F-M Ambulance Service Inc

“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, bryan nermoe, kelby krabbenhoft, joann kunkel, nate white, bill marlette, and bill gassen.”

“Sanford north is the sole stockholder of f-m ambulance.”

“Board members are appointed by the president and ceo of sanford north.”

“Sanford north must approve the following actions: * modifying the purpose of the corporation * unbudgeted capital expenses in excess of 1/2 of 1% of approved operating budgets *adoption of capital and operating budgets *acquisition, sale, lease, disposition, or mortgaging of real property *guarantee of debts or obligations of any other person, firm, corporation, partnership, association, or other entity which if held in default would obligate the corporation to an aggregate amount in excess of $100,000 *merger or consolidation of the corporation *incurring a loan or other obligation in an agreement in excess of $500,000 for more than 60 days *making of a gift, grant or other donation in an amount in excess of $5,000 to an organization not related to the corporation or member *member has the authority to direct the corporation regardless of the vote by the corporation's board of directors to transfer assets and/or funds to the health system to satisfy obligations of the health system.”

“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 for 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 2020.”

“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 to related tax-exempt org for payroll and operating expenses -4,204,865.”