2015-05-08T15:55:06-05:00 2014-06-30 861065772 Deloitte Tax LLP 50 South Sixth Street Suite 2800 Minneapolis MN 55402 990 2013-07-01 453791176 Sanford Group Return SANF 6053331000 801 Broadway N Fargo ND 58122 JoAnn Kunkel Chief Financial Officer 6053331000 2015-05-08 1 Anne Fulton P00941863 6123974000 2013 2016-02-25 16:41:14Z Kelby Krabbenhoft 1305 W 18th St PO Box 5039 Sioux Falls SD 571175039 3661920112 1 1 5851 X www.sanfordhealth.org X "Dedicated to the Work of Health and Healing" 15 6 29709 2978 27878898 238937 68978816 55758028 3337223185 3589720396 4710776 2764588 2058645 4453547 3412971422 3652696559 19011251 10658800 0 0 1832958024 1888740884 0 0 120846 1518267737 1650843359 3370237012 3550243043 42734410 102453516 2318532640 2335827341 1234422549 1222181413 1084110091 1113645928 X Part of the Sanford Health System, Sanford is committed to the healthcare needs of communities throughout South Dakota, North Dakota, Minnesota and Iowa. Sanford provides a full range of primary and specialty health care services. 0 0 2922714702 10656300 3586460338 Sanford is the nation's largest not-for-profit integrated rural health system providing medical services at every level from critical access hospitals to tertiary and quaternary care. The Sanford footprint includes over 220,000 square miles with a nine state service area including a network of children's primary care clinic locations across the country and the world. Sanford operates full-time emergency centers and provides emergency care to everyone regardless of their ability to pay. Sanford facilities and clinics provide services to remote and medically underserved areas that would otherwise not have access to even primary care services. Sanford financially supports health and wellness, education and community development activities to improve the quality of life and strengthen communities throughout the region. Each of Sanford's facilities promotes health and healing that responds to the unique needs of the patients in the communities that Sanford serves, ensuring access to comprehensive and specialized services. A recently completed and published community health needs assessment indicated the important need for behavioral health services for our community members. Sanford is meeting this need through an integrated delivery system providing behavioral health within the medical home structure.Please see Schedule H for a description of additional services, community benefit activities, and the full spectrum of charity care that Sanford provides within the community. 6808460 0 0 Medical education is an important service for Sanford. Sanford provides the medical community with high quality educational and professional development that is evidence and research based; accredited for physicians, nurses, pharmacists, and Allied Health Professionals and scientists; inclusive of cultural diversity and addresses the need for specialty training.Sanford is dedicated to preparing health care professionals for the future. The Sanford PROMISE program connects students, educators and communities with science and research in health care at a secondary education age. Sanford works in partnership with the University of South Dakota - Sanford School of Medicine, and the University of North Dakota - School of Medicine to provide rotations for medical students, residencies and fellowships. Sanford works in partnership with an extensive group of higher learning organizations to provide student training and learning opportunities in many venues across our region. 26414384 2500 3260058 Sanford Research is a non-profit health research organization and is composed of several research centers, including: Children's Health including sites in Sioux Falls, South Dakota and the Sanford-Burnham Medical Research Institute in La Jolla, California; The Sanford Project which is specifically focused on the identification of a cure for type 1 diabetes; Health Outcomes & Prevention focusing on Sudden infant death syndrome and birth-related disorders at study sites including United States Native American Reservations and South Africa; Genomic & Molecular Medicine with an emphasis on cancer and cardiovascular genomics and molecular biology; Edith Sanford Breast Cancer focusing on advanced molecular research and personalized treatment; Clinical Research including participation in drug and devise studies, the National Cancer Institute Community Clinical Oncology Program and the National Community Cancer Center Pilot Project; and Sanford Applied Biosciences which utilizes an innovative transchromosomic bovine model to produce antibodies against infectious diseases and cancer antigens.Sanford Research offers exciting challenges for researchers both in well-established projects and ever expanding research opportunities. Sanford offers opportunities to participate in clinical trials and to be a part of the changing face of medicine. 2955937546 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 X 2173 0 1 29709 1 1 1 1 GH 0 0 0 0 0 0 0 0 0 X 15 6 1 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 MN OR CA X JoAnn Kunkel CFO 6053331000 1305 W 18th St PO Box 5039 Sioux Falls SD 571175039 X Barb Everist Trustee 2.00 3.40 X 0 0 0 Barbara Stork Trustee (thru Dec 13) 2.00 3.40 X 0 0 0 Brent Teiken Trustee 2.00 3.40 X 0 0 0 Christopher Meeker MD Trustee 56.60 3.40 X 393696 0 30403 David Beito Trustee 2.00 3.40 X 0 0 0 Don Morton Trustee 2.00 3.40 X 0 0 0 Jerome Feder Trustee 2.00 3.40 X 0 0 0 Jim Entenman Trustee 2.00 3.40 X 0 0 0 Lauris Molbert Trustee 2.00 3.40 X 0 0 0 Maria Bell MD Trustee 56.60 3.40 X 776820 0 40322 Mark Paulson MD Trustee 56.60 3.40 X 221733 0 29828 Patrick Durick Trustee 2.00 3.40 X 0 0 0 Richard Hardie MD Trustee 56.60 3.40 X 760534 0 40425 Ronald Moquist Trustee 2.00 3.40 X 0 0 0 Thomas Hruby Trustee 2.00 3.40 X 0 0 0 Kelby K Krabbenhoft Sanford Health President & CEO 5.00 55.00 X X 1320464 0 22992 Kelby K Krabbenhoft Deferred Comp Sanford Health President & CEO 5.00 55.00 X X 0 0 608477 JoAnn L Kunkel Chief Financial Officer Corp 23.00 37.00 X 463362 0 39674 Kim Patrick Chief Legal Officer 60.00 0.00 X 438480 0 127964 Rebecca Nelson Senior VP & COO - HSD (thru Nov 13) 60.00 0.00 X 1043710 0 15864 Rebecca Nelson Deferred Comp Senior VP & COO - HSD (thru Nov 13) 60.00 0.00 X 3776631 0 5865 Nate White Chief Operating Officer Corp 60.00 0.00 X 468877 0 47865 Bill Marlette Treasurer 60.00 0.00 X 558425 0 1749 Bill Marlette Deferred Comp Treasurer 60.00 0.00 X 0 0 143671 David Link Executive VP - D&R 60.00 0.00 X 691626 0 22885 David Link Deferred Comp Executive VP - D&R 60.00 0.00 X 0 0 155288 D Evan Burkett Chief Human Capital Officer 60.00 0.00 X 400779 0 38062 Al Hurley COO - Sanford Bismarck Clinic 60.00 0.00 X 187089 0 6791 Arlyn Broekhuis Vice President & CIO 60.00 0.00 X 414257 0 39260 Bradley J Schipper COO - SMC 60.00 0.00 X 333342 0 41368 Brenda K Larsen COO - Sanford Bismarck 60.00 0.00 X 215551 0 31788 Brian Carlson CEO - Thief River Falls 60.00 0.00 X 231622 0 18691 Bruce D Viessman CFO - Sanford Health Network 55.00 5.00 X 250513 0 39637 Bruce Pitts MD Chief Medical Officer (thru July 13) 60.00 0.00 X 2082129 0 19872 Bryan J Nermoe COO - Sanford Clinic 60.00 0.00 X 307168 0 40384 Craig Boyer CFO - Bemidji 55.00 5.00 X 235541 0 130662 Craig Lambrecht President - Sanford Bismarck 55.00 5.00 X 863898 0 30011 Daniel Olson President - SH of Northern MN 55.00 5.00 X 260095 0 28570 Daniel W Blue President - Sanford Clinic 60.00 0.00 X 657286 0 201270 David Pearce COO/VP - Sanford Research 60.00 0.00 X 301588 0 39500 Dennis Millirons President - SMC Fargo (thru Dec 13) 55.00 5.00 X 603333 0 24634 Diana Berkland Chief Nurse Executive - SMC 60.00 0.00 X 234281 0 1298 Diana Berkland Deferred Comp Chief Nurse Executive - SMC 60.00 0.00 X 0 0 80346 Douglas Okland CFO - Fargo & Bismarck Clinic 60.00 0.00 X 247573 0 13950 Edmond L Weiland thru Dec 13 President - Sanford Health Network 55.00 5.00 X 460242 0 38346 Ellen Cooke COO - Sanford Clinic North 60.00 0.00 X 309315 0 18948 Gordon A Larson CEO - Aberdeen 60.00 0.00 X 246799 0 28336 H Eugene Hoyme President - Sanford Research 60.00 0.00 X 543561 0 41050 Jac M McTaggart CEO - Hillsboro 55.00 5.00 X 156594 0 22404 Jeff D Sandene Chief Integration Officer 60.00 0.00 X 391909 0 32346 Jesse Tischer COO - Sanford Health Network 60.00 0.00 X 235775 0 27824 Joy Johnson COO - Bemidji 60.00 0.00 X 324030 0 18676 Karen Tobin COO - SMC Fargo 55.00 5.00 X 313972 0 25488 Mary Ruyter CEO - Jackson 60.00 0.00 X 166175 0 19578 Matthew Hocks Executive VP - Sanford Clinic 60.00 0.00 X 207023 0 32894 Merrilee Schultz Chief Financial Officer - SMC 60.00 0.00 X 223487 0 13782 Michael E Farritor COO - Sanford Clinic 60.00 0.00 X 466709 0 41465 Michael Hammer CEO - Worthington 60.00 0.00 X 236548 0 38904 Michelle A Bruhn Chief Financial Officer - HSD 60.00 0.00 X 317227 0 16321 Michelle M Micka Chief Financial Officer - D&R 60.00 0.00 X 224943 0 42236 Paul Hanson President - SMC 60.00 0.00 X 599813 0 25867 Paul Richard President - SMC Fargo 55.00 5.00 X 508066 0 32346 Randy Bury Chief Admin Officer 60.00 0.00 X 417184 0 8845 Randy Bury Deferred Comp Chief Admin Officer 60.00 0.00 X 0 0 16971 Richard E Nordahl CEO - Sheldon 60.00 0.00 X 228710 0 36721 Richard Giesel President - Sanford Health Network 55.00 5.00 X 434760 0 26323 Richard Marsden MD COO - Sanford Clinic North 60.00 0.00 X 619358 0 26262 Stacy Barstad CEO - Tracy 60.00 0.00 X 171671 0 36685 Steve W Goetsch CFO - Sanford Clinic 60.00 0.00 X 265617 0 38585 Tammy K Loosbrock CEO - Luverne 60.00 0.00 X 204034 0 34637 Tiffany Lawrence CFO - Sanford Medical Center Fargo 55.00 5.00 X 278067 0 29563 Timothy J Tracy CEO - Vermillion 60.00 0.00 X 216780 0 22027 William C Brunner Physician 60.00 0.00 X 2208215 0 41177 Tomasz P Stys Physician 60.00 0.00 X 2593555 0 41177 Scott Pham Physician 60.00 0.00 X 2395375 0 43177 Adam T Stys Physician 60.00 0.00 X 2159625 0 41177 Corey L Teigen Physician 60.00 0.00 X 2264372 0 33183 Lisa Carlson Former Chief Financial Officer Corp 23.00 37.00 X 1614478 0 21738 Cecily Tucker Former CFO - D&R 60.00 0.00 X 258654 0 22568 Charles P O'Brien Former President - SMC 60.00 0.00 X 523860 0 11713 Charles P O'Brien Deferred Comp Former President - SMC 60.00 0.00 X 0 0 17836 Leslie Wietstock Former CFO - Sanford Health Network 55.00 5.00 X 229910 0 11201 Linda O'Halloran Former COO - SMC Fargo 55.00 5.00 X 458550 0 4426 Michael Schumacher Former CFO - Sanford Bismarck 55.00 5.00 X 309115 0 14904 Robert J Salmon Former CEO - Canby & Clear Lake 60.00 0.00 X 102952 0 3587 Robert J Salmon Deferred Comp Former CEO - Canby & Clear Lake 60.00 0.00 X 0 0 7268 Shirley Heintz Former CNO - Bemidji 60.00 0.00 X 310566 0 14150 Richard G Adcock Former Executive VP - Sanford Clinic 60.00 0.00 X 271094 0 40928 43209093 0 3323006 2195 1 1 0 Cardinal Health 7000 Cardinal Place Dublin OH 43017 Medical Services 168254344 Owens & Minor Inc 12199 Collection Ctr Dr Chicago IL 60693 Medical Services 55909665 MA Mortenson Company 700 Meadow Lane N Minneapolis MN 55422 Construction 41908206 Medtronic USA 4642 Collection Ctr Dr Chicago IL 60693 Medical Services 30757520 Amerisource Corp 6810 Shady Oak Rd Eden Prairie MN 55344 Medical Services 21858437 981 31171348 21717848 2868832 80797 55758028 Patient Services 621400 1964096231 1964096231 Medicare/Medicaid 621400 1061736508 1061736508 Purchased Services 541900 350047160 350047160 Pharmacy/Optical Sales 446110 68773027 63436528 5336499 Product & Retail Sales 446199 33261487 25934280 7327207 111805983 73968522 15215192 22622269 3589720396 3586918 3586918 10799620 6706099 4093521 4093521 4093521 1117051 1939381 -822330 -822330 -822330 61453 33380 28073 28073 876646 544693 331953 331953 3652696559 3539219229 27878898 29840404 10658800 10658800 27826751 27826751 3155967 3155967 1516364738 1410278149 106039278 47311 62576294 58326004 4248147 2143 185644408 157954218 27678006 12184 93172726 85128076 8040584 4066 1540765 1540765 947205 2526 944679 825224 825224 182900476 158784496 24079563 36417 15828606 9943952 5883408 1246 69834849 51822978 18010211 1660 49958719 8594138 41364581 80631913 61788087 18843726 100 13244213 10475841 2762733 5639 4584224 3665312 909635 9277 30116080 23157964 6958116 153309428 99920527 53388901 14396337 8809836 5586501 Medical Supplies 501074626 499542034 1532589 3 Intercompany Purchases 336966783 120455985 216510798 Bad Debt 160829233 151978963 8850270 MinnesotaCare Tax 5143127 5143127 28711551 19506533 9204218 800 3550243043 2955937546 594184651 120846 X X 58718980 24718460 46881521 63447973 531152204 570553265 11664 129246 22623609 28960265 46020731 53339758 34416978 30999539 2777528305 1406838058 1328005388 1370690247 26027330 32381778 80969926 7810270 44303120 46735752 64830490 62661721 34570699 43399067 2318532640 2335827341 368320081 400595424 205475 332605 1304123 787965 661768840 639321872 141431 163314 91348555 71115456 3508515 2441527 107825529 107423250 1234422549 1222181413 X 1083661994 1113144473 78142 74372 369955 427083 1084110091 1113645928 2318532640 2335827341 X 102453516 37699 3766000 -76721378 X 0 1 X 1 1 1 X List of organizations and public charity status: Sanford Health 509(a)(3) Sanford Medical Center 170(b)(1)(A)(iii) Sanford Clinic 170(b)(1)(A)(iii) Sanford Research 170(b)(1)(A)(iii) Sanford Home Health 509(a)(2) Sanford Health Network 170(b)(1)(A)(iii) Sanford World Clinics 170(b)(1)(A)(iii) Sanford North 509(a)(3) Sanford Medical Center Fargo 170(b)(1)(A)(iii) Sanford Clinic North 509(a)(2) Sanford Health Network North 509(a)(3) Sanford Medical Center Thief River Falls 170(b)(1)(A)(iii) Sanford Medical Center Mayville 170(b)(1)(A)(iii) Sanford Medical Center Wheaton 170(b)(1)(A)(iii) Sanford Hillsboro 170(b)(1)(A)(iii) Sanford Health of Northern Minnesota 170(b)(1)(A)(iii) Baker Park, Inc. 509(a)(2) Sanford West 509(a)(3) Sanford Bismarck 170(b)(1)(A)(iii) Sanford Living Centers 509(a)(2) Schedule A, Part I Detail for Schedule A, Part I Line 11, Column: (i) Sanford Medical Center; (ii) 46-0227855; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 104,920,549 Line 11, Column: (i) Sanford Clinic; (ii) 46-0447693; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 19,845,817 Line 11, Column: (i) Sanford Research; (ii) 46-0450378; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 2,002,181 Line 11, Column: (i) Sanford Home Health; (ii) 46-0282134; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 645,658 Line 11, Column: (i) Sanford Health Network; (ii) 46-0388596; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 30,972,455 Line 11, Column: (i) Sanford Clinic North; (ii) 91-1770748; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 22,465,849 Line 11, Column: (i) Sanford Medical Center Fargo; (ii) 45-0226909; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 105,944,712 Line 11, Column: (i) Sanford Medical Center Thief River Falls; (ii) 41-0709579; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 7,730,693 Line 11, Column: (i) Sanford Medical Center Mayville; (ii) 