Civic Intelligence

Sanford Group Return

990 • Fiscal year 2015 • EIN 45-3791176

Jul 01, 2014 to Jun 30, 2015 • Filed on May 13, 2016

801 Broadway NFargo, ND 58122

(605) 333-1000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

75th percentile

0.58x

Higher debt load relative to assets than 75% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Liabilities / Revenue

23rd percentile

0.43x

Higher debt load relative to revenue than 23% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Net Margin

39th percentile

6.0%

Higher net margin than 39% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Top Officer Pay

80th percentile

$3,420,899

Higher top officer pay than 80% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2015 filings • 501(c)3 • $1B+ nonprofits • Source year 2015

Asset Growth

74th percentile

7.8%

Faster asset growth than 74% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Revenue Growth

14th percentile

-6.6%

Faster revenue growth than 14% of similar nonprofits.

2015 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2014 to 2015

Assets

Up

$2,518,921,978

Up $183,094,637 (+7.8%) from 2014

Net Assets

Down

$1,062,084,210

Down $51,561,718 (-4.6%) from 2014

Liabilities

Up

$1,456,837,768

Up $234,656,355 (+19%) from 2014

Revenue

Down

$3,411,016,895

Down $241,679,664 (-6.6%) from 2014

Expenses

Down

$3,207,510,050

Down $342,732,993 (-9.7%) from 2014

Net Income

Up

$203,506,845

Up $101,053,329 (+99%) from 2014

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0B$4.0B$2.0B$0Assets 2011: $1,577,600,190Liabilities 2011: $845,339,675Net Assets 2011: $732,260,5152011Assets 2012: $1,897,147,387Liabilities 2012: $1,059,466,486Net Assets 2012: $837,680,9012012Assets 2013: $2,311,855,171Liabilities 2013: $1,233,964,385Net Assets 2013: $1,077,890,7862013Assets 2014: $2,335,827,341Liabilities 2014: $1,222,181,413Net Assets 2014: $1,113,645,9282014Assets 2015: $2,518,921,978Liabilities 2015: $1,456,837,768Net Assets 2015: $1,062,084,2102015Assets 2016: $2,666,510,312Liabilities 2016: $1,574,793,011Net Assets 2016: $1,091,717,3012016Assets 2017: $2,760,585,976Liabilities 2017: $1,598,658,494Net Assets 2017: $1,161,927,4822017Assets 2018: $2,835,813,206Liabilities 2018: $1,553,506,154Net Assets 2018: $1,282,307,0522018Assets 2019: $2,975,394,335Liabilities 2019: $1,409,187,225Net Assets 2019: $1,566,207,1102019Assets 2020: $3,325,190,715Liabilities 2020: $1,386,689,937Net Assets 2020: $1,938,500,7782020Assets 2021: $3,485,607,781Liabilities 2021: $1,207,557,219Net Assets 2021: $2,278,050,5622021Assets 2022: $3,581,478,897Liabilities 2022: $1,069,495,687Net Assets 2022: $2,511,983,2102022Assets 2023: $3,759,919,108Liabilities 2023: $1,129,335,603Net Assets 2023: $2,630,583,5052023Assets 2024: $4,274,026,030Liabilities 2024: $1,142,418,868Net Assets 2024: $3,131,607,1622024

Highlighted filing

2015

Assets$2,518,921,978
Liabilities$1,456,837,768
Net Assets$1,062,084,210

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$8.0B$6.0B$4.0B$2.0B$0Expenses 2011: $2,323,983,9672011Expenses 2012: $2,747,993,3082012Expenses 2013: $3,362,393,6162013Revenue 2014: $3,652,696,559Expenses 2014: $3,550,243,043Net Income 2014: $102,453,5162014Revenue 2015: $3,411,016,895Expenses 2015: $3,207,510,050Net Income 2015: $203,506,8452015Revenue 2016: $3,621,661,130Expenses 2016: $3,409,148,116Net Income 2016: $212,513,0142016Revenue 2017: $3,741,477,877Expenses 2017: $3,602,772,824Net Income 2017: $138,705,0532017Revenue 2018: $3,924,093,992Expenses 2018: $3,811,087,565Net Income 2018: $113,006,4272018Revenue 2019: $4,418,341,424Expenses 2019: $4,214,471,860Net Income 2019: $203,869,5642019Revenue 2020: $4,784,105,083Expenses 2020: $4,394,501,986Net Income 2020: $389,603,0972020Revenue 2021: $5,228,573,954Expenses 2021: $4,834,032,389Net Income 2021: $394,541,5652021Revenue 2022: $5,321,937,014Expenses 2022: $5,161,087,710Net Income 2022: $160,849,3042022Revenue 2023: $5,738,655,914Expenses 2023: $5,373,525,192Net Income 2023: $365,130,7222023Revenue 2024: $6,110,580,553Expenses 2024: $5,829,138,669Net Income 2024: $281,441,8842024

