Sanford Medical Center Wheaton: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- Sanford Medical Center Wheaton (EIN 27-2042143)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-09
- IRS object ID
- 201421299349300147
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-09T10:03:28-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861065772 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 South Sixth Street Suite 2800 | AddressLine1 |
| City | Minneapolis | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 272042143 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sanford Medical Center Wheaton | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SANF | NameControl |
| Phone | 7012342000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 12th Street N | AddressLine1 |
| City | Wheaton | City |
| State | MN | State |
| ZIP Code | 56296 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JoAnn Kunkel | Name |
| Title | Chief Financial Officer | Title |
| Phone | 6053331000 | Phone |
| Date Signed | 2014-05-09 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kristina Rasmussen | Name |
| PTIN | P00143920 | PTIN |
| Phone | 6123974000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Kelby Krabbenhoft | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1305 W 18th St PO Box 5039 | AddressLine1 |
| City | Sioux Falls | City |
| State | SD | State |
| ZIP Code | 57117 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 7598332 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.sanfordhealth.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2009 | YearFormation |
| State Legal Domicile | MN | StateLegalDomicile |
| Activity Or Mission Description | "Dedicated to the Work of Health and Healing" | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 80 | TotalNbrEmployees |
| Total Nbr Volunteers | 5 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26567 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 11825 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 6734836 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 7463251 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 36588 | InvestmentIncomePriorYear |
| Investment Income Current Year | 116207 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 12700 | OtherRevenuePriorYear |
| Other Revenue Current Year | 7049 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 6810691 | TotalRevenuePriorYear |
| Total Revenue Current Year | 7598332 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2150 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 650 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3374409 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3579384 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3173500 | OtherExpensePriorYear |
| Other Expenses Current Year | 4263362 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6550059 | TotalExpensesPriorYear |
| Total Expenses Current Year | 7843396 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 260632 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -245064 | RevenuesLessExpensesCY |
| Total Assets BOY | 10021960 | TotalAssetsBOY |
| Total Assets EOY | 6677469 | TotalAssetsEOY |
| Total Liabilities BOY | 297088 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 458164 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9724872 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6219305 | NetAssetsOrFundBalancesEOY |
| Mission Description | Our mission "Dedicated to the Work of Health and Healing" and our vision "Improving the Human Condition through Exceptional Care, Innovation and Discover", is the constant force that drives our plans, decisions and actions. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 6211334 | Expense |
| Grants | 650 | Grants |
| Revenue | 7463251 | Revenue |
| Description | Sanford Medical Center Wheaton is a 15-bed acute care hospital and attached clinic that provides inpatient and outpatient services to individuals residing in the Wheaton, Minnesota area. Services are provided regardless of an individual's ability to pay. The hospital conducts and provides space for community health education and various support groups, as well as contributes to other non-profits in the community. | Description |
| Total Program Service Expense | 6211334 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 80 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | MN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JoAnn Kunkel CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6053331000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1305 West 18th Street | AddressLine1 |
| City | Sioux Falls | City |
| State | SD | State |
