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        <NamePerson>JoAnn L Kunkel</NamePerson>
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        <NamePerson>Lisa Carlson thru Oct 12</NamePerson>
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        <NamePerson>Brian Mortenson</NamePerson>
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        <NamePerson>Kimberly Simpson</NamePerson>
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        <NamePerson>Eva May</NamePerson>
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        <OtherCompensation>23165</OtherCompensation>
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        <NamePerson>Christine Orzechowski</NamePerson>
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        <OtherCompensation>11189</OtherCompensation>
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        <NamePerson>Christine McDonald-Dockter</NamePerson>
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        <OtherCompensation>13250</OtherCompensation>
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      <NumberIndividualsGT100K>4</NumberIndividualsGT100K>
      <FormersListed>0</FormersListed>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
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          </NameBusiness>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>2 North Lake Avenue Suite 600</AddressLine1>
            <City>Pasadena</City>
            <State>CA</State>
            <ZIPCode>91101</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>Fundraising</DescriptionOfServices>
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      <ContractorCompensation>
        <NameOfContractor>
          <NameBusiness>
            <BusinessNameLine1>Brickmill Marketing Services Inc</BusinessNameLine1>
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        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>24 Mill Brook Drive</AddressLine1>
            <City>Wilton</City>
            <State>NH</State>
            <ZIPCode>03086</ZIPCode>
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        </AddressOfContractor>
        <DescriptionOfServices>Fundraising</DescriptionOfServices>
        <Compensation>114585</Compensation>
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      <RelatedOrganizations>6159531</RelatedOrganizations>
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        <RelatedOrExemptFunctionIncome>0</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
        <ExclusionAmount>0</ExclusionAmount>
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      <InfoInScheduleOPartIX>X</InfoInScheduleOPartIX>
      <GrantsToDomesticOrgs>
        <Total>2923845</Total>
        <ProgramServices>2923845</ProgramServices>
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      <CompCurrentOfficersDirectors>
        <Total>349660</Total>
        <ProgramServices>109315</ProgramServices>
        <ManagementAndGeneral>124931</ManagementAndGeneral>
        <Fundraising>115414</Fundraising>
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      <OtherSalariesAndWages>
        <Total>1336582</Total>
        <ProgramServices>349629</ProgramServices>
        <ManagementAndGeneral>473174</ManagementAndGeneral>
        <Fundraising>513779</Fundraising>
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      <PensionPlanContributions>
        <Total>58536</Total>
        <ProgramServices>16009</ProgramServices>
        <ManagementAndGeneral>20663</ManagementAndGeneral>
        <Fundraising>21864</Fundraising>
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      <OtherEmployeeBenefits>
        <Total>245170</Total>
        <ProgramServices>67050</ProgramServices>
        <ManagementAndGeneral>86544</ManagementAndGeneral>
        <Fundraising>91576</Fundraising>
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      <PayrollTaxes>
        <Total>112302</Total>
        <ProgramServices>30713</ProgramServices>
        <ManagementAndGeneral>39642</ManagementAndGeneral>
        <Fundraising>41947</Fundraising>
      </PayrollTaxes>
      <FeesForServicesLegal>
        <Total>2501</Total>
        <ManagementAndGeneral>2501</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>18573</Total>
        <ManagementAndGeneral>18573</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesProfFundraising>
        <Total>382206</Total>
        <Fundraising>382206</Fundraising>
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      <FeesForServicesOther>
        <Total>3072118</Total>
        <ManagementAndGeneral>1531</ManagementAndGeneral>
        <Fundraising>3070587</Fundraising>
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      <Advertising>
        <Total>63431</Total>
        <ManagementAndGeneral>356</ManagementAndGeneral>
        <Fundraising>63075</Fundraising>
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      <OfficeExpenses>
        <Total>180442</Total>
        <ProgramServices>35366</ProgramServices>
        <ManagementAndGeneral>85702</ManagementAndGeneral>
        <Fundraising>59374</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>2029</Total>
        <Fundraising>2029</Fundraising>
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      <Occupancy>
        <Total>93010</Total>
        <ProgramServices>18229</ProgramServices>
        <ManagementAndGeneral>44176</ManagementAndGeneral>
        <Fundraising>30605</Fundraising>
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      <Travel>
        <Total>47922</Total>
        <ManagementAndGeneral>3901</ManagementAndGeneral>
        <Fundraising>44021</Fundraising>
      </Travel>
      <ConferencesMeetings>
        <Total>6376</Total>
        <ManagementAndGeneral>63</ManagementAndGeneral>
        <Fundraising>6313</Fundraising>