45-0228899; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 945,034 Line 11, Column: (i) Sanford Medical Center Wheaton; (ii) 27-2042143; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 907,883 Line 11, Column: (i) Sanford Hillsboro; (ii) 45-0230400; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 963,708 Line 11, Column: (i) Sanford World Clinics; (ii) 26-2707628; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 693,907 Line 11, Column: (i) Sanford Health of Northern Minnesota; (ii) 41-1266009; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 26,772,567 Line 11, Column: (i) North Country Medical Clinic; (ii) 41-1753855; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Baker Park, Inc.; (ii) 41-1372480; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 71,441 Line 11, Column: (i) Sanford Health Foundation North; (ii) 45-0398104; (iii) 170(b)(1)(A)(vi); (iv) Yes; (v) Yes; (vi) Yes; (vii) 658,197 Line 11, Column: (i) Sanford Bismarck; (ii) 45-0226700; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 46,995,381 Line 11, Column: (i) Sanford Living Centers; (ii) 45-0416454; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 3,420,474 Line 11, Column: (i) Sanford Health Foundation West; (ii) 45-0397196; (iii) 170(b)(1)(A)(vi); (iv) Yes; (v) Yes; (vi) Yes; (vii) 258,242 Schedule A, Part III Detail for Schedule A, Part III Line 1 - column: (a) 1,230,781; (b) 1,320,938 ; (c) 719,019; (d) 653,960; (e) 625,251; (f) 4,549,949 Line 2 - column: (a) 484,630,789; (b) 487,937,029; (c) 380,393,691; (d) 353,433,077; (e) 195,263,418; (f) 1,901,658,004 Line 6 - column: (a) 485,861,570; (b) 489,257,967; (c) 381,112,710; (d) 354,087,037; (e) 195,888,669; (f) 1,906,207,953 Line 8 - column: (f) 1,906,207,953 Line 9 - column: (a) 485,861,570; (b) 489,257,967; (c) 381,112,710; (d) 354,087,037; (e) 195,888,669; (f) 1,906,207,953 Line 10a - column: (a) 1,050,096; (b) 1,127,354; (c) 994,862; (d) 1,011,110; (e) 970,589; (f) 5,154,011 Line 10c - column: (a) 1,050,096; (b) 1,127,354; (c) 994,862; (d) 1,011,110; (e) 970,589; (f) 5,154,011 Line 11 - column: (a) 1,108,312; (b) 392,690; (c) 358,969; (d) 197,834; (e) 279,896; (f) 2,337,701 Line 13 - column: (a) 488,019,978; (b) 490,778,011; (c) 382,466,541; (d) 355,295,981; (e) 197,139,154; (f) 1,913,699,665 Line 15: 99.61% Line 16: 99.64% Line 17: 0.27% Line 18: 0.23% Line 19a: X Line 19b: X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 0 1 87107 0 1 738117 825224 0 Part II-B, Line 1: The filing organization has memberships in the South Dakota Association of Healthcare Organizations, North Dakota Hospital Association, Minnesota Hospital Association, Iowa Hospital Association, American Hospital Association, North Dakota Long Term Care Association, North Dakota Medical Group Management Association, Iowa Alliance in Home Care and Health Policy Consortium. A percentage of membership dues paid to these organizations relate to lobbying expenses. In addition, the organization employs certain individuals, and contracts with various lobbyists, to monitor legislative acts important to all Sanford entities on both state and national levels. Occasionally, Sanford employees send mailings to legislators on issues that may affect healthcare. 0 1 X 44938476 4356586 143557 6949 8066 49423604 41467177 3366197 117096 7305 4689 44938476 36816089 4631456 33855 3144 6341 4738 41467177 28450099 8185089 194469 3066 6269 4233 36816089 25621868 2700378 260797 23508 105017 4419 28450099 1.00000 0 1 1 129786458 129786458 1153016940 513149488 639867452 71468396 30572770 40895626 1371158575 853441027 517717548 52097936 9674773 42423163 1370690247 Deferred compensation 34391345 Long-term lease obligation 984620 Defined benefit pension liability 57270991 Other non-current liabilities 3613423 Interest rate swap obligation 2679428 Special assessments 2055015 Asset retirement obligations 3760227 Due to related parties 2668201 107423250 X Part IV, Line 2b: Long term care facilities hold security deposits for tenants. Part V, Line 4: Sanford Health Foundation, Sanford Health Foundation North and Sanford Health Foundation of Northern Minnesota hold endowment funds on behalf of the filing organization to be used for assistance in its activities and for providing health care, medical, or educational services. Part X, Line 2: Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination. The deferred income tax provision or benefit generally reflects the net change in deferred income tax assets and liabilities during the year. The current income tax provision reflects the tax consequences of revenues and expenses currently taxable or deductible on various income tax returns for the year reported. Sanford Group did not have a material income tax liability at June 30, 2014; some related organizations have established reserves. East Asia and the Pacific 0 0 Program Services Investigation of potential clinics sites, travel and obtain goods 75221 Europe (Including Iceland & Greenland) 0 0 Program Services Travel and obtain goods/services 170813 Middle East and North Africa 0 0 Program Services Obtain services 3195 North America 0 0 Program Services Travel and obtain goods/services 128677 South Asia 0 0 Program Services Mission healthcare work and investigation of potential clinic sites 58862 Sub-Saharan Africa 0 0 Program Services Obtain services 20475 Sub-Saharan Africa 0 0 Investments Investment in Ghana clinic operations 3248165 0 0 0 0 0 0 3705408 0 3705408 1 0 1 0 0 0 Half Marathon 61453 61453 33380 61453 61453 33380 33380 28073 1 1 X 1 X 225.000000000000 1 X 375.000000000000 1 1 0 1 1 50811514 0 50811514 0.01500 330322289 253178319 77143970 0.02280 0 0 381133803 253178319 127955484 0.03780 5348203 906918 4441285 0.00130 16723410 4102040 12621370 0.00370 677670286 537344430 140325856 0.04140 34791593 16660088 18131505 0.00530 9769166 0 9769166 0.00290 744302658 559013476 185289182 0.05460 1125436461 812191795 313244666 0.09240 1000 0 1000 0.00000 7682 0 7682 0.00000 34313 0 34313 0.00000 0 0 307 0 307 0.00000 587772 4988 582784 0.00020 175315 0 175315 0.00010 185422 0 185422 0.00010 0 0 991811 4988 986823 0.00040 1 69429822 0 667477189 673131137 -5653948 X 1 1 24 1 Sanford USD Medical Center 1305 W 18th Street Sioux Falls SD 57117 www.sanfordhealth.org SD 10564 X X X X X A 2 Sanford Medical Center Fargo 801 Broadway North Fargo ND 58122 www.sanfordhealth.org ND 5018A X X X X X B 3 Sanford Medical Center South University 1720 South University Fargo ND 58103 www.sanfordhealth.org ND 5068A X X X B 4 Sanford Bismarck Medical Center 300 N 7th Street Bismarck ND 58501 www.sanfordhealth.org ND 5003A X X X X X A 5 Sanford Bemidji Medical Center 1300 Anne Street NW Bemidji MN 56601 www.sanfordhealth.org MN 371073 X X X B 6 Sanford Medical Center Thief River Falls 120 Labree Avenue S Thief River Falls MN 56701 www.sanfordhealth.org MN 371500 X X X X Inpatient Mental Health A 7 Sanford Aberdeen Medical Center 2905 3rd Avenue SE Aberdeen SD 57401 www.sanfordhealth.org SD 65089 X X X A 8 Sanford Worthington Medical Center 1018 6th Avenue Worthington MN 56187 www.sanfordhealth.org MN 371449 X X X A 9 Sanford Sheldon Medical Center 118 N 7th Avenue Sheldon IA 51201 www.sanfordhealth.org IA 161381 X X X X Nursing Facility A 10 Sanford Vermillion Medical Center 20 S Plum Street Vermillion SD 57069 www.sanfordhealth.org SD 53082 X X X X Nursing Facility B 11 Sanford Chamberlain Medical Center 300 S Byron Blvd Chamberlain SD 57325 www.sanfordhealth.org SD 50302 X X X X Nursing Facility B 12 Sanford Luverne Medical Center 1600 N Kniss Avenue Luverne MN 56156 www.sanfordhealth.org MN 371352 X X X X B 13 Sanford Canby Medical Center 112 St Olaf Avenue S Canby MN 56220 www.sanfordhealth.org MN 371019 X X X X Nursing Facility B 14 Sanford Jackson Medical Center 1430 N Highway Jackson MN 56143 www.sanfordhealth.org MN 371002 X X X X B 15 Sanford Tracy Medical Center 251 5th Street E Tracy MN 56175 www.sanfordhealth.org MN 371440 X X X X B 16 Sanford Rock Rapids Medical Center 801 S Greene Street Rock Rapids IA 51246 www.sanfordhealth.org IA 161321 X X X X A 17 Sanford Hillsboro Medical Center 12 3rd Street SE Hillsboro ND 58045 www.sanfordhealth.org ND 5026A X X X X B 18 Sanford Medical Center Mayville 42 6th Avenue SE Mayville ND 58257 www.sanfordhealth.org ND 5034A X X X X B 19 Sanford Webster Medical Center 1401 W 1st Street Webster SD 57274 www.sanfordhealth.org SD 10573 X X X X B 20 Sanford Medical Center Wheaton 401 12th Street N Wheaton MN 56296 www.sanfordhealth.org MN 371390 X X X X B 21 Sanford Bagley Medical Center 203 4th Street NW Bagley MN 56621 www.sanfordhealth.org MN 371484 X X X A 22 Sanford Canton-Inwood Medical Center 440 N Hiawatha Drive Canton SD 57013 www.sanfordhealth.org SD 51569 X X X X B 23 Sanford Clear Lake Medical Center 701 3rd Avenue S Clear Lake SD 57226 www.sanfordhealth.org SD 10533 X X X X A 24 Sanford Westbrook Medical Center 920 Bell Avenue Westbrook MN 56183 www.sanfordhealth.org MN 371439 X X X X A Facility Reporting Group - A 1 X X X X X X X X X 12 1 1 1 X http://www.sanfordhealth.org/About/CHNA X X X X X X X X X 1 0 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 Facility Reporting Group - B 1 X X X X X X X X X 12 1 1 1 X http://www.sanfordhealth.org/About/CHNA X X X X X X X X X 0 0 1 1 225.000000000000 1 375.000000000000 1 X X X X X X X X X 1 1 X X X X X X 1 0 X X X X 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Sanford USD Medical Center, - Facility 4: Sanford Bismarck Medical Center, - Facility 6: Sanford Medical Center Thief River Falls, - Facility 7: Sanford Aberdeen Medical Center, - Facility 8: Sanford Worthington Medical Center, - Facility 9: Sanford Sheldon Medical Center, - Facility 16: Sanford Rock Rapids Medical Center, - Facility 21: Sanford Bagley Medical Center, - Facility 23: Sanford Clear Lake Medical Center, - Facility 24: Sanford Westbrook Medical Center Facility 1 -- Sanford USD Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model used was the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 1 -- Sanford USD Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 1 -- Sanford USD Medical Center Part V, Section B, line 4: Sanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 1 -- Sanford USD Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 1 -- Sanford USD Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 1 -- Sanford USD Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 4 -- Sanford Bismarck Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 4 -- Sanford Bismarck Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 4 -- Sanford Bismarck Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 4 -- Sanford Bismarck Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 4 -- Sanford Bismarck Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 4 -- Sanford Bismarck Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 6 -- Sanford Medical Center Thief River Falls Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 6 -- Sanford Medical Center Thief River Falls Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 6 -- Sanford Medical Center Thief River Falls Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 6 -- Sanford Medical Center Thief River Falls Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of results. Community stakeholders and community councils were included. Facility 6 -- Sanford Medical Center Thief River Falls Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 6 -- Sanford Medical Center Thief River Falls Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 7 -- Sanford Aberdeen Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 7 -- Sanford Aberdeen Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 7 -- Sanford Aberdeen Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 7 -- Sanford Aberdeen Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 7 -- Sanford Aberdeen Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 7 -- Sanford Aberdeen Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 8 -- Sanford Worthington Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 8 -- Sanford Worthington Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 8 -- Sanford Worthington Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical Center Facility 8 -- Sanford Worthington Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 8 -- Sanford Worthington Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 8 -- Sanford Worthington Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 9 -- Sanford Sheldon Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 9 -- Sanford Sheldon Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 9 -- Sanford Sheldon Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 9 -- Sanford Sheldon Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 9 -- Sanford Sheldon Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 9 -- Sanford Sheldon Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 16 -- Sanford Rock Rapids Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 16 -- Sanford Rock Rapids Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 16 -- Sanford Rock Rapids Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 16 -- Sanford Rock Rapids Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 16 -- Sanford Rock Rapids Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 16 -- Sanford Rock Rapids Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 21 -- Sanford Bagley Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 21 -- Sanford Bagley Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 21 -- Sanford Bagley Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 21 -- Sanford Bagley Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 21 -- Sanford Bagley Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 21 -- Sanford Bagley Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 23 -- Sanford Clear Lake Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 23 -- Sanford Clear Lake Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 23 -- Sanford Clear Lake Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 23 -- Sanford Clear Lake Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 23 -- Sanford Clear Lake Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 23 -- Sanford Clear Lake Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 24 -- Sanford Westbrook Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 24 -- Sanford Westbrook Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 24 -- Sanford Westbrook Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 24 -- Sanford Westbrook Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 24 -- Sanford Westbrook Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 24 -- Sanford Westbrook Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Part V, Section B Facility Reporting Group B Facility Reporting Group B consists of: - Facility 2: Sanford Medical Center Fargo, - Facility 3: Sanford Medical Center South University, - Facility 5: Sanford Bemidji Medical Center, - Facility 10: Sanford Vermillion Medical Center, - Facility 11: Sanford Chamberlain