Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
Do not enter social security numbers on this form as it may be made public.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
A For the 2024 calendar year, or tax year beginning 01-01-2024 , and ending 12-31-2024
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)
PO BOX 5039 RTE 5218
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SIOUX FALLS, SD571175039
D Employer identification number

45-3791176
E Telephone number

G Gross receipts $ 6,128,553,345
F Name and address of principal officer:
BILL GASSEN
2301 EAST 60TH ST
SIOUX FALLS,SD57104
I
Tax-exempt status: (   ) (insert no.) or
J
Website:
WWW.SANFORDHEALTH.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number 5851
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: TO CARE, COMFORT AND CURE
2 Check this box
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2024 (Part V, line 2a) ...... 5 3,271
6 Total number of volunteers (estimate if necessary) ............. 6 1,302
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 129,413,179
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 8,490,549
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 100,653,729 106,770,013
9 Program service revenue (Part VIII, line 2g) ......... 5,616,529,846 5,979,938,305
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 19,460,626 21,264,847
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,011,713 2,607,388
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 5,738,655,914 6,110,580,553
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 46,276,954 47,489,473
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 3,036,308,464 3,288,698,827
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) 0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,290,939,774 2,492,950,369
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 5,373,525,192 5,829,138,669
19 Revenue less expenses. Subtract line 18 from line 12....... 365,130,722 281,441,884
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 3,759,919,108 4,274,026,030
21 Total liabilities (Part X, line 26)............. 1,129,335,603 1,142,418,868
22 Net assets or fund balances. Subtract line 21 from line 20..... 2,630,583,505 3,131,607,162
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
Signature of officer Date
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name

Firm's EIN
Firm's address



Phone no.
May the IRS discuss this return with the preparer shown above? See Instructions. ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2024)
Form 990 (2024)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: SANFORD HEALTH IS COMMITTED TO THE HEALTHCARE NEEDS OF COMMUNITIES THROUGHOUT THE UPPER MIDWEST. SANFORD HEALTH PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTHCARE SERVICES AND STRIVES TO BE THE PREMIER RURAL HEALTH SYSTEM IN THE UNITED STATES.
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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 5,293,466,097 including grants of $ 47,489,473 ) (Revenue $ 5,949,015,399 )
SANFORD HEALTH, THE LARGEST RURAL HEALTH SYSTEM IN THE UNITED STATES, IS DEDICATED TO TRANSFORMING THE HEALTH CARE EXPERIENCE AND PROVIDING ACCESS TO WORLD-CLASS HEALTH CARE IN AMERICA'S HEARTLAND. SANFORD PROVIDES MEDICAL SERVICES AT EVERY LEVEL FROM CRITICAL ACCESS HOSPITALS TO TERTIARY AND QUATERNARY CARE. THE SANFORD FOOTPRINT OF OWNED, LEASED AND MANAGED SITES INCLUDES OVER 250,000 SQUARE MILES WITH A NINE-STATE SERVICE AREA INCLUDING A NETWORK OF CHILDREN'S PRIMARY CARE CLINIC LOCATIONS ACROSS THE COUNTRY AND THE WORLD. SANFORD OPERATES FULL-TIME EMERGENCY CENTERS AND PROVIDES EMERGENCY CARE TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. SANFORD FACILITIES AND CLINICS PROVIDE SERVICES TO REMOTE AND MEDICALLY UNDERSERVED AREAS THAT WOULD OTHERWISE NOT HAVE ACCESS TO EVEN PRIMARY CARE SERVICES.
4b (Code:   ) (Expenses $ 51,679,766 including grants of $ 0 ) (Revenue $ 6,642,227 )
SANFORD HEALTH PROVIDES HIGH QUALITY MEDICAL EDUCATIONAL AND PROFESSIONAL DEVELOPMENT THAT IS EVIDENCE AND RESEARCH BASED; ACCREDITED FOR PHYSICIANS, NURSES, PHARMACISTS, AND ALLIED HEALTH PROFESSIONALS AND SCIENTISTS; INCLUSIVE OF CULTURAL DIFFERENCES AND ADDRESSES THE NEED FOR SPECIALTY TRAINING. SANFORD HEALTH IS DEDICATED TO PREPARING HEALTH CARE PROFESSIONALS FOR THE FUTURE. THE SANFORD PROMISE PROGRAM CONNECTS STUDENTS, EDUCATORS AND COMMUNITIES WITH SCIENCE AND RESEARCH IN HEALTH CARE AT A SECONDARY EDUCATION AGE. SANFORD WORKS IN PARTNERSHIP WITH UNIVERSITIES TO PROVIDE ROTATIONS FOR MEDICAL STUDENTS, RESIDENCIES AND FELLOWSHIPS. SANFORD WORKS IN PARTNERSHIP WITH AN EXTENSIVE GROUP OF HIGHER LEARNING ORGANIZATIONS TO PROVIDE STUDENT TRAINING AND LEARNING OPPORTUNITIES IN MANY VENUES ACROSS OUR REGION.
4c (Code:   ) (Expenses $ 38,934,194 including grants of $ 0 ) (Revenue $ 19,511,850 )
RESEARCH ENDEAVORS SPAN CHILDREN'S HEALTH, FOCUSED ON PEDIATRIC RARE DISEASES AND CANCER; THE SANFORD PROJECT, SEEKING TO REDUCE THE BURDEN OF TYPE 1 DIABETES THROUGH DISCOVERY AND CLINICAL APPLICATION; GENOMIC AND MOLECULAR MEDICINE INCLUDING GENOMICS, BIOBANKING AND IMMUNOTHERAPY; EDITH SANFORD BREAST CANCER FOR ADVANCED MOLECULAR RESEARCH AND PERSONALIZED TREATMENT; NEUROBEHAVIORAL SCIENCES, STUDYING EATING DISORDERS, OBESITY AND BARIATRIC SURGERY OUTCOMES AS WELL AS PHYSIOLOGICAL ASPECTS OF EATING AND ADDICTION AND CLINICAL RESEARCH HOSTING DRUG AND DEVICE STUDIES, THE NCI COMMUNITY ONCOLOGY RESEARCH PROGRAM AND THE NEONATAL RESEARCH NETWORK. RESEARCH ALSO LEADS EDUCATIONAL PROGRAMS SUPPORTING SCIENCE IN LOCAL K-12 SCHOOL DISTRICTS, UNDERGRADUATE, GRADUATE AND POST-DOCTORAL PROGRAMS.
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expenses5,384,080,057
Form 990 (2024)
Form 990 (2024)
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
List of Attached Documents:
// Content
.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. Click to see attachment
List of Attached Documents:
// Content
...
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
List of Attached Documents:
// Content
.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment
List of Attached Documents:
// Content
.........
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 Rev. Proc. 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment
List of Attached Documents:
// Content
..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which 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
List of Attached Documents:
// Content
.........................
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
List of Attached Documents:
// Content
....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part IIIClick to see attachment
List of Attached Documents:
// Content
..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; 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
List of Attached Documents:
// Content
..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
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, line 10? If "Yes," complete
Schedule D,
Part VI. Click to see attachment
List of Attached Documents:
// Content
...................
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 VIIClick to see attachment
List of Attached Documents:
// Content
.......
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 VIIIClick to see attachment
List of Attached Documents:
// Content
.......
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 IXClick to see attachment
List of Attached Documents:
// Content
............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
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 XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
Click to see attachment
List of Attached Documents:
// Content
......................
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 and XII is optional Click to see attachment
List of Attached Documents:
// Content
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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....Click to see attachment
List of Attached Documents:
// Content
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...Click to see attachment
List of Attached Documents:
// Content
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. See instructions. ....
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
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
List of Attached Documents:
// Content
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
List of Attached Documents:
// Content
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2024)
Form 990 (2024)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
List of Attached Documents:
// Content
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 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
List of Attached Documents:
// Content
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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
List of Attached Documents:
// Content
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), 501(c)(4), and 501(c)(29) 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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment
List of Attached Documents:
// Content
...........
26
Yes
 
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick to see attachment
List of Attached Documents:
// Content
.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
List of Attached Documents:
// Content
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
List of Attached Documents:
// Content
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
List of Attached Documents:
// Content
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................Click to see attachment
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
List of Attached Documents:
// Content
35b
 
No
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
List of Attached Documents:
// Content
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
List of Attached Documents:
// Content
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
4,348
b
Enter the number of Forms W-2G included on 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
 
Form 990 (2024)
Form 990 (2024)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
3,271
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
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” to line 3b, 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, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: CH , GH , GM
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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 as charitable contributions? ...
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
Yes
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring 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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2024)
Form 990 (2024)
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 or note to any line 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
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
8
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
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did 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 15a or 15b, describe the process on 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," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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 filed
MN , OR , CA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
NICHOLAS OLSON EVP CFO2301 EAST 60TH STREET   SIOUX FALLS,SD57104 (605) 333-1000
Form 990 (2024)
Form 990 (2024)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 the 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, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) 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.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) BILL GASSEN......................................................................
TRUSTEE, PRESIDENT & CEO
23.70
.................
36.30
X   X       0 4,414,119 585,241
(2) ANDY NORTH......................................................................
TRUSTEE, SECRETARY, INDEP CONTRACTOR
1.91
.................
2.99
X   X       379,383 0 0
(3) LAURIS MOLBERT......................................................................
TRUSTEE, CHAIRPERSON
1.91
.................
2.99
X   X       107,199 0 0
(4) BRENT TEIKEN......................................................................
TRUSTEE
1.91
.................
2.99
X           84,246 0 0
(5) JAMES CAIN......................................................................
TRUSTEE, TREASURER
1.91
.................
2.99
X   X       81,651 0 0
(6) MARNIE HERMANN......................................................................
TRUSTEE, VICE CHAIR
1.91
.................
2.99
X   X       80,382 0 0
(7) NEIL GULSVIG......................................................................
TRUSTEE, PAST CHAIR
1.91
.................
2.99
X   X       80,055 0 0
(8) MARK LUNDEEN MD......................................................................
TRUSTEE
1.91
.................
2.99
X           80,000 0 0
(9) DAVID SHULKIN......................................................................
TRUSTEE (START 1/24)
1.91
.................
2.99
X           79,826 0 0
(10) STEPHANIE HERSETH SANDLIN......................................................................
TRUSTEE (START 1/24)
1.91
.................
2.99
X           78,750 0 0
(11) WESLEY ENGBRECHT......................................................................
TRUSTEE
1.91
.................
2.99
X           77,594 0 0
(12) DANA DYKHOUSE......................................................................
TRUSTEE (START 1/24)
1.91
.................
2.99
X           76,727 0 0
(13) SCOTT WOOTEN......................................................................
EVP, CFO (END 4/24)
23.70
.................
36.30
    X       0 2,525,208 51,220
(14) NICK OLSON......................................................................
EVP, CFO (BEG 4/24)
23.70
.................
36.30
    X       0 1,047,876 123,386
(15) BILL MARLETTE......................................................................
INTERIM, EVP, CFO (END 1/24)
23.70
.................
36.30
    X       0 894,301 275
(16) MATT HOCKS......................................................................
EVP, CHIEF OPERATING OFFICER
54.00
.................
6.00
      X     0 2,798,445 276,533
(17) JENNIFER GRENNAN......................................................................
EVP, CHIEF ADMIN OFFICER
51.00
.................
9.00
      X     0 1,991,610 207,852
Form 990 (2024)
Form 990 (2024)
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 (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MICHAEL LEBEAU MD........................................................................
SVP, HEALTH SVC OPERATIONS
50.00
.......................10.00
      X     0 1,824,864 209,688
(19) PAUL HANSON........................................................................
PRESIDENT & CEO, SIOUX FALLS
60.00
.......................0.00
      X     0 1,471,880 172,935
(20) TIFFANY LAWRENCE........................................................................
PRESIDENT & CEO, FARGO
55.00
.......................5.00
      X     0 1,426,252 179,445
(21) TODD SCHAFFER........................................................................
PRESIDENT & CEO, BISMARCK
60.00
.......................0.00
      X     0 1,224,459 127,517
(22) KARLA EISCHENS........................................................................
PRESIDENT & CEO, BEMIDJI
60.00
.......................0.00
      X     0 729,610 107,668
(23) WILLIAM BRUNNER MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   3,286,993 0 46,564
(24) ADAM STYS MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   3,250,190 0 53,103
(25) TOMASZ STYS MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   2,911,937 0 48,065
(26) ERIC BELANGER MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   2,885,080 0 41,962
(27) ALEXANDER DROFA MD........................................................................
PHYSICIAN
60.00
.......................0.00
        X   2,835,917 0 48,215
(28) DON JACOBS........................................................................
FORMER TRUSTEE
0.00
.......................0.00
          X 13,502 0 0
(29) MICHELLE BRUHN........................................................................
FORMER EVP, CFO & TREASURER
0.00
.......................0.00
          X 0 293,725 0
(30) SUSAN JARVIS........................................................................
FORMER PRESIDENT & CEO, BEMIDJI
60.00
.......................0.00
          X 0 920,606 146,335
(31) BRYAN NERMOE........................................................................
FORMER PRESIDENT & CEO, FARGO
0.00
.......................0.00
          X 0 252,724 0
1b Sub-Total..............
c Total from continuation sheets to Part VII, Section A..
d Total (add lines 1b and 1c)......... 16,389,432 21,815,679 2,426,004
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 2,543
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
FOCUSONE SOLUTIONS LLC

1010 N 102ND ST STE 300
OMAHA,NE68114
STAFFING SERVICES 82,249,583
HENRY CARLSON CONSTRUCTION LLC

1205 RUSSELL ST
SIOUX FALLS,SD57104
CONSTRUCTION SERVICES 48,201,317
SIRIUS COMPUTER SOLUTIONS LLC

PO BOX 405547
ATLANTA,GA30384
SOFTWARE MAINTENANCE & SUPPORT 40,889,798
FIEGEN CONSTRUCTION COMPANY

3712 S WESTERN AVE SUITE 200
SIOUX FALLS,SD57105
CONSTRUCTION SERVICES 19,562,363
EPIC SYSTEMS GROUP

1979 MILKY WAY
VERONA,WI53593
SOFTWARE MAINTENANCE & SUPPORT 14,086,173
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 409
Form 990 (2024)
Form 990 (2024)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 72,319,564
e Government grants (contributions)1e 31,547,938
f All other contributions, gifts, grants, and similar amounts not included above1f 2,902,511
g Noncash contributions included in lines 1a - 1f:$ 1g 495,000
h Total. Add lines 1a-1f....... 106,770,013
 Program Service RevenueAmt Business Code
2a PATIENT SERVICES 621110 2,606,060,516 2,606,060,516    
b MEDICARE / MEDICAID 621400 2,231,956,275 2,231,956,275    
c PHARMACY REVENUE 456110 618,161,606 603,322,453 14,839,153  
d RETAIL SALES 446199 392,976,809 372,171,388 20,805,421  
e REFERENCE LAB 621500 20,095,023 49,759 20,045,264  
f All other program service revenue. 110,688,076 36,652,003 72,992,546 1,043,527
g Total. Add lines 2a–2f ..... 5,979,938,305
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ...... 14,394,451     14,394,451
4 Income from investment of tax-exempt bond proceeds        
5 Royalties........... 24,178     24,178
(i) Real (ii) Personal
6a Gross rents 6a 4,008,915  
b Less: rental expenses 6b 1,425,705  
c Rental income or (loss) 6c 2,583,210  
d Net rental income or (loss)....... 2,583,210     2,583,210
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 7a   23,417,483
b Less: cost or other basis and sales expenses 7b 432,661 16,114,426
c Gain or (loss) 7c -432,661 7,303,057
d Net gain or (loss)......... 6,870,396 -4,768,829 730,795 10,908,430
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..        
 OtherRevenueMiscAmt
Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......  
12 Total revenue. See instructions..... 6,110,580,553 5,845,443,565 129,413,179 28,953,796
Form 990 (2024)
Form 990 (2024)
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).Check if Schedule O contains a response or note to any line in this Part IX..............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 47,295,864 47,295,864
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 193,609 193,609
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 25,637,961 23,526,842 2,111,119  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 1,626,893   1,626,893  
7 Other salaries and wages........ 2,661,473,477 2,443,811,412 217,662,065  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 153,437,024 143,520,974 9,916,050  
9 Other employee benefits ....... 277,328,969 245,679,776 31,649,193  
10 Payroll taxes ........... 169,194,503 155,782,890 13,411,613  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 3,503,714 650,966 2,852,748  
c Accounting ........... 1,380,826 103,959 1,276,867  
d Lobbying ........... 823,506   823,506  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 711,706   711,706  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 376,585,985 336,255,426 40,330,559  
12 Advertising and promotion .... 19,644,933 5,997,774 13,647,159  
13 Office expenses ....... 62,842,849 42,907,221 19,935,628  
14 Information technology ...... 140,847,720 12,101,124 128,746,596  
15 Royalties ..        
16 Occupancy ........... 121,162,468 112,360,071 8,802,397  
17 Travel ............ 22,214,217 20,079,245 2,134,972  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 7,049,054 5,524,046 1,525,008  
20 Interest ........... 26,244,908 18,345,602 7,899,306  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 136,664,535 110,002,562 26,661,973  
23 Insurance ... 26,097,031 23,280,540 2,816,491  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 1,540,145,054 1,543,546,010 -3,400,956  
b BIOMEDICAL SERVICES 30,272,277 30,272,277    
c OTHER TAXES 20,733,970 20,287,513 446,457  
d CERT/LICENSES/SUBSCRIPT 11,538,834 10,410,799 1,128,035  
e All other expenses -55,513,218 32,143,555 -87,656,773  
25 Total functional expenses. Add lines 1 through 24e 5,829,138,669 5,384,080,057 445,058,612 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).        
Form 990 (2024)
Form 990 (2024)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 59,316,362 1 140,911,773
2 Savings and temporary cash investments ......... 183,735,153 2 254,828,846
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 836,469,834 4 809,694,586
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
21,449 6 17,989
7 Notes and loans receivable, net ........... 74,098,691 7 76,107,318
8 Inventories for sale or use ............ 131,499,348 8 136,859,819
9 Prepaid expenses and deferred charges ...... 93,247,192 9 101,889,548
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 4,192,108,718
b Less: accumulated depreciation 10b 2,108,709,461 1,864,744,233 10c 2,083,399,257
11 Investments—publicly traded securities . 192,795 11 210,450
12 Investments—other securities. See Part IV, line 11 ..... 57,598,283 12 17,127,027
13 Investments—program-related. See Part IV, line 11 .. 33,679,559 13 33,758,470
14 Intangible assets ............... 44,839,780 14 186,355,134
15 Other assets. See Part IV, line 11 ........... 380,476,429 15 432,865,813
16 Total assets. Add lines 1 through 15 (must equal line 33)... 3,759,919,108 16 4,274,026,030
Liabilities 17 Accounts payable and accrued expenses ..... 322,769,972 17 330,107,354
18 Grants payable ... 6,139,321 18 1,597,851
19 Deferred revenue ......... 20,072,536 19 15,468,583
20 Tax-exempt bond liabilities ......... 451,201,775 20 425,371,043
21 Escrow or custodial account liability. Complete Part IV of Schedule D 349,593 21 425,450
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 7,847,503 23 8,970,172
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 320,954,903 25 360,478,415
26 Total liabilities. Add lines 17 through 25.. 1,129,335,603 26 1,142,418,868
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 2,630,576,405 27 3,131,607,162
28 Net assets with donor restrictions ........... 7,100 28 0
Organizations that do not follow FASB ASC 958, check here right arrow and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 2,630,583,505 32 3,131,607,162
33 Total liabilities and net assets/fund balances ........ 3,759,919,108 33 4,274,026,030
Form 990 (2024)
Form 990 (2024)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
6,110,580,553
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
5,829,138,669
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
281,441,884
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
2,630,583,505
5
Net unrealized gains (losses) on investments ...............
5
-42,153,731
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
261,735,504
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
3,131,607,162
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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 on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?
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 (2024)
Form 990 (2024)
Additional Data


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

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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
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 12, check only one box.)
1
2
3
4
5
6
7
8
9
10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................  
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total
 
   
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 2
Part II
Support Schedule for Organizations Described in Sections 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 failed to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
33 1/3% support test—2024. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization .......................right arrow
b
33 1/3% support test—2023. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow
17a
10%-facts-and-circumstances test—2024. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
b
10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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) right arrow (a) 2020 (b) 2021 (c) 2022 (d) 2023 (e) 2024 (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 on 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 VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
33 1/3% support tests-2024. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow
b
33 1/3 % support tests—2023. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow
20
Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described on 11a above?
11b
 
 
c
A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
 
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer lines 2a and 2b below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer lines 3a and 3b below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by 0.035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990) 2024

Schedule A (Form 990) 2024
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2024 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2024
(iii)
Distributable
Amount for 2024
1 Distributable amount for 2024 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2024:
a From 2019.......  
b From 2020.......  
c From 2021.......  
d From 2022.......  
e From 2023.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2024 distributable amount  
i Carryover from 2019 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2024 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2024 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2024, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2024. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2025. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2020.....  
b Excess from 2021.....  
c Excess from 2022.....  
d Excess from 2023.....  
e Excess from 2024.....  
Schedule A (Form 990) (2024)

Schedule A (Form 990) 2024
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
LIST OF ORGANIZATIONS AND PUBLIC CHARITY STATUS: SANFORD HEALTH 509(A)(3) SANFORD MEDICAL CENTER 170(B)(1)(A)(III) SANFORD CLINIC 509(A)(2) SANFORD RESEARCH 170(B)(1)(A)(III) SANFORD RESEARCH NORTH 170(B)(1)(A)(III) SANFORD HOME HEALTH 509(A)(2) SANFORD HEALTH NETWORK 170(B)(1)(A)(III) SANFORD WORLD CLINICS 509(A)(2) SANFORD NORTH 509(A)(3) SANFORD MEDICAL CENTER FARGO 170(B)(1)(A)(III) SANFORD CLINIC NORTH 509(A)(2) SANFORD HEALTH NETWORK NORTH 170(B)(1)(A)(III) SANFORD HEALTH OF NORTHERN MINNESOTA 170(B)(1)(A)(III) BAKER PARK, INC. 509(A)(2) SANFORD WEST 509(A)(3) SANFORD BISMARCK 170(B)(1)(A)(III) SANFORD WORLD CLINICS-KLAMATH FALLS 509(A)(2) SANFORD VIRTUAL CARE 509(A)(2) SANFORD HEALTH OF SOUTH DAKOTA 170(B)(1)(A)(III)
SCHEDULE A, PART I PART I, LINE 12B - SANFORD HEALTH, SANFORD NORTH, AND SANFORD WEST ARE ALL TYPE II SUPPORTING ORGANIZATIONS. PART I, LINE 12F - TOTAL NUMBER OF SUPPORTED ORGANIZATIONS - 21 DETAIL FOR SCHEDULE A, PART I, LINE 12G LINE 12, COLUMN: (I) SANFORD MEDICAL CENTER; (II) 46-0227855; (III) 3; (IV) YES; (V) $47,862,238 LINE 12, COLUMN: (I) SANFORD CLINIC; (II) 46-0447693; (III) 10; (IV) YES; (V) $3,593,622 LINE 12, COLUMN: (I) SANFORD RESEARCH; (II) 46-0450378; (III) 4; (IV) YES; (V) $1,202,755 LINE 12, COLUMN: (I) SANFORD RESEARCH NORTH; (II) 45-0274828; (III) 4; (IV) YES; (V) $181,436 LINE 12, COLUMN: (I) SANFORD HOME HEALTH; (II) 46-0282134; (III) 10; (IV) YES; (V) $493,751 LINE 12, COLUMN: (I) SANFORD HEALTH NETWORK; (II) 46-0388596; (III) 3; (IV) YES; (V) $12,403,116 LINE 12, COLUMN: (I) SANFORD CLINIC NORTH; (II) 91-1770748; (III) 10; (IV) YES; (V) $1,936,538 LINE 12, COLUMN: (I) SANFORD HEALTH NETWORK NORTH; (II) 45-0409348; (III) 3; (IV) YES; (V) $4,745,936 LINE 12, COLUMN: (I) SANFORD MEDICAL CENTER FARGO; (II) 45-0226909; (III) 3; (IV) YES; (V) $60,510,131 LINE 12, COLUMN: (I) SANFORD WORLD CLINICS; (II) 26-2707628; (III) 10; (IV) YES; (V) $430,079 LINE 12, COLUMN: (I) SANFORD WORLD CLINICS-KLAMATH FALLS; (II) 92-0396212 (III) 10; (IV) YES; (V) $99,977 LINE 12, COLUMN: (I) SANFORD HEALTH OF NORTHERN MINNESOTA; (II) 41-1266009; (III) 3; (IV) YES; (V) $14,102,329 LINE 12, COLUMN: (I) BAKER PARK, INC.; (II) 41-1372480; (III) 10; (IV) YES; (V) $29,048 LINE 12, COLUMN: (I) SANFORD HEALTH FOUNDATION NORTH; (II) 45-0398104; (III) 7; (IV) YES; (V) $142,347 LINE 12, COLUMN: (I) SANFORD BISMARCK; (II) 45-0226700; (III) 3; (IV) YES; (V) $26,745,913 LINE 12, COLUMN: (I) SANFORD HEALTH FOUNDATION WEST; (II) 45-0397196; (III) 7; (IV) YES; (V) $47,721 LINE 12, COLUMN: (I) SANFORD VIRTUAL CARE; (II) 88-0976483; (III) 10; (IV) YES; (V) $25,016 LINE 12, COLUMN: (I) THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION; (II) 46-0422866; (III) 7; (IV) YES; (V) $29,454,572 LINE 12, COLUMN: (I) THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY; (II) 45-0228055; (III) 10; (IV) YES; (V) $403,745 LINE 12, COLUMN: (I) SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA; (II) 41-1389317; (III) 7; (IV) YES; (V) $14,102,329 LINE 12, COLUMN: (I) SANFORD HEALTH OF SOUTH DAKOTA; (II) 33-1259188; (III) 3; (IV) YES; (V) $403,745
SCHEDULE A, PART I, LINE 12G, COLUMN (IV) WE HAVE ANSWERED YES THAT THE ORGANIZATIONS ARE LISTED IN OUR GOVERNING DOCUMENTS BECAUSE THE ARTICLES DESCRIBE THE SPECIFIED SUPPORTED ORGANIZATIONS AND THE OTHER SUPPORTED ORGANIZATIONS BY CLASS (AFFILIATED WITH THE SPECIFIED SUPPORTED ORGANIZATIONS).
SCHEDULE A, PART III LINE 1 - COLUMN: (A) 9,415,179; (B) (3,426,082); (C) 3,504,069; (D) 2,528,926; (E) 3,897,496; (F) 15,919,589 LINE 2 - COLUMN: (A) 177,631,632; (B) 204,250,348; (C) 261,882,016; (D) 205,463,244; (E) 207,778,397; (F) 1,057,005,637 LINE 6 - COLUMN: (A) 187,046,811; (B) 200,824,266; (C) 265,386,085; (D) 246,599,928; (E) 211,675,894; (F) 1,111,532,984 LINE 7C - COLUMN: (A) 718,178; (B) 0; (C) 0; (D) 0; (E) 0; (F) 718,178 LINE 8 - COLUMN: (F) 1,110,814,806 LINE 9 - COLUMN: (A) 187,046,811; (B) 200,824,266; (C) 265,386,085; (D) 246,883,076; (E) 211,675,894; (F) 1,111,816,132 LINE 10A - COLUMN: (A) 1,544,624; (B) 1,377,220; (C) 1,495,086; (D) 163,641; (E) 335,549; (F) 4,916,120 LINE 10C - COLUMN: (A) 1,544,624; (B) 1,377,220; (C) 1,495,086; (D) 163,641; (E) 335,549; (F) 4,916,120 LINE 11 - COLUMN: (A) 673,203; (B) 151,437; (C) 789,277; (D) 508,990; (E) 67,393; (F) 2,122,907 LINE 13 - COLUMN: (A) 189,264,638; (B) 202,352,923; (C) 267,670,448; (D) 247,555,707; (E) 212,011,443; (F) 1,118,855,159 LINE 15: 99.28% LINE 16: 99.05% LINE 17: 0.44% LINE 18: 0.56% LINE 19A: X LINE 19B: X PART IV, SECTION A LINE 1: NO LINE 2: NO LINE 3A: NO LINE 4A: NO LINE 5A: YES LINE 5B: YES LINE 5C: NO LINE 6: YES LINE 7: NO LINE 8: NO LINE 9A: NO LINE 9B: NO LINE 9C: NO LINE 10A: NO LINE 11A: NO LINE 11B: NO LINE 11C: NO
SCHEDULE A, PART IV, SECTION A, LINE 1 THE ARTICLES OF INCORPORATION OF SANFORD HEALTH, SANFORD NORTH AND SANFORD WEST PROVIDE THAT THEY SHALL PROVIDE OVERSIGHT, OPERATE FOR THE BENEFIT OF, TO SUPPORT THE FUNCTIONS OF, AND TO CARRY OUT SOME OR ALL OF THE CHARITABLE PURPOSES OF THE NAMED SUBSIDIARY ORGANIZATIONS WHICH ARE EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ALL OTHER 501(C)(3) ORGANIZATIONS OPERATED, SUPERVISED OR CONTROLLED BY OR SUPERVISED OR CONTROLLED IN CONNECTION WITH, SUCH ORGANIZATIONS. FURTHER, PURSUANT TO THEIR BY-LAWS, THE GOVERNING BODY OF SANFORD (PARENT), SERVES AS THE GOVERNING BODY OF SANFORD HEALTH, SANFORD NORTH AND SANFORD WEST AS WELL AS ALL OF THE NAMED TAX-EXEMPT SUBSIDIARY ORGANIZATIONS. THUS, SANFORD HEALTH, SANFORD NORTH AND SANFORD WEST MEET THE RELATIONSHIP TEST AS A TYPE II ORGANIZATIONS BECAUSE THERE IS COMMON SUPERVISION AND CONTROL BETWEEN SANFORD HEALTH, SANFORD NORTH AND SANFORD WEST AND THEIR NAMED SUPPORTED ORGANIZATIONS. SANFORD HEALTH, SANFORD NORTH, AND SANFORD WEST ALSO SUPPORT ORGANIZATIONS WHICH ARE 501(C)(3) ORGANIZATIONS AFFILIATED WITH THE SUPPORTED ORGANIZATIONS OR ARE 501(C)(3) PUBLIC CHARITIES AFFILIATED WITH THESE AFFILIATED ENTITIES. THEY ARE DESCRIBED BY CLASS. IN ADDITION, THE ARTICLES PROVIDE THAT IN FURTHERANCE OF THEIR PURPOSES, THESE CORPORATIONS MAY ENGAGE IN, ADVANCE, PROMOTE, SUPPORT, AND ADMINISTER CHARITABLE, SCIENTIFIC, AND EDUCATIONAL ACTIVITIES AND PROJECTS OF EVERY KIND AND NATURE WHATSOEVER IN ITS OWN BEHALF OR AS THE AGENT, TRUSTEE, OR REPRESENTATIVE OF OTHERS. THIS INCLUDES TO AID OR ASSIST OTHER ORGANIZATIONS WHOSE ACTIVITIES ARE SUCH AS TO FURTHER, ACCOMPLISH, FOSTER, OR ATTAIN ANY SUCH PURPOSES. ALL POWERS OF THESE CORPORATIONS SHALL BE EXERCISED ONLY SO THAT THESE CORPORATIONS' OPERATIONS SHALL BE EXCLUSIVELY WITHIN THE CONTEMPLATION OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TO QUALIFY AS A SECTION 509(A)(3) SUPPORTING ORGANIZATION, AN ORGANIZATION MUST SUPPORT ONE OR MORE SPECIFIED ORGANIZATIONS. FOR TYPE II SUPPORTING ORGANIZATION'S ARTICLES OF INCORPORATION, THE ARTICLES MUST DESIGNATE THE SUPPORTING ORGANIZATION(S) BY CLASS OR PURPOSE, AND WHICH INCLUDE PUBLICLY SUPPORTED ORGANIZATIONS WHICH ARE CLOSELY RELATED IN PURPOSE OR FUNCTION TO THE PUBLICLY SUPPORTED ORGANIZATION SPECIFIED IN THE ARTICLES. THEREFORE, THE LACK OF INCLUDING THE NAME OF THE AFFILIATED ORGANIZATIONS THAT SANFORD HEALTH, SANFORD NORTH, AND SANFORD WEST WILL SUPPORT IN THEIR ARTICLES OF INCORPORATION DOES NOT OTHERWISE DEFEAT THE ORGANIZATIONS STATUSES AS TYPE II SUPPORTING ORGANIZATIONS, BECAUSE THEIR ARTICLES DESCRIBE THESE SUPPORTED ORGANIZATIONS BY CLASS (AFFILIATED WITH THE SPECIFIED SUPPORTED ORGANIZATION) AND REQUIRE THAT THEY BE EXEMPT FROM TAX UNDER IRC SECTION 501(C)(3).
SCHEDULE A, PART IV, SECTION A, LINE 5A (1) SANFORD HEALTH OF SOUTH DAKOTA, 33-1259188; (II) THE ORGANIZATION WAS FORMED ON SEPTEMBER, 27TH, 2024 AND ADDED TO SANFORD GROUP RULING UPON ACQUISITION OF A HOSPITAL, URGENT CARE CENTER, AND SURGERY CENTER THAT OCCURED ON NOVEMBER 15TH, 2024. (III) THE SUPPORTED ORGANIZATION WAS PART OF A CLASS ALREADY DESIGNATED IN THE ORGANIZATION'S ORGANIZING DOCUMENTS. (IV) NO ACTION NEEDED TO ACCOMPLISH.
SCHEDULE A, PART IV, SECTION A, LINE 6 THE ORGANIZATIONS GIVE GRANTS AND PROVIDE SUPPORT TO QUALIFIED 501(C)(3) PUBLIC CHARITIES, GOVERNMENTAL ENTITIES AND VARIOUS LOCAL NONPROFIT ORGANIZATIONS THAT SUPPORT THE MISSIONS OF SANFORD HEALTH, SANFORD NORTH, AND SANFORD WEST AND THE ORGANIZATIONS THAT THEY SUPPORT.
SCHEDULE A, PART IV, SECTION C, LINE 1 LINE 1: YES
Schedule A (Form 990) 2024


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

right arrow Attach to Form 990, 990-EZ, or 990-PF.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
Name of the organization
SANFORD GROUP RETURN
 
Employer identification number

45-3791176
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ
501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization


Form 990-PF
501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation
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
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 331/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Right Arrow $  
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't 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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025) Page 2
Name of organization
SANFORD GROUP RETURN
 
Employer identification number
45-3791176
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 3
Name of organization
SANFORD GROUP RETURN
 
Employer identification number

45-3791176
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(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) (Rev. 1-2025)
Schedule B (Form 990) (Rev. 1-2025)
Page 4
Name of organization
SANFORD GROUP RETURN
 
Employer identification number

45-3791176
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c) (7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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.) $  
Use duplicate copies of Part III if additional space is needed.
(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) (Rev. 1-2025)
Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990)

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

right arrow Complete if the organization is described below. right arrow Attach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), 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 in Part IV. See instructions for definition of “political campaign activities."

2
Political campaign activity expenditures. See instructions ....................................................................right arrow
$  
3
Volunteer hours for political campaign activities. See instructions ..................................................................
 

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 ................................right arrow
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................right arrow
$  
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 ..... right arrow
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................right arrow

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

$  
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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990.
Cat. No. 50084S
Schedule C (Form 990) 2024

Schedule C (Form 990) 2024
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 right arrowexpenses, and share of excess lobbying expenditures).
B Check right arrow
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 separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2021 (b) 2022 (c) 2023 (d) 2024 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990) 2024


Schedule C (Form 990) 2024
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)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(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? ...........................................................................................................
Yes
 
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? .............................................................................
 