| ZIP Code | 57117 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Barb Everist | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Barbara Stork | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Barry Martin thru Nov 12 | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Brent Teiken | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Christopher Meeker MD | |||||||||
| Trustee | 0.10 | 59.90 | X | 0 | 213821 | 31035 | |||
| David Beito | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Don Morton | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Jerome Feder | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Jim Entenman | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Lauris Molbert | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Mark Paulson MD | |||||||||
| Trustee | 0.10 | 59.90 | X | 0 | 248496 | 32936 | |||
| Mikal Claar thru Nov 12 | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Patrick Durick | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Richard Hardie MD | |||||||||
| Trustee | 0.10 | 59.90 | X | 0 | 747423 | 33818 | |||
| Ronald Moquist | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Thomas Hruby | |||||||||
| Trustee | 0.10 | 5.30 | X | 0 | 0 | 0 | |||
| Kelby K Krabbenhoft | |||||||||
| Sanford Health President & CEO | 0.10 | 59.90 | X | 0 | 1539421 | 22054 | X | ||
| Kelby K Krabbenhoft Deferred Comp | |||||||||
| Sanford Health President & CEO | 0.10 | 59.90 | X | 0 | 0 | 589623 | X | ||
| JoAnn L Kunkel | |||||||||
| Chief Financial Officer Corp | 0.10 | 59.90 | 0 | 438048 | 33700 | X | |||
| Lisa Carlson thru Oct 12 | |||||||||
| Chief Financial Officer Corp | 0.10 | 59.90 | 0 | 644186 | 31847 | X | |||
| Bruce D Viessman | |||||||||
| CFO - Sanford Health Network | 5.00 | 55.00 | 0 | 221109 | 34070 | X | |||
| Leslie Wietstock | |||||||||
| CFO - Sanford Health Network North | 10.00 | 50.00 | 0 | 189051 | 21182 | X | |||
| Edmond L Weiland | |||||||||
| President - Sanford Health Network | 5.00 | 55.00 | 0 | 464084 | 34678 | X | |||
| Richard Giesel | |||||||||
| President - Sanford Health Network North | 5.00 | 55.00 | 0 | 426574 | 27104 | X | |||
| JoAnn Foltz | |||||||||
| CEO - Sanford Medical Center Wheaton | 60.00 | 0.00 | 129070 | 0 | 7505 | X | |||
| Michelle Rinke | |||||||||
| Nurse Practitioner | 40.00 | 0.00 | 137880 | 0 | 26476 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 266950 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 5132213 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 926028 | TotalOtherCompensation |
| Number Individuals GT100 K | 2 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 11825 | GovernmentGrants |
| Total Contributions | 11825 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Medicare/Medicaid | 621400 | 4054377 | 4054377 | |
| Patient services | 621400 | 3226207 | 3226207 | |
| Other Program Revenue | 900099 | 170251 | 170251 | |
| Cafeteria Revenue | 722514 | 12416 | $12,416 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 7463251 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 116207 | TotalRevenueColumn |
| Exclusion | $116,207 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7049 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 7049 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7049 | TotalRevenueColumn |
| Exclusion | $7,049 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7598332 | TotalRevenueColumn |
| Related Or Exempt Function Income | 7450835 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $135,672 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 650 | Total |
| Program Services | 650 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2731923 | Total |
| Program Services | 2532408 | ProgramServices |
| Management And General | 199515 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123143 | Total |
| Program Services | 113926 | ProgramServices |
| Management And General | 9217 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 477093 | Total |
| Program Services | 424076 | ProgramServices |
| Management And General | 53017 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 247225 | Total |
| Program Services | 180907 | ProgramServices |
| Management And General | 66318 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 861 | Total |
| Management And General | 861 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 897789 | Total |
| Program Services | 868764 | ProgramServices |
| Management And General | 29025 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2656 | Total |
| Management And General | 2656 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158386 | Total |
| Program Services | 142848 | ProgramServices |
| Management And General | 15538 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253937 | Total |
| Program Services | 253937 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26011 | Total |
| Program Services | 20794 | ProgramServices |
