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SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA (EIN 41-1389317)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201301359349300925
Schema version
2011v1.2
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)
Timestamp2013-05-15T08:18:41-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN411389317EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSANFNameControl
Phone2187515430Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 ANNE ST NWAddressLine1
CityBEMIDJICity
StateMNState
ZIP Code566015103ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoAnn KunkelName
TitleChief Financial OfficerTitle
Phone6053331000Phone
Date Signed2013-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKristina RasmussenName
PTINP00143920PTIN
Phone6123974000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11305 West 18th StreetAddressLine1
CitySioux FallsCity
StateSDState
ZIP Code57117ZIPCode
FieldValueIRS element (for citing)
Gross Receipts590628GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1977YearFormation
State Legal DomicileMNStateLegalDomicile
Activity Or Mission DescriptionDedicated to the work of health and healing.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers90TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year326965ContributionsGrantsPriorYear
Contributions Grants Current Year535273ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1449ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year34330InvestmentIncomePriorYear
Investment Income Current Year53615InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year350OtherRevenueCurrentYear
Total Revenue Prior Year362744TotalRevenuePriorYear
Total Revenue Current Year589238TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year45000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY39000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year412202TotalFundrsngExpCurrentYear
Other Expense Prior Year355738OtherExpensePriorYear
Other Expenses Current Year492537OtherExpensesCurrentYear
Total Expenses Prior Year400738TotalExpensesPriorYear
Total Expenses Current Year531537TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-37994RevenuesLessExpensesPriorYear
Revenues Less Expenses CY57701RevenuesLessExpensesCY
Total Assets BOY7678893TotalAssetsBOY
Total Assets EOY7859677TotalAssetsEOY
Total Liabilities BOY499537TotalLiabilitiesBOY
Total Liabilities EOY616351TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7179356NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7243326NetAssetsOrFundBalancesEOY
Mission Description"Dedicated to the Work of Health and Healing." Sanford Health System 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense39000Expense
Grants39000Grants
Revenue350Revenue
DescriptionThe primary activites of Sanford Health Foundation of Northern Minnesota includes fundraising, investment of funds and support for the activities of Sanford Health of Northern Minnesota, a Minnesota non profit corporation that operates a 118 bed medical center, 78 bed long-term care facility, home care and hospice agency and senior housing. Funds raised support major capital projects of the medical center and long-term care facility as well as community healthcare and wellness related projects.Description
Total Program Service Expense39000TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
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 Entity0TransactionRelatedEntity
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
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 Chapters1LocalChapters
Policies Reference Chapters0PoliciesReferenceChapters
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 KunkelBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6053331000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11305 West 18th StreetAddressLine1
CitySioux FallsCity
StateSDState
ZIP Code57117ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployee
Barb Everist
Trustee0.50X000
Barbara Stork
Trustee0.50X000
Barry Martin
Trustee0.50X000
Brent Teiken
Trustee0.50X000
David Beito
Trustee0.50X000
Don Morton
Trustee0.50X000
Jerome Feder
Trustee0.50X000
Jim Entenman
Trustee0.50X000
John C Vanderwoude
Trustee60.00X0118338528640
John Jambois
Trustee0.50X000
Lauris Molbert
Trustee0.50X000
Mark Paulson MD
Trustee60.00X026815130760
Michael L Olson
Trustee60.00X05722216711
Michael L Olson Deferred Comp
Trustee60.00X0049282
Mikal Claar
Trustee0.50X000
Pamela Anderson
Trustee0.50X000
Richard D Hardie
Trustee60.00X056650324244
Ronald Moquist
Trustee0.50X000
Terrence Grimm MD thru Feb12
Trustee60.00X055767326124
Terry Baloun
Trustee0.50X000
Thomas Hruby
Trustee0.50X000
Kelby K Krabbenhoft
Sanford Health President & CEO60.00X0148429721738X
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO60.00X00565035X
Lisa Carlson
Chief Financial Officer Corp60.00071773731290X
Paul Hanson
President Bemidji60.00056652766386X
Craig Boyer
Chief Financial Officer Bemidji60.00027225230117X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6188746TotalReportableCompFrmRltdOrgs
Total Other Compensation880327TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations535273RelatedOrganizations
Total Contributions535273TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column53485TotalRevenueColumn
