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Sanford Health Foundation Hillsboro: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Sanford Health Foundation Hillsboro (EIN 36-3542187)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-09
IRS object ID
201421299349301232
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-09T10:11:10-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN861065772EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line150 South Sixth Street Suite 2800AddressLine1
CityMinneapolisCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363542187EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sanford Health Foundation HillsboroBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSANFNameControl
Phone7012342000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 609AddressLine1
CityHillsboroCity
StateNDState
ZIP Code580450609ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoAnn KunkelName
TitleChief Financial OfficerTitle
Phone6053331000Phone
Date Signed2014-05-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKristina RasmussenName
PTINP00143920PTIN
Phone6123974000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKelby KrabbenhoftNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 609AddressLine1
CityHillsboroCity
StateNDState
ZIP Code580450609ZIPCode
FieldValueIRS element (for citing)
Gross Receipts126142GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sanfordhealth.org/about/foundationWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionDedicated to raising funds in support of Sanford Health's mission to improve the human condition through the work of health and healing.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year456280ContributionsGrantsPriorYear
Contributions Grants Current Year109598ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year2054InvestmentIncomePriorYear
Investment Income Current Year4519InvestmentIncomeCurrentYear
Other Revenue Prior Year17925OtherRevenuePriorYear
Other Revenue Current Year2345OtherRevenueCurrentYear
Total Revenue Prior Year476259TotalRevenuePriorYear
Total Revenue Current Year116462TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year443386GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY56011GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year856SalariesEtcPriorYear
Salaries Etc Current Year12597SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year18965TotalFundrsngExpCurrentYear
Other Expense Prior Year18778OtherExpensePriorYear
Other Expenses Current Year9741OtherExpensesCurrentYear
Total Expenses Prior Year463020TotalExpensesPriorYear
Total Expenses Current Year78349TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13239RevenuesLessExpensesPriorYear
Revenues Less Expenses CY38113RevenuesLessExpensesCY
Total Assets BOY1383596TotalAssetsBOY
Total Assets EOY1401439TotalAssetsEOY
Total Liabilities BOY18834TotalLiabilitiesBOY
Total Liabilities EOY1125TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1364762NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1400314NetAssetsOrFundBalancesEOY
Mission DescriptionSanford Health Foundation Hillsboro exists to encourage philanthropy in support of Sanford Health and other exempt entities associated with Sanford Health in providing health care, medical and educational services as well as supporting research activities and initiatives.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense56011Expense
Grants56011Grants
Revenue0Revenue
DescriptionThe Foundation continues its proud tradition of supporting the local healthcare-related programs, services, and operations of Sanford Health while also seeking regional, national and international support for research and initiatives. Specifically, grants helped provide patient care and family support ($23,791), equipment and facility improvement projects ($32,121) and other internal programs ($99).Description
Total Program Service Expense56011TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMNStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JoAnn Kunkel CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053331000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11305 W 18th StreetAddressLine1
CitySioux FallsCity
StateSDState
ZIP Code571175039ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Barb Everist
Trustee0.105.30X000
Barbara Stork
Trustee0.105.30X000
Barry Martin thru Nov 12
Trustee0.105.30X000
Brent Teiken
Trustee0.105.30X000
Christopher Meeker MD
Trustee0.1059.90X021382131035
David Beito
Trustee0.105.30X000
Don Morton
Trustee0.105.30X000
Jerome Feder
Trustee0.105.30X000
Jim Entenman
Trustee0.105.30X000
Lauris Molbert
Trustee0.105.30X000
Mark Paulson MD
Trustee0.1059.90X024849632936
Mikal Claar thru Nov 12
Trustee0.105.30X000
Patrick Durick
Trustee0.105.30X000
Richard Hardie MD
Trustee0.1059.90X074742333818
Ronald Moquist
Trustee0.105.30X000
Thomas Hruby
Trustee0.105.30X000
Kelby K Krabbenhoft
Sanford Health President & CEO0.1059.90X0153942122054X
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO0.1059.90X00589623X
JoAnn L Kunkel
Chief Financial Officer Corp0.1059.90043804833700X
Lisa Carlson thru Oct 12
Chief Financial Officer Corp0.1059.90064418631847X
Jac McTaggart
CEO - Sanford Hillsboro5.0055.00015006618709X
Leslie Wietstock
CFO - Sanford Health Network North5.0055.00018905121182X
Bruce Viessman
CFO - Sanford Health Network5.0055.00022110934070X
Edmond L Weiland
President - Sanford Health Network5.0055.00046408434678X
Richard Giesel
President - Sanford Health Network North5.0055.00042657427104X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5282279TotalReportableCompFrmRltdOrgs
Total Other Compensation910756TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events19080FundraisingEvents
Related Organizations25002RelatedOrganizations
All Other Contributions65516AllOtherContributions
Total Contributions109598TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4519TotalRevenueColumn
Exclusion$4,519ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events19080CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses5689FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-5689TotalRevenueColumn