| Management And General | 5217 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12100 | Total |
| Program Services | 11113 | ProgramServices |
| Management And General | 987 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 529575 | Total |
| Program Services | 480926 | ProgramServices |
| Management And General | 48649 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15612 | Total |
| Management And General | 15612 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Intercompany Purchases | 1381372 | 366427 | 1014945 |
| Medical Supplies | 716075 | 716075 | |
| Bad Debt | 138611 | 75822 | 62789 |
| Miscellaneous | 130377 | 22661 | 107716 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7843396 | Total |
| Program Services | 6211334 | ProgramServices |
| Management And General | 1632062 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 188017 | BOY |
| EOY | 318883 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2517829 | BOY |
| EOY | 1325511 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3176837 | BOY |
| EOY | 1210345 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 185957 | BOY |
| EOY | 141005 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 35245 | BOY |
| EOY | 25278 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9338123 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5909794 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3664674 | BOY |
| EOY | 3428329 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 253401 | BOY |
| EOY | 228118 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10021960 | BOY |
| EOY | 6677469 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 297088 | BOY |
| EOY | 458164 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 297088 | BOY |
| EOY | 458164 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9724872 | BOY |
| EOY | 6219305 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9724872 | BOY |
| EOY | 6219305 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10021960 | BOY |
| EOY | 6677469 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -245064 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -3260503 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $861 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 861 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | The filing organization has a membership in the American Hospital Association and Minnesota Hospital Association. A percentage of membership dues paid to these organizations relate to lobbying expenses. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 71330 | OtherCostOrOtherBasis |
| Book Value | 71330 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7294894 | OtherCostOrOtherBasis |
| Depreciation | 4325978 | Depreciation |
| Book Value | 2968916 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1711777 | OtherCostOrOtherBasis |
| Depreciation | 1379349 | Depreciation |
| Book Value | 332428 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 260122 | OtherCostOrOtherBasis |
| Depreciation | 204467 | Depreciation |
| Book Value | 55655 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3428329 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Uncertain Tax Positions Under FIN 48: | Identifier |
| Return Reference | Part X, Line 2: | ReturnReference |
| Explanation | Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination. The deferred income tax provision or benefit generally reflects the net change in deferred income tax assets and liabilities during the year. The current income tax provision reflects the tax consequences of revenue and expenses currently taxable or deductible on various income tax returns for the year reported. Sanford Medical Center Wheaton did not have a material income tax liability at June 30, 2013; some related organizations have established reserves. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 225.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 375.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35092 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 35092 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 792913 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 330956 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 461957 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06000 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 828005 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 330956 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 497049 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06460 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13466 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13466 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1609 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1609 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31680 