Exclusion$53,485ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1520Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1390Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities130Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column130TotalRevenueColumn
Exclusion$130ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous RevenueDescription
Business Code900099BusinessCode
Total Revenue Column350TotalRevenueColumn
Related Or Exempt Function Income350RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue350TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column589238TotalRevenueColumn
Related Or Exempt Function Income350RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$53,615ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total35000Total
Program Services35000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4000Total
Program Services4000ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total775Total
Management And General775ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total34275Total
Fundraising34275Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total32098Total
Fundraising32098Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total302282Total
Management And General45342ManagementAndGeneral
Fundraising256940Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total278Total
Fundraising278Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total650Total
Fundraising650Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total6947Total
Fundraising6947Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
Management Services1140593421879841
Membership & Dues11731173

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total531537Total
Program Services39000ProgramServices
Management And General80335ManagementAndGeneral
Fundraising412202Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5094361BOY
EOY414119EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY66986BOY
EOY84664EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY584921BOY
EOY506596EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1932007BOY
EOY6853775EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY618BOY
EOY523EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY7678893BOY
EOY7859677EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2603BOY
EOY4525EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY496934BOY
EOY611826EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY499537BOY
EOY616351EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5580118BOY
EOY5429684EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1324028BOY
EOY1538432EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY275210BOY
EOY275210EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7179356BOY
EOY7243326EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7678893BOY
EOY7859677EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses57701ReconcilationRevenueExpenses
Reconcilation Other Changes6269ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sanford Health of Northern MNBusinessNameLine1
FieldValueIRS element (for citing)
EIN411266009EIN
Type Of OrganizationHospitalTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$531,537Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts531537SumOfAmounts

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 Balance275210BeginningOfYearBalance
Investment Earnings Or Losses3144InvestmentEarningsOrLosses
Grants Or Scholarships3144GrantsOrScholarships
End Of Year Balance275210EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance275210BeginningOfYearBalance
Investment Earnings Or Losses3066InvestmentEarningsOrLosses
Grants Or Scholarships3066GrantsOrScholarships
End Of Year Balance275210EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance275210BeginningOfYearBalance
Investment Earnings Or Losses5394InvestmentEarningsOrLosses
Grants Or Scholarships5308GrantsOrScholarships
Administrative Expenses86AdministrativeExpenses
End Of Year Balance275210EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance275210BeginningOfYearBalance
Investment Earnings Or Losses7146InvestmentEarningsOrLosses
Grants Or Scholarships6998GrantsOrScholarships
Administrative Expenses148AdministrativeExpenses
End Of Year Balance275210EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionIntercompany PayableDescription
Amount$611,826Amount
FieldValueIRS element (for citing)
Total Of Amounts611826TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Uncertain Tax Positions Under FIN 48:Part X: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 of Northern Minnesota did not have a material income tax liability at June 30, 2012; some related organizations have established reserves.
Part V: The Breen trust endowment funds are permanently restricted. The Foundation board annually designates the interest earnings for specific current foundation projects.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
Beltrami Area Service Collabrative
701 Minnesota Ave NW Ste 235BemidjiMN56601411941453501(c)(3)10000Grant to fund general operations.
Bemidji Area Boy's and Girl's Club
PO Box 191BemidjiMN56601810599601501(c)(3)5000Grant to fund general operations.
Lutheran Social Services
PO Box 1886BemidjiMN56601410872993501(c)(3)5000Grant to fund general operations.
Northwoods Coalition
PO Box 563BemidjiMN56601411333404501(c)(3)15000Grant to fund general operations.