      </ConferencesMeetings>
      <DepreciationDepletion>
        <Total>14953</Total>
        <ProgramServices>2931</ProgramServices>
        <ManagementAndGeneral>7102</ManagementAndGeneral>
        <Fundraising>4920</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>131</Total>
        <ManagementAndGeneral>131</ManagementAndGeneral>
      </Insurance>
      <OtherExpenses>
        <Description>Intercompany purchases</Description>
        <Total>127741</Total>
        <ManagementAndGeneral>118151</ManagementAndGeneral>
        <Fundraising>9590</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Fundraising materials</Description>
        <Total>27983</Total>
        <Fundraising>27983</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Licenses, dues and subs</Description>
        <Total>26257</Total>
        <ManagementAndGeneral>4334</ManagementAndGeneral>
        <Fundraising>21923</Fundraising>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Donor stewardship</Description>
        <Total>878</Total>
        <ManagementAndGeneral>112</ManagementAndGeneral>
        <Fundraising>766</Fundraising>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>9092646</Total>
        <ProgramServices>3553087</ProgramServices>
        <ManagementAndGeneral>1031587</ManagementAndGeneral>
        <Fundraising>4507972</Fundraising>
      </TotalFunctionalExpenses>
      <SavingsAndTempCashInvestments>
        <BOY>275080</BOY>
        <EOY>96370</EOY>
      </SavingsAndTempCashInvestments>
      <PledgesAndGrantsReceivable>
        <BOY>0</BOY>
        <EOY>8502</EOY>
      </PledgesAndGrantsReceivable>
      <AccountsReceivable>
        <BOY>33125</BOY>
        <EOY>0</EOY>
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      <PrepaidExpensesDeferredCharges>
        <BOY>208179</BOY>
        <EOY>6793</EOY>
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      <LandBuildingsEquipmentBasis>841148</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>18323</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>40129</BOY>
        <EOY>822825</EOY>
      </LandBuildingsEquipmentBasisNet>
      <OtherAssetsTotal>
        <BOY>0</BOY>
        <EOY>12331980</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>556513</BOY>
        <EOY>13266470</EOY>
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      <AccountsPayableAccruedExpenses>
        <BOY>624516</BOY>
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      <TotalLiabilities>
        <BOY>624516</BOY>
        <EOY>276345</EOY>
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      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
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        <EOY>-130197</EOY>
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      <TemporarilyRestrictedNetAssets>
        <BOY>228526</BOY>
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      <PermanentlyRestrictedNetAssets>
        <BOY>0</BOY>
        <EOY>9831</EOY>
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      <TotalNetAssetsFundBalances>
        <BOY>-68003</BOY>
        <EOY>12990125</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>556513</BOY>
        <EOY>13266470</EOY>
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      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>12674192</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>383936</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>0</AccountantCompileOrReview>
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      <ContribByControllingIndividual>0</ContribByControllingIndividual>
      <ContributionByRelatedParty>0</ContributionByRelatedParty>
      <ContribBy35ControlledEntity>0</ContribBy35ControlledEntity>
      <SupportedOrgInformation>
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        <TypeOfOrganization>3</TypeOfOrganization>
        <ListedInGoverningDoc>1</ListedInGoverningDoc>
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      <SumOfAmounts>1423845</SumOfAmounts>
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        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
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        <Contributions>9910</Contributions>
        <AdministrativeExpenses>79</AdministrativeExpenses>
        <EndOfYearBalance>9831</EndOfYearBalance>
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      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>0</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>0</EndowmentsHeldByRelatedOrgs>
      <Land>
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        <BookValue>60000</BookValue>
      </Land>
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        <BookValue>707840</BookValue>
      </Buildings>
      <Equipment>
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        <Depreciation>18323</Depreciation>
        <BookValue>54985</BookValue>
      </Equipment>
      <TotalOfBookValueLandBuildings>822825</TotalOfBookValueLandBuildings>
      <OtherAssets>
        <Description>Beneficial interest in real estate</Description>
        <BookValue>12331980</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>12331980</TotalBookValueOtherAssets>
      <FootnoteInPartXIII>X</FootnoteInPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Intended Use of Endowment Funds:</Identifier>
        <ReturnReference>Part V, Line 4:</ReturnReference>
        <Explanation>The endowment funds will be used to support research to find the cures for breast cancer.</Explanation>
      </Form990ScheduleDPartXIII>
      <Form990ScheduleDPartXIII>
        <Identifier>Description of Uncertain Tax Positions Under FIN 48:</Identifier>
        <ReturnReference>Part X, Line 2:</ReturnReference>
