 | PhoneNum |
| Signature | 2025-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESS WAGENER | PreparerPersonNm |
| PTIN | P01622613 | PTIN |
| Phone | 3128792000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANFORD AMBULANCE FARGO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BILL GASSEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 EAST 60TH ST | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,749,353 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.FMAMBULANCE.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | ND | LegalDomicileStateCd |
| Activity Or Mission | TO CARE, COMFORT AND CURE | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $258,925 | PYContributionsGrantsAmt |
| CY Contributions Grants | $438,293 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,775,616 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,297,109 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,149 | PYOtherRevenueAmt |
| CY Other Revenue | $12,063 | CYOtherRevenueAmt |
| PY Total Revenue | $16,041,690 | PYTotalRevenueAmt |
| CY Total Revenue | $17,747,465 | 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 | $13,677,966 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,800,641 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,337,147 | PYOtherExpensesAmt |
| CY Other Expenses | $3,950,524 | CYOtherExpensesAmt |
| PY Total Expenses | $17,015,113 | PYTotalExpensesAmt |
| CY Total Expenses | $18,751,165 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$973,423 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,003,700 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,813,842 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,843,196 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $107,549 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $770,774 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,706,293 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,072,422 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF F-M AMBULANCE (DBA SANFORD AMBULANCE FARGO), " TO CARE, COMFORT AND CURE FOR OUR PATIENTS, PEOPLE AND COMMUNITIES AND THE VISION "TO BE THE PREMIER RURAL HEALTH SYSTEM IN THE UNITED STATES, IS THE CONSTANT FORCE THAT DRIVES OUR PLANS, DECISIONS AND ACTIONS." | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,317,650 | ExpenseAmt |
| Revenue | $17,297,109 | RevenueAmt |
| Desc | AS PART OF THE SANFORD HEALTH INTEGRATED DELIVERY SYSTEM, FM AMBULANCE, DBA SANFORD AMBULANCE FARGO (SA-F), PROVIDES EMERGENCY MEDICAL CARE AND SPECIALTY CARE TRANSPORTATION SERVICES TO FARGO, NORTH DAKOTA/MOORHEAD, MINNESOTA METRO AREA AND SURROUNDING COMMUNITIES. SA-F IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF AMBULANCE SERVICES (CAAS) AND IS THE LARGEST ADVANCED LIFE SUPPORT GROUND AMBULANCE PROVIDER IN NORTH DAKOTA AND OUTSTATE MINNESOTA. SA-F RESPONDS TO MORE THAN 32,000 CALLS FOR SERVICE ANNUALLY WHICH RESULTED IN TRANSPORTING MORE THAN 23,000 PEOPLE AND OVER 9,000 CALLS THAT DID NOT RESULT IN A PATIENT TRANSPORT. SA-F SERVES AS A RESOURCE TO RESCUE SQUADS, LOCAL AND REGIONAL FIRE DEPARTMENTS, AND ALL LAW ENFORCEMENT AGENCIES AND AMBULANCE PROVIDERS THROUGHOUT THE STATE. SA-F PROVIDES TACTICAL PARAMEDICS FOR THE REGIONAL S.W.A.T. TEAM AND PROVIDES FIREFIGHTER REHABILITAION SERVICES PRO-BONO. SA-F WORKS CLOSELY WITH LOCAL VOLUNTEER SERVICES TO COORDINATE THE DELIVERY OF EMERGENCY MEDICAL CARE TO COMMUNITIES IN ITS SERVICE AREA AND IS A LEADER IN HOMELAND DEFENSE PREPAREDNESS BY SERVING AS A REGIONAL TRAINING SITE, RESOURCES PARTNER AND FIRST RESPONDER.THROUGH ITS READY WHEELS OPERATIONS (A SPECIALTY CARE TRANSPORTATION SERVICE), SA-F PROVIDES LOCAL AND LONG DISTANCE TRANSPORTATION FOR INDIVIDUALS CONFINED TO WHEELCHAIRS. THIS SPECIALTY CARE TRANSPORTATION SERVICE IS AVAILABLE 24 HOURS A DAY, SEVEN DAYS A WEEK