SANFORD: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SANFORD (EIN 45-3791176)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-05-24
IRS object ID: 201201459349300105
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-05-24T10:09:01-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Deloitte Tax LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	50 South Sixth Street Suite 2800	AddressLine1
City	Minneapolis	City
State	MN	State
ZIP Code	55402	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	453791176	EIN

Name Name

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

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

US Address USAddress

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

Officer Officer

Field	Value	IRS element (for citing)
Name	Lisa Carlson	Name
Title	Chief Financial Officer	Title
Phone	6053331000	Phone
Date Signed	2012-05-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Kristina Rasmussen	Name
Phone	6123974000	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Initial Return	X	InitialReturn
Name Of Principal Officer Person	Kelby Krabbenhoft	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1305 West 18th Street PO Box 5039	AddressLine1
City	Sioux Falls	City
State	SD	State
ZIP Code	571175039	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2388387329	GrossReceipts
Group Return For Affiliates	1	GroupReturnForAffiliates
All Affiliates Included	1	AllAffiliatesIncluded
Group Exemption Number	5851	GroupExemptionNumber
Organization501c3	X	Organization501c3
Web Site	www.sanfordhealth.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Activity Or Mission Description	"Dedicated to the Work of Health and Healing"	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	7	NbrIndependentVotingMembers
Total Nbr Employees	21531	TotalNbrEmployees
Total Nbr Volunteers	2125	TotalNbrVolunteers
Total Gross UBI	25192797	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	37021798	ContributionsGrantsPriorYear
Contributions Grants Current Year	50707291	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2184539739	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2316427369	ProgramServiceRevenueCY
Investment Income Prior Year	11981387	InvestmentIncomePriorYear
Investment Income Current Year	10847236	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1046675	OtherRevenuePriorYear
Other Revenue Current Year	1790947	OtherRevenueCurrentYear
Total Revenue Prior Year	2234589599	TotalRevenuePriorYear
Total Revenue Current Year	2379772843	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	16747398	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	15705354	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1163825140	SalariesEtcPriorYear
Salaries Etc Current Year	1263960872	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	798607	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1011820447	OtherExpensePriorYear
Other Expenses Current Year	1044317741	OtherExpensesCurrentYear
Total Expenses Prior Year	2192392985	TotalExpensesPriorYear
Total Expenses Current Year	2323983967	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	42196614	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	55788876	RevenuesLessExpensesCY
Total Assets BOY	1674669898	TotalAssetsBOY
Total Assets EOY	1577600190	TotalAssetsEOY
Total Liabilities BOY	851570791	TotalLiabilitiesBOY
Total Liabilities EOY	845339675	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	823099107	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	732260515	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Sanford's mission is "Dedicated to the Work of Health and Healing." Part of the Sanford Health System, Sanford is committed to the healthcare needs of communities throughout South Dakota, North Dakota, Minnesota and Iowa. Sanford provides a full range of primary and specialty health care services.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	780703971	Expense
Grants	136504	Grants
Revenue	1105072720	Revenue
Description	Sanford USD Medical Center (SMC-USD)is the largest tertiary medical facility in the region providing healthcare services, including Centers of Excellence in the following areas: heart and vascular, children's, cancer, neuroscience, trauma, orthopedics, and women's, which supports a patient centered approach to care. SMC-USD is a 500-bed tertiary care regional medical center and the primary teaching hospital for the Sanford School of Medicine. SMC-USD is accredited by The Joint Commission and has achieved Magnet Nursing Status from the American Nurses Credentialing Center (ANCC).SMC-USD is an ACS Verified Level II Trauma Center. The Emergency Department is the largest and most comprehensive emergency facility in the region. The Intensive Air program, which includes one helicopter and two fixed wing airplanes have been operating since 1977. Intensive Air is a CAMTS accredited flight program and was the first program to have this recognition in the region. Intensive Air consists of four specialized transport teams to include Adult, Pediatric, Neonatal and Maternal. Sanford Medical Center USD in Sioux Falls and Sanford Medical Center Fargo operate full-time emergency centers and provide emergency care regardless of ability to pay. The Medical Centers had over 90,186 Emergency Center (Level II Trauma) visits during FY 2011. The Medical Centers provide clinical services needed to operate the Emergency Center and F-M Ambulance provides on-site emergency medical, rescue and medical transportation services. Sanford Medical Center Fargo is a designated Level 2 Trauma Center for the region. Life Flight, with 900 transports in 2011, was the first program in the nation to be accredited. The Sanford Medical Center Fargo Emergency Center is staffed 24 hours a day and six board-certified critical care specialists are available. The Pediatric Trauma Program with the Emergency Center provides children with the help they need and receives funding through area Kiwanis Clubs.Sanford Medical Center Fargo, a 583-licensed bed tertiary care teaching hospital, is the largest hospital in North Dakota, and includes a 61-bed Children's Hospital, and an 8-bed palliative care unit. Annually, Sanford Medical Center Fargo has over 24,000 admissions, over 2,300 live births, over 51,000 Emergency Center visits, 900 Life Flight air transports, and performs over 22,600 surgeries (including ambulatory) annually. Sanford Medical Center Fargo continues to develop a healing environment which incorporates artwork, music, natural colors and sunlight. The hospital includes a new main entrance, an outdoor healing garden, a Heart Center, the Children's Hospital, a 30-bed Day Unit for patients undergoing short-stay tests, procedures and surgery, a relaxing family area with fireplace, a coffee bar, a Consumer Health and Business Center, and an expanded gift shop. Sanford Medical Center Fargo possesses a healing environment that welcomes and supports patients/families with work areas to better accommodate current and future technologies, systems and approaches to care. Sanford Medical Center Fargo is one of the "Most Wired" Hospitals for eleven years in a row. Sanford Medical Center Fargo is a leader in the implementation of the electronic patient record (EPR). In addition, the Picture Archive Communication System (PACS) allows instant transfer of digital imaging studies from one work station to another. Capsule endoscopy, in which a patient swallows a vitamin-size camera, offers a new, noninvasive technique for examining a previously unreachable portion of the small intestine. Medical education is an important activity at the Medical Centers in Fargo and Sioux Falls. At any one time, 60 or more residents are in training at Sanford Medical Center Fargo. Residents are part of the Sanford-based Internal Medicine, Transitional Year, or Psychiatry residency programs (offered in partnership with the University of North Dakota School of Medicine and Health Sciences) or other UND residency programs in family medicine or surgery and USD programs. At SMC-USD there are 99 residents and Fellows in the following programs sponsored by the Sanford School of Medicine of The University of South Dakota. These residents and Fellows are part of the Medical Center's based Internal Medicine, Family Medicine, Transitional Year, Pathology, Pediatrics, Psychiatry, Child Psychiatry, and Geriatrics.SMC-USD's new Children's Hospital opened in March of 2009, serving the healthcare needs of the pediatric patients in South Dakota, North Dakota, Minnesota, Iowa, and Nebraska locally; as well as through World Clinics facilities in Duncan, Oklahoma and others that will open in the near future. The team of over 40 pediatric subspecialty trained physicians, 16 general pediatricians and more than 150 family medicine physicians work side by side with over 350 specially trained pediatric staff to provide the most comprehensive healthcare to children and their families in the region. Sanford Children's Hospital is the first children's hospital in the United States to install a new low dose CT scanner with reconstruction technique that can lower radiation dosage up to 40% which is a significant reduction in radiation exposure for the pediatric population.The new state of the art Heart Hospital opened February 2012. The new facility includes 58 beds, cardiovascular operating rooms, cath labs, clinic, and outpatient services. Heart and Vascular screenings are offered to consumers at a very affordable cost. SMC-USD participates in a statewide initiative called Take Heart South Dakota, which is a new program designed to increase survival rates of sudden cardiac arrest. The Medical Center's stroke certification neurology unit offers services that include a Rapid Response team and a growing Stroke Network. Through a grant, Sanford's neurology team was awarded to participate in the Adam Williams Initiative designed to improve the care and outcomes for patients with traumatic brain injury, and recently developed a Stroke Share Point which is a public site for educational use and a resource for clinicians that work with Stroke Protocols.Orthopedic and Sports Medicine at SMC-USD takes a comprehensive approach to orthopedic care which includes multiple subspecialties and synergistic programs such as the Center for Joint Success, Wellness Center, POWER Center, National Institute for Athletic Health and Performance, Physical Medicine & Rehab, Spine Center and dedicated Orthopedic operating rooms designed to handle orthopedic outpatients in a customer friendly, efficient manner. SMC-USD's Cancer Center was chosen as one of only 16 sites to participate in a nationwide pilot for the National Cancer Institute (NCI). One of the main objectives of the NCI Community Cancer Centers Program is to reduce cancer care disparities among underserved populations through education, prevention, screening, treatment, and patient-family support programs. The Cancer Center embrace's a "Journey of Healing" philosophy through art. The Medical Centers provide womens services which offers 21 state of the art LDR rooms where moms can labor, deliver and recover all in one room. Upon recovery mom and baby are brought to the Birth Place which is highly secured, family oriented designed facility with 27 rooms for mom, baby and family to recover. Many educational classes are offered throughout mom's pregnancy and into mature womanhood. Sanford Women's Health Plaza is a unique destination designed to provide all women a variety of health options at one location. Requirements of the IRS community benefit standard for tax-exempt organizations are integral to Sanford's larger mission and its vision to "deliver a flawless experience that inspires". Both Sanford Medical Center Fargo ans SMC-USD make medical care accessible to the entire community it serves. Sanford Medical Center Fargo demonstrates its commitment to providing community benefit through specific accomplishments: including the Reproductive Medicine Clinic, Research, Nationally Recognized Children's Hospital, Organ Donation Medal of Honor, VHA Leadership Award for Community Benefit Excellence, 2006 Gallup Award for Healthcare Excellence, One of Top 50 Cancer Centers, and was 10 times named one of the top 100 cardiovascular hospitals in the nation for its heart surgery and technology, and is the only hospital in North Dakota to receive this distinction.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	747128357	Expense
Grants	12385	Grants
Revenue	739677830	Revenue
Description	Sanford Clinic has 901 physicians representing 70 specialties. Supporting the five Centers of Excellence of the Sanford integrated health system, Sanford Clinic physicians provide and clinical teams provide services in Cancer, Women's, Heart and Vascular, Children's, Surgery and Trauma, Neuroscience/Orthopedics and Primary Care. The Sanford Clinic Cancer Services include a multidisciplinary team of experts and a pinnacle service in Head and Neck Cancer with NIH funded research in HPV. Women's services span the entire clinical services spectrum and integrated medicine services including a Medical Spa. The physician experts provide urogynecology, reproductive endocrinology, gynecology/oncology, genetic counseling and maternal fetal medicine subspecialty care. Another pinnacle service is developing in this service line - a regional Fetal Care Center which includes diagnostic services and fetal surgery. The Heart and Vascular service has grown to 16 interventional, invasive, general cardiologists and vascular surgeons in Sioux Falls and 19 in Fargo. The strong clinical research program and preventive focus with screenings programs all provide the foundation for a new Heart Hospital set to open early in 2012.Surgical Care for the Sanford Clinic is performed by nine surgeons in Sioux Falls and 17 in Fargo. Bariatric, trauma and general surgery as well as surgical oncology care, and a strong breast cancer program, GI cancer program, and lung cancer program fall within this area of expertise.General pediatric and subspecialty pediatric physicians support the Children's Hospital and regional outreach services and national pediatric care. Additional growth continues in neuroscience and orthopedics clinical services, sports medicine, general and subspecialty care. A majority of the rural clinics reside in counties designated by the Department of Health and Human Services as medically under-served areas. In each of its outlying locations, the clinic provides primary care services to the community. In many communities, the clinic is the sole provider of physician services. Additionally, in order to improve the breadth, access and integration of care available in these outlying rural communities, Sanford medical specialists reach out to provide part-time services which would not otherwise be available to regional clinics, other hospitals, Public Health Service, and Indian Health Service locations. The clinics offer a full range of medical specialties. Sanford operates 10 walk-in clinics and 2 convenient clinics, which treated over 199,000 walk-in patients and also owns and operates the region's largest provider of home health care with over 54,500 skilled visits per year.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	187326236	Expense
Grants	221654	Grants
Revenue	274274309	Revenue
Description	Sanford Health Network supports community healthcare facilities as they provide care close to home through the 27 hospitals and 12 long term care homes, 18 assisted and congregate living facilities across South Dakota, Iowa, Minnesota, Nebraska and North Dakota. Sanford Health supports a Network of owned, leased, managed and associate facilities to ensure that necessary health care services across a broad range of medical and surgical specialties are delivered locally to the broad service area.Sanford Health Network's commitment to local healthcare delivery is clearly evident in its community-based leadership and local Board involvement. Additionally, technology deployment in the form of the health system's fully integrated clinical and financial information system, called docZ, remains a priority. Sanford Health Network is adding a new hospital in Aberdeen, SD and is working on the replacement of the medical facility in Thief River Falls, MN and several long term care facilities in two communities in South Dakota.	Description

Activity Other ActivityOther (3 entries)

