Civic Intelligence

Sanford Group Return

990 • Fiscal year 2016 • EIN 45-3791176

Jul 01, 2015 to Jun 30, 2016 • Filed on May 11, 2017

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

74th percentile

0.59x

Higher debt load relative to assets than 74% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Liabilities / Revenue

26th percentile

0.43x

Higher debt load relative to revenue than 26% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Net Margin

52nd percentile

5.9%

Higher net margin than 52% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Top Officer Pay

83rd percentile

$3,918,140

Higher top officer pay than 83% of similar nonprofits.

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

2016 filings • 501(c)3 • $1B+ nonprofits • Source year 2016

Asset Growth

63rd percentile

5.9%

Faster asset growth than 63% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2015 to 2016

Revenue Growth

64th percentile

6.2%

Faster revenue growth than 64% of similar nonprofits.

2016 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2015 to 2016

Assets

Up

$2,666,510,312

Up $147,588,334 (+5.9%) from 2015

Net Assets

Up

$1,091,717,301

Up $29,633,091 (+2.8%) from 2015

Liabilities

Up

$1,574,793,011

Up $117,955,243 (+8.1%) from 2015

Revenue

Up

$3,621,661,130

Up $210,644,235 (+6.2%) from 2015

Expenses

Up

$3,409,148,116

Up $201,638,066 (+6.3%) from 2015

Net Income

Up

$212,513,014

Up $9,006,169 (+4.4%) from 2015

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

2016

Assets$2,666,510,312
Liabilities$1,574,793,011
Net Assets$1,091,717,301

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

2016

Revenue$3,621,661,130
Expenses$3,409,148,116
Net Income$212,513,014
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
May 11, 2017
Return Version
2015v3.0
Gross Receipts
$3,624,376,050
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$1,473,112,396$1,608,298,161▲ $135,185,765
Accounts Receivable$529,770,930$520,545,199▼ $9,225,731
Cash and Non-Interest-Bearing Accounts$72,344,016$140,266,525▲ $67,922,509
Inventories for Sale or Use$59,944,756$64,849,835▲ $4,905,079
Intangible Assets$60,477,684$58,202,717▼ $2,274,967
Investments Program Related$44,715,963$42,622,902▼ $2,093,061
Other Notes and Loans Receivable, Net$39,925,043$39,516,483▼ $408,560
Prepaid Expenses and Deferred Charges$31,188,012$36,983,077▲ $5,795,065
Investments Other Securities$27,763,559$18,858,207▼ $8,905,352
Savings and Temporary Cash Investments$74,321,362$12,146,539▼ $62,174,823
Investments in Publicly Traded Securities$1,815,449$1,815,449→ $0
Receivables From Officers Etc$112,475$21,047▼ $91,428
Total Assets$2,518,921,978$2,666,510,312▲ $147,588,334
Other Assets Total$103,430,333$122,384,171▲ $18,953,838
Liabilities
Tax Exempt Bond Liabilities$806,230,299$885,526,843▲ $79,296,544
Accounts Payable and Accrued Expenses$438,294,821$448,983,122▲ $10,688,301
Other Liabilities$153,970,180$191,536,257▲ $37,566,077
Mortgage Notes Payable Secured by Investment Property$53,827,620$43,182,309▼ $10,645,311
Grants Payable$2,518,919$2,768,497▲ $249,578
Deferred Revenue$1,697,633$2,528,337▲ $830,704
Escrow Account Liability$298,296$267,646▼ $30,650
Total Liabilities$1,456,837,768$1,574,793,011▲ $117,955,243
Net Assets / Fund Balance
Unrestricted Net Assets$1,061,609,414$1,091,710,111▲ $30,100,697
Permanently Rstr Net Assets$427,808$0▼ $427,808
Temporarily Rstr Net Assets$46,988$7,190▼ $39,798
Total Net Assets Fund Balance$1,062,084,210$1,091,717,301▲ $29,633,091
Total Liabilities and Net Assets / Fund Balance$2,518,921,978$2,666,510,312▲ $147,588,334

