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SANFORD HEALTH FOUNDATION NORTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SANFORD HEALTH FOUNDATION NORTH (EIN 45-0398104)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201331359349301018
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)
Timestamp2013-05-15T08:16:33-05:00Timestamp
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)
EIN450398104EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sanford Health Foundation NorthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSANFNameControl
Phone7012342000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 2010AddressLine1
CityFargoCity
StateNDState
ZIP Code581220302ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoAnn KunkelName
TitleCFOTitle
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 TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBrian MortensonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 2010AddressLine1
CityFargoCity
StateNDState
ZIP Code581220302ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11029507GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.sanfordhealth.org/about/foundation/fargoWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileNDStateLegalDomicile
Activity Or Mission DescriptionThe Foundation's purpose is to encourage and assist Sanford North in its activities.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers400TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6354163ContributionsGrantsPriorYear
Contributions Grants Current Year6305203ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year434954InvestmentIncomePriorYear
Investment Income Current Year328825InvestmentIncomeCurrentYear
Other Revenue Prior Year9464OtherRevenuePriorYear
Other Revenue Current Year-235949OtherRevenueCurrentYear
Total Revenue Prior Year6798581TotalRevenuePriorYear
Total Revenue Current Year6398079TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1409260GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1736788GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year817553SalariesEtcPriorYear
Salaries Etc Current Year821536SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year934053TotalFundrsngExpCurrentYear
Other Expense Prior Year549074OtherExpensePriorYear
Other Expenses Current Year683925OtherExpensesCurrentYear
Total Expenses Prior Year2775887TotalExpensesPriorYear
Total Expenses Current Year3242249TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4022694RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3155830RevenuesLessExpensesCY
Total Assets BOY12741059TotalAssetsBOY
Total Assets EOY17444774TotalAssetsEOY
Total Liabilities BOY35305TotalLiabilitiesBOY
Total Liabilities EOY34047TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12705754NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY17410727NetAssetsOrFundBalancesEOY
Mission DescriptionSanford Health Foundation North was incorporated for the purpose of encouraging and assisting Sanford North in its activities and to encourage and assist other exempt entities associated with Sanford North in providing health care, medical, or educational services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1534824Expense
Grants1534824Grants
DescriptionThe Foundation continues its proud tradition of supporting the programs, services and operations of Sanford as it continues its growth regionally. Specifically, grants helped provide patient care and family support ($967,718), equipment and renovation projects ($460,142) and other community programs ($106,964).Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense136264Expense
Grants136264Grants
DescriptionAdditional grants helped support healthcare education. Sanford North is dedicated to providing continuing training and education for its employees, ensuring that patients are receiving the very best, and latest, in care.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense65700Expense
Grants65700Grants
DescriptionGrants continually help support our investment in research. These special project areas include the Children's Oncology Group.Description
FieldValueIRS element (for citing)
Total Program Service Expense1736788TotalProgramServiceExpense
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 Contributions1DeductibleNonCashContributions
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 With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
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 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

FieldValueIRS element (for citing)
Name PersonJoAnn Kunkel CFONamePerson
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 (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Pamela Anderson
Trustee0.50X000
Terry D Baloun
Trustee0.50X000
David Beito
Trustee0.50X000
Mikal L Claar
Trustee0.50X000
Jim Entenman
Trustee0.50X000
Barbara M Everist
Trustee0.50X000
Jerome D Feder
Trustee0.50X000
Terrence Grimm MD
Trustee60.00X055767326124
Richard D Hardie MD
Trustee60.00X056650324244
Thomas C Hruby
Trustee0.50X000
John C Jambois
Trustee0.50X000
Kelby K Krabbenhoft
Sanford Health President/CEO60.00X0148429721738X
Kelby K Krabbenhoft Def Comp
Sanford Health President/CEO60.00X00565035X
Barry L Martin
Trustee0.50X000
Lauris Molbert
Trustee0.50X000
Ronald M Moquist
Trustee0.50X000
Don Morton
Trustee0.50X000
Michael L Olson MD
Trustee60.00X05722216711
Michael L Olson MD Def Comp
Trustee60.00X0049282
Mark Paulson MD
Trustee60.00X026815130760
Barbara J Stork
Trustee0.50X000
Brent Teiken
Trustee0.50X000
John VanderWoude Jr MD
Trustee60.00X0118338528640
Lisa Carlson
Sanford Health CFO60.00071773731290X
Brian Mortenson
President60.00036197425594X
Deborah Soliah
Vice President60.00157932015322X
Roger Gilbertson MD
Former President60.0005019870X
FieldValueIRS element (for citing)
Total Reportable Comp From Org157932TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6213928TotalReportableCompFrmRltdOrgs
Total Other Compensation824740TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events677707FundraisingEvents
Related Organizations260000RelatedOrganizations
All Other Contributions5367496AllOtherContributions
Noncash Contributions485647NoncashContributions
Total Contributions6305203TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column135104TotalRevenueColumn
Exclusion$135,104ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4549328Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4355607Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities193721Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column193721TotalRevenueColumn
Exclusion$193,721ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events39872GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events677707CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses275821FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-235949TotalRevenueColumn
Exclusion-$235,949ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6398079TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$92,876ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1736788Total
Program Services1736788ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total662607Total
Management And General283118ManagementAndGeneral
Fundraising379489Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27446Total
Management And General11802ManagementAndGeneral
Fundraising15644Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total85718Total
Management And General37591ManagementAndGeneral
Fundraising48127Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total45765Total
Management And General18495ManagementAndGeneral
Fundraising27270Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total185940Total
Management And General153846ManagementAndGeneral
Fundraising32094Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total48177Total
Fundraising48177Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total162141Total
Management And General13421ManagementAndGeneral
Fundraising148720Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26982Total
Management And General26982ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total37724Total
Management And General5909ManagementAndGeneral
Fundraising31815Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total27024Total
Management And General2830ManagementAndGeneral
Fundraising24194Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total83Total
Management And General83ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4693Total
Fundraising4693Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralFundraisingFundraising
Professional Dues13355217331116221
Uncollectible Pledges5760957609