ExpenseExpense	GrantsGrants	RevenueRevenue	DescriptionDescription
6169667	0	7271529	Sanford Home Health provides skilled nursing care through various programs. The Hospice Program promotes and enhances the comfort and dignity of the terminally ill person, the family, and the primary caregivers. The Home Nursing Care Program provides skilled nursing care, medical aid, and guidance to high risk, handicapped, and homebound individuals. The Companion Aide program provides care to elderly people in their home on a private pay basis. There were 7,480 Home Health Care visits during 2011.
20575327	169013	1938651	Sanford Research is a non-profit research organization formed between Sanford Health and the University of South Dakota. In 2007, a transformational gift of $400 million by Denny Sanford has allowed for an expansion of current goals and will enable Sanford Research to become one of the premiere research institutions in the United States and the world. Sanford Research is composed of several research centers, including Cancer Biology, Cardiovascular Health, Health Disparities, Methodology and Data Analysis, Sanford Children's Health, and the Sanford Project. Sanford USD Medical Center is a 500-bed tertiary care regional medical center and the primary teaching hospital for the Sanford School of Medicine. It also features: 400 physician multi-specialty practice for Sanford; 1.35 million outpatient and 50,000 inpatient visits per year; Stable, compliant population base for clinical research; Electronic medical record and clinical information system; Multi-generational families for clinical studies; Accommodating regulatory environment; Comprehensive research infrastructure; Ongoing in-house research; The Sanford Project; Global presence in clinical and research relationships.The Cancer Biology Research Center features basic and translational research with strengths in breast, head and neck, ovarian, colon, cervical and lymphoid cancers. Research teams are working on projects aimed at understanding the molecular, cellular and genetic basis of cancer that can lead to the discovery of new biomarkers, drug targets and novel therapies which will improve the health and survival of cancer patients.The Cardiovascular Health Research Center includes basic studies examining cardiac and skeletal muscle development, how these processes are altered in muscular dystrophy, and how diabetes and the sympathetic nervous system affect the pathogenesis of heart failure. Research projects also focus on clinical studies examining the role of Omega-3 fatty acids in cardiovascular disease.The Health Disparities Research Center provides an infrastructure for communities and investigators to partner in designing and implementing research programs with the goal of eliminating health disparities. Active research and service projects focus on a variety of public health topics, including maternal and child health, obesity and nutrition, and adolescent health.During FY11, the Health Disparities Research Center is collaborating with researchers from around the United States on a first of its kind NIH funded prevalence study of fetal alcohol spectrum disorders (FASD) among first-graders in Sioux Falls. The study will follow this cohort for five years and include psychological testing of the children and maternal interviews to determine prevalence. Sioux Falls is the first community in the United States to be surveyed utilizing this methodology. The Methodology and Data Analysis Research Center collaborates with other centers on study design, monitoring, and data analysis for basic, clinical, and population research. The center also encompasses primary biostatistical and epidemiologic research focusing on methodology, as well as disease etiology and prevention.The National Institute for Athletic Health & Performance (NIAHP) focuses on new research to address training, competition, and rehabilitation challenges for youth and other populations. From this research, the NIAHP partners with sport and sports medicine national governing bodies in developing new educational initiatives, guidelines, and policy for safe and appropriate exercise, training, and sports participation.The Sanford Children's Health Research Center focuses on developing translational research for pediatrics. Researchers are using a diverse array of scientific approaches aimed at improved understanding and treatment of a variety of childhood diseases and conditions.The Coordination of Rare Diseases at Sanford (CoRDS) registry is a national disease registry being developed to include multiple and ultimately all rare genetic diseases. The CoRDS registry is headquartered at Sanford Research in Sioux Falls, South Dakota, and is supervised by Principal Investigator Dr. David Pearce, PhD. and Dr. Chun-Hung Chan, PhD. By establishing a central registry of persons with a confirmed diagnosis of any rare disease, Sanford Research hopes to accelerate research by providing a resource for the identification and recruitment of potential research subjects. The CoRDs registry will begin in 2011.The Sanford Project, which was announced in June, 2008, focuses on finding a cure for Type 1 diabetes through beta cell regeneration. This goal has an aggressive timeline: to find the cure during Denny Sanford's lifetime. One of four initiatives made possible through Denny Sanford's transformational $400 million gift to Sanford Health, The Sanford Project has one goal, researching and curing juvenile diabetes. A $10 million gift from Todd and Linda Broin of Sioux Falls, SD to fund the chair of the Sanford Project accelerated the progress.Sanford Research has a strong collaboration with the Sanford-Burnham Medical Research Institute in La Jolla, CA and Orlando, FL, as well as a number of other leading institutions. For researchers, Sanford Research offers exciting challenges both in well-established projects and ever expanding research opportunities. For those people served in the six-state region, Sanford Research offers opportunities to participate in clinical trials and to be a part of the changing face of medicine.
230804597	15165798	189339689	Sanford North and Sanford Health provides support services to affiliates in order to allow them to focus efforts on the delivery of medical services to patients. Affiliates benefit from support services such as system-wide strategic planning; coordination of clinical care, education and research; overall resource allocation through capital and operating budget planning; information technology systems and support; centralized purchasing and facility management; overall quality assurance support and system-wide human resource management.Sanford North and Sanford Health reach out to people and communities throughout eastern North Dakota and northwestern Minnesota, South Dakota, Iowa and Nebraska. Sanford North and Sanford Health support community healthcare facilities as they provide care close to home through the owned regional hospitals, managed regional hospitals, and numerous Health Care Accessories locations which provide home medical equipment, and numerous Clinics in the five state regions.Sanford North and Sanford Health supports a Network of owned, leased, managed and associate facilities to ensure that necessary healthcare services across a broad range of medical and surgical specialties are delivered locally to the broad service area.

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	257549591	TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt	15334811	TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev	198549869	TotalOfOtherProgramServiceRev
Total Program Service Expense	1972708155	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	1	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	1	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	1	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	1381	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	21531	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	BH	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Excess Business Holdings	0	ExcessBusinessHoldings
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	7	NumberIndependentVotingMembers
Family Or Business Relationship	1	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	1	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	1	ElectionOfBoardMembers
Decisions Subject To Approval	1	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	0	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	MN	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	OR	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	Lisa Carlson CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7012344811	TelephoneNumber

Address US AddressUS

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

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

Form990 Part VII Section A Form990PartVIISectionA (103 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Ann Christenson
Trustee	0.50	X	0	0	0
Barb Everist
Trustee	0.50	X	0	0	0
Barbara Stork
Trustee	0.50	X	0	0	0
Barry Martin
Trustee	0.50	X	0	0	0
Brent Teiken
Trustee	0.50	X	0	0	0
David Beito
Trustee	0.50	X	0	0	0
Don Morton
Trustee	0.50	X	0	0	0
Jerome Feder
Trustee	0.50	X	0	0	0
Jim Entenman
Trustee	0.50	X	0	0	0
John C Vanderwoude
Trustee	60.00	X	1184560	0	30701
John Jambois
Trustee	0.50	X	0	0	0
Lauris Molbert
Trustee	0.50	X	0	0	0
Mark Paulson MD
Trustee	60.00	X	220036	0	46521
Michael L Olson
Trustee	60.00	X	518455	0	6998
Michael L Olson Deferred Comp
Trustee	60.00	X	0	0	46935
Mikal Claar
Trustee	0.50	X	0	0	0
Pamela Anderson
Trustee	0.50	X	0	0	0
Richard D Hardie
Trustee	60.00	X	444434	0	18343
Ronald Moquist
Trustee	0.50	X	0	0	0
Terrence Grimm MD
Trustee	60.00	X	585887	0	42328
Terry Baloun
Trustee	0.50	X	0	0	0
Kelby K Krabbenhoft
Sanford Health President & CEO	60.00	X	1274514	0	19513	X
Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO	60.00	X	0	0	565838	X
Lisa Carlson
Chief Financial Officer Corp	60.00		418112	0	51907	X
Andrew Richburg
Executive Vice President	60.00		438314	0	23667	X
Bill Marlette
Treasurer	60.00		695355	0	1438	X
Bill Marlette Deferred Compensation
Treasurer	60.00		0	0	129024	X
David Link
Executive Vice President - D&R	60.00		774927	0	22230	X
David Link Deferred Compensation
Executive Vice President - D&R	60.00		0	0	203714	X
Paul Richard
Chief Legal Officer	60.00		395926	0	51907	X
Rebecca Nelson
Senior Vice President & COO - HSD	60.00		862215	0	14877	X
Rebecca Nelson Deferred Compensatio
Senior Vice President & COO - HSD	60.00		0	0	210701	X
Arlyn Broekhuis
Vice President & CIO	60.00		372609	0	24676		X
Bradley J Schipper
Health Network Vice President	60.00		220220	0	25932		X
Bruce D Viessman
Vice President of Finance	60.00		217376	0	27052		X
Bruce Pitts MD
Chief Medical Officer - Sanford Health	60.00		557647	0	51622		X
Bryan J Nermoe
Chief Operating Officer	60.00		233724	0	19993		X
Cecily L Tucker
Chief Financial Officer D&R	60.00		263930	0	28306		X
Charles Breen MD
Senior VP Physician	60.00		480096	0	51227		X
Charles P O'Brien
President	60.00		610108	0	21195		X
Charles P O'Brien Deferred Comp
President	60.00		0	0	50479		X
Christine Harff
CEO TRF Medical Center	60.00		185564	0	42621		X
Craig Hewitt
Sanford CIO	60.00		265559	0	52907		X
Daniel Olson
VP of Bemidji Clinic	60.00		208615	0	46429		X
Daniel W Blue
SC Sioux Falls President	60.00		578896	0	66898		X
Dave R Hove
Health Network Vice President	60.00		193309	0	23593		X
Dennis Millirons
President - Medical Center	60.00		550996	0	30830		X
Diana Berkland
Chief Nurse Executive - SMC	60.00		237455	0	1124		X
Diana Berkland Deferred Compensatio
Chief Nurse Executive - SMC	60.00		0	0	80641		X
Donald Marty
VP Facility Services	60.00		185515	0	41312		X
Douglas Okland
CFO - Sanford Clinic	60.00		177590	0	42893		X
Douglas Vang
Network President	60.00		760803	0	11075		X
Edmond L Weiland
President - SHN Administration	60.00		395917	0	23935		X
Ellen Cooke
COO - Sanford Clinic	60.00		231565	0	38724		X
Howard Hoody MD
Senior VP - Physician	60.00		290739	0	51422		X
James Volk MD
Senior VP - Physician	60.00		360372	0	50822		X
Jeff D Sandene
COO - Health Services Division	60.00		384106	0	24669		X
Jeffrey Hoss
Executive VP Sanford Clinic	60.00		281751	0	52610		X
JoAnn L Kunkel
Chief Financial Officer HSD	60.00		380398	0	24676		X
Kaleen Santema
Vice President - Oncology Services	60.00		225528	0	17230		X
Kaleen Santema Deferred Compensatio
Vice President - Oncology Services	60.00		0	0	51216		X
Karen A Tobin
Vice President - Heart & Vascular	60.00		230969	0	12028		X
Kenneth P Aspaas
Chief Medical Officer	60.00		308049	0	15214		X
Kenneth P Aspaas Deferred Comp
Chief Medical Officer	60.00		0	0	55627		X
Kevin Lampe
VP - National Orthopedic Corp	60.00		230782	0	21850		X
Kim J Patrick
General Counsel	60.00		438522	0	55000		X
Linda O'Halloran
COO - Sanford Medical Center	60.00		341521	0	38904		X
Lynn W Olson
CEO - Worthington	60.00		195680	0	23759		X
Maje B Perryman
President Research	60.00		362970	0	27526		X
Michael Gibbs
VP Sanford Medical Center - Heart	60.00		308310	0	49530		X
Michael E Farritor
Admin Chief Operations Officer, MD	60.00		505025	0	27432		X
Michelle A Bruhn
Chief Financial Officer SUSDMC	60.00		249344	0	7389		X
Monica Huber
Vice President - ER Trauma	60.00		186007	0	13746		X
Paulette Amundson
VP Sanford Community Clinics	60.00		185734	0	43038		X
Randy Bury
Chief Admin Officer	60.00		443272	0	7657		X
Randy Bury Deferred Compensation
Chief Admin Officer	60.00		0	0	36897		X
Rhonda Ketterling MD
Chief Medical Officer - Clinic	60.00		357957	0	47658		X
Richard E Nordahl
CEO - Sheldon	60.00		187435	0	25248		X
Richard G Adcock
President - Sanford Frontiers	60.00		225067	0	25972		X
Richard Giesel
President - Health Network	60.00		215376	0	8258		X
Richard Marsden MD
Senior VP - Physician	60.00		603410	0	50822		X
Robert J Salmon
CEO - Canby & Clear Lake	60.00		192895	0	7695		X
Robert J Salmon Deferred Comp
CEO - Canby & Clear Lake	60.00		0	0	54749		X
Stephen Nelson MD
Senior VP - Physician	60.00		284412	0	50807		X
Steve W Goetsch
Admin - Vice President	60.00		260471	0	25379		X
Tiffany Lawrence
Chief Financial Officer SMC Fargo	60.00		204274	0	44554		X
Timothy J Tracy
CEO - Vermillion	60.00		207893	0	13768		X
Verlyn T Carda
Health Network Vice President	60.00		193790	0	21868		X
William Klava MD
Fargo Service Chair	60.00		343904	0	49307		X
Adam T Stys
Physician SC SF	60.00		1806030	0	25768			X
Marian S Petrasko
Physician SC SF	60.00		1673312	0	25768			X
Scott Pham
Physician SC SF	60.00		2278720	0	27768			X
Tomasz P Stys
Physician SC SF	60.00		2281101	0	25768			X
Wilson T Asfora
Physician SC SF	60.00		1782865	0	25768			X
Chris A Marin
Vice President - Human Resources	60.00		193684	0	14339				X
Evelyn Quigley
Sr Vice President	60.00		207342	0	46727				X
Gregory Post
Sr Vice President	60.00		445292	0	52622				X
Jan Haugen-Rogers
Chief Clinical Informatics	60.00		266473	0	13197				X
Jim L Striepe
VP Sanford Health Network	60.00		142429	0	11401				X
Jim L Striepe Deferred Compensation
VP Sanford Health Network	60.00		0	0	16167				X
Orlen P Tschetter
VP - Facility & Planning HSD	60.00		217261	0	15270				X
Roger Gilbertson MD
President	60.00		549117	0	0				X
Roger Lee
Treasurer	60.00		155194	0	26910				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	35925012	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3751906	TotalOtherCompensation
Number Individuals GT100 K	1314	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Amerisource Corp
6810 Shady Oak Rd	Eden Prairie	MN	55344	Pharmaceuticals	34552198
Henry Carlson Co
PO Box 84010	Sioux Falls	SD	57118	Construction	27594123
Owens & Minor Inc
12199 Collection Ctr Dr	Chicago	IL	60693	Medical Supplies	18618350
Medtronic
4642 Collection Ctr Dr	Chicago	IL	60693	Surgery Supplies	12926311
Cardinal Health
7000 Cardinal Place	Dublin	OH	43017	Medical Services	7656721