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$775,862,238$901,318,623$1,677,180,861
Buildings$671,072,775$542,389,224$1,213,461,999
Land$112,323,009-$112,323,009
Leasehold Improvements$34,968,532$39,805,722$74,774,254
Other Land Buildings$14,071,607$23,235,791$37,307,398

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2015$58,142,005$4,442,491--$62,584,497
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Kelby K KrabbenhoftSanford President & CEOPT$1,468,928$2,449,212$3,918,140
Scott PhamPhysicianFT$2,882,267$37,238$2,919,505
Tomasz P StysPhysicianFT$2,657,458$35,457$2,692,915
Adam T StysPhysicianFT$2,459,876$36,947$2,496,823
William C BrunnerPhysicianFT$2,403,090$35,238$2,438,328
Wilson T AsforaPhysicianFT$2,135,734$61,146$2,196,880
Michael LeBeau MDTrustee/Sanford PhysicianFT$1,287,761$30,916$1,318,677
Nate WhiteChief Operating OfficerFT$786,928$370,093$1,157,021
David LinkChief Strategy Officer (thru Jan 16)FT$791,762$285,663$1,077,425
Mark Lundeen MDTrustee/Sanford PhysicianFT$849,011$126,302$975,313
Daniel W BlueExec VP ClinicFT$655,768$311,352$967,120
Craig LambrechtExec VP BismarckFT$632,327$286,488$918,815
Karen TobinVP Operations SMC Fargo (thru July 15)FT$901,777$15,199$916,976
Karen TobinVP Operations SMC Fargo (thru July 1-$181,528$735,448$916,976
Paul HansonExec VP Sioux FallsFT$637,096$234,304$871,400
JoAnn L KunkelChief Financial OfficerPT$584,610$275,641$860,251
Maria Bell MDTrustee/Sanford PhysicianFT$767,249$92,314$859,563
Richard G AdcockChief Innovation OfficerFT$579,228$279,285$858,513
Bill MarletteTreasurerFT$532,683$317,894$850,577
Randy BurySenior VP OperationsFT$584,610$216,205$800,815
Paul RichardExec VP FargoFT$546,146$243,437$789,583
Kim PatrickChief Legal OfficerFT$474,182$253,064$727,246
Kelby K Krabbenhoft Deferred CompSanford President & CEOPT-$717,699$717,699
Richard Marsden MDVP Operations Fargo Clinic (thru Dec 15)FT$633,774$28,846$662,620
Richard Marsden MDVP Operations Fargo Clinic (thru Dec-$542,980$119,640$662,620
Richard Hardie MDTrustee/Sanford Physician (thru Nov 15)FT$624,505$34,022$658,527
Richard Hardie MDTrustee/Sanford Physician (thru Nov-$618,653$39,874$658,527
Jeff D SandeneChief Integration Officer (thru Dec 15)FT$595,715$34,920$630,635
Jeff D SandeneChief Integration Officer (thru Dec-$441,353$189,282$630,635
Richard GieselFormer Exec VP Health NetworkFT$441,353$177,058$618,411
Michael E FarritorVP Clinic Sioux FallsFT$442,560$121,560$564,120
Allison Suttle MDSenior VP Chief Medical OfficerFT$400,191$139,962$540,153
Bradley J SchipperVP Operations Sioux FallsFT$387,373$145,104$532,477
Michelle A BruhnSenior VP Finance Health ServicesFT$368,691$143,156$511,847
Jesse TischerExec VP Health NetworkFT$333,017$176,745$509,762
Daniel OlsonExec VP Bemidji (thru Dec 15)FT$367,232$129,232$496,464
Joy JohnsonVP Operations BemidjiFT$311,630$175,858$487,488
Matthew HocksSenior VP ClinicFT$382,470$100,940$483,410
Ellen CookeVP Operations FargoFT$348,430$125,794$474,224
Bryan NermoeExec VP BemidjiFT$336,566$97,413$433,979
Steve W GoetschVP Finance Sioux Falls (thru Mar 16)FT$317,964$76,218$394,182
Michelle M MickaSenior VP Finance Corp ControllerFT$267,889$123,897$391,786
Tiffany LawrenceVP Finance FargoFT$302,108$85,589$387,697
Al HurleyVP Operations BismarckFT$288,536$82,074$370,610
Brenda LarsenVP Operations Bismarck (thru Dec 15)FT$286,719$79,720$366,439
Craig BoyerVP Finance BemidjiFT$238,146$127,629$365,775
Bruce D ViessmanVP Finance Health NetworkFT$274,838$72,540$347,378
Kirk CristyVP Finance BismarckFT$254,453$75,222$329,675
Douglas OklandVP Clinic FinanceFT$255,151$71,387$326,538
Eric HilmoeVP Operations Health NetworkFT$220,354$84,137$304,491
Mark Paulson MDTrustee/Sanford PhysicianFT$234,209$32,587$266,796
Cole TurnerVP Finance Sioux FallsFT$173,911$42,429$216,340
Bill Marlette Deferred CompTreasurerFT-$161,277$161,277
David Link Deferred CompChief Strategy Officer (thru Jan 16)FT-$110,259$110,259
Randy Bury Deferred CompSenior VP OperationsFT-$16,674$16,674