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3242249Total
Program Services1736788ProgramServices
Management And General571408ManagementAndGeneral
Fundraising934053Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY45163BOY
EOY151683EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY5430496BOY
EOY7223166EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2236BOY
EOY36637EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec83LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY0BOY
EOY2917EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7263164BOY
EOY9446337EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY584034EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12741059BOY
EOY17444774EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6098BOY
EOY6002EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY29207BOY
EOY28045EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35305BOY
EOY34047EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY536027BOY
EOY737582EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY5236738BOY
EOY6713092EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6932989BOY
EOY9960053EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12705754BOY
EOY17410727EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12741059BOY
EOY17444774EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3155830ReconcilationRevenueExpenses
Reconcilation Other Changes1549143ReconcilationOtherChanges
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)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1534324CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1512185CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1742114CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6354163CurrentTaxYearMinus1Year
Current Tax Year6305203CurrentTaxYear
Total17447989Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1534324CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1512185CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1742114CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6354163CurrentTaxYearMinus1Year
Current Tax Year6305203CurrentTaxYear
Total17447989Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total4725842AmountsSubstContributorsTotal
Public Support Total17012722147PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years610956CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year130513CurrentTaxYearMinus1Year
Current Tax Year135104CurrentTaxYear
Total876573Total
FieldValueIRS element (for citing)
Total Support18324562TotalSupport
Gross Receipts From Admissions Etc2802118GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.69430PublicSupportPertcentage170
Public Support Pertcent Prior Year0.59900PublicSupportPertcentPriorYear
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 Balance6932989BeginningOfYearBalance
Contributions3027064Contributions
End Of Year Balance9960053EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1275054BeginningOfYearBalance
Contributions5657935Contributions
End Of Year Balance6932989EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1236381BeginningOfYearBalance
Contributions10897Contributions
Investment Earnings Or Losses142717InvestmentEarningsOrLosses
Grants Or Scholarships18200GrantsOrScholarships
Other Expenditures96741OtherExpenditures
End Of Year Balance1275054EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1364340BeginningOfYearBalance
Contributions108233Contributions
Investment Earnings Or Losses-158380InvestmentEarningsOrLosses
Grants Or Scholarships19750GrantsOrScholarships
Other Expenditures58062OtherExpenditures
End Of Year Balance1236381EndOfYearBalance
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 Basis3000OtherCostOrOtherBasis
Depreciation83Depreciation
Book Value2917BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2917TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAnnuities PayableDescription
Amount$28,045Amount
FieldValueIRS element (for citing)
Total Of Amounts28045TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The organization's use of the endowment funds is to meet the donors intent in providing health care, medical, or educational services to Sanford North.
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 Foundation North did not have an income tax liability at June 30, 2012; however, some related organizations have established reserves.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event161for61/Home Run WalkNameOfEvent1
Gross Receipts Event1144540GrossReceiptsEvent1
Charitable Contributions Event1120306CharitableContributionsEvent1
Gross Revenue Event124234GrossRevenueEvent1
Food And Beverage Event154FoodAndBeverageEvent1
Other Direct Expenses Event136748OtherDirectExpensesEvent1
Name Of Event2Against All Odds EventNameOfEvent2
Gross Receipts Event2547384GrossReceiptsEvent2
Charitable Contributions Event2534124CharitableContributionsEvent2
Gross Revenue Event213260GrossRevenueEvent2
Food And Beverage Event225575FoodAndBeverageEvent2
Other Direct Expenses Event2210721OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events25655GrossReceiptsOtherEvents
Charitable Contrib Other Events23277CharitableContribOtherEvents
Gross Revenue Other Events2378GrossRevenueOtherEvents
Other Direct Expenses Other Events2723OtherDirectExpensesOtherEvents
Gross Receipts Total717579GrossReceiptsTotal
Charitable Contributions Total677707CharitableContributionsTotal
Gross Revenue Total Events39872GrossRevenueTotalEvents
Food And Beverage Total Events25629FoodAndBeverageTotalEvents
Other Direct Expenses Total Events250192OtherDirectExpensesTotalEvents
Direct Expense Summary Events275821DirectExpenseSummaryEvents
Net Income Summary-235949NetIncomeSummary