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 31680 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14966 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14966 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61721 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 61721 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00790 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 889726 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 330956 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 558770 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07250 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 165 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 165 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5310 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 5310 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5475 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5475 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $125,736 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 3723421 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3636511 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 86910 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sanford Medical Center Wheaton | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 401 12th Street N | AddressLine1 |
| City | Wheaton | City |
| State | MN | State |
| ZIP Code | 56296 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sanford Medical Center Wheaton | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Other | X | Other |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 225.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 375.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Other Factors | X | OtherFactors |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (19 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| Part I, Line 3c: Sanford's charity care policy provides discounted and free services to patients who lack the resources to be fully responsible for the healthcare they receive. The Community Care 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 Community Care 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. In addition, an automatic discount is provided to any patient who is determined to not have insurance of any type. 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 225% 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. | |
| Part I, Line 6a: Community benefit reporting is voluntary in Minnesota. | |
| Part I, Line 7: A cost-to-charge ratio is used to calculate the amounts on Line 7a - 7c (Charity Care, Medicaid Shortfall and Other Means-Tested Government Programs). The amounts for Lines 7e - 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. | |
| Part I, L7 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 $138,611.Part III, Line 3: Bad debt expense at cost is determined using the same methodology that is used to calculate Charity Care and Medicaid Shortfall. Discounts and allowances are accounted for separately from Bad Debt Expense. | |
| 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). Bad debt expense at cost is determined using the same methodology that is used to calculate Charity Care and Medicaid Shortfall. Discounts and allowances are accounted for separately from Bad debt expense.It is Sanford's policy to make charity care available to patients who fit the charity care 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 charity care patients do not progress to bad debt. For this reason, a dollar amount for bad debt is not included. | |
| 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 Medical Center Wheaton incurred were included on the Medicare cost report; this would show a shortfall of approximately $140,521. 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 they were 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 guidelines 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, commerical 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. | |
| 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. | 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 | 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 | Sanford Medical Center Wheaton |
| Part V, Section B, Line 5c: Sanford Medical Center Wheaton invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included. | 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. | Sanford Medical Center Wheaton |
| Part V, Section B, Line 12h: 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. | 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 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 | Sanford Medical Center Wheaton |