No
 
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
 
582,244
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
Yes
 
10,000
i
Other activities? ...................................................................................................................
Yes
 
231,262
j
Total. Add lines 1c through 1i ....................................................................................................
823,506
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 carry over 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) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible 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
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: THE FILING ORGANIZATION HAS MEMBERSHIPS IN THE FOLLOWING ORGANIZATIONS: 340B HEALTH, ABERDEEN AREA CHAMBER OF COMMERCE, AMERICAN ACADEMY OF PROFESSIONAL CODERS, AMERICAN ADVERTISING FEDERATION OF SD, AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES, AMERICAN ORTHOTIC & PROSTHETIC ASSOCIATION, AMERICAN SOCIETY FOR GASTRO ENDOSCOPY, AMERICAN SOCIETY OF ECHOCARDIOGRAPHY, AMERICAN ACADEMY OF OPHTHALMOLOGY, AMERICAN ACADEMY OF SLEEP MEDICINE, AMERICAN HOSPITAL ASSOCIATION, AMERICAN MEDICAL ASSOCIATION, AMERICAN MEDICAL GROUP ASSOCIATION, AMERICAN OPTOMETRIC ASSOCIATION, AMERICAN SOCIETY OF REPRODUCTIVE MEDICINE, ASSOCIATION OF COMMUNITY CANCER CENTERS, ASSOCIATION OF CRITICAL CARE TRANSPORT, BISMARCK MANDAN CHAMBER EDC, CHAMBER OF COMMERCE GRAND FORKS & EAST GRAND FORKS, CHAMBER OF COMMERCE MINOT, GREATER SIOUX FALLS CHAMBER OF COMMERCE, IOWA HEALTH CARE ASSOCIATION, KLAMATH COUNTY CHAMBER OF COMMERCE, CARE PROVIDERS OF MN, MEDICAL GROUP MANAGEMENT ASSOCIATION, MN HOSPITAL ASSOCIATION, MN AMBULANCE ASSOCIATION, MN CHAMBER OF COMMERCE, NATIONAL ASSOCIATION FOR BIOMEDICAL RESEARCH, NATIONAL ASSOCIATION OF CHILDREN'S HOSPITALS, NATIONAL ASSOCIATION OF SOCIAL WORKERS, NATIONAL ASSOCIATION OF SPECIALTY PHARMACY, NATIONAL RURAL HEALTH ASSOCIATION, NATIONAL ATHLETIC TRAINERS ASSOCIATION, ND EMS ASSOCIATION, ND HOSPITAL ASSOCIATION, ND LONG TERM CARE ASSOCIATES, ND MOTOR CARRIERS ASSOCIATION, ND PETROLEUM COUNCIL, SD BIOTECH ASSOCIATION, SD CHAMBER OF COMMERCE & INDUSTRY, SD HEALTH CARE ASSOCIATION, SOCIETY FOR VASCULAR ULTRASOUND, SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY, SOUTH DAKOTA ASSOCIATION OF HEALTHCARE ORGANIZATION, SOUTH DAKOTA NETWORK AGAINST FAMILY, CHAMBER OF COMMERCE FARGO/MOORHEAD/WEST FARGO, TOBACCO FREE ND, & TRAUMA CENTER ASSOCIATION OF AMERICA. 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) 2024


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
right arrow Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow Attach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of 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 can 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" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 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 July 25, 2006, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow  
4
Number of states where property subject to conservation easement is located right arrow  
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, handling of violations, and enforcing conservation easements during the year
right arrow  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, 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" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, 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)
Revenue included on Form 990, Part VIII, line 1 .........................right arrow $  
(ii)
Assets included in Form 990, Part X ...............................right arrow $  
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 FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................right arrow $  
b
Assets included in Form 990, Part X ...............................right arrow $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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" on 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 XIII 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, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on 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 .... 98,989,485 98,286,566 95,588,573 92,002,112 89,216,166
b Contributions ... 2,430,924 538,214 3,117,005 3,277,428 3,261,419
c Net investment earnings, gains, and losses 34,960 164,705 -419,012 309,033 99,138
d Grants or scholarships ...         -574,611
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ...... 101,455,369 98,989,485 98,286,566 95,588,573 92,002,112
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment right arrow0 %
b
Permanent endowment right arrow100.000 %
c
Term endowment right arrow0 %
The percentages on lines 2a, 2b, and 2c should equal 100%.
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" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
Yes
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....   134,029,091 134,029,091
b Buildings ....   1,827,505,435 804,122,473 1,023,382,962
c Leasehold improvements   88,898,764 62,743,144 26,155,620
d Equipment ....   2,060,579,512 1,201,577,491 859,002,021
e Other .....   81,095,916 40,266,353 40,829,563
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..right arrow 2,083,399,257
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. 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........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)right arrow  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)right arrow  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)DEFERRED COMPENSATION ASSETS 230,851,445
(2)RIGHT OF USE ASSET 96,686,738
(3)NON-OPERATING PROPERTY 92,351,631
(4)OTHER ASSETS 12,975,999
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........right arrow 432,865,813
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
DEFERRED COMPENSATION LIABILITY 229,551,512
LONG TERM OPERATING LEASE PAYABLE 81,163,050
OTHER NON-CURRENT LIABILITIES 49,763,853






Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)right arrow 360,478,415
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) (Rev. 1-2025)

Schedule D (Form 990) (Rev. 1-2025)
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ........... 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 XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
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 XIII.) ........... 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 XIII.) ........... 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART IV, LINE 2B: LONG TERM CARE FACILITIES HOLD SECURITY DEPOSITS FOR TENANTS.
PART V, LINE 4: SANFORD HEALTH FOUNDATION, SANFORD HEALTH FOUNDATION NORTH, SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA AND SANFORD HEALTH FOUNDATION WEST HOLD ENDOWMENT FUNDS ON BEHALF OF THE FILING ORGANIZATION TO BE USED FOR ASSISTANCE IN ITS ACTIVITIES AND FOR PROVIDING HEALTH CARE, MEDICAL, OR EDUCATIONAL SERVICES.
PART X, LINE 2: CERTAIN CONTROLLED ORGANIZATIONS ARE SUBJECT TO INCOME TAXES. DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE RECOGNIZED FOR THE DIFFERENCES BETWEEN THE FINANCIAL AND INCOME TAX REPORTING BASIS OF ASSETS AND LIABILITIES BASED ON ENACTED TAX RATES AND LAWS. A TAX BENEFIT FROM AN UNCERTAIN TAX POSITION MAY BE RECOGNIZED WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. THE DEFERRED INCOME TAX PROVISION OR BENEFIT GENERALLY REFLECTS THE NET CHANGE IN DEFERRED INCOME TAX ASSETS AND LIABILITIES DURING THE YEAR. THE CURRENT INCOME TAX PROVISION REFLECTS THE TAX CONSEQUENCES OF REVENUES AND EXPENSES CURRENTLY TAXABLE OR DEDUCTIBLE ON VARIOUS INCOME TAX RETURNS FOR THE YEAR REPORTED. SANFORD GROUP DID NOT HAVE A MATERIAL INCOME TAX LIABILITY AT DECEMBER 31, 2024; SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES.
Schedule D (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right arrow Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right arrow Attach to Form 990.Right arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other 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 its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, 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 the region
(f) Total expenditures
for and investments
in the region
CENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS, 0 0 INVESTMENTS   8,000,000
MIDDLE EAST AND NORTH AFRICA 0 0 INVESTMENTS   1,300,000
EAST ASIA AND THE PACIFIC 0 0 INVESTMENTS   1,600,000
EAST ASIA AND THE PACIFIC 0 0 PROGRAM SERVICES MSA 49,000
SUB-SAHARAN AFRICA 0 0 PROGRAM SERVICES OPERATING EXPENSES FOR CLINIC 2,215,000
CENTRAL AMERICA AND THE CARIBBEAN 0 0 PROGRAM SERVICES MSA AND EMR WORK 1,346,000
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 14,510,000
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 14,510,000
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated 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 noncash
assistance
(h) Description
of noncash
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
0
3 Enter total number of other organizations or entities .......................MediumBullet
0
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated 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
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
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, Return by a U.S. Transferor of Property to a Foreign Corporation (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 separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
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, Information 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) (Rev. 1-2025)
Schedule F (Form 990) (Rev. 1-2025)
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
PART I, LINE 3: EXPENDITURES ARE ACCOUNTED FOR ON THE ACCRUAL BASIS OF ACCOUNTING.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) (Rev. 1-2025)
Additional Data


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Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
SANFORD GROUP RETURN
 
Employer identification number

45-3791176
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance 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 discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did 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
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance 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 Financial Assistance at cost
(from Worksheet 1) . . .
    89,067,697 0 89,067,697 1.530 %
b Medicaid (from Worksheet 3, column a) . . . . .     724,708,418 543,761,018 180,947,400 3.100 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0    
d Total Financial Assistance and Means-Tested Government Programs . . . . .     813,776,115 543,761,018 270,015,097 4.630 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     69,436,840 1,035,701 68,401,139 1.170 %
f Health professions education (from Worksheet 5) . . .     51,679,766 6,642,227 45,037,539 0.770 %
g Subsidized health services (from Worksheet 6) . . . .     2,401,616,506 2,129,499,728 272,116,778 4.670 %
h Research (from Worksheet 7) .     38,934,194 19,511,850 19,422,344 0.330 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     28,425,818 0 28,425,818 0.490 %
j Total. Other Benefits . .     2,590,093,124 2,156,689,506 433,403,618 7.430 %
k Total. Add lines 7d and 7j .     3,403,869,239 2,700,450,524 703,418,715 12.060 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(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     1,671,855 0 1,671,855 0.030 %
2 Economic development     17,761,370 0 17,761,370 0.300 %
3 Community support     1,084,250 0 1,084,250 0.020 %
4 Environmental improvements     0 0    
5 Leadership development and
training for community members
    35,523 0 35,523 0 %
6 Coalition building     502,894 0 502,894 0.010 %
7 Community health improvement advocacy     0 0    
8 Workforce development     6,338,895 0 6,338,895 0.110 %
9 Other     0 0    
10 Total     27,394,787   27,394,787 0.470 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
218,244,951
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
0
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
451,184,733
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
436,174,426
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
15,010,307
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
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(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) 2024
Schedule H (Form 990) 2024
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?26Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 SANFORD MEDICAL CENTER
1305 W 18TH STREET
SIOUX FALLS,SD57117
WWW.SANFORDHEALTH.ORG
SD 10564
SANFORD MEDICAL CENTER
460227855
X X X X     X     A
2 SANFORD MEDICAL CENTER FARGO
5225 23RD AVENUE S
FARGO,ND58104
WWW.SANFORDHEALTH.ORG
ND 5070
SANFORD MEDICAL CENTER FARGO
450226909
X X X X     X     A
3 SANFORD BROADWAY MEDICAL CENTER FARGO
801 BROADWAY NORTH
FARGO,ND58122
WWW.SANFORDHEALTH.ORG
ND 5018A
SANFORD MEDICAL CENTER FARGO
450226909
X X X X     X     A
4 SANFORD MEDICAL CENTER SOUTH UNIVERSITY
1720 SOUTH UNIVERSITY
FARGO,ND58103
WWW.SANFORDHEALTH.ORG
ND 5068A
SANFORD MEDICAL CENTER FARGO
450226909
X X   X           A
5 SANFORD BISMARCK MEDICAL CENTER
300 N 7TH STREET
BISMARCK,ND58501
WWW.SANFORDHEALTH.ORG
ND 5003A
SANFORD BISMARCK
450226700
X X   X     X     A
6 SANFORD BEMIDJI MEDICAL CENTER
1300 ANNE STREET NW
BEMIDJI,MN56601
WWW.SANFORDHEALTH.ORG
MN 371073
SANFORD HEALTH OF NORTHERN MINNESOTA
411266009
X X         X     A
7 SANFORD MEDICAL CENTER THIEF RIVER FALLS
3001 SANFORD PARKWAY
THIEF RIVER FALLS,MN56701
WWW.SANFORDHEALTH.ORG
MN 371500
SANFORD HEALTH NETWORK NORTH
450409348
X X     X   X   INPATIENT MENTAL HEALTH A
8 SANFORD ABERDEEN MEDICAL CENTER
2905 3RD AVENUE SE
ABERDEEN,SD57401
WWW.SANFORDHEALTH.ORG
SD 65089
SANFORD HEALTH NETWORK
460388596
X X         X     A
9 SANFORD WORTHINGTON MEDICAL CENTER
1018 6TH AVENUE
WORTHINGTON,MN56187
WWW.SANFORDHEALTH.ORG
MN 371449
SANFORD HEALTH NETWORK
460388596
X X         X     A
10 SANFORD SHELDON MEDICAL CENTER
118 N 7TH AVENUE
SHELDON,IA51201
WWW.SANFORDHEALTH.ORG
IA 161381
SANFORD HEALTH NETWORK
460388596
X X     X   X   NURSING FACILITY A
11 SANFORD VERMILLION MEDICAL CENTER
20 S PLUM STREET
VERMILLION,SD57069
WWW.SANFORDHEALTH.ORG
SD 53082
SANFORD HEALTH NETWORK
460388596
X X     X   X   NURSING FACILITY A
12 SANFORD CHAMBERLAIN MEDICAL CENTER
300 S BYRON BLVD
CHAMBERLAIN,SD57325
WWW.SANFORDHEALTH.ORG
SD 50302
SANFORD HEALTH NETWORK
460388596
X X     X   X   NURSING FACILITY A
13 SANFORD LUVERNE MEDICAL CENTER
1600 N KNISS AVENUE
LUVERNE,MN56156
WWW.SANFORDHEALTH.ORG
MN 371352
SANFORD HEALTH NETWORK
460388596
X X     X   X     A
14 SANFORD CANBY MEDICAL CENTER
112 ST OLAF AVENUE S
CANBY,MN56220
WWW.SANFORDHEALTH.ORG
MN 371019
SANFORD HEALTH NETWORK
460388596
X X     X   X   NURSING FACILITY A
15 SANFORD JACKSON MEDICAL CENTER
1430 N HIGHWAY
JACKSON,MN56143
WWW.SANFORDHEALTH.ORG
MN 371002
SANFORD HEALTH NETWORK
460388596
X X     X   X     A
16 SANFORD TRACY MEDICAL CENTER
251 5TH STREET E
TRACY,MN56175
WWW.SANFORDHEALTH.ORG
MN 371440
SANFORD HEALTH NETWORK
460388596
X X     X   X     A
17 SANFORD HILLSBORO MEDICAL CENTER
12 3RD STREET SE
HILLSBORO,ND58045
WWW.SANFORDHEALTH.ORG
ND 5026A
SANFORD HEALTH NETWORK NORTH
450409348
X X     X   X     A
18 SANFORD MEDICAL CENTER MAYVILLE
42 6TH AVENUE SE
MAYVILLE,ND58257
WWW.SANFORDHEALTH.ORG
ND 5034A
SANFORD HEALTH NETWORK NORTH
450409348
X X     X   X     A
19 SANFORD WEBSTER MEDICAL CENTER
1401 W 1ST STREET
WEBSTER,SD57274
WWW.SANFORDHEALTH.ORG
SD 10573
SANFORD HEALTH NETWORK
460388596
X X     X   X     A
20 SANFORD MEDICAL CENTER WHEATON
401 12TH STREET N
WHEATON,MN56296
WWW.SANFORDHEALTH.ORG
MN 371390
SANFORD HEALTH NETWORK NORTH
450409348
X X     X   X     A
21 SANFORD BAGLEY MEDICAL CENTER
203 4TH STREET NW
BAGLEY,MN56621
WWW.SANFORDHEALTH.ORG
MN 371484
SANFORD HEALTH OF NORTHERN MINNESOTA
411266009
X X     X   X     A
22 SANFORD CANTON-INWOOD MEDICAL CENTER
440 N HIAWATHA DRIVE
CANTON,SD57013
WWW.SANFORDHEALTH.ORG
SD 51569
SANFORD HEALTH NETWORK
460388596
X X     X   X     A
23 SANFORD CLEAR LAKE MEDICAL CENTER
701 3RD AVENUE S
CLEAR LAKE,SD57226
WWW.SANFORDHEALTH.ORG
SD 10533
SANFORD HEALTH NETWORK
460388596
X X     X   X     A
24 SANFORD WESTBROOK MEDICAL CENTER
920 BELL AVENUE
WESTBROOK,MN56183
WWW.SANFORDHEALTH.ORG
MN 371439
SANFORD HEALTH NETWORK
460388596
X X     X   X     A
25 SANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTER
120 LA BREE AVENUE S
THIEF RIVER FALLS,MN56701
WWW.SANFORDHEALTH.ORG
MN 410505
SANFORD HEALTH NETWORK NORTH
450409348
X               BEHAVIORAL HEALTH CENTER-INPATIENT MENTAL HEALTH A
26 BLACK HILLS SURGICAL HOSPITAL LLC
216 ANAMARIA DRIVE
RAPID CITY,SD57701
WWW.BHSH.COM
SD 10582
SANFORD HEALTH OF SOUTH DAKOTA
331259188
X X                
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
 
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 24
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 24
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 225.000000000000%
and FPG family income limit for eligibility for discounted care of 375.000000000000%
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a Described the information the hospital facility may require an individual to provide as part of his or her application
b Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application
c Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process
d Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications
e Other (describe in Section C)
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE NARRATIVE FOR LINE 16J
b
SEE NARRATIVE FOR LINE 16J
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 6
Part VFacility Information (continued)