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants

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: Sanford Health Foundation of Northern Minnesota provides grants to community service groups for general operations. Justification for need is required at the time of the request for funds and the organization does not require reporting as to how the funds were used.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 Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base 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
John C Vanderwoude
01000000000183385049000237400121202500
Mark Paulson MD
023641900031732012250018510029891100
Michael L Olson
056393300082880006711057893200
Michael L Olson Deferred Comp
0000000492820004928200
Richard D Hardie
0562511000399207350016894059074700
Terrence Grimm MD thru Feb12
050000400057669012250013874058379700
Kelby K Krabbenhoft
0913461000570836000217380150603500
Kelby K Krabbenhoft Deferred Comp
000000056503500056503500
Lisa Carlson
0500321000217416012250019040074902700
Paul Hanson
037488100019164605760308783063291300
Craig Boyer
01901830008206902397806139030236900

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 3The Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm to annually review the total compensation arrangements of the officers of the organizations, and to report findings and recommendations to the Sanford Board of Trustees for deliberation and action. The most recent study was completed in 2012.
Part I, Line 4bSchedule 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 $418,302
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 revenues less expenses. Physicians listed that were paid on this model include: Michael Olson, Richard Hardie.
Part IIICompensation 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 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 $1,484,297 is comprised of Base salary of $913,461, and Other Taxable Earnings of $570,836. In addition, an amount of $565,035 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 2Lisa Carlson and Pamela Anderson have a business relationship. 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 than span the organization as a whole: John Vanderwoude, Mark Paulson, Michael Olson, Richard Hardie, Terrence Grimm, Kelby Krabbenhoft, Lisa Carlson, Paul Hanson and Craig Boyer.
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 a 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 of Northern Minnesota.
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 of Northern Minnesota.
Form 990, Part VI, Section B, line 10bThe corporation shall not, without the prior approval of the Member, (a) enter into any fund-raising project, (b) borrow any money, whether secured or unsercured, (c) enter into any contract providing for the sale, assignment, transfer, lease, or other disposition of any real estate or interest therein having a value of more than $50,000, or any other property or interest therein which involves, in the aggregate, more than $25,000 payable or receivable by the corporation and which is not cancelable by the corporation on notice of thirty(30)days or less without penalty, (d) make contributions or dispositions of propery(i)to any entity outside of SHNM and its controlled entities or (ii)in excess of $50,000 per individual contribution or disposition or $250,000 in the aggregate during any fiscal year of the corporation, (e) take any action violative of the restrictions set forth in its Restated Articles of Incorporation and any subsequent amendments thereto (f) raise funds by means of charitable gambling, although it may receive funds from outside entities which so raise funds so long as such funds are not raised in the name of this corporation, Sanford Health of Northern Minnesota or its controlled entities, or (g) take any action in contradiction with any express restrictions adopted by the Member.
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 Audit Committe prior to the return filing date. Before the return is filed, a complete copy is made available 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 managment employees and can invoke the recusal process on a case-by-case basis when potentail 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 such.
Form 990, Part VI, Section B, line 15The Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm to annually review the total compensation arrangements of the officers and operating unit executives of the organization, including the CEO, and to report the findings and recommendations 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 2012. 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 Physician total compensation arragements was completed in 2009.
Form 990, Part VI, Section C, line 19Although the orgaization 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 the documents.