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	578	NumberOfContractorsGT100K
Related Organizations	33252775	RelatedOrganizations
Government Grants	13663953	GovernmentGrants
All Other Contributions	3790563	AllOtherContributions
Noncash Contributions	13437	NoncashContributions
Total Contributions	50707291	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient services	621400	1288825571	1288825571
Medicare/Medicaid	621400	749617449	749617449
Purch svcs allocations	541900	160379084	160379084
Pharmacy & Optical Sal	446110	28324469	26420720	1903749
Product & Retail Sales	446199	21280634	19011147	2269487

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	68000162	TotalRevenueColumn
Related Or Exempt Function Income	27997949	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	21019561	UnrelatedBusinessRevenue
Exclusion	$18,982,652	ExclusionAmount

Field	Value	IRS element (for citing)
Total Program Service Revenue	2316427369	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	12441302	TotalRevenueColumn
Exclusion	$12,441,302	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	3541268	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	3185823	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	355445	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	355445	TotalRevenueColumn
Exclusion	$355,445	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	3265918	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	4859984	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-1594066	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-1594066	TotalRevenueColumn
Exclusion	-$1,594,066	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	856822	GrossSalesOfInventory
Cost Of Goods Sold	568679	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	288143	TotalRevenueColumn
Exclusion	$288,143	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Data Processing/IT Ser	561000	885480	885480
Miscellaneous	541300	261879	261879

Field	Value	IRS element (for citing)
Total Other Revenue	1147359	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2379772843	TotalRevenueColumn
Related Or Exempt Function Income	2273399279	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	25192797	UnrelatedBusinessRevenue
Exclusion	$30,473,476	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	15581250	Total
Program Services	15581250	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	109091	Total
Program Services	109091	ProgramServices

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	15013	Total
Program Services	15013	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	22862182	Total
Management And General	22862182	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1015434821	Total
Program Services	937692374	ProgramServices
Management And General	77140732	ManagementAndGeneral
Fundraising	601715	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	45849451	Total
Program Services	42577825	ProgramServices
Management And General	3253655	ManagementAndGeneral
Fundraising	17971	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	112875414	Total
Program Services	97759024	ProgramServices
Management And General	15053218	ManagementAndGeneral
Fundraising	63172	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	66939004	Total
Program Services	59770489	ProgramServices
Management And General	7121868	ManagementAndGeneral
Fundraising	46647	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2033362	Total
Program Services	11976	ProgramServices
Management And General	2021386	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	1198968	Total
Program Services	60389	ProgramServices
Management And General	1138579	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	100601	Total
Management And General	100601	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	108842589	Total
Program Services	94371803	ProgramServices
Management And General	14416786	ManagementAndGeneral
Fundraising	54000	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	14848784	Total
Program Services	11854048	ProgramServices
Management And General	2994736	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	60292330	Total
Program Services	47890475	ProgramServices
Management And General	12401285	ManagementAndGeneral
Fundraising	570	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	55301968	Total
Program Services	23697055	ProgramServices
Management And General	31604913	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	57025670	Total
Program Services	44122723	ProgramServices
Management And General	12902947	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	9777870	Total
Program Services	7742151	ProgramServices
Management And General	2022822	ManagementAndGeneral
Fundraising	12897	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	3166784	Total
Program Services	2756217	ProgramServices
Management And General	408932	ManagementAndGeneral
Fundraising	1635	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	25370781	Total
Program Services	21352202	ProgramServices
Management And General	4018579	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	100696920	Total
Program Services	83295776	ProgramServices
Management And General	17401144	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	14831161	Total
Program Services	12689247	ProgramServices
Management And General	2141914	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Medical Supplies	354871015	351785388	3085627
Intercompany Purchases	135001151	25623003	109378148
Bad Debt	80052723	79510780	541943
Miscellaneous	20905064	12439856	8465208

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2323983967	Total
Program Services	1972708155	ProgramServices
Management And General	350477205	ManagementAndGeneral
Fundraising	798607	Fundraising

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

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5822763	BOY
EOY	26548668	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	119422757	BOY
EOY	62436596	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	46173	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	291311626	BOY
EOY	324565630	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	832857	BOY
EOY	495022	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	8787873	BOY
EOY	8677496	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	24333949	BOY
EOY	26898786	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	18218716	BOY
EOY	25433528	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1800490918	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	864096067	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	865447920	BOY
EOY	936394851	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	201312999	BOY
EOY	38493853	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	11966188	BOY
EOY	2706733	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	20558082	BOY
EOY	36565864	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	18544590	BOY
EOY	40630633	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	88063405	BOY
EOY	47752530	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1674669898	BOY
EOY	1577600190	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	249148943	BOY
EOY	261039731	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	878828	BOY
EOY	365433	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	713908	BOY
EOY	1071401	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	459728660	BOY
EOY	442482721	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	66623708	BOY
EOY	82213759	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	40000	BOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	74436744	BOY
EOY	58166630	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	851570791	BOY
EOY	845339675	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	816476933	BOY
EOY	731862315	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	5685995	BOY
EOY	40798	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	936179	BOY
EOY	357402	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	823099107	BOY
EOY	732260515	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1674669898	BOY
EOY	1577600190	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	55788876	ReconcilationRevenueExpenses
Reconcilation Other Changes	-146627468	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii
General Explanation	Schedule A, Part IV, Supplemental Information: Sanford Health 509(a)(3) Sanford Medical Center 170(b)(1)(A)(iii) Sanford Clinic 170(b)(1)(A)(iii) Sanford Research / USD 170(b)(1)(A)(iii) Sanford Home Health 509(a)(2) Sanford Health Network 509(a)(3) Sanford North 509(a)(3) Sanford Clinic North (509(a)(2) Sanford Medical Center Fargo 170(b)(1)(A)(iii) Sanford Health Network North 509(a)(3) Sanford Medical Center Thief River Falls 170(b)(1)(A)(iii) Sanford Medical Center Mayville 170(b)(1)(A)(iii) Meritcare Minnesota 170(b)(1)(A)(iii)	GeneralExplanation
General Explanation	Schedule A, Part IV, Supplemental Information: Detail for Schedule A, Part I Line 11, Column: (i) Sanford Medical Center; (ii) 46-0227855; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 138,077,606 Line 11, Column: (i) Sanford Clinic; (ii) 46-0447693; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 65,158,669 Line 11, Column: (i) Sanford Research / USD; (ii) 46-0450378; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 3,051,094 Line 11, Column: (i) Sanford Home Health; (ii) 46-0282134; (iii)509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 1,645,832 Line 11, Column: (i) Sanford Clinic North; (ii) 91-1770748; (iii)509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 104,419,075 Line 11, Column: (i) Sanford Medical Center Fargo; (ii) 45-0226909; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 117,270,700 Line 11, Column: (i) Sanford Medical Center Thief River Falls; (ii) 41-0709579; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 15,814,622 Line 11, Column: (i) Sanford Medical Center Mayville; (ii) 45-0228899; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 1,485,061 Line 11, Column: (i) Meritcare Minnesota; (ii) 26-1530302; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Sanford World Clinics; (ii) 26-2707628; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Sanford Medical Center Wheaton; (ii) 27-2042143; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Sanford Health of Northern Minnesota; (ii) 41-1266009; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 7,610,667 Line 11, Column: (i) North Country Medical Clinic; (ii) 41-1753855; (iii)170(b)(1)(A)(iii); (iv) Yes; (v) Yes; (vi) Yes; (vii) 0 Line 11, Column: (i) Baker Park, Inc.; (ii) 41-1372480; (iii)509(a)(2); (iv) Yes; (v) Yes; (vi) Yes; (vii) 51,720 Line 11, Column: (i) Sanford Health Foundation North; (ii) 45-0398104; (iii)170(b)(1)(A)(vi); (iv) Yes; (v) Yes; (vi) Yes; (vii) 257,686	GeneralExplanation
General Explanation	Schedule A, Part IV, Supplemental Information: Detail for Schedule A, Part III Line 1 - column: (a) 458,007; (b) 631,852; (c) 524,075; (d) 787,185; (e) 941,781; (f) 3,342,900 Line 2 - column: (a) 351,440,521; (b) 403,859,871; (c) 428,912,730; (d) 455,701,032; (e) 458,196,694; (f) 2,098,110,848 Line 6 - column: (a) 351,898,528; (b) 404,491,723; (c) 429,436,805; (d) 456,488,217; (e) 459,138,475; (f) 2,101,453,748 Line 7b - column: (a) 99,094; (b) 15,652; (c) 5,267; (d) 135,182; (e) 86,988; (f) 342,183 Line 7c - column: (a) 99,094; (b) 15,652; (c) 5,267; (d) 135,182; (e) 86,988; (f) 342,183 Line 8 - column: (f) 2,101,111,565 Line 9 - column: (a) 351,898,528; (b) 404,491,723; (c) 429,436,805; (d) 456,488,217; (e) 459,138,475; (f) 2,101,453,748 Line 10a - column: (a) 776,312; (b) 627,166; (c) 446,135; (d) 740,496; (e) 808,692; (f) 3,398,801 Line 10c - column: (a) 776,312; (b) 627,166; (c) 446,135; (d) 740,496; (e) 808,692; (f) 3,398,801 Line 11 - column: (a) 2,311,286; (b) 3,516,778; (c) 3,556,107; (d) 3,494,437; (e) 4,222,887; (f) 17,101,495 Line 13 - column: (a) 354,986,126; (b) 408,635,667; (c) 433,439,047; (d) 460,723,150; (e) 464,170,054; (f) 2,121,954,044 Line 15: 99.02% Line 16: 93.71% Line 17: 0.16% Line 18: 0.17% Line 19a: X Line 19b: X	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

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

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$0	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$46,460	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$709,492	OtherActivitiesAmount
Total Lobbying Expenditures IIB	755952	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Other Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1i:	ReturnReference
Explanation	The filing organization has memberships in the South Dakota Association of Healthcare Organizations, North Dakota Hospital Association, Minnesota Hospital Association, Iowa Hospital Association and American Hospital Association. A percentage of membership dues paid to these organizations relate to lobbying expenses. In addition, the organization employs certain individuals, and contracts with various lobbyists, to monitor legislative acts important to all Sanford entities on both state and national levels. Occasionally, Sanford employees send mailings to legislators on issues that may affect healthcare.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	28174889	BeginningOfYearBalance
Contributions	8185089	Contributions
Investment Earnings Or Losses	191403	InvestmentEarningsOrLosses
Grants Or Scholarships	0	GrantsOrScholarships
Other Expenditures	6269	OtherExpenditures
Administrative Expenses	4233	AdministrativeExpenses
End Of Year Balance	36540879	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25346658	BeginningOfYearBalance
Contributions	2700378	Contributions
Investment Earnings Or Losses	255403	InvestmentEarningsOrLosses
Grants Or Scholarships	18200	GrantsOrScholarships
Other Expenditures	105017	OtherExpenditures
Administrative Expenses	4333	AdministrativeExpenses
End Of Year Balance	28174889	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	25196898	BeginningOfYearBalance
Contributions	431296	Contributions
Investment Earnings Or Losses	-183069	InvestmentEarningsOrLosses
Grants Or Scholarships	19750	GrantsOrScholarships
Other Expenditures	69167	OtherExpenditures
Administrative Expenses	9550	AdministrativeExpenses
End Of Year Balance	25346658	EndOfYearBalance

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	92957678	OtherCostOrOtherBasis
Book Value	92957678	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	735807542	OtherCostOrOtherBasis
Depreciation	308972179	Depreciation
Book Value	426835363	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	52510670	OtherCostOrOtherBasis
Depreciation	15953287	Depreciation
Book Value	36557383	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	850190092	OtherCostOrOtherBasis
Depreciation	537812454	Depreciation
Book Value	312377638	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	69024936	OtherCostOrOtherBasis
Depreciation	1358147	Depreciation
Book Value	67666789	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	936394851	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (8 entries)

DescriptionDescription	AmountAmount
Deferred compensation	$21,022,837
Long-term lease obligation	$1,217,655
Defined benefit pension liability	$23,719,950
Other non-current liabilities	$200,000
Interest rate swap obligation	$4,836,271
Minority Interest	$101,498
Special assessments	$3,139,368
Asset retirement obligations	$3,929,051

Field	Value	IRS element (for citing)
Total Of Amounts	58166630	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Description of Intended Use of Endowment Funds:	Part V, Line 4:	Sanford Health Foundation and Sanford Health Foundation North hold endowment funds on behalf of the filing organization to be used for assistance in its activities and for providing health care, medical, or educational services.
		Part X, Line 2: Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination. The deferred income tax provision or benefit generally reflects the net change in deferred income tax assets and liabilities during the year. The current income tax provision reflects the tax consequences of revenues and expenses currently taxable or deductible on various income tax returns for the year reported. Sanford Group did not have a material income tax liability at June 30, 2011; some related organizations have established reserves.