Billing and Collections
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
FACILITY REPORTING GROUP - A
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual 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? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF: - FACILITY 1: SANFORD MEDICAL CENTER, - FACILITY 3: SANFORD BROADWAY MEDICAL CENTER FARGO, - FACILITY 4: SANFORD MEDICAL CENTER SOUTH UNIVERSITY, - FACILITY 5: SANFORD BISMARCK MEDICAL CENTER, - FACILITY 6: SANFORD BEMIDJI MEDICAL CENTER, - FACILITY 7: SANFORD MEDICAL CENTER THIEF RIVER FALLS, - FACILITY 8: SANFORD ABERDEEN MEDICAL CENTER, - FACILITY 9: SANFORD WORTHINGTON MEDICAL CENTER, - FACILITY 10: SANFORD SHELDON MEDICAL CENTER, - FACILITY 11: SANFORD VERMILLION MEDICAL CENTER, - FACILITY 12: SANFORD CHAMBERLAIN MEDICAL CENTER, - FACILITY 13: SANFORD LUVERNE MEDICAL CENTER, - FACILITY 14: SANFORD CANBY MEDICAL CENTER, - FACILITY 15: SANFORD JACKSON MEDICAL CENTER, - FACILITY 16: SANFORD TRACY MEDICAL CENTER, - FACILITY 17: SANFORD HILLSBORO MEDICAL CENTER, - FACILITY 18: SANFORD MEDICAL CENTER MAYVILLE, - FACILITY 19: SANFORD WEBSTER MEDICAL CENTER, - FACILITY 20: SANFORD MEDICAL CENTER WHEATON, - FACILITY 21: SANFORD BAGLEY MEDICAL CENTER, - FACILITY 22: SANFORD CANTON-INWOOD MEDICAL CENTER, - FACILITY 23: SANFORD CLEAR LAKE MEDICAL CENTER, - FACILITY 24: SANFORD WESTBROOK MEDICAL CENTER, - FACILITY 2: SANFORD MEDICAL CENTER FARGO, - FACILITY 25: SANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH C
GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: HEALTHY LIVINGIN THE UNITED STATES, MANY LEADING CAUSES OF DEATH AND DISEASE ARE ATTRIBUTED TO UNHEALTHY BEHAVIORS. FOR EXAMPLE, POOR NUTRITION AND LOW LEVELS OF PHYSICAL ACTIVITY ARE ASSOCIATED WITH HIGHER RISK OF CARDIOVASCULAR DISEASE, TYPE 2 DIABETES, AND OBESITY. TOBACCO USE IS ASSOCIATED WITH HEART DISEASE, CANCER, AND POOR PREGNANCY OUTCOMES IF THE MOTHER SMOKES DURING PREGNANCY. EXCESSIVE ALCOHOL USE IS ASSOCIATED WITH INJURIES, CERTAIN TYPES OF CANCERS, AND CIRRHOSIS. SANFORD SIOUX FALLS USD MEDICAL CENTER (SUSDMC) HAS MADE HEALTHY LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE A DECREASE IN OLDER ADULT INJURY FALLS. IT IS SANFORD'S GOAL TO EXPAND ACCESS TO FALL PREVENTION EDUCATION AND TO INCREASE SANFORD HEALTH PROVIDER AWARENESS AND KNOWLEDGE OF THE IMPORTANCE OF FALL PREVENTION. PRIORITY 2: ADOLESCENT MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SUSDMC HAS MADE ADOLESCENT MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROVIDE YOUTH WITH MORE ACCESS TO MENTAL AND BEHAVIORAL HEALTH INFORMATION, EDUCATION AND SERVICES. IT IS SANFORD'S GOAL TO INCREASE DEPRESSION SCREENING WITH PATIENTS AGES 12-18 YEARS OLD AND TO ENHANCE OVERALL ACCESS TO BEHAVIORAL AND MENTAL HEALTH SERVICES FOR AREA YOUTH.PRIORITY 3: ACCESS TO CAREWHEN SURVEY RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND PROVIDERS WAS THE SECOND HIGHEST ISSUE. WHEN ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY, RESPONDENTS INDICATED WALK-IN/URGENT CARE, DENTAL CARE, AND FAMILY MEDICINE OR PRIMARY CARE.SUSDMC HAS MADE ACCESS TO CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR MORE AREA RESIDENTS TO RECEIVE APPROPRIATE, NEEDED CARE. IT IS SANFORD'S GOAL TO INCREASE RATES OF PREVENTIVE SCREENING FOR CANCER AND INCREASE ACCESS TO SENIOR CARE SERVICES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR:HEALTHY LIVINGSUSDMC HAS OBTAINED ADMINISTRATION FOR COMMUNITY LIVING GRANT FUNDING TO PARTNER WITH LOCAL COMMUNITY AGENCIES TO PROVIDE FALL PREVENTION SCREENING AND EVIDENCE-BASED FALL PREVENTION PROGRAMS FOR OLDER ADULTS IN THE COMMUNITY.ADOLESCENT MENTAL HEALTH BEHAVIORAL HEALTH CARE ACCESS HAS BEEN ENHANCED WITH THE RECRUITMENT OF ADDITIONAL PROVIDERS AND PLACING BEHAVIORAL HEALTH TRIAGE THERAPISTS IN ALL PRIMARY CARE CLINICS. THE PHQ-2 ASSESSMENT IS GIVEN AT ALL PRIMARY CARE VISITS.WE CONTINUE TO EXPAND BEHAVIORAL HEALTH SERVICES COMMENSURATE TO INCREASING DEMAND. SUSDMC OFFERS MENTAL HEALTH SERVICES FOR ANY ADMITTED PATIENT AND THOSE THAT PRESENT TO THE EMERGENCY DEPARTMENT IN A MENTAL HEALTH CRISIS. PATIENTS ARE SEEN FOR SUICIDAL IDEATION, DEPRESSION, ANXIETY, PTSD, SUBSTANCE AND ADDICTION ISSUES. MENTAL HEALTH STAFF ALSO SEE THOSE WITH A NEW MEDICAL DIAGNOSIS SUCH AS CANCER, PULMONARY ISSUES AND POSTPARTUM DEPRESSION. SUSDMC'S MENTAL HEALTH TEAM CONSISTS OF 15 MASTERS LEVEL COUNSELORS AND CLINICAL SOCIAL WORKERS TO ENSURE ANY MENTAL HEALTH NEEDS ARE TAKEN CARE OF WHILE A PATIENT IS HOSPITALIZED. SUSDMC ALSO OFFERS TWO INTEGRATED HEALTH THERAPISTS THAT SEE PATIENTS IN OUR SPECIALTY CLINICS THAT ARE ON THE MAIN SUSDMC CAMPUS. THEY ARE AVAILABLE FOR CRISIS COUNSELING AND FOLLOW UP VISITS AS NEEDED AT THE SAME TIME AS THE PATIENT'S CLINIC VISIT. SUSDMC HAS SEVERAL STAFF THAT ARE PART OF THE PARTNERSHIP THAT SANFORD HEALTH AND AVERA HEALTH HAVE WITH THE CITY OF SIOUX FALLS TO FORM THE LINK. THE LINK IS A COMMUNITY TRIAGE CENTER PROVIDING A SAFE PLACE FOR PEOPLE EXPERIENCING A NON-VIOLENT BEHAVIORAL HEALTH CRISIS OR NEEDING CARE FOR SUBSTANCE ABUSE DISORDERS TO ACCESS IMMEDIATE TREATMENT AND REFERRAL TO SUPPORT SERVICES. IT OFFERS OUR COMMUNITY AN INNOVATIVE APPROACH TO ADDRESS GAPS IN CRITICAL SERVICES FOR PEOPLE LIVING WITH MENTAL HEALTH AND SUBSTANCE ABUSE CHALLENGES. WE PARTICIPATE IN VARIOUS PLANNING AND OPERATIONAL COMMITTEES AND OUR PRESIDENT AND CEO, PAUL HANSON, IS ON THE LINK BOARD OF DIRECTORS. ACCESS TO CAREWALK-INS, VIDEO VISITS, E-VISITS, ONLINE SCHEDULING, AND SAME-DAY ACCESS ARE AVAILABLE AT ALL PRIMARY CARE LOCATIONS. APPROPRIATE PREVENTIVE SCREENINGS ARE OFFERED ALONG WITH EDUCATIONAL INFORMATION ON WELLNESS AND DISEASE PREVENTION.HEALTH CARE LITERACY AND FINANCIAL ADVOCACY ARE ONGOING EFFORTS. WE COLLABORATE WITH SANFORD HEALTH PLAN TO HELP PATIENTS FIND AFFORDABLE COVERAGE. THE HOSPITAL ALSO HAS ONSITE FINANCIAL ADVOCATES WHO SPECIALIZE IN HEALTH CARE COVERAGE ENROLLMENT AND HELP PATIENTS NAVIGATE SANFORD'S FINANCIAL ASSISTANCE PROGRAM IF ELIGIBLE. WE CONTINUE TO INVEST IN LANGUAGE SERVICES TO ENSURE PATIENTS NEEDING FINANCIAL SUPPORT DO NOT FACE COMMUNICATION BARRIERS.OUR CALL CENTER, INCLUSIVE OF OUR ONE CALL SYSTEM, THE CLINICAL CALL CENTER, AND THE MY SANFORD NURSE LINE RESPONDS TO HUNDREDS OF THOUSANDS OF CALLS PER YEAR. THE CLINICAL CALL CENTER ANSWERS AFTER HOURS CALLS FOR ALL THE METRO/NETWORK CLINIC LOCATIONS, IN ADDITION TO MY SANFORD NURSE CALLS.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE: ACCESS TO AFFORDABLE HEALTH CAREQUALITY CHILD CARELONG-TERM SENIOR CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 1 -- SANFORD MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED UTILIZATION OF BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THOSE THAT NEED THEM IN THE COMMUNITY. IT IS SANFORD'S GOAL TO IMPROVE TIMELY ACCESS TO MENTAL/BEHAVIORAL HEALTH CARE SERVICES AND TO ENHANCE AND EXPAND SERVICES TO EFFECTIVELY SUPPORT AND TREAT PATIENTS WITH SUBSTANCE USE DISORDERS.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CAREWHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO HEALTH CARE WAS ONE OF THE TOP ISSUES BEHIND COST. AND WHEN RESPONDENTS, WHO RATED THEIR OWN ABILITY TO ACCESS HEALTH CARE AS POOR OR FAIR, WERE ASKED WHY THEY RATED ACCESS AS THEY DID, ISSUES OF LIMITED HOURS, WAIT TIMES, LIMITED LOCATIONS, AND LACK OF PROVIDERS AND SPECIALTY CARE WERE AMONG THE TOP CONCERNS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED COLLABORATION WITH EXTERNAL PARTNERS AND IMPROVED ACCESS TO CARE. IT IS SANFORD'S GOAL TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE AND TO COLLABORATIVELY SHARE CHNA INFORMATION WITH PUBLIC AND PRIVATE PARTNERS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSESANFORD FARGO IS CONTINUING ITS EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. UTILIZATION OF VIRTUAL VISITS FOR BEHAVIORAL HEALTH HAS CONTINUED TO GROW AND CONTRIBUTE TOWARD IMPROVED ACCESS. TIMELY ACCESS TO ADULT PSYCHIATRY CONTINUES TO BE AN AREA WE ARE WORKING TO IMPROVE AND MONITOR PROGRESS QUARTERLY. SANFORD CURRENTLY OFFERS MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS IN THE COMMUNITY THROUGH VARIOUS DELIVERY OPPORTUNITIES. DEPRESSION SCREENING WILL BE UTILIZED IN THE ROOMING NAVIGATOR IN ALL CLINICS TO HELP IDENTIFY THOSE IN NEED OF CARE. OUR SUBOXONE CLINIC CONTINUES TO SERVE PATIENTS IN ADDICTION RECOVERY AND ENGAGES IN HOSPITAL PEER COACHING. SANFORD FARGO IS CONTINUING A PARTNERSHIP WITH CLAY COUNTY DETOX TO ENSURE COORDINATED UTILIZATION OF MEDICAL AND LAW ENFORCEMENT SUPPORT FOR INDIVIDUALS ACTIVELY IN DETOX.ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE SANFORD FARGO INCREASED HOME-BASED PRIMARY CARE ACCESS AND CONTINUES TO UTILIZE THIS APPROACH TO IMPROVE ACCESS AS ALL PRIMARY CARE PROVIDERS NOW HAVE ACCESS TO THIS OPTION. PROVIDER RECRUITMENT PLAYS A MAJOR ROLE IN OUR ABILITY TO INCREASE OUR CAPACITY. INVESTING IN OUR EDUCATIONAL PROGRAMS TO SERVE AS A PIPELINE FOR PROVIDERS CONTINUES TO BE A PRIORITY. THE BROADWAY CAMPUS IS UNDERGOING EXTENSIVE REMODELING FOLLOWING THE OPENING OF SANFORD MEDICAL CENTER FARGO IN JULY 2017 AND THE RELOCATION OF MANY SERVICES TO THAT LOCATION. THE LONGER-TERM MISSION FOR THE BROADWAY FACILITY IS A GREATLY EXPANDED ROGER MARIS CANCER CENTER WHICH WILL ANCHOR THE BROADWAY CAMPUS AND PROVIDE MANY NEW SERVICES AND SPECIALTIES. IN ADDITION TO AN EXTENSIVE ARRAY OF CANCER SERVICES PROVIDED, INCLUDING A BONE MARROW TRANSPLANT PROGRAM, AND AN INPATIENT ONCOLOGY UNIT, SANFORD BROADWAY IS CURRENTLY HOME TO THE CARDIOVASCULAR CLINIC, CV DIAGNOSTIC SERVICES, INPATIENT HOSPICE UNIT, INPATIENT ICU, URGENT CARE, SAME DAY SURGERY, INPATIENT EATING DISORDER UNIT AND OTHERS. IT IS CONNECTED TO SANFORD BROADWAY CLINIC, WHICH IS THE REGION'S LARGEST MULTI-SPECIALTY CLINIC OFFERING OVER 50 MEDICAL SPECIALTIES INCLUDING NUMEROUS PEDIATRIC SUB-SPECIALTIES. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGPUBLIC TRANSPORTATIONQUALITY CHILDCAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 3 -- SANFORD BROADWAY MEDICAL CENTER FARGO PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED UTILIZATION OF BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THOSE THAT NEED THEM IN THE COMMUNITY. IT IS SANFORD'S GOAL TO IMPROVE TIMELY ACCESS TO MENTAL/BEHAVIORAL HEALTH CARE SERVICES AND TO ENHANCE AND EXPAND SERVICES TO EFFECTIVELY SUPPORT AND TREAT PATIENTS WITH SUBSTANCE USE DISORDERS.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CAREWHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO HEALTH CARE WAS ONE OF THE TOP ISSUES BEHIND COST. AND WHEN RESPONDENTS, WHO RATED THEIR OWN ABILITY TO ACCESS HEALTH CARE AS POOR OR FAIR, WERE ASKED WHY THEY RATED ACCESS AS THEY DID, ISSUES OF LIMITED HOURS, WAIT TIMES, LIMITED LOCATIONS, AND LACK OF PROVIDERS AND SPECIALTY CARE WERE AMONG THE TOP CONCERNS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED COLLABORATION WITH EXTERNAL PARTNERS AND IMPROVED ACCESS TO CARE. IT IS SANFORD'S GOAL TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE AND TO COLLABORATIVELY SHARE CHNA INFORMATION WITH PUBLIC AND PRIVATE PARTNERS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSESANFORD FARGO IS CONTINUING ITS EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. UTILIZATION OF VIRTUAL VISITS FOR BEHAVIORAL HEALTH HAS CONTINUED TO GROW AND CONTRIBUTE TOWARD IMPROVED ACCESS. TIMELY ACCESS TO ADULT PSYCHIATRY CONTINUES TO BE AN AREA WE ARE WORKING TO IMPROVE AND MONITOR PROGRESS QUARTERLY. SANFORD CURRENTLY OFFERS MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS IN THE COMMUNITY THROUGH VARIOUS DELIVERY OPPORTUNITIES. DEPRESSION SCREENING WILL BE UTILIZED IN THE ROOMING NAVIGATOR IN ALL CLINICS TO HELP IDENTIFY THOSE IN NEED OF CARE. OUR SUBOXONE CLINIC CONTINUES TO SERVE PATIENTS IN ADDICTION RECOVERY AND ENGAGES IN HOSPITAL PEER COACHING. SANFORD FARGO IS CONTINUING A PARTNERSHIP WITH CLAY COUNTY DETOX TO ENSURE COORDINATED UTILIZATION OF MEDICAL AND LAW ENFORCEMENT SUPPORT FOR INDIVIDUALS ACTIVELY IN DETOX.ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE SANFORD FARGO INCREASED HOME-BASED PRIMARY CARE ACCESS AND CONTINUES TO UTILIZE THIS APPROACH TO IMPROVE ACCESS AS ALL PRIMARY CARE PROVIDERS NOW HAVE ACCESS TO THIS OPTION. PROVIDER RECRUITMENT PLAYS A MAJOR ROLE IN OUR ABILITY TO INCREASE OUR CAPACITY. INVESTING IN OUR EDUCATIONAL PROGRAMS TO SERVE AS A PIPELINE FOR PROVIDERS CONTINUES TO BE A PRIORITY. SANFORD SOUTH UNIVERSITY MEDICAL CENTER HAS 115 LICENSED BEDS AND SERVES AS A HUB FOR ORTHOPEDIC SURGERY AND REHABILITATION WITH INPATIENT UNITS FOR THESE SERVICES. SOUTH UNIVERSITY ALSO CURRENTLY HOUSES HIGHLY SPECIALIZED SERVICES, INCLUDING A BEHAVIORAL HEALTH INPATIENT AND PARTIAL HOSPITALIZATION UNIT, OPHTHALMOLOGY, A CENTER FOR CARDIAC AND VASCULAR SCREENING, AND A BIO-SKILLS AND CADAVER LAB FOR MEDICAL RESIDENTS. SANFORD HEALTH IS A MAJOR TEACHING HOSPITAL IN PARTNERSHIP WITH THE UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE AND HEALTH SCIENCES. THEY HAVE COLLABORATED TO LAUNCH SEVERAL NEW RESIDENCY AND FELLOWSHIP PROGRAMS IN THE LAST FIVE YEARS, INCLUDING ORTHOPEDICS, NEUROLOGY, ONCOLOGY, AND FAMILY MEDICINE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGPUBLIC TRANSPORTATIONQUALITY CHILDCAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 4 -- SANFORD MEDICAL CENTER SOUTH UNIVERSITY PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ADDRESS THE MENTAL HEALTH OF THE COMMUNITY THROUGH NEAR-TERM ACCESS IMPROVEMENT AND EARLY INTERVENTION IN COMMUNITY SCHOOLSMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.ACCORDING TO CHR, ADULTS IN THE BISMARCK AREA AVERAGE 3.7 MENTALLY UNHEALTHY DAYS EACH MONTH AND 12 PERCENT OF ADULTS AVERAGE AT LEAST 14 DAYS OF MENTAL DISTRESS PER MONTH. ONE OF THE MOST IMPORTANT MEASURES OF MENTAL HEALTH WITHIN A COMMUNITY IS SUICIDE. CHR DATA INDICATE THAT THERE ARE 17 SUICIDES FOR EVERY 100,000 PEOPLE IN THE BISMARCK AREA. IN ADDITION, THERE ARE 9 DRUG OVERDOSE DEATHS FOR EVERY 100,000 PEOPLE IN THE BISMARCK AREA. ACCORDING TO CHR, THE BISMARCK AREA HAS ONE MENTAL HEALTH PROVIDER FOR EVERY 437 PEOPLE, WHICH IS SLIGHTLY WORSE THAN THE COMPARISON GROUP AVERAGE. SANFORD HAS MADE THE MENTAL HEALTH OF THE COMMUNITY A PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPAND BEHAVIORAL HEALTH SERVICES OFFERED IN THE PRIMARY CARE SETTING AND IMPROVE MENTAL HEALTH RESOURCES FOR AREA STUDENTS.PRIORITY 2: IMPROVE ACCESS THROUGH INCREASED AVAILABILITY OF PROVIDERS, ADDITIONAL ACCESS POINTS, AND INTERVENTIONS TO DECREASE SUBSTANCE ABUSEMULTIPLE STAKEHOLDER GROUPS HIGHLIGHTED THE WAIT TIMES AT LOCAL EMERGENCY ROOMS AS AN ACCESS ISSUE. ONE AREA OF DISCUSSION IS HOW THE LACK OF A LOCAL DETOX FACILITY RESULTS IN MORE ER UTILIZATION BY THOSE THAT COULD OTHERWISE BE AT SUCH A FACILITY. ADDITIONAL DISCUSSIONS CENTERED ON THE IMPACT OF COST, TRANSPORTATION, NEED FOR ADDITIONAL CASE MANAGERS, AND OTHER SERVICES THAT COULD BE OFFERED OR IMPROVED. SANFORD HAS MADE A DECREASE IN SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO EXPLORE AND ENHANCE RELATIONSHIPS WITH ADDICTION SERVICE PROVIDERS AND TO EXPLORE FEASIBILITY OF JOINT DETOX FACILITIES AND FIRST RESPONDER RESOURCES. THIS WILL HAVE THE IMPACT OF INCREASING EMERGENCY ROOM ACCESS DUE TO FEWER INDIVIDUALS PRESENTING IN THE EMERGENCY ROOM WITH SUBSTANCE ABUSE RELATED ISSUES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR ADDRESS THE MENTAL HEALTH OF THE COMMUNITY THROUGH NEAR-TERM ACCESS IMPROVEMENT AND EARLY INTERVENTION IN COMMUNITY SCHOOLS AT LEAST ONE SANFORD BEHAVIORAL HEALTH PROVIDER CURRENTLY PROVIDES SERVICES ON CAMPUS TO SIMLE MIDDLE SCHOOL. IN ADDITION, SANFORD'S BEHEARD PROGRAM IS BEING ROLLED OUT TO OTHER SCHOOLS ACROSS THE REGION AND OTHER STAFF, SUCH AS COACHES, AT SANFORD SPORTS HAVE BEEN TRAINED TO IDENTIFY AND ADDRESS SIGNS OF BEHAVIORAL HEALTH CRISIS. FURTHER SUPPORT IS PROVIDED THROUGH WEEKLY MEETINGS BETWEEN THERAPISTS AND THE SCHOOLS' LEADERSHIP TEAMS TO COORDINATE SUPPORT SERVICES FOR HIGH-RISK STUDENTS. TELEHEALTH SERVICES ARE PROVIDED DURING THE SUMMER TO CONTINUE CARE DELIVERY OPTIONS WHILE SCHOOL IS NOT IN SESSION. THE SUPPORT PROVIDED TO THE LOCAL SCHOOL DISTRICTS BUILDS UPON THE EFFORTS TO ENHANCE ACCESS THROUGH THE CLINIC AND HOSPITAL SYSTEM. SANFORD IS WORKING TO EXPAND ACCESS BEYOND STANDARD CLINIC HOURS. ONE EXAMPLE IS THE ADDITION OF AFTER-HOURS PSYCHIATRY SERVICES PROVIDED VIA TELEHEALTH ASSESSMENTS FOR PATIENTS THAT PRESENT IN THE EMERGENCY ROOM OVERNIGHT. FURTHERMORE, SANFORD PARTNERS WITH A LOCAL SUBSTANCE ABUSE TREATMENT CENTER TO CO-LOCATE A COUNSELOR IN THE EMERGENCY ROOM FOR THOSE THAT NEED IT. SANFORD ALSO OFFERS BEHAVIORAL AND SUBSTANCE ABUSE SERVICES THROUGHOUT THEIR CARE DELIVERY FOOTPRINT AND CONTINUES TO EXPAND THE INTEGRATION OF THESE SERVICES INTO VARIOUS CARE SETTINGS, INCLUDING INTEGRATED HEALTH THERAPISTS WITHIN PRIMARY CARE CLINICS.IMPROVE ACCESS THROUGH INCREASED AVAILABILITY OF PROVIDERS, ADDITIONAL ACCESS POINTS, AND INTERVENTIONS TO DECREASE SUBSTANCE ABUSESANFORD LEADERS HAVE ENGAGED BOTH LOCAL AND STATE LEADERS IN AN EFFORT TO EXPAND BOTH BEHAVIORAL HEALTH AND ADDICTION COUNSELING SERVICES. IN ADDITION, SANFORD HAS HIRED ADDITIONAL BEHAVIORAL HEALTH PROVIDERS IN BISMARCK-MANDAN AND ELSEWHERE IN THE REGION TO ACCOMMODATE INCREASING DEMAND. SANFORD ALSO MEETS ON A QUARTERLY BASIS WITH LOCAL LAW ENFORCEMENT, EMERGENCY DEPARTMENT PROVIDERS AND OTHER PARTNERS TO DISCUSS TRENDS, NEW DEVELOPMENTS, INCLUDING SUBSTANCE ABUSE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVING LONG-TERM SENIOR CARE QUALITY CHILD CAREPUBLIC TRANSPORTATIONSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 5 -- SANFORD BISMARCK MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO HEALTHCARE PROVIDERSSANFORD BEMIDJI (SB) PLAYS A VITAL ROLE IN ENSURING THAT PATIENTS IN RURAL MN HAVE ACCESS TO HEALTH CARE SERVICES. AS THE COMMUNITY AGES AND AS CHALLENGES WITH CLINICIAN RECRUITMENT AND HEALTH CARE INFRASTRUCTURE CHANGES ARISE, MAINTAINING ROBUST AND SUSTAINABLE HEALTH CARE ACCESS BECOMES INCREASINGLY CRITICAL. SANFORD HEALTH IS COMMITTED TO ENSURING THAT THE QUALITY OF CARE IS NOT INFLUENCED BY A PATIENT'S LOCATION.SB HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE ACCESS TO HEALTHCARE PROVIDERS WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON THREE PRIMARY GOALS: TO IMPROVE OPPORTUNITIES FOR TRANSPORTATION FOR PATIENTS TO HEALTH-RELATED APPOINTMENTS, TO PROVIDE INCREASED OPPORTUNITIES FOR PATIENTS TO RECEIVE EARLY SCREENING AND VACCINATIONS, AND TO EXPAND VIRTUAL HEALTH CARE OPTIONS FOR PATIENTS.PRIORITY 2: INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE TREATMENTINCREASING BEHAVIORAL HEALTH SERVICES AND EXPANDING ACCESS TO SUBSTANCE ABUSE TREATMENT ARE CRITICAL FOR ADDRESSING THE GROWING MENTAL HEALTH AND ADDICTION CRISES. BY PROVIDING COMPREHENSIVE SUPPORT AND ACCESSIBLE CARE, SB CAN HELP INDIVIDUALS MANAGE THEIR CONDITIONS, REDUCE STIGMA, AND PROMOTE RECOVERY. STRENGTHENING THESE SERVICES IS ESSENTIAL FOR IMPROVING OVERALL PUBLIC HEALTH, ENHANCING QUALITY OF LIFE, AND BUILDING HEALTHIER COMMUNITIES.SANFORD HAS MADE BEHAVIORAL HEALTH AND SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN THESE SERVICES. IT IS SANFORD'S GOALS TO FOCUS ON INCREASING ACCESS TO VIRTUAL VISITS FOR BEHAVIORAL HEALTH CARE, TO INCREASE ACCESS TO SUBSTANCE USE SERVICES AND TO PROVIDE SUBSTANCE USE AND MENTAL HEALTH SERVICES TO THE INCARCERATED IN BELTRAMI COUNTY.PRIORITY 3: INCREASE ACCESS TO AFFORDABLE HEALTHCAREINCREASING ACCESS TO AFFORDABLE HEALTHCARE HELPS REDUCE HEALTH DISPARITIES BY PROVIDING EQUAL ACCESS TO PREVENTIVE SERVICES, TREATMENTS, AND ONGOING CARE, WHICH CONTRIBUTES TO OVERALL BETTER HEALTH OUTCOMES AND A HIGHER QUALITY OF LIFE. ACCESSIBLE, AFFORDABLE HEALTHCARE ALSO SUPPORTS EARLY INTERVENTION, REDUCING THE NEED FOR EMERGENCY CARE AND MITIGATING THE LONG-TERM ECONOMIC AND HEALTH IMPACTS ON THE COMMUNITY.SANFORD HAS MADE AFFORDABLE CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN OPTIONS FOR ACCESS TO AFFORDABLE CARE. IT IS SANFORD'S GOAL TO LAUNCH A "MAKING CARE PRIMARY" INITIATIVE TO IMPROVE PATIENTS CARE EXPERIENCE WHILE IMPROVING HEALTHCARE OUTCOMES AND LOWER THE OVERALL COST OF CARE.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO HEALTH CARE PROVIDERSSANFORD HEALTH CURRENTLY OPERATES A CRITICAL ACCESS HOSPITAL WITH REHAB AND AMBULANCE SERVICES IN BAGLEY AS WELL AS 11 NETWORK LOCATIONS, PROVIDING PRIMARY CARE, EYE CARE AND OPTICAL SERVICES, KIDNEY DIALYSIS, PHARMACY SERVICES, OUTPATIENT REHAB AND BEHAVIORAL HEALTH CARE. OUTREACH SERVICES AND SPECIALTIES INCLUDE ORTHOPEDICS, SLEEP MEDICINE, NEPHROLOGY, OBSTETRICS AND GYNECOLOGY, GENERAL SURGERY, CARDIOLOGY, PODIATRY, BARIATRICS, ONCOLOGY, OPHTHALMOLOGY, INTERVENTIONAL PAIN MANAGEMENT, DERMATOLOGY, OPTOMETRY, BEHAVIORAL HEALTH AND INTERNAL MEDICINE.IN AN EFFORT TO ATTRACT CLINICIANS, SB PARTNERS WITH REGIONAL MEDICAL SCHOOLS TO PREPARE STUDENTS FOR PRACTICING IN RURAL COMMUNITIES. THROUGH THESE PARTNERSHIPS, STUDENTS ENGAGE IN A YEAR-LONG EXPERIENCE LIVING IN BEMIDJI WHILE LEARNING FROM LOCAL CLINICIANS IN FAMILY MEDICINE, PEDIATRICS, INTERNAL MEDICINE, OB/GYN, SURGERY, PSYCHIATRY AND EMERGENCY MEDICINE. ADDITIONALLY, WE HAVE A ROBUST THREE-YEAR RECRUITMENT PLAN.THE "FAMILIES FIRST" PROGRAM EXPANDS AND ENHANCES SERVICES, DECREASING ADVERSE PATIENT OUTCOMES, REDUCING COSTS AND SUPPORTING PATIENTS SO MOTHERS, BABIES AND FAMILIES THRIVE FOR GENERATIONS TO COME. A CRITICAL PART OF THIS PROGRAM INCLUDES TRANSPORTATION FOR PRE-NATAL APPOINTMENTS. WE OFFER SEVERAL OPPORTUNITIES THROUGHOUT THE YEAR FOR COMMUNITY MEMBERS TO GET SCREENINGS, REGARDLESS IF THEY HAVE A PRIMARY CARE PROVIDER OR HEALTH INSURANCE.SANFORD HEALTH LAUNCHED A VIRTUAL CARE INITIATIVE TO TRANSFORM DELIVERING CARE BY EXPANDING ACCESS, IMPROVING PATIENT EXPERIENCES, ADVANCING INNOVATION THROUGH NEW RESEARCH, AND ATTRACTING AND TRAINING A NEW GENERATION OF CLINICIANS. INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES & SUBSTANCE ABUSE TREATMENTSANFORD BEHAVIORAL HEALTH OF NORTHERN MINNESOTA IS A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC, ADOPTING A MODEL TO INTEGRATE BEHAVIORAL AND PHYSICAL HEALTH CARE, EXPAND ACCESS TO MENTAL HEALTH AND SUBSTANCE USE DISORDER SERVICES, AND ENSURE CONSISTENT USE OF EVIDENCE-BASED PRACTICES. THIS EMPHASIZES COMMUNITY OUTREACH, OFFERING SERVICES IN PATIENTS' HOMES AND VIA TELEHEALTH.PATIENTS AGED 10 AND OLDER ARE ABLE TO SELF-SCHEDULE VIRTUAL BEHAVIORAL HEALTH APPOINTMENTS WITHOUT A REFERRAL. ADDITIONALLY, EMERGENCY DEPARTMENTS ARE CONNECTED TO PSYCHIATRISTS WHO ASSESS AND MANAGE EMERGENT BEHAVIORAL HEALTH CRISES VIRTUALLY.THE SANFORD BEMIDJI CRISIS CENTER FEATURES AN INNOVATIVE EMPATH UNIT (EMERGENCY PSYCHIATRIC ASSESSMENT, TREATMENT, AND HEALING), OFFERING URGENT CARE IN A CALMING ENVIRONMENT FOR UP TO 23 HOURS. IT INCLUDES SEPARATE AREAS FOR CHILDREN AND ADULTS, WITH SPACES DESIGNED FOR CULTURAL AND SPIRITUAL HEALING, PARTICULARLY FOR INDIGENOUS PATIENTS. THE CENTER INCLUDES THE REGION'S ONLY INPATIENT PSYCHIATRIC UNIT WITHIN A 90-MILE RADIUS.SANFORD HEALTH INTEGRATES BEHAVIORAL HEALTH SERVICES IN PRIMARY CARE CLINICS AND ONCOLOGY DEPARTMENTS THROUGH ON-SITE INTEGRATED HEALTH THERAPISTS, ENSURING THAT PATIENTS NEEDING FURTHER ASSESSMENT CAN RECEIVE IMMEDIATE SUPPORT. MOBILE CRISIS RESPONSE SERVICES PROVIDE 24/7 CRISIS INTERVENTION FOR ALL AGES.SANFORD'S SCHOOL-BASED PROGRAMS OFFER MENTAL HEALTH SUPPORT IN LOCAL ELEMENTARY SCHOOLS, WHILE THE YOUTH ASSERTIVE COMMUNITY TREATMENT PROGRAM PROVIDES INTENSIVE, MULTIDISCIPLINARY CARE FOR YOUTH WITH SEVERE MENTAL HEALTH NEEDS. THE SUBSTANCE USE DISORDER PROGRAM OFFERS PERSONALIZED TREATMENT PLANS, INCLUDING ABSTINENCE-BASED AND HARM-REDUCTION APPROACHES, WITH SPECIALIZED GROUPS FOR VARIOUS POPULATIONS. SANFORD HEALTH WAS THE FIRST NON-NATIVE ORGANIZATION TO EARN WELLBRIETY CERTIFICATION, INTEGRATING CULTURAL HEALING PRACTICES FOR NATIVE AMERICAN PATIENTS.THE PRIMEWEST RESIDENTIAL SUPPORT CENTER OFFERS SHORT-TERM RESIDENTIAL CARE FOR ADULTS IN MENTAL HEALTH CRISES. THE NEW BEGINNINGS RE-ENTRY PROJECT ASSISTS FORMERLY INCARCERATED INDIVIDUALS IN TRANSITIONING BACK TO SOCIETY.INCREASE ACCESS TO AFFORDABLE HEALTH CARESANFORD HEALTH CURRENTLY OFFERS FINANCIAL ASSISTANCE FOR PATIENTS WHO NEED MEDICALLY NECESSARY SERVICES OR EMERGENCY CARE. WE HAVE ALSO IMPLEMENTED A PRESUMPTIVE COMMUNITY CARE POLICY. INSTEAD OF WAITING FOR A PATIENT TO CONTACT US AFTER A BILL HAS BEEN SENT TO COLLECTIONS, WE PROACTIVELY EVALUATE SOME OF THE PATIENT'S DEMOGRAPHIC INFO AND OTHER FACTORS TO DETERMINE NEED OF FINANCIAL ASSISTANCE.SANFORD HEALTH HELPS PATIENTS IN NEED THROUGH THE PROVIDING NEEDED AID TO PATIENTS LOCALLY FOUNDATION FUND. FUNDS ARE USED TO HELP ESTABLISH PATIENT SELF-MANAGEMENT AND TO GET ITEMS THAT WILL STREAMLINE CARE LIKE BLOOD PRESSURE CUFFS, SCALES, PULSE OXIMETERS, PILL BOXES, WHEELCHAIRS, SHOWER CHAIRS AND DRESSING SUPPLIES. FUNDS CAN ALSO BE USED FOR COPAYS AND TRANSPORTATION.SANFORD HEALTH'S PRESCRIPTION ASSISTANCE PROGRAM OFFERS TIERED ASSISTANCE BASED ON INCOME LEVEL TO HELP PATIENTS AFFORD MEDICATION. IF A PATIENT INDICATES THEY CANNOT AFFORD THEIR MEDICATION, CLINICIANS CAN PRESUMPTIVELY QUALIFY THEM. PATIENTS WHO MEET PROGRAM GUIDELINES ARE ELIGIBLE FOR SIX MONTHS OF PRESCRIPTION ASSISTANCE. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:HEALTHY LIVINGEMPLOYMENT & ECONOMIC OPPORTUNITYLONG-TERM SENIOR CARECHILD CARE QUALITYCOMMUNITY SAFETYAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 6 -- SANFORD BEMIDJI MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTSWHEN SURVEY RESPONDENTS IN THE THIEF RIVER FALLS (TRF) MARKET AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, THREE-FOURTHS OF SURVEY RESPONDENTS INDICATED THAT THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY. WHEN THESE RESPONDENTS WERE ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED, MOST SAID BEHAVIORAL AND MENTAL HEALTH SERVICES, FOLLOWED BY CANCER CARE, ADDICTION TREATMENT, DENTAL CARE, WALK-IN/URGENT CARE, LONG-TERM CARE AND NURSING HOMES, OBGYN/WOMEN'S CARE, FAMILY MEDICINE OR PRIMARY CARE, AND HEART CARE.SANFORD HAS MADE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN SAME-DAY APPOINTMENT AVAILABILITY. IT IS SANFORD'S GOAL TO EXPAND SAME-DAY APPOINTMENTS WITHIN PRIMARY CARE AND TO ENHANCE ACCESS TO THE TOP THREE SERVICES IDENTIFIED IN THE COMMUNITY SURVEY (MENTAL HEALTH, CANCER CARE AND SUBSTANCE ABUSE).PRIORITY 2: PROMOTE COMMUNITY SERVICES WITH COMMUNITY PARTNERSBY PARTNERING WITH LOCAL ENTITIES, SANFORD MEDICAL CENTER TRF AIMS TO ADDRESS THE INTERCONNECTED ECONOMIC, SOCIAL, AND HEALTH NEEDS OF OUR COMMUNITY. THIS COLLABORATIVE APPROACH NOT ONLY ENHANCES ACCESS TO ESSENTIAL RESOURCES BUT ALSO FOSTERS A HEALTHIER, MORE RESILIENT POPULATION.SANFORD HAS MADE PROMOTING COMMUNITY SERVICES WITH COMMUNITY PARTNERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO CREATE A LASTING POSITIVE IMPACT ON THE OVERALL WELLBEING OF THE COMMUNITY WE SERVE. IT IS SANFORD'S GOAL TO PARTNER WITH COUNTY HEALTH FOR EDUCATIONAL RESOURCES AND TO PROMOTE SANFORD.FINDHELP.COMPRIORITY 3: INCREASE ACCESS TO MENTAL HEALTH SERVICESMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE INCREASING ACCESS TO MENTAL HEALTH SERVICES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE EXPANDED ACCESS TO GROUP THERAPY SESSIONS AND AN EXPANDED CLINICAL TRAINING PROGRAM TO INCREASE ACCESS. IT IS SANFORD'S GOAL TO REDUCE WAIT TIME FOR MENTAL HEALTH SERVICES BY OFFERING GROUP THERAPY AND TO EXPAND THE CLINICAL TRAINING PROGRAM.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTSACCESS TO HEALTHCARE PROVIDERS REMAINS A TOP PRIORITY IN TRF. WE HAVE SUCCESSFULLY LEVERAGED TELEHEALTH TECHNOLOGIES TO EXPAND ACCESS BEYOND TRADITIONAL IN-PERSON CONSULTATIONS. WHILE THE POTENTIAL FOR TELEHEALTH IS SIGNIFICANT, ITS ADOPTION IS SOMEWHAT CONSTRAINED BY EXISTING PAYMENT MODELS AND THE WILLINGNESS OF INSURANCE PAYERS TO RECOGNIZE TELEHEALTH AS A COVERED SERVICE AND THE PERCEPTION OF THIS SERVICE FROM PROVIDERS AND OLDER PATIENTS NOT FEELING THE SAME PROVIDER-PATIENT RELATIONSHIP.PROMOTE COMMUNITY SERVICES WITH COMMUNITY PARTNERSSANFORD TRF IS COMMITTED TO BEING AN ENGAGED COMMUNITY PARTNER ACROSS VARIOUS LEVELS AND ORGANIZATIONS. WE ACTIVELY SUPPORT ECONOMIC DEVELOPMENT INITIATIVES, COLLABORATE WITH THE CHAMBER OF COMMERCE, AND ENGAGE WITH THE LOCAL SCHOOL SYSTEM. OUR INVOLVEMENT EXTENDS TO COMMUNITY HEALTH AND FITNESS PROGRAMS, EVENTS, AND A LOCAL YOUNG PROFESSIONALS' NETWORK, CONTRIBUTING TO A VIBRANT AND HEALTHY COMMUNITY.WE ARE ALSO DEDICATED TO INVESTING IN EDUCATIONAL PROGRAMS TAILORED TO ADDRESS CRITICAL HEALTH TOPICS, INCLUDING COURSES FOCUSED ON CARDIAC HEALTH, PREGNANCY, DIABETES, AND MORE. ADDITIONALLY, WE ADVOCATE FOR POLICY CHANGES AT THE LOCAL, STATE, AND FEDERAL LEVELS, WORKING ALONGSIDE ADVOCACY GROUPS TO PROMOTE HEALTH EQUITY AND IMPROVED HEALTH OUTCOMES.INCREASE ACCESS TO MENTAL HEALTH SERVICESSANFORD TRF BEHAVIORAL HEALTH CENTER (SBHC) SERVES AS THE ONLY FREESTANDING BEHAVIORAL HEALTH HOSPITAL AND PRIMARY PROVIDER OF INPATIENT PSYCHIATRIC SERVICES FOR NORTHWEST MINNESOTA, WITH 16 INPATIENT PSYCHIATRIC BEDS. THE HOSPITAL OFFERS OUTPATIENT MENTAL HEALTH SERVICES, CHILDREN'S THERAPEUTIC SERVICES AND SUPPORT, AND OUTPATIENT SUBSTANCE USE TREATMENT. THE HOSPITAL IS ACTIVELY RECRUITING BOTH MASTER'S AND DOCTORAL-LEVEL PROFESSIONALS. TELEHEALTH HAS BEEN INSTRUMENTAL IN RETAINING CLINICIANS WHO MIGHT HAVE RELOCATED, ALLOWING US TO MAINTAIN SERVICE CONTINUITY. EIGHT OF OUR CLINICIANS NOW EXCLUSIVELY PROVIDE TELEHEALTH SERVICES, WHILE MANY OTHERS INTEGRATE IT INTO THEIR PRACTICE. THIS EXPANSION OF TELEHEALTH HAS SIGNIFICANTLY IMPROVED ACCESS TO MENTAL HEALTH CARE.WE HAVE INVESTED SIGNIFICANT EFFORT TO IMPROVE OUR INTAKE PROCESS FOR THERAPY SERVICES INCLUDING COMPLETING AN INTAKE SCREENING AND UPDATING OUR WAITLIST TO AID IN BEST ALIGNING CLINICIAN EXPERTISE AND AVAILABILITY WITH PATIENT NEEDS.SBHC STAFF PROVIDED 8 SAFETALK TRAININGS THROUGHOUT THE REGION, WHICH IS A 4-HOUR TRAINING THAT EQUIPS PEOPLE TO BE MORE ALERT TO SOMEONE THINKING OF SUICIDE AND BETTER ABLE TO CONNECT THEM WITH FURTHER HELP. SBHC AND SANFORD HEALTH MEDICAL CENTER STAFF ALSO PARTNERED WITH COMMUNITY STRONG TO PROVIDE EDUCATION AND OUTREACH EVENTS AT SPORTS GAMES, TEENS TOWARD ZERO DEATHS, AS WELL AS HOSTING/SPONSORING THE ANNUAL BE THE VOICE EVENT IN THIEF RIVER FALLS. IN ADDITION, SBHC CONNECTED WITH VARIOUS OTHER AGENCIES, GROUPS, AND COMMUNITIES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO QUALITY HEALTHCAREPUBLIC TRANSPORTATIONLONG-TERM SENIOR CAREQUALITY CHILD CAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 7 -- SANFORD MEDICAL CENTER THIEF RIVER FALLS PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO HEALTH CARE PROVIDERS DUE TO LACK OF TRANSPORTATION OR COSTCOST AND THE ABILITY TO AFFORD NEEDED HEALTH CARE WAS IDENTIFIED AS THE TOP HEALTH CARE CONCERN THAT SURVEY RESPONDENTS AND THEIR FAMILIES IN THE AREA FACE ON A REGULAR BASIS. IN ADDITION, RESPONDENTS IN THE AREA INDICATED THAT THEY OR A FAMILY MEMBER NEEDED MEDICAL CARE IN THE PAST YEAR BUT DID NOT RECEIVE IT. ADDING TO THE CHALLENGES IN ACCESSING AFFORDABLE HEALTH CARE IS THE NUMBER IN THE AREA THAT ARE UNINSURED.SANFORD HAS MADE HEALTHCARE ACCESS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE AND IMPROVE ACCESS TO SERVICES AND EDUCATION. IT IS SANFORD'S GOAL TO IMPROVE SCREENING FOR SOCIAL DETERMINANTS OF HEALTH AND TO ADDRESS TRANSPORTATION BARRIERS FOR PATIENTS.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERSGENERAL ACCESS TO HEALTH CARE AND A SHORTAGE OF HEALTH CARE PROVIDERS WAS ONE OF THE TOP ISSUES, WHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY. NEARLY TWO-THIRDS OF RESPONDENTS HAD TRAVELED TO RECEIVE HEALTH CARE SERVICES OUTSIDE THEIR COMMUNITY AND THE SPECIALTY CARE, OR THE NEEDED SERVICES WERE NOT AVAILABLE LOCALLY. IN ADDITION, THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THE COMMUNITY. SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE AND IMPROVE ACCESS TO A COMPREHENSIVE PANEL OF PRIMARY CARE AND SPECIALTY PROVIDERS. IT IS SANFORD'S GOAL TO IMPROVE WEIGHT MANAGEMENT SERVICES TO MITIGATE CHRONIC DISEASE IMPACT AND ENHANCE OVERALL ACCESS TO PRIMARY CARE IN THE COMMUNITY. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO HEALTH CARE PROVIDERS DUE TO LACK OF TRANSPORTATION OR COSTSANFORD ABERDEEN MEDICAL CENTER (SAMC) IS COMMITTED TO IMPROVING ACCESS TO HEALTHCARE PROVIDERS. SAMC PROVIDES PATIENTS WITH TAXI VOUCHERS IF NECESSARY TO GET THEM A RIDE FROM SAMC'S FACILITY (ABERDEEN SHUTTLE AND TAXI SERVICE). SANFORD HEALTH FOUNDATION FUNDS ARE AVAILABLE TO ASSIST PATIENTS THAT HAVE A NEED TO TRAVEL FOR ONCOLOGY/CANCER CARE. SAMC DIRECTS PATIENTS TO LOCAL VETERAN ORGANIZATIONS WHICH HAVE SERVICES TO TRANSPORT VETERANS TO APPOINTMENTS AND TO PNAPLE (PROVIDING NEEDED AID TO PATIENTS LOCALLY) FUNDS WHICH ARE AVAILABLE TO ASSIST PATIENTS WITH NEEDS INCLUDING TRANSPORTATION. SAMC WILL CONTINUE TO PROVIDE OUTREACH AND TELEMEDICINE SERVICES WHERE ABLE.ACCESS TO HEALTH CARE PROVIDERSSAMC SEEKS TO ENSURE THAT PATIENTS HAVE ACCESS TO HEALTHCARE PROVIDERS IN ABERDEEN AND THE SURROUNDING AREA. CURRENT SERVICES PROVIDED ONSITE INCLUDE: PRIMARY CARE, CARDIOLOGY, HEART AND VASCULAR SCREENING, BEHAVIORAL HEALTH THERAPIST, GENERAL SURGERY, COLORECTAL SCREENING, UROLOGY, ONCOLOGY/CANCER CARE, EAR NOSE AND THROAT, ORTHOPEDICS AND PODIATRY, WOUND CARE, OB/GYN (INCLUDING THE DELIVERY OF BABIES), RADIOLOGY, RESPIRATORY THERAPY, OUTPATIENT THERAPY AND REHABILITATION, 24/7 ANESTHESIA AND 24/7 EMERGENCY DEPARTMENT. CURRENT SERVICES PROVIDED VIA OUTREACH CONSIST OF: NEUROSURGERY, VASCULAR, NEPHROLOGY, PULMONOLOGY, NEUROLOGY, RHEUMATOLOGY, MATERNAL FETAL MEDICINE, DERMATOLOGY, PEDIATRIC, HEMATOLOGY/ONCOLOGY, PEDIATRIC GASTROENTEROLOGY, PEDIATRIC ENDOCRINOLOGY, PEDIATRIC PULMONOLOGY (TELEMEDICINE), PEDIATRIC REHABILITATION, PEDIATRIC CARDIOLOGY, PEDIATRIC NEUROLOGY AND PEDIATRIC SURGERY.SANFORD ABERDEEN HAS AN RN CARE MANAGER AND A COMMUNITY HEALTH WORKER THAT WORKS IN CONJUNCTION WITH OUR BEHAVIORAL CARE COUNSELOR, PROVIDERS IN FAMILY MEDICINE, AND SPECIALTY PROVIDERS TO FIND RESOURCES FOR INDIVIDUALS WITH MENTAL HEALTH DISPARITIES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:LONG-TERM SENIOR CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 8 -- SANFORD ABERDEEN MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTER
GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO PROVIDERS AND QUALITY OF CAREWHEN SURVEY RESPONDENTS IN THE WORTHINGTON AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND PROVIDERS WAS THE TOP ISSUE. IN ADDITION, 76 PERCENT OF SURVEY RESPONDENTS IN THE WORTHINGTON AREA REPORTED TRAVELING OUTSIDE OF THEIR COMMUNITY TO RECEIVE HEALTH CARE SERVICES IN THE PAST THREE YEARS. REASONS GIVEN WERE THAT THEY NEEDED SPECIALTY CARE, OR THE NEEDED SERVICES WERE NOT AVAILABLE LOCALLY, THEY WERE REFERRED BY A PHYSICIAN OR THEY SOUGHT BETTER OR HIGHER QUALITY CARE ELSEWHERE. ADDING TO THE CHALLENGES OF RECEIVING QUALITY HEALTH CARE ARE POTENTIAL LANGUAGE BARRIERS. CHR DATA INDICATE THAT 11 PERCENT OF PEOPLE IN THE WORTHINGTON AREA DO NOT SPEAK ENGLISH WELL.SANFORD HAS MADE INCREASING ACCESS TO CARE AND QUALITY OF CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE ACCESS TO AND UTILIZATION OF LOCAL SERVICES. IT IS SANFORD'S GOAL TO FURTHER ASSESS STAFF PERCEPTIONS OF HEALTHCARE SERVICE GAPS AND UTILIZE INFORMATION LEARNED TO INFORM OPPORTUNITIES FOR ADDITIONAL SERVICES AND HIGH-QUALITY CARE, AND TO RECONVENE THE COMMUNITY HEALTH COALITION TO ADVANCE ACCESS IMPROVEMENT INITIATIVES.PRIORITY 2: EDUCATE COMMUNITY ON SERVICES AVAILABLE LOCALLYSANFORD HAS MADE IT A SIGNIFICANT PRIORITY TO EDUCATE THE COMMUNITY ON SERVICES AVAILABLE LOCALLY AND HAS DEVELOPED STRATEGIES TO INCREASE COMMUNICATION REGARDING HOSPITAL AND CLINIC SERVICE AND QUALITY EFFORTS. IT IS SANFORD'S GOAL TO DEVELOP COMMUNICATION AND MARKETING STRATEGIES THAT HAVE EXTENDED REACH INTO OUR SERVICE AREA.PRIORITY 3: HEALTHY LIVINGWHEN SURVEY RESPONDENTS IN THE WORTHINGTON AREA WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY, CHRONIC HEALTH ISSUES WERE AMONG THE TOP CONCERNS. THE MOST FREQUENTLY CITED CHRONIC HEALTH CONCERNS INVOLVED WEIGHT, DIABETES, CANCER, AND HEART DISEASE. CHR DATA INDICATE THAT 11 PERCENT OF ADULTS IN THE WORTHINGTON AREA HAVE DIABETES AND 39 PERCENT OF ADULTS HAVE OBESITY.SANFORD HAS MADE HEALTHY LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE SANFORD HEALTH PARTICIPATE IN HEALTH PROMOTION ACTIVITIES AND HAVE SANFORD STAFF SEE INCREASED OPPORTUNITIES FOR HEALTH AND WELLBEING. IT IS SANFORD'S GOAL TO COLLABORATE WITH COMMUNITY PARTNERS ON ACTIVITIES THAT PROMOTE HEALTH AND WELLBEING AND DELIVER HEALTH EDUCATION TO COMMUNITY GROUPS AND TO INCREASE OPPORTUNITIES THAT CONTRIBUTE TO SANFORD WORTHINGTON STAFF HEALTH AND WELLBEING.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO PROVIDERS AND QUALITY OF CARESANFORD WORTHINGTON PROVIDES MORE THAN 50 MEDICAL SERVICES TO THE LOCAL COMMUNITY, INCLUDING GENERAL AND SAME DAY SURGERY, A 27-BED MEDICAL/SURGICAL UNIT, INTENSIVE CARE, LAB AND MEDICAL IMAGING, WOMEN'S SERVICES INCLUDING DIGITAL MAMMOGRAPHY, OUTPATIENT DIALYSIS, INFUSION CENTER, ONCOLOGY SERVICES INCLUDING CHEMOTHERAPY AND RADIATION THERAPY, AND A 24/7 EMERGENCY DEPARTMENT WITH IN-HOUSE PHYSICIAN COVERAGE. AN ACUTE CARE CLINIC PROVIDES WALK-IN, AFTER-HOURS AND WEEKEND SERVICES. BILINGUAL SPANISH COMMUNITY HEALTH WORKERS (CHWS) ARE ALSO AVAILABLE TO COMPLETE SDOH ASSESSMENTS AND REFER PATIENTS TO NEEDED SERVICES. VIRTUAL CARE SERVICES ARE ALSO AVAILABLE THROUGH THE HEALTH SYSTEM. IN TOTAL, SANFORD WORTHINGTON EMPLOYS 25 MEDICAL STAFF. EDUCATE COMMUNITY ON SERVICES AVAILABLE LOCALLYSANFORD MARKETING ASSISTS WITH THE DEVELOPMENT OF MARKETING CAMPAIGNS FOR VARIOUS SERVICES, HEALTH SCREENINGS AND HEALTH TOPICS FOR THE SANFORD WORTHINGTON SERVICE AREA. DIGITAL SIGNAGE IS LOCATED AT THE SANFORD WORTHINGTON MEDICAL CENTER CAMPUS TO COMMUNICATE ABOUT IMPORTANT HEALTH REMINDERS AND EVENTS AS WELL AS LOCAL SERVICES. SANFORD WORTHINGTON ENGAGES THROUGH PARTICIPATION IN COMMUNITY EVENTS THAT PROMOTE SANFORD SERVICES, PROVIDERS AND EMPLOYMENT OPPORTUNITIES.HEALTHY LIVINGIN ADDITION TO THE SERVICES PROVIDED THROUGH THE CLINIC AND HOSPITAL, SANFORD WORTHINGTON MAINTAINS STRONG COMMUNITY PARTNERSHIPS THAT PROVIDE OPPORTUNITIES TO PROMOTE IMPORTANT HEALTH TOPICS. THE HOSPITAL INCLUDES AN ACTIVE INTERNAL EMPLOYEE HEALTH & WELLBEING COMMITTEE WITH REPRESENTATION OF ALL HOSPITAL AND CLINIC DEPARTMENTS THAT MEET MONTHLY TO CREATE VARIOUS HEALTH AND WELLNESS OPPORTUNITIES FOR STAFF TO ENGAGE IN.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREMENTAL HEALTHCHILD CARE QUALITYLONG-TERM SENIOR CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 9 -- SANFORD WORTHINGTON MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO AFFORDABLE HEALTH CARECOST AND THE ABILITY TO AFFORD NEEDED HEALTH CARE WAS IDENTIFIED AS THE TOP HEALTH CARE CONCERN THAT SURVEY RESPONDENTS AND THEIR FAMILIES IN THE SHELDON AREA FACE ON A REGULAR BASIS. IT WAS ALSO THE SECOND LEADING COMMUNITY HEALTH CARE ISSUE, BEHIND GENERAL ACCESS ISSUES. CONCERNS AROUND THE COST OF HEALTH CARE EXIST DESPITE A POSITIVE PERCEPTION OF EMPLOYMENT AND ECONOMIC OPPORTUNITIES BY SURVEY RESPONDENTS IN THE SHELDON AREA. SANFORD HAS MADE ACCESS TO AFFORDABLE HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED NUMBERS OF RESIDENTS RECEIVE RECOMMENDED PREVENTIVE SCREENINGS AND RECOMMENDED VACCINATIONS. IT IS SANFORD'S GOAL TO PROMOTE THE IMPORTANCE OF GETTING RECOMMENDED SCREENINGS AND VACCINATIONS AND KEEP MORE PATIENTS IN THE AREA VERSUS TRAVELING TO RECEIVE CARE.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERSWHEN SURVEY RESPONDENTS IN THE SHELDON MARKET AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERS WAS THE LEADING ISSUE. FIFTY PERCENT OF SURVEY RESPONDENTS IN THE SHELDON AREA HAVE TRAVELED FOR CARE IN THE PAST THREE YEARS. FOR THOSE RESPONDENTS WHO HAVE TRAVELED FOR CARE, MOST RESPONDENTS INDICATED THE TRAVEL WAS DUE TO NEEDING SPECIALTY CARE THAT WAS NOT AVAILABLE LOCALLY, THEY WERE REFERRED BY A PHYSICIAN OR THEY TRAVELED FOR BETTER OR HIGHER QUALITY CARE. SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED AWARENESS OF LOCALLY AVAILABLE SERVICES AND A REDUCTION IN PEOPLE TRAVELING FOR CARE. IT IS SANFORD'S GOAL TO MARKET AND PROMOTE ACTIVITIES TO INCREASE AWARENESS OF SANFORD SHELDON SERVICES AND TO ENSURE APPOINTMENT AVAILABILITY TO HEALTHCARE PROVIDERS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO AFFORDABLE HEALTH CARESANFORD SHELDON CONTINUES TO OFFER HEART AND VASCULAR SCREENINGS TO ENHANCE PREVENTATIVE CARE AND REDUCE OUT OF POCKET COSTS. IN ADDITION, DIRECT ACCESS LABORATORY SERVICES ARE AN OPTION FOR PATIENTS THAT HAVE A HIGH INSURANCE DEDUCTIBLE AND HAVE CONCERN WITH THE COSTS.ACCESS TO HEALTH CARE PROVIDERSSANFORD SHELDON CONTINUES TO WORK ON EDUCATING THE COMMUNITY ON OUR FULL SCOPE OF LOCALLY AVAILABLE SERVICES. RECRUITMENT OF OPEN HEALTH CARE PROVIDER POSITIONS IS AN ONGOING EFFORT.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:HEALTHY LIVINGPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 10 -- SANFORD SHELDON MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVING ACCESS TO MEDICAL CARE PROVIDERSSURVEY RESPONDENTS IN THE VERMILLION AREA RATED THEIR OWN ABILITY TO ACCESS HEALTH CARE AS GOOD. IN ADDITION, MOST RESPONDENTS HAVE A PRIMARY CARE PROVIDER AND HAVE BEEN IN FOR A ROUTINE CHECKUP OR SCREENING IN THE PAST YEAR. DESPITE THIS POSITIVE FEEDBACK, WHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, GENERAL ACCESS TO HEALTH CARE AND A SHORTAGE OF HEALTH CARE PROVIDERS WAS THE TOP ISSUE, MORE SO THAN COST.SANFORD VERMILLION HAS MADE IMPROVING ACCESS TO MEDICAL CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN PRIMARY CARE VISITS AND PREVENTIVE CARE SERVICES. IT IS SANFORD'S GOAL TO OFFER ADDITIONAL TELEMEDICINE CARE SERVICES AND TO EXPAND OBSTETRICS SERVICES AT SANFORD VERMILLION.PRIORITY 2: IMPROVING HEALTHY LIVING IN THE COMMUNITYWHEN SURVEY RESPONDENTS IN THE VERMILLION AREA WERE ASKED ABOUT THEIR BIGGEST HEALTH CARE CONCERNS FOR THEMSELVES AND THEIR FAMILY, CHRONIC HEALTH ISSUES WERE AMONG TOP CONCERNS. THE MOST COMMONLY CITED CHRONIC HEALTH CONCERNS INVOLVED WEIGHT, DIABETES, AND THE HEART. IN ADDITION, DIABETES IS AN IMPORTANT MARKER FOR A RANGE OF HEALTH BEHAVIORS. CHR DATA INDICATE THAT NEARLY ONE IN TEN ADULTS IN THE VERMILLION AREA HAS DIABETES AND ONE IN THREE ADULTS HAS OBESITY.SANFORD HAS MADE IMPROVING HEALTHY LIVING FOR THE VERMILLION COMMUNITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO HELP THE COMMUNITY SEE LOWER INCIDENCE OF CHRONIC DISEASE RATES. IT IS SANFORD'S GOAL TO INCREASE SERVICES AT SANFORD VERMILLION FOR COLORECTAL SCREENINGS AND DIABETIC EDUCATION AND TO ESTABLISH DIABETIC EDUCATION SERVICES AT SANFORD VERMILLION MEDICAL CENTER IN PERSON AND/OR VIA TELEMEDICINE VISITS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARIMPROVING ACCESS TO MEDICAL CARE PROVIDERSWE CURRENTLY HAVE ONE MENTAL HEALTH PROVIDER WHO OFFERS TELEMEDICINE VISIT TYPES AND NEEDED ONCOLOGY SPECIALTY OUTREACH, WHICH COULD BE DONE BY TELEMEDICINE. WE DO NOT CURRENTLY OFFER TELEMEDICINE FOR THE HOSPITALIST SERVICES AT THE HOSPITAL. WE ALSO HAVE TWO FAMILY MEDICINE PROVIDERS OFFERING OBSTETRIC SERVICES BUT WILL BE ADDING ONE MORE PROVIDER.SANFORD VERMILLION'S BEHAVIORAL/MENTAL HEALTH PROVIDERS ARE PROMOTED ON OUR WEBSITE; EACH HAVE A PAGE DESCRIPTION FOR PATIENTS TO SEE AND ACCESS INFORMATION ABOUT THEM. THEY ARE ALSO FEATURED AND PROMOTED AT ALL OF OUR DAKOTA HOSPITAL FOUNDATION EVENTS THROUGHOUT THE YEAR. THE ALTERNATE VISIT TYPES ARE PROMOTED BY CLINIC STAFF AND PROVIDERS, THROUGH THE SANFORD WEBSITE, WITH OUR OUTREACH PROVIDER ADS AND WITH OUR MYCHART APP WHERE THEY CAN SELF-SCHEDULE APPOINTMENTS. IMPROVING HEALTHY LIVING IN THE COMMUNITYWE CURRENTLY DO MOST OF OUR COLORECTAL SCREENINGS BY COLONOSCOPY BUT ARE PARTICIPATING IN A SANFORD HEALTH INITIATIVE TO GET MORE PATIENTS SCREENED BY COLOGUARD. AT THIS TIME, WE DO NOT OFFER DIABETIC EDUCATION LOCALLY TO OUR DIABETIC PATIENTS. THEY MUST TRAVEL TO SIOUX FALLS FOR THIS SERVICE, OR TO OTHER COMMUNITIES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CARELONG-TERM SENIOR CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 11 -- SANFORD VERMILLION MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CAREMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE KNOWLEDGE OF BEST PRACTICES TO SUPPORT YOUTH WITH MENTAL HEALTH CONCERNS AND TO INCREASE MENTAL HEALTH APPOINTMENT AVAILABILITY. PRIORITY 2: REDUCE THE INCREASING TREND OF SEXUALLY TRANSMITTED DISEASES IN THE COMMUNITYCERTAIN AREAS OF THE COUNTRY, PARTICULARLY TRIBAL LANDS AND SURROUNDING COMMUNITIES SUCH AS THE CHAMBERLAIN AREA, HAVE LONG EXPERIENCED LOWER HEALTH STATUS WHEN COMPARED WITH OTHER PARTS OF THE COUNTRY. DISPARITIES IN HEALTH OUTCOMES, AS A RESULT OF SYSTEMS, POLICIES, AND SOCIAL AND PERSONAL FACTORS ARE PREVALENT.COMPARED TO SIMILAR-SIZED COMMUNITIES, THE CHAMBERLAIN MARKET AREA HAS THE HIGHEST RATE OF SEXUALLY TRANSMITTED INFECTIONS. SANFORD HAS MADE REDUCING THE INCREASING TREND OF SEXUALLY TRANSMITTED DISEASES IN THE COMMUNITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE SEXUALLY TRANSMITTED DISEASE TESTING WITHIN THE COMMUNITY (WITH A SPECIFIC FOCUS ON RESERVATIONS AND HIGH SCHOOL STUDENTS) AND TO REDUCE COST BARRIERS AND INCREASE AWARENESS OF HOME TESTING OPTIONS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE SANFORD OFFERS A NUMBER OF MENTAL HEALTH RESOURCES, INCLUDING FAMILY GRIEF SUPPORT GROUP, SUICIDE SURVIVOR SUPPORT GROUP, AND SUPPORTS "LOVE BIG," A LOCAL PROJECT FORMED TO BRING COMMUNITY AWARENESS AND SUPPORT ON MENTAL HEALTH WELLNESS. SANFORD OFFERS MENTAL HEALTH FIRST AIDE AND BEHEARD YOUTH TRAININGS AND, IN PARTNERSHIP WITH THE CHAMBERLAIN SCHOOL DISTRICT, A MENTAL HEALTH PROFESSIONAL EMBEDDED IN THE JUNIOR HIGH AND HIGH SCHOOL DURING THE WEEK. REDUCE THE INCREASING TREND OF SEXUALLY TRANSMITTED DISEASES IN THE COMMUNITY CURRENT WORK INCLUDES UTILIZING SOUTH DAKOTA DEPARTMENT OF HEALTH EDUCATIONAL MATERIAL AT CLINICIAN AND NURSING MEETINGS TO ESCALATE THE KNOWN INCREASE OF STDS IN OUR SERVICE AREA. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREACCESS TO PROVIDERS AND QUALITY HEALTH CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD SHARED THE FINDINGS OF THE CHNA RESEARCH AND THESE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 12 -- SANFORD CHAMBERLAIN MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CAREMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD LUVERNE MEDICAL CENTER (SLMC) HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN THE NUMBER OF RESIDENTS UTILIZING MENTAL HEALTH RESOURCES. IT IS SANFORD'S GOAL TO ENSURE THOSE STRUGGLING WITH MENTAL HEALTH SYMPTOMS HAVE ACCESS TO THE CARE NEEDED AND TO DESTIGMATIZE ENGAGING IN MENTAL HEALTH CARE BY ENHANCING COMMUNITY AWARENESS ON THE IMPORTANCE OF MENTAL HEALTH.PRIORITY 2: INCREASE AWARENESS OF LOCAL SUBSTANCE USE SERVICES AND ADD LOCAL AVAILABILITY FOR MAT (MEDICATED ASSISTED TREATMENT)SURVEY RESPONDENTS IN THE LUVERNE AREA WHO INDICATED THEY WOULD LIKE TO SEE SPECIFIC SERVICES OFFERED OR IMPROVED IN THEIR COMMUNITY, INDICATED ADDICTION TREATMENT AS ONE OF THE TOP PRIORITIES.SLMC HAS MADE INCREASING AWARENESS OF LOCAL SUBSTANCE USE SERVICES AND ADDING LOCAL AVAILABILITY FOR MAT A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN UNDERSTANDING AMONG THE COMMUNITY OF AVAILABLE SUBSTANCE USE RESOURCES. IT IS SANFORD'S GOAL TO IMPLEMENT MAT AND TO CONTINUE TO FOCUS ON EDUCATION AND TRAINING ON THE OPIOID EPIDEMIC, THE ADMINISTRATION OF NALOXONE, AND ACCESS TO CARE LOCALLY.PRIORITY 3: ACCESS TO HEALTH CARE PROVIDERSWHEN SURVEY RESPONDENTS IN THE LUVERNE AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERS WAS AMONG THE LEADING ISSUES. 75 PERCENT OF RESPONDENTS HAVE TRAVELED FOR CARE IN THE PAST THREE YEARS, A RATE WHICH IS HIGHER THAN THE COMPARISON GROUP AVERAGE. WHEN ASKED WHY, RESPONDENTS INDICATED THE TRAVEL WAS DUE TO NEEDING SPECIALTY CARE THAT WAS NOT AVAILABLE LOCALLY, THEY TRAVELED FOR BETTER OR HIGHER QUALITY CARE, OR THEY WERE REFERRED BY A PHYSICIAN. SLMC HAS MADE ACCESS TO HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE ADDITIONAL APPOINTMENT AVAILABILITY THROUGH THE CLINIC OR VIRTUAL CARE OPTIONS. IT IS SANFORD'S GOAL TO IMPROVE ACCESS TO SPECIALTY CARE AND EXPAND VIRTUAL ACCESS TO SPECIALTY SERVICES. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CAREMENTAL HEALTH CONTINUES TO REMAIN A PRIORITY FOR SLMC FOR THE NEXT 3-YEAR CYCLE. SLMC WILL SHARE THE RESULTS OF THIS SURVEY WITH COMMUNITY PARTNERS TO BUILD ACCESS TO MENTAL HEALTH SERVICES. SANFORD LUVERNE'S INTEGRATED HEALTH THERAPIST HAS BEEN INTEGRALLY INVOLVED IN LEADING INITIATIVES TO LOOK AT ACCESS, FUNDING FOR CARE, AND REDUCING STIGMA. SLMC WILL CONTINUE TO SUPPORT WORK IN THE MENTAL HEALTH SPACE FOCUSING ON INCREASING AWARENESS, ACTIVITIES TO PROMOTE MENTAL HEALTH, AND IMPROVING ACCESS TO CARE. SANFORD LUVERNE'S INTEGRATED HEALTH THERAPIST LED INITIATIVE TO ESTABLISH THE GAP (GRANT ASSISTED PROGRAM) WITHIN THE LOCAL FOUNDATION TO ASSIST WITH PAYMENT FOR SERVICES FOR INDIVIDUALS TO QUALIFY. THIS FUND IS IN PART SUPPORTED WITH COUNTY FUNDS. SLMC IS PRESENTLY RECRUITING A SECOND BEHAVIORAL HEALTH THERAPIST TO JOIN OUR TEAM.INCREASE AWARENESS OF LOCAL SUBSTANCE USE SERVICES AND ADD LOCAL AVAILABILITY FOR MAT (MEDICATED ASSISTED TREATMENTSANFORD LUVERNE'S SUD (SUBSTANCE USE DISORDER) DEPARTMENT OFFERS COMPREHENSIVE ASSESSMENT OF SUD, REFERRALS FOR SUD TREATMENT AND PROVIDES ADULT OUTPATIENT SUD TREATMENT. SANFORD LUVERNE'S SUD DEPARTMENT PROVIDES EDUCATION AND TRAINING ON SUD AND ARE TRAINED TO PROVIDE EDUCATION ON OPIOID EPIDEMIC AND ADMINISTRATION OF NALOXONE. SANFORD LUVERNE'S SUD PROGRAM IS A NAP (NALOXONE ACCESS POINT).IN 2024, SUBSTANCE USE COUNSELORS WORKED WITH THE HIGH SCHOOL HEALTH CLASSES FOR PRESENTATIONS ON SUBSTANCE USE/ABUSE. SUBSTANCE USE COUNSELORS CONTINUE TO BE INVOLVED IN THE LOCAL COUNTY TREATMENT COURTS. SUBSTANCE USE COUNSELORS CONTINUE TO WORK ON OPIOID RESPONSE AND NALOXONE TRAININGS FOR FAMILY SERVICES, COURTS, COMMUNITY ORGANIZATIONS, AND SCHOOLS (TEACHERS/STAFF/STUDENTS). SUBSTANCE USE COUNSELORS AND OUR INTEGRATED HEALTH THERAPIST (IHT) SPOKE ON BRAIN HEALTH TO THE WOMEN'S GIVING CIRCLE GROUP IN LUVERNE. BEGINNING JANUARY 1, 2024 OUR IHT THAT IS AN LPCC IS NOW ABLE TO BILL MEDICARE AND TREAT THOSE PATIENTS. IN ADDITION, OUR IHT IS ON A COMMUNITY WORK GROUP TO RESEARCH A GAP FUND WITHIN THE FOUNDATION TO SUPPORT MENTAL HEALTH SERVICES FOR THOSE WHO CANNOT AFFORD IT.ACCESS TO HEALTH CARE PROVIDERSSLMC HAS ADDED A FAMILY MEDICINE PHYSICIAN AS WELL AS A NURSE PRACTITIONER OVER THE PAST 3-YEAR CYCLE TO IMPROVE SAME DAY ACCESS TO CARE. THERE WAS CONCERN VOICED IN THE FOCUS GROUP ABOUT ACCESS TO SPECIALTY CARE AND THE NEED TO TRAVEL. SLMC, AS PART OF SANFORD HEALTH, RECEIVES SPECIALTY CARE PROVIDED AS AN OUTREACH SERVICE. IN ADDITION, THE EDGERTON CLINIC IS NOW OPEN ONE FULL DAY/WEEK AS OF JANUARY 1, 2024 TO IMPROVE LOCAL ACCESS TO PRIMARY CARE.CLINIC PROVIDERS CONTINUE TO PARTNER WITH THE MOBILE DENTAL UNIT THAT COMES TO THE COMMUNITY ONE TO TWO DAYS PER MONTH. THE ORGANIZATION HAS ALSO PARTNERED WITH CARING HANDS CLINIC IN PIPESTONE FOR MEDICAID PATIENTS. HOWEVER, CARING HANDS NOW HAS A SEVERAL WEEK WAIT TIME FOR SERVICE.