        <Explanation>Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the difference 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. Edith Sanford Breast Cancer Foundation did not have a material income tax liability at June 30, 2013; some related organizations have established reserves.</Explanation>
      </Form990ScheduleDPartXIII>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="RetDoc1041200001">
      <MailSolicitations>X</MailSolicitations>
      <EmailSolicitations>X</EmailSolicitations>
      <InPersonSolicitations>X</InPersonSolicitations>
      <SolicitationOfNonGovtGrants>X</SolicitationOfNonGovtGrants>
      <SpecialFundraisingEvents>X</SpecialFundraisingEvents>
      <AgreementRefFundraising>1</AgreementRefFundraising>
      <FundraiserActivityInformation>
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          <BusinessNameLine1>Issues Management Inc dba Lawrence &amp; Schiller Teleservices</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>3817 South Elmwood Avenue</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>57105</ZIPCode>
        </AddressUS>
        <Activity>Provides call center services</Activity>
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        <GrossReceipts>0</GrossReceipts>
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        <NetToOrganization>-19788</NetToOrganization>
      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfOrganization>
          <BusinessNameLine1>Brickmill Marketing Services Inc</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>24 Mill Brook Drive</AddressLine1>
          <City>Wilton</City>
          <State>NH</State>
          <ZIPCode>03086</ZIPCode>
        </AddressUS>
        <Activity>Provides direct marketing consulting services</Activity>
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        <GrossReceipts>0</GrossReceipts>
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      </FundraiserActivityInformation>
      <FundraiserActivityInformation>
        <NameOfOrganization>
          <BusinessNameLine1>The Russ Reid Company Incorporated</BusinessNameLine1>
        </NameOfOrganization>
        <AddressUS>
          <AddressLine1>2 North Lake Avenue Suite 600</AddressLine1>
          <City>Pasadena</City>
          <State>CA</State>
          <ZIPCode>91101</ZIPCode>
        </AddressUS>
        <Activity>Provides creative services</Activity>
        <FundraiserControlOfFunds>0</FundraiserControlOfFunds>
        <GrossReceipts>0</GrossReceipts>
        <AmountRetainedByContractor>247833</AmountRetainedByContractor>
        <NetToOrganization>-247833</NetToOrganization>
      </FundraiserActivityInformation>
      <TotalRetainedByContractors>382206</TotalRetainedByContractors>
      <TotalNetToOrganization>-382206</TotalNetToOrganization>
      <LicensedStates>AL</LicensedStates>
      <LicensedStates>AK</LicensedStates>
      <LicensedStates>AZ</LicensedStates>
      <LicensedStates>AR</LicensedStates>
      <LicensedStates>CA</LicensedStates>
      <LicensedStates>CO</LicensedStates>
      <LicensedStates>CT</LicensedStates>
      <LicensedStates>DE</LicensedStates>
      <LicensedStates>FL</LicensedStates>
      <LicensedStates>GA</LicensedStates>
      <LicensedStates>HI</LicensedStates>
      <LicensedStates>ID</LicensedStates>
      <LicensedStates>IL</LicensedStates>
      <LicensedStates>IN</LicensedStates>
      <LicensedStates>IA</LicensedStates>
      <LicensedStates>KS</LicensedStates>
      <LicensedStates>KY</LicensedStates>
      <LicensedStates>LA</LicensedStates>
      <LicensedStates>ME</LicensedStates>
      <LicensedStates>MD</LicensedStates>
      <LicensedStates>MA</LicensedStates>
      <LicensedStates>MI</LicensedStates>
      <LicensedStates>MN</LicensedStates>
      <LicensedStates>MS</LicensedStates>
      <LicensedStates>MO</LicensedStates>
      <LicensedStates>MT</LicensedStates>
      <LicensedStates>NE</LicensedStates>
      <LicensedStates>NV</LicensedStates>
      <LicensedStates>NH</LicensedStates>
      <LicensedStates>NJ</LicensedStates>
      <LicensedStates>NM</LicensedStates>
      <LicensedStates>NY</LicensedStates>
      <LicensedStates>NC</LicensedStates>
      <LicensedStates>ND</LicensedStates>
      <LicensedStates>OH</LicensedStates>
      <LicensedStates>OK</LicensedStates>
      <LicensedStates>OR</LicensedStates>
      <LicensedStates>PA</LicensedStates>
      <LicensedStates>RI</LicensedStates>
      <LicensedStates>SC</LicensedStates>
      <LicensedStates>SD</LicensedStates>
      <LicensedStates>TN</LicensedStates>
      <LicensedStates>TX</LicensedStates>
      <LicensedStates>UT</LicensedStates>
      <LicensedStates>VT</LicensedStates>
      <LicensedStates>VA</LicensedStates>
      <LicensedStates>WA</LicensedStates>
      <LicensedStates>WV</LicensedStates>
      <LicensedStates>WI</LicensedStates>
      <LicensedStates>WY</LicensedStates>
      <Form990ScheduleGPartIV>
        <Identifier>Explanation of Fundraising Payments</Identifier>
        <ReturnReference>Schedule G, Part I, Line 2b, Column (v)</ReturnReference>
        <Explanation>The agreement with The Russ Reid Company, Incorporate includes payment for fundraising expenses. The total fundraising expenses were $599,276, based on invoices that clearly itemize the retainer fee and the fundraising expenses. The agreement with Brickmill Marketing Services, Inc. includes payment for fundraising expenses. The total fundraising expenses were $149,998, based on invoices that clearly itemize the retainer fee and the fundraising expenses. The agreement with Issues Management, Inc. dba Lawrence &amp; Schiller Teleservices includes payment for fundraising expenses. The total fundraising expenses were $24,606, based on invoices that clearly itemize the retainer fee and the fundraising expenses. The work of these fundraisers contributed to the overall mission of Edith Sanford Breast Cancer Foundation by helping to raise approximately $15 million in public support during the year.</Explanation>