TO PROVIDE DOOR-TO-DOOR SERVICE. THESE SERVICES ALLOW INDIVIDUALS IN THE COMMUNITY TO ACCESS TRANSPORTATION SERVICES THAT ACCOMMODATE UNIQUE INDIVIDUAL NEEDS DUE TO HEALTH CONDITIONS.EDUCATION AND OTHER SERVICES:SA-F PROMOTES COMMUNITY HEALTH AND INJURY PREVENTION WITH MORE THAN 4,000 MEMBERS OF THE PUBLIC EACH YEAR PARTICIPATING IN FIRST AID, AUTOMATED EXTERNAL DEFIBRILLATOR, CPR, BABYSITTER TRAINING AND OTHER COMMUNITY WELLNESS COURSES. SA-F IS ALSO THE HOME TO THE REGION'S LARGEST INITIAL EMS CERTIFICATION CENTER. EMERGENCY MEDICAL RESPONDER CLASSES ARE TAUGHT TO AREA HIGH SCHOOL STUDENTS, FIRE DEPARTMENTS, LAW ENFORCEMENT AGENCIES AND VOLUNTEER RESCUE SQUADS. EMT CLASSES ARE HELD MULTIPLE TIMES A YEAR AND SUPPLY STAFFING FOR FULL-TIME AND VOLUNTEER AGENCIES ACROSS OUR AREA. IN CONJUNCTION WITH THE NORTH DAKOTA STATE COLLEGE OF SCIENCE, SA-F'S PARAMEDIC PROGRAM OFFERS AN ASSOCIATE DEGREE LEVEL COURSE ACCREDITED BY THE COMMISSION ON ACCREDITATION OF ALLIED HEALTH EDUCATION PROGRAMS (ONE OF 3 IN ND). SA-F ALSO OFFERS RECERTIFICATION COURSES IN-PERSON AND VIRTUALLY THAT ARE ACCREDITED THROUGH THE COMMISSION ON ACCREDITATION FOR PRE-HOSPITAL CONTINUING EDUCATION (ONLY ONE IN ND). NEW IN 2024, SANFORD AMBULANCE FARGO WILL TRAIN UP TO 15 PARAMEDICS IN AN ACADEMY MODEL IN WHICH THE STUDENTS WILL BE EMPLOYEES OF THE AMBULANCE SERVICE AND BE PAID FOR THEIR TRAINING. THIS IS THE ONLY PARAMEDIC APPRENTICESHIP PROGRAM IN THE TRI-STATE REGION WHERE THE STUDENTS ARE EMPLOYEES AND ALL EXPENSES ARE COVERED BY SANFORD HEALTH. | Desc |
| Total Program Service Expenses | $16,317,650 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICHOLAS OLSON EVP CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6053331000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2301 EAST 60TH STREET | AddressLine1Txt |
| City | SIOUX FALLS | CityNm |
| State Abbreviation | SD | StateAbbreviationCd |
| ZIP | 57104 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| BILL GASSEN | |||||||||
| TRUSTEE, PRESIDENT & CEO | 0.15 | 59.85 | Yes (X) | Yes (X) | $0 | $4,414,119 | $585,241 | ||
| ANDY NORTH | |||||||||
| TRUSTEE, SECRETARY, INDEP CONTRACTOR | 0.00 | 4.90 | Yes (X) | Yes (X) | $0 | $379,383 | $0 | ||
| LAURIS MOLBERT | |||||||||
| TRUSTEE, CHAIRPERSON | 0.00 | 4.90 | Yes (X) | Yes (X) | $0 | $107,199 | $0 | ||
| BRENT TEIKEN | |||||||||
| TRUSTEE | 0.00 | 4.90 | Yes (X) | $0 | $84,246 | $0 | |||
| JAMES CAIN | |||||||||
| TRUSTEE, TREASURER | 0.00 | 4.90 | Yes (X) | Yes (X) | $0 | $81,651 | $0 | ||
| MARNIE HERMANN | |||||||||
| TRUSTEE, VICE CHAIR | 0.00 | 4.90 | Yes (X) | Yes (X) | $0 | $80,382 | $0 | ||
| NEIL GULSVIG | |||||||||
| TRUSTEE, PAST CHAIR | 0.00 | 4.90 | Yes (X) | Yes (X) | $0 | $80,055 | $0 | ||
| MARK LUNDEEN MD | |||||||||
| TRUSTEE | 0.00 | 4.90 | Yes (X) | $0 | $80,000 | $0 | |||
| DAVID SHULKIN | |||||||||
| TRUSTEE | 0.00 | 4.90 | Yes (X) | $0 | $79,826 | $0 | |||
| STEPHANIE HERSETH SANDLIN | |||||||||
| TRUSTEE | 0.00 | 4.90 | Yes (X) | $0 | $78,750 | $0 | |||
| WESLEY ENGBRECHT | |||||||||
| TRUSTEE | 0.00 | 4.90 | Yes (X) | $0 | $77,594 | $0 | |||
| DANA DYKHOUSE | |||||||||
| TRUSTEE | 0.00 | 4.90 | Yes (X) | $0 | $76,727 | $0 | |||
| SCOTT WOOTEN | |||||||||
| EVP, CFO (END 4/24) | 0.15 | 59.85 | Yes (X) | $0 | $2,525,208 | $51,220 | |||
| NICK OLSON | |||||||||
| EVP, CFO (BEG 4/24) | 0.15 | 59.85 | Yes (X) | $0 | $1,047,876 | $123,386 | |||
| BILL MARLETTE | |||||||||
| INTERIM, EVP, CFO (END 1/24) | 0.15 | 59.85 | Yes (X) | $0 | $894,301 | $275 | |||
| TIFFANY LAWRENCE | |||||||||
| PRESIDENT & CEO, FARGO | 5.00 | 55.00 | $0 | $1,426,252 | $179,445 | Yes (X) | |||
| DON JACOBS | |||||||||
| FORMER TRUSTEE | 0.00 | 0.00 | $0 | $13,502 | $0 | Yes (X) | |||
| MICHELLE BRUHN | |||||||||
| FORMER EVP, CFO & TREASURER | 0.00 | 0.00 | $0 | $293,725 | $0 | Yes (X) | |||
| BRYAN NERMOE | |||||||||
