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Sanford Heart of America Health Plan: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
Sanford Heart of America Health Plan (EIN 45-0346132)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-08
IRS object ID
201541289349301899
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-08T15:53:16-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 South Sixth Street Suite 2800AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN450346132EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Sanford Heart of America Health PlanBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSANFBusinessNameControlTxt
Phone7017765848PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1810 South MainAddressLine1
CityRugbyCity
StateNDState
ZIP Code58368ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoAnn KunkelPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone6053331000PhoneNum
Signature2015-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAnne FultonPreparerPersonNm
PTINP00941863PTIN
Phone6123974000PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKelby KrabbenhoftPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 W 18th St PO Box 5039AddressLine1
CitySioux FallsCity
StateSDState
ZIP Code571175039ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$4,233,137GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.hoahp.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateNDLegalDomicileStateCd
Activity Or MissionTo coordinate effective and efficient delivery of high-quality health care in a cost effective manner.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$1,889,756PYProgramServiceRevenueAmt
CY Program Service Revenue$3,945,187CYProgramServiceRevenueAmt
PY Investment Income$19,422PYInvestmentIncomeAmt
CY Investment Income$37,372CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,909,178PYTotalRevenueAmt
CY Total Revenue$3,982,559CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$95,531PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$143,329CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,843,658PYOtherExpensesAmt
CY Other Expenses$4,329,250CYOtherExpensesAmt
PY Total Expenses$1,939,189PYTotalExpensesAmt
CY Total Expenses$4,474,579CYTotalExpensesAmt
PY Revenues Less Expenses-$30,011PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$492,020CYRevenuesLessExpensesAmt
Total Assets BOY$1,376,502TotalAssetsBOYAmt
Total Assets EOY$2,133,802TotalAssetsEOYAmt
Total Liabilities BOY$544,696TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,026,304TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$831,806NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,107,498NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Sanford Heart of America Health Plan is a rural, nonprofit health maintenance organization. Our mission is to coordinate effective and efficient delivery of high-quality health care in a cost effective manner. Member service is our priority. We are committed to the development of personal responsibility for a healthy lifestyle.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,324,357ExpenseAmt
Grant$2,000GrantAmt
Revenue$3,945,187RevenueAmt
DescSanford Heart of America Health Plan was incorporated for the purpose of providing comprehensive health care services on a prepaid basis and for the purpose of establishing and operating organized health maintenance and health care delivery systems.Sanford Heart of America Health Plan (SHAHP) served 381 Medicare members during fiscal year 2014 and 647 commercial and individual members. Through June 30, 2014, the following community services were provided:Pierce County's annual Relay for Life was held which is an all-night walk in support of cancer victims and survivors. The event is open to the public and participants of all ages.In July, SHAHP hosted a community open house to introduce Sanford Health Plan to the area and its current members. SHAHP also hosted their annual Fun Walk event.Other miscellaneous items involved support of youth events including Dollars for Scholars, Saturday matinees during Christmas time, Imagination Library and safe-after-prom parties.Desc
Total Program Service Expenses$4,324,357TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJoAnn Kunkel CFOPersonNm
Phone6053331000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11305 W 18th StreetAddressLine1
CitySioux FallsCity
StateSDState
ZIP Code57117ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Barb Everist
Trustee0.105.30Yes (X)$0$0$0
Barbara Stork
Trustee (thru Dec 13)0.105.30Yes (X)$0$0$0
Brent Teiken
Trustee0.105.30Yes (X)$0$0$0
Christopher Meeker MD
Trustee0.1059.90Yes (X)$0$393,696$30,403
David Beito
Trustee0.105.30Yes (X)$0$0$0
Don Morton
Trustee0.105.30Yes (X)$0$0$0
Jerome Feder
Trustee0.105.30Yes (X)$0$0$0
Jim Entenman
Trustee0.105.30Yes (X)$0$0$0
Lauris Molbert
Trustee0.105.30Yes (X)$0$0$0
Maria Bell MD
Trustee0.1059.90Yes (X)$0$776,820$40,322
Mark Paulson MD
Trustee0.1059.90Yes (X)$0$221,733$29,828
Patrick Durick
Trustee0.105.30Yes (X)$0$0$0
Richard Hardie MD
Trustee0.1059.90Yes (X)$0$760,534$40,425
Ronald Moquist
Trustee0.105.30Yes (X)$0$0$0
Thomas Hruby
Trustee0.105.30Yes (X)$0$0$0
Kelby K Krabbenhoft
Sanford Health President & CEO0.1059.90Yes (X)$0$1,320,464$22,992Yes (X)
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO0.1059.90Yes (X)$0$0$608,477Yes (X)
JoAnn L Kunkel
Chief Financial Officer Corp0.1059.90$0$463,362$39,674Yes (X)
Ruth Krystopolski
President - Sanford Health Plan10.0050.00$0$431,364$43,371Yes (X)
Cecily Tucker
CFO - Sanford Health Plan10.0050.00$0$258,654$22,568Yes (X)
Lisa Carlson
Former Chief Financial Officer Corp0.1059.90$0$1,614,478$21,738Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$6,241,105TotReportableCompRltdOrgAmt
Total Other Compensation$899,798TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Premiums524114$2,936,422$2,936,422
Medicare Reimbursement524114$1,008,235$1,008,235
Reinsurance Recoveries524114$530$530
FieldValueIRS element (for citing)