Board Members and Trustees

NameTitle
Barb EveristTrustee
Brent TeikenTrustee
David BeitoTrustee
Don JacobsTrustee
Don MortonTrustee
James CainTrustee
Lauris MolbertTrustee
Melissa HintonTrustee
Patrick DurickTrustee
Thomas HrubyTrustee
Jim EntenmanTrustee (thru Nov 15)
Cecily TuckerFormer VP Finance

Highest Paid Contractors

ContractorServicesLocationCompensation
Cardinal HealthMedical Services7000 Cardinal Place, Dublin, OH 43017$280,287,994
MA Mortenson CompanyConstruction700 Meadow Lane N, Minneapolis, MN 55422$123,756,052
Owens & Minor IncMedical Services12199 Collection Ctr Dr, Chicago, IL 60693$65,969,610
Medtronic USAMedical Services4642 Collection Ctr Dr, Chicago, IL 60693$38,459,619
Henry Carlson ConstructionConstruction1205 Russell Street, Sioux Falls, SD 57104$21,482,842
Revenue and Support

Revenue Composition

Contributions and Grants
$55,386,334
Program Service Revenue
$3,553,249,301
Investment Income
$8,700,289
Other Revenue
$4,325,206
All Other Contributions
$3,621,840
Change in Net Assets
$212,513,014