Medical Center, - Facility 12: Sanford Luverne Medical Center, - Facility 13: Sanford Canby Medical Center, - Facility 14: Sanford Jackson Medical Center, - Facility 15: Sanford Tracy Medical Center, - Facility 17: Sanford Hillsboro Medical Center, - Facility 18: Sanford Medical Center Mayville, - Facility 19: Sanford Webster Medical Center, - Facility 20: Sanford Medical Center Wheaton, - Facility 22: Sanford Canton-Inwood Medical Center Facility 2 -- Sanford Medical Center Fargo Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 2 -- Sanford Medical Center Fargo Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 2 -- Sanford Medical Center Fargo Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 2 -- Sanford Medical Center Fargo Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 2 -- Sanford Medical Center Fargo Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Medical Center Fargo, but may be addressed by the Sanford enterprise system or by working with community leaders:Access to Healthcare - Sanford will continue to address this need through various mechanisms including the Community Care (charity care) Program, medical home, case management, shelter nurses and partnerships with numerous community organizations that alongside Sanford monitor access and work with case management to make access available.Aging/Baby Boomers - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing services for the elderly in a newly created initiative and Sanford is serving on the steering group.Children and Youth - Sanford works in partnership with many community programs and agencies that are providing services for at-risk youth. Additionally, Sanford is addressing childhood obesity through membership on the steering committee of Cass Clay Alive and through an implementation strategy as a result of the CHNA.Economic Issues - Sanford is one of the biggest employers in the area and contributes substantially to the economic growth of the region. Sanford supports the homeless shelters and provides medical care to those who qualify for charity care through the Community Care Program. Sanford offers a discounted fee for those who qualify. Although Sanford does contribute substantially to the economic health of the community this is not an area of unmet need that will be addressed in a community initiative. Community leaders were invited to learn about the results of the survey through a community meeting held on June 27, 2013 at the Holiday Inn in Fargo.Environment - Sanford will not be directly working with an implementation strategy to address the environment, but will share the results of the CHNA with community leaders.Safety - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing behavioral health services in a newly created initiative and Sanford is serving on the steering group. Sanford is also addressing this need through the mental health implementation strategy.Substance Abuse - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing behavioral health in a newly created initiative and Sanford is serving on the steering group. Facility 2 -- Sanford Medical Center Fargo Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 2 -- Sanford Medical Center Fargo Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 3 -- Sanford Medical Center South University Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 3 -- Sanford Medical Center South University Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 3 -- Sanford Medical Center South University Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 3 -- Sanford Medical Center South University Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 3 -- Sanford Medical Center South University Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Medical Center South University, but may be addressed by the Sanford enterprise system or by working with community leaders:Access to Healthcare - Sanford will continue to address this need through various mechanisms including the Community Care (charity care) Program, medical home, case management, shelter nurses and partnerships with numerous community organizations that alongside Sanford monitor access and work with case management to make access available.Aging/Baby Boomers - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing services for the elderly in a newly created initiative and Sanford is serving on the steering group.Children and Youth - Sanford works in partnership with many community programs and agencies that are providing services for at-risk youth. Additionally, Sanford is addressing childhood obesity through membership on the steering committee of Cass Clay Alive and through an implementation strategy as a result of the CHNA.Economic Issues - Sanford is one of the biggest employers in the area and contributes substantially to the economic growth of the region. Sanford supports the homeless shelters and provides medical care to those who qualify for charity care through the Community Care Program. Sanford offers a discounted fee for those who qualify. Although Sanford does contribute substantially to the economic health of the community this is not an area of unmet need that will be addressed in a community initiative. Community leaders were invited to learn about the results of the survey through a community meeting held on June 27, 2013 at the Holiday Inn in Fargo.Environment - Sanford will not be directly working with an implementation strategy to address the environment, but will share the results of the CHNA with community leaders.Safety - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing behavioral health services in a newly created initiative and Sanford is serving on the steering group. Sanford is also addressing this need through the mental health implementation strategy.Substance Abuse - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing behavioral health in a newly created initiative and Sanford is serving on the steering group. Facility 3 -- Sanford Medical Center South University Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 3 -- Sanford Medical Center South University Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 5 -- Sanford Bemidji Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 5 -- Sanford Bemidji Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 5 -- Sanford Bemidji Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 5 -- Sanford Bemidji Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 5 -- Sanford Bemidji Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Bemidji Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Elderly - Sanford has many services for the elderly population and yet the community continues to have unmet needs. Sanford will address this need by sharing the results of the CHNA with community leaders and will provide additional education for staff and care providers to help them recognize the signs, reporting requirements and care of the elderly suffering from abuse, neglect or dementia.Native American - Sanford is addressing this need, however, there are many remaining needs for the American Indian community members. Orientation and education is provided for staff members regarding cultural competency, expectations and the unique needs of a diverse population. Sanford also provides culturally consistent resources in the facilities (smudging ceremonies, native healers, etc.).Safety - Sanford is addressing this need by training employees regarding elderly abuse and neglect, patient safety and abuse reporting requirements. Parenting programs are available to new parents. Needs remain in the community and Sanford will share the concerns and the findings of the CHNA with community leadership.Prenatal Care - Over 20% of deliveries are to mothers who present to the medical center without having had prenatal care. Sanford will share these findings with public health agencies to develop a plan to engage patients in prenatal care early in pregnancy. Facility 5 -- Sanford Bemidji Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 5 -- Sanford Bemidji Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 10 -- Sanford Vermillion Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 10 -- Sanford Vermillion Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 10 -- Sanford Vermillion Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 10 -- Sanford Vermillion Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 10 -- Sanford Vermillion Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Vermillion Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Elder Care/Home Health/Expanded Nursing Home Capacity - Sanford Visiting Nurses Association and Home Health Agency and Sanford Home Medical Equipment store and services in Vermillion community address this need. However there are additional needs for services. Sanford will share this concern with community leadership.Urgent Care - Sanford Vermillion identified the need for urgent care through the community health needs assessment. An after hours clinic is in operations and is open Monday through Friday until 8 PM, and also on Saturdays from 9 AM until noon. During the reporting period, Sanford has also implemented "Sanford Day at Sanford". This program allows for same day access with primary care providers in the regular clinic setting. Facility 10 -- Sanford Vermillion Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 10 -- Sanford Vermillion Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 11 -- Sanford Chamberlain Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 11 -- Sanford Chamberlain Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 11 -- Sanford Chamberlain Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 11 -- Sanford Chamberlain Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 11 -- Sanford Chamberlain Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Chamberlain Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Dental Care - Sanford will share the results of the CHNA with community leaders and dental care providers.Diabetes Care Locally - Sanford is addressing this need through nutrition therapy services provided by a registered dietitian and is also planning to recruit a diabetes educator. Sanford is also addressing this need by having executed new programs to improve care coordination, including the Health Coach and Medical Home Programs for the purpose of impacting chronic disease. Sanford is committed to finding a cure for Type 1 Diabetes. A chronic disease self management program, Better Choices/Better Health is available free of charge to all patients with a chronic disease and can be accessed online at http://selfmanage.org/sanfordOutreach Specialty Care - Sanford is actively recruiting for additional providers and is making telemedicine available for neurology and dermatology.Keeping Young People in the Community - Sanford is addressing this need by sharing the results of the CHNA with community leaders.Cancer - Sanford is addressing this need by providing cancer screenings and digital mammography. Sanford also provides a local cancer fund to offset expenses.Premature Death - Sanford is addressing this need by providing CPR class for the community. Sanford will also share the results of the CHNA with community and public health leaders.Community Wellness Program - Sanford provides many wellness options including local registered dietitians and WebMD Fit Kids. The River City Gym is available to community members. The results of the CHNA will be shared with community leadership.Housing - Sanford will share these needs with the MPCH Association. Sanford will also pursue a solution to this need in the community.Transportation - Sanford will share the results of the CHNA with community leaders.Bullying - Sanford will address this need by sharing the results of the CHNA with school leaders and others in the community who work with youth. Facility 11 -- Sanford Chamberlain Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 11 -- Sanford Chamberlain Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 12 -- Sanford Luverne Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 12 -- Sanford Luverne Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 12 -- Sanford Luverne Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 12 -- Sanford Luverne Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 12 -- Sanford Luverne Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Luverne Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Dialysis Services - Building a new dialysis center in Luverne is not feasible at this time. However, there are dialysis centers in Worthington and in Sioux Falls; both are approximately 30 miles from Luverne. Facility 12 -- Sanford Luverne Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 12 -- Sanford Luverne Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 13 -- Sanford Canby Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 13 -- Sanford Canby Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 13 -- Sanford Canby Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 13 -- Sanford Canby Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 13 -- Sanford Canby Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Canby Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Handicap Accessibility - Sanford will share the results of the CHNA with community leaders and service providers.Workforce - Sanford Health is committed to investing in education. Medical students, dietitians, pharmacists, nursing students, nuclear medicine, respiratory therapists, occupational therapists and other healthcare professionals receive training at Sanford and stay to begin their careers at Sanford or move to other organizations where the training they received at Sanford will be a benefit.Better Emergency Room Facility - Sanford has included architectural plans to expand the ER and OR in its operational plans. Facility 13 -- Sanford Canby Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 13 -- Sanford Canby Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 14 -- Sanford Jackson Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 14 -- Sanford Jackson Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 14 -- Sanford Jackson Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 14 -- Sanford Jackson Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 14 -- Sanford Jackson Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Jackson Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Access and Physician Recruitment/Retention - Sanford Jackson is addressing this issue through a recruiting strategy. Additionally, there are numerous programs in place to assist patients with access including the RN Health Coach and medical home staff.Elderly - Sanford will share the results of the CHNA and specifically the concerns about unmet needs and services for the elderly with community leaders. Facility 14 -- Sanford Jackson Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 14 -- Sanford Jackson Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 15 -- Sanford