| FORMER PRESIDENT & CEO, FARGO | 0.00 | 0.00 | $0 | $252,724 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $12,073,520 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $939,567 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FORD FLEET | |||||
| 1 AMERICAN ROAD | DEERBORN | MI | 48126 | VEHICLE REPAIR | $191,133 |
| ZOLL DATA SYSTEMS | |||||
| 11802 RIDGE PARKWAY STE 400 | BROOMFIELD | CO | 80021 | SOFTWARE DATA SOLUTIONS | $184,263 |
| BOUND TREE MEDICAL | |||||
| 23537 NETWORK PL | CHICAGO | IL | 60673 | DISTRIBUTION COMPANY | $113,783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $6,598 | RelatedOrganizationsAmt |
| Government Grants | $431,695 | GovernmentGrantsAmt |
| Total Contributions | $438,293 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| EMERGENCY MEDICAL SERV | 621910 | $16,535,645 | $16,535,645 |
| EDUCATION | 611430 | $537,869 | $537,869 |
| CONTRACT/OUTREACH | 624230 | $254,549 | $254,549 |
| SPECIAL TRANSPORTATION | 621910 | -$30,954 | -$30,954 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,297,109 | TotalProgramServiceRevenueAmt |
| Gross Sales Of Inventory | $13,951 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,888 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,063 | TotalRevenueColumnAmt |
| Exclusion | $12,063 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,747,465 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,297,109 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,063 | ExclusionAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,279,694 | TotalAmt |
| Program Services | $11,670,064 | ProgramServicesAmt |
| Management And General | $609,630 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $554,618 | TotalAmt |
| Program Services | $524,818 | ProgramServicesAmt |
| Management And General | $29,800 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,054,600 | TotalAmt |
| Program Services | $959,603 | ProgramServicesAmt |
| Management And General | $94,997 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $911,729 | TotalAmt |
| Program Services | $867,577 | ProgramServicesAmt |
| Management And General | $44,152 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,201 | TotalAmt |
| Program Services | $158,200 | ProgramServicesAmt |
| Management And General | $45,001 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,659 | TotalAmt |
| Program Services | $78,623 | ProgramServicesAmt |
| Management And General | $14,036 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,512 | TotalAmt |
| Program Services | $173,903 | ProgramServicesAmt |
| Management And General | $36,609 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $454,553 | TotalAmt |
| Program Services | $265,709 | ProgramServicesAmt |
| Management And General | $188,844 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,116 | TotalAmt |
| Program Services | $386,367 | ProgramServicesAmt |
| Management And General | $122,749 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $404,232 | TotalAmt |
| Program Services | $392,082 | ProgramServicesAmt |
| Management And General | $12,150 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,448 | TotalAmt |
| Program Services | $276,555 | ProgramServicesAmt |
| Management And General | $11,893 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $942,162 | TotalAmt |
| Program Services | $904,888 | ProgramServicesAmt |
| Management And General | $37,274 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $515,133 | TotalAmt |
| Management And General | $515,133 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $1,240,836 | $1,219,951 | $20,885 |
| CERTIFICATES, LIC, DUES | $75,563 | $29,991 | $45,572 |
| MINNESOTACARE TAX | $48,771 | $48,771 | $0 |
| NON-PATIENT BAD DEBT | $19,063 | $19,063 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$1,053,725 | TotalAmt |