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGCHILDCARE QUALITYAFFORDABLE HOUSINGCOMMUNITY SAFETYSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 13 -- SANFORD LUVERNE MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: PROMOTE OUTREACH SERVICING PROVIDERS THAT COME TO THE FACILITYTHE NEED TO TRAVEL FOR CARE IS EVIDENCED IN CHR DATA WHICH INDICATE THAT WHEN COMPARED TO SIMILAR-SIZED MARKETS, THE CANBY AREA HAS HIGHER THAN AVERAGE RATIOS OF POPULATION TO PROVIDERS. IN ADDITION, CHR DATA INDICATE THAT WHEN COMPARED TO SIMILAR-SIZED MARKETS, THE CANBY AREA HAS THE HIGHEST RATE OF PREVENTABLE HOSPITAL STAYS AND A BELOW AVERAGE MAMMOGRAPHY SCREENING RATE AND FLU VACCINATION RATE.SANFORD HAS MADE PROMOTING OUTREACH SERVICING PROVIDERS COMING TO THE FACILITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO FOCUS ON TWO PRIMARY GOALS: TO PROMOTE OUTREACH SERVICES IN PUBLIC SPACES TO ENHANCE AWARENESS OF ALL COMMUNITY MEMBERS, REGARDLESS OF CURRENT SYSTEM ATTRIBUTION, AND TO EDUCATE PATIENTS AND PROVIDERS ON AVAILABLE OUTREACH SERVICES WITHIN THE CLINICAL SETTING DURING A FOCUSED COMMUNICATION EVENT. PRIORITY 2: PROVIDE COMMUNITY EDUCATION SURROUNDING BEHAVIORAL/MENTAL HEALTH MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.ACCORDING TO CHR, ADULTS IN THE CANBY AREA AVERAGE 4.4 MENTALLY UNHEALTHY DAYS EACH MONTH AND 15 PERCENT OF ADULTS AVERAGE AT LEAST 14 DAYS OF MENTAL DISTRESS PER MONTH; BOTH RATES ARE AMONG THE HIGHEST WHEN COMPARED TO SIMILAR-SIZED MARKETS SERVED BY SANFORD HEALTH.SANFORD HAS MADE PROVIDING COMMUNITY EDUCATION SURROUNDING BEHAVIORAL/MENTAL HEALTH A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO FOCUS ON TWO PRIMARY GOALS: TO UTILIZE SANFORD MYCHART AND INTERNAL RESOURCES TO INCREASE AWARENESS OF BEHAVIORAL HEALTH RESOURCES LOCALLY AND TO REDUCE THE STIGMA OF BEHAVIORAL HEALTH AND INCREASE AWARENESS OF SERVICES AVAILABLE FOR SCHOOL-AGED STUDENTS.PRIORITY 3: INCREASE TELEMEDICINE USAGE FOR SPECIALTY PROVIDERS PROVIDING SERVICE TO THE FACILITYDESPITE SURVEY RESPONDENTS IN THE CANBY AREA RATING THEIR OWN ABILITY TO ACCESS HEALTH CARE AS GOOD, WHEN THEY WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND PROVIDERS WAS THE TOP ISSUE (MORE SO THAN AFFORDABILITY CONCERNS). AND WHILE RESPONDENTS RATED THE OVERALL QUALITY OF HEALTH CARE IN THEIR COMMUNITY AS GOOD, THE AVERAGE SCORE WAS SLIGHTLY LOWER THAN THE COMPARISON GROUP AVERAGE. IN ADDITION, 85 PERCENT OF SURVEY RESPONDENTS IN THE CANBY AREA REPORTED TRAVELING OUTSIDE OF THEIR COMMUNITY TO RECEIVE HEALTH CARE SERVICES IN THE PAST THREE YEARS (ONE OF THE HIGHEST PERCENTAGES WHEN COMPARED TO SIMILAR-SIZED MARKETS SERVED BY SANFORD HEALTH). WHEN ASKED WHY, MOST OF THOSE WHO TRAVELED FOR CARE INDICATED THAT THEY NEEDED SPECIALTY CARE, OR THE SERVICES NEEDED WERE NOT AVAILABLE LOCALLY. SANFORD HAS MADE INCREASING TELEMEDICINE USAGE FOR SPECIALTY PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO FOCUS ON TWO PRIMARY GOALS: TO INCREASE KNOWLEDGE OF TELEMEDICINE SERVICES AVAILABLE LOCALLY IN THE COMMUNITY AND TO REDUCE BARRIERS TO TELEMEDICINE USAGE.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARPROMOTE OUTREACH SERVICING PROVIDERS THAT COME TO THE FACILITYSANFORD CANBY CURRENTLY HAS SEVEN OUTREACH PROVIDERS THAT PROVIDE CARE FOR PATIENTS REQUIRING CARE FROM GENERAL SURGERY, GASTROENTEROLOGY, PODIATRY, VASCULAR, UROLOGY, ORTHOPEDICS AND OB/GYN. CURRENTLY, OUTREACH PROVIDERS ARE ON SITE 10 DAYS PER MONTH. PROVIDE COMMUNITY EDUCATION SURROUNDING BEHAVIORAL/MENTAL HEALTH SANFORD CANBY HAS PRESENTED MENTAL HEALTH RESOURCES IN THE COMMUNITY AT VARIOUS CIVIC MEETINGS, FACILITY MEETINGS, COMMUNITY MEETINGS AS WELL AS COMMUNITY CELEBRATIONS REACHING A VAST DEMOGRAPHIC. INCREASE TELEMEDICINE USAGE FOR SPECIALTY PROVIDERS PROVIDING SERVICE TO THE FACILITY THE MARKETING OF THE TELEMEDICINE PROVIDERS IN OUR AREA TO DATE HAS BEEN LIMITED. OUR DESIRE IS TO ESPECIALLY INCREASE THE USE OF MYCHART BEHAVIORAL HEALTH VISITS AS AN OPTION IN THE UPCOMING 2025-2027 PLAN YEARS. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:CHILD CARE QUALITYAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 14 -- SANFORD CANBY MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO THOSE SEEKING MENTAL HEALTH CAREMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD JACKSON MEDICAL CENTER (SJMC) HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO THOSE SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE AWARENESS AND COORDINATION OF MENTAL HEALTH SERVICES WITHIN THE COMMUNITY. IT IS SANFORD'S GOAL TO ADVANCE INTEGRATED HEALTHCARE IN THE COMMUNITY AND TO INCREASE AWARENESS AND PROVIDE EDUCATION ON SUICIDE PREVENTION.PRIORITY 2: ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSWHILE MANY SURVEY RESPONDENTS IN THE JACKSON AREA HAVE A PRIMARY CARE PROVIDER, HAVE BEEN IN FOR A ROUTINE CHECKUP OR SCREENING IN THE PAST YEAR, AND HAVE RECEIVED NECESSARY HEALTH CARE FOR THEMSELVES AND THEIR FAMILY IN THE PAST YEAR, THE PERCENTAGES ARE AMONG THE LOWEST WHEN COMPARED TO SIMILAR-SIZED MARKETS SERVED BY SANFORD HEALTH. IN ADDITION, 75 PERCENT OF RESPONDENTS HAVE TRAVELED FOR CARE IN THE PAST THREE YEARS, A RATE WHICH IS HIGHER THAN THE COMPARISON GROUP AVERAGE. THE NEED TO TRAVEL FOR CARE IS EVIDENT IN CHR DATA WHICH INDICATES THAT WHEN COMPARED TO SIMILAR-SIZED MARKETS, THE JACKSON AREA HAS HIGHER/WORSE-THAN-AVERAGE RATIOS OF POPULATION TO PROVIDERS. SJMC HAS MADE ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED UTILIZATION OF TELEHEALTH SERVICES AND IN-PERSON APPOINTMENTS. IT IS SANFORD'S GOAL TO INCREASE THE TELEHEALTH OFFERINGS OF SPECIALTY PROVIDERS AND FOCUS ON PHYSICIAN RECRUITMENT.PRIORITY 3: SUBSTANCE ABUSEOF SURVEY RESPONDENTS IN THE JACKSON AREA WHO WOULD LIKE TO SEE SPECIFIC SERVICES OFFERED OR IMPROVED IN THEIR COMMUNITY, ADDICTION TREATMENT WAS ONE OF THE TOP SERVICES ON THE LIST. THE POTENTIAL NEED FOR ADDITIONAL SUBSTANCE ABUSE SERVICES, EDUCATION AND AWARENESS REGARDING SUBSTANCE ABUSE WERE ALSO CONSIDERED. SJMC HAS MADE SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE COORDINATION OF SUBSTANCE ABUSE RESOURCES AND OPPORTUNITIES TO ADDRESS THE NEED. IT IS SANFORD'S GOAL TO SUPPORT AND CONTINUE TO ENGAGE IN PARTNERSHIPS WITH COMMUNITY PROGRAMS WITH OTHER COMMUNITY MEMBERS COMMITTED TO REDUCING SUBSTANCE ABUSE AND TO INCREASE EDUCATION FOR STAFF ABOUT SUBSTANCE ABUSE SO THEY CAN BETTER SERVE OUR PATIENTS.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO THOSE SEEKING MENTAL HEALTH CARESJMC FACILITATES COMMUNITY BEHAVIORAL HEALTH TASK FORCE MEETINGS WHERE MENTAL HEALTH ISSUES ARE IDENTIFIED AND KEY STAKEHOLDERS ARE AVAILABLE TO COLLABORATE, MAKE RECOMMENDATIONS AND INSTILL CHANGE. SJMC HAS A NUMBER OF RESOURCES AND PROVIDERS, SUCH AS INTEGRATED HEALTH THERAPISTS, AVAILABLE LOCALLY. ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSSJMC OFFERS A VARIETY OF SERVICES THROUGH LOCALLY BASED AND OUTREACH PROVIDERS. LABORATORY AND RADIOLOGY SERVICES ARE AVAILABLE 24 HOURS A DAY, WITH STAFF SERVING THE HOSPITAL, ATTACHED MEDICAL CLINIC, AND TWO SATELLITE CLINICS. CLINIC SERVICES INCLUDE FAMILY MEDICINE AND VARIOUS SPECIALTY OUTREACH SERVICES. A VARIETY OF SURGICAL PROCEDURES ARE PERFORMED IN THE SURGICAL SUITE AT SJMC. SJMC EMPLOYS SEVEN CLINICIANS, INCLUDING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. PERIODIC MARKETING IS IN PLACE TO GAIN EXPOSURE OF PRIMARY CARE SERVICES AND PROVIDERS VIA MEDIA OUTLETS SUCH AS RADIO, PRINT AND SOCIAL MEDIA.SUBSTANCE ABUSESJMC PARTNERS WITH SEVERAL COMMUNITY ORGANIZATIONS AND COALITIONS TO PROVIDE EDUCATION AND RAISE AWARENESS REGARDING SUBSTANCE ABUSE. THESE PARTNERSHIPS INCLUDE DES MOINES VALLEY HEALTH AND HUMAN SERVICES, POSITIVE COMMUNITY NORM AND THE POSITIVE ACTIONS THROUGH HEALTH (PATH) COALITION, JACKSON COUNTY ADDICTION PREVENTION AND SAFETY COALITION AND JACKSON COUNTY LAW ENFORCEMENT. IN MARCH 2025, THE ORGANIZATION "BE EXTRAORDINARY, BE YOU!" IS PLANNING A PRESENTATION TARGETING MIDDLE SCHOOL AND HIGH SCHOOL STUDENTS AT JACKSON COUNTY CENTRAL. THIS EVENT WILL INCLUDE A "CANNABIS PANEL," FEATURING LOCAL LEADERS WHO WILL DISCUSS THE IMPACTS OF MARIJUANA USE AND RELATED EFFECTS. ADDITIONALLY, IN JUNE, JACKSON COUNTY LAW ENFORCEMENT WILL PROVIDE TRAINING FOR SJMC PROVIDERS FOCUSING ON THE VARIOUS SUBSTANCES BEING IDENTIFIED IN OUR COMMUNITY. THIS INITIATIVE AIMS TO EQUIP HEALTHCARE PROFESSIONALS WITH THE NECESSARY KNOWLEDGE TO ADDRESS SUBSTANCE-RELATED ISSUES MORE EFFECTIVELY. MOVING FORWARD, SJMC REMAINS COMMITTED TO IDENTIFYING ADDITIONAL OPPORTUNITIES TO ADDRESS AND COMBAT SUBSTANCE ABUSE IN OUR COMMUNITY, FOSTERING PARTNERSHIPS AND INNOVATIVE APPROACHES TO PROMOTE HEALTH AND SAFETY. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HOUSINGACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 15 -- SANFORD JACKSON MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HEALTH TRACY HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY. IT IS SANFORD'S GOAL TO INCREASE AWARENESS AND EXPAND ACCESS OF MENTAL HEALTH SERVICES AT SANFORD TRACY AND IN THE SERVING AREA AND TO CREATE AND IMPLEMENT POLICY/PROCEDURE/PROTOCOLS TO BE PUT IN PLACE IN AREA SCHOOL SYSTEMS IN THE EVENT OF A MENTAL HEALTH CRISIS AND ALSO CREATE/IMPLEMENT CALMING SPACES THROUGHOUT THE SCHOOLS.PRIORITY 2: HEALTHY/ACTIVE LIVINGWHEN SURVEY RESPONDENTS IN THE TRACY AREA WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY, CHRONIC HEALTH ISSUES, ALONG WITH DIET AND EXERCISE, WERE AMONG THE TOP CONCERNS.SANFORD HEALTH TRACY HAS MADE HEALTHY/ACTIVE LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE IMPROVED OVERALL PHYSICAL AND NUTRITIONAL HEALTH IN PATIENTS AT SANFORD HEALTH. IT IS SANFORD'S GOAL TO CREATE ACCESS TO HEALTHY FOOD CHOICES AND PROVIDE EDUCATIONAL OPPORTUNITIES FOR MAKING HEALTHY CHOICES AND TO INCREASE THE ACTIVITY LEVEL OF COMMUNITY MEMBERS IN OUR SANFORD TRACY SERVICE AREA.PRIORITY 3: TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTH CARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS. SANFORD HEALTH TRACY HAS MADE TRANSPORTATION A SIGNIFICANT PRIORITY. IT IS SANFORD'S GOAL TO INCREASE AWARENESS OF TRANSPORTATION SERVICES AND INCREASE ACCESS TO TRANSPORTATIONS SERVICES IN THE SANFORD TRACY SERVICE AREA.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTHSANFORD TRACY WILL CONTINUE TO SHARE THE RESULTS OF THIS SURVEY WITH COMMUNITY PARTNERS TO BUILD ACCESS TO MENTAL HEALTH. IN ADDITION, SANFORD TRACY OFFERS BEHAVIORAL HEALTH SCREENINGS WITH A STRETCH GOAL OF ACHIEVING A 100% SCREENING RATE FOR ALL PATIENTS TWELVE YEARS AND OLDER WITH A PRIOR HISTORY OF DEPRESSION OR ANXIETY. A NEW INTEGRATED HEALTH THERAPIST WAS HIRED IN 2023 TO COMPLEMENT THE ONE OUTREACH TELEMEDICINE PSYCHIATRIST THAT CONTINUES TO SEE PATIENTS AS NEEDED.HEALTHY/ACTIVE LIVINGSANFORD TRACY WILL CONTINUE TO WORK TO MAKE A POSITIVE IMPACT ON IMPROVING THE HEALTH OF COMMUNITY MEMBERS THROUGH BOTH PHYSICAL ACTIVITY AND HEALTHY LIFESTYLE CHOICES. THE SANFORD TRACY MEDICAL CENTER OFFERS DIETICIAN AND HEALTH COACHING SERVICES IN ADDITION TO PROGRAMMING FOR CHILDREN THROUGH THE SANFORD FIT PROGRAM. A NEW INTEGRATED HEALTH THERAPIST (IHT) WAS HIRED IN 2023. SANFORD TRACY ALSO CONTINUES TO OFFER A FOOD PANTRY PROGRAM WITH REFERRALS TO THE LOCAL FOOD PANTRY.TRANSPORTATIONOVER THE NEXT THREE YEARS, SANFORD TRACY WILL INCREASE COMMUNITY AWARENESS OF TRANSPORTATION ACCESS ISSUES THROUGH TARGETED OUTREACH CAMPAIGNS AND EDUCATIONAL INITIATIVES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 16 -- SANFORD TRACY MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CAREMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HEALTH HILLSBORO HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE OF PATIENTS SCREENED FOR DEPRESSION AND PROVIDE A GREATER AWARENESS OF RESOURCES AVAILABLE LOCALLY. IT IS SANFORD'S GOAL TO REDUCE STIGMA AND INCREASE SCREENINGS FOR BEHAVIORAL HEALTH CARE AND IMPROVE ACCESS TO MENTAL HEALTH RESOURCES IN THE COMMUNITY. PRIORITY 2: PROMOTION OF HEALTHY ACTIVE LIFESTYLEWHEN SURVEY RESPONDENTS WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY (CONCERNS THEY FACE ON A REGULAR BASIS), CHRONIC HEALTH ISSUES, ALONG WITH DIET AND EXERCISE, WERE AMONG THE TOP CONCERNS. SANFORD HEALTH HILLSBORO HAS MADE THE PROMOTION OF A HEALTHY, ACTIVE LIFESTYLE A SIGNIFICANT PRIORITY AND HAS DEVELOPED A STRATEGY TO SEE AN INCREASE IN RESIDENTS UTILIZING LOCAL RESOURCES AND A DECLINE IN RELATED VISITS AT THE CLINIC. IT IS SANFORD'S GOAL TO PROVIDE OPPORTUNITIES FOR ADULTS AND YOUTH TO MEET RECOMMENDED PHYSICAL ACTIVITY AND TO DEVELOP SUSTAINABLE STRATEGIES THAT ENCOURAGE RESIDENTS TO MAKE HEALTHY CHOICES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE SANFORD CURRENTLY PROVIDES MENTAL HEALTH SCREENINGS WITHIN THE CLINIC. INTEGRATED HEALTH THERAPISTS HAVE BEEN AVAILABLE IN THE PAST, PRIMARILY THROUGH VIRTUAL CARE, BUT WERE LIMITED DUE TO A RESIGNATION. THE SYSTEM PROVIDES SANFORD.FINDHELP.COM AS A CONSUMER FACING RESOURCE TO FIND CARE AND MENTAL HEALTH RESOURCES.PROMOTION OF HEALTHY ACTIVE LIFESTYLESANFORD CURRENTLY SUPPORTS THE HILLSBORO RUNNING CLUBS RUN/WALK EVENT IN JUNE AND SUPPORTS THE MAYVILLE YOUTH CENTER. THE BRIDGING CENTERS IN BOTH MAYVILLE AND HILLSBORO PROMOTE THE BETTER CHOICES BETTER HEALTH CLASS AND OUR DIETITIANS ON BOTH CAMPUSES PROVIDE NUTRITIONAL EDUCATION.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO HEALTH CARE PROVIDERSACCESS TO AFFORDABLE HEALTH CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 17 -- SANFORD HILLSBORO MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: REDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE. INCLUDES ACCESS TO HEALTH CARE AND MENTAL HEALTH NEEDSMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE REDUCING PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE OF PATIENTS SCREENED FOR DEPRESSION AND SEE GREATER AWARENESS OF RESOURCES AVAILABLE LOCALLY. IT IS SANFORD'S GOAL TO REDUCE STIGMA AND INCREASE SCREENINGS FOR BEHAVIORAL HEALTH AND IMPROVE ACCESS TO MENTAL HEALTH RESOURCES IN THE COMMUNITY.PRIORITY 2: PROMOTION OF HEALTHY ACTIVE LIFESTYLEWHEN SURVEY RESPONDENTS IN THE HILLSBORO-MAYVILLE WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY (CONCERNS THEY FACE ON A REGULAR BASIS), CHRONIC HEALTH ISSUES ALONG WITH DIET AND EXERCISE WERE AMONG THE TOP CONCERNS.SANFORD HEALTH MAYVILLE HAS MADE THE PROMOTION OF A HEALTHY ACTIVE LIFESTYLE A SIGNIFICANT PRIORITY AND HAS DEVELOPED A STRATEGY TO SEE AN INCREASE IN RESIDENTS UTILIZING LOCAL RESOURCES AND A DECLINE IN RELATED VISITS AT THE CLINIC. IT IS SANFORD'S GOAL TO PROVIDE OPPORTUNITIES FOR ADULTS AND YOUTH TO MEET RECOMMENDED PHYSICAL ACTIVITY AND TO DEVELOP SUSTAINABLE STRATEGIES THAT ENCOURAGE RESIDENTS TO MAKE HEALTHY CHOICES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARREDUCE PHYSICAL AND PERCEPTUAL BARRIERS TO SEEKING MENTAL HEALTH CARE. INCLUDES ACCESS TO HEALTH CARE AND MENTAL HEALTH NEEDSSANFORD CURRENTLY PROVIDES MENTAL HEALTH SCREENINGS WITHIN THE CLINIC. INTEGRATED HEALTH THERAPISTS HAVE BEEN AVAILABLE IN THE PAST, PRIMARILY THROUGH VIRTUAL CARE, BUT WERE LIMITED DUE TO A RESIGNATION. THE SYSTEM PROVIDES SANFORD.FINDHELP.COM AS A CONSUMER FACING RESOURCE TO FIND CARE AND MENTAL HEALTH RESOURCES.PROMOTION OF HEALTHY ACTIVE LIFESTYLESANFORD CURRENTLY SUPPORTS THE HILLSBORO RUNNING CLUBS RUN/WALK EVENT IN JUNE AND SUPPORTS THE MAYVILLE YOUTH CENTER. THE BRIDGING CENTERS IN BOTH MAYVILLE AND HILLSBORO PROMOTE THE BETTER CHOICES BETTER HEALTH CLASS AND OUR DIETITIANS IN BOTH CAMPUSES PROVIDE NUTRITIONAL EDUCATION.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO HEALTH CARE PROVIDERSACCESS TO AFFORDABLE CAREPUBLIC TRANSPORTATIONAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 18 -- SANFORD MEDICAL CENTER MAYVILLE PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVE ACCESS TO PROVIDERS AND QUALITY HEALTH CAREWHILE MOST WEBSTER AREA SURVEY RESPONDENTS HAVE A PRIMARY CARE PROVIDER AND HAVE BEEN IN FOR A CHECKUP IN THE PAST YEAR, 17 PERCENT DID NOT RECEIVE NECESSARY HEALTH CARE FOR THEMSELVES AND THEIR FAMILY IN THE PAST YEAR. IN ADDITION, 86 PERCENT OF RESPONDENTS REPORTED TRAVELING OUTSIDE OF THEIR COMMUNITY TO RECEIVE HEALTH CARE SERVICES IN THE PAST THREE YEARS. MOST OF THOSE WHO TRAVELED FOR CARE INDICATED THAT THEY NEEDED SPECIALTY CARE, OR THE NEEDED SERVICES WERE NOT AVAILABLE LOCALLY.CRITICAL FOR TELEHEALTH OPTIONS IS RELIABLE INTERNET ACCESS AND CHR DATA INDICATE THAT THE WEBSTER AREA HAS ONE OF THE LOWEST RATES OF BROADBAND COVERAGE WHEN COMPARED TO SIMILAR-SIZED MARKETS. CHR DATA ALSO INDICATE THAT WHEN COMPARED TO SIMILAR-SIZED MARKETS, THE WEBSTER AREA HAS AN ABOVE-AVERAGE RATE OF PREVENTABLE HOSPITAL STAYS, ONE OF THE LOWEST FLU VACCINATION RATES, AND ONE OF THE HIGHEST INJURY DEATH RATES.SANFORD HAS MADE IMPROVING ACCESS TO PROVIDERS AND QUALITY HEALTH CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE AN INCREASE IN THE TOTAL NUMBER OF PATIENTS ENGAGING IN THEIR FIRST APPOINTMENT AND A REDUCTION IN THE NO-SHOW RATE. IT IS SANFORD'S GOAL TO INCREASE ACCESS TO BEHAVIORAL HEALTH THROUGH IN PERSON AND TELEMEDICINE VISITS AND EXCEED ENTERPRISE BENCHMARKS FOR WELLNESS WITH A FOCUS ON IMPROVEMENTS FOR AT-RISK POPULATIONS.PRIORITY 2: IMPROVE CHILDCARE AVAILABILITY IN THE COMMUNITY AND POSITIVELY IMPACT PHYSICAL ACTIVITY SURVEY RESPONDENTS IN THE WEBSTER AREA RATED THE QUALITY OF CHILDCARE, DAY CARE, AND PRESCHOOL AS LESS THAN GOOD AND HAD THE LOWEST SCORE WHEN COMPARED TO SIMILAR-SIZED MARKETS SERVED BY SANFORD HEALTH. SURVEY RESPONDENTS IN THE WEBSTER AREA RATED THEIR OWN PERSONAL HEALTH AND WELLNESS AS GOOD, BUT LOWER THAN THE COMPARISON GROUP AVERAGE. IN ADDITION, SURVEY RESPONDENTS RATED COMMUNITY ACCESS TO EXERCISE OPPORTUNITIES AS GOOD AND ACCESS TO HEALTHY FOODS AS GOOD; HOWEVER, BOTH SCORES WERE ALSO LOWER THAN THE COMPARISON GROUP AVERAGE. SANFORD HAS MADE IMPROVING CHILDCARE AVAILABILITY IN THE COMMUNITY, ALONG WITH POSITIVELY IMPACTING PHYSICAL ACTIVITY, A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN AVAILABLE CHILDCARE OPENINGS IN THE LOCAL COMMUNITY AND AN INCREASE IN WELLNESS OPPORTUNITIES THROUGH CHILDCARE PROVIDERS. IT IS SANFORD'S GOAL TO ACTIVELY PARTICIPATE IN COMMUNITY INITIATIVES TO EXPAND CHILDCARE OPPORTUNITIES IN THE COMMUNITY AND TO PROVIDE ANCILLARY RESOURCES TO DAYCARE PROVIDERS TO POSITIVELY IMPACT PEDIATRIC WELLNESS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARIMPROVE ACCESS TO PROVIDERS AND QUALITY HEALTH CARESANFORD OFFERS A RANGE OF SERVICES THROUGH A COMBINATION OF LOCAL AND OUTREACH PROVIDERS. THE LOCAL MEDICAL GROUP CONSISTS OF ONE MD AND FOUR APPS. LOCAL CARE INCLUDES THE HOSPITAL, OUTPATIENT CLINIC, AND NURSING HOME WITH SEVERAL ANCILLARY SERVICES, INCLUDING LAB AND PHARMACY. TELEMEDICINE IS AVAILABLE, INCLUDING IN THE EMERGENCY ROOM, WHICH IS RANKED IN THE 95TH PERCENTILE FOR PATIENT SATISFACTION. DIAGNOSTIC SERVICES, INCLUDING PFTS, SLEEP STUDIES, EEGS, EKGS, AND OTHERS ARE AVAILABLE LOCALLY. RADIOLOGY SUITES WERE RECENTLY UPDATED WITH AN ONSITE 64-SLICE CT, DIGITAL MAMMOGRAPHY, DEXA, ULTRASOUND AND MOBILE MRI AND NUCLEAR MEDICINE. RESPIRATORY, PHYSICAL, OCCUPATIONAL & SPEECH THERAPY, AND CARDIOPULMONARY REHAB ARE ALSO AVAILABLE.IMPROVE CHILDCARE AVAILABILITY IN THE COMMUNITY AND POSITIVELY IMPACT PHYSICAL ACTIVITYSANFORD DOES NOT OFFER CHILDCARE SERVICES FOR EMPLOYEES BUT SUPPORTS EFFORTS TO INCREASE LOCAL AVAILABILITY. SANFORD FIT IS DESIGNED TO GET KIDS THINKING DIFFERENTLY ABOUT THEIR CHOICES IN A FUN AND ENGAGING WAY. IT FOCUSES ON FOUR KEY ELEMENTS OF A HEALTHY LIFE: FOOD, MOVE, MOOD, RECHARGE. THE HOSPITAL ALSO OFFERS DIETICIAN SERVICES, WEIGHT MANAGEMENT PROGRAMS, IN ADDITION TO PREVENTATIVE CARE SCREENINGS AND VACCINATION CLINICS.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ECONOMIC CLIMATEAFFORDABLE HOUSING AND PUBLIC TRANSPORTATIONRESOURCE SHARINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 19 -- SANFORD WEBSTER MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVING MENTAL HEALTH AND CHEMICAL DEPENDENCY AVAILABILITY IN THE COMMUNITY MENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE IMPROVING MENTAL HEALTH AND CHEMICAL DEPENDENCY AVAILABILITY IN THE COMMUNITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN THE NUMBER OF PATIENTS SEEN FOR VIRTUAL BEHAVIORAL HEALTH APPOINTMENTS AND PATIENTS SEEN THROUGH A CHEMICAL DEPENDENCY SOCIAL WORKER. IT IS SANFORD'S GOAL TO REDUCE BARRIERS TO CARE AND INCREASE TELE BEHAVIORAL HEALTH UTILIZATION AND TO MEET THE COMMUNITY NEED FOR CHEMICAL DEPENDENCY SERVICES. PRIORITY 2: IMPROVE PHYSICAL ACTIVITY OPPORTUNITIESSANFORD HAS MADE IMPROVING PHYSICAL ACTIVITY OPPORTUNITIES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED OPPORTUNITIES FOR RESIDENTS TO ENGAGE IN FREE AND REDUCED PRICED PHYSICAL ACTIVITY. IT IS SANFORD'S GOAL TO INCREASE THE AVAILABILITY OF BIKING AND WALKING PATHS IN THE COMMUNITY TO INCREASE PHYSICAL ACTIVITY OPTIONS, TO INCREASE SAFETY FOR STUDENTS AND TO EXPAND FITNESS FACILITIES FOR RESIDENTS.PRIORITY 3: ADDRESS FOOD INSECURITIES FOR AREA RESIDENTS AND PATIENTSSANFORD HAS MADE ADDRESSING FOOD INSECURITIES FOR AREA RESIDENTS AND PATIENTS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE ADDITIONAL FOOD AVAILABILITY FOR FAMILIES IN NEED. IT IS SANFORD'S GOAL TO EXPAND SERVICES AVAILABLE IN THE HOSPITAL AND CLINIC FOR PATIENTS THAT NEED NUTRITION ASSISTANCE AND TO INCREASE FOOD SUPPORT FOR STUDENTS IN NEED OF NUTRITION ASSISTANCE THROUGH PARTNERSHIPS WITH LOCAL STAKEHOLDERS.ADDRESSING OF SIGNIFICANT NEEDS DURING THE CURRENT YEARIMPROVING MENTAL HEALTH AND CHEMICAL DEPENDENCY AVAILABILITY IN THE COMMUNITYTELEPSYCH SERVICES ARE CURRENTLY AVAILABLE AT SANFORD MEDICAL CENTER WHEATON, INCLUDING WITHIN THE EMERGENCY DEPARTMENT. SANFORD HAS EXPANDED LOCAL ACCESSIBILITY THROUGH THE ADDITION OF A PSYCHIATRIC NURSE PRACTITIONER IN 2024. THE TEAM IS ALSO ADDING A LICENSED DRUG AND ALCOHOL COUNSELOR. SANFORD WHEATON CONTINUES TO WORK ON DEVELOPING A PARTNERSHIP AND PLANNING WITH CURRENT PARTNERS TO FILL THE NEED WITHIN THE REGION AND COMMUNITY, INCLUDING HORIZON PUBLIC HEALTH.IMPROVE PHYSICAL ACTIVITY OPPORTUNITIESTHE COMMUNITY HAS A PARTIAL WALKING BIKE PATH AVAILABLE AND RESIDENTS HAVE ACCESS TO THE LOCAL HIGH SCHOOL TRACK.SANFORD HAS PARTNERED WITH THE MN DOT, CITY OF WHEATON AND COUNTY OF TRAVERSE TO WORK ON SAFE ROUTES TO SCHOOL AS WELL AS A DEMONSTRATION PROJECT TO MAKE A SEAMLESS SAFE ROUTE FROM THE HIGH SCHOOL, PAST THE SWIMMING POOL AND TO THE BALLFIELD.ADDRESS FOOD INSECURITIES FOR AREA RESIDENTS AND PATIENTSSANFORD WHEATON PROVIDES NUTRITION SERVICES TO UNDERSERVED POPULATIONS THAT PROVIDE A BASE OFF WHICH TO EXPAND. THE HOSPITAL PARTICIPATES IN THE LOCAL BACKPACK PROGRAM PROVIDING FOOD TO CHILDREN IN THE LOCAL SCHOOLS. THE PROGRAM PROVIDES FOOD FOR CHILDREN EVERY OTHER WEEKEND BY PLACING ENTREES, CEREAL AND SNACKS IN THEIR LOCKER. SANFORD WHEATON ALSO PARTNERS TO PROVIDE FOOD SECURITY BOXES AND PARTICIPATES IN THE FOOD RX PROGRAM.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN:ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSACCESS TO AFFORDABLE HEALTH CAREPUBLIC TRANSPORTATIONLONG-TERM SENIOR CARECHILD CARESANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 20 -- SANFORD MEDICAL CENTER WHEATON PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO PREVENTATIVE AND SPECIALTY HEALTHCARE SERVICESSANFORD BAGLEY MEDICAL CENTER (SBMC) PLAYS A VITAL ROLE IN ENSURING THAT PATIENTS IN RURAL MINNESOTA HAVE ACCESS TO HEALTH CARE SERVICES. AS THE COMMUNITY AGES AND CHALLENGES WITH CLINICIAN RECRUITMENT AND HEALTH CARE INFRASTRUCTURE CHANGES ARISE, MAINTAINING ROBUST AND SUSTAINABLE HEALTH CARE ACCESS BECOMES INCREASINGLY CRITICAL. SBMC IS COMMITTED TO ENSURING THAT THE QUALITY OF CARE IS NOT INFLUENCED BY A PATIENT'S LOCATION. SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON INCREASED ACCESS TO PREVENTATIVE AND SPECIALTY HEALTHCARE SERVICES WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS: TO INCREASE ACCESS TO WOMEN'S HEALTH CARE AND PREVENTATIVE SCREENINGS AND TO INCREASE ACCESS FOR VACCINATIONS.PRIORITY 2: CONTINUED EXPANSION OF BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE PROGRAMSINCREASING BEHAVIORAL HEALTH SERVICES AND EXPANDING ACCESS TO SUBSTANCE ABUSE TREATMENT ARE CRITICAL FOR ADDRESSING THE GROWING MENTAL HEALTH AND ADDICTION CRISES. BY PROVIDING COMPREHENSIVE SUPPORT AND ACCESSIBLE CARE, WE CAN HELP INDIVIDUALS MANAGE THEIR CONDITIONS, REDUCE STIGMA, AND PROMOTE RECOVERY. STRENGTHENING THESE SERVICES IS ESSENTIAL FOR IMPROVING OVERALL PUBLIC HEALTH, ENHANCING QUALITY OF LIFE, AND BUILDING HEALTHIER COMMUNITIES.SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE PROGRAMS WITHIN THE COMMUNITY. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS: TO INCREASE ACCESS TO VIRTUAL VISITS FOR BEHAVIORAL HEALTH CARE AND TO INCREASE ACCESS TO SUBSTANCE USE SERVICES.PRIORITY 3: INCREASE ACCESS TO HEALTHY FOODSURVEY RESPONDENTS IN THE BAGLEY AREA RATED ACCESS TO HEALTHY FOODS AS LESS THAN GOOD. THE MOST COMMON BARRIER CITED NOTED WAS THE HIGH COST ASSOCIATED WITH HEALTHY EATING. THESE CONCERNS ARE EVIDENT IN CHR DATA WHICH INDICATE THAT 12 PERCENT OF THE POPULATION IN THE BAGLEY AREA DID NOT HAVE ACCESS TO A RELIABLE SOURCE OF FOOD DURING THE PAST YEAR. OVERALL, BY IMPLEMENTING SYSTEMATIC SCREENING, PROVIDING EDUCATIONAL RESOURCES, OFFERING PERSONALIZED SUPPORT, AND COLLABORATING WITH COMMUNITY RESOURCES, SBMC CAN IMPROVE OPPORTUNITIES TO SCREEN AND SUPPORT THE NUTRITIONAL NEEDS OF THE PEDIATRIC PATIENTS WE SERVE, ULTIMATELY PROMOTING THE HEALTH AND WELL-BEING OF THE CHILDREN UNDER SANFORD'S CARE.SANFORD HEALTH IS POSITIONED LOCALLY TO HAVE A POSITIVE IMPACT ON INCREASED ACCESS TO HEALTHY FOOD. THIS EFFORT WILL FOCUS ON TWO PRIMARY GOALS: TO IMPROVE OPPORTUNITIES TO SCREEN FOR NUTRITIONAL NEEDS OF PEDIATRIC PATIENTS AND TO SUPPORT NUTRITIONAL NEEDS OF THE PEDIATRIC PATIENTS SERVED AT SANFORD BAGLEY CLINIC.