Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 07-01-2010 and ending 06-30-2011
BCheck if applicable:
CName of organization
Sanford Group Return
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
801 Broadway N
 
Room/suite
City or town, state or country, and ZIP + 4
Fargo, ND58122
D Employer identification number

45-3791176
E Telephone number

G Gross receipts $ 2,388,387,329
F Name and address of principal officer:
Kelby Krabbenhoft
1305 West 18th Street PO Box 5039
Sioux Falls,SD571175039
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.sanfordhealth.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5851
K Form of organization:
 
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: "Dedicated to the Work of Health and Healing"
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 20
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 7
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 21,531
6 Total number of volunteers (estimate if necessary) .... 6 2,125
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 25,192,797
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b 0
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 37,021,798 50,707,291
9 Program service revenue (Part VIII, line 2g) ......... 2,184,539,739 2,316,427,369
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 11,981,387 10,847,236
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,046,675 1,790,947
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 2,234,589,599 2,379,772,843
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 16,747,398 15,705,354
14 Benefits paid to or for members (Part IX, column (A), line 4) ....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,163,825,140 1,263,960,872
16a Professional fundraising fees (Part IX, column (A), line 11e)....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet798,607    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 1,011,820,447 1,044,317,741
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 2,192,392,985 2,323,983,967
19 Revenue less expenses. Subtract line 18 from line 12...... 42,196,614 55,788,876
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,674,669,898 1,577,600,190
21 Total liabilities (Part X, line 26)............ 851,570,791 845,339,675
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 823,099,107 732,260,515
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signatureBig Right Arrow 		Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4Big Right Arrow




 		EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: 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.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 780,703,971 including grants of $ 136,504 ) (Revenue $ 1,105,072,720 )
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.
4b (Code:   ) (Expenses $ 747,128,357 including grants of $ 12,385 ) (Revenue $ 739,677,830 )
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.
4c (Code:   ) (Expenses $ 187,326,236 including grants of $ 221,654 ) (Revenue $ 274,274,309 )
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.
(Code:   ) (Expenses $ 6,169,667 including grants of $ 0 ) (Revenue $ 7,271,529 )
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.
(Code:   ) (Expenses $ 20,575,327 including grants of $ 169,013 ) (Revenue $ 1,938,651 )
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.
(Code:   ) (Expenses $ 230,804,597 including grants of $ 15,165,798 ) (Revenue $ 189,339,689 )
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.
4d Other program services. (Describe in Schedule O.)
(Expenses $ 257,549,591 including grants of $ 15,334,811 ) (Revenue $ 198,549,869 )
4e Total program service expensesMediumBullet$ 1,972,708,155
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? Click to see attachment........
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part IIClick to see attachment.........................
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part IClick to see attachment.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IVClick to see attachment...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
Yes
 
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II.. Click to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III.. Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H..... Click to see attachment
20a
Yes
 