| Program Services | -$1,639,452 | ProgramServicesAmt |
| Management And General | $585,727 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,751,165 | TotalAmt |
| Program Services | $16,317,650 | ProgramServicesAmt |
| Management And General | $2,433,515 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,406,722 | BOYAmt |
| EOY | $2,002,349 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,122 | BOYAmt |
| EOY | $3,234 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$13,597 | BOYAmt |
| EOY | $18,342 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,954,519 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,184,384 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,186,239 | BOYAmt |
| EOY | $5,770,135 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,393,082 | BOYAmt |
| EOY | $1,393,082 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $836,274 | BOYAmt |
| EOY | $656,054 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,813,842 | BOYAmt |
| EOY | $9,843,196 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,549 | BOYAmt |
| EOY | $168,753 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $602,021 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,549 | BOYAmt |
| EOY | $770,774 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,706,293 | BOYAmt |
| EOY | $9,072,422 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,706,293 | BOYAmt |
| EOY | $9,072,422 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,813,842 | BOYAmt |
| EOY | $9,843,196 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,003,700 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $2,369,829 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $410,810 | OtherCostOrOtherBasisAmt |
| Book Value | $410,810 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,341,912 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,515,370 | DepreciationAmt |
| Book Value | $826,542 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $169,295 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,234 | DepreciationAmt |
| Book Value | $110,061 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,384,442 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,278,948 | DepreciationAmt |
| Book Value | $2,105,494 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,648,060 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,330,832 | DepreciationAmt |
| Book Value | $2,317,228 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,770,135 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER ASSETS-CIP | Desc |
| Book Value | $656,054 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $656,054 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OPERATING LEASE PAYABLE | Desc |
| Amt | $602,021 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $602,021 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CERTAIN CONTROLLED ORGANIZATIONS ARE SUBJECT TO INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISION REFLECTS THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. F-M AMBULANCE SERVICE, INC DID NOT HAVE AN INCOME TAX LIABILITY AT DECEMBER 31, 2024; SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BILL GASSEN | ||||||||||||||
| TRUSTEE, PRESIDENT & CEO | $0 | $2,334,458 | $0 | $1,624,395 | $0 | $455,266 | $0 | $584,349 | $0 | $892 | $0 | $4,999,360 | $0 | $0 |
| SCOTT WOOTEN | ||||||||||||||
| EVP, CFO (END 4/24) | $0 | $245,207 | $0 | $0 | $0 | $2,280,001 | $0 | $43,522 | $0 | $7,698 | $0 | $2,576,428 | $0 | $0 |
| TIFFANY LAWRENCE | ||||||||||||||
| PRESIDENT & CEO, FARGO | $0 | $832,476 | $0 | $456,270 | $0 | $137,506 | $0 | $143,293 | $0 | $36,152 | $0 | $1,605,697 | $0 | $0 |
| NICK OLSON | ||||||||||||||
| EVP, CFO (BEG 4/24) | $0 | $783,688 | $0 | $138,354 | $0 | $125,834 | $0 | $122,494 | $0 | $892 | $0 | $1,171,262 | $0 | $0 |