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
Sanford North
PO Box 2010FargoND58122450385890501(c)(3)54778See Form 990, Page 2, Part III
Sanford Medical Center Fargo
PO Box 2010FargoND58122450226909501(c)(3)1497217See Form 990, Page 2, Part III
Sanford Clinic North
PO Box 2010FargoND58122911770748501(c)(3)24358See Form 990, Page 2, Part III
Sanford Medical Center Mayville
42 6th Avenue SEMayvilleND58257450228899501(c)(3)154219See Form 990, Page 2, Part III
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
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 Payment1SeverancePayment
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)

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
Terrence Grimm MD
050000400057669012250013874058379700
Richard D Hardie MD
0562511000399207350016894059074700
Kelby K Krabbenhoft
0913461000570836000217380150603500
Kelby K Krabbenhoft Def Comp
000000056503500056503500
Michael L Olson MD
056393300082880006711057893200
Michael L Olson MD Def Comp
0000000492820004928200
Mark Paulson MD
023641900031732012250018510029891100
John VanderWoude Jr MD
01000000000183385049000237400121202500
Lisa Carlson
0500321000217416012250019040074902700
Brian Mortenson
025623100010574307350018244038756800
Deborah Soliah
1386480001928406303090190173254000
Roger Gilbertson MD
050198700000000050198700

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aCertain items listed on Line 1a are provided by related organizations. Part I, Line 3: Sanford's Trustees directly engage a nationally recognized independent compensation consulting firm to annually review the total compensation of arrangements of the officers of the organization, and to report findings and recommendations to the Trustees for deliberation and action. The most recent study was completed in 2012.
Part I, Lines 4a-bRoger Gilbertson, MD, former MeritCare President and CEO, received a payment of $501,987 upon his retirement, per employment contract. 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 $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: Dr. Richard Hardie, Dr. Michael Olson.
Part I, Line 7Certain executives 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 Sanford's Trustees, is on file and available upon request. Compensation paid to Sanford 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.Supplemental Information

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99032124NoncashContribsRptdF990
Method Of Determining RevenuesAverage high/low priceMethodOfDeterminingRevenues