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Cars and Other Vehicles1$39,800Fair Market Value (FMV)
Other Non Cash Contri Table2$1,649Fair Market Value (FMV)
Total Noncash Contributions3$41,449-
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,090,504,437
Other Expenses$1,304,233,969
Grants and Similar Amounts Paid$14,409,710
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,509,096,468$183,768,798-$1,692,865,266
Fees for Services Other$140,921,017$42,284,721-$183,205,738
Other Employee Benefits$147,085,759$35,020,083-$182,105,842
Depreciation Depletion$118,981,611$30,599,016-$149,580,627
Payroll Taxes$91,573,556$17,110,977-$108,684,533
Occupancy$59,480,297$18,522,963-$78,003,260
Pension Plan Contributions$57,749,733$16,648,317-$74,398,050
Office Expenses$28,675,125$10,801,584-$39,476,709
Information Technology$26,137,811$5,032,732-$31,170,543
Current Officers, Directors, Trustees, and Key Employees-$30,879,836-$30,879,836
Interest$27,511,507$251,208-$27,762,715
All Other Expenses$11,727,977$6,960,883-$18,688,860
Advertising$1,127,499$16,708,113-$17,835,612
Travel$14,306,501$3,179,318-$17,485,819
Insurance$12,941,975$2,219,865-$15,161,840
Grants to Domestic Orgs$14,409,710--$14,409,710
Other Expenses$5,371,024$7,154,778-$5,371,024
Conferences and Meetings$3,226,596$1,045,210-$4,271,806
Fees for Services Legal-$3,584,384-$3,584,384
Comp Disqual Persons-$1,570,910-$1,570,910
Royalties$1,285,750--$1,285,750
Fees for Services Accounting-$1,167,311-$1,167,311
Fees for Services Lobbying-$806,489-$806,489
Total Functional Expenses$2,940,634,433$468,513,683$0$3,409,148,116
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
TNT Kid's FitnessFargo, ND501(c)(3)General support$2,348,729
SD SynodSioux Falls, SD501(c)(3)General support$1,683,740
Augustana CollegeSioux Falls, SD501(c)(3)AD Leadership fund, Support athletic club$1,393,751
City of KimballKimball, SD115Health Clinic project$1,102,750
North Dakota American Legion FoundationWest Fargo, ND501(c)(3)General support$406,060
First Tee of SDSioux Falls, SD501(c)(3)General support$300,000
Downtown Sioux Falls IncSioux Falls, SD501(c)(4)General support$295,000
Sioux Falls Area Community Foundation IncSioux Falls, SD501(c)(3)General support$253,000
Northern State University FoundationAberdeen, SD501(c)(3)General support$240,000
Sioux Council Boy Scouts of America IncSioux Falls, SD501(c)(3)General support$223,465
Mike Miller FoundationMitchell, SD501(c)(3)General support$210,250
Sanford Health Foundation NorthFargo, ND501(c)(3)NICU, General support$202,500
Horatio Alger Association of Distinguished Americans IncAlexandria, VA501(c)(3)General support$155,000
Roosevelt High SchoolSioux Falls, SD501(c)(3)General support$150,000
Sanford Health Foundation HillsboroHillsboro, ND501(c)(3)General support$122,621
American Heart Association IncDallas, TX501(c)(3)General support$110,291
Valley City State University FoundationValley City, ND501(c)(3)General support$100,800
Dakota Alliance Soccer ClubSioux Falls, SD501(c)(3)General support$100,500
Forward Sioux FallsSioux Falls, SD501(c)(6)General support$100,000
McCrossan Boys RanchSioux Falls, SD501(c)(3)General support$100,000
Sioux Falls Swim Team IncSioux Falls, SD501(c)(3)General support$90,000
Sioux Falls ChristianSioux Falls, SD501(c)(3)General support$78,200
Friends of the North Dakota Governor's Residence CouncilBismarck, ND501(c)(3)North Dakota Governor's Residence$77,667
SF Diversity CouncilSioux Falls, SD501(c)(3)Youth initiative$72,000
UP Aquatics IncFargo, ND501(c)(3)Swim facility$71,004
Volunteers of AmericaSioux Falls, SD501(c)(3)General support$66,973
Cystic Fibrosis FoundationBloomington, MN501(c)(3)General support$63,175
Sioux Falls SchoolsSioux Falls, SD501(c)(3)General support, Scoreboard$55,000
American Cancer SocietySioux Falls, SD501(c)(3)General support$52,658
Bemidji State UniversityBemidji, MN501(c)(3)General support$51,750
Children's World CareSheldon, IA501(c)(3)General support$50,000
Samaritan's Feet InternationalCharlotte, NC501(c)(3)Champions of Hope$50,000
Philanthropy Promotions IncSioux Falls, SD501(c)(3)General support$45,000
Feeding South DakotaSioux Falls, SD501(c)(3)General support$44,000
Dakota SchoolersSioux Falls, SD501(c)(3)Scholarships$41,000
Great Plains ZooSioux Falls, SD501(c)(3)General support$40,000
Red River Zoological SocietyFargo, ND501(c)(3)General support$40,000
Dakota Hospital FoundationVermillion, SD501(c)(3)Becky and David Nelson endowment$37,500
Legends of Gold IncBeresford, SD501(c)(3)General support$37,000
Cullen Children's FoundationWest Fargo, ND501(c)(3)General support$36,000
Minnesota State University Moorhead Alumni FoundationMoorhead, MN501(c)(3)Scholarships$33,711
Aberdeen Catholic School SystemAberdeen, SD501(c)(3)Roncalli Revitalizing project$32,700
Sunshine Memorial FoundationGrand Forks, ND501(c)(3)General support$31,683
The Evangelical Lutheran Good Samaritan SocietySioux Falls, SD501(c)(3)General support$30,750