| Part VI, Line 2: Sanford has a well-established connection with their communities and as a result is a committed community partner that can mobilize its resources to improve community health. For decades, an ongoing informal community health care needs assessment occurs through participation in and/or leadership roles with community task forces, schools, government entities, social service agencies, churches and other community organizations. It is through these interactions and participation that Sanford identifies or is apprised of health care needs. The response to these needs includes but is not limited to, financial support, educational efforts to reduce or avoid risky behaviors, screenings and health risk assessments, vaccination programs, loaned management expertise, as well as wellness programs and initiatives. These activities servce to improve the health of the communities and fulfills Sanford's mission. | |
| 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 upon request. The signage is made available in English and Spanish. Financial Assistance application is available in English or Spanish upon request.All healthcare workers who identify patients with financial need are encourage 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. | |
| Part VI, Line 4: Sanford Medical Center Wheaton - Wheaton, MinnesotaWheaton is located in Traverse County, Minnesota on the border where Minnesota, North Dakota and South Dakota all meet. Based on 2010 US Census data, Wheaton has a population of 1,424. The median age in the city was 49.5 years old. 20.4% of residents were under the age of 18; 5.3% were between the ages of 18 and 24; 18.5% were from 25 to 44; 24.3% were from 45 to 64; and 31.5% were 65 years of age or older. The average household income is $40,806. | |
| 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 11 volunteer community members, three 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 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 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Christopher Meeker MD | ||||||||||||||
| Trustee | 0 | 213821 | 0 | 0 | 0 | 0 | 0 | 8842 | 0 | 22193 | 0 | 244856 | 0 | 0 |
| Mark Paulson MD | ||||||||||||||
| Trustee | 0 | 200747 | 0 | 0 | 0 | 47749 | 0 | 12500 | 0 | 20436 | 0 | 281432 | 0 | 0 |
| Richard Hardie MD | ||||||||||||||
| Trustee | 0 | 743706 | 0 | 0 | 0 | 3717 | 0 | 15000 | 0 | 18818 | 0 | 781241 | 0 | 0 |
| Kelby K Krabbenhoft | ||||||||||||||
| Sanford Health President & CEO | 0 | 941885 | 0 | 332500 | 0 | 265036 | 0 | 0 | 0 | 22054 | 0 | 1561475 | 0 | 0 |
| Kelby K Krabbenhoft Deferred Comp | ||||||||||||||
| Sanford Health President & CEO | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 589623 | 0 | 0 | 0 | 589623 | 0 | 0 |
| JoAnn L Kunkel | ||||||||||||||
| Chief Financial Officer Corp | 0 | 321232 | 0 | 80000 | 0 | 36816 | 0 | 14146 | 0 | 19554 | 0 | 471748 | 0 | 0 |
| Lisa Carlson thru Oct 12 | ||||||||||||||
| Chief Financial Officer Corp | 0 | 434253 | 0 | 129600 | 0 | 80333 | 0 | 12500 | 0 | 19347 | 0 | 676033 | 0 | 0 |
| Bruce D Viessman | ||||||||||||||
| CFO - Sanford Health Network | 0 | 200971 | 0 | 300 | 0 | 19838 | 0 | 12076 | 0 | 21994 | 0 | 255179 | 0 | 0 |
| Leslie Wietstock | ||||||||||||||
| CFO - Sanford Health Network North | 0 | 168431 | 0 | 300 | 0 | 20320 | 0 | 8455 | 0 | 12727 | 0 | 210233 | 0 | 0 |
| Edmond L Weiland | ||||||||||||||
| President - Sanford Health Network | 0 | 327462 | 0 | 82500 | 0 | 54122 | 0 | 15000 | 0 | 19678 | 0 | 498762 | 0 | 0 |
| Richard Giesel | ||||||||||||||
| President - Sanford Health Network N | 0 | 299790 | 0 | 74688 | 0 | 52096 | 0 | 12500 | 0 | 14604 | 0 | 453678 | 0 | 0 |
| Michelle Rinke | ||||||||||||||
| Nurse Practitioner | 101888 | 0 | 300 | 0 | 35692 | 0 | 5370 | 0 | 21106 | 0 | 164356 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 1a | On Part I, Questions Regarding Compensation, Sanford, a related organization, checked several of the items as provided to listed persons. | |
| Part I, Line 3 | The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm to annually 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 2013. | |
| Part I, Line 4b | In addition to employer contributions to pension plans, amounts representing increases and decreases in actuarial value (actuarial value factors include age, tenure and salary) of defined contribution and defined benefit SERP Plans are included in Column C. Participants and changes in values include: Kelby Krabbenhoft $433,820 Part I, Line 6: Sanford physicians are compensated based on 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. | |
| Part III | 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 $1,539,421 is comprised of Base Salary of $941,885, Incentive Compensation of $332,500 and Other Taxable Earnings of $265,036. In addition, an amount of $589,623 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. | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (11 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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: Christopher Meeker Mark Paulson Richard Hardie Kelby Krabbenhoft JoAnn Kunkel Lisa Carlson Leslie Wietstock Bruce Viessman Richard Giesel | |