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. ..... Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................ Click to see attachment
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II........................... Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2........... Click to see attachment
36
Yes
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
1,381
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
21,531
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletBH
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
20
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
Yes
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MN , OR , CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
Lisa Carlson CFO
801 Broadway N
Fargo,ND58122
(701) 234-4811
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Ann Christenson
Trustee
 .50 X           0 0 0
(2) Barb Everist
Trustee
 .50 X           0 0 0
(3) Barbara Stork
Trustee
 .50 X           0 0 0
(4) Barry Martin
Trustee
 .50 X           0 0 0
(5) Brent Teiken
Trustee
 .50 X           0 0 0
(6) David Beito
Trustee
 .50 X           0 0 0
(7) Don Morton
Trustee
 .50 X           0 0 0
(8) Jerome Feder
Trustee
 .50 X           0 0 0
(9) Jim Entenman
Trustee
 .50 X           0 0 0
(10) John C Vanderwoude
Trustee
 60.00 X           1,184,560 0 30,701
(11) John Jambois
Trustee
 .50 X           0 0 0
(12) Lauris Molbert
Trustee
 .50 X           0 0 0
(13) Mark Paulson MD
Trustee
 60.00 X           220,036 0 46,521
(14) Michael L Olson
Trustee
 60.00 X           518,455 0 6,998
(15) Michael L Olson Deferred Comp
Trustee
 60.00 X           0 0 46,935
(16) Mikal Claar
Trustee
 .50 X           0 0 0
(17) Pamela Anderson
Trustee
 .50 X           0 0 0
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (describe hours for related organizations in Schedule O) 		(C)
Position (check all that apply) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Richard D Hardie
Trustee
 60.00 X           444,434 0 18,343
(19) Ronald Moquist
Trustee
 .50 X           0 0 0
(20) Terrence Grimm MD
Trustee
 60.00 X           585,887 0 42,328
(21) Terry Baloun
Trustee
 .50 X           0 0 0
(22) Kelby K Krabbenhoft
Sanford Health President & CEO
 60.00 X   X       1,274,514 0 19,513
(23) Kelby K Krabbenhoft Deferred Comp
Sanford Health President & CEO
 60.00 X   X       0 0 565,838
(24) Lisa Carlson
Chief Financial Officer Corp
 60.00     X       418,112 0 51,907
(25) Andrew Richburg
Executive Vice President
 60.00     X       438,314 0 23,667
(26) Bill Marlette
Treasurer
 60.00     X       695,355 0 1,438
(27) Bill Marlette Deferred Compensation
Treasurer
 60.00     X       0 0 129,024
(28) David Link
Executive Vice President - D&R
 60.00     X       774,927 0 22,230
(29) David Link Deferred Compensation
Executive Vice President - D&R
 60.00     X       0 0 203,714
(30) Paul Richard
Chief Legal Officer
 60.00     X       395,926 0 51,907
(31) Rebecca Nelson
Senior Vice President & COO - HSD
 60.00     X       862,215 0 14,877
(32) Rebecca Nelson Deferred Compensatio
Senior Vice President & COO - HSD
 60.00     X       0 0 210,701
(33) Arlyn Broekhuis
Vice President & CIO
 60.00       X     372,609 0 24,676
(34) Bradley J Schipper
Health Network Vice President
 60.00       X     220,220 0 25,932
(35) Bruce D Viessman
Vice President of Finance
 60.00       X     217,376 0 27,052
(36) Bruce Pitts MD
Chief Medical Officer - Sanford Health
 60.00       X     557,647 0 51,622
(37) Bryan J Nermoe
Chief Operating Officer
 60.00       X     233,724 0 19,993
(38) Cecily L Tucker
Chief Financial Officer D&R
 60.00       X     263,930 0 28,306
(39) Charles Breen MD
Senior VP Physician
 60.00       X     480,096 0 51,227
(40) Charles P O'Brien
President
 60.00       X     610,108 0 21,195
(41) Charles P O'Brien Deferred Comp
President
 60.00       X     0 0 50,479
(42) Christine Harff
CEO TRF Medical Center
 60.00       X     185,564 0 42,621
(43) Craig Hewitt
Sanford CIO
 60.00       X     265,559 0 52,907
(44) Daniel Olson
VP of Bemidji Clinic
 60.00       X     208,615 0 46,429
(45) Daniel W Blue
SC Sioux Falls President
 60.00       X     578,896 0 66,898
(46) Dave R Hove
Health Network Vice President
 60.00       X     193,309 0 23,593
(47) Dennis Millirons
President - Medical Center
 60.00       X     550,996 0 30,830
(48) Diana Berkland
Chief Nurse Executive - SMC
 60.00       X     237,455 0 1,124
(49) Diana Berkland Deferred Compensatio
Chief Nurse Executive - SMC
 60.00       X     0 0 80,641
(50) Donald Marty
VP Facility Services
 60.00       X     185,515 0 41,312
(51) Douglas Okland
CFO - Sanford Clinic
 60.00       X     177,590 0 42,893
(52) Douglas Vang
Network President
 60.00       X     760,803 0 11,075
(53) Edmond L Weiland
President - SHN Administration
 60.00       X     395,917 0 23,935
(54) Ellen Cooke
COO - Sanford Clinic
 60.00       X     231,565 0 38,724
(55) Howard Hoody MD
Senior VP - Physician
 60.00       X     290,739 0 51,422
(56) James Volk MD
Senior VP - Physician
 60.00       X     360,372 0 50,822
(57) Jeff D Sandene
COO - Health Services Division
 60.00       X     384,106 0 24,669
(58) Jeffrey Hoss
Executive VP Sanford Clinic
 60.00       X     281,751 0 52,610
(59) JoAnn L Kunkel
Chief Financial Officer HSD
 60.00       X     380,398 0 24,676
(60) Kaleen Santema
Vice President - Oncology Services
 60.00       X     225,528 0 17,230
(61) Kaleen Santema Deferred Compensatio
Vice President - Oncology Services
 60.00       X     0 0 51,216
(62) Karen A Tobin
Vice President - Heart & Vascular
 60.00       X     230,969 0 12,028
(63) Kenneth P Aspaas
Chief Medical Officer
 60.00       X     308,049 0 15,214
(64) Kenneth P Aspaas Deferred Comp
Chief Medical Officer
 60.00       X     0 0 55,627
(65) Kevin Lampe
VP - National Orthopedic Corp
 60.00       X     230,782 0 21,850
(66) Kim J Patrick
General Counsel
 60.00       X     438,522 0 55,000
(67) Linda O'Halloran
COO - Sanford Medical Center
 60.00       X     341,521 0 38,904
(68) Lynn W Olson
CEO - Worthington
 60.00       X     195,680 0 23,759
(69) Maje B Perryman
President Research
 60.00       X     362,970 0 27,526
(70) Michael Gibbs
VP Sanford Medical Center - Heart
 60.00       X     308,310 0 49,530
(71) Michael E Farritor
Admin Chief Operations Officer, MD
 60.00       X     505,025 0 27,432
(72) Michelle A Bruhn
Chief Financial Officer SUSDMC
 60.00       X     249,344 0 7,389
(73) Monica Huber
Vice President - ER Trauma
 60.00       X     186,007 0 13,746
(74) Paulette Amundson
VP Sanford Community Clinics
 60.00       X     185,734 0 43,038
(75) Randy Bury
Chief Admin Officer
 60.00       X     443,272 0 7,657
(76) Randy Bury Deferred Compensation
Chief Admin Officer
 60.00       X     0 0 36,897
(77) Rhonda Ketterling MD
Chief Medical Officer - Clinic
 60.00       X     357,957 0 47,658
(78) Richard E Nordahl
CEO - Sheldon
 60.00       X     187,435 0 25,248
(79) Richard G Adcock
President - Sanford Frontiers
 60.00       X     225,067 0 25,972
(80) Richard Giesel
President - Health Network
 60.00       X     215,376 0 8,258
(81) Richard Marsden MD
Senior VP - Physician
 60.00       X     603,410 0 50,822
(82) Robert J Salmon
CEO - Canby & Clear Lake
 60.00       X     192,895 0 7,695
(83) Robert J Salmon Deferred Comp
CEO - Canby & Clear Lake
 60.00       X     0 0 54,749
(84) Stephen Nelson MD
Senior VP - Physician
 60.00       X     284,412 0 50,807
(85) Steve W Goetsch
Admin - Vice President
 60.00       X     260,471 0 25,379
(86) Tiffany Lawrence
Chief Financial Officer SMC Fargo
 60.00       X     204,274 0 44,554
(87) Timothy J Tracy
CEO - Vermillion
 60.00       X     207,893 0 13,768
(88) Verlyn T Carda
Health Network Vice President
 60.00       X     193,790 0 21,868
(89) William Klava MD
Fargo Service Chair
 60.00       X     343,904 0 49,307
(90) Adam T Stys
Physician SC SF
 60.00         X   1,806,030 0 25,768
(91) Marian S Petrasko
Physician SC SF
 60.00         X   1,673,312 0 25,768
(92) Scott Pham
Physician SC SF
 60.00         X   2,278,720 0 27,768
(93) Tomasz P Stys
Physician SC SF
 60.00         X   2,281,101 0 25,768
(94) Wilson T Asfora
Physician SC SF
 60.00         X   1,782,865 0 25,768
(95) Chris A Marin
Vice President - Human Resources
 60.00           X 193,684 0 14,339
(96) Evelyn Quigley
Sr Vice President
 60.00           X 207,342 0 46,727
(97) Gregory Post
Sr Vice President
 60.00           X 445,292 0 52,622
(98) Jan Haugen-Rogers
Chief Clinical Informatics
 60.00           X 266,473 0 13,197
(99) Jim L Striepe
VP Sanford Health Network
 60.00           X 142,429 0 11,401
(100) Jim L Striepe Deferred Compensation
VP Sanford Health Network
 60.00           X 0 0 16,167
(101) Orlen P Tschetter
VP - Facility & Planning HSD
 60.00           X 217,261 0 15,270
(102) Roger Gilbertson MD
President
 60.00           X 549,117 0 0
(103) Roger Lee
Treasurer
 60.00           X 155,194 0 26,910
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 35,925,012 0 3,751,906
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet1,314
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Amerisource Corp
6810 Shady Oak Rd
Eden Prairie,MN55344 		Pharmaceuticals 34,552,198
Henry Carlson Co
PO Box 84010
Sioux Falls,SD57118 		Construction 27,594,123
Owens & Minor Inc
12199 Collection Ctr Dr
Chicago,IL60693 		Medical Supplies 18,618,350
Medtronic
4642 Collection Ctr Dr
Chicago,IL60693 		Surgery Supplies 12,926,311
Cardinal Health
7000 Cardinal Place
Dublin,OH43017 		Medical Services 7,656,721
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet578
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 33,252,775
e Government grants (contributions)1e 13,663,953
f All other contributions, gifts, grants, and
similar amounts not included above1f 		3,790,563
g Noncash contributions included in lines 1a-1f:$ 13,437
h Total. Add lines 1a-1f.......MediumBullet 50,707,291
Program Service Revenue Business Code
2a Patient services 621,400 1,288,825,571 1,288,825,571    
b Medicare/Medicaid 621,400 749,617,449 749,617,449    
c Purch svcs allocations 541,900 160,379,084 160,379,084    
d Pharmacy & Optical Sal 446,110 28,324,469 26,420,720 1,903,749  
e Product & Retail Sales 446,199 21,280,634 19,011,147 2,269,487  
f All other program service revenue . 68,000,162 27,997,949 21,019,561 18,982,652
g Total. Add lines 2a–2f........MediumBullet 2,316,427,369
Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 12,441,302     12,441,302
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties............MediumBullet        
(i) Real (ii) Personal
6a Gross Rents 3,541,268  
b Less: rental expenses 3,185,823  
c Rental income or (loss) 355,445  
d Net rental income or (loss).......MediumBullet 355,445     355,445
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory   3,265,918
b Less: cost or other basis and sales expenses   4,859,984
c Gain or (loss)   -1,594,066
d Net gain or (loss)..........MediumBullet -1,594,066     -1,594,066
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a 856,822
b Less: cost of goods sold ..b 568,679
c Net income or (loss) from sales of inventory..MediumBullet 288,143     288,143
Miscellaneous Revenue Business Code
11a Data Processing/IT Ser 561,000 885,480 885,480    
b Miscellaneous 541,300 261,879 261,879    
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 1,147,359
12 Total revenue. See Instructions....MediumBullet 2,379,772,843 2,273,399,279 25,192,797 30,473,476
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 15,581,250 15,581,250
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 109,091 109,091
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 15,013 15,013
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 22,862,182   22,862,182  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages 1,015,434,821 937,692,374 77,140,732 601,715
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 45,849,451 42,577,825 3,253,655 17,971
9 Other employee benefits ....... 112,875,414 97,759,024 15,053,218 63,172
10 Payroll taxes ........... 66,939,004 59,770,489 7,121,868 46,647
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 2,033,362 11,976 2,021,386  
c Accounting ........... 1,198,968 60,389 1,138,579  
d Lobbying ...........        
e Professional fundraising. See Part IV, line 17..    
f Investment management fees ...... 100,601   100,601  
g Other .......... 108,842,589 94,371,803 14,416,786 54,000
12 Advertising and promotion .... 14,848,784 11,854,048 2,994,736  
13 Office expenses ....... 60,292,330 47,890,475 12,401,285 570
14 Information technology ...... 55,301,968 23,697,055 31,604,913  
15 Royalties ..        
16 Occupancy ........... 57,025,670 44,122,723 12,902,947  
17 Travel ............ 9,777,870 7,742,151 2,022,822 12,897
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 3,166,784 2,756,217 408,932 1,635
20 Interest ........... 25,370,781 21,352,202 4,018,579  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization ..... 100,696,920 83,295,776 17,401,144  
23 Insurance .............. 14,831,161 12,689,247 2,141,914  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a Medical Supplies 354,871,015 351,785,388 3,085,627  
b Intercompany Purchases 135,001,151 25,623,003 109,378,148  
c Bad Debt 80,052,723 79,510,780 541,943  
d Miscellaneous 20,905,064 12,439,856 8,465,208  
e
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 2,323,983,967 1,972,708,155 350,477,205 798,607
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 		       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 5,822,763 1 26,548,668
2 Savings and temporary cash investments ....... 119,422,757 2 62,436,596
3 Pledges and grants receivable, net ......... 46,173 3 0
4 Accounts receivable, net ......... 291,311,626 4 324,565,630
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L .......... 832,857 5 495,022
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 8,787,873 7 8,677,496
8 Inventories for sale or use .............. 24,333,949 8 26,898,786
9 Prepaid expenses and deferred charges ............ 18,218,716 9 25,433,528
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 1,800,490,918
b Less: accumulated depreciation. ..... 10b 864,096,067 865,447,920 10c 936,394,851
11 Investments—publicly traded securities .......... 201,312,999 11 38,493,853
12 Investments—other securities. See Part IV, line 11 ...... 11,966,188 12 2,706,733
13 Investments—program-related. See Part IV, line 11 .. 20,558,082 13 36,565,864
14 Intangible assets ......... 18,544,590 14 40,630,633
15 Other assets. See Part IV, line 11 ........... 88,063,405 15 47,752,530
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,674,669,898 16 1,577,600,190
Liabilities 17 Accounts payable and accrued expenses . 249,148,943 17 261,039,731
18 Grants payable .......... 878,828 18 365,433
19 Deferred revenue .......... 713,908 19 1,071,401
20 Tax-exempt bond liabilities .......... 459,728,660 20 442,482,721
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 66,623,708 23 82,213,759
24 Unsecured notes and loans payable to unrelated third parties .... 40,000 24  
25 Other liabilities. Complete Part X of Schedule D..... 74,436,744 25 58,166,630
26 Total liabilities. Add lines 17 through 25..... 851,570,791 26 845,339,675
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets ..... 816,476,933 27 731,862,315
28 Temporarily restricted net assets ..... 5,685,995 28 40,798
29 Permanently restricted net assets ..... 936,179 29 357,402
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ..... 823,099,107 33 732,260,515
34 Total liabilities and net assets/fund balances ..... 1,674,669,898 34 1,577,600,190
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
2,379,772,843
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
2,323,983,967
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
55,788,876
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
823,099,107
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
-146,627,468
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
732,260,515
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O............................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
Yes
 
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
Yes
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ. right arrow See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
f
g
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization? ................
11g(i)
 
 
(ii) a family member of a person described in (i) above? ......................
11g(ii)
 
 
(iii) a 35% controlled entity of a person described in (i) or (ii) above? ................
11g(iii)
 
 
h
(i)
Name of supported organization 		(ii)
EIN 		(iii)
Type of organization (described on lines 1- 9 above or IRC section (see instructions)) 		(iv)
Is the organization in col. (i) listed in your governing document? 		(v)
Did you notify the organization in col. (i) of your support? 		(vi)
Is the organization in col. (i) organized in the U.S.? 		(vii)
Amount of support?
Yes No Yes No Yes No
Total                  

For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3..            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..            
6 Public Support. Subtract line 5 from line 4.            
Section B. Total Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..            
11 Total support (Add lines 7 through 10).            
12
12
 