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	1	GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (7 entries)

RegionRegion	Type Of Activities ConductedTypeOfActivitiesConducted	Specific Services ProvidedSpecificServicesProvided	Total ExpendituresTotalExpenditures
East Asia and the Pacific	Program Services	Investigate potential clinic sites and obtain goods/services	10468
Europe (Including Iceland & Greenland)	Program Services	Investigate potential clinic sites and obtain goods/services	259262
Middle East and North Africa	Program Services	Investigate potential clinic sites	6564
North America	Program Services	Investigate potential clinic sites and obtain goods/services	19345
South America	Program Services	Obtain goods/services	15013
South Asia	Program Services	Surgical mission trip	8198
Sub-Saharan Africa	Program Services	Investigate potential clinic sites and obtain goods/services	35011

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	353861	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	353861	TotalAmountSpent
Transfer To Foreign Corp	0	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	0	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Tailored To Ind Hospitals	X	PolicyTailoredToIndHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare

Other Percentage OtherPercentage

Field	Value	IRS element (for citing)
Other	X	Other
Free Other Percentage	200.000000000000	FreeOtherPercentage

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	400.000000000000	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	24348312	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	24348312	NetCommunityBenefitExpense
Percent Of Total Expense	0.01090	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	127919856	TotalCommunityBenefitExpense
Direct Offsetting Revenue	102042461	DirectOffsettingRevenue
Net Community Benefit Expense	25877395	NetCommunityBenefitExpense
Percent Of Total Expense	0.01150	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	152268168	TotalCommunityBenefitExpense
Direct Offsetting Revenue	102042461	DirectOffsettingRevenue
Net Community Benefit Expense	50225707	NetCommunityBenefitExpense
Percent Of Total Expense	0.02240	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2269622	TotalCommunityBenefitExpense
Direct Offsetting Revenue	130925	DirectOffsettingRevenue
Net Community Benefit Expense	2138697	NetCommunityBenefitExpense
Percent Of Total Expense	0.00100	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11655690	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4161286	DirectOffsettingRevenue
Net Community Benefit Expense	7494404	NetCommunityBenefitExpense
Percent Of Total Expense	0.00330	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	178917975	TotalCommunityBenefitExpense
Direct Offsetting Revenue	109424585	DirectOffsettingRevenue
Net Community Benefit Expense	69493390	NetCommunityBenefitExpense
Percent Of Total Expense	0.03100	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	21565865	TotalCommunityBenefitExpense
Direct Offsetting Revenue	47854	DirectOffsettingRevenue
Net Community Benefit Expense	21518011	NetCommunityBenefitExpense
Percent Of Total Expense	0.00960	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	11016504	TotalCommunityBenefitExpense
Direct Offsetting Revenue	125	DirectOffsettingRevenue
Net Community Benefit Expense	11016379	NetCommunityBenefitExpense
Percent Of Total Expense	0.00490	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	225425656	TotalCommunityBenefitExpense
Direct Offsetting Revenue	113764775	DirectOffsettingRevenue
Net Community Benefit Expense	111660881	NetCommunityBenefitExpense
Percent Of Total Expense	0.04980	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	377693824	TotalCommunityBenefitExpense
Direct Offsetting Revenue	215807236	DirectOffsettingRevenue
Net Community Benefit Expense	161886588	NetCommunityBenefitExpense
Percent Of Total Expense	0.07220	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	14975	TotalCommunityBuildingExpense
Direct Offsetting Revenue	196	DirectOffsettingRevenue
Net Community Building Expense	14779	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	19478	TotalCommunityBuildingExpense
Net Community Building Expense	19478	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	88004	TotalCommunityBuildingExpense
Net Community Building Expense	88004	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	152	TotalCommunityBuildingExpense
Net Community Building Expense	152	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	474427	TotalCommunityBuildingExpense
Net Community Building Expense	474427	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	82854	TotalCommunityBuildingExpense
Net Community Building Expense	82854	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	126422	TotalCommunityBuildingExpense
Net Community Building Expense	126422	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	10667	TotalCommunityBuildingExpense
Net Community Building Expense	10667	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	816979	TotalCommunityBuildingExpense
Direct Offsetting Revenue	196	DirectOffsettingRevenue
Net Community Building Expense	816783	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$52,405,779	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	329050270	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	318396004	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	10654266	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare
Number Of Hospital Facilities	18	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (18 entries)

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	82	NumberOfOtherFacilities

Other Facilities OtherFacilities (82 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Sanford Home Care Fargo
1711 S Unversity Dr	Fargo	ND	58122	Home Health Agency
Sanford Clinic Sanborn
321 Main Street	Sanborn	IA	51248	Clinic
Sanford Care Center Vermillion
125 Walker St	Vermillion	SD	57069	Nursing Facility
Sanford Senior Care Sheldon
118 N 7th Avenue	Sheldon	IA	51201	Nursing Facility
Sanford Clinic Rock Rapids
803 South Green Street	Rock Rapids	IA	51246	Clinic
Sanford Mid-Dakota Care Center
300 S Byron Blvd	Chamberlain	SD	57325	Nursing Facility
Sanford Hospice
2710 West 12th Street	Sioux Falls	SD	57104	Hospice (licensed in MN and SD)
Sanford Clinic Canby
112 St Olaf Avenue S	Canby	MN	56220	Medicare Certified Rural Health Clinic
Sanford Regional Hospital Worthington
1018 6th Avenue	Worthington	MN	56187	Medicare Certified End Stage Renal Dialysis
Sanford Clinic Webster
101 Peabody Drive	Webster	SD	57274	Rural Health Clinic
Sanford Clinic Tracy
251 Fifth Street E	Tracy	MN	56175	Medicare Certified Rural Health Clinic
Sanford Health Walker Clinic
614 Michigan Avenue	Walker	MN	56484	Rural Health Clinic
Sanford Home Health and Hospice Sheldon
118 N 7th Avenue	Sheldon	IA	51201	Home Health Agency
Sanford Visiting Nurses Association
2710 West 12th Street	Sioux Falls	SD	57104	Professional Home Care Agency (licensed in MN and SD)
Sanford Clinic Jackson
1430 North Highway	Jackson	MN	56143	Medicare Certified Rural Health Clinic
Sanford Clinic Windom
591 2nd Avenue North	Windom	MN	56101	Medicare Certified Rural Health Clinic
Sanford Health Hillsboro Clinic
315 East Caledonia	Hillsboro	ND	58045	Rural Health Clinic
Worthington Regional Hospital Hospice
1151 Ryans Road Suite 100	Worthington	MN	56187	Hospice (licensed in SD)
Sanford Health Oakes Clinic
420 S 7th St	Oakes	ND	58474	Rural Health Clinic
Sanford Clinic Beresford
600 W Cedar St	Beresford	SD	57004	Rural Health Clinic
Sanford Health Mahnomen Clinic
414 West Jefferson PO Box 396	Mahnomen	MN	56557	Rural Health Clinic
Sanford Clinic Aberdeen Surgical Center
3015 3rd Ave SE	Aberdeen	SD	57401	Ambulatory Surgery Center
Sanford Health Pelican Rapids Clinic
211 East Mill Street	Pelican Rapids	MN	56572	Rural Health Clinic
Orchard Hills
200 W 10th St	Dell Rapids	SD	57022	Assisted Living Center
Sanford Clinic Ipswich
110 5th Ave	Ipswich	SD	57451	Rural Health Clinic
Sanford Clinic Westbrook
920 Bell Avenue	Westbrook	MN	56183	Medicare Certified Rural Health Clinic
Sanford Canby Dialysis Unit
112 St Olaf Avenue S	Canby	MN	56220	Medicare Certified End Stage Renal Dialysis
Sanford Clinic Deuel County
701 3rd Ave S	Clear Lake	SD	57226	Rural Health Clinic
Sanford Home Health and Hospice Sheldon
118 N 7th Avenue	Sheldon	IA	51201	Hospice
Hospice Sanford Luverne
217 North Oakley	Luverne	MN	56156	Hospice
Sanford Canby Medical Center
112 St Olaf Avenue S	Canby	MN	56220	Home Care Provider
Sanford Worthington Home Care
1018 6th Avenue	Worthington	MN	56187	Medicare Certified Home Health Agency
Sanford Clinic Clark
117 W 1st Ave	Clark	SD	57225	Rural Health Clinic
Sanford Health Blackduck Clinic
81 1st Street NW PO Box 188	Blackduck	MN	56630	Rural Health Clinic
Northwest Iowa Dialysis Center
112 Sunrise Drive	Hospers	IA	51239	End Stage Renal Dialysis
Pathfinder Children's Treatment Center
923 Atlantic Avenue North	Thief River Falls	MN	56701	Children's Treatment Center
Shetek Home Care
251 Fifth Street E	Tracy	MN	56175	Medicare Certified Home Health Agency
Sanford Clinic Lakefield
220 Milwaukee	Lakefield	MN	56150	Medicare Certified Rural Health Clinic
Sanford Health Cass Lake Clinic
219 Grant Utley Avenue	Cass Lake	MN	56633	Rural Health Clinic
Sanford Visiting Nurses Assoc-Vermillion
20 S Plum	Vermillion	SD	57069	Home Health Care
Sanford Clinic Sheldon
800 Oak Street	Sheldon	IA	51201	Cinic
Sylvan Place
212 St Olaf Aveneue	Canby	MN	56220	Housing with Services
Canby Community Hospice
131 St Olaf Ave N	Canby	MN	56220	Hospice (licensed in SD)
Sanford Health Enderlin Clinic
201 4th Ave Suite 1	Enderlin	ND	58027	Rural Health Clinic
Sanford Hospice
20 S Plum St	Vermillion	SD	57069	Hospice
O Brien Court
410 State Street	Tracy	MN	56175	Housing with Services
Sanford Hospice
510 E 8th St	Freeman	SD	57029	Hospice
Sanford Hospice
745 E 8th St	Winner	SD	57580	Hospice
Sanford Hospice Centennial Cottage
6301 W 43rd St	Sioux Falls	SD	57106	Residential Hospice
Dakota Gardens Senior Living
126 S Plum	Vermillion	SD	57069	Residential Living Center
Sanford Health Lamoure Clinic
Omega City Plaza	Lamoure	ND	58458	Rural Health Clinic
Sanford Clinic Estelline
305 Hospital Dr	Estelline	SD	57234	Rural Health Clinic
Sanford Hiawatha Heights
398 N Hiawatha Dr	Canton	SD	57013	Assisted Living Center
Sanford Clinic Lake Norden
Main Street	Lake Norden	SD	57248	Rural Health Clinic
Sanford Clinic Lennox
108 S Main	Lennox	SD	57039	Rural Health Clinic
Sanford Hospice
803 South Green Street	Rock Rapids	IA	51246	Hospice (licensed in SD)
Sanford Health Forman Clinic
PO Box 184	Forman	ND	58032	Rural Health Clinic
Sanford Health Twin Valley Clinic
212 Main Avenue West	Twin Valley	MN	56584	Rural Health Clinic
Sanford Health Lidgerwood Clinic
PO Box 276	Lidgerwood	ND	58053	Rural Health Clinic
Peterson Estates
1012 9th Street	Westbrook	MN	56183	Housing with Services
Sanford Health Halstad Clinic
445 1st Street East	Halstad	MN	56548	Rural Health Clinic
Sanford Health Gwinner Clinic
69 Hwy 13 West	Gwinner	ND	58040	Rural Health Clinic
Sanford Health Ellendale Clinic
PO Box 306	Ellendale	ND	58436	Rural Health Clinic
Sanford Health Ulen Clinic
108 Viking Avenue West	Ulen	MN	56585	Rural Health Clinic
Deuel County Memorial Home Health
701 3rd Avenue	Clear Lake	SD	57226	Home Health Care
Hospice Sanford Luverne
402 East Main	Luverne	MN	56156	Hospice Cottage
Sanford Health Ottertail Clinic
105 Ottertail Drive	Ottertail	MN	56571	Rural Health Clinic
Sanford Visiting Nurses Assoc-Chamberlai
110 W Beede Ste 1	Chamberlain	SD	57325	Home Health Care
Mid-Dakota Community Based Hospice
300 S Byran Blvd	Chamberlain	SD	57325	Hospice
Northern Lights Community Residence
324 10th Street East	Thief River Falls	MN	56701	Adult Treatment Center
Sanford Clinic Balaton
Highway 14E	Balaton	MN	56115	Medicare Certified Rural Health Clinic
Sanford Clinic Walnut Grove
830 Eighth Street	Walnut Grove	MN	56180	Medicare Certified Rural Health Clinic
Madison Hospital Hospice
917 N Washington Ave	Madison	SD	57042	Hospice
Sanford Canby Medical Center
112 St Olaf Avenue S	Canby	MN	56220	Professional Home Care Agency
Sanford Canby Medical Center
208 Haarfager Avenue South	Canby	MN	56220	Housing with Services
Sanford Madison Dialysis
917 N Washington Ave	Madison	SD	57042	End Stage Renal Dialysis
Sanford Mid-Dakota Dialysis
300 S Byron Blvd	Chamberlain	SD	57325	End Stage Renal Dialysis
Sanford USD Medical Center Dialysis
1305 W 18th Street	Sioux Falls	SD	57117	End Stage Renal Dialysis
Sanford Wagner Dialysis
111 Washington St	Wagner	SD	57380	End Stage Renal Dialysis
Sanford Hospice
912 4th Avenue	Windom	MN	56101	Hospice (licensed in SD)
Sanford Hospice Foundation Cottage
6309 W 43rd St	Sioux Falls	SD	57106	Residential Hospice
Sanford Hospice
900 2nd Ave	Madison	MN	56256	Hospice (licensed in SD)