Total Program Service Revenue$3,945,187TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$36,232TotalRevenueColumnAmt
Exclusion$36,232ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$251,718SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$250,578SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,140SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,140TotalRevenueColumnAmt
Exclusion$1,140ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,982,559TotalRevenueColumnAmt
Related Or Exempt Func Income$3,945,187RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$37,372ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,000TotalAmt
Program Services$2,000ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$117,738TotalAmt
Program Services$100,077ProgramServicesAmt
Management And General$17,661ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,321TotalAmt
Program Services$2,823ProgramServicesAmt
Management And General$498ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$14,102TotalAmt
Program Services$11,987ProgramServicesAmt
Management And General$2,115ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,168TotalAmt
Program Services$6,943ProgramServicesAmt
Management And General$1,225ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$109,737TotalAmt
Management And General$109,737ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$41,469TotalAmt
Program Services$35,249ProgramServicesAmt
Management And General$6,220ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,175TotalAmt
Program Services$7,799ProgramServicesAmt
Management And General$1,376ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$31,031TotalAmt
Program Services$26,376ProgramServicesAmt
Management And General$4,655ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,259TotalAmt
Program Services$5,320ProgramServicesAmt
Management And General$939ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,605TotalAmt
Program Services$17,514ProgramServicesAmt
Management And General$3,091ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,091TotalAmt
Program Services$1,777ProgramServicesAmt
Management And General$314ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,069TotalAmt
Program Services$12,809ProgramServicesAmt
Management And General$2,260ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Claims$3,622,335$3,622,335
Capitation Services$297,166$297,166
Reinsurance$98,520$98,520
Premium Tax$74,842$74,842

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$951TotalAmt
Program Services$820ProgramServicesAmt
Management And General$131ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$4,474,579TotalAmt
Program Services$4,324,357ProgramServicesAmt
Management And General$150,222ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,142,146EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$341,356BOYAmt
EOY$140,143EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,072BOYAmt
EOY$60,294EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$19,252EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$38,579LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$38,579LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,008,569BOYAmt
EOY$771,967EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$18,505BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,376,502BOYAmt
EOY$2,133,802EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$69,887BOYAmt
EOY$114,332EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$49,319BOYAmt
EOY$140,005EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$425,490BOYAmt
EOY$771,967EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$544,696BOYAmt
EOY$1,026,304EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$831,806BOYAmt
EOY$1,107,498EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$831,806BOYAmt
EOY$1,107,498EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,376,502BOYAmt
EOY$2,133,802EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$492,020ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$12,821NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$780,533OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,579OtherCostOrOtherBasisAmt
Depreciation$38,579DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescClaims PayableDesc
Amt$771,967Amt
FieldValueIRS element (for citing)
Total Liability$771,967TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationCertain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination. The deferred income tax provision or benefit generally reflects the net change in deferred income tax assets and liabilities during the year. The current income tax provision reflects the tax consequences of revenues and expenses currently taxable or deductible on various income tax returns for the year reported. Sanford Heart of America Health Plan did not have an income tax liability at June 30, 2014; some related organizations have established reserves.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher Meeker MD
Trustee$0$393,696$0$0$0$0$0$10,000$0$20,403$0$424,099$0$0
Maria Bell MD
Trustee$0$695,606$0$0$0$81,214$0$17,152$0$23,170$0$817,142$0$0
Mark Paulson MD
Trustee$0$207,989$0$0$0$13,744$0$11,296$0$18,532$0$251,561$0$0
Richard Hardie MD
Trustee$0$754,303$0$0$0$6,231$0$20,400$0$20,025$0$800,959$0$0
Kelby K Krabbenhoft
Sanford Health President & CEO$0$1,117,709$0$0$0$202,755$0$0$0$22,992$0$1,343,456$0$0
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO$0$0$0$0$0$0$0$608,477$0$0$0$608,477$0$0
JoAnn L Kunkel
Chief Financial Officer Corp$0$408,018$0$0$0$55,344$0$19,176$0$20,498$0$503,036$0$0
Ruth Krystopolski
President - Sanford Health Plan$0$336,544$0$50,000$0$44,820$0$20,400$0$22,971$0$474,735$0$0
Cecily Tucker
CFO - Sanford Health Plan$0$231,962$0$0$0$26,692$0$18,204$0$4,364$0$281,222$0$0
Lisa Carlson
Former Chief Financial Officer Corp$0$243,062$0$0$0$1,371,416$0$12,153$0$9,585$0$1,636,216$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aCertain items listed on Line 1a are provided by related organizations.