Exclusion-$5,689ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming11550GrossIncomeGaming
Gaming Direct Expenses3991GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column7559TotalRevenueColumn
Exclusion$7,559ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionDonor CSV AdjDescription
Business Code525990BusinessCode
Total Revenue Column475TotalRevenueColumn
Exclusion$475ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue475TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column116462TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,864ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total56011Total
Program Services56011ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11980Total
Fundraising11980Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total617Total
Fundraising617Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1025Total
Management And General1025ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1800Total
Management And General1800ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total327Total
Fundraising327Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3710Total
Fundraising3710Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total1707Total
Fundraising1707Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total548Total
Management And General548ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
Professional Dues534534
Fundraising Materials9090

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total78349Total
Program Services56011ProgramServices
Management And General3373ManagementAndGeneral
Fundraising18965Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY892567BOY
EOY79623EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY20468BOY
EOY19850EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis23426LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec14598LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3565BOY
EOY8828EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY450996BOY
EOY1288069EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16000BOY
EOY5069EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1383596BOY
EOY1401439EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1300BOY
EOY1125EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17534BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18834BOY
EOY1125EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-320900BOY
EOY-266360EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY687051BOY
EOY648063EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY998611BOY
EOY1018611EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1364762BOY
EOY1400314EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1383596BOY
EOY1401439EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses38113ReconcilationRevenueExpenses
Reconciliation Unrealized Invest8544ReconciliationUnrealizedInvest
Reconcilation Other Changes-11105ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80942CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44068CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53066CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year456280CurrentTaxYearMinus1Year
Current Tax Year109598CurrentTaxYear
Total743954Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80942CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44068CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years53066CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year456280CurrentTaxYearMinus1Year
Current Tax Year109598CurrentTaxYear
Total743954Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total376801AmountsSubstContributorsTotal
Public Support Total170367153PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years55153CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44884CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9640CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2054CurrentTaxYearMinus1Year
Current Tax Year4519CurrentTaxYear
Total116250Total
FieldValueIRS element (for citing)
Total Support860204TotalSupport
Gross Receipts From Admissions Etc82480GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.42680PublicSupportPertcentage170
Public Support Pertcent Prior Year0.50960PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance998611BeginningOfYearBalance
Contributions20000Contributions
End Of Year Balance1018611EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance607395BeginningOfYearBalance
Contributions391216Contributions
End Of Year Balance998611EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance607385BeginningOfYearBalance
Investment Earnings Or Losses542InvestmentEarningsOrLosses
Other Expenditures532OtherExpenditures
End Of Year Balance607395EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance607385BeginningOfYearBalance
Investment Earnings Or Losses21790InvestmentEarningsOrLosses
Other Expenditures21790OtherExpenditures
End Of Year Balance607385EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance607385BeginningOfYearBalance
Investment Earnings Or Losses31585InvestmentEarningsOrLosses
Other Expenditures31585OtherExpenditures
End Of Year Balance607385EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23426OtherCostOrOtherBasis
Depreciation14598Depreciation
Book Value8828BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8828TotalOfBookValueLandBuildings
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The principal of the endowment fund will be perpetual and accruing. Interest from the fund may be expended as follows: - To the purpose designated by the donor - To a purpose determined by the Sanford Health Foundation Hillsboro Board of Directors Future interest can be distributed later or permanently endowed. Gifts to the endowment fund are either: - Specifically designated by the donor for the endowment fund - Designated to the endowment fund by the Sanford Health Foundation Hillsboro Board of Directors from general donation to the Sanford Health Foundation Hillsboro.