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

ExplanationExplanation
Part I, Line 3c: Sanford's charity care policy provides discounted and free services to patients who lack the resources to be fully responsible for the healthcare they receive. The Community Care Policy is designed to ensure the entire community served by Sanford has access to needed healthcare services. Eligibility for discounted or free services under the Community Care Policy is based on income levels and family size. Generally, individuals earning income of up to 400% of the Federal Poverty Income Guidelines are eligible for varying levels of discounts, including full discounts for certain income levels. In addition, an automatic discount is provided to any patient who is determined to not have insurance of any type. Applications for coverage under the program may be obtained at any Sanford patient registration area.The primary scope of Sanford's financial assistance matrix considers family income and family size to objectively determine financial need. The family income range varies from 200% to 400% of the Federal Poverty Level (FPL). An applicant over 400% may be eligible for some level of financial assistance based on a review of additional factors such as: the size of the account balance, debt-to-income ratio, current assets, current liabilities, IRS food expense allowances, monthly cash flow, etc.Additionally, it is possible for a family to qualify in one segment (based on income and family size alone) but be moved to a more generous (for the patient) segment based on the other financial variables mentioned above.Part I, Line 5b: While Sanford as a whole did not exceed its charity care budget, there were separate hospitals that did, however exceeding that budget did not impact the ability to serve any patients and no patients were disallowed services. The organization provided free or discounted services to patients who were eligible for free or discounted care.Part I, Line 6: Several legal entities within the organization were included in a community benefit report during the tax year. This report is availabe to the public via the Sanford Health website at http://www.sanfordhealth.org/Content/Pdfs/About/CommunityBenefit/Community_Benefit_Annual_Report.pdf.
Part I, Line 7: Either a Cost to Charge Ratio or a cost accounting methodology is used to calculate the amounts on Line 7a - 7c (Charity Care, Medicaid Shortfall, and Other Means-Tested Government Programs) for each of the subsidiaries included in the return. The amounts for Lines 7e - 7i would come from the books and records of specific segments of the organization and would not be based on a Cost to Charge Ratio, or similar cost accounting methodology.
Part I, Line 7g: Subsidized health services are clinical services provided to both inpatients and outpatients despite a financial loss to Sanford. Each loss has been calculated after removing losses associated with bad debts, charity care and medicaid. Although these services generate overall losses to Sanford, they continue to meet the needs of the communities served. Various services that generate losses are provided by Sanford through physician practices. For 2011, subsidized health services provided through these physician practices generated losses of $43,470,494.
Part I, L7 Col(f): Total expenses reported on Form 990, Part IX, line 25, Column (A) include bad debt expense. This expense has been removed from the denominator when calculating the percent of total expense considered the net community benefit expense and reported in Part I, Line 7, Column (f). The amount of bad debt expense excluded from this percentage calculation is $80,052,723.
Part II: Sanford is a not for profit organization dedicated to the work of health and healing for the public good. Sanford is committed to giving back to the communities in which its employees and patients live and work. Sanford invests resources in order to produce the best outcomes for patient care, education, research, and community enrichment, and partners with others to ensure that the community is a welcoming, healthy environment and one that attracts and sustains a diverse Sanford workforce to deliver the best patient care and much needed medical research. Sanford considers requests for funding and in kind support for new and ongoing programs with all areas supporting the above goals, such as basic human services, education and workforce development by recruiting physicians and other health professionals to medical shortage or underserved areas and collaborating with educational institutions to train and recruit health professionals, advocating community health improvement through efforts to support policies and programs that safeguard or improve public health and help to ensure access to health care services, and others.
Part III, Line 4: The audited financial statements of Sanford do not include a bad debt footnote. Sanford reports bad debt in accordance with generally accepted accounting principles (GAAP). Bad debt expense at cost is determined using the same methodology that is used to calculate Charity Care and Medicaid Shortfall. Discounts and allowances are accounted for separately from Bad debt expense.It is Sanford's policy to make charity care available to patients who fit the charity care criteria. It is the organization's goal to make certain that Sanford is proactive in identification of the patients who need help with financial concerns. Financial counselors make every effort to ensure that charity care patients do not progress to bad debt. For this reason, a dollar amount for bad debt is not included.
Part III, Line 8: Per IRS instructions, Sanford has identified the cost associated with providing Medicare services from the Medicare cost report. The Medicare cost report calculations are total expense less expenses deemed "unallowable" per Medicare regulations. The net expense is then used to calculate the cost per day and cost to charge ratios which are multiplied by the Medicare days and ancillary charges to determine the cost of providing Medicare services. If all expenses that Sanford incurred were included on the Medicare cost report; this would show a shortfall of approximately $47,113,215. Sanford believes this shortfall should be considered community benefit because these services would need to be provided by either another charitable organization or the government if it was not provided by Sanford.
Part III, Line 9b: Sanford will provide services at no cost or reduced cost to patients within its service area in Minnesota, South Dakota and North Dakota, Iowa and Nebraska who qualify for the program. Patients with incomes at or below 200% of the United States Department of Health and Human Services poverty guideline will receive a 100% reduction of their payment responsibility. Patients with income between 200% - 400% of the poverty guideline will be given a discount based on a sliding scale and assets are considered in the calculation of the income of the patient, with the exception of the patient's principal residence. Patients above 400% of the FPG will be reviewed for additional factors such as size of medical debt before a final determination. Patients must make their financial need known to appropriate personnel and be engaged in filing appropriate and complete applications. The program is available to those patients without health care benefits from any source as well as to those who have coverage for health care costs through a government program, commercial insurance, or other health benefit plan but continue to have a remaining balance after benefits have been applied to the charges. Sanford will not deny financial assistance based on race, creed, sex, national origin, handicap or age.Every effort is made to identify patients with financial need as early as possible in the revenue cycle.
Part VI, Line 2: Sanford has a well-established connection with their communities and as a result is a committed community partner that can mobilize its resources to improve community health. For decades, an ongoing informal community health care needs assessment occurs through participation in and/or leadership roles with community task forces, schools, government entities, social service agencies, churches, and other community organizations. It is through these interactions and participation that Sanford identifies or is apprised of health care needs. The response to these needs includes but is not limited to, financial support, educational efforts to reduce or avoid risky behaviors, screenings and health risk assessments, vaccination programs, loaned management expertise, as well as wellness programs and initiatives. These activities serve to improve the health of the communities and fulfills Sanford's mission. A more formalized community needs assessment program is being established to meet the new 990 requirements.Sanford Medical Center Fargo conducted a Community Health Needs Assessment during 2008. The purpose was to advance the charitable mission of the organization by identifying community health needs, seeking information for health improvement, identifying existing strengths within the community, and facilitating strategic prioritization from findings, focusing on gaps in service, population health problems, opportunities to shape public policy, and the potential for community partnerships.Sanford will conduct a comprehensive health needs assessment for the entire system and each hospital entity during 2012/2013. Sanford will initiate collaborative community groups for this purpose. The process of completing a comprehensive health assessment may be as valuable to forming community collaborative partnerships as the actual findings. Through a diverse group of community stakeholders Sanford will strengthen partnerships and relationships within the community and region, and strive to provide community health improvement with key outcomes for community members and patients.
Part VI, Line 3: Sanford employs a variety of strategies to make certain that the organization is transparent in the communication of financial assistance guidelines. The staff at Sanford makes every effort to identify patients needing financial assistance as early in the revenue cycle as possible. All Sanford entities display signage in registration areas advising patients of their ability to request financial assistance upon request. The signage is made available in English and Spanish. Financial Assistance application is available in English or Spanish upon request.All healthcare workers who identify patients with financial need are encouraged to provide patients or their designees a financial application. This may include, but not be limited to the following areas: Administration, Admissions, Patient Financial Services, Financial Counselors, Social Services, Physicians, Nursing, Clinic Director, Reception staff and Human Resources.Financial Counselors are trained to work individually with patients to determine the financial need and recommend appropriate assistance in application for charity care, government programs or discounted services.