| Form 990, Part VI, Section A, line 6 | Sanford Health Network North is the sole member of the organization. | |
| Form 990, Part VI, Section A, line 7a | Board members are members of the Board of Governors of Sanford Health Network North. | |
| Form 990, Part VI, Section A, line 7b | Sanford Health Network North, as sole member, reviews the actions of Sanford Medical Center Wheaton. | |
| 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 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 15 | The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm to annually 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 2013. Additionally, Sanford periodically engages an independent compensation consultant to review and issue a report regarding the reasonableness of the total compensation arrangements of all physicians employed by the organization. The most recent study of the physician total compensation was completed in 2009. | |
| 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. | |
| Sanford Board of Trustees has ultimate governance responsibilities for each entity within the Sanford system. In addition, a Board of Directors is established for each entity, which has specific delegated responsibilities from the Board of Trustees related to the oversight of day to day operations of that entity. | Form 990, Part VII | |
| Form 990, Part IX, line 11g | Consulting Services: Program service expenses 0. Management and general expenses 26,268. Fundraising expenses 0. Total expenses 26,268. Service Contracts: Program service expenses 708,275. Management and general expenses 550. Fundraising expenses 0. Total expenses 708,825. Outside Medical Services: Program service expenses 130,066. Management and general expenses 0. Fundraising expenses 0. Total expenses 130,066. Collection Agency: Program service expenses 2,327. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,327. Other Purchased Services: Program service expenses 28,096. Management and general expenses 2,207. Fundraising expenses 0. Total expenses 30,303. | Other Fees |
| Form 990, Part XI, line 9: | Transfer from related tax-exempt org for payroll and operating expenses -3,260,503. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| Sanford | ||||||||||
| 801 Broadway Drive | Fargo | ND | 58122 | 271218956 | Supporting Organization | ND | 501(c)(3) | 11-II | 0 | |
| Sanford Health | ||||||||||
| 1305 West 18th Street | Sioux Falls | SD | 57117 | 311527032 | Supporting Organization | SD | 501(c)(3) | 11-II | 1 | Sanford |
| Sanford USD Medical Center | ||||||||||
| 1305 West 18th Street PO Box 5039 | Sioux Falls | SD | 571175039 | 460227855 | Hospital | SD | 501(c)(3) | 3 | 1 | Sanford Health |
| Sanford Health Foundation | ||||||||||
| 1305 West 18th Street | Sioux Falls | SD | 57117 | 363297853 | Supporting Organization | SD | 501(c)(3) | 11-II | 1 | Sanford Health |
| Edith Sanford Breast Cancer Foundation | ||||||||||
| 2301 60th Street N | Sioux Falls | SD | 57104 | 450404126 | Foundation | ND | 501(c)(3) | 11-II | 1 | Sanford Health |
| Sanford Clinic | ||||||||||
| 1305 West 18th Street PO Box 5039 | Sioux Falls | SD | 571175039 | 460447693 | Clinical Services | SD | 501(c)(3) | 3 | 1 | Sanford Health |
| Sanford Home Health | ||||||||||
| 1305 West 18th Street PO Box 5039 | Sioux Falls | SD | 571175039 | 460282134 | Home Health Services | SD | 501(c)(3) | 9 | 1 | Sanford Health |
| Sanford Health Network | ||||||||||
| 1305 West 18th Street PO Box 5039 | Sioux Falls | SD | 571175039 | 460388596 | Hospitals/Clinics | SD | 501(c)(3) | 3 | 1 | Sanford Health |
| Sanford ResearchUSD | ||||||||||
| 1305 West 18th Street PO Box 5039 | Sioux Falls | SD | 571175039 | 460450378 | Research | SD | 501(c)(3) | 3 | 1 | Sanford Health |
| Sanford World Clinics | ||||||||||
| 1305 West 18th Street | Sioux Falls | SD | 57117 | 262707628 | Healthcare | SD | 501(c)(3) | 3 | 1 | Sanford Health |
| Sanford North | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 450385890 | Supporting Organization | ND | 501(c)(3) | 11-II | 1 | Sanford |
| Sanford Medical Center Fargo | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 450226909 | Hospital | ND | 501(c)(3) | 3 | 1 | Sanford North |
| FM Ambulance Service Inc | ||||||||||
| 2215 18th St South | Fargo | ND | 58103 | 450344371 | EMT | ND | 501(c)(4) | 1 | Sanford North | |
| Sanford Health Foundation North | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 450398104 | Fundraising | ND | 501(c)(3) | 7 | 1 | Sanford North |