Tracy Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 15 -- Sanford Tracy Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 15 -- Sanford Tracy Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 15 -- Sanford Tracy Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 15 -- Sanford Tracy Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Tracy Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:City Infrastructure - Sanford does not have the capacity to meet these needs and will share the expressed concerns with city leadership.Dental Care - Sanford did have a United Way grant to help coordinate local free dental care in the past. The community has numerous options available. Sanford will share these concerns with public health.Economy - Although Sanford contributes substantially to the economic growth of the region and provides medical care to those who qualify for charity care through the Community Care Program and a discounted fee for those who qualify, there remain unmet needs beyond Sanford's scope. Sanford will share the survey results and unmet needs with community/city leaders.Elderly - Sanford supports the aging population in numerous ways. However there is a need for additional community services. Sanford will share these concerns with community leaders.Health Factors - Sanford does offer numerous programs to improve health factors. However there are needs in the community to reduce traffic deaths, teenage birth rates, etc. Sanford will share these concerns with community leadership.New Americans - Sanford has recently updated the policy so that children under 18 years of age are not able to translate for their parents. Sanford will share this concern with community leadership, social services and public health.Pollution/Environment - Sanford will share this information with community leaders.Safety - Sanford Tracy does not have the capacity to meet the safety needs of the community but will share these concerns with city leaders.Schools - Sanford will not directly address the school needs for the community but will share the concerns with community leaders and will communicate the concerns to Tracy school leadership.Traffic - Sanford will share these concerns with city leadership and will communicate the need for stop signs and speed bumps.Transportation - There is no transportation system available at this time. Residents must rely on volunteers to transport them out of the area. Sanford will not address this issue as it is out of Sanford' scope of work, however this information will be shared with city and county leadership.Youth - Sanford provides many services to meet the needs of youth. However there are additional needs for the youth of the community and Sanford will share these concerns with city, school and community leaders. Facility 15 -- Sanford Tracy Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 15 -- Sanford Tracy Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 17 -- Sanford Hillsboro Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 17 -- Sanford Hillsboro Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 17 -- Sanford Hillsboro Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 17 -- Sanford Hillsboro Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 17 -- Sanford Hillsboro Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Hillsboro Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Access to Health Care/Physicians - Sanford Hillsboro Medical Center is actively recruiting providers and has a recruitment strategy in place. In addition Sanford has RN Health Coaches and a medical home team to work with patients who need frequent appointments.Economic Situation/Business Community - Although Sanford contributes substantially to the economic growth of the region and provides medical care to those who qualify for charity care through the Community Care Program and a discounted fee for those who qualify, there remain unmet needs beyond Sanford's scope. Sanford will share the survey results and unmet needs with community/city leaders.Substance Abuse - Sanford is addressing substance abuse through the mental health implementation strategy. Facility 17 -- Sanford Hillsboro Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 17 -- Sanford Hillsboro Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 18 -- Sanford Medical Center Mayville Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 18 -- Sanford Medical Center Mayville Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 18 -- Sanford Medical Center Mayville Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 18 -- Sanford Medical Center Mayville Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 18 -- Sanford Medical Center Mayville Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Medical Center Mayville, but may be addressed by the Sanford enterprise system or by working with community leaders:Child Care - Traill County EDC is providing grants to start up day care centers. Sanford will address this need by sharing these concerns with city leadership. Facility 18 -- Sanford Medical Center Mayville Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 18 -- Sanford Medical Center Mayville Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 19 -- Sanford Webster Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 19 -- Sanford Webster Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 19 -- Sanford Webster Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 19 -- Sanford Webster Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 19 -- Sanford Webster Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Webster Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Dental Care - Sanford will address this need by sharing the CHNA results with community leaders. Facility 19 -- Sanford Webster Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 19 -- Sanford Webster Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 20 -- Sanford Medical Center Wheaton Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model used was the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the varioius surveys and data sets. The process implemented was based on the McKnight Foundation model - Mapping Community Capacity by John L. McKnight and John P. Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 20 -- Sanford Medical Center Wheaton Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all of the Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be our secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities include listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 20 -- Sanford Medical Center Wheaton Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Worthington Medical Center Facility 20 -- Sanford Medical Center Wheaton Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 20 -- Sanford Medical Center Wheaton Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Medical Center Wheaton, but may be addressed by the Sanford enterprise system or by working with community leaders:Aging - Sanford provides medical care for the elderly and additional support for driver evaluation and rehabilitation. Sanford will share the results of the CHNA with community leaders.Children and Youth - The main concerns expressed related to childhood obesity and also bullying in the schools. Sanford is addressing mental health through an enterprise mental health implementation strategy and has also developed an enterprise strategy to address obesity. Sanford will share the results of the CHNA with community leaders.Economic Situation/Business Community - Although Sanford is one of the biggest employers in the area and contributes substantially to the economic growth of the region and provides medical care to those who qualify for charity care through the Community Care program and a discounted fee for those who qualify, there remain unmet needs beyond Sanford's scope of work. Sanford will share the survey results and unmet needs with community/city leaders.Pollution/Environment - The County Health Rankings did not indicate that pollution was an issue for this area. Sanford will address this perceived need by sharing these concerns with county leadership and public health.Safety - The safety concerns are related to child abuse, substance abuse and domestic violence. Sanford has developed an enterprise wide strategy to address mental health.Substance Abuse - Sanford is addressing substance abuse through the mental health implementation strategy. Facility 20 -- Sanford Medical Center Wheaton Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individual circumstances, current employment status, total monthly expenses and third party analytic score. Facility 20 -- Sanford Medical Center Wheaton Part V, Section B, line 14g: Other methods to publicize the financial assistance policy within the community served include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Facility 22 -- Sanford Canton-Inwood Medical Center Part V, Section B, line 1j: The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Facility 22 -- Sanford Canton-Inwood Medical Center Part V, Section B, line 3: Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA Facility 22 -- Sanford Canton-Inwood Medical Center Part V, Section B, line 4: Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center Facility 22 -- Sanford Canton-Inwood Medical Center Part V, Section B, line 5d: Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. Facility 22 -- Sanford Canton-Inwood Medical Center Part V, Section B, line 7: The following unmet needs will not be addressed directly by Sanford Canton-Inwood Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Access to Health Care/Physicians - Sanford is addressing this issue through a recruitment strategic plan.Concern about cancer in the community - The unmet need regarding the high incident of cancer in the community is being addressed through the Sanford Cancer Biology Research Center in Sioux Falls.Day Care - Sanford will share the CHNA results with community leadership.Mental Health - Binge Drinking - Sanford is addressing binge drinking through a mental health implementation strategy. Facility 22 -- Sanford Canton-Inwood Medical Center Part V, Section B, line 12i: Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score. Facility 22 -- Sanford Canton-Inwood Medical Center Part V, Section B, line 14g: Other measures to publicize the policy within the community served by the hospital facility include publishing with local public health agencies, collection agencies and submission to law firms that serve the underprivileged population. The plain language policy description is available at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Form 990, Schedule H, Section B A copy of all Sanford implementation strategies can be found online at this address:http://www.sanfordhealth.org/About/CHNA 99 Sanford USD Medical Center Dialysis 1305 W 18th Street Sioux Falls SD 57117 End Stage Renal Dialysis Sanford Dialysis Detroit Lakes 114 East Frazee Street Detroit Lakes MN 56501 Dialysis Sanford Clinic Sheldon 800 Oak Street Sheldon IA 51201 Rural Health Clinic Sanford Health Neilson Place 803 Dewey Avenue Bemidji MN 56601 Skilled Nursing Facility Sylvan Place 212 St Olaf Avenue S Canby MN 56220 Housing with Services Sanford Dialysis Fargo 2801 S University Drive Fargo ND 58122 Dialysis Sanford Home Care Fargo 1711 S University Drive Fargo ND 58122 Home Health Agency Sanford Dialysis Thief River Falls 120 Labree Avenue S Thief River Falls MN 56701 Dialysis Sanford Mid-Dakota Dialysis 300 S Byron Blvd Chamberlain SD 57325 End Stage Renal Dialysis Sanford Care Center Vermillion 125 Walker Street Vermillion SD 57069 Nursing Facility Sanford Dialysis Red Lake 24760 Hospital Drive Box 249 Red Lake MN 56671 Dialysis Sanford Tom & Frances Leach Bismarck Dia 300 N 7th Street Bismarck ND 58501 Kidney Dialysis Sanford Dialysis Morris 400 East 1st Street Morris MN 56267 Dialysis Sanford Senior Care Sheldon 118 North Seventh Avenue PO Box 250 Sheldon IA 51201 Hospital Based-Nursing Facilities Sanford Clinic Rock Rapids 803 South Green Street Rock Rapids IA 51246 Rural Health Clinic Sanford Hillsboro Care Center 12 3rd Street SE Hillsboro ND 58045 Hospital Based-Nursing Facilities Sanford Clinic Watertown Surgical Center 901 4th Street NW Watertown SD 57201 Ambulatory Surgery Center Sanford Chamberlain Care Center 300 S Byron Blvd Chamberlain SD 57325 Nursing Facility Sanford Clinic Canby 112 St Olaf Avenue Canby MN 56220 Medicare Certified Rural Health Clinic Sanford Worthington Medical Center 1018 Sixth Avenue Worthington MN 56187 Medicare Certified End Stage Renal Dialysis Sanford Clinic Tracy 251 Fifth Street East Tracy MN 56175 Medicare Certified Rural Health Clinic Sanford Clinic Webster 101 Peabody Drive Webster SD 57274 Rural Health Clinic Sanford Bemidji Home Care 3807 Greenleaf NW Avenue Bemidji MN 56601 Home Health Agency Sanford Dialysis Bemidji 1300 Anne Street NW Bemidji MN 56601 Dialysis Northwest Iowa Dialysis Center 112 Sunrise Drive Hospers IA 51239 End Stage Renal Dialysis Sanford Health Windsong 1010 Anne Street N Bemidji MN 56601 Assisted Living Center Sanford Wagner Dialysis 111 Washington Street Wagner SD 57380 End Stage Renal Dialysis Sanford Clinic Jackson 1430 North Highway Jackson MN 56143 Medicare Certified Rural Health Clinic Sanford Visiting Nurses Association 2710 West 12th Street Sioux Falls SD 57104 Professional Home Care Agency (licensed in MN and SD) Sanford Clinic Mt Lake 308 8th Street Mountain Lake MN 56159 Medicare Certified Rural Health Clinic Sanford Bagley Clinic 123 4th Street NW Bagley MN 56621 Rural Health Clinic Sanford Health Walker Clinic 614 Michigan Avenue Walker MN 56484 Rural Health Clinic Sanford Health Hillsboro Clinic 315 East Caledonia Hillsboro ND 58045 Rural Health Clinic Sanford Bemidji Hospice 3525 Pine Ridge Avenue NW Bemidji MN 56601 Hospice Sanford Home Care Home Health 910 18th Street NW Mandan ND 58554 Home Health Agency Sanford Hospice 2710 West 12th Street Sioux Falls SD 57104 Hospice (licensed in MN and SD) Sanford Health Detroit Lakes ASC 1245 Washington Avenue Detroit Lakes MN 56501 Ambulatory Surgery Center Sanford Health Mahnomen Clinic 414 West Jefferson PO Box 396 Mahnomen MN 56557 Rural Health Clinic Sanford Clinic Aberdeen Surgical Center 3015 3rd Avenue SE Aberdeen SD 57401 Ambulatory Surgery Center Sanford Home Health and Hospice 118 North Seventh Avenue PO Box 250 Sheldon IA 51201 Home Health Agency Sanford Health Pelican Rapids Clinic 211 East Mill Street Pelican Rapids MN 56572 Rural Health Clinic Sanford Clinic Westbrook 920 Bell Avenue Westbrook MN 56183 Medicare Certified Rural Health Clinic Worthington Regional Hospital Hospice 1151 Ryans Road Suite 100 Worthington MN 56187 Hospice (licensed in SD) Sanford Health Trillium 930 Anne Street N Bemidji MN 56601 Assisted Living Center Sanford Clinic Windom 591 2nd Avenue N Windom MN 56101 Medicare Certified Rural Health Clinic Northern Lights Community Residence 324 10th Street E Thief River Falls MN 56701 Adult