Description of Uncertain Tax Positions Under FIN 48: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 Health Foundation Hillsboro did not have an income tax liability at June 30, 2013; however, some related organizations have established reserves.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event119080GrossReceiptsEvent1
Charitable Contributions Event119080CharitableContributionsEvent1
Other Direct Expenses Event15689OtherDirectExpensesEvent1
Gross Receipts Total19080GrossReceiptsTotal
Charitable Contributions Total19080CharitableContributionsTotal
Other Direct Expenses Total Events5689OtherDirectExpensesTotalEvents
Direct Expense Summary Events5689DirectExpenseSummaryEvents
Net Income Summary-5689NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Sanford HillsboroBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 609AddressLine1
CityHillsboroCity
StateNDState
ZIP Code58045ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient450230400EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant56011AmountOfCashGrant
Purpose Of GrantGeneral supportPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule I, Part I, Line 2: Grants are disbursed by the organization only after the expenditure has been made and properly authorized by the related tax-exempt organizations along with related documentation indicating the fulfillment of donor wishes.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Christopher Meeker MD
Trustee0213821000008842022193024485600
Mark Paulson MD
Trustee020074700047749012500020436028143200
Richard Hardie MD
Trustee07437060003717015000018818078124100
Kelby K Krabbenhoft
Sanford Health President & CEO094188503325000265036000220540156147500
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO000000058962300058962300
JoAnn L Kunkel
Chief Financial Officer Corp0321232080000036816014146019554047174800
Lisa Carlson thru Oct 12
Chief Financial Officer Corp04342530129600080333012500019347067603300
Jac McTaggart
CEO - Sanford Hillsboro012811401000001195201133017576016877500
Leslie Wietstock
CFO - Sanford Health Network North0168431030002032008455012727021023300
Bruce Viessman
CFO - Sanford Health Network02009710300019838012076021994025517900
Edmond L Weiland
President - Sanford Health Network0327462082500054122015000019678049876200
Richard Giesel
President - Sanford Health Network N0299790074688052096012500014604045367800

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aCertain items listed on Line 1a are provided by related organizations.
Part I, Line 3The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm to annually review the total compensation arrangements of the officers and executives of the organization, including the CEO, and to report the findings to them for deliberation and action. The deliberations and actions are recorded in the minutes of the Sanford Board of Trustees. The most recent study was completed in 2013.
Part I, Line 4bEmployer 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
Part I, Line 6Sanford physicians are compensated based on the professional services they perform within the clinic in which they provide care. Generally, the model is based on production.
Part I, Line 7Certain employees are eligible for a discretionary incentive bonus, based on financial targets and other goals.
Part IIISupplemental: Compensation reported on Schedule J includes: (B)(i) Base compensation - salaries are based on the experience and performance of each executive and benchmarked 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 include health insurance premiums. A memo regarding executive compensation, written by the Chairman of the Sanford Board of Trustees, is on file and available upon request. Compensation paid to trustees is for full-time professional responsibilities as physicians, administrators or employees of the organization. The total compensation paid to Kelby Krabbenhoft of $1,539,421 is comprised of Base Salary of $941,885, Incentive Compensation of $332,500 and Other Taxable Earnings of $265,036. In addition, an amount of $589,623 has been reported for the estimated amount of ratable increase in value of the defined benefit pension plan, defined benefit SERP and a Gift Agreement Management Continuity Retention plan.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 2The following officers, board members and key employees are employees of Sanford or its related organizations. Many of these employees also serve on other related Sanford boards or have business relationships with each other than span the organization as a whole: Christopher Meeker, Mark Paulson, Richard Hardie, Kelby Krabbenhoft, JoAnn Kunkel, Lisa Carlson, Jac McTaggart, Leslie Wietstock, Bruce Viessman, Edmond Weiland and Richard Giesel.