| Sanford Clinic North | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 911770748 | Clinics | ND | 501(c)(3) | 9 | 1 | Sanford North |
| Sanford Health Network North | ||||||||||
| PO Box 2010 | Fargo | ND | 58122 | 450409348 | Hospitals/Clinics | ND | 501(c)(3) | 11-II | 1 | Sanford North |
| Sanford Hillsboro | ||||||||||
| PO Box 609 | Hillsboro | ND | 58045 | 450230400 | Hospital | ND | 501(c)(3) | 3 | 1 | Sanford Health Network North |
| Sanford Health Foundation Hillsboro | ||||||||||
| PO Box 609 | Hillsboro | ND | 58045 | 363542187 | Fundraising | ND | 501(c)(3) | 7 | 1 | Sanford Hillsboro |
| Sanford Medical Center Mayville | ||||||||||
| 42 6th Ave SE | Mayville | ND | 58257 | 450228899 | Hospital | ND | 501(c)(3) | 3 | 1 | Sanford Health Network North |
| Sanford Medical Center Thief River Falls | ||||||||||
| 120 Labree Ave S | Thief River Falls | MN | 56701 | 410709579 | Hospital | MN | 501(c)(3) | 3 | 1 | Sanford Health Network North |
| MeritCare Minnesota | ||||||||||
| 1720 South Highway 59 | Thief River Falls | MN | 56701 | 261530302 | Promotion of health | MN | 501(c)(3) | 3 | 1 | Sanford North |
| Sanford Health of Northern Minnesota | ||||||||||
| 1300 Anne St NW | Bemidji | MN | 56601 | 411266009 | Hospital | MN | 501(c)(3) | 3 | 1 | Sanford North |
| Sanford Health Foundation of Northern Minnesota | ||||||||||
| 1300 Anne St NW | Bemidji | MN | 56601 | 411389317 | Fundraising - Support | MN | 501(c)(3) | 11-II | 1 | Sanford Health of Northern Minnesota |
| Baker Park Inc | ||||||||||
| 803 Dewey Ave NW | Bemidji | MN | 56601 | 411372480 | Low Income Senior Housing | MN | 501(c)(3) | 9 | 1 | Sanford Health of Northern Minnesota |
| North Country Medical Clinic | ||||||||||
| 1300 Anne St NW | Bemidji | MN | 56601 | 411753855 | Family Practice Medical Clinic | MN | 501(c)(3) | 3 | 1 | Sanford Health of Northern Minnesota |
| Sanford West | ||||||||||
| 300 North 7th Street | Bismarck | ND | 58501 | 450397195 | Supporting Organization | ND | 501(c)(3) | 11-II | 1 | Sanford |
| Sanford Bismarck | ||||||||||
| 300 North 7th Street | Bismarck | ND | 58501 | 450226700 | Hospital | ND | 501(c)(3) | 3 | 1 | Sanford West |
| Sanford Living Centers | ||||||||||
| 1000 18th Street NW Suite 1 | Bismarck | ND | 58554 | 450416454 | Long-term Care Facility | ND | 501(c)(3) | 9 | 1 | Sanford Bismarck |
| Sanford West Foundation | ||||||||||
| 300 North 7th Street | Bismarck | ND | 58501 | 450397196 | Fundraising | ND | 501(c)(3) | 7 | 1 | Sanford Bismarck |
| Medcenter One Inc Auxiliary | ||||||||||
| 300 North 7th Street | Bismarck | ND | 58501 | 237293043 | Supporting Organization | ND | 501(c)(3) | 11-I | 1 | Sanford Bismarck |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|
| National Student Housing-South Dakota LLC | |||||||
| 100 S Phillips Ave | Sioux Falls | SD | 57104 | 202129839 | Investment | SD | N/A |
| RAC Rentals LLC | |||||||
| 100 S Phillips Ave | Sioux Falls | SD | 57104 | 261961077 | Investment | SD | N/A |
| Shetek Medical Services LLC | |||||||
| 251 5th Street East | Tracy | MN | 56175 | 412004685 | Home Health Services | MN | N/A |
| Southwest MN Radiation Center LLC | |||||||
| 1018 6th Avenue | Worthington | MN | 56187 | 460447693 | Radiation Services | MN | N/A |
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Sanford Home Medical Equipment Inc | |||||||||||||
| 2710 W 12th Street | Sioux Falls | SD | 57105 | 460388597 | Healthcare Equipment | SD | N/A | C | 1 | ||||
| Sanford Health Plan | |||||||||||||
| 300 Cherapa Place | Sioux Falls | SD | 57103 | 911842494 | Insurance | SD | N/A | C | 1 | ||||
| Sanford Health Plan of MN | |||||||||||||
| 300 Cherapa Place | Sioux Falls | SD | 57103 | 460445852 | Insurance | MN | N/A | C | 1 | ||||
| Bemidji Medical Equipment Inc | |||||||||||||
| 1300 Anne Street NW | Bemidji | MN | 56601 | 411551725 | Retail Sales of DME | MN | N/A | C | 1 | ||||
| North Country Management Inc | |||||||||||||
| 1300 Anne Street NW | Bemidji | MN | 56601 | 411820025 | Management Services | MN | N/A | C | 1 | ||||
| Sanford Frontiers | |||||||||||||
| 1305 W 18th Street PO Box 5039 | Sioux Falls | SD | 571175039 | 455436599 | Weight Loss Management | SD | N/A | C | 1 | ||||
| SOB Inc | |||||||||||||
| 2701 S Minnesota Avenue Suite 2 | Sioux Falls | SD | 57105 | 460442628 | Air Transportation | SD | N/A | C | 1 | ||||
| Sanford Affiliated Services Inc | |||||||||||||
| 300 N 7th Street | Bismarck | ND | 58501 | 450403146 | Investment Activity | ND | N/A | C | 1 | ||||
| Sanford World Clinics - Ghana | |||||||||||||
| Healthcare | N/A | C | 1 | Sarbah Road Tantri Lorry Station | Cape Coast | GH | GH | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Sanford Clinic North | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | O | TransactionType |
| Amount Involved | 301145 | AmountInvolved |
| Method Of Amt Determination | Cost | MethodOfAmtDetermination |