Treatment Center Orchard Hills 200 W 10th Street Dell Rapids SD 57022 Assisted Living Center Sanford Fort Yates Dialysis Box J Fort Yates ND 58538 Kidney Dialysis Sanford Jamestown Dialysis 300 2nd Avenue NE Jamestown ND 58401 Kidney Dialysis Sanford Health Cass Lake Clinic 219 Grant Utley Avenue Cass Lake MN 56633 Rural Health Clinic Sanford Clear Lake Clinic 701 3rd Avenue S Clear Lake SD 57226 Rural Health Clinic Sanford Clinic Ipswich 110 5th Avenue Ipswich SD 57451 Rural Health Clinic Sanford Clinic Beresford 600 W Cedar Street Beresford SD 57004 Rural Health Clinic Sanford Clinic Clark 117 W 1st Avenue Clark SD 57225 Rural Health Clinic Sanford Transplant Center 736 Broadway Fargo ND 58122 Transplant Center Sanford Madison Dialysis 917 N Washington Avenue Madison SD 57042 End Stage Renal Dialysis Sanford Home Care Hospice 910 18th Street NW Mandan ND 58554 Hospice Sanford Worthington Home Care 1018 Sixth Avenue Worthington MN 56187 Medicare Certified Home Health Agency Sanford Luverne Hospice 211 East Main Street Suite 101 Luverne MN 56156 Medicare Certified Hospice Shetek Home Care 251 Fifth Street E Tracy MN 56175 Medicare Certified Home Health Agency Pathfinder Children's Treatment Center 923 Atlantic Avenue N Thief River Falls MN 56701 Children's Treatment Center Baker Park Inc 803 Dewey Avenue Bemidji MN 56601 Assisted Living Center Sanford Canby Dialysis Unit 112 St Olaf Avenue Canby MN 56220 Medicare Certified End Stage Renal Dialysis Sanford Canby Med Center 213 St Olat Avenue N Ste B Canby MN 56220 Medicare Certified Home Health Agency Sanford Clinic Lakefield 209 Main Street PO Box 546 Lakefield MN 56150 Medicare Certified Rural Health Clinic Sanford Home Health and Hospice Sheldon 118 North Seventh Avenue Sheldon IA 51201 Hospice Sanford Transplant Center 300 N 7th Street Bismarck ND 58501 Transplant Center Sanford George Clinic 101 N Main George IA 51237 Rural Health Clinic Sanford Clinic Lennox 108 S Main Lennox SD 57039 Rural Health Clinic Sanford Health Lamoure Clinic Omega City Plaza Lamoure ND 58458 Rural Health Clinic Sanford Health Enderlin Clinic 201 4th Avenue Suite 1 Enderlin ND 58027 Rural Health Clinic O'Brien Court 410 State Street Tracy MN 56175 Housing with Services Sanford Visiting Nurses Assoc-Luverne 211 East Main Street Suite 101 Luverne MN 56156 Home Health Care Dakota Gardens Senior Living 126 S Plum Street Vermillion SD 57069 Residential Living Center Sanford Hiawatha Heights 398 N Hiawatha Drive Canton SD 57013 Assisted Living Center Canby Community Hospice 131 St Olaf Avenue N Canby MN 56220 Hospice (licensed in SD) Sanford Clinic Estelline 305 Hospital Drive Estelline SD 57234 Rural Health Clinic Sanford Clinic Lake Norden Main Street Lake Norden SD 57248 Rural Health Clinic Sanford Health Ellendale Clinic PO Box 306 Ellendale ND 58436 Rural Health Clinic Peterson Estates 1012 9th Street Westbrook MN 16183 Housing with Services Sanford Health Halstad Clinic 445 1st Street E Halstad MN 56548 Rural Health Clinic Sanford Hospice 20 S Plum Street Vermillion SD 57069 Hospice Sanford Visiting Nurses Assoc-Vermillion 20 S Plum Street Vermillion SD 57069 Home Health Care Sanford Health Twin Valley Clinic 212 Main Avenue W Twin Valley MN 56584 Rural Health Clinic Sanford Health Forman Clinic PO Box 184 Forman ND 58032 Rural Health Clinic Sanford Hospice 510 E 8th Street Freeman SD 57029 Hospice Sanford Health Ulen Clinic 108 Viking Avenue W Ulen MN 56585 Rural Health Clinic Sanford Hospice 912 4th Avenue Windom MN 56101 Hospice (licensed in SD) Sanford Canby Medical Center 112 St Olaf Avenue S Canby MN 56220 Class F Home Care Provider Deuel County Memorial Home Health 701 3rd Avenue S Clear Lake SD 57226 Home Health Care Sanford Hospice Centennial Cottage 6301 W 43rd Street Sioux Falls SD 57106 Residential Hospice Sanford Hospice Foundation Cottage 6309 W 43rd Street Sioux Falls SD 57106 Residential Hospice Sanford Bagley Clearbrook Clinic 22 Elm Street Clearbrook MN 56634 Rural Health Clinic Sanford Hospice 900 2nd Avenue Madison MN 56256 Hospice (licensed in SD) Sanford Hospice 745 E 8th Street Winner SD 57580 Hospice Sanford Clinic Balaton Highway 14E Balaton MN 56115 Medicare Certified Rural Health Clinic Sanford Visiting Nurses Assoc-Chamberlai 110 W Beede Ste 1 Chamberlain SD 57325 Home Health Care Sanford Tracy Walnut Grove Clinic 830 Eighth Street Walnut Grove MN 56180 Medicare Certified Rural Health Clinic Mid Dakota Community Based Hospice 300 S Byran Blvd Chamberlain SD 57325 Hospice Part I, Line 3c: Sanford Health does not deny care to anyone based on the ability to pay. Sanford's Financial Assistance (charity care) policy provides discounted and free services to patients who lack the resources to be fully responsible for the healthcare they receive. The Financial Assistance Policy is designed to ensure the entire community served by Sanford has access to needed healthcare services. Eligibility for discounted or free services under the Financial Assistance Policy is based on income levels and family size. Generally, individuals earning income of up to 375% of the Federal Poverty Income Guidelines are eligible for varying levels of discounts, including full discounts for certain income levels. Applications for coverage under the program may be obtained at any Sanford patient registration area.The primary scope of Sanford's financial assistance matrix considers family income and family size to objectively determine financial need. The family income range varies from 0-225% up to 375% of the Federal Poverty Level (FPL). An applicant over 375% may be eligible for some level of financial assistance based on a review of additional factors such as: the size of the account balance, debt-to-income ratio, current assets, current liabilities, IRS food expense allowances, monthly cash flow, etc.Additionally, it is possible for a family to qualify in one segment (based on income and family size alone) but be moved to a more generous (for the patient) segment based on the other financial variables mentioned above. An applicant may be denied if they have substantial assets and applicants are considered on a case by case basis.Part I, Line 5b: While Sanford as a whole did not exceed its financial assistance budget, there were separate hospitals that did. However, exceeding that budget did not impact the ability to serve any patients and no patients were disallowed services. The organization provided free or discounted services to patients who were eligible for free or discounted care.Part I, Line 6: Sanford Health prepared a Community Benefit Annual Report for FY 2014. This report is posted annually on the Sanford website at:http://www.sanfordhealth.org/About/CommunityBenefit Part I, Line 7: Cost to Charge Ratios are used to calculate the amounts on Line 7a - 7c (Financial Assistance, Medicaid Shortfall, and Other Means-Tested Government Programs) and also Line 7g (Subsidized Health Services) for each of the subsidiaries included in the return. All other amounts for Lines 7e, 7f, 7h and 7i would come from the books and records of specific segments of the organization and would not be based on a Cost to Charge Ratio, or similar cost accounting methodology. Part I, Line 7g: Subsidized health services are clinical services provided to both inpatients and outpatients despite a financial loss to Sanford. Each loss has been calculated after removing losses associated with bad debts, financial assistance and Medicaid. Although these services generate overall losses to Sanford, they continue to meet the needs of the communities served. Various services that generate losses are provided by Sanford through physician practices. For FY 2014, subsidized health services provided through these physician practices generated losses of $99,866,386. Part I, Ln 7 Col(f): Total expenses reported on Form 990, Part IX, line 25, Column (A) include bad debt expense. This expense has been removed from the denominator when calculating the percent of total expense considered the net community benefit expense and reported in Part I, Line 7, Column (f). The amount of bad debt expense excluded from this percentage calculation is 160,829,233. Part II, Community Building Activities: Sanford Health is a not-for-profit organization dedicated to the work of health and healing for the public good. Sanford is committed to giving back to the communities in which its employees and patients live and work. Sanford invests resources in order to produce the best outcomes for patient care, education, research, and community enrichment, and partners with others to ensure that the community is a welcoming, healthy environment and one that attracts and sustains a diverse Sanford workforce to deliver the best patient care and much needed medical research. Sanford considers requests for funding and in kind support for new and ongoing programs with all areas supporting the above goals, such as basic human services, education and workforce development by recruiting physicians and other health professionals to medical shortage or underserved areas and collaborating with educational institutions to train and recruit health professionals, advocating community health improvement through efforts to support policies and programs that safeguard or improve public health and help to ensure access to health care services. Part III, Line 2: Bad debt expense at cost is determined using the same cost to charge ratios that are used to calculate Financial Assistance and Medicaid Shortfall. Discounts and allowances are accounted for separately from Bad Debt Expense. Part III, Line 3: It is Sanford's policy to make financial assistance available to patients who fit the financial assistance criteria. It is the organization's goal to make certain that Sanford is proactive in identification of the patients who need help with financial concerns. Financial counselors make every effort to ensure that financial assistance eligible patients do not progress to bad debt. For this reason, a dollar amount for bad debt is not included. Part III, Line 4: The audited financial statements of Sanford do not include a bad debt footnote. Sanford reports bad debt in accordance with generally accepted accounting principles (GAAP). Part III, Line 8: Per IRS instructions, Sanford has identified the cost associated with providing Medicare services from the Medicare cost report. The Medicare cost report calculations are total expense less expenses deemed "unallowable" per Medicare regulations. The net expense is then used to calculate the cost per day and cost to charge ratios which are multiplied by the Medicare days and ancillary charges to determine the cost of providing Medicare services. If all expenses that Sanford incurred were included on the Medicare cost report; this would show a shortfall of approximately $74,107,963. Sanford believes this shortfall should be considered community benefit because these services would need to be provided by either another charitable organization or the government if it was not provided by Sanford. Part III, Line 9b: Sanford will provide services at no cost or reduced cost to patients who qualify for the program. Patients with incomes at or below 225% of the United States Department of Health and Human Services poverty guideline will receive a 100% reduction of their payment responsibility. Patients with income between 225% - 375% of the poverty guideline will be given a discount based on a sliding scale and assets are considered in the calculation of the income of the patient, with the exception of the patient's principal residence. Patients above 375% of the FPG will be reviewed for additional factors such as size of medical debt before a final determination. Patients must make their financial need known to appropriate personnel and be engaged in filing appropriate and complete applications. The program is available to those patients without health care benefits from any source as well as to those who have coverage for health care costs through a government program, commercial insurance, or other health benefit plan but continue to have a remaining balance after benefits have been applied to the charges. Sanford will not deny financial assistance based on race, creed, sex, national origin, handicap or age.Every effort is made to identify patients with financial need as early as possible in the revenue cycle.Sanford has zero tolerance for abusive, harassing, oppressive, false, deceptive, or misleading language of collections conduct. This zero tolerance applies to internal Sanford staff and third party collection vendors and attorneys.Neither Sanford nor any of its third party collection vendors will take any extraordinary collection efforts until Sanford and the third party collection vendor have made reasonable efforts to determine if a patient is eligible for financial assistance under the Financial Assistance Policy. Part VI, Line 2: Sanford conducted a community health needs assessment during FY 2013 in 24 communities throughout the enterprise. A CHNA toolkit was developed to facilitate a standardized approach to surveys, data collection, analysis and reporting. The main model used was the Assocation for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.Primary research included a survey that was developed in partnership with Fargo Cass Public Health, Clay County Public Health, North Dakota State University Center for Social Research and the University of North Dakota Center for Rural Health. Additionally, the Department of Health in Sioux Falls conducted a survey and shared the survey tool and results of the survey. Key stakeholders were asked to complete the survey and are listed in the acknowledgement section of each CHNA. The survey tool was available electronically and a paper tool was available for those who did not have access to a computer. In some communities the paper survey was delivered through a focus group setting or through a community council.The County Health Profiles were used for secondary research. State and national data were researched to benchmark each indicator. The County Health Profiles are based largely on the County Health Rankings from the Mobilizing Action Toward Community Health (MATCH), a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Additional secondary data included the aging and diversity profiles from the US Census Bureau and the American Community Survey.Asset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. An informal gap analysis was conducted to determine what needs remained after resources were thoroughly researched through asset mapping. Once gaps were determined the CHNA collaborative group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies. Part VI, Line 3: Sanford employs a variety of strategies to make certain that the organization is transparent in the communication of financial assistance guidelines. The staff at Sanford makes every effort to identify patients needing financial assistance as early in the revenue cycle as possible. All Sanford entities display signage