13
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public Support (Subtract line 7c from line 6.)            
Section B. Total Support
Calendar year (or fiscal year beginning in) (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e) 2010 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)            
13 Total support (Add lines 9, 10c, 11 and 12.).            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2010
Schedule A (Form 990 or 990-EZ) 2010
Page 4
Part IV
Supplemental Information. Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
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)
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
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
 
Schedule A (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
OMB No. 1545-0047
2010
Name of organization
Sanford Group Return
 
Employer identification number

45-3791176
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule—
Special Rules
......................... Arrow Bullet   $    
Caution. An Organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990, or check the box in the heading of its
Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part I
Name of organization
Sanford Group Return
  		Employer identification number

45-3791176
Part I
Contributors (see Instructions)
     
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
RESTRICTED
RESTRICTED
 

     
RESTRICTED
RESTRICTED  
RESTRICTED, RESTRICTED   RESTRICTED

$RESTRICTED




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Aggregate contributions		 (d)
Type of contribution
 
 
 

     
 
   

$  




(Complete Part II if there is
a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part II
Name of organization
Sanford Group Return
  		Employer identification number

45-3791176
Part II
Noncash Property (see Instructions)
     
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010)
Page 1 of 1 of Part III
Name of organization
Sanford Group Return
  		Employer identification number

45-3791176
Part III
Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
aggregating more than $1,000 for the year. (Complete columns (a) through (e) and the following line entry.)
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet $  
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
(a) No.
from
Part I		 (b)
Purpose of gift		 (c)
Use of gift		 (d)
Description of how gift is held
 
(e)
Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
       
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.
SchCMd Bullet Attach to Form 990 or Form 990-EZ. SchCMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
If the organization answered “Yes,” to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered “Yes,” to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)) Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered “Yes,” to Form 990, Part IV, Line 5 (Proxy Tax) or Form 990-EZ, Part V, line 35a (Proxy Tax), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization's direct and indirect political campaign activities on behalf of or in opposition to candidates for public office in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c) except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt funtion activities ....................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Privacy Act and Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2010

Schedule C (Form 990 or 990-EZ) 2010
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check
B Check
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
Organization's
Totals 		(b) Affiliated Group
Totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
  If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:    
  Not over $500,00020% of the amount on line 1e.    
  Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.    
  Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.    
  Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.    
  Over $17,000,000$1,000,000.    
       
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under Section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the instructions for lines 2a through 2f on page 4.)
Lobbying Expenditures During 4-Year Averaging Period
  Calendar year (or fiscal year
beginning in) 		(a) 2007 (b) 2008 (c) 2009 (d) 2010 (e) Total
             
2a Lobbying non-taxable amount          
             
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		         
             
c Total lobbying expenditures          
             
d Grassroots non-taxable amount          
             
e Grassroots ceiling amount
(150% of line 2d, column (e))		          
             
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2010


Schedule C (Form 990 or 990-EZ) 2010
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
(a)
Yes
No
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
0
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
46,460
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? If "Yes," describe in Part IV ..........................
Yes
 
709,492
j
Total. lines 1c through 1i ...................................
755,952
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carryover lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) if BOTH Part III-A, lines 1 and 2 are answered “No” OR if Part III-A, line 3 is answered “Yes”.
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) non-deductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ...........................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Complete this part to provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; and Part ll-B, line 1i.
Also, complete this part for any additional information.
Identifier Return Reference Explanation
Explanation of Other Lobbying Activities: Part II-B, Line 1i: 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.
Schedule C (Form 990 or 990EZ) 2010

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance .... 28,174,889 25,346,658 25,196,898
b Contributions ........ 8,185,089 2,700,378 431,296
c Investment earnings or losses ... 191,403 255,403 -183,069
d Grants or scholarships ..... 0 18,200 19,750
e Other expenditures for facilities
and programs ........ 		6,269 105,017 69,167
f Administrative expenses .... 4,233 4,333 9,550
g End of year balance ...... 36,540,879 28,174,889 25,346,658
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet100.000 %
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
No
(ii) related organizations ........................
3a(ii)
Yes
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................   92,957,678 92,957,678
b Buildings ................   735,807,542 308,972,179 426,835,363
c Leasehold improvements ............   52,510,670 15,953,287 36,557,383
d Equipment ................   850,190,092 537,812,454 312,377,638
e Other .................   69,024,936 1,358,147 67,666,789
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 936,394,851
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes  
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

Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 58,166,630
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1  
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2  
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3  
4 Net unrealized gains (losses) on investments .......................... 4  
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8  
9 Total adjustments (net). Add lines 4 - 8 ............................. 9  
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10  
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5  
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5  
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
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 D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE F
(Form 990)

Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,
Part IV, line 14b, 15, or 16.
Right pointing arrow large image Attach to Form 990. Right pointing arrow large image See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Part I
General Information on Activities Outside the United States. Complete if the organization answered
“Yes” to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of the grants or
assistance, the grantees' eligibility for the grants or assistance, and the selection criteria used to award
the grants or assistance? ...................................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of grant funds outside the
United States.
3
Activites per Region. (Use Part V if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees or agents in region or independent contractors (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total
expenditures for region/investments
in region
East Asia and the Pacific 0 0 Program Services Investigate potential clinic sites and obtain goods/services 10,468
Europe (Including Iceland & Greenland) 0 0 Program Services Investigate potential clinic sites and obtain goods/services 259,262
Middle East and North Africa 0 0 Program Services Investigate potential clinic sites 6,564
North America 0 0 Program Services Investigate potential clinic sites and obtain goods/services 19,345
South America 0 0 Program Services Obtain goods/services 15,013
South Asia 0 0 Program Services Surgical mission trip 8,198
Sub-Saharan Africa 0 0 Program Services Investigate potential clinic sites and obtain goods/services 35,011
           
           
           
           
           
           
           
           
           
           
3a Sub-total ..... 0 0 353,861
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 353,861
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990,
Part IV, line 15, for any recipient who received more than $5,000. Check this box if no one recipient received more than $5,000 ........ MediumBullet
Use Part V if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (c) Region (d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount of
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2
Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .....MediumBullet
 
3
Enter total number of other organizations or entities ........................MediumBullet
 
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Use Part V if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926 (see instructions for Form 926).................
2 Did the organization have an interest in a foreign trust during the tax year? If " Yes," the organization may be required to file Form 3520 and/or Form 3520-A. (see instructions for Forms 3520 and 3520-A)..........
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with respect to Certain Foreign Corporations. (see instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If "Yes," the organization may be required to file Form 8621, Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see instructions for Form 8621)
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with respect to Certain Foreign Partnerships. (see instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see instructions for Form 5713)................................................
Schedule F (Form 990) 2010
Schedule F (Form 990) 2010
Page 5
Part V
Supplemental Information
Complete this part to provide the information (see instructions) required in Part I, line 2, and any additional information.
Identifier ReturnReference Explanation
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
Schedule F (Form 990) 2010
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990. MediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Part I
Charity Care and Certain Other Community Benefits at Cost
Yes
No
1a
Does the organization have a charity care policy? If "No," skip to question 6a...........
1a
Yes
 
b
If "Yes," is it a written policy? .......................
1b
Yes
 
2
If the organization has multiple hospitals, indicate which of the following best describes application of the charity care policy to the various hospitals.
3
Answer the following based on the charity care eligibility criteria that applies to the largest number of the organization's patients.
a
Does the organization use Federal Poverty Guidelines (FPG) to determine eligibility for providing free care to low
income individuals? If "Yes," indicate which of the following is the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Does the organization use FPG to determine eligibility for providing discounted care to low income individuals? If
"Yes," indicate which of the following is the family income limit for eligibility for discounted care: .....
3b
Yes
 
c
If the organization does not use FPG to determine eligibility, describe in Part VI the income based criteria for determining eligibility for free or discounted care. Include in the description whether the organization uses an asset test or other threshold, regardless of income, to determine eligibility for free or discounted care.
4
Does the organization's policy provide free or discounted care to the "medically indigent"? ......
4
Yes
 
5a
Does the organization budget amounts for free or discounted care provided under its charity care policy? ...
5a
Yes
 
b
If "Yes," did the organization's charity care expenses exceed the budgeted amount?.........
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discounted
care to a patient who was eligibile for free or discounted care?...............
5c
 
 
6a
Does the organization prepare an annual community benefit report?.............
6a
Yes
 
6b
If "Yes," does the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Charity Care and Certain Other Community Benefits at Cost
Charity Care and
Means-Tested Government Programs		 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Charity care at cost (from
Worksheets 1 and 2) .. 		    24,348,312 0 24,348,312 1.090 %
b Unreimbursed Medicaid (from
Worksheet 3, column a) . 		    127,919,856 102,042,461 25,877,395 1.150 %
c Unreimbursed costs—other means-tested government programs (from Worksheet 3, column b) ....            
dTotal Charity Care and
Means-Tested Government Programs ..... 		    152,268,168 102,042,461 50,225,707 2.240 %
Other Benefits
e Community health improvement
services and community
benefit operations (from
(Worksheet 4) .... 		    2,269,622 130,925 2,138,697 0.100 %
f Health professions education
(from Worksheet 5) .. 		    11,655,690 4,161,286 7,494,404 0.330 %
g Subsidized health services
(from Worksheet 6) .. 		    178,917,975 109,424,585 69,493,390 3.100 %
h Research (from Worksheet 7)     21,565,865 47,854 21,518,011 0.960 %
i Cash and in-kind contributions
to community groups
(from Worksheet 8) .. 		    11,016,504 125 11,016,379 0.490 %
jTotal Other Benefits ...     225,425,656 113,764,775 111,660,881 4.980 %
kTotal. Add lines 7d and 7j. ..     377,693,824 215,807,236 161,886,588 7.220 %
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 2
Part II
Community Building Activities Complete this table if the organization conducted any community building activities.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     14,975 196 14,779 0 %
2 Economic development     19,478   19,478 0 %
3 Community support     88,004   88,004 0 %
4 Environmental improvements            
5 Leadership development and training for community members     152   152 0 %
6 Coalition building     474,427   474,427 0.020 %
7 Community health improvement advocacy     82,854   82,854 0 %
8 Workforce development     126,422   126,422 0.010 %
9 Other     10,667   10,667 0 %
10 Total     816,979 196 816,783 0.030 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Does the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense (at cost).....
2
52,405,779
3
Enter the estimated amount of the organization's bad debt expense (at cost) attributable to patients eligible under the organization's charity care policy ..
3
0
4
Provide in Part VI the text of the footnote to the organization's financial statements that describes bad debt expense. In addition, describe the costing methodology used in determining the amounts reported on lines 2 and 3, and rationale for including a portion of bad debt amounts as community benefit.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
329,050,270
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
318,396,004
7
Subtract line 6 from line 5. This is the surplus or (shortfall)........
7
10,654,266
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.
Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.
Check the box that describes the method used:
Section C. Collection Practices
9a
Does the organization have a written debt collection policy? ...............
9a
Yes
 
b
If "Yes," does the organization's collection policy contain provisions on the collection practices to be followed for patients who are known to qualify for charity care or financial assistance? Describe in Part VI......
9b
Yes
 