Securities Prtnrshp Trust Intrsts SecuritiesPrtnrshpTrustIntrsts

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990453523NoncashContribsRptdF990
Method Of Determining RevenuesFMV of CRUTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMethod for Determining Number of Contributors:Identifier
Return ReferencePart I, Column (b):ReturnReference
ExplanationThe organization is using the number of contributors method.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 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 that span the organization as a whole: Dr. Terrence Grimm, Dr. Richard Hardie, Kelby Krabbenhoft, Dr. Michael Olson, Dr. Mark Paulson, Dr. John VanderWoude, Jr., Lisa Carlson, Brian Mortenson, Deborah Soliah, Dr. Roger Gilbertson.
Form 990, Part VI, Section A, line 6Sanford is governed by a Board of Trustees that has ultimate strategic and decision making authority. Sanford's Trustees 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 Sanford's Trustees. These Boards function much like committees in a traditional corporate structure. Sanford's Trustees 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 7aSanford's Trustees appoints the board members for the Board of Directors of Sanford Health Foundation North.
Form 990, Part VI, Section A, line 7bSanford's Trustees approve the actions approved by the Board of Directors of Sanford Health Foundation North.
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 Committee prior to the return filing date. Before the return is filed, a complete copy is made available to the current 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 Sanford's 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 such.
Form 990, Part VI, Section B, line 15Sanford's Trustees directly engage 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's 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 arrangements 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. Form 990, Part VII, Section A: Sanford's 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's 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 Trustees related to the oversight of day to day operations of that entity.
Form 990, Part XI, line 5:Net unrealized losses on investments: -25,279. Change in value of split-interest agreements 921. Transfer from related tax-exempt organization 1,573,501. Total to Form 990, Part XI, Line 5: 1,549,143.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 North
PO Box 2010FargoND58122450385890Supporting OrganizationND501(c)(3)11-IISanford1
Sanford Clinic North
PO Box 2010FargoND58122911770748ClinicsND501(c)(3)9Sanford North1
MeritCare Minnesota
1720 South Highway 59Thief River FallsMN56701261530302Promotion of healthMN501(c)(3)3Sanford North1
Sanford Medical Center Fargo
PO Box 2010FargoND58122450226909HospitalND501(c)(3)3Sanford North1
Sanford Health Network North
PO Box 2010FargoND58122450409348Hospitals / ClinicsND501(c)(3)11-IISanford North1
MeritCare Health Enterprises Inc
201 5th St N 14th FloorFargoND58102453788040Prescription DrugsPA501(c)(4)Sanford 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 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
Sanford Medical Center Wheaton
401 12th St NWheatonMN56296272042143Hospital / ClinicMN501(c)(3)3Sanford North1
Agassiz Assurance Company
100 Bank Street Suite 610BurlingtonVT05401743121855InsuranceVT501(c)(3)11-IISanford North1
Sanford Health
1305 W 18th St PO Box 5039Sioux FallsSD571175039311527032Supporting OrganizationSD501(c)(3)11-IISanford1
Sanford USD Medical Center
1305 W 18th St PO Box 5039Sioux FallsSD571175039460227855HospitalSD501(c)(3)3Sanford Health1
Sanford Clinic
1305 W 18th St PO Box 5039Sioux FallsSD571175039460447693Clinical ServicesSD501(c)(3)3Sanford Health1
Sanford Health Network
1305 W 18th St PO Box 5039Sioux FallsSD571175039460388596Hospitals / ClinicsSD501(c)(3)11-IISanford Health1
Sanford Home Health
1305 W 18th St PO Box 5039Sioux FallsSD571175039460282134Home Health ServicesSD501(c)(3)9Sanford Health1
Sanford Health Foundation
1305 W 18th St PO Box 5039Sioux FallsSD571175039363297853Supporting OrganizationSD501(c)(3)11-IISanford Health1
Sanford ResearchUSD
1305 W 18th St PO Box 5039Sioux FallsSD571175039460450378ResearchSD501(c)(3)3Sanford Health1
Sanford
801 N Broadway DriveFargoND58122271218956Supporting OrganizationND501(c)(3)11-II0
Sanford Health of Northern Minnesota
1300 Anne Street NWBemidjiMN56601411266009HospitalMN501(c)(3)3Sanford North1
Baker Park Inc
803 Dewey Avenue NWBemidjiMN56601411372480Low Income Senior HousingMN501(c)(3)9Sanford Health of Northern Minnesota1
Sanford Health Foundation of Northern Minnesota
1300 Anne Street NWBemidjiMN56601411389317Supporting OrganizationMN501(c)(3)11-IISanford Health of Northern Minnesota1
North Country Medical Clinic
1300 Anne Street NWBemidjiMN56601411753855Family Practice Medical ClinicMN501(c)(3)3Sanford Health of Northern Minnesota1
Sanford World Clinics
1305 W 18th St PO Box 5039Sioux FallsSD571175039262707628HealthcareSD501(c)(3)3Sanford Health1
Edith Sanford Breast Cancer Foundation
101 S Reid StreetSioux FallsSD57103450404126Supporting OrganizationND501(c)(3)11-IISanford 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 West 12th Street NSioux FallsSD571043701460388597Healthcare 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 Street NWBemidjiMN56601411551725Retail Sales of DMEMNN/AC
North Country Management Inc
1300 Anne Street NWBemidjiMN56601411820025Management ServicesMNN/AC
Sanford Frontiers
1305 West 18th Street PO Box 5039Sioux FallsSD571175039455436599Weight Loss ManagementSDN/AC
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
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 (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Sanford Medical Center Fargo
B1497217Cash Method
Sanford Medical Center Mayville
B154219cash Method
Sanford North
B54778Cash Method
Sanford Health
C250000Accrual Method