in registration areas advising patients of their ability to request financial assistance. The signage is made available in English and Spanish. Financial Assistance applications are available in English or Spanish upon request.All healthcare workers who identify patients with financial need are encouraged to provide patients or their designees a financial application. This may include, but not be limited to the following areas: Administration, Admissions, Patient Financial Services, Financial Counselors, Social Services, Physicians, Nursing, Clinic Director, Reception staff and Human Resources.Financial Counselors are trained to work individually with patients to determine the financial need and recommend appropriate assistance in application for charity care, government programs or discounted services.Sanford's Financial Assistance Program is available to anyone who qualifies for assistance. This program ensures that all people receive the care they need, regardless of their financial situation. Sanford makes Financial Assistance information available to community agencies and referral organizations. Financial Assistance information is also available on the Sanford website at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance Part VI, Line 4: Sanford Health is an integrated health system headquartered in the Dakotas and is now the largest rural, not-for-profit health care system in the nation. Sanford Health includes 43 hospitals, 225 clinic loactions and 1,360 physicians in 81 specialty areas of medicine. Sanford serves an area of 2.3 million people across more than 220,000 square miles. With more than 26,000 employees, Sanford Health is the largest employer in North and South Dakota. Sanford USD Medical Center - Sioux Falls, South DakotaSioux Falls is the largest city in the state of South Dakota. Sioux Falls is the county seat of Minnehaha County, and also extends into Lincoln County to the south. As of the 2010 census, Sioux Falls had a population of 153,888. The metropolitan population of 228,261 accounts for 28% of South Dakota's population. The population of Sioux Falls is 86.8% white, 4.2% black, 2.7% American Indian, 1.8% Asian and 4.4% Hispanic. Sioux Falls is the home of a number of financial companies and is a significant regional health care center. The median household income in Sioux Falls is $51,882.Sanford Medical Center Fargo - Fargo, North DakotaFargo is a diverse, dynamic, family-oriented community on the eastern border of North Dakota. It is the largest city in North Dakota, accounting for nearly 16% of the state population and the county seat of Cass County. Fargo and its twin city of Moorhead, Minnesota and adjacent West Fargo, North Dakota and Dilworth, Minnesota form the core of the metro area, which in 2010 had a population of 209,000. The population of Fargo is 90.2% white, 2.7% black, 1.4% American Indian, 3% Asian and 2.2 Hispanic. The median household income is $44,304. Sanford Bemidji Medical Center - Bemidji, MinnesotaBemidji is located in Beltrami County, Minnesota and is the principal city in North Central Minnesota as the largest commercial center between Grand Forks, North Dakota and Duluth, Minnesota. Bemidji houses many Native American services, including the Indian Health Service. The city is the central hub of the Red Lake Indian Reservation, White Earth Indian Reservation and the Leech Lake Indian Reservation. Based on 2010 US Census data, Bemidji has a population of 13,431. The median age in the city was 27.1 years old. 19.4% of residents were under the age of 18; 26.7% were between the ages of 18 and 24; 21.6% were from 25 to 44; 17.5% were from 45 to 64; and 14.8% were 65 years of age or older. The average household income is $43,394.Sanford Bismarck Medical Center - Bismarck, North DakotaBismarck is a community located in central North Dakota experiencing fast-paced growth as a direct result of oil development throughout the western part of the state. Bismarck is the second largest city in North Dakota with 62,665 residents living within the city limits. The population of Bismarck is 92.4% white, 0.7% black, 4.5% American Indian, 0.6% Asian and 1.3% Hispanic. Bismarck is the state capital and also serves as home to Bismarck State College, the University of Mary and several of the state's top businesses. The median household income in Bismarck is $53,186.Sanford Network HospitalsSanford Health Network Hospitals is a network of rural hospitals located throughout South Dakota, North Dakota, Minnesota, and Iowa.Sanford ClinicsSanford Clinic is a multi-specialty clinic comprised of 1,360 physicians providing services in the US as well as internationally. Part VI, Line 5: Sanford maintains an open medical staff. Community Boards - The Sanford Board of Trustees was comprised of 15 members at the end of the fiscal year, including 10 volunteer community members, four physicians and the CEO. Surplus Funds - Surplus funds are invested back into the community, as well as to resource development and facility development to better serve patients and communities. Part VI, Line 6: Sanford Health is an integrated health system headquartered in the Dakotas and is now the largest rural, not-for-profit health care system in the nation with locations in 126 communities in nine states. In addition, Sanford Health is in the process of developing international clinics in Ghana, Mexico and China. Sanford Health includes 43 hospitals, 225 clinic locations and 1,360 physicians in 81 specialty areas of medicine. With more than 26,000 employees, Sanford Health is the largest employer in North and South Dakota.Sanford Health provides services at every level from critical access hospitals to tertiary and quaternary care. The Sanford footprint includes over 220,000 square miles with a nine state service area and a network of children's primary care clinic locations across the country and world. Sanford Health operates full-time emergency centers and provides emergency care to everyone regardless of their ability to pay. Sanford facilities and clinics provide services to remote and medically underserved areas that would otherwise not have access to even primary care services. Sanford Health financially supports health and wellness, education and community development activities to improve the quality of life and strenghten communities throughout the region. Each facility promotes health and healing that responds to the unique needs of the patients in the community, ensuring access to comprehensive and specialized services. Part VI, Line 7: Community benefit reporting is not required and therefore not filed in North Dakota, South Dakota, Nebraska or Iowa. Filing in Minnesota is voluntary. 1 4H Foundation (Outdoor Adventure Center) 2810 22nd Avenue S Brookings SD 57006 466016086 501(c)(3) 7500 General support Aberdeen Catholic School Systems 1400 N Dakota Street Aberdeen SD 57401 460336005 501(c)(3) 26000 General support Aberdeen Family YMCA 5 South State Street Aberdeen SD 57401 460255779 501(c)(3) 10500 General support Aberdeen Public Schools Foundation 1224 3rd Street S Aberdeen SD 57401 460423109 501(c)(3) 7500 General support American Cancer Society 4904 S Technopolis Drive Sioux Falls SD 57106 410724036 501(c)(3) 28499 General support American Diabetes Association 14216 Dayton Circle Ste 6 Omaha NE 68137 131623888 501(c)(3) 12500 General support American Heart Association Inc 7272 Greenville Avenue Dallas TX 75231 135613797 501(c)(3) 100116 General support Augsburg College 2211 Riverside Avenue Minneapolis MN 55454 410694721 501(c)(3) 15000 General support Augustana College 2001 S Summit Avenue Sioux Falls SD 57197 460224588 501(c)(3) 743633 AD Leadership fund, Support athletic club Bismarck State College Foundation PO Box 55878 Bismarck ND 585065587 450358929 501(c)(3) 7500 General support Boys and Girls Club of Sioux Empire 824 E 14th Street Sioux Falls SD 57104 460399482 501(c)(3) 5500 General support Brandon Valley Booster Club PO Box 572 Brandon SD 57005 466002577 501(c)(6) 14000 General support Children's Care Hospital Foundation 2501 W 26th Street Sioux Falls SD 571052498 460233030 501(c)(3) 6000 General support Childrens Home Society Foundation 801 N Sycamore Avenue PO Box 1749 Sioux Falls SD 571011749 460224542 501(c)(3) 6000 General support City of Sioux Falls 224 W 9th Street Sioux Falls SD 57104 466000425 115 2010000 Events center scoreboard Cribs for Kids Inc Suite 250 Riverfront Place Pittsburgh PA 15212 251442806 501(c)(3) 5211 General support Cullen Children's Foundation PO Box 594 West Fargo ND 58078 770636521 501(c)(3) 20000 General support Cystic Fibrosis Foundation 8011 34th Avenue S Ste 116 Bloomington MN 55425 131930701 501(c)(3) 35000 General support Dakota Alliance Soccer Club 401 W 39th Street Sioux Falls SD 57105 460359817 501(c)(3) 60000 General support Dakota Hospital Foundation 20 S Plum Street Vermillion SD 57069 460226067 501(c)(3) 101750 Becky and David Nelson endowment Dakota Schoolers 1809 W Oak Street Sioux Falls SD 57105 203452350 501(c)(3) 30000 General support Dakota Wesleyan University 1200 West University Avenue Mitchell SD 573014398 460224589 501(c)(3) 6700 General support Detroit Lakes Community & Cultural Center 826 Summit Avenue Detroit Lakes MN 56501 411970351 501(c)(3) 10000 General support Dickinson State University Foundation Inc (Blue Hawk Booster Club) 351 Campus Drive Dickinson ND 58502 456014522 501(c)(3) 7500 General support Downtown Community Partnership 210 Broadway N Suite 202 Fargo ND 58102 464472309 501(c)(6) 25000 General support Evangelical Lutheran Good Samaritan Foundation 4800 W 57th Street Sioux Falls SD 57108 460422866 501(c)(3) 12500 General support Family Advocacy Center 800 Bemidji Avenue N Ste 4 Bemidji MN 56601 202102302 501(c)(3) 10000 General support Family HealthCare Center 301 NP Avenue Fargo ND 58102 450430628 501(c)(3) 12500 General support First Tee of SD 2604 West Russell Street Sioux Falls SD 57104 460449824 501(c)(3) 19000 General support FM Bike Share 425 Broadway N Fargo ND 58102 461849025 501(c)(3) 10000 General support FM Curling Club PO Box 212 Fargo ND 58107 450341916 501(c)(3) 10500 General support Glacial Lakes Area Development Inc PO Box 231 Britton SD 57430 870787080 501(c)(3) 10000 General support Great Bear Recreation Park Inc 2401 W 49th Street Sioux Falls SD 57105 460417880 501(c)(4) 6983 General support Great Plains Zoo 805 S Kiwanis Avenue Sioux Falls SD 571043798 466015015 501(c)(3) 114200 General support Greater Bemidji 403 4th Street NW Ste 330 Bemidji MN 56601 363367707 501(c)(3) 50000 General support Greater Fargo Moorhead Economic Development Corporation 51 Broadway Suite 500 Fargo ND 58102 456011769 501(c)(3) 40000 General support Habitat for Humanity Greater Sioux Falls 721 E Amidon Street Sioux Falls SD 571041015 460407140 501(c)(3) 10000 General support Ice Sports Association 108 S Dakota Avenue Sioux Falls SD 57104 271234271 501(c)(3) 404000 General support Jamestown College 6088 College Lane Jamestown ND 58405 450231180 501(c)(3) 8450 General support Junior Achievement of South Dakota 1000 N West Avenue 110 Sioux Falls SD 57104 460306352 501(c)(3) 22250 General support Juvenile Diabetes Research Foundation (JDRF) South Dakota 1301 W 18th Street Sioux Falls SD 57117 231907729 501(c)(3) 25000 General support Legends of Gold Inc Box 287 Beresford SD 57004 273794971 501(c)(3) 10000 General support Lincoln High School 201 E 38th Street Sioux Falls SD 57105 466002540 501(c)(3) 13000 General support Los Cabos Children's Foundation PO Box 2057 Sioux Falls SD 571012057 202882711 501(c)(3) 20000 General support Luverne Hockey Club 905 N Kniss Avenue Luverne MN 56156 411685848 501(c)(3) 10000 General support Make-A-Wish Foundation of South Dakota 1400 West 17th Street Sioux Falls SD 57104 460375953 501(c)(3) 10000 General support Matson Halverson Christiansen Hamilton Foundation 201 South Main Street Kimball SD 57355 460461691 501(c)(3) 15000 General support Mayville State University Foundation 330 3rd Street NE Mayville ND 58257 456013477 501(c)(3) 12750 General support McCrossan Boys Ranch 47135 260th Street Sioux Falls SD 57107 460311913 501(c)(3) 11892 General support Mike Miller Foundation 2107 Quiett Lane Mitchell SD 57301 300015773 501(c)(3) 17000 General support Minnesota State University Moorhead Alumni Foundation 1104 7th Avenue S Moorhead MN 56563 237106061 501(c)(3) 201700 Sports medicine program Missouri Slope Areawide United Way 915 N 4th Street Bismarck ND 58501 450387741 501(c)(3) 40000 General support National Kidney Foundation 1970 Oakcrest Avenue Suite 208 St Paul MN 55113 131673104 501(c)(3) 22500 General support National Multiple Sclerosis Society Upper Midwest Chapter 200 12th Avenue S Minneapolis MN 55415 410790658 501(c)(3) 20000 General support Philanthropy Promotions Inc 2601 W 60th Street N Sioux Falls SD 57107 870695596 501(c)(3) 7500 General support Ronald McDonald House 825 S Lake Avenue Sioux Falls SD 571044635 460371152 501(c)(3) 40200 General support Roosevelt High School 201 E 38th Street Sioux Falls SD 57105 466002586 501(c)(3) 13600 General support Sanford Health Foundation Hillsboro PO Box 609 Hillsboro ND 58045 363542187 501(c)(3) 50002 General support Sanford Health Foundation North PO Box 2010 Fargo ND 58122 450398104 501(c)(3) 101275 NICU, General support SD Achieve 4100 S Western Avenue Sioux Falls SD 57105 460402915 501(c)(3) 11000 General support SD Law Enforcement Charities 5214 Sweetbriar Court Sioux Falls SD 57108 460440378 501(c)(3) 11250 General support SD Lions Eye and Tissue Bank Inc 4501 W 61st Street North Sioux Falls SD 571076411 460413527 501(c)(3) 10000 General support SD Parks and Wildlife Foundation 523 E Capitol Avenue Pierre SD 57501 460387968 501(c)(3) 10000 General support SD Synod 2001 S Summit Avenue Sioux Falls SD 57197 363512774 501(c)(3) 15000 General support SDSU Foundation 815 Medary Avenue PO Box 525 Brookings SD 57007 460273801 501(c)(3) 12890 General support SF Cyclones 7605 Loganberry Street Sioux Falls SD 57106 274705069 501(c)(3) 20000 General support Sioux Empire United Way 1000 North West Avenue 120 Sioux Falls SD 571041314 460233701 501(c)(3) 116025 General support Sioux Falls Catholic Schools 3100 W 41st Street Sioux Falls SD 57105 460413591 501(c)(3) 255500 Teacher endowment, General support Sioux Falls Christian 6120 Charger Circle Sioux Falls SD 571091110 460340024 501(c)(3) 8550 General support Sioux Falls Schools 201 E 38th Street Sioux Falls SD 57105 466002586 501(c)(3) 66000 General support Sioux Falls Sports Authority Summit League 200 N Phillips Avenue Ste 304 Sioux Falls SD 57104 205850491 501(c)(3) 50000 General support South Dakota Junior Football Inc PO Box 88801 Sioux Falls SD 57109 466037091 501(c)(3) 10000 General support Southeast Technical Institute 2320 N Career Avenue Sioux Falls SD 57107 364112897 501(c)(3) 10000 General support Special Olympics 305 W 39th Street Sioux Falls SD 57105 460359776 501(c)(3) 13250 General support Susan G Komen for the Cure 5005 LBJ Freeway Suite 250 Dallas TX 75244 