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO PREVENTATIVE AND SPECIALTY HEALTHCARE SERVICESSBMC ACTIVELY PROMOTES OUTREACH SPECIALTY SERVICES AVAILABLE WITHIN THE COMMUNITY. THESE OUTREACH SERVICES BRING SPECIALTY PROVIDERS TO BAGLEY FACILITIES TO PROVIDE CARE CLOSE TO HOME. CURRENT OUTREACH SERVICES OFFERED INCLUDE PEDIATRIC CARE, DERMATOLOGY, OBSTETRICAL, GYNECOLOGY, SLEEP MEDICINE, BARIATRICS, AND MENTAL HEALTH. SBMC ALSO HOLDS FLU SHOT EVENTS AND PLANS TO EXPAND THE LOCATION OF THESE.CONTINUED EXPANSION OF BEHAVIORAL HEALTH SERVICES AND SUBSTANCE ABUSE PROGRAMS OVER THE LAST SEVERAL YEARS, SBMC INITIATED A GROUP BASED BEHAVIORAL HEALTH PROGRAM FOR SENIORS. DUE TO ISSUES WITH INSURANCE COVERAGE, CONTRACT DIFFICULTIES, AND LOW NUMBERS, SANFORD SHIFTED GEARS TO EXPANDING BEHAVIORAL HEALTH COUNSELING IN THE CLINIC SETTING AND VIA TELEHEALTH. THE CHANGE ALLOWED BEHAVIORAL HEALTH SERVICES TO BE SPREAD TO A LARGER AGE RANGE AND FOR AN INCREASED VOLUME OF PEOPLE. IN ADDITION, SANFORD HAS PARTNERED TO SUPPORT STELLHER HUMAN MENTAL HEALTH SERVICES IN THE SCHOOL SYSTEM BY FUNDING A ONE DAY A WEEK VIRTUAL OPTION FOR PEDIATRICS AGE TEN AND OLDER. INDIVIDUALS ARE ALSO SERVED BY SBMC'S MEDICATION ASSISTANCE THERAPY STAFF FOLLOWING THEIR ER VISITS.INCREASE ACCESS TO HEALTHY FOODSBMC HAS PARTNERED WITH UNITED WAY IN SPONSORING THE BACKPACK BUDDIES AND PROVIDES VOLUNTEERS FOR THE FOOD DROPS PROGRAM. IN 2024, 43 CHILDREN IN CLEARWATER COUNTY RECEIVED FOOD THROUGH BACKPACK BUDDIES AND 144,000 POUNDS OF FOOD WAS DISTRIBUTED IN THE COUNTY THROUGH THE FOOD DROPS PROGRAM. IN ADDITION, SANFORD WILL CONTINUE TO SUPPORT FRIENDS IN THE KITCHEN, A COOKING CLASS FOR THOSE AGE 55 AND OLDER. THIS PROGRAM IS DESIGNED TO BRING RURAL SENIORS TOGETHER TO A SAFE PLACE FOR EDUCATION ON HOW TO EAT HEALTHY ON A LIMITED BUDGET. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREEMPLOYMENT & ECONOMIC OPPORTUNITYCHILD CARE QUALITYPUBLIC TRANSPORTATIONAFFORDABLE HOUSING & LONG-TERM SENIOR CARESANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 21 -- SANFORD BAGLEY MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: IMPROVE HEALTHY LIVING OUTCOMES THROUGH UPSTREAM ENGAGEMENT TO IMPROVE SOCIAL DETERMINANTS OF HEALTHSURVEY RESPONDENTS IN THE CANTON-INWOOD AREA RATED THEIR OWN PERSONAL HEALTH AND WELLNESS AS GOOD AND THE QUALITY OF HEALTH CARE IN THEIR COMMUNITY AS VERY GOOD. DESPITE THIS, WHEN SURVEY RESPONDENTS WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY (CONCERNS THEY FACE ON A REGULAR BASIS), CHRONIC HEALTH ISSUES WERE A TOP CONCERN, AFTER COST. SANFORD HAS MADE IMPROVING HEALTHY LIVING OUTCOMES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ENHANCE COMMUNITY PARTNERSHIPS TO EXTEND CHRONIC DISEASE EDUCATION TO MORE RESIDENTS AND TO EXPAND CURRENT PROGRAMS HAVING A POSITIVE IMPACT ON SOCIAL DETERMINANTS OF HEALTH TO MORE OF THE COMMUNITY.PRIORITY 2: INCREASE ACCESS TO MENTAL HEALTH RESOURCES WITHIN THE COMMUNITY BY INCREASING PARTNERSHIPS WITH LOCAL PROVIDERS, EDUCATING THE COMMUNITY ON RESOURCES, AND DESTIGMATIZING THE SERVICEWHEN SURVEY RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND PROVIDERS WAS ONE OF THE TOP ISSUES. APPROXIMATELY HALF OF THE SURVEY RESPONDENTS IN THE CANTON-INWOOD AREA INDICATED THAT THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY. WHEN THESE RESPONDENTS WERE ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED, MOST INDICATED BEHAVIORAL AND MENTAL HEALTH SERVICES AS THEIR TOP PRIORITY.SANFORD HAS MADE INCREASING ACCESS TO MENTAL HEALTH RESOURCES WITHIN THE COMMUNITY A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO INCREASE UTILIZATION OF MENTAL HEALTH SERVICES BY STUDENTS AND INCREASE PROACTIVE IDENTIFICATION OF PATIENTS THAT WOULD BENEFIT FROM MENTAL HEALTH SERVICES.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARIMPROVE HEALTHY LIVING OUTCOMES THROUGH UPSTREAM ENGAGEMENT TO IMPROVE SOCIAL DETERMINANTS OF HEALTH THE SANFORD CANTON-INWOOD MEDICAL CENTER CURRENTLY EMPLOYS A CARE MANAGER TO ASSIST PATIENTS IN COORDINATING THEIR CARE AFTER A PROCEDURE. THIS INCLUDES IDENTIFYING AND PROCURING MEDICAL DEVICES, SUCH AS WHEELCHAIRS, AND SCHEDULING POST-PROCEDURE FOLLOW-UP VISITS. BEYOND THE DIRECT CARE OF PATIENTS, SANFORD SUPPORTS FOOD PROGRAMS FOR STUDENTS AND CLASSES TO THE COMMUNITY. INCREASE ACCESS TO MENTAL HEALTH RESOURCES WITHIN THE COMMUNITY BY INCREASING PARTNERSHIPS WITH LOCAL PROVIDERS, EDUCATING THE COMMUNITY ON RESOURCES, AND DESTIGMATIZING THE SERVICE SANFORD HEALTH OFFERS BEHAVIORAL COUNSELING AT THE CANTON CLINIC WITH TWO PROVIDERS THAT OFFER CARE LOCALLY. ADDITIONAL SERVICES AND PROVIDERS ARE AVAILABLE VIA TELEHEALTH OR THROUGH ADDITIONAL SANFORD CLINICS LOCATED IN LINCOLN COUNTY, INCLUDING SANFORD PSYCHIATRY & PSYCHOLOGY ON S. LOUISE AVE IN SIOUX FALLS, APPROXIMATELY 21 MILES FROM CANTON.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CARELONG-TERM SENIOR CAREPUBLIC TRANSPORTATION AFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 22 -- SANFORD CANTON-INWOOD MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: ACCESS TO CARE AND PROVIDERSWHEN SURVEY RESPONDENTS IN THE CLEAR LAKE AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, ACCESS TO HEALTH CARE SERVICES AND MEDICAL PROVIDERS WAS THE TOP ISSUE, WITH 84 PERCENT OF RESPONDENTS HAVING TRAVELED TO RECEIVE HEALTH CARE SERVICES WITHIN THE PAST THREE YEARS (WHICH IS HIGHER THAN THE COMPARISON GROUP AVERAGE). WHEN ASKED WHY, THE MAIN REASON WAS DUE TO NEEDING A SPECIALIST OR SERVICE NOT AVAILABLE LOCALLY.NEARLY HALF OF SURVEY RESPONDENTS IN THE CLEAR LAKE AREA INDICATED THAT THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY. WHEN THESE RESPONDENTS WERE ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED, MOST SAID BEHAVIORAL AND MENTAL HEALTH SERVICES. SANFORD HEALTH CLEAR LAKE HAS MADE ACCESS TO CARE AND PROVIDERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO PROMOTE PROVIDERS DOING OUTREACH AT SANFORD CLEAR LAKE MEDICAL CENTER, TO PROMOTE PROVIDERS OF TELEMEDICINE AND VIRTUAL SERVICES AT SANFORD CLEAR LAKE MEDICAL CENTER AND TO PROVIDE COMMUNITY EDUCATION ON BEHAVIORAL AND MENTAL HEALTH SERVICES AND RESOURCES.PRIORITY 2: PUBLIC TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTHCARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS.SANFORD HEALTH CLEAR LAKE HAS MADE PUBLIC TRANSPORTATION A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO ENHANCE PUBLIC TRANSPORTATION ACCESS FOR REGIONAL NEEDS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARACCESS TO CARE AND PROVIDERS SANFORD CLEAR LAKE MEDICAL CENTER CONSISTENTLY WORKS TO RECRUIT PROVIDERS TO THE COMMUNITY. OUTREACH SERVICES AND VIRTUAL SERVICES ARE ADDITIONAL AVENUES FOR LOCAL RESIDENTS TO RECEIVE A BROAD RANGE OF HEALTH CARE SERVICES CLOSE TO HOME. SANFORD CURRENTLY HAS THREE OUTREACH PROVIDERS. TO INCREASE WELLNESS VISITS, SANFORD CLEAR LAKE WORKS INTERNALLY WITH THE ORGANIZATION'S MARKETING DEPARTMENT AND PHYSICIANS ON EXPANDED COMMUNITY CAMPAIGNS, INCLUDING VIDEOS ON ALL NEW PROVIDERS HIGHLIGHTING THEIR BIOGRAPHIES. THE VIDEOS ARE AVAILABLE ON SANFORDHEALTH.ORG. NEW PROVIDERS ARE INTRODUCED TO THE COMMUNITY THROUGH COORDINATED SOCIAL MEDIA AND NEWSPAPER CAMPAIGNS.PUBLIC TRANSPORTATIONSANFORD CLEAR LAKE MEDICAL CENTER STAFF ASSIST PATIENTS WITH FINDING RESOURCES FOR RIDES TO/FROM MEDICAL APPOINTMENTS TO THE EXTENT POSSIBLE. THE TEAM HAS PARTNERED WITH OTHER INDIVIDUALS AND GROUPS IN THE COMMUNITY TO SEEK SOLUTIONS FOR THE LOCAL TRANSPORTATION ISSUES.SANFORD HEALTH DOES COORDINATE WITH A VOLUNTEER THAT CAN PROVIDE TRANSPORTATION TO COMMUNITY MEMBERS AND HOSPITALIZED PATIENTS BASED UPON THE VOLUNTEER'S SCHEDULE. SANFORD CLEAR LAKE PARTICIPATES IN THE HEALTHY HOMETOWN COMMITTEE. HEALTHY HOMETOWN IS A PROGRAM THAT ASSISTS COMMUNITIES IN IMPLEMENTING CHANGES THAT PROMOTE HEALTHY LIVING BY FOCUSING ON THREE AREAS MOVE MORE, EAT WELL, AND FEEL BETTER. THEY ARE CURRENTLY WORKING WITH THE SOUTH DAKOTA DEPARTMENT OF TRANSPORTATION ON AN INFRASTRUCTURE IMPROVEMENT PLAN TO ALLOW FOR ENHANCED AND SAFER WALKABILITY IN THE CLEAR LAKE COMMUNITY.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:LONG-TERM SENIOR CAREAFFORDABLE HOUSING SANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 23 -- SANFORD CLEAR LAKE MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTHMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HEALTH WESTBROOK HAS MADE MENTAL HEALTH A SIGNIFICANT PRIORITY. IT IS SANFORD'S GOAL TO INCREASE AWARENESS AND EXPAND ACCESS OF MENTAL HEALTH SERVICES AT SANFORD WESTBROOK AND IN THE SERVICING AREA AND TO CREATE AND IMPLEMENT POLICY/PROCEDURES/PROTOCOLS TO BE PUT IN PLACE IN AREA SCHOOL SYSTEMS IN THE EVENT OF MENTAL HEALTH CRISIS AND CREATE/IMPLEMENT CALMING SPACES THROUGHOUT THE SCHOOLS.PRIORITY 2: HEALTHY / ACTIVE LIVINGWHEN SURVEY RESPONDENTS IN THE WESTBROOK AREA WERE ASKED ABOUT THE BIGGEST HEALTH CONCERNS FOR THEMSELVES AND THEIR FAMILY, CHRONIC HEALTH ISSUES WERE AMONG THE TOP CONCERNS. SANFORD HAS MADE HEALTHY/ACTIVE LIVING A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE IMPROVED OVERALL PHYSICAL AND NUTRITIONAL HEALTH IN PATIENTS AT SANFORD HEALTH FROM THE COMMUNITY. IT IS SANFORD'S GOAL TO CREATE ACCESS TO HEALTHY FOOD CHOICES AND PROVIDE EDUCATIONAL OPPORTUNITIES TO MAKE HEALTHY CHOICES AND INCREASE THE ACTIVITY LEVEL OF COMMUNITY MEMBERS IN OUR SANFORD WESTBROOK SERVICE AREA.PRIORITY 3: TRANSPORTATIONTRANSPORTATION SYSTEMS HELP ENSURE THAT PEOPLE CAN REACH EVERYDAY DESTINATIONS, SUCH AS JOBS, SCHOOLS, HEALTHY FOOD OUTLETS, AND HEALTH CARE FACILITIES, SAFELY AND RELIABLY. PUBLIC TRANSPORTATION SERVICES PLAY AN IMPORTANT ROLE FOR PEOPLE WHO ARE UNABLE TO DRIVE, PEOPLE WITHOUT ACCESS TO PERSONAL VEHICLES, CHILDREN, INDIVIDUALS WITH DISABILITIES, AND OLDER ADULTS.SANFORD HAS MADE TRANSPORTATION A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN COMMUNITY AWARENESS OF TRANSPORTATION ACCESS AND EXPANDED ACCESSIBILITY THROUGH COLLABORATIONS WITH SANFORD. IT IS SANFORD'S GOAL TO INCREASE AWARENESS OF TRANSPORTATION SERVICES IN THE SANFORD WESTBROOK SERVICE AREA AND TO INCREASE ACCESS TO TRANSPORTATION SERVICES IN OUR AREA.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARMENTAL HEALTHSANFORD WESTBROOK CURRENTLY PROVIDES MENTAL HEALTH SERVICES WITH A PSYCHIATRIST VIA VIRTUAL CARE. LICSWS AND A BEHAVIORAL HEALTH NP ARE ALSO ON STAFF. SANFORD WESTBROOK WILL CONTINUE TO SHARE THE RESULTS OF THIS SURVEY WITH COMMUNITY PARTNERS TO BUILD ACCESS TO MENTAL HEALTH. IN ADDITION, WE WILL CONTINUE TO LOOK AT ACCESS POINTS WITHIN THE CLINIC, BOTH IN PERSON AND VIRTUAL TO IMPROVE ACCESS TO MENTAL HEALTH. SANFORD WESTBROOK WILL HIRE NEW APP STAFF TO ADDRESS INCREASES IN MENTAL HEALTH NEEDS. WE WILL SPEND TIME OVER THE NEXT THREE YEARS EXPLORING WAYS TO ASSIST THE SCHOOL WITH MENTAL HEALTH OPPORTUNITIES THROUGH POSSIBLE SCHOOL-LINKED MENTAL HEALTH COLLABORATIONS, CALMING ROOMS/SPACES, AND RESOURCES TO BRING AWARENESS. SANFORD WESTBROOK WILL COLLABORATE WITH THE AREA SCHOOLS TO ANALYZE AVAILABLE MENTAL HEALTH RESOURCES, AS WELL AS CREATE POLICY/PROCEDURES/PROTOCOL THE LOCAL SCHOOLS CAN UTILIZE IN THE EVENT OF MENTAL HEALTH CRISIS.THE MENTAL HEALTH PRIORITY IS ALSO BEING ADDRESSED THROUGH EXPANDED USE OF CURRENT TELEMEDICINE AND IN-HOUSE MENTAL HEALTH SERVICES AND THE ADDITIONAL GOAL OF INCREASING THE NUMBER OF SCREENING AND REFERRALS TO BEHAVIORAL HEALTH PROVIDERS. HEALTHY / ACTIVE LIVINGSANFORD WESTBROOK WILL CONTINUE TO WORK TO MAKE A POSITIVE IMPACT ON IMPROVING THE HEALTH OF COMMUNITY MEMBERS THROUGH BOTH PHYSICAL ACTIVITY AND HEALTHY LIFESTYLE CHOICES. SANFORD SUPPORTS COMMUNITY EFFORTS TO INCREASE ACCESS TO ACTIVITIES AND FACILITIES THAT PROMOTE HEALTHY AND ACTIVE LIFESTYLES.TRANSPORTATIONOVER THE NEXT THREE YEARS, SANFORD WESTBROOK WILL INCREASE COMMUNITY AWARENESS OF TRANSPORTATION ACCESS ISSUES THROUGH TARGETED OUTREACH CAMPAIGNS AND EDUCATIONAL INITIATIVES. SIMULTANEOUSLY, WE WILL ESTABLISH AT LEAST TWO STRATEGIC PARTNERSHIPS WITH LOCAL ORGANIZATIONS EACH YEAR TO ENHANCE TRANSPORTATION OPTIONS WITHIN OUR SERVICE AREA. THIS INITIATIVE AIMS TO IMPROVE ACCESS TO ESSENTIAL SERVICES AND PROMOTE MOBILITY FOR UNDERSERVED POPULATIONS, ULTIMATELY CONTRIBUTING TO BETTER HEALTH OUTCOMES IN OUR COMMUNITY. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO MEDICAL CARE AND HEALTH CARE PROVIDERSACCESS TO AFFORDABLE HEALTH CAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 24 -- SANFORD WESTBROOK MEDICAL CENTER PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 6A: SANFORD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS BEHAVIORAL HEALTH CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCULDED.
GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSEMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED UTILIZATION OF BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES FOR THOSE THAT NEED THEM IN THE COMMUNITY. IT IS SANFORD'S GOAL TO IMPROVE TIMELY ACCESS TO MENTAL/BEHAVIORAL HEALTH CARE SERVICES AND TO ENHANCE AND EXPAND SERVICES TO EFFECTIVELY SUPPORT AND TREAT PATIENTS WITH SUBSTANCE USE DISORDERS.PRIORITY 2: ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CAREWHEN RESPONDENTS WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, HAVING ACCESS TO HEALTH CARE WAS ONE OF THE TOP ISSUES BEHIND COST. AND WHEN RESPONDENTS, WHO RATED THEIR OWN ABILITY TO ACCESS HEALTH CARE AS POOR OR FAIR, WERE ASKED WHY THEY RATED ACCESS AS THEY DID, ISSUES OF LIMITED HOURS, WAIT TIMES, LIMITED LOCATIONS, AND LACK OF PROVIDERS AND SPECIALTY CARE WERE AMONG THE TOP CONCERNS.SANFORD HAS MADE ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE INCREASED COLLABORATION WITH EXTERNAL PARTNERS AND IMPROVED ACCESS TO CARE. IT IS SANFORD'S GOAL TO IMPROVE ACCESS TO PRIMARY AND SPECIALTY CARE AND TO COLLABORATIVELY SHARE CHNA INFORMATION WITH PUBLIC AND PRIVATE PARTNERS. ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEAR: MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSESANFORD FARGO IS CONTINUING ITS EFFORTS TO IMPROVE ACCESS TO MENTAL HEALTH/BEHAVIORAL HEALTH AND SUBSTANCE ABUSE SERVICES. UTILIZATION OF VIRTUAL VISITS FOR BEHAVIORAL HEALTH HAS CONTINUED TO GROW AND CONTRIBUTE TOWARD IMPROVED ACCESS. TIMELY ACCESS TO ADULT PSYCHIATRY CONTINUES TO BE AN AREA WE ARE WORKING TO IMPROVE AND MONITOR PROGRESS QUARTERLY. SANFORD CURRENTLY OFFERS MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDERS IN THE COMMUNITY THROUGH VARIOUS DELIVERY OPPORTUNITIES. DEPRESSION SCREENING WILL BE UTILIZED IN THE ROOMING NAVIGATOR IN ALL CLINICS TO HELP IDENTIFY THOSE IN NEED OF CARE. OUR SUBOXONE CLINIC CONTINUES TO SERVE PATIENTS IN ADDICTION RECOVERY AND ENGAGES IN HOSPITAL PEER COACHING. SANFORD FARGO IS CONTINUING A PARTNERSHIP WITH CLAY COUNTY DETOX TO ENSURE COORDINATED UTILIZATION OF MEDICAL AND LAW ENFORCEMENT SUPPORT FOR INDIVIDUALS ACTIVELY IN DETOX.ACCESS TO HEALTH CARE PROVIDERS AND QUALITY CARE SANFORD FARGO INCREASED HOME-BASED PRIMARY CARE ACCESS AND CONTINUES TO UTILIZE THIS APPROACH TO IMPROVE ACCESS AS ALL PRIMARY CARE PROVIDERS NOW HAVE ACCESS TO THIS OPTION. PROVIDER RECRUITMENT PLAYS A MAJOR ROLE IN OUR ABILITY TO INCREASE OUR CAPACITY. INVESTING IN OUR EDUCATIONAL PROGRAMS TO SERVE AS A PIPELINE FOR PROVIDERS CONTINUES TO BE A PRIORITY. SANFORD MEDICAL CENTER FARGO IS NORTH DAKOTA'S LARGEST MEDICAL CENTER AND ONE OF THREE SANFORD MEDICAL CENTER CAMPUSES IN FARGO. IT SERVES AS A REGIONAL HEALTH CARE HUB WITH 60 PERCENT OF PATIENTS COMING FROM OUTSIDE THE METRO AREA. IT IS NORTH DAKOTA'S ONLY LEVEL I ADULT TRAUMA CENTER, NORTH DAKOTA'S ONLY LEVEL II PEDIATRIC TRAUMA CENTER, DESIGNATED AS A COMPREHENSIVE STROKE CENTER AND HAS AN AIRMED TRANSPORT SERVICE COVERING A THREE-STATE AREA. THE ONE-MILLION-SQUARE-FOOT SANFORD MEDICAL CENTER FARGO PROVIDES SERVICES INCLUDING EMERGENCY/TRAUMA, FAMILY BIRTH CENTER, CHILDREN'S HOSPITAL, BRAIN AND SPINE SURGERY, CARDIOVASCULAR SURGERY, INTERVENTIONAL CARDIOLOGY, GENERAL SURGERY AND MORE. AS OF 2024, SANFORD MEDICAL CENTER FARGO HAS 292 LICENSED BEDS. SANFORD MEDICAL CENTER FARGO TAKES CARE TO THE NEXT LEVEL, COMBINING EXPERTISE, STATE-OF-THE-ART TECHNOLOGY AND COMPASSIONATE PATIENT CARE. WITH TECHNOLOGICALLY ADVANCED ORS AND GROWING DIGITAL PATHOLOGY CAPABILITIES, SURGEONS CAN CONNECT ACROSS CAMPUSES AND CONSULT WITH SPECIALISTS ACROSS THE NATION. PATIENT ROOMS ARE DESIGNED AROUND THE PATIENT FOR EFFICIENCY, SAFETY AND OPTIMAL CARE.SANFORD MEDICAL CENTER FARGO IS A MAJOR TEACHING HOSPITAL IN PARTNERSHIP WITH MULTIPLE AREA UNIVERSITIES AND TECHNICAL COLLEGES TO PROVIDE CLINICAL TRAINING FOR NURSES, ALLIED HEALTH AND NON-HEALTH CARE FIELDS. AS WELL AS PARTNERSHIP WITH THE UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE AND HEALTH SCIENCES TO PROVIDE CLINICAL TRAINING FOR HUNDREDS OF MEDICAL STUDENTS, MEDICAL RESIDENTS AND FELLOWS. SANFORD ALSO OFFERS MANY ACTIVITIES AND PROGRAMS TO ATTRACT HIGH SCHOOL AND YOUNGER STUDENTS TO THE HEALTH CARE FIELD THROUGH OUR ASPIRE PROGRAMS. IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO AFFORDABLE HEALTH CAREHEALTHY LIVINGPUBLIC TRANSPORTATIONQUALITY CHILDCAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 2 -- SANFORD MEDICAL CENTER FARGO PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 5: SANFORD HEALTH, IN COORDINATION WITH PUBLIC HEALTH EXPERTS, COMMUNITY LEADERS, AND OTHER HEALTH CARE PROVIDERS, WITHIN THE LOCAL COMMUNITY AND ACROSS SANFORD'S CARE DELIVERY FOOTPRINT, DEVELOPED A MULTI-FACETED ASSESSMENT PROGRAM DESIGNED TO ESTABLISH MULTIPLE PATHWAYS FOR HEALTH NEEDS ASSESSMENT. THE CHNA WAS CONDUCTED FROM DECEMBER 2023 THROUGH DECEMBER 2024, INCLUDING THE DEVELOPMENT OF IMPLEMENTATION STRATEGIES FOR 2025-2027. A FULL LIST OF SYSTEM AND LOCAL PARTNERS IS AVAILABLE WITHIN THE RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS.MEMBERS OF THE FOLLOWING ORGANIZATIONS CONTRIBUTED THEIR EXPERTISE WITH THE PLANNING, DEVELOPMENT AND ANALYSIS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AT THE SYSTEM LEVEL, PROVIDING ADVICE ON THE CHNA PROCESS AND METHODOLOGY AND PARTICIPATING IN THE LOCAL PROCESS BASED UPON THEIR LOCATION. THE LIST BELOW DOES NOT REPRESENT THE FULL PARTICIPANT LIST AND A FULL LISTING OF THE COMMUNITY STAKEHOLDERS AND COMMUNITY LEADERSHIP MEMBERS INVOLVED WITH INDIVIDUAL HOSPITALS CAN BE FOUND IN EACH PUBLISHED CHNA.CHI ST. ALEXIUS HEALTH AVERA MCKENNAN HOSPITAL AND UNIVERSITY HEALTH CENTERESSENTIA HEALTH NORTH DAKOTA STATE UNIVERSITY CENTER FOR SOCIAL RESEARCH CLAY COUNTY PUBLIC HEALTHFARGO CASS PUBLIC HEALTHFAMILY HEALTHCARESIOUX FALLS DEPARTMENT OF HEALTHBISMARCK-BURLEIGH PUBLIC HEALTHNORTH DAKOTA PUBLIC HEALTH ASSOCIATION WESTERN PLAINS PUBLIC HEALTHLIMITATIONSTHE FINDINGS IN THIS STUDY PROVIDE AN OVERALL SNAPSHOT OF BEHAVIORS, ATTITUDES, AND PERCEPTIONS OF RESIDENTS LIVING IN THE COMMUNITY. A GOOD FAITH EFFORT WAS MADE TO SECURE INPUT FROM A BROAD BASE OF THE COMMUNITY. HOWEVER, GAPS IN INDIVIDUAL DATA SOURCES MAY ARISE WHEN COMPARING CERTAIN DEMOGRAPHIC CHARACTERISTICS (I.E., AGE, GENDER, INCOME, MINORITY STATUS) WITH THE CURRENT POPULATION ESTIMATES. FOR EXAMPLE, THESE GAPS MAY OCCUR DUE TO THE DIFFICULTY IN REACHING RESPONDENTS THROUGH THE SURVEY PROCESS. TO MITIGATE LIMITATIONS, THE CHNA EVALUATES COMMUNITY HEALTH FROM SEVERAL PERSPECTIVES: A STAKEHOLDER AND COMMUNITY SURVEY, MEETINGS WITH COMMUNITY LEADERS THAT HAVE SPECIAL KNOWLEDGE AND EXPERTISE REGARDING POPULATIONS, SECONDARY DATA SOURCES SUCH AS THE U.S. CENSUS BUREAU AND COUNTY HEALTH RANKINGS, PUBLIC COMMENTS FROM PREVIOUS ASSESSMENTS, AND INSTITUTIONAL KNOWLEDGE BY SANFORD EMPLOYEES LOCALLY AND ACROSS THE SANFORD ENTERPRISE.COMMUNITY AND STAKEHOLDER SURVEY COMMUNITY RESIDENTS WERE ASKED A SERIES OF QUESTIONS THROUGH AN ONLINE SURVEY DESIGNED IN PARTNERSHIP WITH HEALTH EXPERTS, PARTICIPATING ORGANIZATIONS NOTED PREVIOUSLY, AND PUBLIC HEALTH OFFICIALS ACROSS THE SANFORD FOOTPRINT TO UNDERSTAND HEALTH NEEDS. EACH RESPONDENT WAS ASKED TO RATE COMMUNITY DRIVERS FROM POOR TO EXCELLENT. ANY RESPONSE OTHER THAN EXCELLENT WAS OFFERED A FOLLOW-UP OPPORTUNITY TO COMMENT ON THE REASON FOR THEIR RANKING. RESPONDENTS WERE ALSO ASKED A SERIES OF QUESTIONS SPECIFIC TO THEIR HEALTH CARE ACCESS, HEALTH CARE QUALITY, BARRIERS TO CARE, TRAVEL TO CARE, AND INSURANCE. THE SURVEY WAS SENT TO SAMPLE POPULATIONS SECURED THROUGH QUALTRICS, A QUALIFIED VENDOR.THE SURVEY WAS THE FIRST OF MULTIPLE EFFORTS TO ENGAGE COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS. STAKEHOLDERS WERE SENT THE SURVEY AND ASKED TO COMPLETE THE INSTRUMENT AND THEN FORWARD THE SURVEY TO THEIR RESPECTIVE POPULATIONS FOR GREATER INVOLVEMENT.SANFORD INVESTED IN A MULTIFACETED CAMPAIGN THAT INCLUDED AN EARNED MEDIA CAMPAIGN ON LOCAL MEDIA OUTLETS AND THE PUBLIC-FACING SANFORD HEALTH NEWS (HTTPS://NEWS.SANFORDHEALTH.ORG/). THE SYSTEM ALSO PROMOTED THE SURVEY INTERNALLY THROUGH THE ORGANIZATION'S INTRANET, ALL-STAFF EMAILS, AND NEWSLETTERS.INTERNAL EFFORTS WERE SUPPORTED WITH A ROBUST ADVERTISING CAMPAIGN THAT INCLUDED, AMONG OTHER EFFORTS, A DIGITAL MEDIA PROGRAM YIELDING 3.6 MILLION IMPRESSIONS AND A PRINT AD CAMPAIGN ENCOURAGING NATIVE AMERICAN COMMUNITIES TO PARTICIPATE THROUGH PLACEMENTS IN DEBAHJIMON MAGAZINE, ANISHINAABEG MAGAZINE AND MHA TIMES (MANDAN, HIDATSA, ARIKARA). FURTHER SUPPORT WAS GIVEN TO COLLECTING SURVEYS AT VARIOUS COMMUNITY EVENTS. THE GOAL OF THESE EFFORTS WAS TO INCREASE PARTICIPATION BY THOSE UNDERREPRESENTED THE PREVIOUS CYCLE, INCLUDING LOWER INCOME, MINORITY, AND MEDICALLY UNDERSERVED POPULATIONS.SURVEY DATA FOR THE LOCAL COMMUNITY SHOULD BE CONSIDERED DIRECTIONAL AND BEST UTILIZED IN CONJUNCTION WITH ADDITIONAL DATA. PROMOTION INVESTMENTS BY THE SYSTEM YIELDED A TOTAL OF 9,714 COMPLETED SURVEYS FROM ACROSS THE SANFORD FOOTPRINT, AN INCREASE FROM 6,748 THE PREVIOUS CYCLE. THE RESPONSES GENERATED 48,643 OPEN-ENDED RESPONSES AND 1.76 MILLION PIECES OF DATA.SECONDARY DATACOUNTY HEALTH RANKINGS ARE BASED UPON THE UW POPULATION HEALTH MODEL AND SERVE AS THE MAIN SECONDARY DATA SOURCE UTILIZED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT. ALIGNMENT OF THE SURVEY AND SECONDARY DATA WITHIN THE UW POPULATION HEALTH MODEL ALLOWS FOR GREATER CONNECTION OF THE DATA SETS. POPULATION DATA ARE SOURCED TO THE U.S. CENSUS BUREAU. ADDITIONAL DATA SOURCES MAY BE USED AND ARE SOURCED WITHIN THE DOCUMENT.HEALTH NEEDS IDENTIFICATION METHODOLOGYTHE CENTER FOR SOCIAL RESEARCH AT NORTH DAKOTA STATE UNIVERSITY WAS RETAINED TO DEVELOP THE INITIAL COMMUNITY HEALTH NEEDS LIST FOR EACH COMMUNITY, BUILDING UPON THEIR INVOLVEMENT DURING THE PREVIOUS CYCLE. THE FOLLOWING METHODOLOGY WAS USED TO DEVELOP THE SIGNIFICANT HEALTH NEEDS PRESENTED LATER IN THE REPORT:SURVEY DATA WAS STRATIFIED INTO REPRESENTATIVE GROUPS BASED UPON POPULATION: LARGE URBAN COMMUNITIES, MEDIUM SIZED COMMUNITIES, AND RURAL COMMUNITIES. THE THREE GROUPS WERE ANALYZED SEPARATELY. TO IDENTIFY COMMUNITY HEALTH CARE NEEDS, EACH COMMUNITY'S SCORE BY QUESTION WAS COMPARED TO THE AVERAGE STRATIFIED COMPOSITE OF THE COMPARATIVE GROUP. UPON DETERMINATION OF A POTENTIAL STRENGTH OR NEED, COUNTY HEALTH RANKINGS AND RESPONSES FROM OPEN-ENDED QUESTIONS PROVIDED ADDITIONAL INSIGHTS INTO THE DRIVERS OF THE RESPECTIVE NEEDS.A SIMILAR METHODOLOGY WAS ALSO USED TO PROVIDE ADDITIONAL INSIGHTS INTO FINDINGS FROM COUNTY HEALTH RANKINGS DATA WITH RELEVANT HEALTH NEEDS HIGHLIGHTED IN THE SURVEY FINDINGS. HEALTH NEEDS IDENTIFIED THROUGH EITHER THE SURVEY OR COUNTY HEALTH RANKINGS DATA WERE ALSO INCLUDED IN THE FINDINGS.THE CENTER FOR SOCIAL RESEARCH VALIDATES THE FINDINGS OF THE PRIMARY RESEARCH BY ENGAGING AT LEAST TWO INTERNAL REVIEWERS. EACH REVIEWER HAS THEIR OWN TECHNIQUE AND STRENGTHS TO REVIEW THE FINDINGS; HOWEVER, THEY CHECK FOR ACCURACY IN THE DATA BY REVIEWING THE CODE AND SYNTAX, THE OUTPUT, THE CORRECT REPRESENTATION OF THE DATA IN THE REPORT, VERBIAGE, CONSISTENCY, CONTEXT, AND OVERALL READABILITY. BOTH REVIEWERS ALSO SUPPORTED PREVIOUS CHNA REPORTS.COMMUNITY ASSET MAPPINGASSET MAPPING WAS CONDUCTED TO LOCATE COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE ASSESSED NEEDS. EACH UNMET NEED WAS RESEARCHED TO DETERMINE WHAT LOCAL RESOURCES ARE AVAILABLE.COMMUNITY STAKEHOLDER MEETINGSNEEDS, AS IDENTIFIED BY NDSU CENTER FOR SOCIAL RESEARCH, WERE PRESENTED TO COMMUNITY STAKEHOLDERS. FACILITATED DISCUSSION COMMENCED AND EACH PARTICIPANT WAS ASKED TO CONSIDER THE NEEDS IDENTIFIED THAT SHOULD BE FURTHER DEVELOPED INTO IMPLEMENTATION STRATEGIES. HEALTH NEEDS IDENTIFIED DURING THE PREVIOUS CYCLE BUT NOT RAISED THROUGH THE SURVEY OR COUNTY HEALTH RANKINGS WERE ALSO CONSIDERED. THE MEETING SERVED TO INFORM THE GROUP OF THE FINDINGS BUT ALSO SERVED AS A CATALYST TO DRIVE COLLABORATION AND PRIORITIZATION OF LOCAL NEEDS. PARTICIPANTS IN THE MEETINGS INCLUDED COMMUNITY STAKEHOLDERS AND ELECTED OFFICIALS WITH KNOWLEDGE AND CONNECTIONS AMONGST MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS.THE PARTICIPANTS PROVIDED INFORMATION TO ANSWER THE FOLLOWING TYPES OF QUESTIONS AS IT RELATES TO IDENTIFIED NEEDS:WHAT ARE THE BIGGEST CHALLENGES CURRENTLY WITH THESE NEEDS IN THE COMMUNITY? DOES THE COMMUNITY HAVE GAPS IN SERVICES, ACCESS, OUTREACH, ETC.? WHAT OPPORTUNITIES EXIST, WHERE CAN WE HAVE THE GREATEST IMPACT IN ADDRESSING THESE NEEDS? WHICH ARE MOST URGENT IN NATURE?IS THERE ALREADY WORK BEING DONE ON THESE NEEDS?WHAT ARE THE RESOURCES CURRENTLY NOT UTILIZED WITHIN THE COMMUNITY THAT COULD ADDRESS THIS TOPIC?WHICH NEEDS FALL WITHIN THE PURVIEW OF HEALTH CARE SYSTEM AND WHICH DO NOT? CAN THE NON-HEALTHCARE NEEDS BE SHARED WITH OTHER ENTITIES OR ORGANIZATIONS?IS THERE ANYTHING YOU CONSIDER AN URGENT NEED THAT WE HAVE NOT DISCUSSED?COMMUNITY STAKEHOLDERS HELPED TO DETERMINE KEY PRIORITIES FOR 2025-2027 FOR THEIR RESPECTIVE COMMUNITIES.THE COMMUNITY HEALTH NEEDS ASSESSMENTS AND IMPLEMENTATION STRATEGIES ARE AVAILABLE ONLINE AT HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT. PUBLIC COMMENTS AND QUESTIONS ARE WELCOME THROUGH THE SITE.
GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 6A: SANFORD USD MEDICAL CENTER SIOUX FALLSSANFORD MEDICAL CENTER FARGOSANFORD BROADWAY MEDICAL CENTER FARGOSANFORD SOUTH UNIVERSITY MEDICAL CENTERSANFORD BISMARCK MEDICAL CENTERSANFORD BEMIDJI MEDICAL CENTERSANFORD ABERDEEN MEDICAL CENTERSANFORD BAGLEY MEDICAL CENTERSANFORD CANBY MEDICAL CENTERSANFORD CANTON-INWOOD MEDICAL CENTERSANFORD CHAMBERLAIN MEDICAL CENTERSANFORD CLEAR LAKE MEDICAL CENTERSANFORD HILLSBORO MEDICAL CENTERSANFORD JACKSON MEDICAL CENTERSANFORD LUVERNE MEDICAL CENTERSANFORD MAYVILLE MEDICAL CENTERSANFORD SHELDON MEDICAL CENTERSANFORD THIEF RIVER FALLS MEDICAL CENTERSANFORD TRACY MEDICAL CENTERSANFORD VERMILLION MEDICAL CENTERSANFORD WEBSTER MEDICAL CENTERSANFORD WESTBROOK MEDICAL CENTERSANFORD WHEATON MEDICAL CENTERSANFORD WORTHINGTON MEDICAL CENTER
GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 7D: SANFORD INVITED COMMUNITY PARTNERS TO ATTEND PRESENTATIONS AND DISCUSSIONS OF THE RESULTS. COMMUNITY STAKEHOLDERS AND COMMUNITY COUNCILS WERE INCLUDED.
GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 11: THE FOLLOWING IS A LIST OF THE COMMUNITY'S PRIORITY NEEDS AND WHAT IS BEING DONE TO ADDRESS THEM. PRIORITY NEEDS NOT DIRECTLY ADDRESSED ARE EITHER, NOT WITHIN SANFORD'S EXPERTISE, OR BEING ADDRESSED COLLABORATIVELY WITH COMMUNITY PARTNERS. FOR INFORMATION CONCERNING THOSE ADDITIONAL NEEDS VISIT:HTTP://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPRIORITY 1: INCREASE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTSWHEN SURVEY RESPONDENTS IN THE THIEF RIVER FALLS (TRF) MARKET AREA WERE ASKED ABOUT THE MOST IMPORTANT HEALTH CARE ISSUES IMPACTING THEIR COMMUNITY, THREE-FOURTHS OF SURVEY RESPONDENTS INDICATED THAT THERE ARE HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED IN THEIR COMMUNITY. WHEN THESE RESPONDENTS WERE ASKED WHICH HEALTH CARE SERVICES THEY WOULD LIKE TO SEE OFFERED OR IMPROVED, MOST SAID BEHAVIORAL AND MENTAL HEALTH SERVICES, FOLLOWED BY CANCER CARE, ADDICTION TREATMENT, DENTAL CARE, WALK-IN/URGENT CARE, LONG-TERM CARE AND NURSING HOMES, OBGYN/WOMEN'S CARE, FAMILY MEDICINE OR PRIMARY CARE, AND HEART CARE.SANFORD HAS MADE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO SEE AN INCREASE IN SAME-DAY APPOINTMENT AVAILABILITY. IT IS SANFORD'S GOAL TO EXPAND SAME-DAY APPOINTMENTS WITHIN PRIMARY CARE AND TO ENHANCE ACCESS TO THE TOP THREE SERVICES IDENTIFIED IN THE COMMUNITY SURVEY (MENTAL HEALTH, CANCER CARE AND SUBSTANCE ABUSE).PRIORITY 2: PROMOTE COMMUNITY SERVICES WITH COMMUNITY PARTNERSBY PARTNERING WITH LOCAL ENTITIES, SANFORD TRF BEHAVIORAL HEALTH CENTER (STRFBHC) AIMS TO ADDRESS THE INTERCONNECTED ECONOMIC, SOCIAL, AND HEALTH NEEDS OF OUR COMMUNITY. THIS COLLABORATIVE APPROACH NOT ONLY ENHANCES ACCESS TO ESSENTIAL RESOURCES BUT ALSO FOSTERS A HEALTHIER, MORE RESILIENT POPULATION.SANFORD HAS MADE PROMOTING COMMUNITY SERVICES WITH COMMUNITY PARTNERS A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES TO CREATE A LASTING POSITIVE IMPACT ON THE OVERALL WELLBEING OF THE COMMUNITY WE SERVE. IT IS SANFORD'S GOAL TO PARTNER WITH COUNTY HEALTH FOR EDUCATIONAL RESOURCES AND TO PROMOTE SANFORD.FINDHELP.COMPRIORITY 3: INCREASE ACCESS TO MENTAL HEALTH SERVICESMENTAL HEALTH INCLUDES OUR EMOTIONAL, PSYCHOLOGICAL, AND SOCIAL WELL-BEING AND AFFECTS HOW WE THINK, FEEL, AND ACT. IT ALSO HELPS DETERMINE HOW WE HANDLE STRESS, RELATE TO OTHERS, AND MAKE CHOICES. MENTAL HEALTH IS IMPORTANT AT EVERY STAGE OF LIFE, FROM CHILDHOOD AND ADOLESCENCE THROUGH ADULTHOOD.SANFORD HAS MADE INCREASING ACCESS TO MENTAL HEALTH SERVICES A SIGNIFICANT PRIORITY AND HAS DEVELOPED STRATEGIES FOR THE COMMUNITY TO SEE EXPANDED ACCESS TO GROUP THERAPY SESSIONS AND AN EXPANDED CLINICAL TRAINING PROGRAM TO INCREASE ACCESS. IT IS SANFORD'S GOAL TO REDUCE WAIT TIME FOR MENTAL HEALTH SERVICES BY OFFERING GROUP THERAPY AND TO EXPAND THE CLINICAL TRAINING PROGRAM.ADDRESSING OF SIGNIFICANT NEEDS DURING CURRENT YEARINCREASE ACCESS TO SPECIALTY CARE SERVICES AND SAME-DAY APPOINTMENTSACCESS TO HEALTHCARE PROVIDERS REMAINS A TOP PRIORITY IN TRF. WE HAVE SUCCESSFULLY LEVERAGED TELEHEALTH TECHNOLOGIES TO EXPAND ACCESS BEYOND TRADITIONAL IN-PERSON CONSULTATIONS. WHILE THE POTENTIAL FOR TELEHEALTH IS SIGNIFICANT, ITS ADOPTION IS SOMEWHAT CONSTRAINED BY EXISTING PAYMENT MODELS AND THE WILLINGNESS OF INSURANCE PAYERS TO RECOGNIZE TELEHEALTH AS A COVERED SERVICE AND THE PERCEPTION OF THIS SERVICE FROM PROVIDERS AND OLDER PATIENTS NOT FEELING THE SAME PROVIDER-PATIENT RELATIONSHIP.PROMOTE COMMUNITY SERVICES WITH COMMUNITY PARTNERSSTRFBHC IS COMMITTED TO BEING AN ENGAGED COMMUNITY PARTNER ACROSS VARIOUS LEVELS AND ORGANIZATIONS. WE ACTIVELY SUPPORT ECONOMIC DEVELOPMENT INITIATIVES, COLLABORATE WITH THE CHAMBER OF COMMERCE, AND ENGAGE WITH THE LOCAL SCHOOL SYSTEM. OUR INVOLVEMENT EXTENDS TO COMMUNITY HEALTH AND FITNESS PROGRAMS, EVENTS, AND A LOCAL YOUNG PROFESSIONALS' NETWORK, CONTRIBUTING TO A VIBRANT AND HEALTHY COMMUNITY.WE ARE ALSO DEDICATED TO INVESTING IN EDUCATIONAL PROGRAMS TAILORED TO ADDRESS CRITICAL HEALTH TOPICS, INCLUDING COURSES FOCUSED ON CARDIAC HEALTH, PREGNANCY, DIABETES, AND MORE. ADDITIONALLY, WE ADVOCATE FOR POLICY CHANGES AT THE LOCAL, STATE, AND FEDERAL LEVELS, WORKING ALONGSIDE ADVOCACY GROUPS TO PROMOTE HEALTH EQUITY AND IMPROVED HEALTH OUTCOMES.INCREASE ACCESS TO MENTAL HEALTH SERVICESSTRFBHC SERVES AS THE ONLY FREESTANDING BEHAVIORAL HEALTH HOSPITAL AND PRIMARY PROVIDER OF INPATIENT PSYCHIATRIC SERVICES FOR NORTHWEST MINNESOTA, WITH 16 INPATIENT PSYCHIATRIC BEDS. THE HOSPITAL OFFERS OUTPATIENT MENTAL HEALTH SERVICES, CHILDREN'S THERAPEUTIC SERVICES AND SUPPORT, AND OUTPATIENT SUBSTANCE USE TREATMENT. THE HOSPITAL IS ACTIVELY RECRUITING BOTH MASTER'S AND DOCTORAL-LEVEL PROFESSIONALS. TELEHEALTH HAS BEEN INSTRUMENTAL IN RETAINING CLINICIANS WHO MIGHT HAVE RELOCATED, ALLOWING US TO MAINTAIN SERVICE CONTINUITY. EIGHT OF OUR CLINICIANS NOW EXCLUSIVELY PROVIDE TELEHEALTH SERVICES, WHILE MANY OTHERS INTEGRATE IT INTO THEIR PRACTICE. THIS EXPANSION OF TELEHEALTH HAS SIGNIFICANTLY IMPROVED ACCESS TO MENTAL HEALTH CARE.WE HAVE INVESTED SIGNIFICANT EFFORT TO IMPROVE OUR INTAKE PROCESS FOR THERAPY SERVICES INCLUDING COMPLETING AN INTAKE SCREENING AND UPDATING OUR WAITLIST TO AID IN BEST ALIGNING CLINICIAN EXPERTISE AND AVAILABILITY WITH PATIENT NEEDS.STRFBHC STAFF PROVIDED 8 SAFETALK TRAININGS THROUGHOUT THE REGION, WHICH IS A 4-HOUR TRAINING THAT EQUIPS PEOPLE TO BE MORE ALERT TO SOMEONE THINKING OF SUICIDE AND BETTER ABLE TO CONNECT THEM WITH FURTHER HELP. STRFBHC AND SANFORD HEALTH MEDICAL CENTER STAFF ALSO PARTNERED WITH COMMUNITY STRONG TO PROVIDE EDUCATION AND OUTREACH EVENTS AT SPORTS GAMES, TEENS TOWARD ZERO DEATHS, AS WELL AS HOSTING/SPONSORING THE ANNUAL BE THE VOICE EVENT IN THIEF RIVER FALLS. IN ADDITION, STRFBHC CONNECTED WITH VARIOUS OTHER AGENCIES, GROUPS, AND COMMUNITIES.IDENTIFIED NEEDS NOT DIRECTLY ADDRESSED BY THIS FACILITY'S IMPLEMENTATION PLAN INCLUDE:ACCESS TO QUALITY HEALTHCAREPUBLIC TRANSPORTATIONLONG-TERM SENIOR CAREQUALITY CHILD CAREAFFORDABLE HOUSINGSANFORD SERVES AS A PARTNER IN MANY COMMUNITY GROUPS THAT HAVE THE EXPERTISE TO ADDRESS THESE UNMET NEEDS. SANFORD HAS SHARED THE RESULTS OF THE CHNA AND THE UNMET NEEDS WITH COMMUNITY LEADERS AND STAKEHOLDERS. SANFORD HEALTH FURTHER SUPPORTS THROUGH ITS FINDHELP RESOURCE, AN ONLINE TOOL TO INCORPORATE CONTACT AND REFERRAL INFORMATION TO CONNECT COMMUNITY-BASED ORGANIZATIONS WITH PATIENTS TO MEET THEIR HEALTH RELATED-SOCIAL CARE NEEDS. A LINK IS INCLUDED ON EVERY AFTER-VISIT SUMMARY PROVIDED TO PATIENTS AND IS AVAILABLE ON SANFORDHEALTH.ORG AND MYCHART.
GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 25 -- SANFORD THIEF RIVER FALLS BEHAVIORAL HEA PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
GROUP A-FACILITY 26 -- BLACK HILLS SURGICAL HOSPITAL, LLC PART V, SECTION B, LINE 2: AS OF THE ACQUISION DATE OF NOVEMBER 15, 2024, BLACK HILLS SURGICAL HOSPITAL, LLC TRANSITIONED TO TAX-EXEMPT NONPROFIT STATUS AND BEGAN OPERATING AS PART OF SANFORD HEALTH SYSTEM. AS A FOR-PROFIT HOSPITAL PRIOR TO ACQUISION BY SANFORD HEALTH, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS NOT REQUIRED BY YEAR-END.
GROUP A-FACILITY 26 -- BLACK HILLS SURGICAL HOSPITAL, LLC PART V, SECTION B, LINE 13H: OTHER FACTORS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS INCLUDE BALANCE OWED, FAMILY SIZE, DEBT TO INCOME RATIO, SAVINGS AND INVESTMENTS, OTHER DEBT (BOTH MEDICAL AND NON-MEDICAL), PREVIOUS BANKRUPTCIES AND LIENS, PATIENT/GUARANTOR INVOLVEMENT IN OTHER STATE AND FEDERAL ASSISTANCE PROGRAMS, INDIVIDUAL CIRCUMSTANCES, CURRENT EMPLOYMENT STATUS, TOTAL MONTHLY EXPENSES AND THIRD PARTY ANALYTIC SCORE.
GROUP A-FACILITY 26 -- BLACK HILLS SURGICAL HOSPITAL, LLC PART V, SECTION B, LINE 16J: OTHER MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED BY THE HOSPITAL FACILITY INCLUDE PUBLISHING WITH LOCAL PUBLIC HEALTH AGENCIES, COLLECTION AGENCIES AND SUBMISSION TO LAW FIRMS THAT SERVE THE UNDERPRIVILEGED POPULATION.THE FINANCIAL ASSISTANCE PROGRAM SUMMARY, COMPLETE POLICY AND THE SANFORD FINANCIAL ASSISTANCE APPLICATION ARE ALL AVAILABLE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?252
Name and address Type of Facility (describe)
1 1 - SANFORD CLINIC ABERDEEN
3015 3RD AVENUE SE
ABERDEEN,SD57401
MEDICAL CLINIC
2 2 - SANFORD CLINIC ABERDEEN SURGICAL CENTER
3015 3RD AVENUE SE
ABERDEEN,SD57401
AMBULATORY SURGERY CENTER
3 3 - SANFORD HEALTH ADRIAN CLINIC
201 MAINE AVE
ADRIAN,SD56110
RURAL HEALTH CLINIC
4 4 - SANFORD HEALTH BROADWAY CLINIC
1527 BROADWAY STREET
ALEXANDRIA,MN56308
MEDICAL CLINIC
5 5 - SANFORD BAGLEY CLINIC
1656 CENTRAL ST W
BAGLEY,MN56621
RURAL HEALTH CLINIC
6 6 - SANFORD BAGLEY EYE CENTER & OPTICAL
1656 CENTRAL ST W
BAGLEY,MN56621
EYE CARE CENTER
7 7 - BAKER PARK INC
803 DEWEY AVENUE
BEMIDJI,MN56601
ASSISTED LIVING CENTER
8 8 - EDITH SANFORD BREAST CENTER BEMIDJI
1233 34TH ST NW
BEMIDJI,MN56601
WOMEN'S HEALTH
9 9 - SANFORD BEHAVIORAL HEALTH HEADWATERS ACT
1705 ANNE ST NW
BEMIDJI,MN56601
BEHAVIORAL HEALTH TREATMENT CENTER
10 10 - SANFORD BEMIDJI 1611 ANNE ST CLINIC
1611 ANNE ST NW
BEMIDJI,MN56601
MEDICAL CLINIC
11 11 - SANFORD BEMIDJI 1705 ANN ST CLINIC
1705 ANNE ST NW
BEMIDJI,MN56601
MEDICAL CLINIC
12 12 - SANFORD BEMIDJI DOWNTOWN EYE CENTER & OPTI
506 BELTRAMI AVE NW
BEMIDJI,MN56601
EYE CARE CENTER
13 13 - SANFORD BEMIDJI EYE CENTER & OPTICAL
1611 ANNE ST NW
BEMIDJI,MN56601
EYE CARE CENTER
14 14 - SANFORD BEMIDJI HOME CARE & HOSPICE
3201 PINE RIDGE AVE NW
BEMIDJI,MN56601
HOME CARE AND HOSPICE
15 15 - SANFORD BEMIDJI MAIN CLINIC
1233 34TH ST NW
BEMIDJI,MN56601
MEDICAL CLINIC
16 16 - SANFORD BEMIDJI OTHOPEDICS & SPORTS MEDICI
1300 ANNE STREET NW
BEMIDJI,MN56601
MEDICAL CLINIC
17 17 - SANFORD DIALYSIS BEMIDJI
1300 ANNE STREET NW
BEMIDJI,MN56601
DIALYSIS
18 18 - SANFORD HEALTH NEILSON PLACE
1000 ANNE ST NW
BEMIDJI,MN56601
SKILLED NURSING FACILITY
19 19 - SANFORD HEALTH PRIMEWEST RESIDENTIAL
3124 HANNAH AVE NW
BEMIDJI,MN56601
BEHAVIORAL HEALTH & ADDICTION CENTER
20 20 - SANFORD HEALTH TRILLIUM
930 ANNE STREET NW
BEMIDJI,MN56601
ASSISTED LIVING CENTER
21 21 - SANFORD HEALTH WINDSONG
1000 ANNE ST NW
BEMIDJI,MN56601
ASSISTED LIVING CENTER
22 22 - SANFORD JOE LUEKEN CANCER CENTER
1233 34TH ST NW
BEMIDJI,MN56601
CANCER CENTER
23 23 - SANFORD CLINIC BERESFORD
600 W CEDAR STREET
BERESFORD,SD57004
RURAL HEALTH CLINIC
24 24 - BISMARCK CANCER CENTER
500 N 8TH STREET
BISMARCK,ND58501
CANCER CENTER
25 25 - SANFORD BIRTH CENTER
300 N 7TH STREET
BISMARCK,ND58501
BIRTH CENTER
26 26 - SANFORD CANCER CENTER BISMARCK
300 N 7TH STREET
BISMARCK,ND58501
CANCER CENTER
27 27 - SANFORD CHILDREN'S NORTH CLINIC
765 W INTERSTATE AVE
BISMARCK,ND58503
CHILDREN'S CLINIC
28 28 - SANFORD CLINIC
222 N 7TH STREET
BISMARCK,ND58501
MEDICAL CLINIC
29 29 - SANFORD EAST INTERSTATE AVE CLINIC
1800 E INTERSTATE AVE
BISMARCK,ND58503
MEDICAL CLINIC
30 30 - SANFORD FIFTH & BROADWAY CLINIC
515 E BROADWAY AVE
BISMARCK,ND58501
MEDICAL CLINIC
31 31 - SANFORD HEALTH CHIROPRACTICOCC MED CLINIC
2603 E BROADWAY AVE
BISMARCK,ND58501
MEDICAL CLINIC
32 32 - SANFORD NORTH CLINIC
2830 N WASHINGTON STREET
BISMARCK,ND58503
MEDICAL CLINIC
33 33 - SANFORD ORTHOPEDIC & SPORTS MEDICINE
225 N 7TH STREET
BISMARCK,ND58501
MEDICAL CLINIC
34 34 - SANFORD SEVENTH & BROADWAY CLINIC
715 E BROADWAY AVE
BISMARCK,ND58501
MEDICAL CLINIC
35 35 - SANFORD SEVENTH & ROSSER CLINIC
414 N 7TH STREET
BISMARCK,ND58501
MEDICAL CLINIC
36 36 - SANFORD SEVENTH & THAYER CLINIC
209 N 7TH STREET
BISMARCK,ND58501
MEDICAL CLINIC
37 37 - SANFORD SOUTH CLINIC
1040 TACOMA AVE
BISMARCK,ND58504
MEDICAL CLINIC
38 38 - SANFORD STATE SREET CLINIC
3318 N 14TH STREET
BISMARCK,ND58503
MEDICAL CLINIC
39 39 - SANFORD TOM & FRANCES LEACH BISMARCK DIALY
209 N 7TH STREET
BISMARCK,ND58501
DIALYSIS CENTER
40 40 - SANFORD BEMIDJI BLACKDUCK CLINIC
81 1ST ST NW
BLACKDUCK,MN56630
MEDICAL CLINIC
41 41 - SANFORD BOYDEN CLINIC
3971 320TH ST
BOYDEN,IA51234
MEDICAL CLINIC
42 42 - SANFORD BRANDON ACUTE CARE & ORTHO FAST TR
1105 E HOLLY BLVD
BRANDON,SD57005
MEDICAL CLINIC
43 43 - SANFORD BRANDON FAMILY MEDICINE & CHILDREN
1105 E HOLLY BLVD
BRANDON,SD57005
MEDICAL CLINIC
44 44 - SANFORD HEALTH BROOKINGS CLINIC
922 - 22ND AVENUE S
BROOKINGS,SD57006
MEDICAL CLINIC
45 45 - SANFORD CANBY CLINIC
112 ST OLAF AVENUE S
CANBY,MN56220
MEDICARE CERTIFIED RURAL HEALTH CLINIC
46 46 - SANFORD CANBY DENTAL CLINIC
11 ST OLAF AVENUE S
CANBY,MN56220
DENTAL CLINIC
47 47 - SANFORD CANBY DIALYSIS UNIT
112 ST OLAF AVENUE S
CANBY,MN56220
MEDICARE CERTIFIED END STAGE RENAL DIALYSIS
48 48 - SANFORD CANBY HOME CARE
213 ST OLAF AVENUE N
CANBY,MN56220
MEDICARE CERTIFIED HOME HEALTH AGENCY
49 49 - SANFORD CANBY MEDICAL CENTER
112 ST OLAF AVENUE S
CANBY,MN56220
CLASS F HOME CARE PROVIDER
50 50 - SANFORD DIALYSIS CANBY
112 ST OLAF AVENUE S
CANBY,MN56220
DIALYSIS
51 51 - SANFORD HEALTH CANBY SYLVAN PLACE
212 ST OLAF AVENUE S
CANBY,MN56220
HOUSING WITH SERVICES
52 52 - SANFORD HEALTH CANISTOTAUSD CLINIC
320 W MAIN ST
CANISTOTA,SD57012
RURAL HEALTH CLINIC
53 53 - SANFORD CANTON CLINIC
400 N HIAWATHA DRIVE
CANTON,SD57013
RURAL HEALTH CLINIC
54 54 - SANFORD HEALTH CANTON HIAWATHA HEIGHTS
398 N HIAWATHA DRIVE
CANTON,SD57013
ASSISTED LIVING CENTER
55 55 - SANFORD BEMIDJI CASS LAKE CLINIC
219 GRANT UTLEY AVE NW
CASS LAKE,MN56633
MEDICAL CLINIC
56 56 - SANFORD CHAMBERLAIN CLINIC
300 S BYRON BLVD
CHAMBERLAIN,SD57325
RURAL HEALTH CLINIC
57 57 - SANFORD DIALYSIS
300 S BYRON BLVD
CHAMBERLAIN,SD57325
DIALYSIS
58 58 - SANFORD HEALTH CHAMBERLAIN CARE CENTER
300 S BYRON BLVD
CHAMBERLAIN,SD57325
NURSING FACILITY
59 59 - SANFORD HOME HEALTH & HOSPICE CHAMBERLAIN
110 W BEEBE AVE
CHAMBERLAIN,SD57325
HOME HEALTH CARE & HOSPICE
60 60 - SANFORD HEALTH CLARK CLINIC
211 N COMMERCIAL STREET
CLARK,SD57225
RURAL HEALTH CLINIC
61 61 - SANFORD CLEAR LAKE CLINIC
701 3RD AVENUE S
CLEAR LAKE,SD57226
RURAL HEALTH CLINIC
62 62 - SANFORD CLEAR LAKE MEDICAL CENTER
701 3RD AVENUE S
CLEAR LAKE,SD57226
HOME HEALTH CARE
63 63 - SANFORD BAGLEY CLEARBROOK CLINIC
22 ELM STREET
CLEARBROOK,MN56634
RURAL HEALTH CLINIC
64 64 - SANFORD HEALTH DAKOTA DUNES CLINIC
350 OAK TREE LN
DAKOTA DUNES,SD57049
MEDICAL CLINIC
65 65 - SANFORD HEALTH DELL RAPIDS ORCHARD HILLS
200 W 10TH STREET
DELL RAPIDS,SD57022
ASSISTED LIVING CENTER
66 66 - SANFORD DIALYSIS
1234 WASHINGTON AVE SUITE B
DETROIT LAKES,MN56501
DIALYSIS CENTER
67 67 - SANFORD HEALTH DETROIT LAKES CLINIC & SAME
1245 WASHINGTON AVENUE
DETROIT LAKES,MN56501
AMBULATORY SURGERY CENTER/CLINIC
68 68 - SANFORD HEALTH DETROIT LAKES EYE CENTER
1234 WASHINGTON AVE SUITE A
DETROIT LAKES,MN56501
EYE CARE CENTER
69 69 - SANFORD HEALTH EAST DICKINSON CLINIC
33 9TH ST W
DICKINSON,ND58601
MEDICAL CLINIC
70 70 - SANFORD HEALTH HEARING CENTER DICKINSON
1531 W VILLARD ST
DICKINSON,ND58601
HEARING CENTER
71 71 - SANFORD HEALTH WEST DICKINSON CLINIC
2615 FAIRWAY STREET
DICKINSON,ND58601
MEDICAL CLINIC
72 72 - SANFORD DERMATOLOGY CLINIC
625 DEMERS AVE NW
EAST GRAND FORKS,MN56721
MEDICAL CLINIC
73 73 - SANFORD HEALTH 621 DEMERS AVE CLINIC
621 DEMERS AVE NW
EAST GRAND FORKS,MN56721
MEDICAL CLINIC
74 74 - SANFORD HEALTH 625 DEMERS AVE CLINIC
625 DEMERS AVE NW
EAST GRAND FORKS,MN56721
MEDICAL CLINIC
75 75 - SANFORD HEALTH 929 CENTRAL AVE CLINIC
929 CENTRAL AVE
EAST GRAND FORKS,MN56721
MEDICAL CLINIC
76 76 - SANFORD HOME CARE EAST GRAND FORKS
404 DEMERS AVE
EAST GRAND FORKS,MN56721
HOME HEALTH CARE
77 77 - SANFORD HEALTH EDGELEY CLINIC
506 2ND ST
EDGELEY,ND58433
MEDICAL CLINIC
78 78 - SANFORD LUVERNE EDGERTON CLINIC
733 MAIN AVE
EDGERTON,MN56128
RURAL HEALTH CLINIC
79 79 - SANFORD HEALTH ELLENDALE CLINIC
141 MAIN ST
ELLENDALE,ND58436
RURAL HEALTH CLINIC
80 80 - SANFORD HEALTH ENDERLIN CLINIC
201 4TH AVENUE
ENDERLIN,ND58027
RURAL HEALTH CLINIC
81 81 - SANFORD CLINIC ESTELLINE
305 HOSPITAL DRIVE
ESTELLINE,SD57234
RURAL HEALTH CLINIC
82 82 - EDITH SANFORD BREAST CENTER FARGO
737 BROADWAY N
FARGO,ND58102
WOMEN'S HEALTH
83 83 - SANFORD 1711 MEDICAL BUILDING
1711 UNIVERSITY DRIVE S
FARGO,ND58103
MEDICAL CLINIC
84 84 - SANFORD 2801 MEDICAL BUILDING
2801 S UNIVERSITY DRIVE
FARGO,ND58122
MEDICAL CLINIC
85 85 - SANFORD BRAIN & SPINE CENTER FARGO
2301 25TH ST S
FARGO,ND58103
MEDICAL CLINIC
86 86 - SANFORD BROADWAY CLINIC
801 BROADWAY N
FARGO,ND58102
MEDICAL CLINIC
87 87 - SANFORD BROADWAY MEDICAL BUILDING
736 BROADWAY N
FARGO,ND58102
MEDICAL CLINIC
88 88 - SANFORD CHILDREN'S BROADWAY CLINIC
737 BROADWAY N
FARGO,ND58102
CHILDREN'S CLINIC
89 89 - SANFORD CHILDREN'S CARE CLINIC
100 4TH STREET S
FARGO,ND58103
CHILDREN'S CLINIC
90 90 - SANFORD CHILDREN'S SOUTHWEST CLINIC
2701 13TH AVE S
FARGO,ND58103
CHILDREN'S CLINIC
91 91 - SANFORD DERMATOLOGY & LASER CLINIC
4656 40TH AVE S
FARGO,ND58104
MEDICAL CLINIC
92 92 - SANFORD DIALYSIS FARGO
2801 S UNIVERSITY DRIVE
FARGO,ND58122
DIALYSIS
93 93 - SANFORD FOOT AND ANKLE CLINIC
1720 S UNIVERSITY DR
FARGO,ND58103
MEDICAL CLINIC
94 94 - SANFORD HOME CARE FARGO
100 4TH STREET S
FARGO,ND58103
HOME HEALTH AGENCY
95 95 - SANFORD I-94 CLINIC
5225 23RD AVENUE SOUTH
FARGO,ND58104
MEDICAL CLINIC
96 96 - SANFORD NEUROSCIENCE CLINIC
700 1ST AVE S
FARGO,ND58103
MEDICAL CLINIC
97 97 - SANFORD NORTH FARGO CLINIC
2601 BROADWAY N
FARGO,ND58102
MEDICAL CLINIC
98 98 - SANFORD ORTHOPEDIC WALK-IN CLINIC FARGO
1720 S UNIVERSITY DR
FARGO,ND58103
MEDICAL CLINIC
99 99 - SANFORD PAIN CENTER FARGO
2301 25TH ST S
FARGO,ND58103
MEDICAL CLINIC
100 100 - SANFORD REPRODUCTIVE MEDICINE CLINIC
1111 HARWOOD DRIVE S
FARGO,ND58104
MEDICAL CLINIC
101 101 - SANFORD ROGER MARIS CANCER CENTER
820 4TH STREET N
FARGO,ND58102
CANCER CENTER
102 102 - SANFORD SOUTH UNIVERSITY CLINIC
1717 S UNIVERSITY DR
FARGO,ND58103
MEDICAL CLINIC
103 103 - SANFORD SOUTH UNIVERSITY EYE CENTER & OPTI
1717 S UNIVERSITY DR
FARGO,ND58103
EYE CARE CENTER
104 104 - SANFORD SOUTHPOINTE CLINIC
2400 32ND AVE S
FARGO,ND58103
MEDICAL CLINIC
105 105 - SANFORD SOUTHPOINTE EYE CENTER & OPTICAL
2400 32ND AVE S
FARGO,ND58103
EYE CARE CENTER
106 106 - SANFORD VETERANS SQUARE CLINIC
3955 56TH ST S
FARGO,ND58104
MEDICAL CLINIC
107 107 - SANFORD HEALTH FINLEY CLINIC
407 WASHINGTON AVE E
FINLEY,ND58230
RURAL HEALTH CLINIC
108 108 - SANFORD HEALTH FORMAN CLINIC
336 MAIN ST
FORMAN,ND58032
RURAL HEALTH CLINIC
109 109 - SANFORD DIALYSIS FORT YATES
10 N RIVER ROAD
FORT YATES,ND58538
DIALYSIS CENTER
110 110 - SANFORD HEALTH GRAND FORKS CLINIC
1750 47TH AVE S
GRAND FORKS,ND58201
MEDICAL CLINIC
111 111 - SANFORD HEALTH GWINNER CLINIC
69 HIGHWAY 13 W
GWINNER,ND58040
MEDICAL CLINIC
112 112 - SANFORD HEALTH HALSTAD CLINIC
445 1ST STREET E
HALSTAD,MN56548
RURAL HEALTH CLINIC
113 113 - SANFORD HEALTH HARTFORD CLINIC
905 N OAKS AVE
HARTFORD,SD57033
MEDICAL CLINIC
114 114 - SANFORD SHELDON HARTLEY CLINIC
512 3RD ST NE
HARTLEY,IA51346
MEDICAL CLINIC
115 115 - SANFORD HAWLEY CLINIC
1412 MAIN ST
HAWLEY,MN56549
MEDICAL CLINIC
116 116 - SANFORD HEALTH COMSTOCK CORNER
12 3RD STREET SE
HILLSBORO,ND58045
ASSISTED LIVING CENTER
117 117 - SANFORD HEALTH HILLSBORO CLINIC
315 EAST CALEDONIA
HILLSBORO,ND58045
RURAL HEALTH CLINIC
118 118 - SANFORD HILLSBORO CARE CENTER
12 3RD STREET SE
HILLSBORO,ND58045
HOSPITAL BASED-NURSING FACILITIES LTC
119 119 - SANFORD HEALTH DIALYSIS HOSPERS
112 SUNRISE DRIVE
HOSPERS,IA51238
END STAGE RENAL DIALYSIS
120 120 - SANFORD HEALTH INTL FALLS EYE CENTER
1400 HIGHWAY 71
INTERNATIONAL FALLS,MN56649
EYE CARE CENTER
121 121 - SANFORD HEALTH INWOOD CLINIC
303 E JEFFERSON ST
INWOOD,IA51240
MEDICAL CLINIC
122 122 - SANFORD CLINIC IPSWICH
110 5TH AVENUE
IPSWICH,SD57451
RURAL HEALTH CLINIC
123 123 - SANFORD JACKSON CLINIC
1430 NORTH HIGHWAY
JACKSON,MN56143
MEDICARE CERTIFIED RURAL HEALTH CLINIC
124 124 - SANFORD DIALYSIS JAMESTOWN
300 2ND AVENUE NE
JAMESTOWN,ND58401
DIALYSIS CENTER
125 125 - SANFORD DIALYSIS JAMESTOWN
300 2ND AVENUE NE
JAMESTOWN,ND58401
DIALYSIS
126 126 - SANFORD HEALTH HEARING CENTER JAMESTOWN
904 5TH AVE NE
JAMESTOWN,ND58401
HEARING CENTER
127 127 - SANFORD HEALTH JAMESTOWN 2ND AVE CLINIC
300 2ND AVENUE NE
JAMESTOWN,ND58401
MEDICAL CLINIC
128 128 - SANFORD HEALTH JAMESTOWN CLINIC
904 5TH AVE NE
JAMESTOWN,ND58401
MEDICAL CLINIC
129 129 - SANFORD HEALTH KELLIHER CLINIC
243 CLARK AVE N
KELLIHER,MN56650
MEDICAL CLINIC
130 130 - SANFORD HEALTH KIMBALL CLINIC
101 S MAIN ST
KIMBALL,SD57355
RURAL HEALTH CLINIC
131 131 - SANFORD CHILDREN'S CLINIC
3001 DAGGETT ST
KLAMATH FALLS,OR97601
MEDICAL CLINIC
132 132 - SANFORD HEALTH LAKE NORDEN CLINIC
512 MAIN AVE
LAKE NORDEN,SD57248
RURAL HEALTH CLINIC
133 133 - SANFORD HEALTH LAKE PARK CLINIC
215 N MARKET ST
LAKE PARK,IA51347
MEDICAL CLINIC
134 134 - SANFORD JACKSON LAKEFIELD CLINIC
209 MAIN STREET
LAKEFIELD,MN56150
MEDICARE CERTIFIED RURAL HEALTH CLINIC
135 135 - SANFORD HEALTH LAMOURE CLINIC
100 1ST AVE SW
LAMOURE,ND58458
RURAL HEALTH CLINIC
136 136 - SANFORD HEALTH LENNOX CLINIC
108 S MAIN
LENNOX,SD57039
RURAL HEALTH CLINIC
137 137 - SANFORD HEALTH LIDGERWOOD CLINIC
21 WILEY AVE S
LIDGERWOOD,ND58053
MEDICAL CLINIC
138 138 - SANFORD HEALTH LISBON CLINIC
102 10TH AVE W
LISBON,ND58054
MEDICAL CLINIC
139 139 - SANFORD HOME CARE LISBON
404 FOREST ST
LISBON,ND58054
HOME HEALTH CARE
140 140 - SANFORD HOME HEALTH LUVERNE
304 N MCKENZIE ST
LUVERNE,MN56156
HOME HEALTH CARE
141 141 - SANFORD LUVERNE CLINIC
1601 SIOUX VALLEY DR
LUVERNE,MN56156
MEDICAL CLINIC
142 142 - SANFORD LUVERNE HOSPICE
217 N OAKLEY ST
LUVERNE,MN56156
MEDICARE CERTIFIED HOSPICE
143 143 - SANFORD DIALYSIS
323 SW 10TH STREET
MADISON,SD57042
END STAGE RENAL DIALYSIS
144 144 - SANFORD HOSPICE MADISON
900 2ND AVENUE
MADISON,MN56256
HOSPICE (LICENSED IN SD)
145 145 - SANFORD HOME CARE MAHNOMEN
414 W JEFFERSON AVE
MAHNOMEN,MN56557
HOME HEALTH CARE
146 146 - SANFORD HEALTH MAHNOMEN CLINIC
410 W 4TH ST
MAHNOMEN,MN56557
RURAL HEALTH CLINIC
147 147 - SANFORD EAST MANDAN CLINIC
102 MANDAN AVE
MANDAN,ND58554
MEDICAL CLINIC
148 148 - SANFORD HOME CARE BISMARCK
910 18TH STREET NW
MANDAN,ND58554
HOME HEALTH AGENCY
149 149 - SANFORD NORTH MANDAN CLINIC
910 18TH STREET NW
MANDAN,ND58554
MEDICAL CLINIC
150 150 - SANFORD HOME CARE MAYVILLE
49 7TH AVE SE
MAYVILLE,ND58257
HOME HEALTH CARE
151 151 - SANFORD MAYVILLE CLINIC
600 1ST ST SE
MAYVILLE,ND58257
MEDICAL CLINIC
152 152 - SANFORD HEALTH HIGHWAY 2 CLINIC
801 21ST AVE SE
MINOT,ND58701
MEDICAL CLINIC
153 153 - SANFORD HEALTH NORTHWEST CLINIC
1500 21ST AVE NW
MINOT,ND58701
MEDICA
154 154 - SANFORD HEALTH MITCHELL CLINIC
2100 HIGHLAND WAY
MITCHELL,SD57301
MEDICAL CLINIC
155 155 - SANFORD MOORHEAD CAMPUS
4000 28TH AVE S
MOORHEAD,MN56560
MEDICAL CLINIC
156 156 - SANFORD DIALYSIS MORRIS
400 1ST STREET EAST
MORRIS,MN56267
DIALYSIS
157 157 - SANFORD HEALTH MOUNTAIN LAKE CLINIC
308 N 8TH STREET
MOUNTAIN LAKE,MN56159
MEDICARE CERTIFIED RURAL HEALTH CLINIC
158 158 - SANFORD HEALTH OAKES CLINIC
420 7TH ST S
OAKES,ND58474
MEDICAL CLINIC
159 159 - SANFORD CHILDREN'S CLINIC
3605 VISTA WAY
OCEANSIDE,CA92056
CHILDREN'S CLINIC
160 160 - SANFORD HEALTH PARK RAPIDS CLINIC
110 7TH ST W
PARK RAPIDS,MN56470
MEDICAL CLINIC
161 161 - SANFORD HEALTH PARKERS PRAIRIE CLINIC
115 E SOO STREET
PARKERS PRAIRIE,MN56361
MEDICAL CLINIC
162 162 - SANFORD HEALTH PELICAN RAPIDS CLINIC
211 EAST MILL STREET
PELICAN RAPIDS,MN56572
RURAL HEALTH CLINIC
163 163 - SANFORD HOME CARE PELICAN RAPIDS
211 EAST MILL STREET
PELICAN RAPIDS,MN56572
HOME HEALTH CARE
164 164 - SANFORD HEALTH PIERRE CLINIC
521 E SIOUX AVE
PIERRE,SD57501
MEDICAL CLINIC
165 165 - SANFORD VERMILLION PONCA CLINIC
111 E 2ND STREET
PONCA,NE68770
MEDICAL CLINIC
166 166 - SANFORD DIALYSIS RED LAKE
24760 HOSPITAL DRIVE
RED LAKE,MN56671
DIALYSIS
167 167 - SANFORD ROCK RAPIDS CLINIC
104 BUNCOMBE DRIVE
ROCK RAPIDS,IA51246
RURAL HEALTH CLINIC
168 168 - SANFORD SHELDON SANBORN CLINIC
321 MAIN STREET
SANBORN,IA51248
MEDICAL CLINIC
169 169 - SANFORD HEALTH SHELDON CARE CENTER
118 NORTH SEVENTH AVENUE PO BOX 250
SHELDON,IA51201
HOSPITAL BASED-NURSING FACILITIES