      </Form990ScheduleGPartIV>
    </IRS990ScheduleG>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <RecordsMaintained>1</RecordsMaintained>
      <RecipientTable>
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          <BusinessNameLine1>Sanford ResearchUSD</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1305 W 18th Street</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>57117</ZIPCode>
        </AddressUS>
        <EINOfRecipient>460450378</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>1423845</AmountOfCashGrant>
        <PurposeOfGrant>See Form 990, Page 2, Part III</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>Sanford Health</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>1305 W 18th Street</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>57117</ZIPCode>
        </AddressUS>
        <EINOfRecipient>311527032</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>1500000</AmountOfCashGrant>
        <PurposeOfGrant>See Form 990, Page 2, Part III</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>2</TotalNbrOf501C3AndGovtGrants>
      <TotalNbrOfOtherOrganizations>0</TotalNbrOfOtherOrganizations>
      <Form990ScheduleIPartIV>
        <Identifier>Procedure for Monitoring Grants in the U.S.:</Identifier>
        <ReturnReference>Part I, Line 2:</ReturnReference>
        <Explanation>Schedule I, Part I, Line 2: Grants are disbursed by supporting organization only after the expenditure has been made and properly authorized by the supported organization along with related documentation indicating the fulfillment of donor wishes, if applicable.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
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      <SeverancePayment>0</SeverancePayment>
      <SupplementalNonqualRetirePlan>1</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>0</EquityBasedCompArrangement>
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        <NamePerson>Mark Paulson MD</NamePerson>
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        <NamePerson>Richard Hardie MD</NamePerson>
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        <NamePerson>JoAnn L Kunkel</NamePerson>
        <Title>Chief Financial Officer Corp</Title>
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        <NamePerson>Brian Mortenson</NamePerson>
        <Title>President - Sanford Health Foundatio</Title>
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        <NamePerson>Kimberly Simpson</NamePerson>
        <Title>President - ESBCF</Title>
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        <NamePerson>Eva May</NamePerson>
        <Title>Vice President - ESBCF</Title>
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        <NamePerson>Christine Orzechowski</NamePerson>
        <Title>Vice President - ESBCF</Title>
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      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 1a: Certain items listed on Line 1a are provided by related organizations.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 4b / Schedule J, Part II, Column C: 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</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>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.</Explanation>
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      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Part I, Line 7: Certain employees are eligible for a discretionary incentive bonus, based on financial targets and other goals.</Explanation>
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        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Supplemental: 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 infomration. (B)(ii) Bonus &amp; 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.</Explanation>
      </Form990ScheduleJPartIII>
      <Form990ScheduleJPartIII>
        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>A memo regarding executive compensation, written by the Chairman of the Sanford Board of Trustees, is on file and available upon request.</Explanation>
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        <Identifier>Supplemental Information</Identifier>
        <ReturnReference>Part III</ReturnReference>
        <Explanation>Compensation paid to the Sanford Board of 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.</Explanation>
      </Form990ScheduleJPartIII>
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    <IRS990ScheduleM documentId="RetDoc1042900001">
      <RealEstateResidential>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>750000</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Appraisal</MethodOfDeterminingRevenues>
      </RealEstateResidential>
      <RealEstateOther>
        <NonCashCheckbox>X</NonCashCheckbox>
        <NumberOfContributions>1</NumberOfContributions>
        <NoncashContribsRptdF990>12123568</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>Appraisal/PV calc</MethodOfDeterminingRevenues>
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      <NumberOf8283Received>3</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>0</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>1</ReviewProcessUnusualNCGifts>
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      <Form990ScheduleMPartII>
        <Identifier>Method for Determining Number of Contributors:</Identifier>
        <ReturnReference>Part I, Column (b):</ReturnReference>
        <Explanation>The organization is using the number of contributors method.</Explanation>
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    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 2</ReturnReference>