Part IV
Management Companies and Joint Ventures
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership% 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 3
Part VFacility Information
Section A. Hospital Facilities
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many hospital facilities did the organization operate during the tax year?18
Name and address 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital Research Facility ER-24Hours ER-Other Other (Describe)
1 Sanford USD Medical Center
1305 W 18th Street
Sioux Falls,SD57117 		X X X X     X    
2 Sanford Medical Center Fargo
801 Broadway North
Fargo,ND58122 		X X X X     X    
3 Sanford Medical Center Thief River Falls
120 LaBree Avenue South
Thief River Falls,MN56701 		X X     X   X   Inpatient Mental Health
4 Sanford Regional Hospital Worthington
1018 6th Avenue
Worthington,MN56187 		X X     X   X    
5 Sanford Medical Center South University
1720 South University
Fargo,ND58103 		X X   X          
6 Sanford Sheldon Medical Center
118 N 7th Avenue
Sheldon,IA51201 		X X     X   X    
7 Sanford Vermillion Hospital
20 S Plum
Vermillion,SD57069 		X X     X   X    
8 Sanford Hospital Luverne
1600 N Kniss Avenue
Luverne,MN56156 		X X     X   X    
9 Sanford Mid-Dakota Hospital
300 S Byron Blvd
Chamberlain,SD57325 		X X     X   X    
10 Sanford Canby Medical Center
112 St Olaf Avenue S
Canby,MN56220 		X X     X   X   Nursing Facility
11 Sanford Jackson Medical Center
1430 N Highway
Jackson,MN56143 		X X     X   X    
12 Sanford Tracy Medical Center
251 Fifth Street E
Tracy,MN56175 		X X     X   X    
13 Sanford Hospital Rock Rapids
801 S Greene Street
Rock Rapids,IA51246 		X X     X   X    
14 Sanford Hospital Webster
1401 W 1st Street
Webster,SD57274 		X X     X   X    
15 Sanford Hospital Canton-Inwood
440 N Hiawatha Drive
Canton,SD57013 		X X     X   X    
16 Sanford Medical Center Mayville
42 6th Avenue SE
Mayville,ND58257 		X X     X   X    
17 Sanford Westbrook Medical Ctr
920 Bell Avenue
Westbrook,MN56183 		X X     X   X    
18 Sanford Deuel County Medical Center
701 3rd Avenue
Clear Lake,SD57226 		X X     X   X    
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices.

(Complete a separate Section B for each of the hospital facilities listed in Part V, Section A)
Name of Hospital Facility:NA
Line Number of Hospital Facility (from Schedule H, Part V, Section A):1

Yes No
Community Health Needs Assessment (Lines 1 through 7 are optional for 2010)
1 During the tax year or any prior tax year, did the hospital facility conduct a community health needs assessment (“Needs Assessment”)? If “No,” skip to question 8. ..................... 1    
If “Yes,” indicate what the Needs Assessment describes (check all that apply):
a A definition of the community served by the hospital facility
b Demographics of the community
c Existing health care facilities and resources within the community that are available to respond to the health needs of the community
d How data was obtained
e The health needs of the community
f Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups
g The process for identifying and prioritizing community health needs and services to meet those needs
h The process for consulting with persons representing the community’s interests
i Information gaps that limit the hospital facility’s ability to assess all of the community’s health needs
j Other (describe in Part VI)
2 Indicate the tax year the hospital facility last conducted a Needs Assessment: 20  
3 In conducting its most recent Needs Assessment, did the hospital facility take into account input from persons who represent the community served by the hospital facility? If “Yes,” describe in Part VI how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted. 3    
4 Was the hospital facility’s Needs Assessment conducted with one or more other hospital facilities? If “Yes,” list the other hospital facilities in Part VI............................ 4    
5 Did the hospital facility make its Needs Assessment widely available to the public? ........... 5    
If “Yes,” indicate how the Needs Assessment was made widely available (check all that apply):
a Hospital facility’s website
b Available upon request from the hospital facility
c Other (describe in Part VI)
6 If the hospital facility addressed needs identified in its most recently conducted Needs Assessment, indicate how (check all that apply):
a Adoption of an implementation strategy to address the health needs of the hospital facility’s community
b Execution of the implementation strategy
c Development of a community benefit plan for the facility
d Participation in community-wide community benefit plan
e Inclusion of a community benefit section in operational plans
f Adoption of a budget for provision of services that address the needs identified in the CHNA
g Prioritization of health needs in the community
h Prioritization of services that the hospital facility will undertake to meet health needs in its community
i Other (describe in Part VI)
7 Did the hospital facility address all of the needs identified in its most recently conducted Needs Assessment? If “No,” explain in Part VI which needs it has not addressed together with the reasons why it has not addressed such needs. 7    
Financial Assistance Policy
Did the hospital facility have in place during the tax year a written financial assistance policy that:
8 Explains eligibility criteria for financial assistance, and whether such assistance includes free or discounted care? 8    
9 Used federal poverty guidelines (FPG) to determine eligibility for providing free care to low incomeindividuals?.. 9    
If “Yes,” indicate the FPG family income limit for eligibility for free care:   %
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 5
Part VFacility Information (continued)

Yes No
10 Used FPG to determine eligibility for providing discounted care to low income individuals?......... 10    
If “Yes,” indicate the FPG family income limit for eligibility for discounted care:   %
11 Explained the basis for calculating amounts charged to patients?................. 11    
If “Yes,” indicate the factors used in determining such amounts (check all that apply):
a Income level
b Asset level
c Medical indigency
d Insurance status
e Uninsured discount
f Medicaid/Medicare
g State regulation
h Other (describe in Part VI)
12 Explained the method for applying for financial assistance?................... 12    
13 Included measures to publicize the policy within the community served by the hospital facility?....... 13    
If “Yes,” indicate how the hospital facility publicized the policy (check all that apply):
a The policy was posted at all times on the hospital facility’s web site
b The policy was attached to all billing invoices
c The policy was posted in the hospital facility’s emergency rooms or waiting rooms
d The policy was posted in the hospital facility’s admissions offices
e The policy was provided, in writing, to patients upon admission to the hospital facility
f The policy was available upon request
g Other (describe in Part VI)
Billing and Collections
14 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy that explained actions the hospital facility may take upon non-payment?........ 14    
15 Check all of the following collection actions against a patient that were permitted under the hospital facility's policies at any time during the tax year:
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments or arrests
e Other (describe in Part VI)
16 Did the hospital facility engage in or authorize a third party to engage in any of the following collection actions during the tax year?................................... 16    
If “Yes,” check all collection actions in which the hospital facility or a third party engaged (check all that apply):
a Reporting to credit agency
b Lawsuits
c Liens on residences
d Body attachments
e Other (describe in Part VI)
17 Indicate which actions the hospital facility took before initiating any of the collection actions checked in question 16 (check all that apply):
a Notified patients of the financial assistance policy upon admission
b Notified patients of the financial assistance policy prior to discharge
c Notified patients of the financial assistance policy in communications with the patients regarding the patients’ bills
d Documented its determination of whether a patient who applied for financial assistance under the financial assistance policy qualified for financial assistance
e Other (describe in Part VI)
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 6
Part VFacility Information (continued)

Policy Relating to Emergency Medical Care
Yes No
18 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that requires the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.......... 18    
If “No,” indicate the reasons why (check all that apply):
a The hospital facility did not provide care for any emergency medical conditions
b The hospital facility did not have a policy relating to emergency medical care
c The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Part VI)
d Other (describe in Part VI)
Charges for Medical Care
19 Indicate how the hospital facility determined the amounts generally billed to individuals who had insurance covering emergency or other medically necessary care (check all that apply):
a The hospital facility used the lowest negotiated commercial insurance rate for those services at the hospital facility
b The hospital facility used the average of the three lowest negotiated commercial insurance rates for those services at the hospital facility
c The hospital facility used the Medicare rate for those services
d Other (describe in Part VI)
20 Did the hospital facility charge any of its patients who were eligible for assistance under the hospital facility’s financial assistance policy, and to whom the hospital facility provided emergency or other medically necessary services, more than the amounts generally billed to individuals who had insurance covering such care?......... 20    
If “Yes,” explain in Part VI.
21 Did the hospital facility charge any of its patients an amount equal to the gross charge for services provided to that patient?................................... 21    
If “Yes,” explain in Part VI.
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 7
Part VFacility Information (continued)

Section C. Other Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, measured by total revenue per facility, from largest to smallest)
How many non-hospital facilities did the organization operate during the tax year?82
Name and address Type of Facility (Describe)
1 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
2 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
3 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
4 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
5 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
6 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
7 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
8 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
9 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
10 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
11 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
12 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
13 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
14 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
15 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
16 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
17 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
18 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
19 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
20 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
21 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
22 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
23 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
24 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
25 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
26 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
27 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
28 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
29 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
30 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
31 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
32 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
33 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
34 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
35 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
36 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
37 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
38 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
39 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
40 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
41 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
42 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
43 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
44 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
45 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
46 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
47 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
48 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
49 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
50 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
51 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
52 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
53 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
54 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
55 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
56 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
57 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
58 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
59 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
60 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
61 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
62 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
63 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
64 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
65 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
66 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
67 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
68 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
69 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
70 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
71 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
72 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
73 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
74 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
75 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
76 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
77 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
78 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
79 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
80 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
81 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
82 Sanford Home Care Fargo
1711 S Unversity Dr
Fargo,ND58122 		Home Health Agency
Schedule H (Form 990) 2010
Schedule H (Form 990) 2010
Page 8
Part VI
Supplemental Information
Complete this part to provide the following information.
1 Required descriptions. Provide the description required for Part I, lines 3c, 6a, and 7; Part II; Part III, lines 4, 8, and 9b; and Part V, Section B, lines 1j, 2, 4c, 6i, 7, 11i, 13i, 17l, 18l, 19e, 21d, 25, and 26.
2 Community health needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any community health needs assessments reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Identifier ReturnReference Explanation
    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 H (Form 990) 2010
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Sanford Group Return
 