Highlighted filing

2015

Revenue$3,411,016,895
Expenses$3,207,510,050
Net Income$203,506,845
Jump To
Filing Snapshot
Filing Period
Jul 1, 2014 to Jun 30, 2015
Signed
May 13, 2016
Return Version
2014v6.0
Gross Receipts
$3,417,568,507
Mission and Program Overview

Mission

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.

"Dedicated to the Work of Health and Healing"

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,337,814,545$1,473,112,396▲ $135,297,851
Accounts Receivable$569,347,046$529,770,930▼ $39,576,116
Savings and Temporary Cash Investments$44,603,125$74,321,362▲ $29,718,237
Cash and Non-Interest-Bearing Accounts$47,573,438$72,344,016▲ $24,770,578
Intangible Assets$60,361,849$60,477,684▲ $115,835
Inventories for Sale or Use$53,339,758$59,944,756▲ $6,604,998
Investments Program Related$44,314,393$44,715,963▲ $401,570
Other Notes and Loans Receivable, Net$36,599,629$39,925,043▲ $3,325,414
Prepaid Expenses and Deferred Charges$35,392,498$31,188,012▼ $4,204,486
Investments Other Securities$8,237,353$27,763,559▲ $19,526,206
Investments in Publicly Traded Securities$1,772,888$1,815,449▲ $42,561
Receivables From Officers Etc$129,246$112,475▼ $16,771
Total Assets$2,335,827,341$2,518,921,978▲ $183,094,637
Other Assets Total$96,341,573$103,430,333▲ $7,088,760
Liabilities
Tax Exempt Bond Liabilities$639,321,872$806,230,299▲ $166,908,427
Accounts Payable and Accrued Expenses$371,305,801$438,294,821▲ $66,989,020
Other Liabilities$136,673,729$153,970,180▲ $17,296,451
Mortgage Notes Payable Secured by Investment Property$73,556,983$53,827,620▼ $19,729,363
Grants Payable$332,605$2,518,919▲ $2,186,314
Deferred Revenue$787,965$1,697,633▲ $909,668
Escrow Account Liability$202,458$298,296▲ $95,838
Total Liabilities$1,222,181,413$1,456,837,768▲ $234,656,355
Net Assets / Fund Balance
Unrestricted Net Assets$1,113,144,473$1,061,609,414▼ $51,535,059
Permanently Rstr Net Assets$427,083$427,808▲ $725
Temporarily Rstr Net Assets$74,372$46,988▼ $27,384
Total Net Assets Fund Balance$1,113,645,928$1,062,084,210▼ $51,561,718
Total Liabilities and Net Assets / Fund Balance$2,335,827,341$2,518,921,978▲ $183,094,637

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$652,392,185$874,816,846$1,527,209,031
Buildings$654,393,769$500,592,730$1,154,986,499
Land$111,027,070-$111,027,070
Leasehold Improvements$39,422,014$34,704,431$74,126,445
Other Land Buildings$15,877,358$21,286,488$37,163,846