        <Explanation>The current executive staff members (President and Vice Presidents) of the Edith Sanford Breast Cancer Foundation have no such business relationships. The following officers, board members, and key employees are employees of Sanford or its related organizations. Many of these employees also serve on other related Sanford boards, or have business relationships with each other that span the organization as a whole: Christopher Meeker, Mark Paulson, Richard Hardie, Kelby Krabbenhoft, JoAnn Kunkel, Lisa Carlson, Brian Mortenson and Kimberly Simpson.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>Sanford Health, the organization's research and patient care partner, is the sole member of the Edith Sanford Breast Cancer Foundation. 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 the 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 Sanford's Trustees. 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. The Board of Trustees of Sanford is also the Board of Trustees for Sanford Health, and Sanford is the sole corporate member of Sanford Health. Sanford Health, in turn, is the sole corporate member of the organization. The actions approved by the organization's Board of Directors are then approved by the Sanford Board of Trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The Sanford Board of Trustees appoints the board members for the Board of Directors of Edith Sanford Breast Cancer Foundation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7b</ReturnReference>
        <Explanation>The Sanford Board of Trustees approves the actions approved by the Board of Directors of Edith Sanford Breast Cancer Foundation.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>The annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO) of Sanford. 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 its 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The organization will respond individually to requests or inquiries from the public for these documents. Additional financial information is available to the public at edithsanford.org in the Financials section, located under the About Us tab.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VII</Identifier>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Other Fees</Identifier>
        <ReturnReference>Form 990, Part IX, line 11g</ReturnReference>
        <Explanation>Other Purchased Services: Program service expenses 0. Management and general expenses 1,531. Fundraising expenses 2,783,305. Total expenses 2,784,836. Consulting Services: Program service expenses 0. Management and general expenses 0. Fundraising expenses 266,303. Total expenses 266,303. Mailing/Bundling: Program service expenses 0. Management and general expenses 0. Fundraising expenses 20,979. Total expenses 20,979.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Changes in Net Assets or Fund Balances:</Identifier>
        <ReturnReference>Form 990, Part XI, line 9:</ReturnReference>
        <Explanation>Transfer from related tax-exempt org for payroll and operating expenses 175,604. Change in value of split-interest agreements 208,411. Allowance for pledges receivable -79.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>ES Holdings LLC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>1305 West 18th Street</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>57105</ZIPCode>
        </AddressUS>
        <EIN>611699280</EIN>
        <PrimaryActivities>Real Estate Holding Company</PrimaryActivities>
        <LegalDomicileState>SD</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>750000</EOYAssets>
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          <City>Fargo</City>
          <State>ND</State>
          <ZIPCode>58122</ZIPCode>
        </AddressUS>
        <EIN>271218956</EIN>
        <PrimaryActivities>Supporting Organization</PrimaryActivities>
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          <City>Sioux Falls</City>
          <State>SD</State>
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          <AddressLine1>1305 West 18th Street</AddressLine1>
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          <City>Sioux Falls</City>
          <State>SD</State>
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          <BusinessNameLine1>Sanford Health</BusinessNameLine1>
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          <BusinessNameLine1>Sanford ResearchUSD</BusinessNameLine1>
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          <AddressLine1>1305 West 18th Street PO Box 5039</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>571175039</ZIPCode>
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          <AddressLine1>1305 West 18th Street</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>57117</ZIPCode>
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          <BusinessNameLine1>Sanford Health</BusinessNameLine1>
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          <City>Fargo</City>
          <State>ND</State>
          <ZIPCode>58122</ZIPCode>
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          <BusinessNameLine1>Sanford Medical Center Fargo</BusinessNameLine1>
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          <State>ND</State>
          <ZIPCode>58122</ZIPCode>
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          <AddressLine1>2215 18th St South</AddressLine1>
          <City>Fargo</City>
          <State>ND</State>
          <ZIPCode>58103</ZIPCode>
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          <BusinessNameLine1>Sanford North</BusinessNameLine1>
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          <BusinessNameLine1>Sanford Health Foundation North</BusinessNameLine1>
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          <State>ND</State>