| BILL MARLETTE | ||||||||||||||
| INTERIM, EVP, CFO (END 1/24) | $0 | $420,002 | $0 | $470,299 | $0 | $4,000 | $0 | $0 | $0 | $275 | $0 | $894,576 | $0 | $0 |
| ANDY NORTH | ||||||||||||||
| TRUSTEE, SECRETARY, INDEP CONTRACTOR | $0 | $379,383 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $379,383 | $0 | $0 |
| MICHELLE BRUHN | ||||||||||||||
| FORMER EVP, CFO & TREASURER | $0 | $0 | $0 | $293,725 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $293,725 | $0 | $0 |
| BRYAN NERMOE | ||||||||||||||
| FORMER PRESIDENT & CEO, FARGO | $0 | $0 | $0 | $0 | $0 | $252,724 | $0 | $0 | $0 | $0 | $0 | $252,724 | $0 | $0 |
| DON JACOBS | ||||||||||||||
| FORMER TRUSTEE | $0 | $13,502 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $13,502 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 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 | 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. EXECUTIVE 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 BRYAN NERMOE: NON-COMPETE PAYMENT...........................$252,724 |
| 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. |
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: BILL GASSEN, NICK OLSON, SCOTT WOOTEN, BILL MARLETTE, AND TIFFANY LAWRENCE. |
| FORM 990, PART VI, SECTION A, LINE 6 | SANFORD NORTH IS THE SOLE STOCKHOLDER OF F-M AMBULANCE. |
| FORM 990, PART VI, SECTION A, LINE 7A | BOARD MEMBERS ARE APPOINTED BY THE PRESIDENT AND CEO OF SANFORD. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING ACTIONS BY THE BOARD OF DIRECTORS SHALL ALSO REQUIRE THE APPROVAL OF THE SHAREHOLDER: A. AMENDMENT OF THE CORPORATION'S GOVERNING DOCUMENTS INCLUDING, BUT NOT LIMITED TO, THE ARTICLES OF INCORPORATION OR BYLAWS; B. APPROVAL OF ANY MERGER, CONSOLIDATION, DISSOLUTION, OR LIQUIDATION OF THE CORPORATION; C. THE SALE OF THE CORPORATION'S ASSETS OR OPERATIONS OUTSIDE THE ORDINARY COURSE OF BUSINESS; D. THE CORPORATION BECOMING A PARTY TO OR OTHERWISE PARTICIPATING IN A JOINT VENTURE OR PARTNERSHIP WITH ANOTHER ENTITY OR INDIVIDUAL; E. ANY CHANGE IN THE CORPORATION'S MISSION, VISION OR STRATEGIC PLAN; F. DISCONTINUATION, CLOSURE OR TRANSFER OF OWNERSHIP OF SUBSTANTIALLY ALL OF THE ASSETS, OR MEMBERSHIP INTEREST IN, A CORPORATION SITE OF OPERATION; G. APPROVAL OF THE NAMES OR CHANGES TO THE NAMES OF THE CORPORATION'S ENTITIES AND FACILITIES; H. UNLESS CONTEMPLATED BY A PREVIOUSLY APPROVED BUDGET OR PLAN, THE SALE LEASE, TRANSFER, PLEDGE, ENCUMBRANCE, EXCHANGE OR OTHER DISPOSITION OF ASSETS OF THE CORPORATION; I. INCURRENCE OF AN UNBUDGETED DEBT OR UNBUDGETED CAPITAL LEASE OBLIGATION BY THE CORPORATION; AND, J. ADOPTION OF AN ANNUAL OPERATING BUDGET, MODIFICATION OF AN APPROVED ANNUAL OPERATING BUDGET, ADOPTION OF AN ANNUAL CAPITAL BUDGET OR MODIFICATION OF AN APPROVED ANNUAL CAPITAL BUDGET. |
| 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 FOR SUBSIDIARY ENTITIES, OFFICERS, AND KEY EMPLOYEES FOR ALL ENTITIES SUBJECT TO THE IRS FORM 990 FILINGS. THE DISCLOSURES ARE SUMMARIZED FOR REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, PURSUANT TO POLICY. THIS REVIEW ALLOWS: 1) THE BOARD TO ACQUIRE AN AWARENESS OF FINANCIAL RELATIONSHIPS OF BOARD MEMBERS AND KEY MANAGEMENT EMPLOYEES AND CAN INVOKE THE RECUSAL PROCESS ON A CASE-BY-CASE BASIS IF POTENTIAL CONFLICTS ARE IMPLICATED IN BOARD DECISIONS AND DELIBERATIONS, AND, 2) GIVES THE BOARD THE OPPORTUNITY TO SEEK ADDITIONAL INFORMATION AND CLARIFICATION ABOUT DISCLOSURES TO DETERMINE POTENTIAL CONFLICTS OF INTEREST AND HOW TO MANAGE THEM. |