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2014$54,120,507$4,007,618▲ $25,086$6,372$58,142,005
2013$48,229,852$5,316,297▲ $654,694$6,949$54,120,507
2012$43,654,039$4,275,810▲ $312,076$7,305$48,229,852
2011$38,601,256$5,033,151▲ $33,855$6,341$43,654,039
2010$30,148,159$8,272,186▲ $195,011$6,269$38,601,256
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Scott PhamPhysicianFT$3,384,756$36,143$3,420,899
Tomasz P StysPhysicianFT$2,460,284$35,829$2,496,113
Adam T StysPhysicianFT$2,270,231$37,359$2,307,590
William C BrunnerPhysicianFT$2,213,956$34,143$2,248,099
Corey L TeigenPhysicianFT$2,074,339$32,419$2,106,758
Kelby K KrabbenhoftSanford President & CEOPT$1,182,854$590,014$1,772,868
Dennis MillironsFormer President SMC Fargo-$257,917$1,110,001$1,367,918
Michael LeBeau MDTrustee/Sanford PhysicianFT$1,159,924$27,411$1,187,335
Mark Lundeen MDTrustee/Sanford PhysicianFT$600,031$485,259$1,085,290
Daniel W BluePresident - Sanford ClinicFT$531,718$357,013$888,731
David LinkExecutive VPFT$567,645$315,180$882,825
Nate WhiteChief Operating OfficerFT$588,470$284,480$872,950
Craig LambrechtPresident - BismarckFT$708,195$137,908$846,103
Paul HansonPresident - SMC Sioux FallsFT$477,318$336,191$813,509
Maria Bell MDTrustee/Sanford PhysicianFT$685,129$92,686$777,815
Richard Hardie MDTrustee/Sanford PhysicianFT$724,403$39,613$764,016
Kelby K Krabbenhoft Deferred CompSanford President & CEOPT-$727,751$727,751
Bill MarletteTreasurerFT$463,958$247,004$710,962
JoAnn L KunkelChief Financial OfficerPT$460,778$226,175$686,953
Richard Marsden MDCOO - Sanford Clinic NorthFT$517,504$155,835$673,339
Kim PatrickChief Legal OfficerFT$387,211$276,635$663,846
Paul RichardPresident - SMC FargoFT$430,566$204,413$634,979
Randy BuryChief Admin Officer - HSDFT$422,314$151,730$574,044
Richard GieselPresident - SHN (thru April 15)FT$371,934$176,116$548,050
Jeff D SandeneChief Integration Officer - D&RFT$369,822$160,332$530,154
Michael E FarritorCOO - Sanford ClinicFT$383,520$85,895$469,415
Edmond L WeilandFormer President - SHN-$16,812$445,559$462,371
Daniel OlsonPresident - BemidjiFT$311,538$148,547$460,085
Rebecca NelsonFormer Senior VP & COO - HSD-$450,000$450,000$450,000
Christopher Meeker MDTrustee/Sanford Physician (thru Dec 14)FT$409,994$30,330$440,324
Christopher Meeker MDTrustee/Sanford Physician (thru Dec-$409,994$30,330$440,324
Allison Suttle MDChief Medical Officer - HSDFT$359,610$69,852$429,462
Bradley J SchipperCOO - SMC & Sanford Clinic Sioux FallsFT$386,772$36,364$423,136
Bradley J SchipperCOO - SMC & Sanford Clinic Sioux Fal-$348,995$74,141$423,136
Michelle A BruhnCFO - HsdFT$293,037$122,927$415,964
Joy JohnsonCOO - BemidjiFT$280,075$97,677$377,752
Craig BoyerCFO - BemidjiFT$218,654$148,442$367,096
Karen TobinCOO - SMC FargoFT$286,651$59,875$346,526
Bryan J NermoeFormer COO - Sanford Clinic-$274,454$70,980$345,434
Ellen CookeCOO - Sanford Clinic NorthFT$279,619$61,400$341,019
Brenda LarsenCOO - Bismarck Medical CenterFT$295,947$32,680$328,627
Michelle M MickaCFO - D&rFT$218,075$109,616$327,691
Al HurleyCOO - Bismarck ClinicFT$301,198$24,213$325,411
Tiffany LawrenceCFO - SMC FargoFT$259,582$61,045$320,627
Steve W GoetschCFO - SMC & Sanford Clinic Sioux FallsFT$279,174$37,804$316,978
Steve W GoetschCFO - SMC & Sanford Clinic Sioux Fal-$254,915$62,063$316,978
Bruce D ViessmanCFO - Sanford Health NetworkFT$249,400$58,961$308,361
Jesse TischerPresident - Sanford Health NetworkFT$244,916$63,110$308,026
Matthew HocksExecutive VP - Sanford ClinicFT$234,610$54,762$289,372
Douglas OklandCFO - Fargo & Bismarck ClinicFT$224,544$60,582$285,126
Kirk CristyCFO - BismarckFT$254,389$21,217$275,606
Mark Paulson MDTrustee/Sanford PhysicianFT$221,472$45,216$266,688
Richard G AdcockExecutive VPFT$211,536$24,151$235,687
Merrilee SchultzFormer CFO SMC-$171,383$37,408$208,791
Eric HilmoeCOO - Sanford Health NetworkFT$170,094$36,208$206,302
Bill Marlette Deferred CompTreasurerFT-$184,967$184,967
David Link Deferred CompExecutive VPFT-$157,987$157,987
Michael SchumacherFormer CFO - Bismarck-$152,352$152,352$152,352
Randy Bury Deferred CompChief Admin Officer - HSDFT-$16,599$16,599