Form 990, Part VI, Section A, line 4On January 1, 2013 Hillsboro Medical Center Foundation changed its name to Sanford Foundation Hillsboro and Sanford Hillsboro (EIN: 45-0230400) became its sole member. Effective February 25, 2013 the Foundation changed its name from Sanford Foundation Hillsboro to Sanford Health Foundation Hillsboro.
Form 990, Part VI, Section A, line 6Sanford 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 team of ambassadors for Sanford in their respective communities.
Form 990, Part VI, Section A, line 7aThe Sanford Board of Trustees appoints the board members for the Board of Directors of Sanford Health Foundation Hillsboro.
Form 990, Part VI, Section A, line 7bThe Sanford Board of Trustees approves the actions approved by the Board of Directors of Sanford Health Foundation Hillsboro.
Form 990, Part VI, Section B, line 11The Form 990 is prepared internally by the finance department and reviewed by executive management. An external accounting firm reviews the return prior to filing and prepares return highlights and key disclosures for the Board of Trustees meeting prior to the return filing date. Before the return is filed, a complete copy is provided to the current Board of Trustees.
Form 990, Part VI, Section B, line 12cThe annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of Interest questionnaires are sent to System Trustees, members of the governing boards of subsidiary entities, officers and key employees for all entities subject to the IRS Form 990 filings. The disclosures are summarized for review by the executive committee of the Board of Trustees, pursuant to policy. This review allows: 1) The Board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis when potential conflicts are implicated in Board decisions and deliberations, and, 2) Gives the Board the opportunity to seek additional information and clarification about disclosures to determine potential conflicts of interest and how to manage them.
Form 990, Part VI, Section B, line 15The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm to annually review the total compensation arrangements of the officers and executives of the organization, including the CEO, and to report the findings to them for deliberation and action. The deliberations and actions are recorded in the minutes of the Sanford Board of Trustees. The most recent study was completed in 2013. Additionally, Sanford periodically engages an independent compensation consultant to review and issue a report regarding the reasonableness of the total compensation arrangements of all physicians employed by the organization. The most recent study of the physician total compensation was completed in 2009.
Form 990, Part VI, Section C, line 19Although the organization does not maintain a website where the public can access these documents, it would respond individually to any requests or inquiries from the public for these documents.
The Sanford Board of Trustees has ultimate governance responsibilities for each entity within the Sanford system. In addition, a Board of Directors is established for each entity, which has specific delegated responsibilities from the Board of Trustees related to the oversight of day-to-day operations of that entity.Form 990, Part VII
Form 990, Part XI, line 9:Transfer from related tax-exempt org for payroll and operating expenses -11,105.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Sanford
801 Broadway DriveFargoND58122271218956Supporting OrganizationND501(c)(3)11-II0
Sanford Health
1305 West 18th StreetSioux FallsSD57117311527032Supporting OrganizationSD501(c)(3)11-II1Sanford
Sanford USD Medical Center
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460227855HospitalSD501(c)(3)31Sanford Health
Sanford Health Foundation
1305 West 18th StreetSioux FallsSD57117363297853Supporting OrganizationSD501(c)(3)11-II1Sanford Health
Edith Sanford Breast Cancer Foundation
2301 60th Street NSioux FallsSD57104450404126FoundationND501(c)(3)11-II1Sanford Health
Sanford Clinic
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460447693Clinical ServicesSD501(c)(3)31Sanford Health
Sanford Home Health
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460282134Home Health ServicesSD501(c)(3)91Sanford Health