| FORM 990, PART VI, SECTION B, LINE 15 | 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 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: | REIMBURSEMENT FROM SANFORD HEALTH FOR CASH FLOW INCURRED BY F-M AMBULANCE 2,369,829. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (23 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| 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 | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 363297853 | FOUNDATION | SD | 501(C)(3) | 12-II | SANFORD HEALTH | 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 FOUNDATION WEST | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450397196 | FOUNDATION | ND | 501(C)(3) | 7 | SANFORD BISMARCK | 0 |
| SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 452473519 | LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | 501(C)(3) | 12-I | THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | 0 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 460422866 | FOUNDATION | MN | 501(C)(3) | 12-I | SANFORD HEALTH | 0 |
| THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY | ||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 450228055 | LONG-TERM CARE, SENIOR HOUSING & HOME AND COMMUNITY BASED SERVICES | ND | 501(C)(3) | 10 | SANFORD | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|
| COLLISTER DRIVE HOUSING LLC | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 611752929 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A | 0 | 0 |
| HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 271212511 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| OLATHE GOOD SAMARITAN HOUSING LP | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 205297369 | PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS | SD | N/A | 0 | 0 |
| RUTH STREET GOOD SAMARITAN HOUSING LLC | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 611748321 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A | 0 | 0 |
| TEXAS GOOD SAMARITAN HOUSING LLC | |||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 371774574 | LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP | SD | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 815037667 | INSURANCE | NE | N/A | C | 0 | ||||
| GOOD SAMARITAN SOCIETY INSURANCE LTD | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 980379099 | INSURANCE | N/A | C | 0 | CJ | ||||
| HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 900491537 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | 0 | ||||
| HERITAGE HEALTHCARE SERVICES INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850418562 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | 0 | ||||
| HERITAGE HOME HEALTHCARE & HOSPICE INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850463468 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | 0 | ||||
| HERITAGE HOME HEALTHCARE OF ARIZONA INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 204243949 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | 0 | ||||
| HERITAGE HOME HEALTHCARE SERVICES INC | |||||||||||||
| P O BOX 5039 RTE 5218 | SIOUX FALLS | SD | 571175039 | 850463469 | PROVIDE HOME AND COMMUNITY BASED SERVICES | NM | N/A | S | 0 | ||||
| SANFORD FRONTIERS | |||||||||||||
| 1305 W 18TH STREET PO BOX 5039 | SIOUX FALLS | SD | 571175039 | 455436599 | SPORTS/ALTERNATIVE INVESTMENTS | SD | N/A | C | 0 | ||||
| SANFORD HEALTH PLAN | |||||||||||||
| 300 CHERAPA PLACE | SIOUX FALLS | SD | 57103 | 911842494 | INSURANCE | SD | N/A | C | 0 | ||||
| SANFORD HEALTH PLAN OF MN | |||||||||||||
| 300 CHERAPA PLACE | SIOUX FALLS | SD | 57103 | 460445852 | INSURANCE | MN | N/A | C | 0 | ||||
| SANFORD INTERNATIONAL - MUNICH GMBH | |||||||||||||
| HEALTHCARE | N/A | C | 0 | GM | NYMPHENBURGER STRASSE 3 | MUNICH | GM | ||||||
| SANFORD WORLD CLINICS - GHANA LBG | |||||||||||||
| HEALTHCARE | N/A | C | 0 | GH | SARBAH ROAD TANTRI LORRY STATION | CAPE COAST | GH | ||||||
| SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD | |||||||||||||
| HEALTHCARE | N/A | C | 0 | CH | 188 YESHENG ROAD ROOM A-862 GUOMA | SHANGHAI | CH | ||||||
| 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 | Yes (1) | TransferFromOtherOrgInd |