Sanford Health Foundation

“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: Maria Bell, Mark Lundeen, Mark Paulson, Kelby Krabbenhoft, JoAnn Kunkel, Micah Aberson, and Bobbie Tibbetts.”

“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 primary operating 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. Sanford Medical Center Thief River Falls, a wholly-controlled subsidiary of Sanford, Sanford North and Sanford Health Network North, is the sole member of the organization. The Board of Trustees of Sanford also comprises the Board of Trustees for Sanford Medical Center Thief River Falls and for the organization. The Board of Trustees delegates authority to the Board of Directors of the organization. Certain actions of the Board of Directors are subject to member approval.”

“The Sanford Board of Trustees appoints the board members for the Board of Directors of Sanford Health Foundation Thief River Falls.”

“The Sanford Board of Trustees approves the actions approved by the Board of Directors of Sanford Health Foundation Thief River Falls.”

“The Form 990 is prepared internally by the Tax Department and reviewed by executive management. An external accounting firm reviews the return. The Tax Department prepares return highlights and key disclosures for the Board of Trustees meeting prior to the return filing date. Before the return is filed, a complete copy is provided to the current Board of Trustees.”

“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 if potential conflicts are implicated in Board decisions and deliberations, and, 2) Gives the Board the opportunity to seek additional information and clarification about disclosures to determine potential conflicts of interest and how to manage them.”

“A related party, Sanford Health, does have a process for determining compensation of the persons listed on Part VII Section A, including a review and approval by independent persons, review of comparability data and contemporaneous substantiation of the deliberation and decision for such compensation. The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm annually to review the total compensation arrangements of the officers and executives of the organization, including the CEO, and to report the findings to them for deliberation and action. The deliberations and actions are recorded in the minutes of the Sanford Board of Trustees. The most recent study was completed in 2019.”

“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.”

“The Sanford Board of Trustees has ultimate governance responsibilities for each major operation entity within Sanford. In addition, a Board of Directors is established for each major operating entity. This Board has specific responsibilities delegated from the Board of Trustees. Generally these responsibilities are related to the oversight of the day to day operations of that entity.”

“Transfer from related tax exempt org for payroll and operating expenses 35,185. Other Adjustments 575. Uncollectible Loss on Pledges -288.”