Part VI, Line 4: Sanford Health System, together with its subsidiaries and affiliates as described in Part VI, Line 7, coordinate community benefit activities and identify community needs as a system to promote the health of the communities served by the organization. A large percent of Sanford's patients come from counties surrounding the metropolitan areas of Fargo, ND and Sioux Falls, SD. Additional patients are made up of residents from the smaller counties in North Dakota, South Dakota, Minnesota and Iowa, but include patients from across the U.S. Sanford USD Medical Center - Sioux Falls, South DakotaSanford USD Medical Center is the largest Sioux Falls Region hospital and is located within a diverse, urban area near downtown Sioux Falls and within Minnehaha County, the largest populated county in the state of South Dakota. Lincoln County is located next to Minnehaha County and is part of the immediate service area. Based on 2010 US Census data, Lincoln County and Minnehaha County have a combined population of 214,296 individuals. In Minnehaha County 7.6% of the population is under 5 years of age and 25.1% is under 18 years of age. 11.1% of the population is over 65 years old. The median income in Minnehaha County is $51,799 and people living below the poverty level is 9.7%. In Lincoln County, 9.8% of the population is under the age of 5 years old and 29.7% is under 18 years of age. 9% of the population is over 65 years of age. The median income is $67,365 and people living below the poverty level is 4.3%.Sanford USD Medical Center served nearly 27,000 inpatients and over 155,000 outpatients from around the states of South Dakota, Minnesota, Iowa and throughout the United States.Sanford Medical Center Fargo - Fargo, North DakotaFargo is the largest city in North Dakota, and serves as the county seat. At the crossroads and economic center of southeastern North Dakota and a portion of northwestern Minnesota, Fargo is a cultural, retail, manufacturing, health care and educational hub for the region. Sanford Medical Center-Fargo is located in Cass County and sits across the river from Clay County, Minnesota. Based on 2010 US Census data, Cass and Clay Counties have a combined population of 208,777 individuals. In Cass County 7% of the population is under 5 years of age and 21.8% is under 18 years of age. 9.7% of the population is over 65 years old. The median income in Cass County is $47,600 and people living below the poverty level is 12.8%. In Clay County 6.9% of the population is under 5 years of age and 23.3% is under 18 years of age. 12% of the population is over 65 years old. The median income is $50,057 and people living below the poverty level is 12%. Sanford Medical Center Fargo served over 24,000 inpatients during 2011, and had over 2,343,000 outpatient encounters. Sanford Network Hospitals - South Dakota, North Dakota, Minnesota, IowaSanford Health Network Hospitals is a network of rural hospitals located throughout South Dakota, North Dakota, Minnesota, and Iowa. These facilities serve many rural communities in the region. Sanford Clinics - South Dakota, North Dakota, Minnesota, IowaSanford Clinic is a multi-specialty clinic comprised of over 900 physicians providing services in a 4 state area. Over 4,000,000 clinic visits occur each year by this network of highly trained and dedicated physicians.
Part VI, Line 6: Sanford maintains an open medical staff. Community Boards - The Sanford Board of Trustees was comprised of 20 members at the end of the fiscal year, including 14 volunteer community members, five physicians and the CEO. Surplus Funds - Surplus funds are invested back into the community, as well as to resource development and facility development to better serve patients and communities.
Part VI, Line 7: Sanford is an integrated health system headquartered in Fargo, ND and Sioux Falls, SD and consists of two long-standing organizations that merged in 2009. Sanford is the largest, rural, not-for-profit health care system in the nation with a presence in 120 communities in eight states. In addition, Sanford is in the process of developing international clinics in Ghana and Ireland.With a mission dedicated to the work of health and healing, Sanford serves urban, suburban and rural communities through 34 hospitals, 225 clinic locations and 900 physicians in 70 specialty areas of medicine. Services include inpatient and outpatient care, primary care, community health and wellness, occupational health, home health, mental health, rehabilitation, long-term care, assisted living and hospice. With more than 20,000 employees, Sanford is the largest employer in North and South Dakota. The system is experiencing dynamic growth and development in conjunction with Denny Sanford's $400 million gift in 2007, the largest gift ever to a health care organization in America. This gift is making possible the implementation of several initiatives including global children's clinics, multiple research centers and finding a cure for type 1 diabetes. Sanford consistently reaches beyond its facilities to collaborate with health-related organizations promoting health and wellness, supports education through academic and athletic programs, and partners with communities in economic development efforts.Part VI, Line 7: Community benefit reporting is not required and therefore not filed in North Dakota, South Dakota, Nebraska or Iowa. Filing in Minnesota is voluntary.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (83 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
Aberdeen Public
1224 3rd Street South	Aberdeen	SD	57401	460423109	501 (c) 3	7500	General support
Absolutely Aberdeen
416 Production St N	Aberdeen	SD	57401	522424588	501 (c) 6	40000	General support
Alzheimers Association
1000 N West Avenue Ste 250	Sioux Falls	SD	57104	133039601	501 (c) 3	7500	General support
American Academy of Pediatrics
38367 Eagle Way	Chicago	IL	606781383	362275597	501 (c) 3	10000	General support
American Cancer Society
4904 S Technopolis Dr	Sioux Falls	SD	57106	410724036	501 (c) 3	21600	General support
American Cancer Society Inc
250 Williams Street NW	Atlanta	GA	30303	131788491	501 (c) 3	8500	General support
American Heart Association Inc
7272 Greenville Ave	Dallas	TX	75231	135613797	501 (c) 3	107500	General support
Augustana College
2001 S Summit Ave	Sioux Falls	SD	57197	460224588	501 (c) 3	448890	General support
Bemidji State University Foundation
1500 Birchmont Dr NE 17	Bemidji	MN	56601	237044156	501 (c) 3	70000	General support
Bethany Christian
400 S Sycamore Ave Ste 105-2	Sioux Falls	SD	571101255	205485352	501 (c) 3	7500	General support
Boys & Girls Club
1111 1st Ave SE	Aberdeen	SD	57401	237062273	501 (c) 3	33500	General support
Brandon Valley Booster Club
PO Box 572	Brandon	SD	57005	466002577	501 (c) 6	7500	General support
Burnham Insitute for Medical Research
10901 N Torrey Pines Road	LaJolla	CA	92037	510197108	501 (c) 3	4000000	General support
CASA
415 N Dakota Ave PO Box 1901	Sioux Falls	SD	571013001	460430647	501 (c) 3	10000	General support
CCHS
2501 W 26th St	Sioux Falls	SD	571052498	460233030	501 (c) 3	8000	General support
Chamber of Commerce
PO Box 1425	Sioux Falls	SD	571011425	460189300	501 (c) 6	9000	General support
Chamber of Commerce of Fargo Moorhead
202 1st Ave N	Moorhead	MN	56560	450448041	501 (c) 6	12633	General support
Childrens Home Society Foundation
801 N Sycamore Ave PO Box 1749	Sioux Falls	SD	571011749	460224542	501 (c) 3	7000	General support
Cystic Fibrosis Foundation
8011 34th Ave S Suite 116	Bloomington	MN	55425	131930701	501 (c) 3	15000	General support
Dakota Alliance
401 W 39th Street	Sioux Falls	SD	57105	460359817	501 (c) 3	40000	General support
Dakotabilities
3600 S Duluth Ave	Sioux Falls	SD	57105	460306216	501 (c) 3	6000	General support
Detroit Lakes Community & Cultural Center
826 Summit Ave	Detroit Lakes	MN	56501	411970351	501 (c) 3	10000	General support
Downtown Community Partnership
203 4th Ave N	Fargo	ND	58102	450314187	501 (c) 3	30000	General support
Fargo Moorhead Rotary Foundation
PO Box 684	Fargo	ND	58107	203453808	501 (c) 3	6000	General support
Fargo Public Schools
415 N 4th St	Fargo	ND	58102	311733797	501 (c) 3	8903	General support
Fellowship of Christian Athletes
1101 W 22nd St	Sioux Falls	SD	57105	440610626	501 (c) 3	11500	General support
Focus Watertown
PO Box 332	Watertown	SD	57201	470813269	501 (c) 6	7500	General support
Forward Sioux Falls
PO Box 907	Sioux Falls	SD	571010907	460396647	501 (c) 6	200000	General support
Freeman Foundation
PO Box C	Freeman	SD	57029	272949021	501 (c) 3	10000	General support
Greater FM Economic Development Corporation
51 Broadway	Fargo	ND	58102	456011769	501 (c) 3	40000	General support
Handi Riders Inc
PO Box 1604	Sioux Falls	SD	57101	460378036	501 (c) 3	6000	General support
Impact Foundation
4152 30th Ave S Suite 102	Fargo	ND	58104	200520386	501 (c) 3	10000	General support
Jamestown College
6088 College Ln	Jamestown	ND	58405	450231180	501 (c) 3	6000	General support
Junior Achievement
1000 N West Ave 100	Sioux Falls	SD	57104	460306352	501 (c) 3	20725	General support
Juvenile Diabetes Research Foundation
120 Wall St 19th Floor	New York	NY	10005	231907729	501 (c) 3	150000	Juvenille diabetes research
Kilian Community College
300 East 6th St	Sioux Falls	SD	57103	460385443	501 (c) 3	10000	General support
Lincoln High School
201 E 38th Street	Sioux Falls	SD	57105	466002540	501 (c) 3	11000	General support
Lutheran Social Services of MN
2845 Como Ave	Saint Paul	MN	55108	410872993	501 (c) 3	10000	General support
Mike Miller Foundation
2107 Quiett Lane	Mitchell	SD	57301	300015773	501 (c) 3	20000	General support
Missouri Valley Growth Inc
116 Market Street	Vermillion	SD	57069	270514271	501 (c) 3	10000	Support economic development
Nike Team National
One Bowerman Drive	Beaverton	OR	97005	270479547	501 (c) 3	6500	General support
North Country Health Services Foundation
1300 Anne St NW	Bemidji	MN	56601	411389317	501 (c) 3	205000	General support
Northern Bull Riding
PO Box 96	Long Valley	SD	57547	202241939	501 (c) 3	10000	General support
NW Iowa Community College Foundation
603 W Park St	Sheldon	IA	51201	421275893	501 (c) 3	14250	Support prog/learning
Orab Booster Club
1700 East 4th Street	Sheldon	IA	51201	200235491	501 (c) 3	9250	Support athletic program
Roosevelt High School
201 E 38th Street	Sioux Falls	SD	57105	466002586	501 (c) 3	12340	General support
Sanford Health Foundation
1305 W 18th Street	Sioux Falls	SD	57105	363297853	501 (c) 3	60000	General support
Sanford Health Foundation North
PO Box 2010	Fargo	ND	58122	450398104	501 (c) 3	20125	General support
SD Achieve
4100 S Western Ave	Sioux Falls	SD	57105	460402915	501 (c) 3	16000	General support
SD Corn Growers
5109 S Crossing Place Suite 1	Sioux Falls	SD	57108	460392991	501 (c) 5	6500	General support
SD High School Act
804 N Euclid Suite 102	Pierre	SD	57501	460226282	501 (c) 3	180000	General support
SD Symphony Orchestra
300 North Dakota Ave Ste 116	Sioux Falls	SD	57104	466017026	501 (c) 3	10000	General support
SD Synod
2001 S Summit Ave	Sioux Falls	SD	57197	363512774	501 (c) 3	11500	General support
SD Voices for Children
PO Box 2196	Sioux Falls	SD	571012196	460425502	501 (c) 3	10000	General support
South Dakota State University
815 Medary Ave PO Box 525	Brookings	SD	57007	460273801	501 (c) 3	9000	General support
SF Area Community
300 N Phillips Ave 102	Sioux Falls	SD	57104	311748533	501 (c) 3	16000	General support
SF Catholic School
3100 W 41st St	Sioux Falls	SD	57105	460413591	501 (c) 3	250000	General support
SF Cyclones
7605 Loganberry St	Sioux Falls	SD	57106	274705069	501 (c) 3	10000	General support
SF Jazz & Blues Society
123 S Main Ave Ste 204	Sioux Falls	SD	57104	460418356	501 (c) 3	15000	General support
Sheldon Education Foundation
1700 East 4th Street	Sheldon	IA	51201	421316980	501 (c) 3	19343	Sponsorship
Sioux Empire Community Theater
PO Box 767	Sioux Falls	SD	57101	800074622	501 (c) 3	6000	General support
Sioux Falls Christian
6120 Charger Circle	Sioux Falls	SD	571091110	460340024	501 (c) 3	259000	General support
Sioux Falls Schools
201 E 38th Street	Sioux Falls	SD	57105	466002586	501 (c) 3	15000	General support
Sioux Falls Seminary
1525 S Grange Avenue	Sioux Falls	SD	57105	460237098	501 (c) 3	100000	General support
Sioux Falls Sports
200 N Phillips Ave Ste 303	Sioux Falls	SD	57104	205850491	501 (c) 3	52500	General support
Southeast Technical
2320 N Career Ave	Sioux Falls	SD	57107	364112897	501 (c) 3	11000	General support
Special Olympics
305 W 39th St	Sioux Falls	SD	57105	460359776	501 (c) 3	10000	General support
Southwest Initiative Foundation
15 3rd Avenue NW	Hutchinson	MN	55350	411555592	501 (c) 3	6250	General support
Transitional Living
2601 S Minnesota Ave Ste 105 PMB	Sioux Falls	SD	571054750	200293050	501 (c) 3	50000	General support	378
Tri-College University
650 NP Ave Suite 110	Fargo	ND	58102	237102720	501 (c) 3	75000	General support
United Way
1000 North West Ave 120	Sioux Falls	SD	571041314	460233701	501 (c) 3	86000	General support
United Way of Cass Clay
PO Box 1609	Fargo	ND	58107	410810008	501 (c) 3	90000	General support
University of North Dakota
3100 University Ave S	Grand Forks	ND	58202	450348296	501 (c) 3	600000	General support
University of South Dakota Foundation
1110 N Dakota Street PO Box 5555	Vermillion	SD	570695555	466018891	501 (c) 3	3000000	General support
University of South Dakota
414 E Clark St	Vermillion	SD	57069	466000364	501 (c) 3	14200	Scholarships, sports medicine sponsorship
University of Wisconsin
600 Highland Ave	Madison	WI	53792	390743975	501 (c) 3	15000	General support
USD Coyote Athletics
1110 N Dakota Street PO Box 5555	Vermillion	SD	570695555	466018891	501 (c) 3	135750	General support
USD School of Medicine
1400 W 22nd Street	Sioux Falls	SD	571051581	460418678	501 (c) 3	51504	General support
Valley City State University
101 College St	Valley City	ND	58072	237178785	501 (c) 3	6500	General support
Volunteers of America
1309 West 51st St PO Box 89306	Sioux Falls	SD	571099306	237353508	501 (c) 3	10000	General support
West Central Initiative
1000 Western Ave	Fergus Falls	MN	56537	363453471	501 (c) 3	20000	General support
YMCA
230 S Minnesota Ave	Sioux Falls	SD	57104	460225021	501 (c) 3	113500	General support
YWCA
300 W 11th Street	Sioux Falls	SD	57104	460234998	501 (c) 3	8375	General support