Juvenile Diabetes Research Foundation (JDRF) South DakotaSioux Falls, SD501(c)(3)General support$30,000
Sioux Empire Baseball AssociationSioux Falls, SD501(c)(3)General support$30,000
University of Wisconsin FoundationMadison, WI501(c)(3)Carbone Cancer Center$30,000
Arthritis Foundation - Upper Midwest RegionFargo, ND501(c)(3)General support$28,000
Boys and Girls Club of Sioux EmpireSioux Falls, SD501(c)(3)General support$28,000
SDSU FoundationBrookings, SD501(c)(3)Sanford/SDSU SEED grants, Sports Medicine, General support$27,500
Ice Sports AssociationSioux Falls, SD501(c)(3)General support$26,250
Sioux Falls Sports Authority Summit LeagueSioux Falls, SD501(c)(3)General support$25,500
Junior Achievement of South DakotaSioux Falls, SD501(c)(3)General support$25,000
Leadership South DakotaPlatte, SD501(c)(3)General support$25,000
Make-A-Wish Foundation of South DakotaSioux Falls, SD501(c)(3)General support$25,000
National Kidney FoundationSt Paul, MN501(c)(3)General support$25,000
Childrens Home Society FoundationSioux Falls, SD501(c)(3)General support$24,500
Matson Halverson Christiansen Hamilton FoundationKimball, SD501(c)(3)General support$24,500
Health Occupations Students of America (ND Chapter)Hettinger, ND501(c)(3)General support$21,750
Ronald McDonald HouseSioux Falls, SD501(c)(3)General support$20,793
Village Family Service CenterFargo, ND501(c)(3)General support$20,500
National Audubon Society Inc (Audubon Dakota)Fargo, ND501(c)(3)General support$20,300
Concordia College CorporationMoorhead, MN501(c)(3)General support$20,000
Dakotabilities IncSioux Falls, SD501(c)(3)General support$20,000
Susan G Komen for the CureSioux Falls, SD501(c)(3)General support$20,000
Brandon Valley Booster ClubBrandon, SD501(c)(6)General support$19,301
National Multiple Sclerosis Society Upper Midwest ChapterMinneapolis, MN501(c)(3)General support$18,750
USD School of MedicineSioux Falls, SD501(c)(3)Medical education$18,000
Sioux Falls Catholic SchoolsSioux Falls, SD501(c)(3)Teacher endowment, General support$17,500
University of South Dakota FoundationVermillion, SD501(c)(3)Research, Sports complex, Clinical skills & simulation center$17,000
Mayville State University FoundationMayville, ND501(c)(3)General support$16,933
Make-A-Wish Foundation of North DakotaFargo, ND501(c)(3)General support$15,000
LifesourceMinneapolis, MN501(c)(3)General support$14,991
Special Olympics North DakotaGrand Forks, ND501(c)(3)General support$14,000
YMCA of Cass and Clay CountiesFargo, ND501(c)(3)General support$13,860
The Arts Partnership of the Red River ValleyFargo, ND501(c)(3)General support$12,500
Habitat for Humanity Greater Sioux FallsSioux Falls, SD501(c)(3)General support$12,000
Shiloh Christian SchoolBismarck, ND501(c)(3)General support$11,600
NDSCS FoundationWahpeton, ND501(c)(3)Scholarships$11,250
Greater Fargo Moorhead Economic Development CorporationFargo, ND501(c)(3)General support$10,500
Family HealthCare CenterFargo, ND501(c)(3)General support$10,250
Face It Together IncSioux Falls, SD501(c)(3)Addiction recovery coaching, Community addiction services$10,000
Fargo Youth Hockey AssociationFargo, ND501(c)(3)General support$10,000
Lifescape (SD Achieve & Children's Care Foundation)Sioux Falls, SD501(c)(3)General support$10,000
Lincoln High SchoolSioux Falls, SD501(c)(3)General support$10,000
McKenzie County Healthcare Systems IncWatford City, ND501(c)(3)Medical facility$10,000
SD Basketball Coaches AssociationBrookings, SD501(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
Special Olympics South DakotaSioux Falls, SD501(c)(3)General support$10,000
Washington PavilionSioux Falls, SD501(c)(3)General support$10,000
Southeast Technical InstituteSioux Falls, SD501(c)(3)General support$9,000
South Dakota Voices for ChildrenSioux Falls, SD501(c)(3)General support$7,550
Aberdeen Development CorporationAberdeen, SD501(c)(6)General support$7,500
American Academy of Pediatrics (Reach Out and Read)San Diego, CA501(c)(3)General support$7,500
Augsburg CollegeMinneapolis, MN501(c)(3)General support$7,500
Big Brothers Big Sisters of the Sioux EmpireSioux Falls, SD501(c)(3)General support$7,500
Moorhead Technical College Foundation IncMoorhead, MN501(c)(3)Scholarships$7,500
Northern Sun Intercollegiate ConferenceBurnsville, MN501(c)(3)Scholarships$7,500
SculptureWalk IncSioux Falls, SD501(c)(3)Arc of Dreams$7,500
Worthington Public SchoolsWorthington, MN115General support$7,500
Charis Ministry PartnersSioux Falls, SD501(c)(3)General support$7,000
Downtown Community PartnershipFargo, ND501(c)(6)General support$7,000
Aberdeen Family YMCAAberdeen, SD501(c)(3)General support$6,500
SF CyclonesSioux Falls, SD501(c)(3)General support$6,500
Children's Ark IncChamberlain, SD501(c)(3)General support$6,000
Sioux Empire United WaySioux Falls, SD501(c)(3)General support$6,000
Luverne Hockey ClubLuverne, MN501(c)(3)General support$5,000
YWCA Sioux Falls (EmBe)Sioux Falls, SD501(c)(3)Local support-