Sanford Health Network
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460388596Hospitals/ClinicsSD501(c)(3)31Sanford Health
Sanford ResearchUSD
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460450378ResearchSD501(c)(3)31Sanford Health
Sanford World Clinics
1305 West 18th StreetSioux FallsSD57117262707628HealthcareSD501(c)(3)31Sanford Health
Sanford North
PO Box 2010FargoND58122450385890Supporting OrganizationND501(c)(3)11-II1Sanford
Sanford Medical Center Fargo
PO Box 2010FargoND58122450226909HospitalND501(c)(3)31Sanford North
FM Ambulance Service Inc
2215 18th St SouthFargoND58103450344371EMTND501(c)(4)1Sanford North
Sanford Health Foundation North
PO Box 2010FargoND58122450398104FundraisingND501(c)(3)71Sanford North
Sanford Clinic North
PO Box 2010FargoND58122911770748ClinicsND501(c)(3)91Sanford North
Sanford Health Network North
PO Box 2010FargoND58122450409348Hospitals/ClinicsND501(c)(3)11-II1Sanford North
Sanford Hillsboro
PO Box 609HillsboroND58045450230400HospitalND501(c)(3)31Sanford Health Network North
Sanford Medical Center Mayville
42 6th Ave SEMayvilleND58257450228899HospitalND501(c)(3)31Sanford Health Network North
Sanford Medical Center Thief River Falls
120 Labree Ave SThief River FallsMN56701410709579HospitalMN501(c)(3)31Sanford Health Network North
MeritCare Minnesota
1720 South Highway 59Thief River FallsMN56701261530302Promotion of healthMN501(c)(3)31Sanford North
Sanford Medical Center Wheaton
401 12th Street NorthWheatonMN56296272042143Hospital/ClinicMN501(c)(3)31Sanford Health Network North
Sanford Health of Northern Minnesota
1300 Anne St NWBemidjiMN56601411266009HospitalMN501(c)(3)31Sanford North
Sanford Health Foundation of Northern Minnesota
1300 Anne St NWBemidjiMN56601411389317Fundraising - SupportMN501(c)(3)11-II1Sanford Health of Northern Minnesota
Baker Park Inc
803 Dewey Ave NWBemidjiMN56601411372480Low Income Senior HousingMN501(c)(3)91Sanford Health of Northern Minnesota
North Country Medical Clinic
1300 Anne St NWBemidjiMN56601411753855Family Practice Medical ClinicMN501(c)(3)31Sanford Health of Northern Minnesota
Sanford West
300 North 7th StreetBismarckND58501450397195Supporting OrganizationND501(c)(3)11-II1Sanford
Sanford Bismarck
300 North 7th StreetBismarckND58501450226700HospitalND501(c)(3)31Sanford West
Sanford Living Centers
1000 18th Street NW Suite 1BismarckND58554450416454Long-term Care FacilityND501(c)(3)91Sanford Bismarck
Sanford West Foundation
300 North 7th StreetBismarckND58501450397196FundraisingND501(c)(3)71Sanford Bismarck
Medcenter One Inc Auxiliary
300 North 7th StreetBismarckND58501237293043Supporting OrganizationND501(c)(3)11-I1Sanford Bismarck

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNA
National Student Housing-South Dakota LLC
100 S Phillips AveSioux FallsSD57104202129839InvestmentSDN/A
RAC Rentals LLC
100 S Phillips AveSioux FallsSD57104261961077InvestmentSDN/A
Shetek Medical Services LLC
251 5th Street EastTracyMN56175412004685Home Health ServicesMNN/A
Southwest MN Radiation Center LLC
1018 6th AvenueWorthingtonMN56187460447693Radiation ServicesMNN/A

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
Sanford Home Medical Equipment Inc
2710 W 12th StreetSioux FallsSD57105460388597Healthcare EquipmentSDN/AC1
Sanford Health Plan
300 Cherapa PlaceSioux FallsSD57103911842494InsuranceSDN/AC1
Sanford Health Plan of MN
300 Cherapa PlaceSioux FallsSD57103460445852InsuranceMNN/AC1
Bemidji Medical Equipment Inc
1300 Anne Street NWBemidjiMN56601411551725Retail Sales of DMEMNN/AC1
North Country Management Inc
1300 Anne Street NWBemidjiMN56601411820025Management ServicesMNN/AC1
Sanford Frontiers
1305 W 18th Street PO Box 5039Sioux FallsSD571175039455436599Weight Loss ManagementSDN/AC1
SOB Inc
2701 S Minnesota Avenue Suite 2Sioux FallsSD57105460442628Air TransportationSDN/AC1
Sanford Affiliated Services Inc
300 N 7th StreetBismarckND58501450403146Investment ActivityNDN/AC1
Sanford World Clinics - Ghana
HealthcareN/AC1Sarbah Road Tantri Lorry StationCape CoastGHGH
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1Sanford HillsboroBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved56011AmountInvolved
Method Of Amt DeterminationCash methodMethodOfAmtDetermination