Employer identification number
45-3791176
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed ......................... lBullet
(a) Name and address of organization
or government		 (b) EIN (c) IRC Code section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Aberdeen Public1224 3rd Street South
Aberdeen,SD57401 		46-0423109 501 (c) 3 7,500       General support
(2) Absolutely Aberdeen416 Production St N
Aberdeen,SD57401 		52-2424588 501 (c) 6 40,000       General support
(3) Alzheimers Association1000 N West Avenue Ste 250
Sioux Falls,SD57104 		13-3039601 501 (c) 3 7,500       General support
(4) American Academy of Pediatrics38367 Eagle Way
Chicago,IL606781383 		36-2275597 501 (c) 3 10,000       General support
(5) American Cancer Society4904 S Technopolis Dr
Sioux Falls,SD57106 		41-0724036 501 (c) 3 21,600       General support
(6) American Cancer Society Inc250 Williams Street NW
Atlanta,GA30303 		13-1788491 501 (c) 3 8,500       General support
(7) American Heart Association Inc7272 Greenville Ave
Dallas,TX75231 		13-5613797 501 (c) 3 107,500       General support
(8) Augustana College2001 S Summit Ave
Sioux Falls,SD57197 		46-0224588 501 (c) 3 448,890       General support
(9) Bemidji State University Foundation1500 Birchmont Dr NE 17
Bemidji,MN56601 		23-7044156 501 (c) 3 70,000       General support
(10) Bethany Christian400 S Sycamore Ave Ste 105-2
Sioux Falls,SD571101255 		20-5485352 501 (c) 3 7,500       General support
(11) Boys & Girls Club1111 1st Ave SE
Aberdeen,SD57401 		23-7062273 501 (c) 3 33,500       General support
(12) Brandon Valley Booster ClubPO Box 572
Brandon,SD57005 		46-6002577 501 (c) 6 7,500       General support
(13) Burnham Insitute for Medical Research10901 N Torrey Pines Road
LaJolla,CA92037 		51-0197108 501 (c) 3 4,000,000       General support
(14) CASA415 N Dakota Ave PO Box 1901
Sioux Falls,SD571013001 		46-0430647 501 (c) 3 10,000       General support
(15) CCHS2501 W 26th St
Sioux Falls,SD571052498 		46-0233030 501 (c) 3 8,000       General support
(16) Chamber of CommercePO Box 1425
Sioux Falls,SD571011425 		46-0189300 501 (c) 6 9,000       General support
(17) Chamber of Commerce of Fargo Moorhead202 1st Ave N
Moorhead,MN56560 		45-0448041 501 (c) 6 12,633       General support
(18) Childrens Home Society Foundation801 N Sycamore Ave PO Box 1749
Sioux Falls,SD571011749 		46-0224542 501 (c) 3 7,000       General support
(19) Cystic Fibrosis Foundation8011 34th Ave S Suite 116
Bloomington,MN55425 		13-1930701 501 (c) 3 15,000       General support
(20) Dakota Alliance401 W 39th Street
Sioux Falls,SD57105 		46-0359817 501 (c) 3 40,000       General support
(21) Dakotabilities3600 S Duluth Ave
Sioux Falls,SD57105 		46-0306216 501 (c) 3 6,000       General support
(22) Detroit Lakes Community & Cultural Center826 Summit Ave
Detroit Lakes,MN56501 		41-1970351 501 (c) 3 10,000       General support
(23) Downtown Community Partnership203 4th Ave N
Fargo,ND58102 		45-0314187 501 (c) 3 30,000       General support
(24) Fargo Moorhead Rotary FoundationPO Box 684
Fargo,ND58107 		20-3453808 501 (c) 3 6,000       General support
(25) Fargo Public Schools415 N 4th St
Fargo,ND58102 		31-1733797 501 (c) 3 8,903       General support
(26) Fellowship of Christian Athletes1101 W 22nd St
Sioux Falls,SD57105 		44-0610626 501 (c) 3 11,500       General support
(27) Focus WatertownPO Box 332
Watertown,SD57201 		47-0813269 501 (c) 6 7,500       General support
(28) Forward Sioux FallsPO Box 907
Sioux Falls,SD571010907 		46-0396647 501 (c) 6 200,000       General support
(29) Freeman FoundationPO Box C
Freeman,SD57029 		27-2949021 501 (c) 3 10,000       General support
(30) Greater FM Economic Development Corporation51 Broadway
Fargo,ND58102 		45-6011769 501 (c) 3 40,000       General support
(31) Handi Riders IncPO Box 1604
Sioux Falls,SD57101 		46-0378036 501 (c) 3 6,000       General support
(32) Impact Foundation4152 30th Ave S Suite 102
Fargo,ND58104 		20-0520386 501 (c) 3 10,000       General support
(33) Jamestown College6088 College Ln
Jamestown,ND58405 		45-0231180 501 (c) 3 6,000       General support
(34) Junior Achievement1000 N West Ave 100
Sioux Falls,SD57104 		46-0306352 501 (c) 3 20,725       General support
(35) Juvenile Diabetes Research Foundation120 Wall St 19th Floor
New York,NY10005 		23-1907729 501 (c) 3 150,000       Juvenille diabetes research
(36) Kilian Community College300 East 6th St
Sioux Falls,SD57103 		46-0385443 501 (c) 3 10,000       General support
(37) Lincoln High School201 E 38th Street
Sioux Falls,SD57105 		46-6002540 501 (c) 3 11,000       General support
(38) Lutheran Social Services of MN2845 Como Ave
Saint Paul,MN55108 		41-0872993 501 (c) 3 10,000       General support
(39) Mike Miller Foundation2107 Quiett Lane
Mitchell,SD57301 		30-0015773 501 (c) 3 20,000       General support
(40) Missouri Valley Growth Inc116 Market Street
Vermillion,SD57069 		27-0514271 501 (c) 3 10,000       Support economic development
(41) Nike Team NationalOne Bowerman Drive
Beaverton,OR97005 		27-0479547 501 (c) 3 6,500       General support
(42) North Country Health Services Foundation1300 Anne St NW
Bemidji,MN56601 		41-1389317 501 (c) 3 205,000       General support
(43) Northern Bull RidingPO Box 96
Long Valley,SD57547 		20-2241939 501 (c) 3 10,000       General support
(44) NW Iowa Community College Foundation603 W Park St
Sheldon,IA51201 		42-1275893 501 (c) 3 14,250       Support prog/learning
(45) Orab Booster Club1700 East 4th Street
Sheldon,IA51201 		20-0235491 501 (c) 3 9,250       Support athletic program
(46) Roosevelt High School201 E 38th Street
Sioux Falls,SD57105 		46-6002586 501 (c) 3 12,340       General support
(47) Sanford Health Foundation1305 W 18th Street
Sioux Falls,SD57105 		36-3297853 501 (c) 3 60,000       General support
(48) Sanford Health Foundation NorthPO Box 2010
Fargo,ND58122 		45-0398104 501 (c) 3 20,125       General support
(49) SD Achieve4100 S Western Ave
Sioux Falls,SD57105 		46-0402915 501 (c) 3 16,000       General support
(50) SD Corn Growers5109 S Crossing Place Suite 1
Sioux Falls,SD57108 		46-0392991 501 (c) 5 6,500       General support
(51) SD High School Act804 N Euclid Suite 102
Pierre,SD57501 		46-0226282 501 (c) 3 180,000       General support
(52) SD Symphony Orchestra300 North Dakota Ave Ste 116
Sioux Falls,SD57104 		46-6017026 501 (c) 3 10,000       General support
(53) SD Synod2001 S Summit Ave
Sioux Falls,SD57197 		36-3512774 501 (c) 3 11,500       General support
(54) SD Voices for ChildrenPO Box 2196
Sioux Falls,SD571012196 		46-0425502 501 (c) 3 10,000       General support
(55) South Dakota State University815 Medary Ave PO Box 525
Brookings,SD57007 		46-0273801 501 (c) 3 9,000       General support
(56) SF Area Community300 N Phillips Ave 102
Sioux Falls,SD57104 		31-1748533 501 (c) 3 16,000       General support
(57) SF Catholic School3100 W 41st St
Sioux Falls,SD57105 		46-0413591 501 (c) 3 250,000       General support
(58) SF Cyclones7605 Loganberry St
Sioux Falls,SD57106 		27-4705069 501 (c) 3 10,000       General support
(59) SF Jazz & Blues Society123 S Main Ave Ste 204
Sioux Falls,SD57104 		46-0418356 501 (c) 3 15,000       General support
(60) Sheldon Education Foundation1700 East 4th Street
Sheldon,IA51201 		42-1316980 501 (c) 3 19,343       Sponsorship
(61) Sioux Empire Community TheaterPO Box 767
Sioux Falls,SD57101 		80-0074622 501 (c) 3 6,000       General support
(62) Sioux Falls Christian6120 Charger Circle
Sioux Falls,SD571091110 		46-0340024 501 (c) 3 259,000       General support
(63) Sioux Falls Schools201 E 38th Street
Sioux Falls,SD57105 		46-6002586 501 (c) 3 15,000       General support
(64) Sioux Falls Seminary1525 S Grange Avenue
Sioux Falls,SD57105 		46-0237098 501 (c) 3 100,000       General support
(65) Sioux Falls Sports200 N Phillips Ave Ste 303
Sioux Falls,SD57104 		20-5850491 501 (c) 3 52,500       General support
(66) Southeast Technical2320 N Career Ave
Sioux Falls,SD57107 		36-4112897 501 (c) 3 11,000       General support
(67) Special Olympics305 W 39th St
Sioux Falls,SD57105 		46-0359776 501 (c) 3 10,000       General support
(68) Southwest Initiative Foundation15 3rd Avenue NW
Hutchinson,MN55350 		41-1555592 501 (c) 3 6,250       General support
(69) Transitional Living2601 S Minnesota Ave Ste 105 PMB
378
Sioux Falls,SD571054750 		20-0293050 501 (c) 3 50,000       General support
(70) Tri-College University650 NP Ave Suite 110
Fargo,ND58102 		23-7102720 501 (c) 3 75,000       General support
(71) United Way1000 North West Ave 120
Sioux Falls,SD571041314 		46-0233701 501 (c) 3 86,000       General support
(72) United Way of Cass ClayPO Box 1609
Fargo,ND58107 		41-0810008 501 (c) 3 90,000       General support
(73) University of North Dakota3100 University Ave S
Grand Forks,ND58202 		45-0348296 501 (c) 3 600,000       General support
(74) University of South Dakota Foundation1110 N Dakota Street PO Box 5555
Vermillion,SD570695555 		46-6018891 501 (c) 3 3,000,000       General support
(75) University of South Dakota414 E Clark St
Vermillion,SD57069 		46-6000364 501 (c) 3 14,200       Scholarships, sports medicine sponsorship
(76) University of Wisconsin600 Highland Ave
Madison,WI53792 		39-0743975 501 (c) 3 15,000       General support
(77) USD Coyote Athletics1110 N Dakota Street PO Box 5555
Vermillion,SD570695555 		46-6018891 501 (c) 3 135,750       General support
(78) USD School of Medicine1400 W 22nd Street
Sioux Falls,SD571051581 		46-0418678 501 (c) 3 51,504       General support
(79) Valley City State University101 College St
Valley City,ND58072 		23-7178785 501 (c) 3 6,500       General support
(80) Volunteers of America1309 West 51st St PO Box 89306
Sioux Falls,SD571099306 		23-7353508 501 (c) 3 10,000       General support
(81) West Central Initiative1000 Western Ave
Fergus Falls,MN56537 		36-3453471 501 (c) 3 20,000       General support
(82) YMCA230 S Minnesota Ave
Sioux Falls,SD57104 		46-0225021 501 (c) 3 113,500       General support
(83) YWCA300 W 11th Street
Sioux Falls,SD57104 		46-0234998 501 (c) 3 8,375       General support
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
76
3
Enter total number of other organizations ................................ . Bullet Image
7
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance
(1) Scholarships 39 74,000      
(2) Rad Tech Program 1 7,500      
(3) Employee Crisis Fund 8 26,466      









Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Procedure for Monitoring Grants in the U.S.: Part I, Line 2: 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.
Schedule I (Form 990) 2010


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
Yes
 
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
Yes
 
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) John C Vanderwoude (i)
(ii)		 1,000,000
0 		0
0 		184,560
0 		7,350
0 		23,351
0 		1,215,261
0 		0
0
(2) Mark Paulson MD (i)
(ii)		 196,432
0 		0
0 		23,604
0 		31,527
0 		14,994
0 		266,557
0 		0
0
(3) Michael L Olson (i)
(ii)		 504,486
0 		0
0 		13,969
0 		0
0 		6,998
0 		525,453
0 		0
0
(4) Michael L Olson Deferred Comp (i)
(ii)		 0
0 		0
0 		0
0 		46,935
0 		0
0 		46,935
0 		0
0
(5) Richard D Hardie (i)
(ii)		 414,473
0 		0
0 		29,961
0 		7,350
0 		10,993
0 		462,777
0 		0
0
(6) Terrence Grimm MD (i)
(ii)		 500,004
0 		0
0 		85,883
0 		34,928
0 		7,400
0 		628,215
0 		0
0
(7) Kelby K Krabbenhoft (i)
(ii)		 789,232
0 		0
0 		485,282
0 		0
0 		19,513
0 		1,294,027
0 		0
0
(8) Kelby K Krabbenhoft Deferred Comp (i)
(ii)		 0
0 		0
0 		0
0 		565,838
0 		0
0 		565,838
0 		0
0
(9) Lisa Carlson (i)
(ii)		 335,811
0 		0
0 		82,301
0 		34,928
0 		16,979
0 		470,019
0 		0
0
(10) Andrew Richburg (i)
(ii)		 293,295
0 		0
0 		145,019
0 		12,250
0 		11,417
0 		461,981
0 		0
0
(11) Bill Marlette (i)
(ii)		 440,759
0 		0
0 		254,596
0 		0
0 		1,438
0 		696,793
0 		0
0
(12) Bill Marlette Deferred Compensation (i)
(ii)		 0
0 		0
0 		0
0 		129,024
0 		0
0 		129,024
0 		0
0
(13) David Link (i)
(ii)		 490,391
0 		0
0 		284,536
0 		0
0 		22,230
0 		797,157
0 		0
0
(14) David Link Deferred Compensation (i)
(ii)		 0
0 		0
0 		0
0 		203,714
0 		0
0 		203,714
0 		0
0
(15) Paul Richard (i)
(ii)		 314,418
0 		0
0 		81,508
0 		34,928
0 		16,979
0 		447,833
0 		0
0
(16) Rebecca Nelson (i)
(ii)		 587,150
0 		0
0 		275,065
0 		0
0 		14,877
0 		877,092
0 		0
0
(17) Rebecca Nelson Deferred Compensatio (i)
(ii)		 0
0 		0
0 		0
0 		210,701
0 		0
0 		210,701
0 		0
0
(18) Arlyn Broekhuis (i)
(ii)		 285,923
0 		0
0 		86,686
0 		7,350
0 		17,326
0 		397,285
0 		0
0
(19) Bradley J Schipper (i)
(ii)		 197,822
0 		300
0 		22,098
0 		5,981
0 		19,950
0 		246,151
0 		0
0
(20) Bruce D Viessman (i)
(ii)		 177,292
0 		0
0 		40,084
0 		6,092
0 		20,960
0 		244,428
0 		0
0
(21) Bruce Pitts MD (i)
(ii)		 457,914
0 		0
0 		99,733
0 		34,928
0 		16,694
0 		609,269
0 		0
0
(22) Bryan J Nermoe (i)
(ii)		 196,611
0 		300
0 		36,813
0 		6,245
0 		13,748
0 		253,717
0 		0
0
(23) Cecily L Tucker (i)
(ii)		 205,997
0 		0
0 		57,933
0 		7,346
0 		20,960
0 		292,236
0 		0
0
(24) Charles Breen MD (i)
(ii)		 271,762
0 		0
0 		208,334
0 		34,928
0 		16,299
0 		531,323
0 		0
0
(25) Charles P O'Brien (i)
(ii)		 412,612
0 		0
0 		197,496
0 		0
0 		21,195
0 		631,303
0 		0
0
(26) Charles P O'Brien Deferred Comp (i)
(ii)		 0
0 		0
0 		0
0 		50,479
0 		0
0 		50,479
0 		0
0
(27) Christine Harff (i)
(ii)		 173,617
0 		0
0 		11,947
0 		26,292
0 		16,329
0 		228,185
0 		0
0
(28) Craig Hewitt (i)
(ii)		 236,379
0 		0
0 		29,180
0 		34,928
0 		17,979
0 		318,466
0 		0
0
(29) Daniel Olson (i)
(ii)		 148,560
0 		0
0 		60,055
0 		29,422
0 		17,007
0 		255,044
0 		0
0
(30) Daniel W Blue (i)
(ii)		 403,385
0 		0
0 		175,511
0 		47,520
0 		19,378
0 		645,794
0 		0
0
(31) Dave R Hove (i)
(ii)		 172,056
0 		300
0 		20,953
0 		5,208
0 		18,385
0 		216,902
0 		0
0
(32) Dennis Millirons (i)
(ii)		 428,166
0 		0
0 		122,830
0 		13,136
0 		17,694
0 		581,826
0 		0
0
(33) Diana Berkland (i)
(ii)		 211,706
0 		300
0 		25,449
0 		0
0 		1,124
0 		238,579
0 		0
0
(34) Diana Berkland Deferred Compensatio (i)
(ii)		 0
0 		0
0 		0
0 		80,641
0 		0
0 		80,641
0 		0
0
(35) Donald Marty (i)
(ii)		 171,063
0 		0
0 		14,452
0 		25,658
0 		15,654
0 		226,827
0 		0
0
(36) Douglas Okland (i)
(ii)		 167,951
0 		0
0 		9,639
0 		25,199
0 		17,694
0 		220,483
0 		0
0
(37) Douglas Vang (i)
(ii)		 719,167
0 		0
0 		41,636
0 		552
0 		10,523
0 		771,878
0 		0
0
(38) Edmond L Weiland (i)
(ii)		 281,308
0 		0
0 		114,609
0 		7,350
0 		16,585
0 		419,852
0 		0
0
(39) Ellen Cooke (i)
(ii)		 203,485
0 		0
0 		28,080
0 		32,951
0 		5,773
0 		270,289
0 		0
0
(40) Howard Hoody MD (i)
(ii)		 279,852
0 		0
0 		10,887
0 		34,928
0 		16,494
0 		342,161
0 		0
0
(41) James Volk MD (i)
(ii)		 309,182
0 		0
0 		51,190
0 		34,928
0 		15,894
0 		411,194
0 		0
0
(42) Jeff D Sandene (i)
(ii)		 287,500
0 		0
0 		96,606
0 		7,350
0 		17,319
0 		408,775
0 		0
0
(43) Jeffrey Hoss (i)
(ii)		 260,000
0 		0
0 		21,751
0 		34,928
0 		17,682
0 		334,361
0 		0
0
(44) JoAnn L Kunkel (i)
(ii)		 282,690
0 		0
0 		97,708
0 		7,350
0 		17,326
0 		405,074
0 		0
0
(45) Kaleen Santema (i)
(ii)		 198,647
0 		300
0 		26,581
0 		0
0 		17,230
0 		242,758
0 		0
0
(46) Kaleen Santema Deferred Compensatio (i)
(ii)		 0
0 		0
0 		0
0 		51,216
0 		0
0 		51,216
0 		0
0
(47) Karen A Tobin (i)
(ii)		 202,519
0 		300
0 		28,150
0 		6,122
0 		5,906
0 		242,997
0 		0
0
(48) Kenneth P Aspaas (i)
(ii)		 272,538
0 		300
0 		35,211
0 		0
0 		15,214
0 		323,263
0 		0
0
(49) Kenneth P Aspaas Deferred Comp (i)
(ii)		 0
0 		0
0 		0
0 		55,627
0 		0
0 		55,627
0 		0
0
(50) Kevin Lampe (i)
(ii)		 209,285
0 		300
0 		21,197
0 		6,325
0 		15,525
0 		252,632
0 		0
0
(51) Kim J Patrick (i)
(ii)		 303,696
0 		0
0 		134,826
0 		35,520
0 		19,480
0 		493,522
0 		0
0
(52) Linda O'Halloran (i)
(ii)		 299,379
0 		0
0 		42,142
0 		34,928
0 		3,976
0 		380,425
0 		0
0
(53) Lynn W Olson (i)
(ii)		 176,631
0 		300
0 		18,749
0 		5,308
0 		18,451
0 		219,439
0 		0
0
(54) Maje B Perryman (i)
(ii)		 257,692
0 		300
0 		104,978
0 		7,200
0 		20,326
0 		390,496
0 		0
0
(55) Michael Gibbs (i)
(ii)		 273,000
0 		0
0 		35,310
0 		34,928
0 		14,602
0 		357,840
0 		0
0
(56) Michael E Farritor (i)
(ii)		 288,615
0 		0
0 		216,410
0 		7,350
0 		20,082
0 		532,457
0 		124,222
0
(57) Michelle A Bruhn (i)
(ii)		 195,446
0 		0
0 		53,898
0 		6,729
0 		660
0 		256,733
0 		0
0
(58) Monica Huber (i)
(ii)		 166,449
0 		300
0 		19,258
0 		5,040
0 		8,706
0 		199,753
0 		0
0
(59) Paulette Amundson (i)
(ii)		 173,224
0 		0
0 		12,510
0 		26,004
0 		17,034
0 		228,772
0 		0
0
(60) Randy Bury (i)
(ii)		 337,927
0 		0
0 		105,345
0 		0
0 		7,657
0 		450,929
0 		0
0
(61) Randy Bury Deferred Compensation (i)
(ii)		 0
0 		0
0 		0
0 		36,897
0 		0
0 		36,897
0 		0
0
(62) Rhonda Ketterling MD (i)
(ii)		 314,702
0 		0
0 		43,255
0 		34,928
0 		12,730
0 		405,615
0 		0
0
(63) Richard E Nordahl (i)
(ii)		 166,985
0 		300
0 		20,150
0 		5,019
0 		20,230
0 		212,684
0 		0
0
(64) Richard G Adcock (i)
(ii)		 196,611
0 		300
0 		28,156
0 		6,245
0 		19,726
0 		251,038
0 		0
0
(65) Richard Giesel (i)
(ii)		 176,914
0 		0
0 		38,462
0 		0
0 		8,258
0 		223,634
0 		0
0
(66) Richard Marsden MD (i)
(ii)		 532,975
0 		0
0 		70,435
0 		34,928
0 		15,894
0 		654,232
0 		0
0
(67) Robert J Salmon (i)
(ii)		 170,518
0 		300
0 		22,077
0 		0
0 		7,695
0 		200,590
0 		0
0
(68) Robert J Salmon Deferred Comp (i)
(ii)		 0
0 		0
0 		0
0 		54,749
0 		0
0 		54,749
0 		0
0
(69) Stephen Nelson MD (i)
(ii)		 283,684
0 		0
0 		728
0 		34,928
0 		15,879
0 		335,219
0 		0
0
(70) Steve W Goetsch (i)
(ii)		 209,246
0 		0
0 		51,225
0 		7,185
0 		18,193
0 		285,849
0 		0
0
(71) Tiffany Lawrence (i)
(ii)		 192,997
0 		0
0 		11,277
0 		29,641
0 		14,913
0 		248,828
0 		0
0
(72) Timothy J Tracy (i)
(ii)		 185,965
0 		300
0 		21,628
0 		5,588
0 		8,180
0 		221,661
0 		0
0
(73) Verlyn T Carda (i)
(ii)		 170,077
0 		300
0 		23,413
0 		4,638
0 		17,230
0 		215,658
0 		0
0
(74) William Klava MD (i)
(ii)		 330,996
0 		0
0 		12,908
0 		34,928
0 		14,379
0 		393,211
0 		0
0
(75) Adam T Stys (i)
(ii)		 1,802,793
0 		0
0 		3,237
0 		7,350
0 		18,418
0 		1,831,798
0 		0
0
(76) Marian S Petrasko (i)
(ii)		 1,672,074
0 		0
0 		1,238
0 		7,350
0 		18,418
0 		1,699,080
0 		0
0
(77) Scott Pham (i)
(ii)		 2,272,777
0 		0
0 		5,943
0 		7,350
0 		20,418
0 		2,306,488
0 		0
0
(78) Tomasz P Stys (i)
(ii)		 2,279,354
0 		0
0 		1,747
0 		7,350
0 		18,418
0 		2,306,869
0 		0
0
(79) Wilson T Asfora (i)
(ii)		 1,528,882
0 		0
0 		253,983
0 		7,350
0 		18,418
0 		1,808,633
0 		0
0
(80) Chris A Marin (i)
(ii)		 170,048
0 		300
0 		23,336
0 		5,148
0 		9,190
0 		208,022
0 		0
0
(81) Evelyn Quigley (i)
(ii)		 181,819
0 		0
0 		25,523
0 		29,033
0 		17,694
0 		254,069
0 		0
0
(82) Gregory Post (i)
(ii)		 441,408
0 		0
0 		3,884
0 		34,928
0 		17,694
0 		497,914
0 		0
0
(83) Jan Haugen-Rogers (i)
(ii)		 240,349
0 		300
0 		25,824
0 		7,257
0 		5,940
0 		279,670
0 		0
0
(84) Jim L Striepe (i)
(ii)		 117,673
0 		0
0 		24,756
0 		60
0 		11,341
0 		153,830
0 		0
0
(85) Jim L Striepe Deferred Compensation (i)
(ii)		 0
0 		0
0 		0
0 		16,167
0 		0
0 		16,167
0 		0
0
(86) Orlen P Tschetter (i)
(ii)		 179,926
0 		300
0 		37,035
0 		5,951
0 		9,319
0 		232,531
0 		0
0
(87) Roger Gilbertson MD (i)
(ii)		 549,117
0 		0
0 		0
0 		0
0 		0
0 		549,117
0 		0
0
(88) Roger Lee (i)
(ii)		 141,070
0 		0
0 		14,124
0 		20,253
0 		6,657
0 		182,104
0 		0
0
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
  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.
Supplemental Information 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.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Schedule O (Form 990).
SchKMediumBullet Attach to Form 990. SchKMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Sanford Group Return
 
Employer identification number
45-3791176
Part I
Bond Issues
(a) Issuer Name (b) Issuer EIN (c) CUSIP # (d) Date Issued (e) Issue Price (f) Description of Purpose (g) Defeased (h) On
Behalf of
Issuer 		(i) Pool
financing
Yes No Yes No Yes No
A South Dakota Health and Educational Facilities Authority
  		46-0315509 83755VHY3 09-14-2004 70,073,989 New construction of healthcare facilities   X   X   X
B South Dakota Health and Educational Facilities Authority
  		46-0315509 83755VME1 04-19-2007 75,002,140 New construction and remodeling of healthcare facilities   X   X   X
C South Dakota Health and Educational Facilities Authority
  		46-0315509 83755VNZ3 09-29-2009 71,015,042 New construction and remodeling of healthcare facilities   X   X   X
D City of Fargo
  		45-6002069 307479CK9 02-09-2011 134,069,821 Refunding bonds issued 12/5/1996, 11/8/2000, and 6/18/2002   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired. . . . . 1,420,000 1,030,000    
2 Amount of bonds defeased . . . .        
3 Total proceeds of issue . . . . 71,703,205 78,211,481 71,409,534 134,069,821
4 Gross proceeds in reserve funds . . 202,517 4 2 2,696,813
5 Capitalized interest from proceeds.        
6 Proceeds in refunding escrow. . . . . 41,788,721     41,788,721
7 Issuance costs from proceeds . . . 870,306 736,362 997,167  
8 Credit enhancement from proceeds.        
9 Working capital expenditures from proceeds . .        
10 Capital expenditures from proceeds . . 70,832,899 77,475,119 43,700,885  
11 Other spent proceeds . . 94,149,950     94,149,950
12 Other unspent proceeds. . . 26,711,482   26,711,482  
13 Year of substantial completion . . . 2006 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue?   X   X X X    
15 Were the bonds issued as part of an advance refunding issue?   X   X   X X  
16 Has the final allocation of proceeds been made? . . X   X     X X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . .   X   X        
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . .   X   X        
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2010
Schedule K (Form 990) 2010
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use? X   X          
b Are there any research agreements that may result in private business use of bond-financed property? . .   X   X        
c Does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts or research agreements relating to the financed property? . X   X          
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . . . . . . . . . . . . SchKMediumBullet 0 % 0 %    
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . SchKMediumBullet 0 % 0 %    
6 Total of lines 4 and 5 . . .. . . . . . 0 % 0 %    
7 Has the organization adopted management practices and procedures to ensure the post-issuance compliance of its tax-exempt bond liabilities? X   X          
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has a Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate, been filed with respect to the bond issue? . . .   X   X   X   X
2 Is the bond issue a variable rate issue? X     X   X   X
3a Has the organization or the governmental issuer entered into a hedge with respect to the bond issue?   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of hedge . .        
d Was the hedge superintegrated? .                
e Was a hedge terminated? .                
4a Were gross proceeds invested in a GIC? .   X   X   X   X
b Name of provider .  
  		 