International Summary

Offices
0
Employees
0
Spending
$5,798,443

International Compliance

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$5,536,344
East Asia and the PacificInvestmentInvestment in China clinic operations00$143,478
North AmericaProgram ServicesTravel, conferences and purchased goods & services00$48,625
Europe (Including Iceland & Greenland)Program ServicesInvestigation of potential clinic sites, travel and purchased goods & services00$33,229
Europe (Including Iceland & Greenland)InvestmentInvestment in Germany clinic operations00$20,632
East Asia and the PacificProgram ServicesTravel, conferences and purchased goods & services00$6,828
Sub-Saharan AfricaProgram ServicesLegal services00$5,088
Russia and Neighboring StatesProgram ServicesTravel and purchased goods & services00$3,669
South AsiaProgram ServicesPurchased services00$550
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
Annette WhiteN White - family relationshipCompensationNo$223,596
Michael KunkelJ Kunkel - family relationshipCompensationNo$136,184
John DurickP Durick - family relationshipCompensationNo$119,449
Donna CristyK Cristy - family relationshipCompensationNo$104,672
Kathryn NermoeB Nermoe - family relationshipCompensationNo$93,934
Melinda AndersonM Paulson - family relationshipCompensationNo$66,828
Amy EntenmanJ Entenman - family relationshipCompensationNo$59,461
Katie LundeenM Lundeen - family relationshipCompensationNo$56,805
Paige CampbellP Richard - family relationshipCompensationNo$54,212
Kim GoetschS Goetsch - family relationshipCompensationNo$44,440

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Officers, Directors, Trustees, and Key Employees$112,475$21,047▼ $91,428
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Defined benefit pension liability$98,355,049
Deferred compensation$84,075,533
Other non-current liabilities$9,105,675