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	76	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	7	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Cash GrantAmountOfCashGrant
Scholarships	39	74000
Rad Tech Program	1	7500
Employee Crisis Fund	8	26466

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (88 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
John C Vanderwoude
1000000	0	0	0	184560	0	7350	0	23351	0	1215261	0	0	0
Mark Paulson MD
196432	0	0	0	23604	0	31527	0	14994	0	266557	0	0	0
Michael L Olson
504486	0	0	0	13969	0	0	0	6998	0	525453	0	0	0
Michael L Olson Deferred Comp
0	0	0	0	0	0	46935	0	0	0	46935	0	0	0
Richard D Hardie
414473	0	0	0	29961	0	7350	0	10993	0	462777	0	0	0
Terrence Grimm MD
500004	0	0	0	85883	0	34928	0	7400	0	628215	0	0	0
Kelby K Krabbenhoft
789232	0	0	0	485282	0	0	0	19513	0	1294027	0	0	0
Kelby K Krabbenhoft Deferred Comp
0	0	0	0	0	0	565838	0	0	0	565838	0	0	0
Lisa Carlson
335811	0	0	0	82301	0	34928	0	16979	0	470019	0	0	0
Andrew Richburg
293295	0	0	0	145019	0	12250	0	11417	0	461981	0	0	0
Bill Marlette
440759	0	0	0	254596	0	0	0	1438	0	696793	0	0	0
Bill Marlette Deferred Compensation
0	0	0	0	0	0	129024	0	0	0	129024	0	0	0
David Link
490391	0	0	0	284536	0	0	0	22230	0	797157	0	0	0
David Link Deferred Compensation
0	0	0	0	0	0	203714	0	0	0	203714	0	0	0
Paul Richard
314418	0	0	0	81508	0	34928	0	16979	0	447833	0	0	0
Rebecca Nelson
587150	0	0	0	275065	0	0	0	14877	0	877092	0	0	0
Rebecca Nelson Deferred Compensatio
0	0	0	0	0	0	210701	0	0	0	210701	0	0	0
Arlyn Broekhuis
285923	0	0	0	86686	0	7350	0	17326	0	397285	0	0	0
Bradley J Schipper
197822	0	300	0	22098	0	5981	0	19950	0	246151	0	0	0
Bruce D Viessman
177292	0	0	0	40084	0	6092	0	20960	0	244428	0	0	0
Bruce Pitts MD
457914	0	0	0	99733	0	34928	0	16694	0	609269	0	0	0
Bryan J Nermoe
196611	0	300	0	36813	0	6245	0	13748	0	253717	0	0	0
Cecily L Tucker
205997	0	0	0	57933	0	7346	0	20960	0	292236	0	0	0
Charles Breen MD
271762	0	0	0	208334	0	34928	0	16299	0	531323	0	0	0
Charles P O'Brien
412612	0	0	0	197496	0	0	0	21195	0	631303	0	0	0
Charles P O'Brien Deferred Comp
0	0	0	0	0	0	50479	0	0	0	50479	0	0	0
Christine Harff
173617	0	0	0	11947	0	26292	0	16329	0	228185	0	0	0
Craig Hewitt
236379	0	0	0	29180	0	34928	0	17979	0	318466	0	0	0
Daniel Olson
148560	0	0	0	60055	0	29422	0	17007	0	255044	0	0	0
Daniel W Blue
403385	0	0	0	175511	0	47520	0	19378	0	645794	0	0	0
Dave R Hove
172056	0	300	0	20953	0	5208	0	18385	0	216902	0	0	0
Dennis Millirons
428166	0	0	0	122830	0	13136	0	17694	0	581826	0	0	0
Diana Berkland
211706	0	300	0	25449	0	0	0	1124	0	238579	0	0	0
Diana Berkland Deferred Compensatio
0	0	0	0	0	0	80641	0	0	0	80641	0	0	0
Donald Marty
171063	0	0	0	14452	0	25658	0	15654	0	226827	0	0	0
Douglas Okland
167951	0	0	0	9639	0	25199	0	17694	0	220483	0	0	0
Douglas Vang
719167	0	0	0	41636	0	552	0	10523	0	771878	0	0	0
Edmond L Weiland
281308	0	0	0	114609	0	7350	0	16585	0	419852	0	0	0
Ellen Cooke
203485	0	0	0	28080	0	32951	0	5773	0	270289	0	0	0
Howard Hoody MD
279852	0	0	0	10887	0	34928	0	16494	0	342161	0	0	0
James Volk MD
309182	0	0	0	51190	0	34928	0	15894	0	411194	0	0	0
Jeff D Sandene
287500	0	0	0	96606	0	7350	0	17319	0	408775	0	0	0
Jeffrey Hoss
260000	0	0	0	21751	0	34928	0	17682	0	334361	0	0	0
JoAnn L Kunkel
282690	0	0	0	97708	0	7350	0	17326	0	405074	0	0	0
Kaleen Santema
198647	0	300	0	26581	0	0	0	17230	0	242758	0	0	0
Kaleen Santema Deferred Compensatio
0	0	0	0	0	0	51216	0	0	0	51216	0	0	0
Karen A Tobin
202519	0	300	0	28150	0	6122	0	5906	0	242997	0	0	0
Kenneth P Aspaas
272538	0	300	0	35211	0	0	0	15214	0	323263	0	0	0
Kenneth P Aspaas Deferred Comp
0	0	0	0	0	0	55627	0	0	0	55627	0	0	0
Kevin Lampe
209285	0	300	0	21197	0	6325	0	15525	0	252632	0	0	0
Kim J Patrick
303696	0	0	0	134826	0	35520	0	19480	0	493522	0	0	0
Linda O'Halloran
299379	0	0	0	42142	0	34928	0	3976	0	380425	0	0	0
Lynn W Olson
176631	0	300	0	18749	0	5308	0	18451	0	219439	0	0	0
Maje B Perryman
257692	0	300	0	104978	0	7200	0	20326	0	390496	0	0	0
Michael Gibbs
273000	0	0	0	35310	0	34928	0	14602	0	357840	0	0	0
Michael E Farritor
288615	0	0	0	216410	0	7350	0	20082	0	532457	0	124222	0
Michelle A Bruhn
195446	0	0	0	53898	0	6729	0	660	0	256733	0	0	0
Monica Huber
166449	0	300	0	19258	0	5040	0	8706	0	199753	0	0	0
Paulette Amundson
173224	0	0	0	12510	0	26004	0	17034	0	228772	0	0	0
Randy Bury
337927	0	0	0	105345	0	0	0	7657	0	450929	0	0	0
Randy Bury Deferred Compensation
0	0	0	0	0	0	36897	0	0	0	36897	0	0	0
Rhonda Ketterling MD
314702	0	0	0	43255	0	34928	0	12730	0	405615	0	0	0
Richard E Nordahl
166985	0	300	0	20150	0	5019	0	20230	0	212684	0	0	0
Richard G Adcock
196611	0	300	0	28156	0	6245	0	19726	0	251038	0	0	0
Richard Giesel
176914	0	0	0	38462	0	0	0	8258	0	223634	0	0	0
Richard Marsden MD
532975	0	0	0	70435	0	34928	0	15894	0	654232	0	0	0
Robert J Salmon
170518	0	300	0	22077	0	0	0	7695	0	200590	0	0	0
Robert J Salmon Deferred Comp
0	0	0	0	0	0	54749	0	0	0	54749	0	0	0
Stephen Nelson MD
283684	0	0	0	728	0	34928	0	15879	0	335219	0	0	0
Steve W Goetsch
209246	0	0	0	51225	0	7185	0	18193	0	285849	0	0	0
Tiffany Lawrence
192997	0	0	0	11277	0	29641	0	14913	0	248828	0	0	0
Timothy J Tracy
185965	0	300	0	21628	0	5588	0	8180	0	221661	0	0	0
Verlyn T Carda
170077	0	300	0	23413	0	4638	0	17230	0	215658	0	0	0
William Klava MD
330996	0	0	0	12908	0	34928	0	14379	0	393211	0	0	0
Adam T Stys
1802793	0	0	0	3237	0	7350	0	18418	0	1831798	0	0	0
Marian S Petrasko
1672074	0	0	0	1238	0	7350	0	18418	0	1699080	0	0	0
Scott Pham
2272777	0	0	0	5943	0	7350	0	20418	0	2306488	0	0	0
Tomasz P Stys
2279354	0	0	0	1747	0	7350	0	18418	0	2306869	0	0	0
Wilson T Asfora
1528882	0	0	0	253983	0	7350	0	18418	0	1808633	0	0	0
Chris A Marin
170048	0	300	0	23336	0	5148	0	9190	0	208022	0	0	0
Evelyn Quigley
181819	0	0	0	25523	0	29033	0	17694	0	254069	0	0	0
Gregory Post
441408	0	0	0	3884	0	34928	0	17694	0	497914	0	0	0
Jan Haugen-Rogers
240349	0	300	0	25824	0	7257	0	5940	0	279670	0	0	0
Jim L Striepe
117673	0	0	0	24756	0	60	0	11341	0	153830	0	0	0
Jim L Striepe Deferred Compensation
0	0	0	0	0	0	16167	0	0	0	16167	0	0	0
Orlen P Tschetter
179926	0	300	0	37035	0	5951	0	9319	0	232531	0	0	0
Roger Gilbertson MD
549117	0	0	0	0	0	0	0	0	0	549117	0	0	0
Roger Lee
141070	0	0	0	14124	0	20253	0	6657	0	182104	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Line 1a	On Part I, Questions Regarding Compensation, Sanford checked several of the items as provided to listed persons: First Class or Charter Travel - Charter travel for business purposes is provided for individuals as needed and as cost appropriate, in accordance with written policies. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Travel for Companions - Limited travel for companions is required for certain annual meetings. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Tax Indemnification and gross-up payments - Certain compensation may be grossed up to include appropriate tax amounts. Health or social club dues or initiation fees - All Sanford employees are eligible for discounted wellness memberships, a portion of these discounts and other club dues are included as fringe benefits, and taxed as such. Personal services - Individuals may have benefits which include tax preparation or planning, this benefit is included in income and taxed. Part I, Line 3: The Sanford Board of Trustees directly engages 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 Sanford Board of Trustees for deliberation and action. The most recent study was completed in 2011.
Part I, Lines 4a-c	Part I, Line 4a: Douglas Vang received a severance payment of $478,906.00. Roger Gilbertson, former MeritCare President and CEO, received a payment of $549,117 upon his retirement, per employment contract. Part I, Line 4b / Schedule J, Part II, Column C: Employer contributions to defined contribution SERP Plans are included in Column C. Participants and contributions include: Daniel Blue $40,170, Kim Patrick $28,170. In addition to employer contributions to pension plans, amounts representing increases and decreases in actuarial value (actuarial value factors include age, tenure and salary) of defined benefit SERP Plans are included in Column C. Participants and changes in values include: Kelby Krabbenhoft $420,519, Dave Link $99,225, Bill Marlette $96,062, Becky Nelson $75,542. Part 1, Line 4c - Certain listed individuals received payment distributions from a benefit plan that falls within the definition of an "equity based" compensation plan. These amounts were deferred over multiple year periods, and were included in compensation in those periods. Distributions were paid to: Michael Farritor $124,222.
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 revenues less expenses. Physicians listed that were paid on this model include: Michael Olson, Richard Hardie, Adam Stys, Tomasz Stys, Marian Petrasko, Scott Pham, Wilson Asfora.
Part I, Line 7	Certain Executives are eligible for a discretionary incentive bonus, based on financial targets and other goals.
Part III	Supplemental: Compensation reported on Schedule J includes: (B)(i) Base compensation - salaries are based on the experience and performance of each executive and bench-marked using independent compensation survey information. (B)(ii) - Bonus & incentive compensation - as part of executive compensation, individuals may be eligible for incentive performance compensation, however if the organization does not meet its financial targets, incentive payments are not paid, regardless of performance. (B)(iii) Other Reportable Compensation - generally includes taxable executive benefits. It also includes the one-time payout of previously deferred compensation (which was also reported as compensation in the earned period). To be in compliance with the IRS regulatory environment, listed individuals compensation includes a one-time payment of deferred compensation; this compensation was earned over multiple periods, and should be treated as earned over that length of time in exchange for services provided. (C) Deferred Compensation includes employer contributions to pension plans and the increase (or decrease) in the actuarial value (actuarial value factors include age, tenure and salary) of the defined benefit plans. (D) Nontaxable Benefits generally includes health insurance premiums. A memo regarding executive compensation, written by the Chairman of the Sanford Board of Trustees, is on file and available upon request. Compensation paid to trustees is for full-time professional responsibilities as physicians, administrators or employees of the organization. The total compensation paid to Kelby Krabbenhoft of $1,274,514 is comprised of Base salary of $789,232, and Other Taxable Earnings of $485,282. In addition, an amount of $565,838 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 K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

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

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount RetiredAmountRetired	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind	Amount UnspentAmountUnspent	Refunding EscrowRefundingEscrow	Other Spent ProceedsOtherSpentProceeds
1420000	71703205	202517	870306	70832899	2006	0	0	1	1
1030000	78211481	4	736362	77475119	2009	0	0	1	1
	71409534	2	997167	43700885		0	0	0	1	26711482
	134069821	2696813				1	1	1	1		41788721	94149950

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0	0	1	0	1	0.00000	0.00000	0.00000	1
0	0	1	0	1	0.00000	0.00000	0.00000	1

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
0	1	0	0	0	1
0	0	0	0	0	1
0	0	0	0	0	0
0	0	0	0	0	1

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

IdentifierIdentifier	ExplanationExplanation
Part I, column e and Part II, line 3	Differences between the issue price (Part 1, column e) and total proceeds (Part II, line 3) are due to investment earnings.
Part II, Line 4	The amounts shown here consist of debt service fund deposits.
Part III, column C and D	Part III has not been completed for the 2009 and 2011 bonds. The measurement period for the 2009 bonds has not yet begun. The 2011 bonds refunded pre-2003 debt that does not have to be reported.
Part IV, Line5, column D	This question is being answered without regard to a yield-restricted advance refunding escrow financed with proceeds of bonds.

Schedule L IRS990ScheduleL

Loan Table LoanTable (3 entries)

Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
Bryan Nermoe
Retention Loan	X	$20,000	8944	0	0	1
Wilson Asfora
Physician Recruitment/Retention Loan	X	$1,094,257	456078	0	0	1
Bryan Nermoe
Retention Loan	X	$30,000	30000	0	0	1