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          <State>MN</State>
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          <City>Sioux Falls</City>
          <State>SD</State>
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        <EIN>460388597</EIN>
        <PrimaryActivity>Healthcare Equipment</PrimaryActivity>
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        <ControlledOrg>1</ControlledOrg>
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          <BusinessNameLine1>Sanford Health Plan</BusinessNameLine1>
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          <AddressLine1>300 Cherapa Place</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>57103</ZIPCode>
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        <EIN>911842494</EIN>
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        <TypeOfEntity>C</TypeOfEntity>
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          <BusinessNameLine1>Sanford Health Plan of MN</BusinessNameLine1>
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          <AddressLine1>300 Cherapa Place</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>57103</ZIPCode>
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        <PrimaryActivity>Insurance</PrimaryActivity>
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        <TypeOfEntity>C</TypeOfEntity>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Bemidji Medical Equipment Inc</BusinessNameLine1>
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          <AddressLine1>1300 Anne Street NW</AddressLine1>
          <City>Bemidji</City>
          <State>MN</State>
          <ZIPCode>56601</ZIPCode>
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        <EIN>411551725</EIN>
        <PrimaryActivity>Retail Sales of DME</PrimaryActivity>
        <LegalDomicileState>MN</LegalDomicileState>
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        <TypeOfEntity>C</TypeOfEntity>
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          <City>Bemidji</City>
          <State>MN</State>
          <ZIPCode>56601</ZIPCode>
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          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>571175039</ZIPCode>
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        <PrimaryActivity>Weight Loss Management</PrimaryActivity>
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          <AddressLine1>2701 S Minnesota Avenue Suite 2</AddressLine1>
          <City>Sioux Falls</City>
          <State>SD</State>
          <ZIPCode>57105</ZIPCode>
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        <EIN>460442628</EIN>
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        <ControlledOrg>1</ControlledOrg>
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          <AddressLine1>300 N 7th Street</AddressLine1>
          <City>Bismarck</City>
          <State>ND</State>
          <ZIPCode>58501</ZIPCode>
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        <PrimaryActivity>Investment Activity</PrimaryActivity>
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        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>1</ControlledOrg>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
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          <AddressLine1>Sarbah Road Tantri Lorry Station</AddressLine1>
          <City>Cape Coast</City>
          <Country>GH</Country>
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        <PrimaryActivity>Healthcare</PrimaryActivity>
        <LegalDomicileForeignCountry>GH</LegalDomicileForeignCountry>
        <DirectControllingEntityNA>N/A</DirectControllingEntityNA>
        <TypeOfEntity>C</TypeOfEntity>
        <ControlledOrg>1</ControlledOrg>
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      <ReceiptOfIntAnnRentsRoyalties>0</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>1</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>1</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>0</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>0</LoansOrGuaranteesFromOtherOrg>
      <DividendsRelatedOrganization>0</DividendsRelatedOrganization>
      <SaleOfAssetsToOtherOrg>0</SaleOfAssetsToOtherOrg>
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      <ExchangeOfAssets>0</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>0</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>0</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>0</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>0</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>0</SharingOfFacilities>
      <SharingOfPaidEmployees>0</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>0</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>0</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>0</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>0</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sanford Health Foundation</BusinessNameLine1>
        </NameOfOtherOrganization>
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        <AmountInvolved>6159531</AmountInvolved>
        <MethodOfAmtDetermination>Cash Method</MethodOfAmtDetermination>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
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        <MethodOfAmtDetermination>Cash Method</MethodOfAmtDetermination>
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      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>Sanford Health</BusinessNameLine1>
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        <TransactionType>B</TransactionType>
        <AmountInvolved>1500000</AmountInvolved>
        <MethodOfAmtDetermination>Cash Method</MethodOfAmtDetermination>
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    </IRS990ScheduleR>
  </ReturnData>
</Return>