  		 
  		 
 
c Term of GIC . .        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? .                
5 Were any gross proceeds invested beyond an available temporary period? .   X   X   X   X
6 Did the bond issue qualify for an exception to rebate? . . . X   X     X X  
Schedule K (Form 990) 2010

Schedule K (Form 990) 2010
Page 3
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule K (see instructions).
Identifier Return Reference Explanation
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 K (Form 990) 2010

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
(1) Bryan Nermoe
Retention Loan 		  X 20,000 8,944   No   No Yes  
(2) Wilson Asfora
Physician Recruitment/Retention Loan 		  X 1,094,257 456,078   No   No Yes  
(3) Bryan Nermoe
Retention Loan 		  X 30,000 30,000   No   No Yes  
Total ...............Small Bullet $ 495,022
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Erin Claar Mikal Claar - family relationship 19,870 Compensation   No
(2) Janet Feder Jerome Feder - family relationship 76,531 Compensation   No
(3) Kim Goetsch Steve Goetsch - family relationship 42,294 Compensation   No
(4) Caryn Hewitt Craig Hewitt - family relationship 199,509 Compensation   No
(5) Christina Huber Monica Huber - family relationship 46,826 Compensation   No
(6) Jenny Marsden Richard Marsden - family relationship 61,546 Compensation   No
(7) Kathryn Nermoe Bryan Nermoe-family relationship 33,542 Compensation   No
(8) Deborah Olson Michael Olson - family relationship 16,188 Compensation   No
(9) Julie Paulson Mark Paulson - family relationship 17,511 Compensation   No
(10) Nancy Salmon Robert Salmon - family relationship 90,555 Compensation   No
(11) Bonnie Tschetter Orlen Tschetter - family relationship 33,491 Compensation   No
(12) Joshua Weiland Edmund Weiland - family relationship 64,780 Compensation   No
(13) Bryan Santema Kaleen Santema-family relationship 68,387 Compensation   No
(14) Midwest Catering
  		Barbara Stork - Owner 137,661 Catering Services   No
(15) Midwest Provisions
  		Barbara Stork - Owner 239,302 Vending Services   No
(16) SunDog
  		Brent Teiken - Owner 569,708 Marketing   No
(17) Imaging Solutions Inc
  		Douglas Vang - Board Member 1,406,215 Medical Equipment   No
(18) Amy Entenman Jim Entenman- family relationship 53,984 Compensation   No
(19) US Bank
  		Barry Martin - Division President 472,157 Bank Fees and Commissions   No
(20) First National Bank
  		Rebecca Nelson - Board Member 130,857 Bank Fees and Commissions   No
(21) Ottertail Corp
  		Lauris Molbert - Board Member 359,744 Electricity   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Identifier Return Reference Explanation
  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.
Form 990, Part VI, Section A, line 2   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 4   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 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 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 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 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 B, line 11   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 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.
Other changes in net assets 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
Elections 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
  General MeritCare Minnesota will not have responses similar to other subordinates as this entity did not have current year activity.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
Sanford Group Return
 
Employer identification number

45-3791176
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income
(e)
End-of-year assets


 		(f)
Direct controlling
entity







(1) Sanford Consumer Services LLC
1305 W 18th Street
Sioux Falls,SD57117
20-8736919 		Medical Spa SD -512,819 346,422 Sanford Clinic
 
(2) Southwest MN Radiation Center LLC
1018 6th Ave
Worthington,MN56187
46-0388596 		Radiation SD -560,074 335,191 Sanford Health Network
 
(3) Lincoln County Real Estate Trust
100 S Phillips Ave
Sioux Falls,SD57104
46-6126929 		Real Estate SD 0 586,467 Sanford Health
 
(4) PPK Family Trust
100 S Phillips Ave
Sioux Falls,SD57104
20-7317570 		Rental Real Estate SD 3,578 93 Sanford Health
 
(5) Lynx Trust
PO Box 5186
Sioux Falls,SD57117
26-6167201 		Investment SD -3 1 Sanford Health
 
(6) National Student Housing Trust-SD
PO Box 5186
Sioux Falls,SD57117
20-6831968 		Investment SD -2 441 Sanford Health
 
(7) Sanford Healthcare Accessories LLC
3223 32nd Ave SW
Fargo,ND58103
20-2404179 		Sales of Durable Medical Equip ND 20,488,499 11,739,191 Sanford North
 
(8) Healthcare Environmental Services LLC
PO Box 2010
Fargo,ND58122
20-5236701 		Retail Enterprises ND 225,942 0 Sanford North
 
Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled organization
Yes No
(1) Sanford Health Foundation

1305 West 18th Street

Sioux Falls,SD57117
36-3297853 		Supporting Organization SD 501(c)(3) 11-I Sanford Health
 
Yes
 
(2) Sanford

801 Broadway Drive

Fargo,ND58122
27-1218956 		Supporting Organization ND 501(c)(3) 11-II  
 
No
(3) SHM-Sanford

1305 West 18th Street

Sioux Falls,SD57105
27-1213769 		Supporting Organization SD 501(c)(3) 11-II  
 
No
(4) SHM-MeritCare

801 Broadway Drive

Fargo,ND58122
27-1213717 		Supporting Organization ND 501(c)(3) 11-II  
 
No
(5) Sanford Medical Center Wheaton

401 12th Street North

Wheaton,MN56296
27-2042143 		Hospital/Clinic MN 501(c)(3) 3 Sanford North
 
Yes
 
(6) Sanford Health Foundation North

PO Box 2010

Fargo,ND58122
45-0398104 		Supporting Organization ND 501(c)(3) 7 Sanford North
 
Yes
 
(7) Agassiz Assurance Company

100 Bank Street Suite 610

Burlington,VT05401
74-3121855 		Insurance VT 501(c)(3) 11-II Sanford North
 
Yes
 
(8) MeritCare Health Enterprises Inc

PO Box 2010

Fargo,ND58122
45-0359785 		Prescription drugs ND 501(c)(4)   Sanford North
 
Yes
 
(9) FM Ambulance Service

2215 18 St South

Fargo,ND58103
45-0344371 		EMT ND 501(c)(4)   Sanford North
 
Yes
 
(10) Sanford Health of Northern Minnesota

1300 Anne St NW

Bemidji,MN56601
41-1266009 		Hospital MN 501(c)(3) 3 Sanford North
 
Yes
 
(11) Baker Park Inc

803 Dewey Ave NW

Bemidji,MN56601
41-1372480 		Low Income Senior Housing MN 501(c)(3) 9 Sanford Health of Northern Minnesota
 
Yes
 
(12) Sanford Health Foundation of Northern Minnesota

1300 Anne St NW

Bemidji,MN56601
41-1389317 		Fundraising - Support MN 501(c)(3) 11-I Sanford Health of Northern Minnesota
 
Yes
 
(13) North Country Medical Clinic

1300 Anne St NW

Bemidji,MN56601
41-1753855 		Family Practice Medical Clinic MN 501(c)(3) 3 Sanford Health of Northern Minnesota
 
Yes
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) National Student Housing-South Dakota LLC

100 S Phillips Ave
Sioux Falls,SD57104
20-2129839 		Investment SD Sanford Health
  		Related -28,569 4,563,981   No     No 99.990 %
(2) RAC Rentals LLC

100 S Phillips Ave
Sioux Falls,SD57104
26-1961077 		Investment SD Sanford Health
  		Related -24,402 3,562,905   No     No 99.990 %










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



 		(b)
Primary activity



 		(c)
Legal domicile
(state or
foreign
country)
 		(d)
Direct controlling
entity


 		(e)
Type of entity
(C corp, S corp,
or trust)

 		(f)
Share of total income



 		(g)
Share of
end-of-year
assets

 		(h)
Percentage
ownership
(1) Heart Partners at Sanford
1305 W 18th Street
Sioux Falls,SD57117
46-0449572 		Healthcare SD Sanford Health
  		C 6,224,310   100.000 %
(2) Sanford Home Medical Equipment Inc
2710 W 12th Street
Sioux Falls,SD57105
46-0388597 		Healthcare Equipment SD Sanford Health
  		C 9,357,216 9,502,998 100.000 %
(3) Sanford Health Plan
300 Cherapa Place
Sioux Falls,SD57103
91-1842494 		Insurance SD Sanford Health
  		C 249,402 40,936,181 100.000 %
(4) Sanford Health Plan of MN
300 Cherapa Place
Sioux Falls,SD57103
46-0445852 		Insurance MN Sanford Health
  		C -365,735 1,963,527 100.000 %
(5) Healthcare Environmental Services Inc
1420 40th St NW
Fargo,ND58102
45-0336598 		Laundry and Incineration Services ND Sanford North
  		C 4,514,153   100.000 %
(6) Bemidji Medical Equipment Inc
1300 Anne St NW
Bemidji,MN56601
41-1551725 		Retail Sales of DME MN Sanford Health of Northern Minnesota
  		C 1,082,063 1,716,458 100.000 %
(7) North Country Management Inc
1300 Anne St NW
Bemidji,MN56601
41-1820025 		Management Services MN Sanford Health of Northern Minnesota
  		C 1,539,702 4,057,832 100.000 %
(8) Sanford World Clinics
1305 W 18th Street
Sioux Falls,SD57117
26-2707628 		Healthcare SD Sanford Health
  		C     100.000 %
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
 
No
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type(a-r) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Sanford Health Foundation

 Q 2,495,044 Cost
(2) Sanford Health Foundation

 B 60,000 Cost
(3) Sanford Health Foundation

 C 31,843,515 Cost
(4) Sanford Health Foundation North

 Q 1,165,120 Cost
(5) Sanford Health Foundation North

 C 1,409,260 Cost
(6) Agassiz Assurance

 O 4,401,592 Cost
(7) Agassiz Assurance

 P 6,652,465 Cost
(8) Sanford Health of Northern Minnesota

 P 358,013 Cost
(9) MeritCare Health Enterprises

 M 85,000 Cost
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Are all
partners
section
501(c)(3)
organizations? 		(e)
Share of
end-of-year
assets 		(f)
Disproprtionate allocations? 		(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065) 		(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


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