Field	Value	IRS element (for citing)
Total Balance Due	495022	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (21 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Erin Claar
Mikal Claar - family relationship	19870	Compensation	0
Janet Feder
Jerome Feder - family relationship	76531	Compensation	0
Kim Goetsch
Steve Goetsch - family relationship	42294	Compensation	0
Caryn Hewitt
Craig Hewitt - family relationship	199509	Compensation	0
Christina Huber
Monica Huber - family relationship	46826	Compensation	0
Jenny Marsden
Richard Marsden - family relationship	61546	Compensation	0
Kathryn Nermoe
Bryan Nermoe-family relationship	33542	Compensation	0
Deborah Olson
Michael Olson - family relationship	16188	Compensation	0
Julie Paulson
Mark Paulson - family relationship	17511	Compensation	0
Nancy Salmon
Robert Salmon - family relationship	90555	Compensation	0
Bonnie Tschetter
Orlen Tschetter - family relationship	33491	Compensation	0
Joshua Weiland
Edmund Weiland - family relationship	64780	Compensation	0
Bryan Santema
Kaleen Santema-family relationship	68387	Compensation	0
Midwest Catering
Barbara Stork - Owner	137661	Catering Services	0
Midwest Provisions
Barbara Stork - Owner	239302	Vending Services	0
SunDog
Brent Teiken - Owner	569708	Marketing	0
Imaging Solutions Inc
Douglas Vang - Board Member	1406215	Medical Equipment	0
Amy Entenman
Jim Entenman- family relationship	53984	Compensation	0
US Bank
Barry Martin - Division President	472157	Bank Fees and Commissions	0
First National Bank
Rebecca Nelson - Board Member	130857	Bank Fees and Commissions	0
Ottertail Corp
Lauris Molbert - Board Member	359744	Electricity	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (15 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part V, Line 3a:	Sanford Health, Sanford Medical Center, Sanford Clinic, Sanford North, Sanford Medical Center Fargo, Sanford Clinic North and Sanford Health Network North have unrelated business gross income over $1,000.
Part V, Line 4a:	Sanford Health has an interest in a financial account in the foreign country of Belize.
	Lisa 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: John Vanderwoude, Mark Paulson, Michael Olson, Richard Hardie, Terrence Grimm, Kelby Krabbenhoft, Lisa Carlson, Andrew Richburg, Bill Marlette, David Link, Paul Richard, Rebecca Nelson, Arlyn Broekhuis, Bradley Schipper, Bruce Viessman, Bruce Pitts, Bryan Nermoe, Cecily Tucker, Charles Breen, Charles O'Brien, Christine Harff, Craig Hewitt, Daniel Olson, Daniel Blue, Dave Hove, Dennis Millirons, Diana Berkland, Donald Marty, Douglas Okland, Douglas Vang, Edmond Weiland, Ellen Cooke, Howard Hoody, James Volk, Jeff Sandene, Jeffrey Hoss, JoAnn Kunkel, Kaleen Santema, Karen Tobin, Kenneth Aspaas, Kevin Lampe, Kim Patrick, Linda O'Halloran, Lynn Olson, Maje Perryman, Michael Gibbs, Michael Farritor, Michelle Bruhn, Monica Huber, Paulette Amundson, Randy Bury, Rhonda Ketterling, Richard Nordahl, Richard Adcock, Richard Giesel, Richard Marsden, Robert Salmon, Stephen Nelson, Steve Goetsch, Tiffany Lawrence, Timothy Tracy, Verlyn Carda, William Klava, Chris Marin, Jan Haugen-Rogers, Jim Striepe, Orlen Tschetter, Adam Stys, Marian Petrasko, Scott Pham, Tomasz Stys, Wilson Asfora.	Form 990, Part VI, Section A, line 2
	Sanford (Parent) amended and restated its Bylaws due to the dissolution of its corporate members, SHM Sanford and SHM-Meritcare. In so doing, the Bylaws removed all references to those members (and related provisions regarding meetings of the members), the members' reserved powers, and sunset provisions. Upon deletion of the members, additional supermajority voting requirements were implemented with respect to the following actions: (i) acquisition, merger, dissolution or other disposition of any Material Subsidiary, except if such merger, consolidation or asset disposition of a Material Subsidiary is into another wholly owned or controlled entity of the corporation; (ii) the election of successor Appointed Trustees; (iii) amendments to the Articles or Bylaws of the corporation; (iv) a merger of the corporation with another entity; (v) consolidation of the corporation with any entity or the dissolution of the corporation; (vi) the sale of all or substantially all the assets of the corporation; and (vii) any name change of the corporation. In addition, the Bylaws changed the number of persons on the Board of Trustees to 15-21 and provide that one-half of the Trustees are to be from the Sioux Falls Region and one-half from the Fargo Region (or if outside of either Region, approval by the Board).	Form 990, Part VI, Section A, line 4
	Sanford is governed by a Board of Trustees (BOT) that has ultimate strategic and decision making authority. The BOT delegates certain activities and responsibilities to Boards of each of Sanford's subsidiaries. The unique nature and complexity of the subsidiaries requires each to have a delegated Board with a singular entity focus. Such bodies, referred to as Boards of Directors and Boards of Governors, address matters such as credentialing, accreditation standards, developing budgets, programs and facilities on an entity-specific basis, and generally consist of individuals distinct from the BOT. These Boards function much like committees in a traditional corporate structure. The BOT then acts as a holding company Board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. This structure of governance produces a significant number of trustees, governors and directors, creating a 400+ person collective which acts as a team of ambassadors for Sanford in their respective communities. Subsidiaries included within this group tax return consist of Sanford Health, Sanford North, Sanford Medical Center, Sanford Medical Center Fargo, Sanford Clinic, Sanford Clinic North, Sanford Health Network, Sanford Health Network North, Sanford Medical Center Thief River Falls, Sanford Medical Center Mayville, Sanford Home Health, Sanford Research/USD, and MeritCare Minnesota. The Board of Trustees of Sanford is also the Board of Trustees for Sanford Health and Sanford North, and Sanford is the sole corporate member of these entities. These entities, in turn, are the sole corporate members of the subsidiaries. The actions approved by individual entity's Board of Directors are then approved by the Sanford Board of Trustees.	Form 990, Part VI, Section A, line 6
	The Sanford Board of Trustees appoints the board members for the Boards of Directors and Boards of Governors of the subsidiary entities.	Form 990, Part VI, Section A, line 7a
	The Sanford Board of Trustees approve the actions approved by the Boards of Directors and Boards of Governors of the subsidiary entities. Form 990, Part VI, Section B, line 10b: Sanford North, Sanford Clinic and Sanford Health Network has local chapters branches or affiliates over which the organization has the legal authority to exercise direct or indirect supervision and control.	Form 990, Part VI, Section A, line 7b
	The Form 990 is prepared internally by the finance department and reviewed by executive management. An external accounting firm reviews the return prior to filing and prepares return highlights and key disclosures for the Board of Trustees meeting immediately following the return filing date. After the return is filed, a complete copy is made available to the current trustees.	Form 990, Part VI, Section B, line 11
Form 990, Part VI, Section B, line 12c	The annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of Interest questionnaires are sent to System Trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the IRS Form 990 filings. The disclosures are summarized for review by the executive committee of the Board of Trustees, pursuant to policy. This review allows: 1) The Board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis when potential conflicts are implicated in Board decisions and deliberations, and, 2) Gives the Board the opportunity to seek additional information and clarification about disclosures to determine potential conflicts of interest, and how to manage such.
Form 990, Part VI, Section B, line 15	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 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 2011. 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. Part VI, Line 16a: Sanford Health, Sanford Medical Center and Sanford Clinic have participated in joint ventures with taxable entities.
Form 990, Part VI, Section C, line 19	Although the organization does not maintain a website where the public can access these documents, it would respond individually to any requests or inquiries from the public for these documents.
Form 990, Part VII:	Sanford 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 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.
Part XI	Prior Period Adjustments $128,510, Investment transfer to Parent ($142,887,668), Net payroll and other expenses paid on behalf of Parent/affiliates ($8,857,823), Transfer CVS Outreach Operations from SMC ($27,355), Net Assets released from restriction $890,363, Unrealized Gain/Loss on Investments ($5,755,727), Pension FAS 158 $9,647,232, Equity Contribution to RAC Rentals $235,000	Other changes in net assets
Form 990 Elections	Form 990, Page 1, Line H(a) - Listing of Subordinate Organization: Names, Addresses, and EINs Sanford Health 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 31-1527032 Sanford USD Medical Center 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0227855 Sanford Home Health 2710 West 12th Street Sioux Falls, SD 57104 EIN: 46-0282134 Sanford Health Network 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0388596 Sanford Clinic 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0447693 Sanford Research / USD 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0450378 Sanford North 801 Broadway Drive Fargo, ND 58122 EIN: 45-0385890 Sanford Clinic North 801 Broadway Drive Fargo, ND 58122 EIN: 91-1770748 Sanford Medical Center Fargo 801 Broadway Drive Fargo, ND 58122 EIN: 45-0226909 Sanford Health Network North 801 Broadway Drive Fargo, ND 58122 EIN: 45-0409348 Sanford Medical Center Thief River Falls 801 Broadway Drive Fargo, ND 58122 EIN: 41-0709579 Sanford Medical Center Mayville 801 Broadway Drive Fargo, ND 58122 EIN: 45-0228899 MeritCare Minnesota 801 Broadway Drive Fargo, ND 58122 EIN: 26-1530302	Elections
General	MeritCare Minnesota will not have responses similar to other subordinates as this entity did not have current year activity.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Sanford Consumer Services LLC
1305 W 18th Street	Sioux Falls	SD	57117	208736919	Medical Spa	SD	-512819	346422	Sanford Clinic
Southwest MN Radiation Center LLC
1018 6th Ave	Worthington	MN	56187	460388596	Radiation	SD	-560074	335191	Sanford Health Network
Lincoln County Real Estate Trust
100 S Phillips Ave	Sioux Falls	SD	57104	466126929	Real Estate	SD	0	586467	Sanford Health
PPK Family Trust
100 S Phillips Ave	Sioux Falls	SD	57104	207317570	Rental Real Estate	SD	3578	93	Sanford Health
Lynx Trust
PO Box 5186	Sioux Falls	SD	57117	266167201	Investment	SD	-3	1	Sanford Health
National Student Housing Trust-SD
PO Box 5186	Sioux Falls	SD	57117	206831968	Investment	SD	-2	441	Sanford Health
Sanford Healthcare Accessories LLC
3223 32nd Ave SW	Fargo	ND	58103	202404179	Sales of Durable Medical Equip	ND	20488499	11739191	Sanford North
Healthcare Environmental Services LLC
PO Box 2010	Fargo	ND	58122	205236701	Retail Enterprises	ND	225942	0	Sanford North

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
Sanford Health Foundation
1305 West 18th Street	Sioux Falls	SD	57117	363297853	Supporting Organization	SD	501(c)(3)	11-I	Sanford Health	1
Sanford
801 Broadway Drive	Fargo	ND	58122	271218956	Supporting Organization	ND	501(c)(3)	11-II		0
SHM-Sanford
1305 West 18th Street	Sioux Falls	SD	57105	271213769	Supporting Organization	SD	501(c)(3)	11-II		0
SHM-MeritCare
801 Broadway Drive	Fargo	ND	58122	271213717	Supporting Organization	ND	501(c)(3)	11-II		0
Sanford Medical Center Wheaton
401 12th Street North	Wheaton	MN	56296	272042143	Hospital/Clinic	MN	501(c)(3)	3	Sanford North	1
Sanford Health Foundation North
PO Box 2010	Fargo	ND	58122	450398104	Supporting Organization	ND	501(c)(3)	7	Sanford North	1
Agassiz Assurance Company
100 Bank Street Suite 610	Burlington	VT	05401	743121855	Insurance	VT	501(c)(3)	11-II	Sanford North	1
MeritCare Health Enterprises Inc
PO Box 2010	Fargo	ND	58122	450359785	Prescription drugs	ND	501(c)(4)		Sanford North	1
FM Ambulance Service
2215 18 St South	Fargo	ND	58103	450344371	EMT	ND	501(c)(4)		Sanford North	1
Sanford Health of Northern Minnesota
1300 Anne St NW	Bemidji	MN	56601	411266009	Hospital	MN	501(c)(3)	3	Sanford North	1
Baker Park Inc
803 Dewey Ave NW	Bemidji	MN	56601	411372480	Low Income Senior Housing	MN	501(c)(3)	9	Sanford Health of Northern Minnesota	1
Sanford Health Foundation of Northern Minnesota
1300 Anne St NW	Bemidji	MN	56601	411389317	Fundraising - Support	MN	501(c)(3)	11-I	Sanford Health of Northern Minnesota	1
North Country Medical Clinic
1300 Anne St NW	Bemidji	MN	56601	411753855	Family Practice Medical Clinic	MN	501(c)(3)	3	Sanford Health of Northern Minnesota	1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
National Student Housing-South Dakota LLC
100 S Phillips Ave	Sioux Falls	SD	57104	202129839	Investment	SD	Sanford Health	Related	-28569	4563981	0	0	0.99990
RAC Rentals LLC
100 S Phillips Ave	Sioux Falls	SD	57104	261961077	Investment	SD	Sanford Health	Related	-24402	3562905	0	0	0.99990

Form990 Schedule R Part IV Form990ScheduleRPartIV (8 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Percentage OwnershipPercentageOwnership	Share Of EOY AssetsShareOfEOYAssets
Heart Partners at Sanford
1305 W 18th Street	Sioux Falls	SD	57117	460449572	Healthcare	SD	Sanford Health	C	6224310	1.00000
Sanford Home Medical Equipment Inc
2710 W 12th Street	Sioux Falls	SD	57105	460388597	Healthcare Equipment	SD	Sanford Health	C	9357216	1.00000	9502998
Sanford Health Plan
300 Cherapa Place	Sioux Falls	SD	57103	911842494	Insurance	SD	Sanford Health	C	249402	1.00000	40936181
Sanford Health Plan of MN
300 Cherapa Place	Sioux Falls	SD	57103	460445852	Insurance	MN	Sanford Health	C	-365735	1.00000	1963527
Healthcare Environmental Services Inc
1420 40th St NW	Fargo	ND	58102	450336598	Laundry and Incineration Services	ND	Sanford North	C	4514153	1.00000
Bemidji Medical Equipment Inc
1300 Anne St NW	Bemidji	MN	56601	411551725	Retail Sales of DME	MN	Sanford Health of Northern Minnesota	C	1082063	1.00000	1716458
North Country Management Inc
1300 Anne St NW	Bemidji	MN	56601	411820025	Management Services	MN	Sanford Health of Northern Minnesota	C	1539702	1.00000	4057832
Sanford World Clinics
1305 W 18th Street	Sioux Falls	SD	57117	262707628	Healthcare	SD	Sanford Health	C		1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
Sanford Health Foundation
Q	2495044	Cost
Sanford Health Foundation
B	60000	Cost
Sanford Health Foundation
C	31843515	Cost
Sanford Health Foundation North
Q	1165120	Cost
Sanford Health Foundation North
C	1409260	Cost
Agassiz Assurance
O	4401592	Cost
Agassiz Assurance
P	6652465	Cost
Sanford Health of Northern Minnesota
P	358013	Cost
MeritCare Health Enterprises
M	85000	Cost