751835298 501(c)(3) 69745 General support The Arts Partnership of the Red River Valley 1104 2nd Avenue S Suite 315 Fargo ND 58103 237108936 501(c)(3) 15000 General support The Duke of Edinburgh's International Award USA 420 Montgomery San Francisco CA 94104 204909474 501(c)(3) 23500 General support United Way of Cass-Clay PO Box 1609 Fargo ND 58107 410810008 501(c)(3) 146200 General support United Way of Douglas & Pope Counties PO Box 1148 Alexandria MN 56308 237450908 501(c)(3) 5150 General support University of North Dakota Foundation 3501 University Avenue Stop 8157 Grand Forks ND 58202 450348296 501(c)(3) 190000 Dr. Gilbertson endowed chair University of Sioux Falls Foundation 1101 West 22nd Street Sioux Falls SD 57105 460224600 501(c)(3) 7000 General support University of South Dakota Foundation 1110 N Dakota Street PO Box 5555 Vermillion SD 570695555 466018891 501(c)(3) 1533692 Research, Sport medicine program University of Wisconsin Foundation 600 Highland Avenue Madison WI 53792 390743975 501(c)(3) 63000 Carbone Cancer Center USD Foundation for Continuing Medical Education Inc 1400 W 22nd Street Room 117 Sioux Falls SD 571051570 460456614 501(c)(3) 2050000 Medical education USD School of Medicine 1400 W 22nd Street Sioux Falls SD 571051581 460418678 501(c)(3) 51504 Medical education Valley City State University Foundation 101 College Street Valley City ND 58072 237178785 501(c)(3) 17500 General support Volunteers of America 1309 West 51st Street PO Box 89306 Sioux Falls SD 571099306 237353508 501(c)(3) 20000 General support Webster WAVE City of Webster 513 Main Street Webster SD 57274 201307620 501(c)(3) 15000 General support YMCA 230 S Minnesota Avenue Sioux Falls SD 57104 460225021 501(c)(3) 15490 Local support YWCA Sioux Falls (EmBe) 300 W 11th Street Sioux Falls SD 571046306 460234998 501(c)(3) 10665 Local support 86 4 Part I, Line 2: All grants given are donations to individual organizations. The funds are to be used for the general support of the organization receiving the funds. X X X X X 1 1 X X X X X 1 1 0 0 0 1 0 1 0 Christopher Meeker MD Trustee 393696 0 0 0 0 0 10000 0 20403 0 424099 0 0 0 Maria Bell MD Trustee 695606 0 0 0 81214 0 17152 0 23170 0 817142 0 0 0 Mark Paulson MD Trustee 207989 0 0 0 13744 0 11296 0 18532 0 251561 0 0 0 Richard Hardie MD Trustee 754303 0 0 0 6231 0 20400 0 20025 0 800959 0 0 0 Kelby K Krabbenhoft Sanford Health President & CEO 1117709 0 0 0 202755 0 0 0 22992 0 1343456 0 0 0 Kelby K Krabbenhoft Deferred Comp Sanford Health President & CEO 0 0 0 0 0 0 608477 0 0 0 608477 0 0 0 JoAnn L Kunkel Chief Financial Officer Corp 408018 0 0 0 55344 0 19176 0 20498 0 503036 0 0 0 Kim Patrick Chief Legal Officer 368264 0 0 0 70216 0 106079 0 21885 0 566444 0 0 0 Rebecca Nelson Senior VP & COO - HSD (thru Nov 13) 622546 0 0 0 421164 0 0 0 15864 0 1059574 0 0 0 Rebecca Nelson Deferred Comp Senior VP & COO - HSD (thru Nov 13) 0 0 0 0 3776631 0 5865 0 0 0 3782496 0 3776631 0 Nate White Chief Operating Officer Corp 439456 0 0 0 29421 0 20400 0 27465 0 516742 0 0 0 Bill Marlette Treasurer 453149 0 0 0 105276 0 0 0 1749 0 560174 0 0 0 Bill Marlette Deferred Comp Treasurer 0 0 0 0 0 0 143671 0 0 0 143671 0 0 0 David Link Executive VP - D&R 557939 0 0 0 133687 0 0 0 22885 0 714511 0 0 0 David Link Deferred Comp Executive VP - D&R 0 0 0 0 0 0 155288 0 0 0 155288 0 0 0 D Evan Burkett Chief Human Capital Officer 351936 0 0 0 48843 0 18322 0 19740 0 438841 0 0 0 Al Hurley COO - Sanford Bismarck Clinic 179209 0 0 0 7880 0 0 0 6791 0 193880 0 0 0 Arlyn Broekhuis Vice President & CIO 371259 0 0 0 42998 0 18768 0 20492 0 453517 0 0 0 Bradley J Schipper COO - SMC 302903 0 0 0 30439 0 18439 0 22929 0 374710 0 0 0 Brenda K Larsen COO - Sanford Bismarck 197766 0 0 0 17785 0 8063 0 23725 0 247339 0 0 0 Brian Carlson CEO - Thief River Falls 205005 0 0 0 26617 0 2050 0 16641 0 250313 0 0 0 Bruce D Viessman CFO - Sanford Health Network 227952 0 0 0 22561 0 18236 0 21401 0 290150 0 0 0 Bruce Pitts MD Chief Medical Officer (thru July 13) 291600 0 0 0 1790529 0 12750 0 7122 0 2102001 0 0 0 Bryan J Nermoe COO - Sanford Clinic 265262 0 0 0 41906 0 20400 0 19984 0 347552 0 0 0 Craig Boyer CFO - Bemidji 216154 0 0 0 19387 0 111716 0 18946 0 366203 0 0 0 Craig Lambrecht President - Sanford Bismarck 734575 0 42500 0 86823 0 10000 0 20011 0 893909 0 0 0 Daniel Olson President - SH of Northern MN 238776 0 0 0 21319 0 9551 0 19019 0 288665 0 0 0 Daniel W Blue President - Sanford Clinic 503734 0 50000 0 103552 0 178100 0 23170 0 858556 0 0 0 David Pearce COO/VP - Sanford Research 261955 0 0 0 39633 0 19008 0 20492 0 341088 0 0 0 Dennis Millirons President - SMC Fargo (thru Dec 13) 472243 0 50000 0 81090 0 10200 0 14434 0 627967 0 0 0 Diana Berkland Chief Nurse Executive - SMC 205858 0 0 0 28423 0 0 0 1298 0 235579 0 0 0 Diana Berkland Deferred Comp Chief Nurse Executive - SMC 0 0 0 0 0 0 80346 0 0 0 80346 0 0 0 Douglas Okland CFO - Fargo & Bismarck Clinic 220958 0 0 0 26615 0 10028 0 3922 0 261523 0 0 0 Edmond L Weiland thru Dec 13 President - Sanford Health Network 364270 0 35000 0 60972 0 18606 0 19740 0 498588 0 0 0 Ellen Cooke COO - Sanford Clinic North 272064 0 0 0 37251 0 10503 0 8445 0 328263 0 0 0 Gordon A Larson CEO - Aberdeen 218400 0 0 0 28399 0 17472 0 10864 0 275135 0 0 0 H Eugene Hoyme President - Sanford Research 430248 0 50000 0 63313 0 20129 0 20921 0 584611 0 0 0 Jac M McTaggart CEO - Hillsboro 144064 0 0 0 12530 0 2881 0 19523 0 178998 0 0 0 Jeff D Sandene Chief Integration Officer 353267 0 0 0 38642 0 12750 0 19596 0 424255 0 0 0 Jesse Tischer COO - Sanford Health Network 215417 0 0 0 20358 0 10771 0 17053 0 263599 0 0 0 Joy Johnson COO - Bemidji 250581 0 50000 0 23449 0 10200 0 8476 0 342706 0 0 0 Karen Tobin COO - SMC Fargo 261645 0 0 0 52327 0 17012 0 8476 0 339460 0 0 0 Mary Ruyter CEO - Jackson 147493 0 0 0 18682 0 9530 0 10048 0 185753 0 0 0 Matthew Hocks Executive VP - Sanford Clinic 189901 0 0 0 17122 0 12574 0 20320 0 239917 0 0 0 Merrilee Schultz Chief Financial Officer - SMC 204402 0 0 0 19085 0 5503 0 8279 0 237269 0 0 0 Michael E Farritor COO - Sanford Clinic 372258 0 50000 0 44451 0 18218 0 23247 0 508174 0 0 0 Michael Hammer CEO - Worthington 213990 0 0 0 22558 0 16461 0 22443 0 275452 0 0 0 Michelle A Bruhn Chief Financial Officer - HSD 281258 0 0 0 35969 0 15392 0 929 0 333548 0 0 0 Michelle M Micka Chief Financial Officer - D&R 209997 0 0 0 14946 0 15790 0 26446 0 267179 0 0 0 Paul Hanson President - SMC 426099 0 50000 0 123714 0 7650 0 18217 0 625680 0 0 0 Paul Richard President - SMC Fargo 439739 0 0 0 68327 0 12750 0 19596 0 540412 0 0 0 Randy Bury Chief Admin Officer 364869 0 0 0 52315 0 0 0 8845 0 426029 0 0 0 Randy Bury Deferred Comp Chief Admin Officer 0 0 0 0 0 0 16971 0 0 0 16971 0 0 0 Richard E Nordahl CEO - Sheldon 203590 0 0 0 25120 0 13782 0 22939 0 265431 0 0 0 Richard Giesel President - Sanford Health Network 330958 0 50000 0 53802 0 12750 0 13573 0 461083 0 0 0 Richard Marsden MD COO - Sanford Clinic North 507552 0 50000 0 61806 0 12750 0 13512 0 645620 0 0 0 Stacy Barstad CEO - Tracy 158704 0 0 0 12967 0 12701 0 23984 0 208356 0 0 0 Steve W Goetsch CFO - Sanford Clinic 243464 0 0 0 22153 0 14608 0 23977 0 304202 0 0 0 Tammy K Loosbrock CEO - Luverne 187096 0 0 0 16938 0 14968 0 19669 0 238671 0 0 0 Tiffany Lawrence CFO - Sanford Medical Center Fargo 253760 0 0 0 24307 0 12395 0 17168 0 307630 0 0 0 Timothy J Tracy CEO - Vermillion 193294 0 0 0 23486 0 12787 0 9240 0 238807 0 0 0 William C Brunner Physician 2208215 0 0 0 0 0 20400 0 20777 0 2249392 0 0 0 Tomasz P Stys Physician 2591871 0 0 0 1684 0 20400 0 20777 0 2634732 0 0 0 Scott Pham Physician 2395375 0 0 0 0 0 20400 0 22777 0 2438552 0 0 0 Adam T Stys Physician 2156252 0 0 0 3373 0 20400 0 20777 0 2200802 0 0 0 Corey L Teigen Physician 1829962 0 0 0 434410 0 12750 0 20433 0 2297555 0 0 0 Lisa Carlson Former Chief Financial Officer Corp 243062 0 0 0 1371416 0 12153 0 9585 0 1636216 0 0 0 Cecily Tucker Former CFO - D&R 231962 0 0 0 26692 0 18204 0 4364 0 281222 0 0 0 Charles P O'Brien Former President - SMC 254285 0 0 0 269575 0 0 0 11713 0 535573 0 0 0 Charles P O'Brien Deferred Comp Former President - SMC 0 0 0 0 0 0 17836 0 0 0 17836 0 0 0 Leslie Wietstock Former CFO - Sanford Health Network 91518 0 0 0 138392 0 4576 0 6625 0 241111 0 0 0 Linda O'Halloran Former COO - SMC Fargo 87116 0 0 0 371434 0 3485 0 941 0 462976 0 0 0 Michael Schumacher Former CFO - Sanford Bismarck 166087 0 0 0 143028 0 5428 0 9476 0 324019 0 0 0 Robert J Salmon Former CEO - Canby & Clear Lake 90850 0 0 0 12102 0 0 0 3587 0 106539 0 0 0 Robert J Salmon Deferred Comp Former CEO - Canby & Clear Lake 0 0 0 0 0 0 7268 0 0 0 7268 0 0 0 Shirley Heintz Former CNO - Bemidji 103505 0 0 0 207061 0 4111 0 10039 0 324716 0 0 0 Richard G Adcock Former Executive VP - Sanford Clinic 248061 0 0 0 23033 0 17937 0 22991 0 312022 0 0 0 Part I, Line 1a On Part I, Questions Regarding Compensation, Sanford checked several of the items as provided to listed persons: First Class or Charter Travel - Charter travel for business purposes is provided for individuals as needed and as cost appropriate, in accordance with written policies. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Travel for Companions - Limited travel for companions is required for certain annual meetings. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Tax Indemnification and gross-up payments - Certain compensation may be grossed up to include appropriate tax amounts. Health or social club dues or initiation fees - All Sanford employees are eligible for discounted wellness memberships, a portion of these discounts and other club dues are included as fringe benefits, and taxed as such. Personal services - Individuals may have benefits which include tax preparation or planning, this benefit is included in income and taxed. 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 2014. Part I, Lines 4a-b Part I, Line 4a: The following individuals participated in a severance arrangement and received payments during the year: Bruce Pitts, MD $1,740,155 Charles O'Brien $200,000 Leslie Wietstock $128,303 Linda O'Halloran $357,705 Lisa Carlson $1,331,670 Michael Schumacher $143,028 Shirley Heintz $196,530 Part I, Line 4b: Certain executives participate in a defined contribution SERP Plan. There were no individuals who received payments during the year. Certain executives participate in a defined benefit SERP Plan. The following individuals received payments during the year: Rebecca Nelson $3,776,631 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, based on financial targets and other goals. Form 990, Schedule J, Supplemental: Compensation reported on Schedule J includes: (B)(i) Base compensation - salaries are based on the experience and performance of each executive and bench-marked using independent compensation survey information. (B)(ii) Bonus & incentive compensation - as part of executive compensation, individuals may be eligible for incentive performance compensation, however if the organization does not meet its financial targets, incentive payments are not paid, regardless of performance. (B)(iii) Other Reportable Compensation - generally includes taxable executive benefits. (C) Deferred Compensation - includes employer contributions to pension plans and the increase (or decrease) in the actuarial value (actuarial value factors include age, tenure and salary) of the defined benefit plans. (D) Nontaxable Benefits - generally includes health insurance premiums. A memo regarding executive compensation, written by the Chairman of the Sanford Board of Trustees, is on file and available upon request. Compensation paid to trustees is for full-time professional responsibilities as physicians, administrators or employees of the organization. The total compensation paid to Kelby Krabbenhoft of $1,320,464 is comprised of Base salary of $1,117,709, Incentive Compensation of $0 and Other Taxable Earnings of $202,755. In addition, an amount of $608,477 has been reported for the estimated amount of ratable increase in value of the defined benefit pension plan, defined benefit SERP and a Gift Agreement Management Continuity Retention plan. A South Dakota Health and Educational Facilities Authority 460315509 83755VHY3 2004-09-14 70073989 New construction of healthcare facilities 0 0 0 B South Dakota Health and Educational Facilities Authority 460315509 83755VME1 2007-04-19 75002140 New construction and remodeling of healthcare facilities 0 0 0 C South Dakota Health and Educational Facilities Authority 460315509 83755VNZ3 2009-09-29 71015042 New construction and remodeling of healthcare facilities 0 0 0 D City of Fargo 456002069 307479CK9 2011-02-09 134069821 Refunding bonds issued 12/5/1996, 11/8/2000, and 6/18/2002 0 0 0 A 2265000 71581953 203609 764068 70817885 2006 0 0 1 1 B 4435000 78207775 1 732655 77475119 1 2009 0 0 1 1 C 1200000 71393241 1 997167 70396074 2011 0 0 1 1 D 13430000 134069821 2 134069821 2012 1 1 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 D 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 D 0 Date Rebate Computation Performed Issuer Name: South Dakota Health and Educational Facilities Authority Date the Rebate Computation was Performed: 09/14/2006 Issuer Name: South Dakota Health and Educational Facilities Authority Date the Rebate Computation was Performed: 04/19/2010 Issuer Name: Traill County Date the Rebate Computation was Performed: 05/01/2012 Issuer Name: Morton County Date the Rebate Computation was Performed: 11/30/2009 Issuer Name: Morton County Date the Rebate Computation was Performed: 06/30/2008 Issuer Name: Morton County Date the Rebate Computation was Performed: 11/30/2008 Part I, Column e and Part II, Line 3 Differences between the issue price (Part I, column e) and total proceeds (Part II, line 3) are due to investment earnings. Part II, Line 4 The amounts shown here consist of debt service fund deposits, except for the Traill County 2007 bonds, for which the amount shown consists of $895,628 in a debt service reserve fund and $182,562 of debt service fund deposits. Part III, Column D Part III has not been completed for the 2011 City of Fargo bonds or 3/29/2012 South Dakota Health and Educational Facilities Authority bonds. These bonds refunded pre-2003 debt that does not have to be reported. Part IV, Line 6, Column D This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of bonds. A South Dakota Health and Educational Facilities Authority 460315509 83755VVM3 2012-11-01 128733641 New construction and remodeling of healthcare facilities 0 0 0 B Traill County 456002246 892846AQ9 2007-05-22 13341133 New construction of long-term care facilities and remodeling of facilities 0 0 0 C Morton County 456002226 2008-05-30 6100000 New construction of a long-term care facility 0 0 0 D Morton County 456002226 2007-08-01 4500000 New construction of a long-term care facility 0 0 0 A 128895742 1 1470647 119452929 7972166 0 0 0 1 B 1090000 13171753 1078190 780301 333809 12057643 2009 0 0 1 1 C 523756 6128980 13000 6115980 2009 0 0 1 1 D 405926 4574787 