Part I, Line 3The 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-bPart I, Line 4a: The following individuals participated in a severance arrangement and received payments during the year: Lisa Carlson $1,331,670 Part I, Line 4b: Certain executives participate in a defined benefit SERP Plan. There were no individuals who received payments during the year.
Part I, Line 6Sanford 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 7Certain 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, Part II 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 make 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 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2The 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: Christopher Meeker, Maria Bell, Mark Paulson, Richard Hardie, Kelby Krabbenhoft, JoAnn Kunkel, Ruth Krystopolski and Cecily Tucker.
Form 990, Part VI, Section A, line 4Effective July 1, 2013 Heart of America Health Plan was acquired by the Sanford Health system. Sanford Health Plan (EIN: 91-1842494) became its sole member and the entity was renamed Sanford Heart of America Health Plan.
Form 990, Part VI, Section A, line 6Sanford Health Plan is the sole member of the organization.
Form 990, Part VI, Section A, line 7aBoard members are members of the Board of Directors of Sanford Health Plan.
Form 990, Part VI, Section A, line 7bSanford Health Plan, as sole member, reviews the actions of Sanford Heart of America Health Plan.
Form 990, Part VI, Section B, line 11The 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 12cThe annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of Interest questionnaires are sent to System Trustees, members of the governing boards of subsidiary entities, officers and key employees for all the entities subject to the IRS Form 990 filings. The disclosures are summarized for review by the executive committee of the Board of Trustees, pursuant to policy. This review allows: 1) The Board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis 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 15The 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.
Form 990, Part VI, Section C, line 19Although 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 VIIThe Sanford Board of Trustees has ultimate governance responsibilities for each major operating entity within Sanford. In addition, a Board of Directors is established for each major operating entity. This Board has specific responsibilities delegated from the Board of Trustees. Generally these responsibilities are related to the oversight of the day to day operations of that entity.
Form 990, Part XI, line 9:Transfer from related tax-exempt org for payroll and operating expenses 168,195. Change in net assets due to acquisition 612,338.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (30 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Sanford
801 Broadway DriveFargoND58122271218956Supporting OrganizationND501(c)(3)11-II0
Sanford Health
1305 West 18th StreetSioux FallsSD57117311527032Supporting OrganizationSD501(c)(3)11-IIYes (1)Sanford
Sanford USD Medical Center
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460227855HospitalSD501(c)(3)3Yes (1)Sanford Health
Sanford Health Foundation
1305 West 18th StreetSioux FallsSD57117363297853FoundationSD501(c)(3)11-IIYes (1)Sanford Health
Edith Sanford Breast Cancer Foundation
2301 60th Street NSioux FallsSD57104450404126FoundationND501(c)(3)11-IIYes (1)Sanford Health
Sanford Clinic
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460447693Clinical ServicesSD501(c)(3)3Yes (1)Sanford Health
Sanford Home Health
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460282134Home Health ServicesSD501(c)(3)9Yes (1)Sanford Health
Sanford Health Network
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460388596Hospitals/ClinicsSD501(c)(3)3Yes (1)Sanford Health
Sanford Research
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460450378ResearchSD501(c)(3)3Yes (1)Sanford Health
Sanford World Clinics