Form 990, Part VIISanford Trustees provide services to Sanford and its subsidiaries. Hours reported for each individual reflect the time spent on work related to either the filing organization or a related organization. Sanford Board of Trustees has ultimate governance responsibilities for each entity with 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 5:Net unrealized losses on investments: -16,686. Prior period adjustments: -262. Net Asset Transfer to Sanford Health of Northern MN 23,217. Total to Form 990, Part XI, Line 5: 6,269.Changes in Net Assets or Fund Balances:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (26 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Sanford Health
1305 West 18th StreetSioux FallsSD57117311527032Supporting OrganizationSD501(c)(3)11-IISanford1
Sanford Health Foundation
1305 West 18th StreetSioux FallsSD57117363297853Supporting OrganizationSD501(c)(3)11-IISanford Health1
Sanford
801 Broadway DriveFargoND58122271218956Supporting OrganizationND501(c)(3)11-II0
Sanford North
PO Box 2010FargoND58122450385890Supporting OrganizationND501(c)(3)11-IISanford1
Sanford Medical Center Fargo
PO Box 2010FargoND58122450226909HospitalND501(c)(3)3Sanford North1
Sanford Clinic North
PO Box 2010FargoND58122911770748ClinicsND501(c)(3)9Sanford North1
Sanford Health Network North
PO Box 2010FargoND58122450409348Hospitals/ClinicsND501(c)(3)11-IISanford North1
Sanford Medical Center Wheaton
401 12th Street NorthWheatonMN56296272042143Hospital/ClinicMN501(c)(3)3Sanford North1
Sanford Health Foundation North
PO Box 2010FargoND58122450398104FundraisingND501(c)(3)7Sanford North1
Sanford Medical Center Thief River Falls
120 Labree Ave SThief River FallsMN56701410709579HospitalMN501(c)(3)3Sanford North1
Sanford Medical Center Mayville
42 6th Ave SEMayvilleND58257450228899HospitalND501(c)(3)3Sanford North1
MeritCare Minnesota
1720 South Highway 59Thief River FallsMN56701261530302Promotion of healthMN501(c)(3)3Sanford North1
Agassiz Assurance Company
100 Bank Street Suite 610BurlingtonVT05401743121855InsuranceVT501(c)(3)11-IISanford North1
MeritCare Health Enterprises Inc
PO Box 2010FargoND58122450359785Prescription drugsND501(c)(4)Sanford North1
FM Ambulance Service Inc
2215 18th St SouthFargoND58103450344371EMTND501(c)(4)Sanford North1
Sanford Health of Northern Minnesota
1300 Anne St NWBemidjiMN56601411266009HospitalMN501(c)(3)3Sanford North1
Baker Park Inc
803 Dewey Ave NWBemidjiMN56601411372480Low Income Senior HousingMN501(c)(3)9Sanford Health of Northern Minnesota1
North Country Medical Clinic
1300 Anne St NWBemidjiMN56601411753855Family Practice Medical ClinicMN501(c)(3)3Sanford Health of Northern Minnesota1
Sanford ResearchUSD
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460450378ResearchSD501(c)(3)3Sanford Health1
Sanford USD Medical Center
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460227855HospitalSD501(c)(3)3Sanford Health1
Sanford Clinic
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460447693Clinical ServicesSD501(c)(3)3Sanford Health1
Sanford Health Network
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460388596Hospitals/ClinicsSD501(c)(3)11-IISanford Health1
Sanford Home Health
1305 West 18th Street PO Box 5039Sioux FallsSD571175039460282134Home Health ServicesSD501(c)(3)9Sanford Health1
MeritCare Health Enterprises Inc
201 Fifth Street North 14 FloorFargoND58102453788040Prescription drugsPA501(c)(4)Sanford North1
Edith Sanford Breast Cancer Foundation
2301 E 60th Street NSioux FallsSD57104450404126FoundationND501(c)(3)11-IISanford Health1
Sanford World Clinics
1305 West 18th StreetSioux FallsSD57117262707628HealthcareSD501(c)(3)3Sanford Health1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 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

Form990 Schedule R Part IV Form990ScheduleRPartIV (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Sanford Home Medical Equipment Inc
2710 W 12th StreetSioux FallsSD57105460388597Healthcare EquipmentSDN/AC
Sanford Health Plan
300 Cherapa PlaceSioux FallsSD57103911842494InsuranceSDN/AC
Sanford Health Plan of MN
300 Cherapa PlaceSioux FallsSD57103460445852InsuranceMNN/AC
Bemidji Medical Equipment Inc
1300 Anne St NWBemidjiMN56601411551725Retail Sales of DMEMNN/AC
North Country Management Inc
1300 Anne St NWBemidjiMN56601411820025Management ServicesMNN/AC
Sanford Frontiers
1305 W 18th St PO Box 5039Sioux FallsSD571175039455436599Weight Loss ManagementSDN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
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