Bond Issues

BondIssuerIssuedIssue PricePurpose
BSouth Dakota Health and Educational Facilities Authority2014-10-28$207,014,209New construction and remodeling of healthcare facilities
CSouth Dakota Health and Educational Facilities Authority2015-10-21$192,641,206New construction and advanced refunding of bonds issued 4/19/07 and 5/22/07
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
CSouth Dakota Health and Educational Facilities Authority2012-03-29$66,185,000Refunding bonds issued 9/12/2001 and 10/15/2002
ASouth Dakota Health and Educational Facilities Authority2014-08-05$52,083,720Current refund 2004A issued 9/14/2004
DSouth Dakota Health and Educational Facilities Authority2012-06-14$45,000,000Refinance taxable indebtedness used to construct a healthcare facility
BCity of Chamberlain2010-12-30$4,000,000New construction of long-term care facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$207,081,359---
C$192,662,449---
D$134,069,821$52,083,720$24,730,000$1,470,647
A$129,135,779$2,050,117$1,158,898$24,356
B$78,207,775$134,069,821$6,995,000$732,655
A$71,581,953$1$54,890,000$764,068
C$71,393,241$66,160,644$3,755,000$997,167
C$66,185,000-$5,200,000$1,431,628
A$52,083,720---
D$45,000,000---
B$4,000,000-$8,565,000$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, Cole Turner, 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 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 2016. 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
2017-05-11
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Kelby Krabbenhoft
Voting Board Members
15
Independent Board Members
9
Employees
33,087
Volunteers
3,000

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 Clinic, 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, China and Germany.

Form 990, Part XI, line 9:

Net payroll and other expenses paid on behalf of parent/affiliates -164,188,394. Pension FAS 158 26,861,979. Transfer reserve cash to Sanford the parent -46,100,000.

Form 990 Elections

Form 990, Page 1, Line H(a) - Listing of Subordinate Organizations: Names, Addresses, and EINs Sanford Health 1305 W 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 31-1527032 Sanford USD Medical Center 1305 W 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0227855 Sanford Home Health 1305 W 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0282134 Sanford Health Network 1305 W 18th Street Sioux Falls, SD 57105 EIN: 46-0388596 Sanford Clinic 1305 W 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0447693 Sanford Research 2301 E 60th Street N Sioux Falls, SD 57104 EIN: 46-0450378 Sanford World Clinics 1305 W 18th Street Sioux Falls, SD 57105 EIN: 26-2707628 Sanford North 801 Broadway Drive, PO Box 2010 Fargo, ND 58122 EIN: 45-0385890 Sanford Clinic North 801 Broadway Drive, PO Box 2010 Fargo, ND 58122 EIN: 91-1770748 Sanford Medical Center Fargo 801 Broadway Drive, PO Box 2010 Fargo, ND 58122 EIN: 45-0226909 Sanford Health Network North 801 Broadway Drive, PO Box 2010 Fargo, ND 58122 EIN: 45-0409348 Sanford Medical Center Thief River Falls 3001 Sanford Parkway Thief River Falls, MN 56701 EIN: 41-0709579 Sanford Medical Center Mayville 801 Broadway Drive, PO Box 2010 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 Street NW Bemidji, MN 56601 EIN: 41-1266009 Baker Park, Inc. 803 Dewey Avenue NW Bemidji, MN 56601 EIN: 41-1372480 Sanford West 300 N 7th Street Bismarck, ND 58501 EIN: 45-0397195 Sanford Bismarck 300 N 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.

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, 2016; some related organizations have established reserves.

Raw XML AppendixShowing 400 of 5,440 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt6216000
IRS990/Form990PartVIISectionAGrp/PersonNm0Barb Everist
IRS990/Form990PartVIISectionAGrp/PersonNm1Brent Teiken
IRS990/Form990PartVIISectionAGrp/PersonNm2David Beito
IRS990/Form990PartVIISectionAGrp/PersonNm3Don Jacobs
IRS990/Form990PartVIISectionAGrp/PersonNm4Don Morton
IRS990/Form990PartVIISectionAGrp/PersonNm5James Cain
IRS990/Form990PartVIISectionAGrp/PersonNm6Jim Entenman

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
2016Detailed filing. Detailed filing data is available for this year.$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