1305 West 18th StreetSioux FallsSD57117262707628HealthcareSD501(c)(3)3Yes (1)Sanford Health
Sanford North
PO Box 2010FargoND58122450385890Supporting OrganizationND501(c)(3)11-IIYes (1)Sanford
Sanford Medical Center Fargo
PO Box 2010FargoND58122450226909HospitalND501(c)(3)3Yes (1)Sanford North
F-M Ambulance Service Inc
2215 18th Street SFargoND58103450344371EMTND501(c)(4)Yes (1)Sanford North
Sanford Health Foundation North
PO Box 2010FargoND58122450398104FoundationND501(c)(3)7Yes (1)Sanford North
Sanford Clinic North
PO Box 2010FargoND58122911770748ClinicsND501(c)(3)9Yes (1)Sanford North
Sanford Health Network North
PO Box 2010FargoND58122450409348Hospitals/ClinicsND501(c)(3)11-IIYes (1)Sanford North
Sanford Hillsboro
PO Box 609HillsboroND58045450230400HospitalND501(c)(3)3Yes (1)Sanford Health Network North
Sanford Health Foundation Hillsboro
PO Box 609HillsboroND58045363542187FoundationND501(c)(3)7Yes (1)Sanford Hillsboro
Sanford Medical Center Mayville
42 6th Avenue SEMayvilleND58257450228899HospitalND501(c)(3)3Yes (1)Sanford Health Network North
Sanford Medical Center Thief River Falls
120 Labree Avenue SThief River FallsMN56701410709579HospitalMN501(c)(3)3Yes (1)Sanford Health Network North
Sanford Medical Center Wheaton
401 12th Street NWheatonMN56296272042143Hospital/ClinicMN501(c)(3)3Yes (1)Sanford Health Network North
Sanford Health of Northern Minnesota
1300 Anne Street NWBemidjiMN56601411266009HospitalMN501(c)(3)3Yes (1)Sanford North
Sanford Health Foundation of Northern Minnesota
1300 Anne Street NWBemidjiMN56601411389317FoundationMN501(c)(3)11-IIYes (1)Sanford Health of Northern Minnesota
Baker Park Inc
803 Dewey Avenue NWBemidjiMN56601411372480Low Income Senior HousingMN501(c)(3)9Yes (1)Sanford Health of Northern Minnesota
North Country Medical Clinic
1300 Anne Street NWBemidjiMN56601411753855Family Practice Medical ClinicMN501(c)(3)3Yes (1)Sanford Health of Northern Minnesota
Sanford West
300 North 7th StreetBismarckND58501450397195Supporting OrganizationND501(c)(3)11-IIYes (1)Sanford
Sanford Bismarck
300 North 7th StreetBismarckND58501450226700HospitalND501(c)(3)3Yes (1)Sanford West
Sanford Living Centers
1000 18th Street NW Suite 1BismarckND58554450416454Long-term Care FacilityND501(c)(3)9Yes (1)Sanford Bismarck
Sanford Health Foundation West
300 North 7th StreetBismarckND58501450397196FoundationND501(c)(3)7Yes (1)Sanford Bismarck
Medcenter One Inc Auxiliary
300 North 7th StreetBismarckND58501237293043Supporting OrganizationND501(c)(3)11-IYes (1)Sanford Bismarck

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
National Student Housing-South Dakota LLC
100 S Phillips AveSioux FallsSD57104202129839InvestmentSDN/A
RAC Rentals LLC
100 S Phillips AveSioux FallsSD57104261961077InvestmentSDN/A
Southwest MN Radiation Center LLC
1018 6th AvenueWorthingtonMN56187460447693Radiation ServicesMNN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1CityForeignAddress/CityCountryForeignAddress/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Sanford Home Medical Equipment Inc
2710 W 12th StreetSioux FallsSD57105460388597Healthcare EquipmentSDN/ACYes (1)
Sanford Health Plan
300 Cherapa PlaceSioux FallsSD57103911842494InsuranceSDN/ACYes (1)
Sanford Health Plan of MN
300 Cherapa PlaceSioux FallsSD57103460445852InsuranceMNN/ACYes (1)
Bemidji Medical Equipment Inc
1300 Anne Street NWBemidjiMN56601411551725Retail Sales of DMEMNN/ACYes (1)
North Country Management Inc
1300 Anne Street NWBemidjiMN56601411820025Management ServicesMNN/ACYes (1)
Sanford Frontiers
1305 W 18th Street PO Box 5039Sioux FallsSD571175039455436599Weight Loss/FitnessSDN/ACYes (1)
SOB Inc
2701 S Minnesota Avenue Suite 2Sioux FallsSD57105460442628Air TransportationSDN/ACYes (1)
Sanford Affiliated Services Inc
300 N 7th StreetBismarckND58501450403146Investment ActivityNDN/ACYes (1)
Sanford World Clinics - Ghana
HealthcareN/ACYes (1)Sarbah Road Tantri Lorry StationCape CoastGHGH
Shanghai Sanford Healthcare Management Consulting Co Ltd
HealthcareN/ACYes (1)188 Yesheng Road Room A-862 GuomaShanghaiCHCH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd