SANFORD: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: SANFORD (EIN 45-3791176)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-05-09
IRS object ID: 201421299349301137
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule L
Schedule M
Schedule N
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-05-09T09:51:46-05:00	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	453791176	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Sanford Group Return	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SANF	NameControl
Phone	6053331000	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 Broadway N	AddressLine1
City	Fargo	City
State	ND	State
ZIP Code	58122	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	571175039	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	3413720012	GrossReceipts
Group Return For Affiliates	1	GroupReturnForAffiliates
All Affiliates Included	1	AllAffiliatesIncluded
Group Exemption Number	5851	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.sanfordhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
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	30952	TotalNbrEmployees
Total Nbr Volunteers	2748	TotalNbrVolunteers
Total Gross UBI	26109576	TotalGrossUBI
Net Unrelated Business Txbl Income	-2738376	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	60213618	ContributionsGrantsPriorYear
Contributions Grants Current Year	68966991	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2956666633	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3329759934	ProgramServiceRevenueCY
Investment Income Prior Year	4105267	InvestmentIncomePriorYear
Investment Income Current Year	4594569	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2400849	OtherRevenuePriorYear
Other Revenue Current Year	2051596	OtherRevenueCurrentYear
Total Revenue Prior Year	3023386367	TotalRevenuePriorYear
Total Revenue Current Year	3405373090	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	18988333	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	19010601	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1559603977	SalariesEtcPriorYear
Salaries Etc Current Year	1829378640	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	130395	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1362927449	OtherExpensePriorYear
Other Expenses Current Year	1514004375	OtherExpensesCurrentYear
Total Expenses Prior Year	2941519759	TotalExpensesPriorYear
Total Expenses Current Year	3362393616	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	81866608	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	42979474	RevenuesLessExpensesCY
Total Assets BOY	2129300861	TotalAssetsBOY
Total Assets EOY	2311855171	TotalAssetsEOY
Total Liabilities BOY	1171847971	TotalLiabilitiesBOY
Total Liabilities EOY	1233964385	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	957452890	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1077890786	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Part of the Sanford Health System, Sanford is committed to the healthcare needs of communities throughout South Dakota, North Dakota, Minnesota and Iowa. Sanford provides a full range of primary and specialty health care services.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2840430011	Expense
Grants	19009101	Grants
Revenue	3326970820	Revenue
Description	Sanford is the nation's largest not-for-profit integrated rural health system providing medical services at every level from critical access hospitals to tertiary and quaternary care. The Sanford footprint includes over 220,000 square miles with a nine state service area including a network of children's primary care clinic locations across the country and the world. Sanford operates full-time emergency centers and provides emergency care to everyone regardless of their ability to pay. Sanford facilities and clinics provide services to remote and medically underserved areas that would otherwise not have access to even primary care services. Sanford financially supports health and wellness, education and community development activities to improve the quality of life and strengthen communities throughout the region. Each of Sanford's facilities promotes health and healing that responds to the unique needs of the patients in the communities that Sanford serves, ensuring access to comprehensive and specialized services. A recently completed and published community health needs assessment indicated the important need for behavioral health services for our community members. Sanford is meeting this need through an integrated delivery system providing behavioral health within the medical home structure.Please see Schedule H for a description of additional services, community benefit activities, and the full spectrum of charity care that Sanford provides within the community.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	6281978	Expense
Description	Medical education is an important service for Sanford. Sanford provides the medical community with high quality educational and professional development that is evidence and research based; accredited for physicians, nurses, pharmacists, and Allied Health Professionals and scientists; inclusive of cultural diversity and addresses the need for specialty training.Sanford is dedicated to preparing health care professionals for the future. The Sanford PROMISE program connects students, educators and communities with science and research in health care at a secondary education age. Sanford works in partnership with the University of South Dakota - Sanford School of Medicine, and the University of North Dakota - School of Medicine to provide rotations for medical students, residencies and fellowships. Sanford works in partnership with an extensive group of higher learning organizations to provide student training and learning opportunities in many venues across our region.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	27967031	Expense
Grants	1500	Grants
Revenue	2096148	Revenue
Description	Sanford Research is a non-profit health research organization and is composed of several research centers, including: Children's Health including sites in Sioux Falls, South Dakota and the Sanford-Burnham Medical Research Institute in La Jolla, California; The Sanford Project which is specifically focused on the identification of a cure for type 1 diabetes; Health Outcomes & Prevention focusing on suddent infant death syndrome and birth-related disorders at study sites including United States Native American Reservations and South Africa; Genomic & Molecular Medicine with an emphasis on cancer and cardiovascular genomics and molecular biology; Edith Sanford Breast Cancer focusing on advanced molecular research and personalized treatment; Clinical Research including participation in drug and devise studies, the National Cancer Institute Community Clinical Oncology Program and the National Community Cancer Center Pilot Project; and Sanford Applied Biosciences which utilizes an innovative transchromosomic bovine model to produce antibodies against infectious diseases and cancer antigens.Sanford Research offers exciting challenges for researchers both in well-established projects and ever expanding research opportunities. Sanford offers opportunities to participate in clinical trials and to be a part of the changing face of medicine.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	2874679020	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	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	1	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	1	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	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	1	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	1	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	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
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	2226	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	30952	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BH	NameOfForeignCountry
Name Of Foreign Country	GH	NameOfForeignCountry
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
Excess Business Holdings	0	ExcessBusinessHoldings
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	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
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	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CA	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	801 Broadway N	AddressLine1
City	Fargo	City
State	ND	State
ZIP Code	58122	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (81 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	FormerFormer
Barb Everist
Trustee	2.00	3.40	X	0	0	0
Barbara Stork
Trustee	2.00	3.40	X	0	0	0
Barry Martin thru Nov 12
Trustee	2.00	3.40	X	0	0	0
Brent Teiken
Trustee	2.00	3.40	X	0	0	0
Christopher Meeker MD
Trustee	56.60	3.40	X	213821	0	31035
David Beito
Trustee	2.00	3.40	X	0	0	0
Don Morton
Trustee	2.00	3.40	X	0	0	0
Jerome Feder
Trustee	2.00	3.40	X	0	0	0
Jim Entenman
Trustee	2.00	3.40	X	0	0	0
Lauris Molbert
Trustee	2.00	3.40	X	0	0	0
Mark Paulson MD
Trustee	56.60	3.40	X	248496	0	32936
Mikal Claar thru Nov 12
Trustee	2.00	3.40	X	0	0	0
Patrick Durick
Trustee	2.00	3.40	X	0	0	0
Richard Hardie MD
Trustee	56.60	3.40	X	747423	0	33818
Ronald Moquist
Trustee	2.00	3.40	X	0	0	0
Thomas Hruby
Trustee	2.00	3.40	X	0	0	0
Kelby K Krabbenhoft
Sanford Health President & CEO	5.00	55.00	X	1539421	0	22054	X
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO	5.00	55.00	X	0	0	589623	X
JoAnn L Kunkel
Chief Financial Officer Corp	23.00	37.00		438048	0	33700	X
Lisa Carlson thru Oct 12
Chief Financial Officer Corp	23.00	37.00		644186	0	31847	X
Paul Richard
Chief Legal Officer (thru Feb 13)	60.00	0.00		562394	0	33175	X
Kim Patrick
Chief Legal Officer	60.00	0.00		487673	0	104332	X
Rebecca Nelson
Senior Vice President & COO - HSD	60.00	0.00		977692	0	16570	X
Rebecca Nelson Deferred Comp
Senior Vice President & COO - HSD	60.00	0.00		0	0	117277	X
Bill Marlette
Treasurer	60.00	0.00		658705	0	1755	X
Bill Marlette Deferred Comp
Treasurer	60.00	0.00		0	0	142487	X
David Link
Executive Vice President - D&R	60.00	0.00		821482	0	24455	X
David Link Deferred Comp
Executive Vice President - D&R	60.00	0.00		0	0	148495	X
D Evan Burkett
Chief Human Capital Officer	60.00	0.00		482624	0	36458	X
Arlyn Broekhuis
Vice President & CIO	60.00	0.00		475034	0	34554		X
Bradley J Schipper
COO - Sanford Health Network	60.00	0.00		269343	0	35037		X
Bruce D Viessman
CFO - Sanford Health Network	50.00	10.00		221109	0	34070		X
Bruce Pitts MD
Chief Medical Officer	60.00	0.00		728120	0	26619		X
Bryan J Nermoe
COO - Sanford Clinic	60.00	0.00		280544	0	33710		X
Cecily Tucker
CFO - D&R (thru Nov 12)	60.00	0.00		297001	0	36622		X
Charles P O'Brien
President - SMC	60.00	0.00		612355	0	23414		X
Charles P O'Brien Deferred Comp
President - SMC	60.00	0.00		0	0	55820		X
Craig Boyer
CFO - Bemidji	55.00	5.00		270486	0	31886		X
Craig Lambrecht
President - Sanford Bismarck	55.00	5.00		841203	0	32444		X
Daniel Olson
COO - Bemidji Clinic	60.00	0.00		206845	0	28620		X
Daniel W Blue
President - Sanford Clinic	60.00	0.00		603960	0	142617		X
Dennis Millirons
President - Sanford Medical Center Fargo	55.00	5.00		638119	0	18006		X
Diana Berkland
Chief Nurse Executive - SMC	60.00	0.00		294382	0	1547		X
Diana Berkland Deferred Comp
Chief Nurse Executive - SMC	60.00	0.00		0	0	86197		X
Douglas Okland
CFO - Sanford Clinic North	60.00	0.00		252804	0	16532		X
Edmond L Weiland
President - Sanford Health Network	50.00	10.00		464084	0	34678		X
Ellen Cooke
COO - Sanford Clinic North	60.00	0.00		295926	0	21273		X
Gordon A Larson
CEO - Aberdeen	60.00	0.00		224800	0	32004		X
H Eugene Hoyme
President - Sanford Research	60.00	0.00		578266	0	34540		X
Jac M McTaggart
CEO - Sanford Hillsboro	55.00	5.00		150066	0	18709		X
Jeff D Sandene
COO - Health Services North Division	60.00	0.00		438596	0	34047		X
Joy Johnson
COO - Bemidji	60.00	0.00		282031	0	27544		X
Karen Tobin
COO - Sanford Medical Center Fargo	55.00	5.00		223071	0	19379		X
Leslie Wietstock
CFO - Sanford Health Network North	45.00	15.00		189051	0	21182		X
Linda O'Halloran
COO - SMC Fargo (thru Mar 13)	55.00	5.00		398522	0	18344		X
Mary Ruyter
CEO - Jackson	60.00	0.00		151000	0	25081		X
Merrilee Schultz
Chief Financial Officer - SMC	60.00	0.00		176428	0	15453		X
Michael E Farritor
COO - Sanford Clinic	60.00	0.00		372921	0	36695		X
Michelle A Bruhn
Chief Financial Officer - HSD	60.00	0.00		259762	0	14022		X
Nate White
COO - Health Services South Division	60.00	0.00		320277	0	25501		X
Paul Hanson
President - Bemidji	55.00	5.00		557571	0	37318		X
Randy Bury
Chief Administrative Officer - SMC	60.00	0.00		373653	0	8714		X
Randy Bury Deferred Comp
Chief Administrative Officer - SMC	60.00	0.00		0	0	14832		X
Richard E Nordahl
CEO - Sheldon	60.00	0.00		218659	0	33252		X
Richard Giesel
President - Sanford Health Network North	50.00	10.00		426574	0	27104		X
Richard Marsden MD
COO - Sanford Clinic North	60.00	0.00		649492	0	28710		X
Robert J Salmon
CEO - Canby & Clear Lake	60.00	0.00		251530	0	9163		X
Robert J Salmon Deferred Comp
CEO - Canby & Clear Lake	60.00	0.00		0	0	114296		X
Shirley Heintz
CNO - Bemidji	60.00	0.00		237052	0	37159		X
Stacy Barstad
CEO - Tracy	60.00	0.00		158293	0	32211		X
Steve W Goetsch
CFO - Sanford Clinic	60.00	0.00		255131	0	30782		X
Tammy K Loosbrock
CEO - Luverne	60.00	0.00		186339	0	31738		X
Tiffany Lawrence
CFO - Sanford Medical Center Fargo	55.00	5.00		254066	0	30544		X
Timothy J Tracy
CEO - Vermillion	60.00	0.00		207183	0	19131		X
William C Brunner
Physician	60.00	0.00		2086091	0	34914			X
Tomasz P Stys
Physician	60.00	0.00		2072004	0	34914			X
Scott Pham
Physician	60.00	0.00		2059776	0	36914			X
Adam T Stys
Physician	60.00	0.00		1918148	0	34914			X
Corey L Teigen
Physician	60.00	0.00		1760546	0	37781			X
Richard G Adcock
Former Executive VP - Sanford Clinic	60.00	0.00		252469	0	37315				X
Christine Harff
CEO TRF Medical Center	60.00	0.00		145619	0	19946				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	32408267	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3107816	TotalOtherCompensation
Number Individuals GT100 K	1999	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Cardinal Health
7000 Cardinal Place	Dublin	OH	43017	Medical Services	88258265
Amerisource Corp
6810 Shady Oak Rd	Eden Prairie	MN	55344	Pharmaceuticals	59270035
Owens & Minor Inc
12199 Collection Ctr Dr	Chicago	IL	60693	Medical Supplies	45172605
Medtronic USA
4642 Collection Ctr Dr	Chicago	IL	60693	Surgery Supplies	22032140
Fiegen Construction Company
3712 S Western Avenue Suite 200	Sioux Falls	SD	57105	Construction	18774689

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	822	NumberOfContractorsGT100K
Fundraising Events	100	FundraisingEvents
Related Organizations	42248000	RelatedOrganizations
Government Grants	20565930	GovernmentGrants
All Other Contributions	6152961	AllOtherContributions
Noncash Contributions	47632	NoncashContributions
Total Contributions	68966991	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Services	621400	1964250943	1964250943
Medicare/Medicaid	621400	885901487	885901487
Purchased Services	541900	299579981	299579981
Meaningful Use	900099	32050000	32050000
Product & Retail Sales	446199	31846558	24386160	7460398

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	116130965	TotalRevenueColumn
Related Or Exempt Function Income	74322370	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	18649178	UnrelatedBusinessRevenue
Exclusion	$23,159,417	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	3329759934	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	3961517	TotalRevenueColumn
Exclusion	$3,961,517	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	4887258	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	3224064	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1663194	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1663194	TotalRevenueColumn
Exclusion	$1,663,194	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	771999	Securities
Other	4348390	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1	Securities
Other	4487336	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	771998	Securities
Other	-138946	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	633052	TotalRevenueColumn
Exclusion	$633,052	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	60193	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	100	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	38540	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	21653	TotalRevenueColumn
Exclusion	$21,653	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	963730	GrossSalesOfInventory
Cost Of Goods Sold	596981	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	366749	TotalRevenueColumn
Exclusion	$366,749	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3405373090	TotalRevenueColumn
Related Or Exempt Function Income	3280490941	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	26109576	UnrelatedBusinessRevenue
Exclusion	$29,805,582	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	19010601	Total
Program Services	19010601	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	26480739	Total
Management And General	26480739	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	340517	Total
Management And General	340517	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1485421805	Total
Program Services	1357444532	ProgramServices
Management And General	127931493	ManagementAndGeneral
Fundraising	45780	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	63777615	Total
Program Services	58076067	ProgramServices
Management And General	5699633	ManagementAndGeneral
Fundraising	1915	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	164018077	Total
Program Services	138112660	ProgramServices
Management And General	25893335	ManagementAndGeneral
Fundraising	12082	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	89339887	Total
Program Services	79588305	ProgramServices
Management And General	9747570	ManagementAndGeneral
Fundraising	4012	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	39229	Total
Management And General	39229	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2484651	Total
Management And General	2484651	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1017983	Total
Program Services	3784	ProgramServices
Management And General	1014199	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	949688	Total
Management And General	949688	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	179635929	Total
Program Services	154151472	ProgramServices
Management And General	25438210	ManagementAndGeneral
Fundraising	46247	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	18155978	Total
Program Services	12427948	ProgramServices
Management And General	5725395	ManagementAndGeneral
Fundraising	2635	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	71881194	Total
Program Services	60224604	ProgramServices
Management And General	11655685	ManagementAndGeneral
Fundraising	905	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	46992520	Total
Program Services	17810410	ProgramServices
Management And General	29182110	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	72302047	Total
Program Services	56800343	ProgramServices
Management And General	15501704	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	13058943	Total
Program Services	10628134	ProgramServices
Management And General	2427027	ManagementAndGeneral
Fundraising	3782	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	6838577	Total
Program Services	5301302	ProgramServices
Management And General	1524259	ManagementAndGeneral
Fundraising	13016	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	31443650	Total
Program Services	24268507	ProgramServices
Management And General	7175143	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	151796169	Total
Program Services	96266181	ProgramServices
Management And General	55529988	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	12121168	Total
Program Services	12121168	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
Medical Supplies	453790302	450894301	2895980	21
Intercompany Purchases	285691742	180644742	105047000
Bad Debt	127334197	114050186	13284011
MinnesotaCare Tax	5284577	5284577

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	33185831	Total
Program Services	21569196	ProgramServices
Management And General	11616635	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3362393616	Total
Program Services	2874679020	ProgramServices
Management And General	487584201	ManagementAndGeneral
Fundraising	130395	Fundraising

Field	Value	IRS element (for citing)
Joint Costs	X	JointCosts

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	27895059	BOY
EOY	58400097	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	58627595	BOY
EOY	45556010	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	490317743	BOY
EOY	529941859	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	274086	BOY
EOY	11664	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	17588183	BOY
EOY	22623609	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	42304593	BOY
EOY	45879726	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	49789098	BOY
EOY	34391700	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	2595216065	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1270639006	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1261691174	BOY
EOY	1324577059	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	39591443	BOY
EOY	106997256	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	47461234	BOY
EOY	44075002	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	55294221	BOY
EOY	64830490	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	38466432	BOY
EOY	34570699	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2129300861	BOY
EOY	2311855171	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	350417728	BOY
EOY	368000576	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	747910	BOY
EOY	205475	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1834498	BOY
EOY	1306895	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	550983269	BOY
EOY	661768840	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	104778339	BOY
EOY	91348555	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	4897276	BOY
EOY	3508515	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	158188951	BOY
EOY	107825529	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1171847971	BOY
EOY	1233964385	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	955435794	BOY
EOY	1077442689	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1668207	BOY
EOY	78142	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	348889	BOY
EOY	369955	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	957452890	BOY
EOY	1077890786	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2129300861	BOY
EOY	2311855171	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	42979474	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	-10176	ReconciliationUnrealizedInvest
Reconcilation Other Changes	77468598	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
General Explanation	Schedule A, Part IV, Supplemental Information: Sanford Health 509(a)(3) Sanford Medical Center 170(b)(1)(A)(iii) Sanford Clinic 170(b)(1)(A)(iii) Sanford Research / USD 170(b)(1)(A)(iii) Sanford Home Health 509(a)(2) Sanford Health Network 170(b)(1)(A)(iii) Sanford World Clinics 170(b)(1)(A)(iii) Sanford North 509(a)(3) Sanford Medical Center Fargo 170(b)(1)(A)(iii) Sanford Clinic North 509(a)(2) Sanford Health Network North 509(a)(3) Sanford Medical Center Thief River Falls 170(b)(1)(A)(iii) Sanford Medical Center Mayville 170(b)(1)(A)(iii) MeritCare Minnesota 170(b)(1)(A)(iii) Sanford Hillsboro 170(b)(1)(A)(iii) Sanford Health of Northern Minnesota 170(b)(1)(A)(iii) Baker Park, Inc. 509(a)(2) Sanford West 509(a)(3) Sanford Bismarck 170(b)(1)(A)(iii) Sanford Living Centers 509(a)(2)	GeneralExplanation
General Explanation	Schedule A, Part IV, Supplemental Information: Detail for Schedule A, Part I Line 11, Column: (i) Sanford Medical Center; (ii) 46-0227855; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 55,010,790 Line 11, Column: (i) Sanford Clinic; (ii) 46-0447693; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 28,180,708 Line 11, Column: (i) Sanford Research / USD; (ii) 46-0450378; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 1,644,145 Line 11, Column: (i) Sanford Home Health; (ii) 46-0282134; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 528,215 Line 11, Column: (i) Sanford Health Network; (ii) 46-0388596; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 21,313,646 Line 11, Column: (i) Sanford Clinic North; (ii) 91-1770748; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 25,928,693 Line 11, Column: (i) Sanford Medical Center Fargo; (ii) 45-0226909; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 68,712,033 Line 11, Column: (i) Sanford Medical Center Thief River Falls; (ii) 41-0709579; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 5,537,999 Line 11, Column: (i) Sanford Medical Center Mayville; (ii) 45-0228899; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 697,329 Line 11, Column: (i) Sanford Medical Center Wheaton; (ii) 27-2042143; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 611,754 Line 11, Column: (i) Sanford Hillsboro; (ii) 45-0230400; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 323,077 Line 11, Column: (i) MeritCare Minnesota; (ii) 26-1530302; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Sanford World Clinics; (ii) 26-2707628; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 375,496 Line 11, Column: (i) Sanford Health of Northern Minnesota; (ii) 41-1266009; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 16,361,781 Line 11, Column: (i) North Country Medical Clinic; (ii) 41-1753855; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Baker Park, Inc.; (ii) 41-1372480; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 52,454 Line 11, Column: (i) Sanford Health Foundation North; (ii) 45-0398104; (iii) 170(b)(1)(A)(vi); (iv) Yes; (v) Yes; (vi) Yes; (vii) 372,193 Line 11, Column: (i) Sanford Bismarck; (ii) 45-0226700; (iii) 170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 29,554,815 Line 11, Column: (i) Sanford Living Centers; (ii) 45-0416454; (iii) 509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 2,431,894 Line 11, Column: (i) Sanford West Foundation; (ii) 45-0397196; (iii) 170(b)(1)(A)(vi); (iv) Yes; (v) Yes; (vi) Yes; (vii) 188,081	GeneralExplanation
General Explanation	Schedule A, Part IV, Supplemental Information: Detail for Schedule A, Part III Line 1 - column: (a) 952,319; (b) 1,230,781; (c) 1,320,938 ; (d) 719,019; (e) 653,960; (f) 4,877,017 Line 2 - column: (a) 454,309,087; (b) 484,630,789; (c) 487,937,029; (d) 380,393,691; (e) 353,433,077; (f) 2,160,703,673 Line 6 - column: (a) 455,261,406; (b) 485,861,570; (c) 489,257,967; (d) 381,112,710; (e) 354,087,037; (f) 2,165,580,690 Line 8 - column: (f) 2,165,580,690 Line 9 - column: (a) 455,261,406; (b) 485,861,570; (c) 489,257,967; (d) 381,112,710; (e) 354,087,037; (f) 2,165,580,690 Line 10a - column: (a) 765,384; (b) 1,050,096; (c) 1,127,354; (d) 994,862; (e) 1,011,110; (f) 4,948,806 Line 10c - column: (a) 765,384; (b) 1,050,096; (c) 1,127,354; (d) 994,862; (e) 1,011,110; (f) 4,948,806 Line 11 - column: (a) 825,088; (b) 1,108,312; (c) 392,690; (d) 358,969; (e) 198,822; (f) 2,883,881 Line 13 - column: (a) 456,851,878; (b) 488,019,978; (c) 490,778,011; (d) 382,466,541; (e) 355,296,969; (f) 2,173,413,377 Line 15: 99.64% Line 16: 99.66% Line 17: 0.23% Line 18: 0.16% Line 19a: X Line 19b: X	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$88,026	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$861,662	OtherActivitiesAmount
Total Lobbying Expenditures IIB	949688	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 memberships in the South Dakota Association of Healthcare Organizations, North Dakota Hospital Association, Minnesota Hospital Association, Iowa Hospital Association, American Hospital Association, North Dakota Medical Group Management Association, Medical Group Management Association and Health Policy Consortium. A percentage of membership dues paid to these organizations relate to lobbying expenses. In addition, the organization employs certain individuals, and contracts with various lobbyists, to monitor legislative acts important to all Sanford entities on both state and national levels. Occasionally, Sanford employees send mailings to legislators on issues that may affect healthcare.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtc
Included On FS	1	IncludedOnFS
Explanation In Part XIII	X	ExplanationInPartXIII

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	41467177	BeginningOfYearBalance
Contributions	3366197	Contributions
Investment Earnings Or Losses	117096	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	7305	OtherExpenditures
Administrative Expenses	4689	AdministrativeExpenses
End Of Year Balance	44938476	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	36816089	BeginningOfYearBalance
Contributions	4631456	Contributions
Investment Earnings Or Losses	33855	InvestmentEarningsOrLosses
Grants Or Scholarships	3144	GrantsOrScholarships
Other Expenditures	6341	OtherExpenditures
Administrative Expenses	4738	AdministrativeExpenses
End Of Year Balance	41467177	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28450099	BeginningOfYearBalance
Contributions	8185089	Contributions
Investment Earnings Or Losses	194469	InvestmentEarningsOrLosses
Grants Or Scholarships	3066	GrantsOrScholarships
Other Expenditures	6269	OtherExpenditures
Administrative Expenses	4233	AdministrativeExpenses
End Of Year Balance	36816089	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25621868	BeginningOfYearBalance
Contributions	2700378	Contributions
Investment Earnings Or Losses	260797	InvestmentEarningsOrLosses
Grants Or Scholarships	23508	GrantsOrScholarships
Other Expenditures	105017	OtherExpenditures
Administrative Expenses	4419	AdministrativeExpenses
End Of Year Balance	28450099	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25472108	BeginningOfYearBalance
Contributions	431296	Contributions
Investment Earnings Or Losses	-175923	InvestmentEarningsOrLosses
Grants Or Scholarships	26748	GrantsOrScholarships
Other Expenditures	69167	OtherExpenditures
Administrative Expenses	9698	AdministrativeExpenses
End Of Year Balance	25621868	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	130592459	OtherCostOrOtherBasis
Book Value	130592459	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1097407989	OtherCostOrOtherBasis
Depreciation	468372007	Depreciation
Book Value	629035982	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	67618156	OtherCostOrOtherBasis
Depreciation	26279705	Depreciation
Book Value	41338451	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1253934022	OtherCostOrOtherBasis
Depreciation	766403497	Depreciation
Book Value	487530525	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	45663439	OtherCostOrOtherBasis
Depreciation	9583797	Depreciation
Book Value	36079642	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1324577059	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescription	AmountAmount
Deferred compensation	$29,105,031
Long-term lease obligation	$1,038,514
Defined benefit pension liability	$57,132,445
Other non-current liabilities	$5,730,209
Interest rate swap obligation	$3,832,954
Minority Interest	$542,869
Special assessments	$2,920,885
Asset retirement obligations	$3,760,622
Due to related parties	$3,762,000

Field	Value	IRS element (for citing)
Total Of Amounts	107825529	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part IV, Line 2b:	Sanford Hillsboro holds tenant security deposits from assisted living residents.
Part V, Line 4:	Sanford Health Foundation, Sanford Health Foundation North and Sanford Health Foundation of Northern Minnesota hold endowment funds on behalf of the filing organization to be used for assistance in its activities and for providing health care, medical, or educational services.	Description of Intended Use of Endowment Funds:
Part X, Line 2:	Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination. The deferred income tax provision or benefit generally reflects the net change in deferred income tax assets and liabilities during the year. The current income tax provision reflects the tax consequences of revenues and expenses currently taxable or deductible on various income tax returns for the year reported. Sanford Group did not have a material income tax liability at June 30, 2013; some related organizations have established reserves.	Description of Uncertain Tax Positions Under FIN 48:

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (7 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
East Asia and the Pacific	Program Services	Investigation of potential clinics sites and travel	58583
Europe (Including Iceland & Greenland)	Program Services	Investigation of potential clinic sites and obtain goods/services	211712
Middle East and North Africa	Program Services	Travel	2286
North America	Program Services	Investigation of potential clinic sites and obtain goods/services	93028
South Asia	Program Services	Mission healthcare work	33075
Sub-Saharan Africa	Investments	Investment in Ghana clinic operations	2688656
Central America and the Caribbean	Program Services	Mission healthcare work and investigation of potential clinic sites	8300

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	3095640	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	3095640	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	Half Marathon	NameOfEvent1
Gross Receipts Event1	60293	GrossReceiptsEvent1
Charitable Contributions Event1	100	CharitableContributionsEvent1
Gross Revenue Event1	60193	GrossRevenueEvent1
Other Direct Expenses Event1	38540	OtherDirectExpensesEvent1
Gross Receipts Total	60293	GrossReceiptsTotal
Charitable Contributions Total	100	CharitableContributionsTotal
Gross Revenue Total Events	60193	GrossRevenueTotalEvents
Other Direct Expenses Total Events	38540	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	38540	DirectExpenseSummaryEvents
Net Income Summary	21653	NetIncomeSummary

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	44933239	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	44933239	NetCommunityBenefitExpense
Percent Of Total Expense	0.01390	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	233184692	TotalCommunityBenefitExpense
Direct Offsetting Revenue	149816909	DirectOffsettingRevenue
Net Community Benefit Expense	83367783	NetCommunityBenefitExpense
Percent Of Total Expense	0.02580	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	278117931	TotalCommunityBenefitExpense
Direct Offsetting Revenue	149816909	DirectOffsettingRevenue
Net Community Benefit Expense	128301022	NetCommunityBenefitExpense
Percent Of Total Expense	0.03970	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4194537	TotalCommunityBenefitExpense
Direct Offsetting Revenue	334046	DirectOffsettingRevenue
Net Community Benefit Expense	3860491	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16895867	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8213633	DirectOffsettingRevenue
Net Community Benefit Expense	8682234	NetCommunityBenefitExpense
Percent Of Total Expense	0.00270	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	453479415	TotalCommunityBenefitExpense
Direct Offsetting Revenue	308426135	DirectOffsettingRevenue
Net Community Benefit Expense	145053280	NetCommunityBenefitExpense
Percent Of Total Expense	0.04480	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30501992	TotalCommunityBenefitExpense
Direct Offsetting Revenue	18546155	DirectOffsettingRevenue
Net Community Benefit Expense	11955837	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10370247	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	10370247	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	515442058	TotalCommunityBenefitExpense
Direct Offsetting Revenue	335519969	DirectOffsettingRevenue
Net Community Benefit Expense	179922089	NetCommunityBenefitExpense
Percent Of Total Expense	0.05560	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	793559989	TotalCommunityBenefitExpense
Direct Offsetting Revenue	485336878	DirectOffsettingRevenue
Net Community Benefit Expense	308223111	NetCommunityBenefitExpense
Percent Of Total Expense	0.09530	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	7500	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	7500	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	7747	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	7747	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	69572	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	69572	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	429479	TotalCommunityBuildingExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Building Expense	429379	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	28930	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	28930	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	36157	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	36157	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	4225	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	4225	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	583610	TotalCommunityBuildingExpense
Direct Offsetting Revenue	100	DirectOffsettingRevenue
Net Community Building Expense	583510	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$77,787,372	BadDebtExpenseAmount
Amount Reimbursed By Medicare	557545502	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	580961074	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-23415572	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	23	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (23 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Childrens HospitalChildrensHospital	Teaching HospitalTeachingHospital	Er24 HoursEr24Hours	Facility Reporting GroupFacilityReportingGroup	Research FacilityResearchFacility	Critical Access HospitalCriticalAccessHospital	OtherOther
Sanford USD Medical Center
1	1305 W 18th Street	Sioux Falls	SD	57117	X	X	X	X	X	A
Sanford Medical Center Fargo
2	801 Broadway North	Fargo	ND	58122	X	X	X	X	X	B
Sanford Bismarck Medical Center
3	300 N 7th Street	Bismarck	ND	58501	X	X		X	X	A	X
Sanford Medical Center South University
4	1720 South University	Fargo	ND	58103	X	X		X		B
Sanford Bemidji Medical Center
5	1300 Anne Street NW	Bemidji	MN	56601	X	X			X	B
Sanford Medical Center Thief River Falls
6	120 Labree Avenue S	Thief River Falls	MN	56701	X	X			X	A		X	Inpatient Mental Health
Sanford Worthington Medical Center
7	1018 6th Avenue	Worthington	MN	56187	X	X			X	A
Sanford Sheldon Medical Center
8	118 N 7th Avenue	Sheldon	IA	51201	X	X			X	A		X	Nursing Facility
Sanford Aberdeen Medical Center
9	2905 3rd Avenue SE	Aberdeen	SD	57401	X	X			X	A
Sanford Vermillion Medical Center
10	20 S Plum Street	Vermillion	SD	57069	X	X			X	B		X	Nursing Facility
Sanford Canby Medical Center
11	112 St Olaf Avenue S	Canby	MN	56220	X	X			X	B		X	Nursing Facility
Sanford Chamberlain Medical Center
12	300 S Byron Blvd	Chamberlain	SD	57325	X	X			X	B		X	Nursing Facility
Sanford Luverne Medical Center
13	1600 N Kniss Avenue	Luverne	MN	56156	X	X			X	B		X
Sanford Jackson Medical Center
14	1430 N Highway	Jackson	MN	56143	X	X			X	B		X
Sanford Tracy Medical Center
15	251 5th Street E	Tracy	MN	56175	X	X			X	B		X
Sanford Bagley Medical Center
16	203 4th Street NW	Bagley	MN	56621	X	X				A		X
Sanford Rock Rapids Medical Center
17	801 S Greene Street	Rock Rapids	IA	51246	X	X			X	A		X
Sanford Medical Center Mayville
18	42 6th Avenue SE	Mayville	ND	58257	X	X			X	B		X
Sanford Webster Medical Center
19	1401 W 1st Street	Webster	SD	57274	X	X			X	B		X
Sanford Clear Lake Medical Center
20	701 3rd Avenue S	Clear Lake	SD	57226	X	X			X	A		X
Sanford Canton-Inwood Medical Center
21	440 N Hiawatha Drive	Canton	SD	57013	X	X			X	B		X
Sanford Westbrook Medical Center
22	920 Bell Avenue	Westbrook	MN	56183	X	X			X	A		X
Sanford Hillsboro Medical Center
23	12 3rd Street SE	Hillsboro	ND	58045	X	X			X	B		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	OtherOther	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Other MethodOtherMethod	Adopt Implement StrategyAdoptImplementStrategy	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Other FactorsOtherFactors	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notify Upon AdmissionNotifyUponAdmission	Notify Before DischargeNotifyBeforeDischarge	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Average Negotiated RatesAverageNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Facility Reporting Group - A
1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	1	0	1	1	225.000000000000	1	375.000000000000	1	X	X	X	X	X	X	X	X	1	1	X	X	X	X	X	X	X	1	0	X	X	X	X	1	X	0	0
Facility Reporting Group - B
1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	0	0	1	1	225.000000000000	1	375.000000000000	1	X	X	X	X	X	X	X	X	1	1	X	X	X	X	X	X	X	1	0	X	X	X	X	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	95	NumberOfOtherFacilities

Other Facilities OtherFacilities (95 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Sanford Dialysis Detroit Lakes
114 East Frazee Street	Detroit Lakes	MN	56501	Dialysis
Sanford Home Care Fargo
1711 S University Drive	Fargo	ND	58122	Home Health Agency
Sanford Clinic Sheldon
800 Oak Street	Sheldon	IA	51201	Rural Health Clinic
Sanford Health Neilson Place
803 Dewey Avenue	Bemidji	MN	56601	Skilled Nursing Facility
Sanford Dialysis Thief River Falls
120 Labree Avenue S	Thief River Falls	MN	56701	Dialysis
Sanford Dialysis Fargo
2801 S University Drive	Fargo	ND	58122	Dialysis
Sanford Care Center Vermillion
125 Walker Street	Vermillion	SD	57069	Nursing Facility
Sanford Dialysis Red Lake
24760 Hospital Drive Box 249	Red Lake	MN	56671	Dialysis
Sanford Health Lamoure Clinic
Omega City Plaza	Lamoure	ND	58458	Rural Health Clinic
Sanford Tom & Frances Leach Bismarck Dia
300 N 7th Street	Bismarck	ND	58501	Kidney Dialysis
Sanford Dialysis Morris
400 East 1st Street	Morris	MN	56267	Dialysis
Sanford Senior Care Sheldon
118 North Seventh Avenue PO Box 250	Sheldon	IA	51201	Hospital Based-Nursing Facilities
Sanford Clinic Watertown Surgical Center
901 4th Street NW	Watertown	SD	57201	Ambulatory Surgery Center
Sanford Clinic Rock Rapids
803 South Green Street	Rock Rapids	IA	51246	Rural Health Clinic
Sanford Mid-Dakota Dialysis
300 S Byron Blvd	Chamberlain	SD	57325	End Stage Renal Dialysis
Sanford USD Medical Center Dialysis
1305 W 18th Street	Sioux Falls	SD	57117	End Stage Renal Dialysis
Sanford Health Detroit Lakes ASC
1245 Washington Avenue	Detroit Lakes	MN	56501	Ambulatory Surgery Center
Sanford Chamberlain Care Center
300 S Byron Blvd	Chamberlain	SD	57325	Nursing Facility
Sanford Clinic Canby
112 St Olaf Avenue	Canby	MN	56220	Medicare Certified Rural Health Clinic
Sanford Worthington Medical Center
1018 Sixth Avenue	Worthington	MN	56187	Medicare Certified End Stage Renal Dialysis
Sanford Clinic Webster
101 Peabody Drive	Webster	SD	57274	Rural Health Clinic
Sanford Clinic Tracy
251 Fifth Street East	Tracy	MN	56175	Medicare Certified Rural Health Clinic
Sanford Hospice
2710 West 12th Street	Sioux Falls	SD	57104	Hospice (licensed in MN and SD)
Sanford Clinic Mt Lake
308 8th Street	Mountain Lake	MN	56159	Medicare Certified Rural Health Clinic
Sanford Visiting Nurses Association
2710 West 12th Street	Sioux Falls	SD	57104	Professional Home Care Agency (licensed in MN and SD)
Sanford Hillsboro Care Center
12 3rd Street SE	Hillsboro	ND	58045	Hospital Based-Nursing Facilities
Sanford Clinic Jackson
1430 North Highway	Jackson	MN	56143	Medicare Certified Rural Health Clinic
Sanford Clinic Aberdeen Surgical Center
3015 3rd Avenue SE	Aberdeen	SD	57401	Ambulatory Surgery Center
Sanford Health Hillsboro Clinic
315 East Caledonia	Hillsboro	ND	58045	Rural Health Clinic
Sanford Wagner Dialysis
111 Washington Street	Wagner	SD	57380	End Stage Renal Dialysis
Sanford Home Care Hospice
910 18th Street NW	Mandan	ND	58554	Hospice
Sanford Home Health and Hospice
118 North Seventh Avenue PO Box 250	Sheldon	IA	51201	Home Health Agency
Northwest Iowa Dialysis Center
112 Sunrise Drive	Hospers	IA	51239	End Stage Renal Dialysis
Sanford Health Mahnomen Clinic
414 West Jefferson PO Box 396	Mahnomen	MN	56557	Rural Health Clinic
Sanford Home Care Home Health
910 18th Street NW	Mandan	ND	58554	Home Health Agency
Sanford Clinic Windom
591 2nd Avenue North	Windom	MN	56101	Medicare Certified Rural Health Clinic
Sanford Health Pelican Rapids Clinic
211 East Mill Street	Pelican Rapids	MN	56572	Rural Health Clinic
Sanford Clinic Westbrook
920 Bell Avenue	Westbrook	MN	56183	Medicare Certified Rural Health Clinic
Worthington Regional Hospital Hospice
1151 Ryans Road Suite 100	Worthington	MN	56187	Hospice (licensed in SD)
Sanford Jamestown Dialysis
300 2nd Avenue NE	Jamestown	ND	58401	Kidney Dialysis
Northern Lights Community Residence
324 10th Street East	Thief River Falls	MN	56701	Adult Treatment Center
Orchard Hills
200 W 10th Street	Dell Rapids	SD	57022	Assisted Living Center
Sanford Clinic Beresford
600 W Cedar Street	Beresford	SD	57004	Rural Health Clinic
Sanford Transplant Center
736 Broadway	Fargo	ND	58122	Transplant Center
Sanford Fort Yates Dialysis
Box J	Fort Yates	ND	58538	Kidney Dialysis
Pathfinder Children's Treatment Center
923 Atlantic Avenue North	Thief River Falls	MN	56701	Children's Treatment Center
Sanford Clear Lake Clinic
701 3rd Avenue S	Clear Lake	SD	57226	Rural Health Clinic
Sanford Clinic Ipswich
110 5th Avenue	Ipswich	SD	57451	Rural Health Clinic
Sanford Clinic Clark
117 W 1st Avenue	Clark	SD	57225	Rural Health Clinic
Sanford Worthington Home Care
1018 Sixth Avenue	Worthington	MN	56187	Medicare Certified Home Health Agency
Sanford Canby Med Center
213 St Olat Avenue N Ste B	Canby	MN	56220	Medicare Certified Home Health Agency
Sanford Canby Dialysis Unit
112 St Olaf Avenue	Canby	MN	56220	Medicare Certified End Stage Renal Dialysis
Sanford Home Health and Hospice Sheldon
118 North Seventh Avenue	Sheldon	IA	51201	Hospice
Sanford Transplant Center
300 N 7th Street	Bismarck	ND	58501	Transplant Center
Canby Community Hospice
131 St Olaf Avenue N	Canby	MN	56220	Hospice (licensed in SD)
Sanford Madison Dialysis
917 N Washington Avenue	Madison	SD	57042	End Stage Renal Dialysis
Sanford Clinic Lakefield
209 Main Street PO Box 546	Lakefield	MN	56150	Medicare Certified Rural Health Clinic
Sylvan Place
212 St Olaf Avenue S	Canby	MN	56220	Housing with Services
Sanford Luverne Hospice
211 East Main Street Suite 101	Luverne	MN	56156	Medicare Certified Hospice
Sanford Clinic Lennox
108 S Main	Lennox	SD	57039	Rural Health Clinic
Dakota Gardens Senior Living
126 S Plum Street	Vermillion	SD	57069	Residential Living Center
Shetek Home Care
251 Fifth Street East	Tracy	MN	56175	Medicare Certified Home Health Agency
Sanford Health Enderlin Clinic
201 4th Avenue Suite 1	Enderlin	ND	58027	Rural Health Clinic
O'Brien Court
410 State Street	Tracy	MN	56175	Housing with Services
Sanford Visiting Nurses Assoc-Luverne
211 East Main Street Suite 101	Luverne	MN	56156	Home Health Care
Sanford Hospice Centennial Cottage
6301 W 43rd Street	Sioux Falls	SD	57106	Residential Hospice
Sanford Hiawatha Heights
398 N Hiawatha Drive	Canton	SD	57013	Assisted Living Center
Sanford Visiting Nurses Assoc-Vermillion
20 S Plum Street	Vermillion	SD	57069	Home Health Care
Sanford Clinic Lake Norden
Main Street	Lake Norden	SD	57248	Rural Health Clinic
Sanford Hospice
510 E 8th Street	Freeman	SD	57029	Hospice
Sanford Health Ellendale Clinic
PO Box 306	Ellendale	ND	58436	Rural Health Clinic
Sanford Clinic Estelline
305 Hospital Drive	Estelline	SD	57234	Rural Health Clinic
Baker Park Inc
803 Dewey Avenue	Bemidji	MN	56601	Assisted Living Center
Sanford Health Forman Clinic
PO Box 184	Forman	ND	58032	Rural Health Clinic
Sanford Health Twin Valley Clinic
212 Main Avenue West	Twin Valley	MN	56584	Rural Health Clinic
Sanford Health Halstad Clinic
445 1st Street E	Halstad	MN	56548	Rural Health Clinic
Peterson Estates
1012 9th Street	Westbrook	MN	16183	Housing with Services
Sanford Hospice
20 S Plum Street	Vermillion	SD	57069	Hospice
Sanford Health Trillium
930 Anne Street N	Bemidji	MN	56601	Assisted Living Center
Sanford Health Windsong
1010 Anne Street N	Bemidji	MN	56601	Assisted Living Center
Deuel County Memorial Home Health
701 3rd Avenue S	Clear Lake	SD	57226	Home Health Care
Sanford Health Ulen Clinic
108 Viking Avenue West	Ulen	MN	56585	Rural Health Clinic
Sanford Hospice
745 E 8th Street	Winner	SD	57580	Hospice
Mid Dakota Community Based Hospice
300 S Byran Blvd	Chamberlain	SD	57325	Hospice
Sanford Visiting Nurses Assoc-Chamberlai
110 W Beede Ste 1	Chamberlain	SD	57325	Home Health Care
Sanford Health Walker Clinic
614 Michigan Avenue	Walker	MN	56484	Rural Health Clinic
Sanford Health Cass Lake Clinic
219 Grant Utley Avenue	Cass Lake	MN	56633	Rural Health Clinic
Sanford Clinic Balaton
Highway 14E	Balaton	MN	56115	Medicare Certified Rural Health Clinic
Sanford Tracy Walnut Grove Clinic
830 Eighth Street	Walnut Grove	MN	56180	Medicare Certified Rural Health Clinic
Sanford Health Blackduck Clinic
81 1st Street NW PO Box 188	Blackduck	MN	56630	Rural Health Clinic
Sanford Hospice
803 South Green Street	Rock Rapids	IA	51246	Hospice (licensed in SD)
Sanford Canby Medical Center
112 St Olaf Avenue S	Canby	MN	56220	Class F Home Care Provider
Sanford Hospice
900 2nd Avenue	Madison	MN	56256	Hospice (licensed in SD)
Sanford Hospice Foundation Cottage
6309 W 43rd Street	Sioux Falls	SD	57106	Residential Hospice
Sanford Hospice
912 4th Avenue	Windom	MN	56101	Hospice (licensed in SD)

Form990 Schedule H Part VI Form990ScheduleHPartVI (242 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
Part I, Line 3c: Sanford Health does not deny care to anyone based on the ability to pay. Sanford's Community Care (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. Applications for coverage under the program may be obtained at any Sanford patient registration area.The primary scope of Sanford's financial assistance matrix considers family income and family size to objectively determine financial need. The family income range varies from 0-225% up to 375% of the Federal Poverty Level (FPL). An applicant over 375% may be eligible for some level of financial assistance based on a review of additional factors such as: the size of the account balance, debt-to-income ratio, current assets, current liabilities, IRS food expense allowances, monthly cash flow, etc.Additionally, it is possible for a family to qualify in one segment (based on income and family size alone) but be moved to a more generous (for the patient) segment based on the other financial variables mentioned above. An applicant may be denied if they have substantial assets and applicants are considered on a case by case basis.Part I, Line 5b: While Sanford as a whole did not exceed its charity care budget, there were separate hospitals that did. However, exceeding that budget did not impact the ability to serve any patients and no patients were disallowed services. The organization provided free or discounted services to patients who were eligible for free or discounted care.Part I, Line 6: Sanford Health prepared a Community Benefit Annual Report for FY 2013. This report is posted annually on the Sanford website at:http://www.sanfordhealth.org/About/CommunityBenefit
Part I, Line 7: Either a Cost to Charge Ratio or a cost accounting methodology is used to calculate the amounts on Line 7a - 7c (Charity Care, Medicaid Shortfall, and Other Means-Tested Government Programs) for each of the subsidiaries included in the return. 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, or similar cost accounting methodology.
Part I, Line 7g: Subsidized health services are clinical services provided to both inpatients and outpatients despite a financial loss to Sanford. Each loss has been calculated after removing losses associated with bad debts, charity care and Medicaid. Although these services generate overall losses to Sanford, they continue to meet the needs of the communities served. Various services that generate losses are provided by Sanford through physician practices. For FY 2013, subsidized health services provided through these physician practices generated losses of $116,310,298.
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 127,334,197.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.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 II: Sanford Health is a not-for-profit organization dedicated to the work of health and healing for the public good. Sanford is committed to giving back to the communities in which its employees and patients live and work. Sanford invests resources in order to produce the best outcomes for patient care, education, research, and community enrichment, and partners with others to ensure that the community is a welcoming, healthy environment and one that attracts and sustains a diverse Sanford workforce to deliver the best patient care and much needed medical research. Sanford considers requests for funding and in kind support for new and ongoing programs with all areas supporting the above goals, such as basic human services, education and workforce development by recruiting physicians and other health professionals to medical shortage or underserved areas and collaborating with educational institutions to train and recruit health professionals, advocating community health improvement through efforts to support policies and programs that safeguard or improve public health and help to ensure access to health care services.
Part III, Line 4: The audited financial statements of Sanford do not include a bad debt footnote. Sanford reports bad debt in accordance with generally accepted accounting principles (GAAP).
Part III, Line 8: Per IRS instructions, Sanford has identified the cost associated with providing Medicare services from the Medicare cost report. The Medicare cost report calculations are total expense less expenses deemed "unallowable" per Medicare regulations. The net expense is then used to calculate the cost per day and cost to charge ratios which are multiplied by the Medicare days and ancillary charges to determine the cost of providing Medicare services. If all expenses that Sanford incurred were included on the Medicare cost report; this would show a shortfall of approximately $100,879,386. Sanford believes this shortfall should be considered community benefit because these services would need to be provided by either another charitable organization or the government if it was not provided by Sanford.
Part III, Line 9b: Sanford will provide services at no cost or reduced cost to patients who qualify for the program. Patients with incomes at or below 225% of the United States Department of Health and Human Services poverty guideline will receive a 100% reduction of their payment responsibility. Patients with income between 225% - 375% of the poverty guideline will be given a discount based on a sliding scale and assets are considered in the calculation of the income of the patient, with the exception of the patient's principal residence. Patients above 375% of the FPG will be reviewed for additional factors such as size of medical debt before a final determination. Patients must make their financial need known to appropriate personnel and be engaged in filing appropriate and complete applications. The program is available to those patients without health care benefits from any source as well as to those who have coverage for health care costs through a government program, commercial insurance, or other health benefit plan but continue to have a remaining balance after benefits have been applied to the charges. Sanford will not deny financial assistance based on race, creed, sex, national origin, handicap or age.Every effort is made to identify patients with financial need as early as possible in the revenue cycle.
Part VI, Line 2: Sanford conducted a community health needs assessment in 24 communities throughout the enterprise. A CHNA toolkit was developed to facilitate a standardized approach to surveys, data collection, analysis and reporting. The main model used was the Assocation for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.Primary research included a survey that was developed in partnership with Fargo Cass Public Health, Clay County Public Health, North Dakota State University Center for Social Research and the University of North Dakota Center for Rural Health. Additionally, the Department of Health in Sioux Falls conducted a survey and shared the survey tool and results of the survey. Key stakeholders were asked to complete the survey and are listed in the acknowledgement section of each CHNA. The survey tool was available electronically and a paper tool was available for those who did not have access to a computer. In some communities the paper survey was delivered through a focus group setting or through a community council.The County Health Profiles were used for secondary research. State and national data were researched to benchmark each indicator. The County Health Profiles are based largely on the County Health Rankings from the Mobilizing Action Toward Community Health (MATCH), a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute. Additional secondary data included the aging and diversity profiles from the US Census Bureau and the American Community Survey.Asset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. An informal gap analysis was conducted to determine what needs remained after resources were thoroughly researched through asset mapping. Once gaps were determined the CHNA collaborative group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.
Part VI, Line 3: Sanford employs a variety of strategies to make certain that the organization is transparent in the communication of financial assistance guidelines. The staff at Sanford makes every effort to identify patients needing financial assistance as early in the revenue cycle as possible. All Sanford entities display signage in registration areas advising patients of their ability to request financial assistance. The signage is made available in English and Spanish. Financial Assistance applications are available in English or Spanish upon request.All healthcare workers who identify patients with financial need are encouraged to provide patients or their designees a financial application. This may include, but not be limited to the following areas: Administration, Admissions, Patient Financial Services, Financial Counselors, Social Services, Physicians, Nursing, Clinic Director, Reception staff and Human Resources.Financial Counselors are trained to work individually with patients to determine the financial need and recommend appropriate assistance in application for charity care, government programs or discounted services.Sanford's Community Care Program (financial assistance) is available to anyone who qualifies for assistance. This program ensures that all people receive the care they need, regardless of their financial situation. Sanford makes Community Care information available to community agencies and referral organizations. Community Care information is also available on the Sanford website at:http://www.sanfordhealth.org/PatientsVisitors/PatientInformation/FinancialAssistance
Part VI, Line 4: Sanford Health is an integrated health system headquartered in the Dakotas and is now the largest rural, not-for-profit health care system in the nation. Sanford Health includes 39 hospitals, 225 clinic loactions and 1,360 physicians in 81 specialty areas of medicine. Sanford serves an area of 2.3 million people across more than 220,000 square miles. With more than 26,000 employees, Sanford Health is the largest employer in North and South Dakota. Sanford USD Medical Center - Sioux Falls, South DakotaSioux Falls is the largest city in the state of South Dakota. Sioux Falls is the county seat of Minnehaha County, and also extends into Lincoln County to the south. As of the 2010 census, Sioux Falls had a population of 153,888. The metropolitan population of 228,261 accounts for 28% of South Dakota's population. The population of Sioux Falls is 86.8% white, 4.2% black, 2.7% American Indian, 1.8% Asian and 4.4% Hispanic. Sioux Falls is the home of a number of financial companies and is a significant regional health care center. The median household income in Sioux Falls is $51,882.Sanford Medical Center Fargo - Fargo, North DakotaFargo is a diverse, dynamic, family-oriented community on the eastern border of North Dakota. It is the largest city in North Dakota, accounting for nearly 16% of the state population and the county seat of Cass County. Fargo and its twin city of Moorhead, Minnesota and adjacent West Fargo, North Dakota and Dilworth, Minnesota form the core of the metro area, which in 2010 had a population of 209,000. The population of Fargo is 90.2% white, 2.7% black, 1.4% American Indian, 3% Asian and 2.2 Hispanic. The median household income is $44,304. Sanford Bemidji Medical Center - Bemidji, MinnesotaBemidji is located in Beltrami County, Minnesota and is the principal city in North Central Minnesota as the largest commercial center between Grand Forks, North Dakota and Duluth, Minnesota. Bemidji houses many Native American services, including the Indian Health Service. The city is the central hub of the Red Lake Indian Reservation, White Earth Indian Reservation and the Leech Lake Indian Reservation. Based on 2010 US Census data, Bemidji has a population of 13,431. The median age in the city was 27.1 years old. 19.4% of residents were under the age of 18; 26.7% were between the ages of 18 and 24; 21.6% were from 25 to 44; 17.5% were from 45 to 64; and 14.8% were 65 years of age or older. The average household income is $43,394.Sanford Bismarck Medical Center - Bismarck, North DakotaBismarck is a community located in central North Dakota experiencing fast-paced growth as a direct result of oil development throughout the western part of the state. Bismarck is the second largest city in North Dakota with 62,665 residents living within the city limits. The population of Bismarck is 92.4% white, 0.7% black, 4.5% American Indian, 0.6% Asian and 1.3% Hispanic. Bismarck is the state capital and also serves as home to Bismarck State College, the University of Mary and several of the state's top businesses. The median household income in Bismarck is $53,186.Sanford Network HospitalsSanford Health Network Hospitals is a network of rural hospitals located throughout South Dakota, North Dakota, Minnesota, and Iowa.Sanford ClinicsSanford Clinic is a multi-specialty clinic comprised of 1,360 physicians providing services in the US as well as internationally.
Part VI, Line 5: Sanford maintains an open medical staff. Community Boards - The Sanford Board of Trustees was comprised of 15 members at the end of the fiscal year, including 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 Health is an integrated health system headquartered in the Dakotas and is now the largest rural, not-for-profit health care system in the nation with locations in 126 communities in nine states. In addition, Sanford Health is in the process of developing international clinics in Ghana, Israel, Mexico and China. Sanford Health includes 39 hospitals, 225 clinic locations and 1,360 physicians in 81 specialty areas of medicine. With more than 26,000 employees, Sanford Health is the largest employer in North and South Dakota.Sanford Health provides services at every level from critical access hospitals to tertiary and quaternary care. The Sanford footprint includes over 220,000 square miles with a nine state service area and a network of children's primary care clinic locations across the country and world. Sanford Health operates full-time emergency centers and provides emergency care to everyone regardless of their ability to pay. Sanford facilities and clinics provide services to remote and medically underserved areas that would otherwise not have access to even primary care services. Sanford Health financially supports health and wellness, education and community development activities to improve the quality of life and strenghten communities throughout the region. Each facility promotes health and healing that responds to the unique needs of the patients in the community, ensuring access to comprehensive and specialized services. Part VI, Line 7: Community benefit reporting is not required and therefore not filed in North Dakota, South Dakota, Nebraska or Iowa. Filing in Minnesota is voluntary.
See below	Part V, Line 8 Facility Reporting Group A
The community health needs assessment was conducted during FY 2013. The main model used was the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 3:
Sanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 5c:
	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 10:
	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 14g:
	Facility 1 -- Sanford USD Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 5c:
	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 7:
	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 10:
	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 14g:
	Facility 3 -- Sanford Bismarck Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of results. Community stakeholders and community councils were included.	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 5c:
	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 7:
	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 10:
	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 14g:
	Facility 6 -- Sanford Medical Center Thief River Falls	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical Center	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 5c:
	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 7:
	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 10:
	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 14g:
	Facility 7 -- Sanford Worthington Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 5c:
	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 10:
	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 14g:
	Facility 8 -- Sanford Sheldon Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 5c:
	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 7:
	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 10:
	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 14g:
	Facility 9 -- Sanford Aberdeen Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 5c:
	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 7:
	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 10:
	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 14g:
	Facility 16 -- Sanford Bagley Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 5c:
	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 10:
	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 14g:
	Facility 17 -- Sanford Rock Rapids Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 5c:
	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 7:
	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 10:
	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 14g:
	Facility 20 -- Sanford Clear Lake Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 5c:
	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 7:
	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 10:
	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 14g:
	Facility 22 -- Sanford Westbrook Medical Center	Part V, Section B, line 22:
See below	Part V, Line 8 Facility Reporting Group B
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Medical Center Fargo, but may be addressed by the Sanford enterprise system or by working with community leaders:Access to Healthcare - Sanford will continue to address this need through various mechanisms including the Community Care (charity care) Program, medical home, case management, shelter nurses and partnerships with numerous community organizations that alongside Sanford monitor access and work with case management to make access available.Aging/Baby Boomers - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing services for the elderly in a newly created initiative and Sanford is serving on the steering group.Children and Youth - Sanford works in partnership with many community programs and agencies that are providing services for at-risk youth. Additionally, Sanford is addressing childhood obesity through membership on the steering committee of Cass Clay Alive and through an implementation strategy as a result of the CHNA.Economic Issues - Sanford is one of the biggest employers in the area and contributes substantially to the economic growth of the region. Sanford supports the homeless shelters and provides medical care to those who qualify for charity care through the Community Care Program. Sanford offers a discounted fee for those who qualify. Although Sanford does contribute substantially to the economic health of the community this is not an area of unmet need that will be addressed in a community initiative. Community leaders were invited to learn about the results of the survey through a community meeting held on June 27, 2013 at the Holiday Inn in Fargo.Environment - Sanford will not be directly working with an implementation strategy to address the environment, but will share the results of the CHNA with community leaders.Safety - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing behavioral health services in a newly created initiative and Sanford is serving on the steering group. Sanford is also addressing this need through the mental health implementation strategy.Substance Abuse - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing behavioral health in a newly created initiative and Sanford is serving on the steering group.	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 7:
	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 10:
	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 14g:
	Facility 2 -- Sanford Medical Center Fargo	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Medical Center South University, but may be addressed by the Sanford enterprise system or by working with community leaders:Access to Healthcare - Sanford will continue to address this need through various mechanisms including the Community Care (charity care) Program, medical home, case management, shelter nurses and partnerships with numerous community organizations that alongside Sanford monitor access and work with case management to make access available.Aging/Baby Boomers - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing services for the elderly in a newly created initiative and Sanford is serving on the steering group.Children and Youth - Sanford works in partnership with many community programs and agencies that are providing services for at-risk youth. Additionally, Sanford is addressing childhood obesity through membership on the steering committee of Cass Clay Alive and through an implementation strategy as a result of the CHNA.Economic Issues - Sanford is one of the biggest employers in the area and contributes substantially to the economic growth of the region. Sanford supports the homeless shelters and provides medical care to those who qualify for charity care through the Community Care Program. Sanford offers a discounted fee for those who qualify. Although Sanford does contribute substantially to the economic health of the community this is not an area of unmet need that will be addressed in a community initiative. Community leaders were invited to learn about the results of the survey through a community meeting held on June 27, 2013 at the Holiday Inn in Fargo.Environment - Sanford will not be directly working with an implementation strategy to address the environment, but will share the results of the CHNA with community leaders.Safety - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing behavioral health services in a newly created initiative and Sanford is serving on the steering group. Sanford is also addressing this need through the mental health implementation strategy.Substance Abuse - The Fargo Moorhead Community Health Needs Assessment Collaborative, convened by Sanford, is addressing behavioral health in a newly created initiative and Sanford is serving on the steering group.	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 7:
	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 10:
	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 14g:
	Facility 4 -- Sanford Medical Center South University	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Bemidji Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Elderly - Sanford has many services for the elderly population and yet the community continues to have unmet needs. Sanford will address this need by sharing the results of the CHNA with community leaders and will provide additional education for staff and care providers to help them recognize the signs, reporting requirements and care of the elderly suffering from abuse, neglect or dementia.Native American - Sanford is addressing this need, however, there are many remaining needs for the American Indian community members. Orientation and education is provided for staff members regarding cultural competency, expectations and the unique needs of a diverse population. Sanford also provides culturally consistent resources in the facilities (smudging ceremonies, native healers, etc.).Safety - Sanford is addressing this need by training employees regarding elderly abuse and neglect, patient safety and abuse reporting requirements. Parenting programs are available to new parents. Needs remain in the community and Sanford will share the concerns and the findings of the CHNA with community leadership.Prenatal Care - Over 20% of deliveries are to mothers who present to the medical center without having had prenatal care. Sanford will share these findings with public health agencies to develop a plan to engage patients in prenatal care early in pregnancy.	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 7:
	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 10:
	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 14g:
	Facility 5 -- Sanford Bemidji Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Vermillion Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Elder Care/Home Health/Expanded Nursing Home Capacity - Sanford Visiting Nurses Association and Home Health Agency and Sanford Home Medical Equipment store and services in Vermillion community address this need. However there are additional needs for services. Sanford will share this concern with community leadership.Urgent Care - Sanford Vermillion identified the need for urgent care through the community health needs assessment. An after hours clinic is in operations and is open Monday through Friday until 8 PM, and also on Saturdays from 9 AM until noon. During the reporting period, Sanford has also implemented "Sanford Day at Sanford". This program allows for same day access with primary care providers in the regular clinic setting.	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 7:
	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 10:
	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 14g:
	Facility 10 -- Sanford Vermillion Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Canby Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Handicap Accessibility - Sanford will share the results of the CHNA with community leaders and service providers.Workforce - Sanford Health is committed to investing in education. Medical students, dietitians, pharmacists, nursing students, nuclear medicine, respiratory therapists, occupational therapists and other healthcare professionals receive training at Sanford and stay to begin their careers at Sanford or move to other organizations where the training they received at Sanford will be a benefit.Better Emergency Room Facility - Sanford has included architectural plans to expand the ER and OR in its operational plans.	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 7:
	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 10:
	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 14g:
	Facility 11 -- Sanford Canby Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Chamberlain Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Dental Care - Sanford will share the results of the CHNA with community leaders and dental care providers.Diabetes Care Locally - Sanford is addressing this need through nutrition therapy services provided by a registered dietitian and is also planning to recruit a diabetes educator. Sanford is also addressing this need by having executed new programs to improve care coordination, including the Health Coach and Medical Home Programs for the purpose of impacting chronic disease. Sanford is committed to finding a cure for Type 1 Diabetes. A chronic disease self management program, Better Choices/Better Health is available free of charge to all patients with a chronic disease and can be accessed online at http://selfmanage.org/sanfordOutreach Specialty Care - Sanford is actively recruiting for additional providers and is making telemedicine available for neurology and dermatology.Keeping Young People in the Community - Sanford is addressing this need by sharing the results of the CHNA with community leaders.Cancer - Sanford is addressing this need by providing cancer screenings and digital mammography. Sanford also provides a local cancer fund to offset expenses.Premature Death - Sanford is addressing this need by providing CPR class for the community. Sanford will also share the results of the CHNA with community and public health leaders.Community Wellness Program - Sanford provides many wellness options including local registered dietitians and WebMD Fit Kids. The River City Gym is available to community members. The results of the CHNA will be shared with community leadership.Housing - Sanford will share these needs with the MPCH Association. Sanford will also pursue a solution to this need in the community.Transportation - Sanford will share the results of the CHNA with community leaders.Bullying - Sanford will address this need by sharing the results of the CHNA with school leaders and others in the community who work with youth.	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 7:
	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 10:
	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 14g:
	Facility 12 -- Sanford Chamberlain Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Luverne Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Dialysis Services - Building a new dialysis center in Luverne is not feasible at this time. However, there are dialysis centers in Worthington and in Sioux Falls; both are approximately 30 miles from Luverne.	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 7:
	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 10:
	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 14g:
	Facility 13 -- Sanford Luverne Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Jackson Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Access and Physician Recruitment/Retention - Sanford Jackson is addressing this issue through a recruiting strategy. Additionally, there are numerous programs in place to assist patients with access including the RN Health Coach and medical home staff.Elderly - Sanford will share the results of the CHNA and specifically the concerns about unmet needs and services for the elderly with community leaders.	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 7:
	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 10:
	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 14g:
	Facility 14 -- Sanford Jackson Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Tracy Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:City Infrastructure - Sanford does not have the capacity to meet these needs and will share the expressed concerns with city leadership.Dental Care - Sanford did have a United Way grant to help coordinate local free dental care in the past. The community has numerous options available. Sanford will share these concerns with public health.Economy - Although Sanford contributes substantially to the economic growth of the region and provides medical care to those who qualify for charity care through the Community Care Program and a discounted fee for those who qualify, there remain unmet needs beyond Sanford's scope. Sanford will share the survey results and unmet needs with community/city leaders.Elderly - Sanford supports the aging population in numerous ways. However there is a need for additional community services. Sanford will share these concerns with community leaders.Health Factors - Sanford does offer numerous programs to improve health factors. However there are needs in the community to reduce traffic deaths, teenage birth rates, etc. Sanford will share these concerns with community leadership.New Americans - Sanford has recently updated the policy so that children under 18 years of age are not able to translate for their parents. Sanford will share this concern with community leadership, social services and public health.Pollution/Environment - Sanford will share this information with community leaders.Safety - Sanford Tracy does not have the capacity to meet the safety needs of the community but will share these concerns with city leaders.Schools - Sanford will not directly address the school needs for the community but will share the concerns with community leaders and will communicate the concerns to Tracy school leadership.Traffic - Sanford will share these concerns with city leadership and will communicate the need for stop signs and speed bumps.Transportation - There is no transportation system available at this time. Residents must rely on volunteers to transport them out of the area. Sanford will not address this issue as it is out of Sanford' scope of work, however this information will be shared with city and county leadership.Youth - Sanford provides many services to meet the needs of youth. However there are additional needs for the youth of the community and Sanford will share these concerns with city, school and community leaders.	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 7:
	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 10:
	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 14g:
	Facility 15 -- Sanford Tracy Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Medical Center Mayville, but may be addressed by the Sanford enterprise system or by working with community leaders:Child Care - Traill County EDC is providing grants to start up day care centers. Sanford will address this need by sharing these concerns with city leadership.	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 7:
	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 10:
	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 14g:
	Facility 18 -- Sanford Medical Center Mayville	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Webster Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Dental Care - Sanford will address this need by sharing the CHNA results with community leaders.	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 7:
	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 10:
	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 14g:
	Facility 19 -- Sanford Webster Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Hillsboro Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Canton-Inwood Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Access to Health Care/Physicians - Sanford is addressing this issue through a recruitment strategic plan.Concern about cancer in the community - The unmet need regarding the high incident of cancer in the community is being addressed through the Sanford Cancer Biology Research Center in Sioux Falls.Day Care - Sanford will share the CHNA results with community leadership.Mental Health - Binge Drinking - Sanford is addressing binge drinking through a mental health implementation strategy.	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 7:
	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 10:
	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 14g:
	Facility 21 -- Sanford Canton-Inwood Medical Center	Part V, Section B, line 22:
The community health needs assessment was conducted during FY 2013. The main model for Sanford's work is the Association for Community Health Improvement's (ACHI) Community Health Needs Assessment toolkit.The following qualitative data sets were studied: - Community Health Needs Assessment of Community Leaders - In some communities additional surveys included: Community Health Needs Assessment of Residents (Generalizable)The following quantitative data sets were studied: - 2011 County Health Profiles for Counties - Aging Profiles for Counties - Diversity Profiles for CountiesAsset mapping was conducted by reviewing the data and identifying the unmet needs from the various surveys and data sets. The process implemented in this work was based on the McKnight Foundation model - Mapping Community Capacity by John L McKnight and John P Kretzmann, Institute for Policy Research at Northwestern University.Each unmet need was researched to determine what resources were available in the community to address the needs. The Community Health Needs Assessment Collaborative performed the asset mapping and reviewed the findings. The group conducted an informal gap analysis to determine what needs remained after resources were thoroughly researched. Once gaps were determined the group proceeded to the prioritization process. The multi-voting methodology was implemented to determine what top priorities would be further developed into implementation strategies.	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 1j:
Sanford convened key health care leaders and other not-for-profit leaders in the Fargo Moorhead community to establish a Fargo Moorhead Community Health Needs Assessment Collaborative. The collaborative members included public health leaders, other community hospital organizations, and not-for-profit groups. A primary goal of this collaborative was to craft standardized tools, indicators and methodology that can be used by all group members when conducting assessments and also be used by all Sanford hospital facilities across the enterprise. After much discussion, it was determined that the Robert Wood Johnson Framework for county profiles would be the secondary data model.A subgroup of this collaborative met with researchers from the North Dakota State University Center for Social Research to develop a survey tool for our key stakeholder groups. The survey tool incorporated the University of North Dakota's Center for Rural Health community health needs assessment tool and the Fletcher Allen community health needs assessment tool. North Dakota State University and the University of North Dakota Center for Rural Health worked together to develop additional questions and to ensure that scientific methodology was incorporated in the design.The representatives of the communities assessed included city mayors, city council/commission members, physicians, nurses, school superintendents and school board members, parish nurses, representatives from the Native American community, Faith Community Leaders, as well as legal services, mentally and physically disabled, social services, non-profit organizations and financial services. The CHNA for all Sanford hospital facilities includes listings of the individuals who served on steering groups and those who provided input. The reports can be found at:http://www.sanfordhealth.org/About/CHNA	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 3:
Sanford USD Medical Center Sioux FallsSanford Fargo Medical CenterSanford South University Medical CenterSanford Bismarck Medical CenterSanford Bemidji Medical CenterSanford Aberdeen Medical CenterSanford Bagley Medical CenterSanford Canby Medical CenterSanford Canton-Inwood Medical CenterSanford Chamberlain Medical CenterSanford Clear Lake Medical CenterSanford Jackson Medical CenterSanford Luverne Medical CenterSanford Mayville Medical CenterSanford Rock Rapids Medical CenterSanford Sheldon Medical CenterSanford Thief River Falls Medical CenterSanford Tracy Medical CenterSanford Vermillion Medical CenterSanford Webster Medical CenterSanford Westbrook Medical CenterSanford Wheaton Medical CenterSanford Worthington Medical Center	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 4:
Sanford invited community partners to attend presentations and discussions of the results. Community stakeholders and community councils were included.	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 5c:
The following unmet needs will not be addressed directly by Sanford Hillsboro Medical Center, but may be addressed by the Sanford enterprise system or by working with community leaders:Access to Health Care/Physicians - Sanford Hillsboro Medical Center is actively recruiting providers and has a recruitment strategy in place. In addition Sanford has RN Health Coaches and a medical home team to work with patients who need frequent appointments.Economic Situation/Business Community - Although Sanford contributes substantially to the economic growth of the region and provides medical care to those who qualify for charity care through the Community Care Program and a discounted fee for those who qualify, there remain unmet needs beyond Sanford's scope. Sanford will share the survey results and unmet needs with community/city leaders.Substance Abuse - Sanford is addressing substance abuse through the mental health implementation strategy.	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 7:
	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 10:
	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 11:
Other factors for calculating amounts charged to patients include balance owed, family size, debt to income ratio, savings and investments, other debt (both medical and non-medical), previous bankruptcies and liens, patient/guarantor involvement in other state and Federal assistance programs, individuals circumstances, current employment status, total monthly expenses and third party analytic score.	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 12h:
Other measures to publicize the policy within the community served by the hospital facility 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	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 14g:
	Facility 23 -- Sanford Hillsboro Medical Center	Part V, Section B, line 22:

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (98 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Aberdeen Catholic School Systems
1400 N Dakota Street	Aberdeen	SD	57401	460336005	501 (c) 3	27000	General support
Aberdeen Public Schools Foundation
1224 3rd Street South	Aberdeen	SD	57401	460423109	501 (c) 3	15250	General support
Absolutely Aberdeen
416 Production St N	Aberdeen	SD	57401	522424588	501 (c) 6	20000	General support
American Cancer Society
4904 S Technopolis Dr	Sioux Falls	SD	57106	410724036	501 (c) 3	27321	General support
American Diabetes Association
14216 Dayton Circle Ste 6	Omaha	NE	68137	131623888	501 (c) 3	13000	General support
American Heart Association Inc
7272 Greenville Ave	Dallas	TX	75231	135613797	501 (c) 3	109000	General support
Arthritis Foundation
1330 W Peachtree St	Atlanta	GA	30309	581341679	501 (c) 3	23500	General support
Arthritis Foundation Upper Midwest Region Inc
1876 N Minnehaha Avenue W	Saint Paul	MN	55104	390860526	501 (c) 3	10000	General support
Augustana College
2001 S Summit Ave	Sioux Falls	SD	57197	460224588	501 (c) 3	842100	Facilities development, Science Center development, Student athlete support
Bemidji Community Food Shelf
1260 Industrial Park Dr SE	Bemidji	MN	56601	411494430	501 (c) 3	7500	General support
Bemidji State University
1500 Birchmont Dr NE	Bemidji	MN	56601	411687554	501 (c) 3	70000	General support
Bismarck-Mandan Area Chamber of Commerce
1640 Burnt Boat Drive PO Box 1675	Bismarck	ND	58502	450116753	501 (c) 6	7525	General support
Boys and Girls Club of Sioux Empire
824 E 14th St	Sioux Falls	SD	57104	460399482	501 (c) 3	11000	General support
Brandon Valley Booster Club
PO Box 572	Brandon	SD	57005	466002577	501 (c) 6	7500	General support
Childrens Home Society of South Dakota
801 N Sycamore Ave PO Box 1749	Sioux Falls	SD	571011749	460224542	501 (c) 3	36000	General support
Children's Hospital Los Angeles
4650 Sunset Boulevard	Los Angeles	CA	90027	951690977	501 (c) 3	500000	General support
Columbia University
615 W 131st St 4th Floor	New York	NY	10027	135598098	501 (c) 3	8600	General support
Cosmopolitan Fund for Children
2101 S Minnesota Ave	Sioux Falls	SD	57105	364112670	501 (c) 3	5500	General support
Cullen Children's Foundation
PO Box 594	West Fargo	ND	58078	770636521	501 (c) 3	20000	General support
Cystic Fibrosis Foundation
8011 34th Ave S Ste 116	Bloomington	MN	55425	131930701	501 (c) 3	25000	General support
Dakota Hospital Foundation Inc
20 S Plum Street	Vermillion	SD	57069	460226067	501 (c) 3	102000	General support
Detroit Lakes Community & Cultural Center
826 Summit Ave	Detroit Lakes	MN	56501	411970351	501 (c) 3	10000	General support
Downtown Community Partnership
203 4th Ave N	Fargo	ND	58102	450314187	501 (c) 3	30000	General support
Family Advocacy Center
800 Bemidji Ave N Ste 4	Bemidji	MN	56601	202102302	501 (c) 3	110000	General support
Family HealthCare Center
301 NP Avenue	Fargo	ND	58102	450430628	501 (c) 3	10000	General support
First Tee of SD
2604 West Russell St	Sioux Falls	SD	57104	460449824	501 (c) 3	17000	General support
FM Curling Club
PO Box 212	Fargo	ND	58107	450341916	501 (c) 3	10000	General support
FM Rotary Foundation
PO Box 684	Fargo	ND	58107	203453808	501 (c) 3	18000	General support
Focus Watertown
PO Box 332	Watertown	SD	57201	470813269	501 (c) 6	7500	General support
Forward Sioux Falls
PO Box 907	Sioux Falls	SD	571010907	460396647	501 (c) 6	600000	Area economic development
Furniture Mission
209 N Nesmith	Sioux Falls	SD	57103	810584500	501 (c) 3	6400	General support
Great Plains Zoo
805 S Kiwanis Ave	Sioux Falls	SD	57104	466015015	501 (c) 3	40500	General support
Greater Bemidji
403 4th St NW Ste 330	Bemidji	MN	56601	363367707	501 (c) 3	40000	General support
Greater Fargo Moorhead Economic Development Corporation
51 Broadway Suite 500	Fargo	ND	58102	456011769	501 (c) 3	50000	General support
Horse Power (PKA Handi Riders Inc)
PO Box 1604	Sioux Falls	SD	57101	460378036	501 (c) 3	7500	General support
Junior Achievement
1000 N West Ave 100	Sioux Falls	SD	57104	460306352	501 (c) 3	24425	General support
Kilian Community College
300 East 6th St	Sioux Falls	SD	57103	460385443	501 (c) 3	11000	General support
Lincoln High School
201 E 38th Street	Sioux Falls	SD	57105	466002540	501 (c) 3	15000	General support
Los Cabos Children's Foundation
PO Box 2057	Sioux Falls	SD	571012057	202882711	501 (c) 3	270000	General support
Luverne Hockey Club
PO Box 591	Luverne	MN	56156	411685848	501 (c) 3	40000	General support
Make-A-Wish Foundation of South Dakota
1400 West 17th Street	Sioux Falls	SD	57104	460375953	501 (c) 3	10000	General support
Matson Halverson Christiansen Hamilton Foundation
PO Box 84	Kimball	SD	57355	460461691	501 (c) 3	15000	General support
Mayville State University Foundation
330 3rd St NE	Mayville	ND	58257	456013477	501 (c) 3	10100	General support
McCrossan Boys Ranch
47135 260th Street	Sioux Falls	SD	57107	460311913	501 (c) 3	11000	General support
Mike Miller Foundation
2107 Quiett Lane	Mitchell	SD	57301	300015773	501 (c) 3	22500	General support
Minnesota State University Moorhead Alumni Foundation
1104 7th Avenue S	Moorhead	MN	56563	237106061	501 (c) 3	400000	Sports medicine program
Missouri Slope Areawide United Way
515 N 4th Street PO Box 2111	Bismarck	ND	58502	450387741	501 (c) 3	40000	General support
National Kidney Foundation
1970 Oakcrest Ave Ste 208	Saint Paul	MN	55113	131673104	501 (c) 3	27000	General support
National Multiple Sclerosis Society Upper Midwest Chapter
200 12th Avenue South	Minneapolis	MN	55415	410790658	501 (c) 3	10000	General support
Northern State University Foundation
1200 Jay Street	Aberdeen	SD	57401	237002314	501 (c) 3	10000	General support
Northland Community & Technical College Foundation
1101 Highway One East	Thief River Falls	MN	56701	411287038	501 (c) 3	10000	General support
Red River Children's Advocacy Center
100 South 4th Street 302	Fargo	ND	58103	201095721	501 (c) 3	10000	General support
Ronald McDonald House
825 S Lake Ave	Sioux Falls	SD	571044635	460371152	501 (c) 3	60000	General support
Roosevelt High School
201 E 38th Street	Sioux Falls	SD	57105	466002586	501 (c) 3	10500	General support
Sanford Burnham Institute for Medical Research
10901 N Torrey Pines Road	LaJolla	CA	92037	510197108	501 (c) 3	1000000	Research
Sanford Health Foundation
1035 W 18th Street	Sioux Falls	SD	57105	363297853	501 (c) 3	20000	General support
Sanford Health Foundation Hillsboro
PO Box 609	Hillsboro	ND	58045	363542187	501 (c) 3	25002	General support
Sanford Health Foundation North
PO Box 2010	Fargo	ND	58122	450398104	501 (c) 3	245000	NICU
Sanford Health Foundation of Northern Minnesota
1300 Anne St NW	Bemidji	MN	56601	411389317	501 (c) 3	100000	General support
SD Achieve
4100 S Western Ave	Sioux Falls	SD	57105	460402915	501 (c) 3	11000	General support
SD Association of Healthcare Organizations
3708 W Brooks Place	Sioux Falls	SD	57106	460254666	501 (c) 6	272813	Healthy Communities Ballot Question Committee
SD Community Foundation
1714 N Lincoln Ave	Pierre	SD	57501	460398115	501 (c) 3	10000	General support
SD Law Enforcement Charities
5214 Sweetbriar Court	Sioux Falls	SD	57108	460440378	501 (c) 3	10000	General support
SD Lions Eye and Tissue Bank Inc
4501 W 61st Street North	Sioux Falls	SD	571076411	460413527	501 (c) 3	7500	General support
SD National Guard Enlisted Association
5208 S Baneberry Ave	Sioux Falls	SD	57106	237449956	501 (c) 19	15000	General support
SD Parks and Wildlife Foundation
523 E Capitol Ave	Pierre	SD	57501	460387968	501 (c) 3	25000	General support
SD Symphony Orchestra
300 North Dakota Ave Ste 116	Sioux Falls	SD	57104	466017026	501 (c) 3	80100	General support
SD Voices for Children
PO Box 2196	Sioux Falls	SD	571012196	460425502	501 (c) 3	16000	General support
SDSU
815 Medary Ave PO Box 525	Brookings	SD	57007	460273801	501 (c) 3	21140	General support
SF Arts Council
300 S Phillips Ave L104	Sioux Falls	SD	57104	208535871	501 (c) 3	15000	General support
SF Catholic Schools
3100 W 41st St	Sioux Falls	SD	57105	460413591	501 (c) 3	253000	General support
SF Cyclones
7605 Loganberry St	Sioux Falls	SD	57106	274705069	501 (c) 3	22000	General support
SF Mens 12 Slowpitch Softball League Inc
5708 W 56th St	Sioux Falls	SD	57106	460361620	501 (c) 3	5250	General support
Shiloh Christian School
1915 Shiloh Drive	Bismarck	ND	58503	450348120	501 (c) 3	72000	General support
Sioux Empire United Way
1000 North West Ave 120	Sioux Falls	SD	571041314	460233701	501 (c) 3	89750	General support
Sioux Falls Area Chamber of Commerce
PO Box 1425	Sioux Falls	SD	571011425	460189300	501 (c) 6	32500	General support
Sioux Falls Christian
6120 Charger Circle	Sioux Falls	SD	571091110	460340024	501 (c) 3	250000	General support
Sioux Falls Schools
201 E 38th Street	Sioux Falls	SD	57105	466002586	501 (c) 3	76000	General support
Sioux Falls Seminary
1525 S Grange Avenue	Sioux Falls	SD	57105	460237098	501 (c) 3	100000	Scholarship endowment
Sioux Falls Sports Authority Summit League
200 N Phillips Ave Ste 303	Sioux Falls	SD	57104	205850491	501 (c) 3	53000	General support
Southeast Technical Institute
2320 N Career Ave	Sioux Falls	SD	57107	364112897	501 (c) 3	14000	General support
Special Olympics
305 W 39th St	Sioux Falls	SD	57105	460359776	501 (c) 3	14800	General support
Susan G Komen for the Cure
5005 LBJ Freeway Suite 250	Dallas	TX	75244	751835298	501 (c) 3	77627	General support
The Arts Partnership of the Red River Valley
1104 2nd Avenue South Suite 315	Fargo	ND	58103	237108936	501 (c) 3	10000	General support
United Way Northeastern SD Inc (Aberdeen)
12 4th Ave SE PO Box 1065	Aberdeen	SD	57401	237086355	501 (c) 3	10000	General support
University of Sioux Falls
1101 West 22nd Street	Sioux Falls	SD	57105	460224600	501 (c) 3	29800	General support
University of South Dakota
1110 N Dakota Street PO Box 5555	Vermillion	SD	570695555	466018891	501 (c) 3	1024446	Support research, Program development of Medical School with emphasis on Pediatrics
University of Wisconsin
600 Highland Ave	Madison	WI	53792	390743975	501 (c) 3	15000	General support
USD Foundation for Continuing Medical Education Inc
1400 W 22nd St Room 117	Sioux Falls	SD	571051570	460456614	501 (c) 3	2050000	Medical education
USD School of Medicine
1400 W 22nd Street	Sioux Falls	SD	571051581	460418678	501 (c) 3	51504	General support
Valley City State University Foundation
101 College St	Valley City	ND	58072	237178785	501 (c) 3	17500	General support
Village Northwest Unlimited
330 Village Circle	Sheldon	IA	51201	421044017	501 (c) 3	6500	General support
Volunteers of America
1309 West 51st St PO Box 89306	Sioux Falls	SD	571099306	237353508	501 (c) 3	10000	General support
Washington Pavilion
301 S Main Ave PO Box 984	Sioux Falls	SD	571010984	460435791	501 (c) 3	126411	General support
Webster WAVE
City of Webster 513 Main St	Webster	SD	57274	201307620	501 (c) 3	15000	General support
West Central Initiative
1000 Western Ave	Fergus Falls	MN	56537	363453471	501 (c) 3	41000	General support
YMCA
230 S Minnesota Ave	Sioux Falls	SD	57104	460225021	501 (c) 3	220398	Local support
YWCA
300 W 11th Street	Sioux Falls	SD	57104	460234998	501 (c) 3	9000	General support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	90	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	8	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Procedure for Monitoring Grants in the U.S.:	Identifier
Return Reference	Part I, Line 2:	ReturnReference
Explanation	Schedule I, Part I, Line 2: All grants given are donations to individual organizations. The funds are to be used for the general support of the organization receiving the funds.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	X	FirstClassOrCharterTravel
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Personal Services	X	PersonalServices
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	1	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	1	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (68 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	213821	0	0	0	0	0	8842	0	22193	0	244856	0	0	0
Mark Paulson MD
Trustee	200747	0	0	0	47749	0	12500	0	20436	0	281432	0	0	0
Richard Hardie MD
Trustee	743706	0	0	0	3717	0	15000	0	18818	0	781241	0	0	0
Kelby K Krabbenhoft
Sanford Health President & CEO	941885	0	332500	0	265036	0	0	0	22054	0	1561475	0	0	0
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO	0	0	0	0	0	0	589623	0	0	0	589623	0	0	0
JoAnn L Kunkel
Chief Financial Officer Corp	321232	0	80000	0	36816	0	14146	0	19554	0	471748	0	0	0
Lisa Carlson thru Oct 12
Chief Financial Officer Corp	434253	0	129600	0	80333	0	12500	0	19347	0	676033	0	0	0
Paul Richard
Chief Legal Officer (thru Feb 13)	383244	0	114000	0	65150	0	12500	0	20675	0	595569	0	0	0
Kim Patrick
Chief Legal Officer	335711	0	84750	0	67212	0	83377	0	20955	0	592005	0	0	0
Rebecca Nelson
Senior Vice President & COO - HSD	632250	0	191100	0	154342	0	0	0	16570	0	994262	0	0	0
Rebecca Nelson Deferred Comp
Senior Vice President & COO - HSD	0	0	0	0	0	0	117277	0	0	0	117277	0	0	0
Bill Marlette
Treasurer	425931	0	129600	0	103174	0	0	0	1755	0	660460	0	0	0
Bill Marlette Deferred Comp
Treasurer	0	0	0	0	0	0	142487	0	0	0	142487	0	0	0
David Link
Executive Vice President - D&R	531484	0	162000	0	127998	0	0	0	24455	0	845937	0	0	0
David Link Deferred Comp
Executive Vice President - D&R	0	0	0	0	0	0	148495	0	0	0	148495	0	0	0
D Evan Burkett
Chief Human Capital Officer	334640	0	102000	0	45984	0	15000	0	21458	0	519082	0	0	0
Arlyn Broekhuis
Vice President & CIO	345576	0	87500	0	41958	0	15000	0	19554	0	509588	0	0	0
Bradley J Schipper
COO - Sanford Health Network	240138	0	300	0	28905	0	12937	0	22100	0	304380	0	0	0
Bruce D Viessman
CFO - Sanford Health Network	200971	0	300	0	19838	0	12076	0	21994	0	255179	0	0	0
Bruce Pitts MD
Chief Medical Officer	490702	0	146700	0	90718	0	12500	0	14119	0	754739	0	0	0
Bryan J Nermoe
COO - Sanford Clinic	238153	0	300	0	42091	0	14649	0	19061	0	314254	0	0	0
Cecily Tucker
CFO - D&R (thru Nov 12)	220465	0	56000	0	20536	0	15000	0	21622	0	333623	0	0	0
Charles P O'Brien
President - SMC	435057	0	77000	0	100298	0	0	0	23414	0	635769	0	0	0
Charles P O'Brien Deferred Comp
President - SMC	0	0	0	0	0	0	55820	0	0	0	55820	0	0	0
Craig Boyer
CFO - Bemidji	218812	0	29295	0	22379	0	14138	0	17748	0	302372	0	0	0
Craig Lambrecht
President - Sanford Bismarck	638990	0	195894	0	6319	0	10000	0	22444	0	873647	0	0	0
Daniel Olson
COO - Bemidji Clinic	187930	0	10300	0	8615	0	9420	0	19200	0	235465	0	0	0
Daniel W Blue
President - Sanford Clinic	434366	0	76125	0	93469	0	119802	0	22815	0	746577	0	0	0
Dennis Millirons
President - Sanford Medical Center F	443522	0	110000	0	84597	0	2500	0	15506	0	656125	0	0	0
Diana Berkland
Chief Nurse Executive - SMC	203507	0	10000	0	80875	0	0	0	1547	0	295929	0	0	0
Diana Berkland Deferred Comp
Chief Nurse Executive - SMC	0	0	0	0	0	0	86197	0	0	0	86197	0	0	0
Douglas Okland
CFO - Sanford Clinic North	202010	0	25300	0	25494	0	11365	0	5167	0	269336	0	0	0
Edmond L Weiland
President - Sanford Health Network	327462	0	82500	0	54122	0	15000	0	19678	0	498762	0	0	0
Ellen Cooke
COO - Sanford Clinic North	258246	0	300	0	37380	0	12500	0	8773	0	317199	0	0	0
Gordon A Larson
CEO - Aberdeen	197844	0	300	0	26656	0	12189	0	19815	0	256804	0	0	0
H Eugene Hoyme
President - Sanford Research	409442	0	50000	0	118824	0	15000	0	19540	0	612806	0	0	0
Jac M McTaggart
CEO - Sanford Hillsboro	128114	0	10000	0	11952	0	1133	0	17576	0	168775	0	0	0
Jeff D Sandene
COO - Health Services North Division	323699	0	80000	0	34897	0	12500	0	21547	0	472643	0	0	0
Joy Johnson
COO - Bemidji	220989	0	31350	0	29692	0	19361	0	8183	0	309575	0	0	0
Karen Tobin
COO - Sanford Medical Center Fargo	195179	0	300	0	27592	0	11729	0	7650	0	242450	0	0	0
Leslie Wietstock
CFO - Sanford Health Network North	168431	0	300	0	20320	0	8455	0	12727	0	210233	0	0	0
Linda O'Halloran
COO - SMC Fargo (thru Mar 13)	338270	0	10300	0	49952	0	12500	0	5844	0	416866	0	0	0
Mary Ruyter
CEO - Jackson	136268	0	300	0	14432	0	6641	0	18440	0	176081	0	0	0
Merrilee Schultz
Chief Financial Officer - SMC	161360	0	300	0	14768	0	7266	0	8187	0	191881	0	0	0
Michael E Farritor
COO - Sanford Clinic	332280	0	300	0	40341	0	14833	0	21862	0	409616	0	0	0
Michelle A Bruhn
Chief Financial Officer - HSD	230915	0	300	0	28547	0	10644	0	3378	0	273784	0	0	0
Nate White
COO - Health Services South Division	291961	0	300	0	28016	0	13990	0	11511	0	345778	0	0	0
Paul Hanson
President - Bemidji	391154	0	93750	0	72667	0	19542	0	17776	0	594889	0	0	0
Randy Bury
Chief Administrative Officer - SMC	331782	0	300	0	41571	0	0	0	8714	0	382367	0	0	0
Randy Bury Deferred Comp
Chief Administrative Officer - SMC	0	0	0	0	0	0	14832	0	0	0	14832	0	0	0
Richard E Nordahl
CEO - Sheldon	193107	0	300	0	25252	0	11373	0	21879	0	251911	0	0	0
Richard Giesel
President - Sanford Health Network N	299790	0	74688	0	52096	0	12500	0	14604	0	453678	0	0	0
Richard Marsden MD
COO - Sanford Clinic North	531300	0	0	0	118192	0	12500	0	16210	0	678202	0	0	0
Robert J Salmon
CEO - Canby & Clear Lake	196258	0	300	0	54972	0	0	0	9163	0	260693	0	0	0
Robert J Salmon Deferred Comp
CEO - Canby & Clear Lake	0	0	0	0	0	0	114296	0	0	0	114296	0	0	0
Shirley Heintz
CNO - Bemidji	188936	0	22787	0	25329	0	20534	0	16625	0	274211	0	0	0
Stacy Barstad
CEO - Tracy	146649	0	300	0	11344	0	8817	0	23394	0	190504	0	0	0
Steve W Goetsch
CFO - Sanford Clinic	229753	0	300	0	25078	0	10400	0	20382	0	285913	0	0	0
Tammy K Loosbrock
CEO - Luverne	172857	0	300	0	13182	0	10389	0	21349	0	218077	0	0	0
Tiffany Lawrence
CFO - Sanford Medical Center Fargo	232159	0	300	0	21607	0	11673	0	18871	0	284610	0	0	0
Timothy J Tracy
CEO - Vermillion	184649	0	300	0	22234	0	10202	0	8929	0	226314	0	0	0
William C Brunner
Physician	2086091	0	0	0	0	0	15000	0	19914	0	2121005	0	0	0
Tomasz P Stys
Physician	2070543	0	0	0	1461	0	15000	0	19914	0	2106918	0	0	0
Scott Pham
Physician	2059776	0	0	0	0	0	15000	0	21914	0	2096690	0	0	0
Adam T Stys
Physician	1915197	0	0	0	2951	0	15000	0	19914	0	1953062	0	0	0
Corey L Teigen
Physician	1760546	0	0	0	0	0	12500	0	25281	0	1798327	0	0	0
Richard G Adcock
Former Executive VP - Sanford Clinic	231841	0	300	0	20328	0	12794	0	24521	0	289784	0	0	0
Christine Harff
CEO TRF Medical Center	131082	0	0	0	14537	0	6554	0	13392	0	165565	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 checked several of the items as provided to listed persons: First Class or Charter Travel - Charter travel for business purposes is provided for individuals as needed and as cost appropriate, in accordance with written policies. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Travel for Companions - Limited travel for companions is required for certain annual meetings. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Tax Indemnification and gross-up payments - Certain compensation may be grossed up to include appropriate tax amounts. Health or social club dues or initiation fees - All Sanford employees are eligible for discounted wellness memberships, a portion of these discounts and other club dues are included as fringe benefits, and taxed as such. Personal services - Individuals may have benefits which include tax preparation or planning, this benefit is included in income and taxed. Part I, Line 3: The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm 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, Lines 4b-c	Part I, Line 4b / Schedule J, Part II, Column C: Employer contributions to defined contribution SERP Plans are included in Column C. Participants and contributions include: Daniel Blue $44,700, Kim Patrick $33,180. 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 benefit SERP Plans are included in Column C. Participants and changes in values include: Kelby Krabbenhoft $433,820, David Link $104,526, Bill Marlette $104,961, Rebecca Nelson $95,626. Certain listed individuals received payment distributions from a benefit plan that falls within the definition of an "equity based" compensation plan. These amounts were deferred over multiple year periods and were included in compensation in those periods. Distributions were paid to: Diana Berkland $52,869, Robert Salmon $30,096.
Part I, Line 6	Sanford physicians are compensated based on the professional services they perform within the clinic in which they provide care. Generally, the model is based on production.
Part I, Line 7	Certain employees are eligible for a discretionary incentive bonus, based on financial targets and other goals.
Part III	Supplemental: Compensation reported on Schedule J includes: (B)(i) Base compensation - salaries are based on the experience and performance of each executive and bench-marked using independent compensation survey information. (B)(ii) Bonus & incentive compensation - as part of executive compensation, individuals may be eligible for incentive performance compensation, however if the organization does not meet its financial targets, incentive payments are not paid, regardless of performance. (B)(iii) Other Reportable Compensation - generally includes taxable executive benefits. (C) Deferred Compensation - includes employer contributions to pension plans and the increase (or decrease) in the actuarial value (actuarial value factors include age, tenure and salary) of the defined benefit plans. (D) Nontaxable Benefits - generally includes health insurance premiums. A memo regarding executive compensation, written by the Chairman of the Sanford Board of Trustees, is on file and available upon request. Compensation paid to trustees is for full-time professional responsibilities as physicians, administrators or employees of the organization. The total compensation paid to Kelby Krabbenhoft of $1,539,421 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
South Dakota Health and Educational Facilities Authority
A	460315509	83755VHY3	2004-09-14	70073989	New construction of healthcare facilities	0	0	0
South Dakota Health and Educational Facilities Authority
B	460315509	83755VME1	2007-04-19	75002140	New construction and remodeling of healthcare facilities	0	0	0
South Dakota Health and Educational Facilities Authority
C	460315509	83755VNZ3	2009-09-29	71015042	New construction and remodeling of healthcare facilities	0	0	0
City of Fargo
D	456002069	307479CK9	2011-02-09	134069821	Refunding bonds issued 12/5/1996, 11/8/2000, and 6/18/2002	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Other Spent ProceedsOtherSpentProceeds
A	1970000	71581953	196847	764068	70817885	2006	0	0	1	1
B	3245000	78207775	1	732655	77475119	2009	0	0	1	1	1
C		71393241	1	997167	70396074	2011	0	0	1	1
D	8110000	134069821	1			2012	1	1	1	1	134069821

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts
A	1	1
B	1	1
C	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYet	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue
A	0	1	1
B	0	1	0
C	1	0	0
D	1	0	0

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0
D	0

Form990 Schedule K Part VI Form990ScheduleKPartVI (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Schedule K Part IV, Arbitrage, Line 2c	Date Rebate Computation Performed	Issuer Name: South Dakota Health and Educational Facilities Authority Date the Rebate Computation was Performed: 09/14/2006 Issuer Name: South Dakota Health and Educational Facilities Authority Date the Rebate Computation was Performed: 04/19/2010 Issuer Name: Traill County Date the Rebate Computation was Performed: 05/01/2012 Issuer Name: Morton County Date the Rebate Computation was Performed: 11/30/2009 Issuer Name: Morton County Date the Rebate Computation was Performed: 06/30/2008 Issuer Name: Morton County Date the Rebate Computation was Performed: 11/30/2008
	Part I, Column e and Part II, Line 3	Differences between the issue price (Part I, column e) and total proceeds (Part II, line 3) are due to investment earnings.
	Part II, Line 4	The amounts shown here consist of debt service fund deposits, except for the Traill County 2007 bonds, for which the amount shown consists of $895,961 in a debt service reserve fund and $174,426 of debt service fund deposits.
	Part III, column D	Part III has not been completed for the 2011 City of Fargo bonds or 3/29/2012 South Dakota Health and Educational Facilities Authority bonds. These bonds refunded pre-2003 debt that does not have to be reported.
	Part IV, Line 6, column D	This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of bonds.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
South Dakota Health and Educational Facilities Authority
A	460315509	83755VVM3	2012-11-01	128733641	New construction and remodeling of healthcare facilities	0	0	0
Traill County
B	456002246	892846AQ9	2007-05-22	13341133	New construction of long-term care facilities and remodeling of facilities	0	0	0
Morton County
C	456002226		2008-05-30	6100000	New construction of a long-term care facility	0	0	0
Morton County
D	456002226		2007-08-01	4500000	New construction of a long-term care facility	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Amount UnspentAmountUnspent	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount RetiredAmountRetired	Capitalized InterestCapitalizedInterest	Year Of Subst CompletionYearOfSubstCompletion
A	128792300	1	1470647	46293274	81028379	0	1
B	13171753	1070387	333809	12057643		1	1	915000	780301	2009
C	6128980		13000	6115980		1	1	418740		2009
D	4574787		19000	4555787		1	1	327411		2009

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCd	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts
A	1	1
B	1	1
C	1	1
D	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYet	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue
A	1	0	0
B	0	1	0
C	0	1	1
D	0	1	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0
D	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
Morton County
A	456002226	2006-12-19	7900000	New construction of a long-term care facility and refinancing prior debt	0	0	0
City of Chamberlain
B	460000094	2010-12-30	4000000	New construction of long-term care facilities	0	0	0
South Dakota Health and Educational Facilities Authority
C	460315509	2012-03-29	66185000	Refunding bonds issued 9/12/2001 and 10/15/2002	0	0	0
South Dakota Health and Educational Facilities Authority
D	460315509	2012-06-14	45000000	Refinance taxable indebtedness used to construct a healthcare facility	0	0	0

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Capitalized InterestCapitalizedInterest	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Other Spent ProceedsOtherSpentProceeds
A	717823	7980531	309291	40200	7631040	2009	0	0	1	1
B	483476	4000000			4000000	2010	0	0	1	1
C	1945000	66185000		24356		2012	1	1	1	1	66160644
D		45000000			45000000	2012	0	0	1	1

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCd	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts
A	1	1
B	1	1
D	1	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYet	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue
A	0	1	1
B	1	0	1
C	1	0	1
D	1	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	0
B	0
C	0
D	0

Schedule L IRS990ScheduleL

Loan Table LoanTable (2 entries)

Relationship With OrganizationRelationshipWithOrganization	Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Bryan Nermoe
COO - Sanford Clinic	Retention Loan	X	$20,000	378	0	0	1
Bryan Nermoe
COO - Sanford Clinic	Retention Loan	X	$30,000	11286	0	0	1

Field	Value	IRS element (for citing)
Total Balance Due	11664	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (18 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Amy Entenman
James Entenman - family relationship	50966	Compensation	0
Jan Feder
Jerome Feder - family relationship	94933	Compensation	0
Megan Hemmelgarn
Mark Paulson - family relationship	40960	Compensation	0
Rebecca Blue
Daniel Blue - family relationship	11187	Compensation	0
Kim Goetsch
Steve Goetsch - family relationship	47310	Compensation	0
Nancy Salmon
Robert Salmon - family relationship	86904	Compensation	0
Kirby Johnson
Joy Johnson - family relationship	60705	Compensation	0
Casey Johnson
Joy Johnson - family relationship	112780	Compensation	0
Dorothy Larson
Gordon Larson - family relationship	37987	Compensation	0
Jenny Marsden
Richard Marsden - family relationship	100637	Compensation	0
Kathryn Nermoe
Bryan Nermoe - family relationship	91203	Compensation	0
Margaret Schumacher
Michael Schumacher - family relationship	17878	Compensation	0
Joshua Weiland
Edmond Weiland - family relationship	65379	Compensation	0
Corrie Weiland
Edmond Weiland - family relationship	84402	Compensation	0
Annette White
Nate White - family relationship	125623	Compensation	0
Midwest Catering
Barbara Stork - Owner	309125	Catering Services	0
SunDog
Brent Teiken - Owner	2933587	Marketing	0
US Bank
Barry Martin - Division President	1878724	Bank Fees and Commissions	0

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Description	Medical equipment	Description
Number Of Contributions	3	NumberOfContributions
Noncash Contribs Rptd F990	47632	NoncashContribsRptdF990
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule N IRS990ScheduleN

Liquidation Table LiquidationTable

Liquidation Detail LiquidationDetail

Field	Value	IRS element (for citing)
Description Of Asset	NONE	DescriptionOfAsset
Date Of Distribution	2012-11-22	DateOfDistribution

Field	Value	IRS element (for citing)
Director Of Successor	0	DirectorOfSuccessor
Employee Of Successor	0	EmployeeOfSuccessor
Owner Of Successor	0	OwnerOfSuccessor
Receive Compensation	0	ReceiveCompensation
Assets Distributed	1	AssetsDistributed
Required To Notify AG	1	RequiredToNotifyAG
AG Notified	1	AGNotified
Liabilities Paid	1	LiabilitiesPaid
Bonds Outstanding	0	BondsOutstanding

Form990 Schedule N Part III Form990ScheduleNPartIII

Field	Value	IRS element (for citing)
Explanation	MeritCare Minnesota underwent a dissolution during the tax year effective November 22, 2012. Subject to a two year administrative waiting period before an official dissolution could take place, the operations of this entity were wound down and all assets transferred out in 2010. Therefore there are no assets to report on Part I of Schedule N for this tax year.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part V, Line 3a:	Sanford Health, Sanford Medical Center, Sanford Clinic, Sanford North, Sanford Medical Center Fargo, Sanford Clinic North, Sanford Bismarck and Sanford Living Centers have unrelated business gross income over $1,000.
Part V, Line 4a:	Sanford World Clinics has an interest in a financial account in the foreign countries of Belize and Ghana.
Form 990, Part VI, Section A, line 2	The following officers, board members, and key employees are employees of Sanford or its related organizations. Many of these employees also serve on other related Sanford boards, or have business relationships with each other that span the organization as a whole: Arlyn Broekhuis, Bill Marlette, Bradley Schipper, Bruce Viessman, Bruce Pitts, Bryan Nermoe, Cecily Tucker, Charles O'Brien, Christopher Meeker, Craig Boyer, Craig Lambrecht, D Evan Burkett, Daniel Olson, Daniel Blue, David Link, Dennis Millirons, Diana Berkland, Douglas Okland, Edmond Weiland, Ellen Cooke, Gordon Larson, H Eugene Hoyme, Jac McTaggart, Jeff Sandene, JoAnn Kunkel, Joy Johnson, Karen Tobin, Kelby Krabbenhoft, Kim Patrick, Leslie Wietstock, Linda O'Halloran, Lisa Carlson, Mark Paulson, Mary Ruyter, Merrilee Schultz, Michael Farritor, Michelle Bruhn, Nate White, Paul Hanson, Paul Richard, Randy Bury, Rebecca Nelson, Richard Nordahl, Richard Giesel, Richard Hardie, Richard Marsden, Robert Salmon, Shirley Heintz, Stacy Barstad, Steve Goetsch, Tammy Loosbrock, Tiffany Lawrence, Timothy Tracy.
Form 990, Part VI, Section A, line 6	Sanford is governed by a Board of Trustees (BOT) that has ultimate strategic and decision making authority. The BOT delegates certain activities and responsibilities to Boards of each of Sanford's subsidiaries. The unique nature and complexity of the subsidiaries requires each to have a delegated Board with a singular entity focus. Such bodies, referred to as Boards of Directors and Boards of Governors, address matters such as credentialing, accreditation standards, developing budgets, programs and facilities on an entity-specific basis, and generally consist of individuals distinct from the BOT. These Boards function much like committees in a traditional corporate structure. The BOT then acts as a holding company Board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. This structure of governance produces a significant number of trustees, governors and directors, creating a 400+ person collective which acts as a team of ambassadors for Sanford in their respective communities. Subsidiaries included within this group tax return consist of Sanford Health, Sanford North, Sanford Medical Center, Sanford Medical Center Fargo, Sanford Clinic, Sanford Clinic North, Sanford Health Network, Sanford Health Network North, Sanford Medical Center Thief River Falls, Sanford Medical Center Mayville, Sanford Home Health, Sanford Research/USD, Sanford World Clinics, MeritCare Minnesota, Sanford Hillsboro, Sanford Health of Northern Minnesota, Baker Park, Inc., Sanford West, Sanford Bismarck and Sanford Living Centers. The Board of Trustees of Sanford is also the Board of Trustees for Sanford Health, Sanford North and Sanford West, and Sanford is the sole corporate member of these entities. These entities, in turn, are the sole corporate members of the subsidiaries. The actions approved by individual entity's Board of Directors are then approved by the Sanford Board of Trustees.
Form 990, Part VI, Section A, line 7a	The Sanford Board of Trustees appoints the board members for the Boards of Directors and Boards of Governors of the subsidiary entities.
Form 990, Part VI, Section A, line 7b	The Sanford Board of Trustees approve the actions approved by the Boards of Directors and Boards of Governors of the subsidiary entities. Form 990, Part VI, Section B, line 10b: Sanford North, Sanford Clinic and Sanford Health Network have local chapters, branches or affiliates over which the organization has the legal authority to exercise direct or indirect supervision and control.
Form 990, Part VI, Section B, line 11	The Form 990 is prepared internally by the finance department and reviewed by executive management. An external accounting firm reviews the return and prepares return highlights and key disclosures for the Board of Trustees meeting prior to the return filing date. Before the return is filed, a complete copy is provided to the current Board of Trustees.
Form 990, Part VI, Section B, line 12c	The annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of Interest questionnaires are sent to System Trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the IRS Form 990 filings. The disclosures are summarized for review by the executive committee of the Board of Trustees, pursuant to policy. This review allows: 1) The Board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis when potential conflicts are implicated in Board decisions and deliberations, and, 2) Gives the Board the opportunity to seek additional information and clarification about disclosures to determine potential conflicts of interest, and how to manage them.
Form 990, Part VI, Section B, line 15	The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm 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. Part VI, Line 16a: Sanford Health, Sanford Clinic and Sanford Clinic North have participated in joint ventures with taxable entities.
Form 990, Part VI, Section C, line 19	Although the organization does not maintain a website where the public can access these documents, it would respond individually to any requests or inquiries from the public for these documents.
Form 990, Part VII:	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 XI, line 9:	Net payroll and other expenses paid on behalf of parent/affiliates 33,821,910. Transfer CVS outreach operations from SMC -46,263. Net assets released from restriction 10,464,004. Pension FAS 158 33,631,644. Change in net assets due to acquisition 295,269. Capitalization of SAB -5,000. Gain/Loss on Joint Ventures -692,966.	Changes in Net Assets or Fund Balances:
Form 990 Elections	Form 990, Page 1, Line H(a) - Listing of Subordinate Organizations: Names, Addresses, and EINs Sanford Health 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 31-1527032 Sanford USD Medical Center 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0227855 Sanford Home Health 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0282134 Sanford Health Network 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0388596 Sanford Clinic 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0447693 Sanford Research / USD 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0450378 Sanford World Clinics 1305 West 18th Street Sioux Falls, SD 57117 EIN: 26-2707628 Sanford North 801 Broadway Drive Fargo, ND 58122 EIN: 45-0385890 Sanford Clinic North 801 Broadway Drive Fargo, ND 58122 EIN: 91-1770748 Sanford Medical Center Fargo 801 Broadway Drive Fargo, ND 58122 EIN: 45-0226909 Sanford Health Network North 801 Broadway Drive Fargo, ND 58122 EIN: 45-0409348 Sanford Medical Center Thief River Falls 801 Broadway Drive Fargo, ND 58122 EIN: 41-0709579 Sanford Medical Center Mayville 801 Broadway Drive Fargo, ND 58122 EIN: 45-0228899 MeritCare Minnesota 801 Broadway Drive Fargo, ND 58122 EIN: 26-1530302 Sanford Hillsboro 12 3rd Street SE, PO Box 609 Hillsboro, ND 58045 EIN: 45-0230400 Sanford Health of Northern Minnesota 1300 Anne St NW Bemidji, MN 56601 EIN: 41-1266009 Baker Park, Inc. 803 Dewey Ave NW Bemidji, MN 56601 EIN: 41-1372480 Sanford West 300 North 7th Street Bismarck, ND 58501 EIN: 45-0397195 Sanford Bismarck 300 North 7th Street Bismarck, ND 58501 EIN: 45-0226700 Sanford Living Centers 1000 18th Street NW, Suite 1 Mandan, ND 58554 EIN: 45-0416454	Elections
General	MeritCare Minnesota will not have responses similar to other subordinates as this entity did not have current year activity.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (10 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Lincoln County Real Estate Trust
100 S Phillips Ave	Sioux Falls	SD	57104	466126929	Real Estate	SD	0	586467	Sanford Health
PPK Family Trust
100 S Phillips Ave	Sioux Falls	SD	57104	207317570	Rental Real Estate	SD	35	94	Sanford Health
Lynx Trust
PO Box 5186	Sioux Falls	SD	57117	266167201	Investment	SD	3	1	Sanford Health
National Student Housing Trust-SD
PO Box 5186	Sioux Falls	SD	57117	206831968	Investment	SD	-4	441	Sanford Health
Sanford Consumer Services LLC
1305 W 18th Street	Sioux Falls	SD	57117	208736919	Medical Spa	SD	1014288	219588	Sanford Clinic
Sanford HealthCare Accessories LLC
3223 32nd Ave SW	Fargo	ND	58103	202404179	Sales of Durable Medical Equip	ND	31209884	14274417	Sanford North
Healthcare Environmental Services LLC
PO Box 2010	Fargo	ND	58122	205236701	Retail Enterprises	ND	4213192	2113746	Sanford North
North Country Senior Living LLC
1000 Anne St NW	Bemidji	MN	56601	263862586	Senior Housing	CO	2885309	-9408915	Sanford Health of Northern Minnesota
1527 Broadway LLC
1527 Broadway	Alexandria	MN	56308	411336392	Real Estate	MN	629255	7552767	Sanford Clinic North
Medequip One LLC
626 N 6th Street	Bismarck	ND	58501	450452639	Durable medical equipment, products, and services	ND	-244333	1042013	Sanford West

Form990 Schedule R Part II Form990ScheduleRPartII (11 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 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
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 Health Foundation Hillsboro
PO Box 609	Hillsboro	ND	58045	363542187	Fundraising	ND	501(c)(3)	7	1	Sanford Hillsboro
Sanford Medical Center Wheaton
401 12th Street North	Wheaton	MN	56296	272042143	Hospital/Clinic	MN	501(c)(3)	3	1	Sanford Health Network 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
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 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	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
National Student Housing-South Dakota LLC
100 S Phillips Ave	Sioux Falls	SD	57104	202129839	Investment	SD	Sanford Health	Related	-32592	4664650	0	0	0.99990
RAC Rentals LLC
100 S Phillips Ave	Sioux Falls	SD	57104	261961077	Investment	SD	Sanford Health	Related	-35531	3951010	0	0	0.99990
Shetek Medical Services LLC
251 5th Street East	Tracy	MN	56175	412004685	Home Health Services	MN	Sanford Health Network	Related	-58288	861428	0	0	0.60000
Southwest MN Radiation Center LLC
1018 6th Avenue	Worthington	MN	56187	460447693	Radiation Services	MN	Sanford Health Network	Related	-464696	418112	0	0	0.72000

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA	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	Sanford Health	C	1318428	9819695	1.00000	1
Sanford Health Plan
300 Cherapa Place	Sioux Falls	SD	57103	911842494	Insurance	SD	Sanford Health	C	2848216	47789028	1.00000	1
Sanford Health Plan of MN
300 Cherapa Place	Sioux Falls	SD	57103	460445852	Insurance	MN	Sanford Health	C	-1243508	1818537	1.00000	1
Bemidji Medical Equipment Inc
1300 Anne Street NW	Bemidji	MN	56601	411551725	Retail Sales of DME	MN	Sanford Health of Northern Minnesota	C	10870	61626	1.00000	1
North Country Management Inc
1300 Anne Street NW	Bemidji	MN	56601	411820025	Management Services	MN	Sanford Health of Northern Minnesota	C			1.00000	1
Sanford Frontiers
1305 W 18th Street PO Box 5039	Sioux Falls	SD	571175039	455436599	Weight Loss Management	SD	Sanford Health	C	4349900	4780155	1.00000	1
SOB Inc
2701 S Minnesota Avenue Suite 2	Sioux Falls	SD	57105	460442628	Air Transportation	SD		C				1	N/A
Sanford Affiliated Services Inc
300 N 7th Street	Bismarck	ND	58501	450403146	Investment Activity	ND	Sanford West	C	260318	1508414	1.00000	1
Sanford World Clinics - Ghana
					Healthcare		Sanford World Clinics	C	585017	2688656	1.00000	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	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	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	0	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 (8 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Sanford Health Foundation
C	33025976	Cost
Sanford Health Foundation North
C	1463586	Cost
Sanford Medical Center Wheaton
O	301145	Cost
Edith Sanford Breast Cancer Foundation
C	2923845	Cost
Sanford Health Foundation Hillsboro
C	56011	Cost
Sanford Health Foundation of Northern Minnesota
B	100000	Cost
Sanford West Foundation
C	355238	Cost
Sanford Health Foundation North
B	245000	Cost