19000 4555787 2009 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 0 0 0 0 0 B 0 0 0 1 0 0 0 0 0 C 0 0 0 1 1 0 0 0 0 D 0 0 0 1 1 0 0 0 0 A 0 B 0 C 0 D 0 A Morton County 456002226 2006-12-19 7900000 New construction of a long-term care facility and refinancing prior debt 0 0 0 B City of Chamberlain 460000094 2010-12-30 4000000 New construction of long-term care facilities 0 0 0 C South Dakota Health and Educational Facilities Authority 460315509 2012-03-29 66185000 Refunding bonds issued 9/12/2001 and 10/15/2002 0 0 0 D South Dakota Health and Educational Facilities Authority 460315509 2012-06-14 45000000 Refinance taxable indebtedness used to construct a healthcare facility 0 0 0 A 1427594 7980531 309291 40200 7631040 2009 0 0 1 1 B 699183 4000000 4000000 2010 0 0 1 1 C 4000000 66185000 24356 66160644 2012 1 1 1 1 D 1700000 45000000 45000000 2012 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 D 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 1 1 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 1 0 0 0 0 D 0 1 0 0 1 0 0 0 0 A 0 B 0 C 0 D 0 Bryan Nermoe COO - Sanford Clinic Retention Loan X 30000 887 0 0 1 Maria Bell Trustee/Physician Retention Loan X 100000 54250 0 0 1 Maria Bell Trustee/Physician Retention Loan X 150000 71386 0 0 1 David Pearce COO/VP - Sanford Research Retention Loan X 50000 2723 0 0 1 129246 Amy Entenman James Entenman - family relationship 56707 Compensation 0 Jan Feder Jerome Feder - family relationship 94041 Compensation 0 Brent Hardie Richard Hardie - family relationship 15876 Compensation 0 Megan Hemmelgarn Mark Paulson - family relationship 37136 Compensation 0 Kim Goetsch Steve Goetsch - family relationship 48984 Compensation 0 Nancy Salmon Robert Salmon - family relationship 93709 Compensation 0 Kirby Johnson Joy Johnson - family relationship 62638 Compensation 0 Casey Johnson Joy Johnson - family relationship 135164 Compensation 0 Dorothy Larson Gordon Larson - family relationship 37747 Compensation 0 Jenny Marsden Richard Marsden - family relationship 101241 Compensation 0 Kathryn Nermoe Bryan Nermoe - family relationship 84490 Compensation 0 Joshua Weiland Edmond Weiland - family relationship 70820 Compensation 0 Corrie Weiland Edmond Weiland - family relationship 118906 Compensation 0 Annette White Nate White - family relationship 130141 Compensation 0 Paige Richard Paul Richard - family relationship 20429 Compensation 0 Midwest Catering Barbara Stork - Owner 255683 Catering Services 0 SunDog Brent Teiken - Owner 3414828 Marketing 0 SMC-TMI Sioux Falls JV LLC Lauris Molbert - CEO of TMI Hospitality, Inc. 1061000 Real estate investment - Lauris Molbert is a trustee of Sanford which has an 18% ownership interest in SMC-TMI Sioux Falls JV, LLC. 0 X Medical equip 4 80797 FMV 0 0 1 0 Part V, Line 3a: Sanford Health, Sanford Medical Center, Sanford North, Sanford Medical Center Fargo, Sanford Clinic North, Sanford Bismarck and Sanford Living Centers have unrelated business gross income over $1,000. Part V, Line 4a: Sanford World Clinics has an interest in a financial account in the foreign country of Ghana. 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: Al Hurley, Arlyn Broekhuis, Bill Marlette, Bradley Schipper, Brenda Larsen, Brian Carlson, Bruce Viessman, Bruce Pitts, Bryan Nermoe, Christopher Meeker, Craig Boyer, Craig Lambrecht, D Evan Burkett, Daniel Olson, Daniel Blue, David Link, David Pearce, Dennis Millirons, Diana Berkland, Douglas Okland, Edmond Weiland, Ellen Cooke, Gordon Larson, H Eugene Hoyme, Jac McTaggart, Jeff Sandene, Jesse Tischer, JoAnn Kunkel, Joy Johnson, Karen Tobin, Kelby Krabbenhoft, Kim Patrick, Maria Bell, Mark Paulson, Mary Ruyter, Matthew Hocks, Merrilee Schultz, Michael Farritor, Michael Hammer, Michelle Bruhn, Michelle Micka, Nate White, Paul Hanson, Paul Richard, Randy Bury, Rebecca Nelson, Richard Nordahl, Richard Giesel, Richard Hardie, Richard Marsden, Stacy Barstad, Steve Goetsch, Tammy Loosbrock, Tiffany Lawrence, Timothy Tracy. Form 990, Part VI, Section A, line 6 Sanford is governed by a Board of Trustees (BOT) that has ultimate strategic and decision making authority. The BOT delegates certain activities and responsibilities to Boards of each of Sanford's primary operating subsidiaries. The unique nature and complexity of the subsidiaries requires each to have a delegated Board with a singular entity focus. Such bodies, referred to as Boards of Directors and Boards of Governors, address matters such as credentialing, accreditation standards, developing budgets, programs and facilities on an entity-specific basis, and generally consist of individuals distinct from the BOT. These Boards function much like committees in a traditional corporate structure. The BOT then acts as a holding company Board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. This structure of governance produces a significant number of trustees, governors and directors. Subsidiaries included within this group tax return consist of Sanford Health, Sanford North, Sanford Medical Center, Sanford Medical Center Fargo, Sanford Clinic, Sanford Clinic North, Sanford Health Network, Sanford Health Network North, Sanford Medical Center Thief River Falls, Sanford Medical Center Mayville, Sanford Medical Center Wheaton, Sanford Home Health, Sanford Research, Sanford World Clinics, Sanford Hillsboro, Sanford Health of Northern Minnesota, Baker Park, Inc., Sanford West, Sanford Bismarck and Sanford Living Centers. The Board of Trustees of Sanford is also the Board of Trustees for Sanford Health, Sanford North and Sanford West, and Sanford is the sole corporate member of these entities. These entities, in turn, are the sole corporate members of the subsidiaries. The actions approved by a subsidiary's Board of Directors are then approved by the Sanford Board of Trustees. Form 990, Part VI, Section A, line 7a The Sanford Board of Trustees appoints the board members for the Boards of Directors and Boards of Governors of the subsidiary entities. Form 990, Part VI, Section A, line 7b The Sanford Board of Trustees approves the actions approved by the Boards of Directors and Boards of Governors of the subsidiary entities. Form 990, Part VI, Section B, line 10b: Sanford North, Sanford Clinic and Sanford Health Network have local chapters, branches or affiliates over which the organization has the legal authority to exercise direct or indirect supervision and control. Form 990, Part VI, Section B, line 11 The Form 990 is prepared internally by the finance department and reviewed by executive management. An external accounting firm reviews the return and prepares return highlights and key disclosures for the Board of Trustees meeting prior to the return filing date. Before the return is filed, a complete copy is provided to the current Board of Trustees. Form 990, Part VI, Section B, line 12c The annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of Interest questionnaires are sent to System Trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the IRS Form 990 filings. The disclosures are summarized for review by the executive committee of the Board of Trustees, pursuant to policy. This review allows: 1) The Board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis when 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 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 2014. Part VI, Line 16a: Sanford Health, Sanford Clinic and Sanford Clinic North have participated in joint ventures with taxable entities. 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 VII, Section B Amounts listed as compensation for the five highest compensated independent contractors include payments for both materials and services. Form 990, Part X The prior year ending balance sheet does not tie to the current year beginning balance sheet due to Sanford Medical Center Wheaton (EIN: 27-2042143) being added as a new member to the group exemption. Form 990, Part XI, line 9: Net payroll and other expenses paid on behalf of parent/affiliates -81,542,307. Net assets released from restriction 3,711,807. Pension FAS 158 1,303,825. Adjustment for North Country Medical Clinic -1,732,424. Assigned interest to Sanford Frontiers -63,490. Gain/Loss on Joint Ventures 1,601,211. Form 990 Elections Form 990, Page 1, Line H(a) - Listing of Subordinate Organizations: Names, Addresses, and EINs Sanford Health 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 31-1527032 Sanford USD Medical Center 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0227855 Sanford Home Health 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0282134 Sanford Health Network 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0388596 Sanford Clinic 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0447693 Sanford Research 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0450378 Sanford World Clinics 1305 West 18th Street Sioux Falls, SD 57117 EIN: 26-2707628 Sanford North 801 Broadway Drive Fargo, ND 58122 EIN: 45-0385890 Sanford Clinic North 801 Broadway Drive Fargo, ND 58122 EIN: 91-1770748 Sanford Medical Center Fargo 801 Broadway Drive Fargo, ND 58122 EIN: 45-0226909 Sanford Health Network North 801 Broadway Drive Fargo, ND 58122 EIN: 45-0409348 Sanford Medical Center Thief River Falls 801 Broadway Drive Fargo, ND 58122 EIN: 41-0709579 Sanford Medical Center Mayville 801 Broadway Drive Fargo, ND 58122 EIN: 45-0228899 Sanford Medical Center Wheaton 401 12th Street N Wheaton, MN 56296 EIN: 27-2042143 Sanford Hillsboro 12 3rd Street SE, PO Box 609 Hillsboro, ND 58045 EIN: 45-0230400 Sanford Health of Northern Minnesota 1300 Anne St NW Bemidji, MN 56601 EIN: 41-1266009 Baker Park, Inc. 803 Dewey Ave NW Bemidji, MN 56601 EIN: 41-1372480 Sanford West 300 North 7th Street Bismarck, ND 58501 EIN: 45-0397195 Sanford Bismarck 300 North 7th Street Bismarck, ND 58501 EIN: 45-0226700 Sanford Living Centers 1000 18th Street NW, Suite 1 Mandan, ND 58554 EIN: 45-0416454 Lincoln County Real Estate Trust 100 S Phillips Ave Sioux Falls SD 57104 466126929 Real Estate SD 0 586467 Sanford Health PPK Family Trust 100 S Phillips Ave Sioux Falls SD 57104 207317570 Rental Real Estate SD 47228 95 Sanford Health Lynx Trust PO Box 5186 Sioux Falls SD 57117 266167201 Investment SD -1 1 Sanford Health National Student Housing Trust-SD PO Box 5186 Sioux Falls SD 57117 206831968 Investment SD -6 441 Sanford Health Sanford Consumer Services LLC 1305 W 18th Street Sioux Falls SD 57117 208736919 Medical Spa SD 0 0 Sanford Clinic Sanford HealthCare Accessories LLC 3223 32nd Ave SW Fargo ND 58103 202404179 Sales of Durable Medical Equip ND 21670970 14960538 Sanford North Healthcare Environmental Services LLC PO Box 2010 Fargo ND 58122 205236701 Retail Enterprises ND 4289656 4740070 Sanford North North Country Senior Living LLC 1000 Anne St NW Bemidji MN 56601 263862586 Senior Housing CO 3308290 -9461015 Sanford Health of Northern Minnesota 1527 Broadway LLC 1527 Broadway Alexandria MN 56308 411336392 Real Estate MN 713966 7359125 Sanford Clinic North Medequip One LLC 626 N 6th Street Bismarck ND 58501 450452639 Durable medical equipment, products, and services ND -28027 1056459 Sanford West Shetek Medical Services LLC 251 5th Street E Tracy MN 56175 412004685 Home Health Services MN -68498 570355 Sanford Health Network Sanford Health Mobile Med LLC 2603 E Broadway Avenue Bismarck ND 58501 471209528 Mobile Healthcare ND 0 0 Sanford Health Sanford 801 Broadway Drive Fargo ND 58122 271218956 Supporting Organization ND 501(c)(3) 11-II 0 Sanford Health Foundation 1305 West 18th Street Sioux Falls SD 57117 363297853 Supporting Organization SD 501(c)(3) 11-II Sanford Health 1 Edith Sanford Breast Cancer Foundation 2301 60th Street N Sioux Falls SD 57104 450404126 Foundation ND 501(c)(3) 11-II Sanford Health 1 F-M Ambulance Service Inc 2215 18th Street S Fargo ND 58103 450344371 EMT ND 501(c)(4) Sanford North 1 Sanford Health Foundation North PO Box 2010 Fargo ND 58122 450398104 Fundraising ND 501(c)(3) 7 Sanford North 1 Sanford Health Foundation Hillsboro PO Box 609 Hillsboro ND 58045 363542187 Fundraising ND 501(c)(3) 7 Sanford Hillsboro 1 Sanford Health Foundation of Northern Minnesota 1300 Anne Street NW Bemidji MN 56601 411389317 Fundraising - Support MN 501(c)(3) 11-II Sanford Health of Northern Minnesota 1 North Country Medical Clinic 1300 Anne Street NW Bemidji MN 56601 411753855 Family Practice Medical Clinic MN 501(c)(3) 3 Sanford Health of Northern Minnesota 1 Sanford Health Foundation West 300 North 7th Street Bismarck ND 58501 450397196 Fundraising ND 501(c)(3) 7 Sanford Bismarck 1 Medcenter One Inc Auxiliary 300 North 7th Street Bismarck ND 58501 237293043 Supporting Organization ND 501(c)(3) 11-I Sanford Bismarck 1 Sanford Heart of America Health Plan 810 South Main Rugby ND 58368 450346132 Insurance ND 501(c)(4) Sanford Health Plan 1 National Student Housing-South Dakota LLC 100 S Phillips Ave Sioux Falls SD 57104 202129839 Investment SD Sanford Health Related 60912 4644509 0 0 0.99990 RAC Rentals LLC 100 S Phillips Ave Sioux Falls SD 57104 261961077 Investment SD Sanford Health Related 11606 4321092 0 0 0.99990 Southwest MN Radiation Center LLC 1018 6th Avenue Worthington MN 56187 460447693 Radiation Services MN Sanford Health Network Related -278797 260250 0 0 0.72000 Sanford Home Medical Equipment Inc 2710 W 12th Street Sioux Falls SD 57105 460388597 Healthcare Equipment SD Sanford Health C 1742173 10261133 1.00000 1 Sanford Health Plan 300 Cherapa Place Sioux Falls SD 57103 911842494 Insurance SD Sanford Health C 1903642 65678028 1.00000 1 Sanford Health Plan of MN 300 Cherapa Place Sioux Falls SD 57103 460445852 Insurance MN Sanford Health C 4491 1847089 1.00000 1 Bemidji Medical Equipment Inc 1300 Anne Street NW Bemidji MN 56601 411551725 Retail Sales of DME MN Sanford Health of Northern Minnesota C 1.00000 1 North Country Management Inc 1300 Anne Street NW Bemidji MN 56601 411820025 Management Services MN Sanford Health of Northern Minnesota C 1.00000 1 Sanford Frontiers 1305 W 18th Street PO Box 5039 Sioux Falls SD 571175039 455436599 Weight Loss Management SD Sanford Health C -5818426 31833021 1.00000 1 SOB Inc 2701 S Minnesota Avenue Suite 2 Sioux Falls SD 57105 460442628 Air Transportation SD N/A C 1 Sanford Affiliated Services Inc 300 N 7th Street Bismarck ND 58501 450403146 Investment Activity ND Sanford West C 3796 1527189 1.00000 1 Sanford World Clinics - Ghana Sarbah Road Tantri Lorry Station Cape Coast GH Healthcare GH Sanford World Clinics C -941455 3248165 1.00000 1 Shanghai Sanford Healthcare Management Consulting Co Ltd 188 Yesheng Road Room A-862 Guoma Shanghai CH Healthcare CH Sanford World Clinics C 1.00000 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Sanford Health Foundation C 28135119 Cost Sanford Health Foundation North C 1414324 Cost Sanford Health Foundation West C 82236 Cost Sanford Health Foundation North R 100175 Cost Sanford Health Foundation Hillsboro B 50002 Cost Sanford Health Foundation of Northern Minnesota C 1193893 Cost Edith Sanford Breast Cancer Foundation C 717204 Cost