Board Members and Trustees

NameTitle
Barb EveristTrustee
Brent TeikenTrustee
David BeitoTrustee
Don JacobsTrustee
Don MortonTrustee
Jim EntenmanTrustee
Lauris MolbertTrustee
Patrick DurickTrustee
Thomas HrubyTrustee
Jerome FederTrustee (thru Dec 14)
Ronald MoquistTrustee (thru Dec 14)
Cecily TuckerFormer CFO - D&R

Highest Paid Contractors

ContractorServicesLocationCompensation
Cardinal HealthMedical Services7000 Cardinal Place, Dublin, OH 43017$222,671,314
MA Mortenson CompanyConstruction700 Meadow Lane N, Minneapolis, MN 55422$170,413,418
Owens & Minor IncMedical Services12199 Collection Ctr Dr, Chicago, IL 60693$56,746,421
Medtronic USAMedical Services4642 Collection Ctr Dr, Chicago, IL 60693$30,224,905
GE HealthcareMedical Services9900 W Innovation Dr, Milwaukee, WI 53226$18,883,852
Revenue and Support

Revenue Composition

Contributions and Grants
$59,401,173
Program Service Revenue
$3,338,667,965
Investment Income
$8,788,377
Other Revenue
$4,159,380
All Other Contributions
$2,158,501
Change in Net Assets
$203,506,845
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,981,169,107
Other Expenses$1,214,937,187
Grants and Similar Amounts Paid$11,403,756
Total Fundraising Expense$53,951
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,433,214,844$169,908,300$20,144$1,603,143,288
Fees for Services Other$133,753,921$45,007,807$18,000$178,779,728
Other Employee Benefits$148,443,803$29,443,674$6,471$177,893,948
Depreciation Depletion$117,580,291$35,093,302-$152,673,593
Payroll Taxes$90,135,537$13,443,280$2,658$103,581,475
Occupancy$63,932,963$20,632,970-$84,565,933
Pension Plan Contributions$57,520,856$8,170,004$1,284$65,692,144
Office Expenses$30,186,853$9,086,042$215$39,273,110
Interest$29,244,760$514,081-$29,758,841
Current Officers, Directors, Trustees, and Key Employees-$28,954,918-$28,954,918
Information Technology$19,478,259$6,835,232-$26,313,491
Advertising$11,841,522$8,003,402$1,085$19,846,009
All Other Expenses$14,017,490$4,741,496$997$18,759,983
Travel$13,488,634$3,147,218-$16,635,852
Insurance$11,430,036$4,700,777-$16,130,813
Grants to Domestic Orgs$11,396,256--$11,396,256
Other Expenses$4,709,636$9,775,671$1,066$4,709,636
Conferences and Meetings$3,691,543$954,174$1,960$4,647,677
Fees for Services Legal-$2,544,881-$2,544,881
Comp Disqual Persons-$1,903,334-$1,903,334
Royalties$1,327,750--$1,327,750
Fees for Services Accounting-$1,037,300-$1,037,300
Fees for Services Lobbying-$681,150-$681,150
Foreign Grants$7,500--$7,500
Total Functional Expenses$2,796,683,863$410,772,236$53,951$3,207,510,050
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
University of South Dakota FoundationVermillion, SD501(c)(3)Research, Sports complex, Clinical skills & simulation center$2,050,000
Augustana CollegeSioux Falls, SD501(c)(3)AD Leadership fund, Support athletic club$1,179,250
Global Health Corps IncNew York, NY501(c)(3)Global health fellowships$1,000,000
Samaritan's Feet InternationalCharlotte, NC501(c)(3)Champions of Hope$1,000,000
Stem for Life FoundationNew York, NY501(c)(3)Medical research$1,000,000
Face It Together IncSioux Falls, SD501(c)(3)Addiction recovery coaching, Community addiction services$555,000
SDSU FoundationBrookings, SD501(c)(3)Sanford/SDSU SEED grants, Sports Medicine, General support$502,340
Forward Sioux FallsSioux Falls, SD501(c)(6)General support$300,000
Sioux Falls Catholic SchoolsSioux Falls, SD501(c)(3)Teacher endowment, General support$253,900
Minnesota State University Moorhead Alumni FoundationMoorhead, MN501(c)(3)Scholarships$202,168
Northern Sun Intercollegiate ConferenceBurnsville, MN501(c)(3)Scholarships$160,000
Ice Sports AssociationSioux Falls, SD501(c)(3)General support$150,000
Sioux Empire United WaySioux Falls, SD501(c)(3)General support$130,530
American Heart Association IncDallas, TX501(c)(3)General support$110,271
City of KimballKimball, SD115Health Clinic project$100,000
Dakota Hospital FoundationVermillion, SD501(c)(3)Hospital facility improvements$100,000
Sanford Health Foundation NorthFargo, ND501(c)(3)NICU, General support$99,005
University of Wisconsin FoundationMadison, WI501(c)(3)Carbone Cancer Center$85,500
United Way of Cass-ClayFargo, ND501(c)(3)General support$82,700
Sioux Falls SchoolsSioux Falls, SD501(c)(3)General support, Scoreboard$80,680
Shiloh Christian SchoolBismarck, ND501(c)(3)General support$72,000
USD School of MedicineSioux Falls, SD501(c)(3)Medical education$69,504
Sioux Falls Sports Authority Summit LeagueSioux Falls, SD501(c)(3)General support$66,775
Great Plains ZooSioux Falls, SD501(c)(3)General support$66,667
Washington PavilionSioux Falls, SD501(c)(3)General support$60,500
Dakota Alliance Soccer ClubSioux Falls, SD501(c)(3)General support$60,000
Concordia College CorporationMoorhead, MN501(c)(3)General support$50,900
Sanford Health Foundation HillsboroHillsboro, ND501(c)(3)General support$50,000
Susan G Komen for the CureSioux Falls, SD501(c)(3)General support$41,331
Ronald McDonald HouseSioux Falls, SD501(c)(3)General support$41,000
Greater Fargo Moorhead Economic Development CorporationFargo, ND501(c)(3)General support$40,000
Dakota SchoolersSioux Falls, SD501(c)(3)Scholarships$37,500
Downtown Community PartnershipFargo, ND501(c)(6)General support$30,000
Webster WAVEWebster, SD501(c)(3)General support$30,000
Aberdeen Catholic School SystemAberdeen, SD501(c)(3)Roncalli Revitalizing project$28,550
Arthritis Foundation - Upper Midwest RegionFargo, ND501(c)(3)General support$27,500
YMCA Sioux FallsSioux Falls, SD501(c)(3)Local support$27,400
Cystic Fibrosis FoundationBloomington, MN501(c)(3)General support$26,000
The Duke of Edinburgh's International Award USANew York, NY501(c)(3)General support$25,735
Tea Area School District AssociationTea, SD501(c)(3)General support$25,264
Juvenile Diabetes Research Foundation (JDRF) South DakotaSioux Falls, SD501(c)(3)General support$25,000
National Multiple Sclerosis Society Upper Midwest ChapterMinneapolis, MN501(c)(3)General support$25,000
Northland Community and Technical College FoundationThief River Falls, MN501(c)(3)General support$25,000
Junior Achievement of South DakotaSioux Falls, SD501(c)(3)General support$22,675
SF CyclonesSioux Falls, SD501(c)(3)General support$22,000
Volunteers of AmericaSioux Falls, SD501(c)(3)General support$20,500
American Cancer SocietySioux Falls, SD501(c)(3)General support$20,000
Cullen Children's FoundationWest Fargo, ND501(c)(3)General support$20,000
The Arts Partnership of the Red River ValleyFargo, ND501(c)(3)General support$20,000
National Kidney FoundationSt Paul, MN501(c)(3)General support$18,000
Valley City State University FoundationValley City, ND501(c)(3)General support$17,800
Roosevelt High SchoolSioux Falls, SD501(c)(3)General support$16,750
Lifescape (SD Achieve & Children's Care Foundation)Sioux Falls, SD501(c)(3)General support$16,000
Lincoln High SchoolSioux Falls, SD501(c)(3)General support$15,250
Make-A-Wish Foundation of South DakotaSioux Falls, SD501(c)(3)General support$15,000
Matson Halverson Christiansen Hamilton FoundationKimball, SD501(c)(3)General support$15,000
South Dakota Voices for ChildrenSioux Falls, SD501(c)(3)General support$15,000
Northern State University FoundationAberdeen, SD501(c)(3)General support$13,500
4H Foundation (Outdoor Adventure Center)Brookings, SD501(c)(3)General support$12,500
American Diabetes AssociationOmaha, NE501(c)(3)General support$12,500
Family Visitation CenterSioux Falls, SD501(c)(3)General support$12,500
Mike Miller FoundationMitchell, SD501(c)(3)General support$12,500
First Tee of SDSioux Falls, SD501(c)(3)General support$11,500
Leadership South DakotaPlatte, SD501(c)(3)General support$11,500
Boys and Girls Club of Sioux EmpireSioux Falls, SD501(c)(3)General support$11,000
Detroit Lakes Community & Cultural CenterDetroit Lakes, MN501(c)(3)General support$10,500
United Way of Northeastern SD IncAberdeen, SD501(c)(3)General support$10,450
Destiny Healthcare International IncSioux Falls, SD501(c)(3)General support$10,000
Fellowship of Christian AthletesSioux Falls, SD501(c)(3)General support$10,000
Habitat for Humanity Greater Sioux FallsSioux Falls, SD501(c)(3)General support$10,000
Legends of Gold IncBeresford, SD501(c)(3)General support$10,000
Luverne Hockey ClubLuverne, MN501(c)(3)General support$10,000
NDSCS FoundationWahpeton, ND501(c)(3)Scholarships$10,000
SD Law Enforcement CharitiesSioux Falls, SD501(c)(3)General support$10,000
SD Parks and Wildlife FoundationPierre, SD501(c)(3)General support$10,000
SF Firefighers Benevolent FoundationSioux Falls, SD501(c)(3)General support$10,000
Special Olympics South DakotaSioux Falls, SD501(c)(3)General support$10,000
Worthington Public SchoolsWorthington, MN115General support$10,000
Big Brothers Big Sisters of the Sioux EmpireSioux Falls, SD501(c)(3)General support$8,150
South Dakota Parent ConnectionSioux Falls, SD501(c)(3)General support$8,000
Aberdeen Public Schools FoundationAberdeen, SD501(c)(3)General support$7,900
Aberdeen Development CorporationAberdeen, SD501(c)(6)General support$7,500
Active GenerationsSioux Falls, SD501(c)(3)General support$7,500
Augsburg CollegeMinneapolis, MN501(c)(3)General support$7,500
Mayville State University FoundationMayville, ND501(c)(3)General support$7,500
McCrossan Boys RanchSioux Falls, SD501(c)(3)General support$7,500
Philanthropy Promotions IncSioux Falls, SD501(c)(3)General support$7,500
Sioux Falls ChristianSioux Falls, SD501(c)(3)General support$7,500
Special Olympics North DakotaGrand Forks, ND501(c)(3)General support$7,500
YMCA of Cass and Clay CountiesFargo, ND501(c)(3)General support$7,500
Brandon Valley Booster ClubBrandon, SD501(c)(6)General support$6,500
National Parkinson Foundation Inc South DakotaSioux Falls, SD501(c)(3)General support$6,500
YWCA Sioux Falls (EmBe)Sioux Falls, SD501(c)(3)Local support$6,120
American Red CrossFargo, ND501(c)(3)General support$6,000
Children's World CareSheldon, IA501(c)(3)General support$6,000
Childrens Home Society FoundationSioux Falls, SD501(c)(3)General support$6,000
Make-A-Wish Foundation of North DakotaFargo, ND501(c)(3)General support$6,000
SF Diversity CouncilSioux Falls, SD501(c)(3)Youth initiative$6,000
Teen Challenge of the DakotasBrookings, SD501(c)(3)General support$6,000
Aberdeen Family YMCAAberdeen, SD501(c)(3)General support$5,500

International Summary

Offices
0
Employees
0
Spending
$4,297,668

International Compliance

Foreign grant records maintained
No
Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Sub-Saharan AfricaInvestmentInvestment in Ghana clinic operations00$3,765,946
East Asia and the PacificInvestmentInvestment in China clinic operations00$274,749
Europe (Including Iceland & Greenland)Program ServicesInvestigation of potential clinic sites, travel and purchased goods & services00$119,514
North AmericaProgram ServicesTravel, conferences and purchased goods & services00$72,579
South AsiaProgram ServicesMission healthcare work, investigation of potential clinic sites and purchased services00$28,409
South AmericaProgram ServicesTravel and purchased goods & services00$10,630
East Asia and the PacificProgram ServicesTravel, conferences and purchased goods & services00$9,982
Sub-Saharan AfricaGrantmakingGrant00$7,500
Sub-Saharan AfricaProgram ServicesLegal services00$5,676
Central America and the CaribbeanProgram ServicesLegal services00$2,648
Middle East and North AfricaProgram ServicesPurchased goods00$35
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
-B Teiken - OwnerMarketingNo$4,229,437
Annette WhiteN White - family relationshipCompensationNo$177,106
Corrie WeilandE Weiland - family relationshipCompensationNo$117,090
Donna CristyK Cristy - family relationshipCompensationNo$108,743
Melinda AndersonM Paulson - family relationshipCompensationNo$105,072
Michael KunkelJ Kunkel - family relationshipCompensationNo$97,061
Jan FederJ Feder - family relationshipCompensationNo$88,188
Kathryn NermoeB Nermoe - family relationshipCompensationNo$77,525
Joshua WeilandE Weiland - family relationshipCompensationNo$75,586
Jenny MarsdenR Marsden - family relationshipCompensationNo$61,927
Amy EntenmanJ Entenman - family relationshipCompensationNo$57,289
Kim GoetschS Goetsch - family relationshipCompensationNo$53,281
Julie PaulsonM Paulson - family relationshipCompensationNo$48,985
Paige RichardP Richard - family relationshipCompensationNo$48,194
Katie LundeenM Lundeen - family relationshipCompensationNo$19,141

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$129,246$112,475▼ $16,771
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred compensation$74,474,573
Defined benefit pension liability$68,561,375
Other non-current liabilities$10,934,232

Bond Issues

BondIssuerIssuedIssue PricePurpose
CSouth Dakota Health and Educational Facilities Authority2014-10-28$207,014,209New construction and remodeling of healthcare facilities
DCity of Fargo2011-02-09$134,069,821Refunding bonds issued 12/5/1996, 11/8/2000, and 6/18/2002
ASouth Dakota Health and Educational Facilities Authority2012-11-01$128,733,641New construction and remodeling of healthcare facilities
BSouth Dakota Health and Educational Facilities Authority2007-04-19$75,002,140New construction and remodeling of healthcare facilities
CSouth Dakota Health and Educational Facilities Authority2009-09-29$71,015,042New construction and remodeling of healthcare facilities
ASouth Dakota Health and Educational Facilities Authority2004-09-14$70,073,989New construction of healthcare facilities
DSouth Dakota Health and Educational Facilities Authority2012-03-29$66,185,000Refunding bonds issued 9/12/2001 and 10/15/2002
BSouth Dakota Health and Educational Facilities Authority2014-08-05$52,083,720Current refund 2004A issued 9/14/2004
ASouth Dakota Health and Educational Facilities Authority2012-06-14$45,000,000Refinance taxable indebtedness used to construct a healthcare facility
BTraill County2007-05-22$13,341,133New construction of long-term care facilities and remodeling of facilities
CCity of Chamberlain2010-12-30$4,000,000New construction of long-term care facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
C$207,014,209---
D$134,069,821-$18,965,000$1,470,647
A$129,135,779-$1,275,000$333,809
B$78,207,775$134,069,821$5,685,000$732,655
A$71,581,953$1$54,570,000$764,068
C$71,393,241$66,160,644$2,450,000$997,167
D$66,185,000-$3,420,000-
B$52,083,720---
A$45,000,000---
B$13,171,753-$924,302$24,356
C$4,000,000-$6,220,000$1,906,127

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
Yes
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

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: Al Hurley, Allison Suttle, Bill Marlette, Bradley Schipper, Brenda Larsen, Bruce Viessman, Christopher Meeker, Craig Boyer, Craig Lambrecht, Daniel Olson, Daniel Blue, David Link, Douglas Okland, Ellen Cooke, Eric Hilmoe, Jeff Sandene, Jesse Tischer, JoAnn Kunkel, Joy Johnson, Karen Tobin, Kelby Krabbenhoft, Kim Patrick, Kirk Cristy, Maria Bell, Mark Lundeen, Mark Paulson, Matthew Hocks, Michael Farritor, Michael LeBeau, Michelle Bruhn, Michelle Micka, Nate White, Paul Hanson, Paul Richard, Randy Bury, Richard Giesel, Richard Hardie, Richard Marsden, Steve Goetsch, Tiffany Lawrence.

Form 990, Part VI, Section A, line 6

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. 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 Medical Center Wheaton, Sanford Home Health, Sanford Research, Sanford World Clinics, Sanford Hillsboro, Sanford Health of Northern Minnesota, Baker Park, Inc., Sanford West, Sanford Bismarck and Sanford Living Centers. The Board of Trustees of Sanford is also the Board of Trustees for Sanford Health, Sanford North and Sanford West, 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 a subsidiary's Board of Directors are then approved by the Sanford Board of Trustees.

Form 990, Part VI, Section A, line 7A

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 7B

The Sanford Board of Trustees approves 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 have 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 B, line 11

The Form 990 is prepared internally by Finance and reviewed by executive management. An external accounting firm reviews the return and 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.

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 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.

Form 990, Part VI, Section B, line 15

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 2015. Part VI, Line 16a: Sanford Health, Sanford Medical Center, Sanford Clinic and Sanford Clinic North 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, Section B

Amounts listed as compensation for the five highest compensated independent contractors include payments for both materials and services.

Form 990, Part VII

The Sanford Board of Trustees has ultimate governance responsibilities for each major operating 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.

Filing and Contact Details

Filer

Filer Name
Sanford Group Return
EIN
45-3791176
Phone
6053331000
Address
801 Broadway N, Fargo, ND 58122

Signing Officer

Name
JoAnn Kunkel
Title
Chief Financial Officer
Phone
6053331000
Signed
2016-05-13
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelby Krabbenhoft
Voting Board Members
15
Independent Board Members
7
Employees
31,041
Volunteers
2,757

Preparer

Firm
Deloitte Tax LLP
Address
50 South Sixth Street Suite 2800, Minneapolis, MN 55402
Preparer
Anne Fulton
Phone
6123974000
Supplemental Narrative

Additional Explanations

Part V, Line 3A:

Sanford Health, Sanford Medical Center, Sanford North, Sanford Medical Center Fargo, Sanford Clinic North, Sanford Bismarck and Sanford Living Centers have unrelated business gross income over $1,000.

Part V, Line 4A:

Sanford World Clinics has an interest in financial accounts in the foreign countries of Ghana and China.

Form 990, Part XI, line 9:

Net payroll and other expenses paid on behalf of parent/affiliates -114,214,454. Net assets released from restriction 193,195. Pension FAS 158 22,027,040. Transfer reserve cash to Sanford the parent -164,000,000.

Form 990 Elections

Form 990, Page 1, Line H(a) - Listing of Subordinate Organizations: 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 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 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 1305 West 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0450378 Sanford World Clinics 1305 West 18th Street Sioux Falls, SD 57117 EIN: 26-2707628 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 Sanford Medical Center Wheaton 401 12th Street N Wheaton, MN 56296 EIN: 27-2042143 Sanford Hillsboro 12 3rd Street SE, PO Box 609 Hillsboro, ND 58045 EIN: 45-0230400 Sanford Health of Northern Minnesota 1300 Anne St NW Bemidji, MN 56601 EIN: 41-1266009 Baker Park, Inc. 803 Dewey Ave NW Bemidji, MN 56601 EIN: 41-1372480 Sanford West 300 North 7th Street Bismarck, ND 58501 EIN: 45-0397195 Sanford Bismarck 300 North 7th Street Bismarck, ND 58501 EIN: 45-0226700 Sanford Living Centers 1000 18th Street NW, Suite 1 Mandan, ND 58554 EIN: 45-0416454

Financial Statement Notes

Part IV, Line 2B:

Long term care facilities hold security deposits for tenants.

Part V, Line 4:

Edith Sanford Breast Cancer Foundation, Sanford Health Foundation, Sanford Health Foundation North, Sanford Health Foundation Hillsboro, Sanford Health Foundation of Northern Minnesota and Sanford Health Foundation West 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. All prior year amounts have been restated to include endowments held on all Sanford foundations.

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, 2015; some related organizations have established reserves.

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Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4,274$1,142$3,132$6,111$5,829$281
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,760$1,129$2,631$5,739$5,374$365
2022Detailed filing. Detailed filing data is available for this year.$3,581$1,069$2,512$5,322$5,161$161
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,486$1,208$2,278$5,229$4,834$395
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,325$1,387$1,939$4,784$4,395$390
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,975$1,409$1,566$4,418$4,214$204
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,836$1,554$1,282$3,924$3,811$113
2017Detailed filing. Detailed filing data is available for this year.$2,761$1,599$1,162$3,741$3,603$139
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,667$1,575$1,092$3,622$3,409$213
2015Detailed filing. Detailed filing data is available for this year.$2,519$1,457$1,062$3,411$3,208$204
2014Detailed filing. Detailed filing data is available for this year.$2,336$1,222$1,114$3,653$3,550$102
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,312$1,234$1,078$3,362
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,897$1,059$838$2,748
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,578$845$732$2,324