170 170 - SANFORD SHELDON CLINIC
800 OAK STREET
SHELDON,IA51201
RURAL HEALTH CLINIC
171 171 - SANFORD SHELDON HOME HEALTH & HOSPICE
118 NORTH SEVENTH AVENUE PO BOX 250
SHELDON,IA51201
HOME HEALTH AGENCY AND HOSPICE
172 172 - AVA'S HOUSE
1320 W 17TH STREET
SIOUX FALLS,SD57104
HOSPICE
173 173 - SANFORD 10TH & PHILLIPS ACUTE CARE CLINIC
136 S PHILLIPS AVE
SIOUX FALLS,SD57104
MEDICAL CLINIC
174 174 - SANFORD 26TH & SYCAMORE FAMILY MEDICINE
4405 E 26TH ST
SIOUX FALLS,SD57103
MEDICAL CLINIC
175 175 - SANFORD 32ND & ELLIS CLINIC
2601 S ELLIS ROAD
SIOUX FALLS,SD57106
MEDICAL CLINIC
176 176 - SANFORD 49TH & OXBOW FAMILY MEDICINE
3401 W 49TH STREET
SIOUX FALLS,SD57106
MEDICAL CLINIC
177 177 - SANFORD 4TH & SYCAMORE FAMILY MEDICINE
600 N SYCAMORE AVE
SIOUX FALLS,SD57110
MEDICAL CLINIC
178 178 - SANFORD 69TH & LOUISE FAMILY MEDICINE
6101 S LOUISE AVE
SIOUX FALLS,SD57108
MEDICAL CLINIC
179 179 - SANFORD 69TH & MINNESOTA FAMILY MEDICINE
6110 S MINNESOTA AVE
SIOUX FALLS,SD57108
MEDICAL CLINIC
180 180 - SANFORD ACUTE CARE AND ORTHOPEDIC FAST TRA
4000 N HERCULES AVE
SIOUX FALLS,SD57110
MEDICAL CLINIC
181 181 - SANFORD CANCER CENTER
1309 W 17TH ST
SIOUX FALLS,SD57104
CANCER CENTER
182 182 - SANFORD CARDIOVASCULAR INSTITUTE
1301 W 18TH STREET
SIOUX FALLS,SD57105
MEDICAL CLINIC
183 183 - SANFORD CHILDREN'S MB2 CLINIC
1205 S GRANGE AVE
SIOUX FALLS,SD57105
CHILDREN'S CLINIC
184 184 - SANFORD CHILDREN'S RESIDENCY CLINIC
6101 S LOUISE AVE
SIOUX FALLS,SD57108
CHILDREN'S CLINIC
185 185 - SANFORD CHILDREN'S SPECIALTY CLINIC
1600 W 22ND STREET
SIOUX FALLS,SD57117
CHILDREN'S CLINIC
186 186 - SANFORD DERMATOLOGY CLINIC
1310 W 22ND STREET
SIOUX FALLS,SD57105
MEDICAL CLINIC
187 187 - SANFORD DIABETES & THYROID CLINIC
1305 W 18TH STREET
SIOUX FALLS,SD57105
MEDICAL CLINIC
188 188 - SANFORD DIALYSIS SIOUX FALLS
1321 W 22ND STREET
SIOUX FALLS,SD57117
DIALYSIS CENTER
189 189 - SANFORD EAR NOSE AND THROAT CLINIC
1310 W 22ND STREET
SIOUX FALLS,SD57105
MEDICAL CLINIC
190 190 - SANFORD EYE CENTER & OPTICAL
1621 S MINNESOTA AVE
SIOUX FALLS,SD57105
EYE CARE CENTER
191 191 - SANFORD HEALTH EYE CLINIC
2310 S MARION RD 140
SIOUX FALLS,SD57106
EYE CARE CENTER
192 192 - SANFORD HEALTH MB2 CLINIC
1205 S GRANGE AVE
SIOUX FALLS,SD57105
MEDICAL CLINIC
193 193 - SANFORD HOME HEALTH SIOUX FALLS
2710 WEST 12TH STREET
SIOUX FALLS,SD57104
HOME HEALTH CARE
194 194 - SANFORD HOSPICE SIOUX FALLS
2710 WEST 12TH STREET
SIOUX FALLS,SD57104
HOSPICE (LICENSED IN MN AND SD)
195 195 - SANFORD IMAGENETICS
1321 W 22ND STREET
SIOUX FALLS,SD57117
GENETICS
196 196 - SANFORD INTERNAL MEDICINE CLINIC
1321 W 22ND STREET
SIOUX FALLS,SD57117
MEDICAL CLINIC
197 197 - SANFORD MADISON AND VETERANS PARKWAY
5920 E MADISON ST
SIOUX FALLS,SD57110
MEDICAL CLINIC
198 198 - SANFORD MATERNAL-FETAL MEDICINE
1500 W 22ND STREET
SIOUX FALLS,SD57105
MEDICAL CLINIC
199 199 - SANFORD OBSTETRICS & GYNECOLOGY CLINIC
1500 W 22ND STREET
SIOUX FALLS,SD57105
MEDICAL CLINIC
200 200 - SANFORD PSYCHIATRY & PSYCHOLOGY CLINIC
2400 W 49TH STREET
SIOUX FALLS,SD57105
MEDICAL CLINIC
201 201 - SANFORD SURGICAL ASSOCIATES
1508 W 22ND STREET
SIOUX FALLS,SD57105
AMBULATORY SURGERY CENTER/CLINIC
202 202 - SANFORD USD 34TH & KIWANIS FAMILY MEDICINE
2701 S KIWANIS AVE
SIOUX FALLS,SD57105
MEDICAL CLINIC
203 203 - SANFORD VAN DEMARK CLINIC
1210 W 18TH STREET
SIOUX FALLS,SD57104
MEDICAL CLINIC
204 204 - SANFORD VASCULAR ASSOCIATES
1305 W 18TH STREET
SIOUX FALLS,SD57105
MEDICAL CLINIC
205 205 - SANFORD WOMEN'S PRIMARY CARE CLINIC
5019 S WESTERN AVE
SIOUX FALLS,SD57108
MEDICAL CLINIC
206 206 - THE BIRTH PLACE
1500 W 22ND STREET
SIOUX FALLS,SD57105
BIRTH CENTER
207 207 - NORTHERN LIGHTS COMMUNITY RESIDENCE
921 ATLANTIC AVE N
THIEF RIVER FALLS,MN56701
RESIDENTIAL BEHAVIORAL HEALTH
208 208 - SANFORD BEHAVIORAL HEALTH OUTPATIENT CLINI
120 LABREE AVENUE S
THIEF RIVER FALLS,MN56701
BEHAVIORAL HEALTH TREATMENT CENTER
209 209 - SANFORD DIALYSIS THIEF RIVER FALLS
120 LABREE AVENUE S
THIEF RIVER FALLS,MN56701
DIALYSIS
210 210 - SANFORD HEALTH THIEF RIVER FALLS EYE CENTE
1720 HIGHWAY 59 S
THIEF RIVER FALLS,MN56701
EYE CARE CENTER
211 211 - SANFORD HEALTH THIEF RIVER FALLS SOUTHEAST
1720 HIGHWAY 59 S
THIEF RIVER FALLS,MN56701
MEDICAL CLINIC
212 212 - SANFORD THIEF RIVER FALLS CLINIC
3001 SANFORD PKWY
THIEF RIVER FALLS,MN56701
MEDICAL CLINIC
213 213 - SANFORD HEALTH TRACY O'BRIEN COURT
410 STATE STREET
TRACY,MN56175
HOUSING WITH SERVICES
214 214 - SANFORD TRACY CLINIC
249 FIFTH STREET E
TRACY,MN56175
MEDICARE CERTIFIED RURAL HEALTH CLINIC
215 215 - SHETEK HOME CARE SERVICES
251 5TH ST E
TRACY,MN56175
HOME HEALTH CARE
216 216 - SANFORD HEALTH TWIN VALLEY CLINIC
501 2ND ST NW
TWIN VALLEY,MN56584
RURAL HEALTH CLINIC
217 217 - SANFORD HEALTH ULEN CLINIC
108 VIKING AVENUE W
ULEN,MN56585
RURAL HEALTH CLINIC
218 218 - SANFORD HEALTH VALLEY CITY CLINIC
520 CHAUTAUQUA BLVD
VALLEY CITY,ND58072
MEDICAL CLINIC
219 219 - SANFORD HEALTH VERMILLION CARE CENTER
125 WALKER STREET
VERMILLION,SD57069
NURSING FACILITY
220 220 - SANFORD HEALTH VERMILLION DAKOTA GERDENS
126 S PLUM STREET
VERMILLION,SD57069
RESIDENTIAL LIVING CENTER
221 221 - SANFORD HOSPICE VERMILLION
848 EAST CHERRY STREET
VERMILLION,SD57069
HOSPICE
222 222 - SANFORD VERMILLION CLINIC
20 S PLUM STREET
VERMILLION,SD56069
MEDICAL CLINIC
223 223 - SANFORD DIALYSIS
111 WASHINGTON AVE NW
WAGNER,SD57380
DIALYSIS CENTER
224 224 - SANFORD HEALTH WAHPETON CLINIC
332 2ND AVE N
WAHPETON,ND58075
MEDICAL CLINIC
225 225 - SANFORD HEALTH WAHPETON EYE CENTER & OPTIC
332 2ND AVE N
WAHPETON,ND58075
EYE CARE CENTER
226 226 - SANFORD HEALTH WAHPETON PT & PSYCHOLOGY
123 2ND AVE N
WAHPETON,ND58075
MEDICAL CLINIC
227 227 - SANFORD HEALTH WALKER CLINIC
614 MICHIGAN AVENUE
WALKER,MN56484
RURAL HEALTH CLINIC
228 228 - SANFORD TRACY WALNUT GROVE CLINIC
810 8TH ST
WALNUT GROVE,MN56180
MEDICARE CERTIFIED RURAL HEALTH CLINIC
229 229 - SANFORD HEALTH WATERTOWN CLINIC
901 4TH STREET NW
WATERTOWN,SD57201
MEDICAL CLINIC
230 230 - SANFORD HEALTH HEARING CENTER
116 8TH STREET NE
WATFORD CITY,ND58854
HEARING CENTER
231 231 - SANFORD HEALTH WATFORD CITY CLINIC
709 4TH AVE NE
WATFORD CITY,ND58854
MEDICAL CLINIC
232 232 - SANFORD WEBSTER CLINIC
101 PEABODY DRIVE
WEBSTER,SD57274
RURAL HEALTH CLINIC
233 233 - SANFORD WEST FARGO CLINIC
1220 SHEYENNE STREET
WEST FARGO,ND58078
MEDICAL CLINIC
234 234 - SANFORD HEALTH WESTROOK PETERSON ESTATES
1012 9TH STREET
WESTBROOK,MN56183
HOUSING WITH SERVICES
235 235 - SANFORD WESTBROOK CLINIC
920 BELL AVENUE
WESTBROOK,MN56183
MEDICARE CERTIFIED RURAL HEALTH CLINIC
236 236 - SANFORD HOME CARE WHEATON
405 12TH ST N
WHEATON,MN56926
HOME HEALTH CARE
237 237 - SANFORD WHEATON CLINIC
401 12TH ST N
WHEATON,MN56926
RURAL HEALTH CLINIC
238 238 - SANFORD 11TH & GATE CLINIC
17100 11TH ST W
WILLISTON,ND58801
MEDICAL CLINIC
239 239 - SANFORD CLINIC WINDOM
591 2ND AVENUE N
WINDOM,MN56101
MEDICARE CERTIFIED RURAL HEALTH CLINIC
240 240 - SANFORD HOSPICE WINNER
745 E 8TH STREET
WINNER,SD57580
HOSPICE
241 241 - SANFORD DIALYSIS
1018 SIXTH AVENUE
WORTHINGTON,MN56187
DIALYSIS CENTER
242 242 - SANFORD HEALTH CANCER CENTER
1018 SIXTH AVENUE
WORTHINGTON,MN56187
CANCER CENTER
243 243 - SANFORD HOSPICE WORTHINGTON
1935 WOODLAND CT
WORTHINGTON,MN56187
HOSPICE (LICENSED IN SD)
244 244 - SANFORD WORTHINGTON CLINIC
1680 DIAGONAL ROAD
WORTHINGTON,MN56187
MEDICAL CLINIC
245 245 - SANFORD WORTHINGTON MEDICAL CENTER
1018 SIXTH AVENUE
WORTHINGTON,MN56187
MEDICARE CERTIFIED END STAGE RENAL DIALYSIS
246 246 - SANFORD WORTHINGTON OBGYN CLINIC
1018 SIXTH AVENUE
WORTHINGTON,MN56187
MEDICAL CLINIC
247 247 - BLACK HILLS IMAGING CENTER
215 ANAMARIA DRIVE
RAPID CITY,SD57701
DIAGNOSTIC IMAGING CENTER
248 248 - BLACK HILLS OCCUPATIONAL MEDICINE
1730 HAINES AVENUE
RAPID CITY,SD57701
MEDICAL CLINIC
249 249 - BLACK HILLS OUTREACH CLINIC
120 E MICHIGAN STREET
SPEARFISH,SD87783
MEDICAL CLINIC
250 250 - BLACK HILLS URGENT CARE
741 MOUNTAIN VIEW ROAD
RAPID CITY,SD57702
MEDICAL CLINIC
251 251 - BLACK HILLS URGENT CARE
2201 S DOUGLAS HIGHWAY
GILLETTE,WY82718
MEDICAL CLINIC
252 252 - NORTHEAST WYOMING SURGERY CENTER
1307 W 3RD STREET
GILLETTE,WY82716
AMBULATORY SURGERY CENTER
Schedule H (Form 990) 2024
Schedule H (Form 990) 2024
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs 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.
Form and Line Reference Explanation
PART I, LINE 3C: SANFORD HEALTH DOES NOT DENY CARE TO ANYONE BASED ON THE ABILITY TO PAY. SANFORD HEALTH'S FINANCIAL ASSISTANCE (CHARITY CARE) POLICY PROVIDES DISCOUNTED AND FREE SERVICES TO PATIENTS WHO LACK THE RESOURCES TO BE FULLY RESPONSIBLE FOR THE HEALTHCARE THEY RECEIVE. THE FINANCIAL ASSISTANCE POLICY IS DESIGNED TO ENSURE THE ENTIRE COMMUNITY SERVED BY SANFORD HEALTH HAS ACCESS TO NEEDED HEALTHCARE SERVICES. ELIGIBILITY FOR DISCOUNTED OR FREE SERVICES UNDER THE FINANCIAL ASSISTANCE POLICY IS BASED ON INCOME LEVELS AND FAMILY SIZE. GENERALLY, INDIVIDUALS EARNING INCOME OF UP TO 375% OF THE FEDERAL POVERTY INCOME GUIDELINES ARE ELIGIBLE FOR VARYING LEVELS OF DISCOUNTS, INCLUDING FULL DISCOUNTS FOR CERTAIN INCOME LEVELS. APPLICATIONS FOR COVERAGE UNDER THE PROGRAM MAY BE OBTAINED AT ANY SANFORD HEALTH PATIENT REGISTRATION AREA.THE PRIMARY SCOPE OF SANFORD HEALTH'S FINANCIAL ASSISTANCE MATRIX CONSIDERS FAMILY INCOME AND FAMILY SIZE TO OBJECTIVELY DETERMINE FINANCIAL NEED. THE FAMILY INCOME RANGE VARIES FROM 0-225% UP TO 375% OF THE FEDERAL POVERTY LEVEL (FPL). AN APPLICANT OVER 375% 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. AN APPLICANT MAY BE DENIED IF THEY HAVE SUBSTANTIAL ASSETS AND APPLICANTS ARE CONSIDERED ON A CASE BY CASE BASIS.THE AMOUNT GENERALLY BILLED (AGB) DISCOUNT PERCENTAGE IS THE LEAST AMOUNT SANFORD HEALTH CAN DISCOUNT FOR ANY PATIENT QUALIFYING UNDER THE SANFORD FINANCIAL ASSISTANCE POLICY. IT IS THE PERCENTAGE USED FOR THE LOWEST LEVEL OF ASSISTANCE GRANTED FOR THOSE QUALIFYING UNDER THE SANFORD HEALTH FINANCIAL ASSISTANCE POLICY AS LISTED ON APPENDIX 1 - SLIDING DISCOUNT SCHEDULE FOR ASSISTANCE. ANYONE ELSE QUALIFYING FOR ASSISTANCE AT GREATER LEVELS WILL RECEIVE DISCOUNT AMOUNTS GREATER THAN THE SANFORD HEALTH AGB DISCOUNT AMOUNT. PART I, LINE 5B: SANFORD HEALTH AS A WHOLE DID NOT EXCEED ITS FINANCIAL ASSISTANCE BUDGET FOR CY 2024, HOWEVER, IF THEY WOULD HAVE EXCEEDED THEIR BUDGET IT WOULD NOT IMPACT THEIR ABILITY TO SERVE ANY PATIENTS AND NO PATIENTS WOULD BE DISALLOWED SERVICES. THE ORGANIZATION PROVIDED FREE OR DISCOUNTED SERVICES TO PATIENTS WHO WERE ELIGIBLE FOR FREE OR DISCOUNTED CARE.PART I, LINE 6: SANFORD HEALTH'S COMMUNITY BENEFIT ANNUAL REPORT IS POSTED ANNUALLY ON THE SANFORD HEALTH WEBSITE AT:HTTPS://WWW.SANFORDHEALTH.ORG/ABOUT/COMMUNITY-COMMITMENT/COMMUNITY-HEALTH-NEEDS-ASSESSMENT
PART I, LINE 7: COST TO CHARGE RATIOS ARE USED TO CALCULATE THE AMOUNTS ON LINE 7A - 7C (FINANCIAL ASSISTANCE, MEDICAID SHORTFALL, AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS) AND ALSO LINE 7G (SUBSIDIZED HEALTH SERVICES) FOR EACH OF THE SUBSIDIARIES INCLUDED IN THE RETURN. ALL OTHER AMOUNTS FOR LINES 7E, 7F, 7H AND 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. THESE COSTS STILL REPRESENT THE COSTS TO PROVIDE BENEFITS.
PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES ARE CLINICAL SERVICES PROVIDED TO BOTH INPATIENTS AND OUTPATIENTS DESPITE A FINANCIAL LOSS TO SANFORD HEALTH. EACH LOSS HAS BEEN CALCULATED AFTER REMOVING LOSSES ASSOCIATED WITH BAD DEBTS, FINANCIAL ASSISTANCE AND MEDICAID. ALTHOUGH THESE SERVICES GENERATE OVERALL LOSSES TO SANFORD HEALTH, THEY CONTINUE TO MEET THE NEEDS OF THE COMMUNITIES SERVED. VARIOUS SERVICES THAT GENERATE LOSSES ARE PROVIDED BY SANFORD HEALTH THROUGH PHYSICIAN PRACTICES. FOR CY 2024, SUBSIDIZED HEALTH SERVICES PROVIDED THROUGH CLINIC PHYSICIAN PRACTICES GENERATED LOSSES OF $268,371,188.
PART II, COMMUNITY BUILDING ACTIVITIES: SANFORD HEALTH IS A NOT-FOR-PROFIT ORGANIZATION DEDICATED TO THE WORK OF HEALTH AND HEALING FOR THE PUBLIC GOOD. SANFORD HEATH IS COMMITTED TO GIVING BACK TO THE COMMUNITIES IN WHICH ITS EMPLOYEES AND PATIENTS LIVE AND WORK. SANFORD HEALTH 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 HEALTH WORKFORCE TO DELIVER THE BEST PATIENT CARE AND MUCH NEEDED MEDICAL RESEARCH. SANFORD HEALTH 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.
PART III, LINE 2: BAD DEBT EXPENSE AT COST IS DETERMINED BASED ON AMOUNTS RECORDED IN THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). BAD DEBT REPRESENTS SERVICES PROVIDED TO PATIENTS WHO WERE EXPECTED TO PAY BUT DID NOT, AFTER REASONABLE COLLECTION EFFORTS. DISCOUNTS AND ALLOWANCES ARE ACCOUNTED FOR SEPARATELY FROM BAD DEBT EXPENSE.
PART III, LINE 3: IT IS SANFORD HEALTH'S POLICY TO MAKE FINANCIAL ASSISTANCE AVAILABLE TO PATIENTS WHO FIT THE FINANCIAL ASSISTANCE CRITERIA. IT IS THE ORGANIZATION'S GOAL TO MAKE CERTAIN THAT SANFORD HEALTH IS PROACTIVE IN IDENTIFICATION OF THE PATIENTS WHO NEED HELP WITH FINANCIAL CONCERNS. FINANCIAL COUNSELORS MAKE EVERY EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE ELIGIBLE PATIENTS DO NOT PROGRESS TO BAD DEBT. FOR THIS REASON, A DOLLAR AMOUNT FOR BAD DEBT IS NOT INCLUDED.
PART III, LINE 4: THE AUDITED FINANCIAL STATEMENTS (AFS) OF SANFORD INCLUDE A BAD DEBT FOOTNOTE. SEE FOOTNOTE 3 ON PAGES 17 - 19 OF THE AFS. SANFORD REPORTS BAD DEBT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP).
PART III, LINE 8: PER IRS INSTRUCTIONS, SANFORD HEALTH 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 HEALTH INCURRED WERE INCLUDED ON THE MEDICARE COST REPORT; THIS WOULD SHOW A SHORTFALL OF APPROXIMATELY $735,627,035. SANFORD HEALTH 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 HEALTH.
PART III, LINE 9B: SANFORD HEALTH WILL PROVIDE SERVICES AT NO COST OR REDUCED COST TO PATIENTS WHO QUALIFY FOR THE PROGRAM. PATIENTS WITH INCOMES AT OR BELOW 225% 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 225% - 375% 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 375% 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 HEALTH WILL NOT DENY FINANCIAL ASSISTANCE BASED ON RACE, CREED, SEX, GENDER IDENTITY, NATIONAL ORIGIN, HANDICAP OR AGE.EVERY EFFORT IS MADE TO IDENTIFY PATIENTS WITH FINANCIAL NEED AS EARLY AS POSSIBLE IN THE REVENUE CYCLE.SANFORD HEALTH HAS ZERO TOLERANCE FOR ABUSIVE, HARASSING, OPPRESSIVE, FALSE, DECEPTIVE, OR MISLEADING LANGUAGE OF COLLECTIONS CONDUCT. THIS ZERO TOLERANCE APPLIES TO INTERNAL SANFORD HEALTH STAFF AND THIRD PARTY COLLECTION VENDORS AND ATTORNEYS.NEITHER SANFORD HEALTH NOR ANY OF ITS THIRD PARTY COLLECTION VENDORS WILL TAKE ANY EXTRAORDINARY COLLECTION EFFORTS UNTIL SANFORD HEALTH AND THE THIRD PARTY COLLECTION VENDOR HAVE MADE REASONABLE EFFORTS TO DETERMINE IF A PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2: SANFORD HEALTH REGULARLY UTILIZES A BROAD ARRAY OF RESOURCES AND PARTNERS TO ASSESS AND DELIVER CARE TO THE COMMUNITIES SERVED BY THE SYSTEM. ASSESSMENT AND, BY EXTENSION, COMMUNITY ENGAGEMENT, IS A COMPOSITE, PARTNER-DRIVEN APPROACH.WITHIN THE CONTEXT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS, THE SYSTEM RELIES UPON A MULTI-STEP, MULTI-MODAL APPROACH THAT MINIMIZES THE INHERENT LIMITATIONS OF ANY GIVEN ASSESSMENT TOOL AND INCREASES THE POINTS OF CONTACT FOR COMMUNITY MEMBERS TO SHARE DIRECT INSIGHTS INTO THE PROCESS. STEP ONE OF THE CHNA IS ENGAGEMENT WITH OTHER HEALTH SYSTEMS IN THE COMMUNITIES IN WHICH SANFORD HEALTH AND ANOTHER HEALTH SYSTEM BOTH OPERATE. ADDITIONALLY, SANFORD HEALTH ENGAGES PUBLIC HEALTH ORGANIZATIONS AND OTHER CARE PROVIDERS IN THE DEVELOPMENT OF ASSESSMENT STRATEGIES AND TOOLS. THE COOPERATION BETWEEN THE ORGANIZATIONS ENSURES INFORMATION IS COLLECTED THAT WILL BENEFIT NOT ONLY THE CHNA PROGRAM, BUT ALSO THE STRATEGIES AND OPERATIONS OF THE RESPECTIVE ORGANIZATIONS. THE SYSTEMS ALSO COLLABORATE IN THE DEVELOPMENT OF THEIR RESPECTIVE IMPLEMENTATION PLANS TO FURTHER THE POSITIVE IMPACT TO THE COMMUNITY. AS NOTED ABOVE, THE CHNA ASSESSMENT INCLUDES A MULTI-MODAL PROCESS, WHICH BEGINS WITH A SURVEY TO COMMUNITY MEMBERS SENT VIA MULTIPLE PATHWAYS, WHICH INCLUDE THE PURCHASE OF A LOCAL SURVEY PANEL AND THE DEVELOPMENT OF A COMMUNITY STAKEHOLDER LIST. STAKEHOLDERS ARE ASKED TO COMPLETE THE SURVEY AND THEN FORWARD THE TOOL TO THEIR CONTACTS TO AMPLIFY THE COLLECTION OPPORTUNITIES. AN INDEPENDENT THIRD PARTY WITH SURVEY ANALYSIS EXPERTISE IS RETAINED TO EVALUATE THE RESULTS AND DEVELOP AN INITIAL LIST OF NEEDS WITH ADDITIONAL AUGMENTATION FROM COUNTYHEALTHRANKINGS.COM, CENSUS DATA, AND OTHER SECONDARY DATA SOURCES. LOCAL STAKEHOLDER MEETINGS THAT INCLUDE HEALTH CARE LEADERS, ELECTED OFFICIALS, REPRESENTATIVES OF UNDERSERVED COMMUNITIES, NONPROFIT LEADERS, AND OTHER COMMUNITY PARTNERS THEN REVIEW THE FINDINGS, PROVIDE INPUT, AND DEVELOP THE FINAL PRIORITIES FOR INCLUSION IN THE IMPLEMENTATION PLAN.DATA GATHERED FROM THE CHNA PROGRAM, PARTICULARLY SURVEY RESPONSES, IS MADE AVAILABLE TO LOCAL COMMUNITY ORGANIZATIONS THAT REQUEST THE INFORMATION. SANFORD HEALTH VIEWS THE FINDINGS AS A COMMUNITY ASSET THAT CAN FURTHER THE POSITIVE IMPACT ON COMMUNITY HEALTH OUTSIDE THE WALLS OF THE SYSTEM.RECENTLY, SANFORD HEALTH HAS ADDED MORE RESOURCES TO ADVANCE COMMUNITY HEALTH. FINDHELP IS AN ONLINE PLATFORM THAT CONNECTS LOCAL ORGANIZATIONS, FUNDING OPPORTUNITIES, AND OTHER RESOURCES CONNECTED TO SOCIAL DETERMINANTS OF HEALTH WITH INDIVIDUALS IN NEED. SANFORD HEALTH INTEGRATED THE FINDHELP PLATFORM INTO THE ORGANIZATION'S WEBSITE, ELECTRONIC MEDICAL RECORD, AND POST-VISIT PAPERS. THE INTEGRATION NOT ONLY ALLOWS USERS TO SELF-SEARCH FOR LOCAL RESOURCES BASED UPON THEIR NEED, BUT ALSO ALLOWS SANFORD HEALTH'S CARE MANAGEMENT TEAM TO DIRECTLY REFER PATIENTS TO LOCAL ORGANIZATIONS AND MONITOR ENGAGEMENT. FINDHELP IS PUBLIC TO ANY RESIDENT AND IS NOT RESERVED SPECIFICALLY FOR PATIENTS OF THE SYSTEM. THE SERVICES OFFERED ON THE NEW WEBSITE ARE EITHER FREE OR REDUCED COST AND COVER OPTIONS THAT MIGHT NOT BE INCLUDED WITH MEDICARE OR MEDICAID. THIS PARTNERSHIP ALLOWS SANFORD HEALTH TO ADDRESS INEQUITY IN THE COMMUNITIES WE SERVE WITH EXISTING SERVICES THAT MEET THE NEEDS OF PATIENTS.ADDITIONAL EXTERNAL SOURCES ARE REGULARLY ENGAGED WITHIN THE STRATEGIC PLANNING, OPERATIONAL, AND CHNA PROCESS. THE ADVISORY BOARD IS REPRESENTATIVE OF THESE ASSESSMENT CAPABILITIES. THE ADVISORY BOARD (AB) OFFERS A WEALTH OF SECONDARY INFORMATION, SUCH AS INDUSTRY TRENDS, CONSUMER ASSESSMENTS, AND OTHER INFORMATION. AB ALSO INCLUDES DATA TOOLS, INCLUDING THE MARKET INNOVATION CENTER AND THE POST-ACUTE PATHWAYS EXPLORER THAT PROVIDES LINE OF SIGHT INTO DEMOGRAPHIC DATA, VOLUME PROJECTIONS, CARE COORDINATION PATTERNS, AND CARE DRIVERS BEYOND THE INTERNAL DATA SOURCES WITHIN SANFORD HEALTH. OTHER ENGAGEMENTS AND ASSESSMENTS INCLUDE LEADERSHIP AND MEMBERSHIP IN STATE HEALTHCARE ASSOCIATIONS AND VIZIENT. THE DEVELOPMENT OF PATIENT FAMILY ADVISORY AND HEALTH EQUITY AND EXPERIENCE COUNCILS WITHIN SYSTEM FACILITIES PROMOTES TWO-WAY COMMUNICATION WITH THE COMMUNITIES SERVED. THESE TOOLS ARE INCORPORATED THROUGHOUT THE PLANNING PROCESS AND ARE EMBEDDED WITHIN OPERATIONS. TO ENSURE CARE PROVIDED ENCOMPASSES THE WHOLE PERSON, SANFORD HEALTH EMPLOYS COMMUNITY HEALTH WORKERS (CHWS), FIRST ESTABLISHING THE ROLE IN 2014. THESE NON-CLINICAL STAFF PROVIDE FRONTLINE PUBLIC HEALTH SERVICES AND SERVE AS A LIAISON BETWEEN HEALTH CARE AND THE COMMUNITY TO FACILITATE ACCESS TO RESOURCES. THESE CARE TEAM MEMBERS PROVIDE A RANGE OF SERVICES AND ACTIVITIES FOR AT-RISK POPULATIONS INCLUDING OUTREACH, COMMUNITY EDUCATION, INFORMAL COUNSELING, SOCIAL SUPPORT, AND ADVOCACY.ANOTHER IMPORTANT SUPPORT/LIAISON ROLE IS THAT OF HEALTH GUIDES. THESE INDIVIDUALS IDENTIFY GAPS IN CARE PREVENTING RISING-RISK PATIENTS FROM ACHIEVING THEIR HEALTH GOALS. GUIDES ADDRESS BARRIERS PATIENTS ARE FACING IN ACCESSING THE RESOURCES THEY NEED TO BE SUCCESSFUL. HEALTH GUIDES HELP PATIENTS NAVIGATE THE HEALTH SYSTEM AND VARIOUS COMMUNITY RESOURCES, EMPOWERING PATIENTS TO TAKE MORE OWNERSHIP OF THEIR HEALTH AND BE AN ACTIVE PARTICIPANT IN THEIR CARE.MANY SANFORD HEALTH CLINIC FACILITIES OFFER A BROAD RANGE OF ROBUST, INTEGRATED CARE OPTIONS. FROM DIETICIANS TO PHARMACISTS TO SOCIAL WORKERS, AMBULATORY RN CARE MANAGERS AND INTEGRATED HEALTH THERAPISTS (IHTS), PATIENTS SEEN FOR PRIMARY CARE HAVE CLOSE PROXIMITY TO OTHER ANCILLARY SUPPORT SERVICES AND CARE OPTIONS. PATIENTS STRUGGLING WITH MENTAL HEALTH OR SUBSTANCE DEPENDENCY ISSUES, FOR EXAMPLE, CAN OFTEN IMMEDIATELY SEE A SUPPORT PROFESSIONAL ON-SITE VERSUS HAVING TO WAIT TO SEE A SPECIALIST VIA A REFERRAL FROM THEIR PRIMARY CARE PROVIDER. SANFORD HEALTH ALSO SCREENS FOR SOCIAL DETERMINANTS OF HEALTH AND HAVE "WELLNESS PANTRIES" EMBEDDED IN OUR PEDIATRIC CLINICS ACROSS MINNESOTA, NORTH DAKOTA AND SOUTH DAKOTA. WE ARE CURRENTLY COLLECTING DATA TO BETTER UNDERSTAND HOW ADDRESSING FOOD INSECURITY HELPS REDUCE ANXIETY AND DEPRESSION IN CHILDREN. THE TIMELINESS OF THESE KEY SERVICES HELPS TO ENSURE THAT PATIENT NEEDS ARE NOT FALLING THROUGH THE CRACKS OR THAT CARE IS DELAYED.
PART VI, LINE 3: SANFORD HEALTH EMPLOYS A VARIETY OF STRATEGIES TO MAKE CERTAIN THAT THE ORGANIZATION IS TRANSPARENT IN THE COMMUNICATION OF FINANCIAL ASSISTANCE GUIDELINES. THE STAFF AT SANFORD HEALTH MAKES EVERY EFFORT TO IDENTIFY PATIENTS NEEDING FINANCIAL ASSISTANCE AS EARLY IN THE REVENUE CYCLE AS POSSIBLE. ALL SANFORD HEALTH ENTITIES DISPLAY SIGNAGE IN REGISTRATION AREAS ADVISING PATIENTS OF THEIR ABILITY TO REQUEST FINANCIAL ASSISTANCE. THE SIGNAGE WAS MADE AVAILABLE IN ENGLISH AND SPANISH. ALTERNATE LANGUAGES WERE INCLUDED ON THE SIGNAGE THAT BASICALLY STATED, IF YOU NEED INTERPRETER SERVICES, PLEASE INQUIRE AT THE REGISTRATION DESK. FINANCIAL ASSISTANCE APPLICATIONS WERE AVAILABLE IN ENGLISH, SPANISH, CHINESE, GERMAN, HINDI, KOREAN, LAOTIAN AND VIETNAMESE UPON REQUEST OR ON THE SANFORD HEALTH WEBSITE. 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.SANFORD HEALTH'S FINANCIAL ASSISTANCE PROGRAM IS AVAILABLE TO ANYONE WHO QUALIFIES FOR ASSISTANCE. THIS PROGRAM ENSURES THAT ALL PEOPLE RECEIVE THE CARE THEY NEED, REGARDLESS OF THEIR FINANCIAL SITUATION. SANFORD HEALTH MAKES FINANCIAL ASSISTANCE INFORMATION AVAILABLE TO COMMUNITY AGENCIES AND REFERRAL ORGANIZATIONS. FINANCIAL ASSISTANCE INFORMATION IS ALSO AVAILABLE ON THE SANFORD HEALTH WEBSITE AT:HTTPS://WWW.SANFORDHEALTH.ORG/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE-POLICY
PART VI, LINE 4: SANFORD HEALTH IS AN INTEGRATED HEALTH SYSTEM HEADQUARTERED IN THE DAKOTAS. IT IS ONE OF THE LARGEST RURAL HEALTH SYSTEMS IN THE NATION WITH 56 MEDICAL CENTERS AND 288 CLINICS. SANFORD HEALTH'S APPROXIMATE 53,000 EMPLOYEES, INCLUDING 4,000 PHYSICIANS/ADVANCED PRACTICE PROVIDERS AND 10,164 REGISTERED NURSES DELIVERING CARE IN MORE THAN 80 SPECIALTY AREAS, MAKE IT THE LARGEST EMPLOYER IN THE DAKOTAS. SANFORD USD MEDICAL CENTER - SIOUX FALLS, SOUTH DAKOTASIOUX FALLS IS THE LARGEST CITY IN THE STATE OF SOUTH DAKOTA AND IS THE COUNTY SEAT OF MINNEHAHA COUNTY. SIOUX FALLS ALSO EXTENDS INTO LINCOLN COUNTY. THE 2024 U.S. CENSUS BUREAU ESTIMATES A TOTAL POPULATION OF 209,289 FOR SIOUX FALLS. ACCORDING TO THE 2024 COUNTY HEALTH RANKINGS, THE POPULATION OF MINNEHAHA COUNTY IS 79.9% WHITE, 6.8% AFRICAN AMERICAN, 3.0% AMERICAN INDIAN, 2.2% ASIAN AND 6.1% HISPANIC. SIOUX FALLS IS A SIGNIFICANT REGIONAL HEALTH CARE CENTER. ONLY 1% OF THE POPULATION IS REPORTED TO BE NOT PROFICIENT IN ENGLISH. THE MEDIAN HOUSEHOLD INCOME IN MINNEHAHA COUNTY IS $75,600.SANFORD MEDICAL CENTER FARGO - FARGO, NORTH DAKOTAFARGO IS THE LARGEST CITY IN NORTH DAKOTA, ACCOUNTING FOR 17.5% OF THE STATE'S POPULATION. FARGO IS ALSO THE COUNTY SEAT OF CASS COUNTY. THE 2024 UNITED STATES CENSUS ESTIMATES THE POPULATION OF FARGO WAS 136,285. ACCORDING TO THE 2024 COUNTY HEALTH RANKINGS, THE POPULATION OF CASS COUNTY IS 83.2% WHITE, 6.8% AFRICAN AMERICAN, 1.6% AMERICAN INDIAN, 3.2% ASIAN AND 3.2% HISPANIC. ONLY 1% OF THE POPULATION IS REPORTED TO BE NOT PROFICIENT IN ENGLISH. THE MEDIAN HOUSEHOLD INCOME OF CASS COUNTY, ND IS $70,000. SANFORD BEMIDJI MEDICAL CENTER - BEMIDJI, MINNESOTABEMIDJI IS LOCATED IN BELTRAMI COUNTY, MINNESOTA. BEMIDJI HOUSES MANY NATIVE AMERICAN SERVICES, INCLUDING THE INDIAN HEALTH SERVICE. THE CITY IS THE CENTRAL HUB OF THE RED LAKE INDIAN RESERVATION, WHITE EARTH INDIAN RESERVATION, AND THE LEECH LAKE INDIAN RESERVATION. ACCORDING TO THE 2024 UNITED STATES CENSUS ESTIMATES, THE POPULATION OF BEMIDJI IS 15,733. ACCORDING TO THE 2024 COUNTY HEALTH RANKINGS, THE POPULATION OF BELTRAMI COUNTY IS 71.3% WHITE, 0.8% AFRICAN AMERICAN, 22.0% AMERICAN INDIAN, 0.8% ASIAN AND 2.7% HISPANIC. 0% OF THE POPULATION IS REPORTED TO BE NOT PROFICIENT IN ENGLISH. THE MEDIAN HOUSEHOLD INCOME IS $59,900.SANFORD BISMARCK MEDICAL CENTER - BISMARCK, NORTH DAKOTABISMARCK IS A CITY LOCATED IN BURLEIGH COUNTY IN CENTRAL NORTH DAKOTA. BISMARCK IS EXPERIENCING FAST-PACED GROWTH AS A DIRECT RESULT OF OIL DEVELOPMENT THROUGHOUT THE WESTERN PART OF THE STATE. BISMARCK IS THE STATE CAPITAL AND IS THE SECOND LARGEST CITY IN THE STATE OF NORTH DAKOTA WITH AN ESTIMATED POPULATION OF 77,772. ACCORDING TO THE 2024 COUNTY HEALTH RANKINGS, THE POPULATION OF BURLEIGH COUNTY IS 87.4% WHITE, 2.1% AFRICAN AMERICAN, 4.7% AMERICAN INDIAN, 1.0% ASIAN AND 3.1% HISPANIC. 0% OF THE POPULATION IS REPORTED TO BE NOT PROFICIENT IN ENGLISH. THE MEDIAN HOUSEHOLD INCOME IS $83,100.SANFORD NETWORK HOSPITALSSANFORD HEALTH NETWORK HOSPITALS IS A NETWORK OF RURAL HOSPITALS LOCATED THROUGHOUT SOUTH DAKOTA, NORTH DAKOTA, AND MINNESOTA.SANFORD CLINICSSANFORD CLINIC IS A MULTI-SPECIALTY CLINIC COMPRISED OF APPROXIMATELY 4,000 PHYSICIANS PROVIDING SERVICES IN THE US AS WELL AS INTERNATIONALLY.
PART VI, LINE 5: SANFORD HEALTH MAINTAINS AN OPEN MEDICAL STAFF. COMMUNITY BOARDS - THE SANFORD HEALTH BOARD OF TRUSTEES WAS COMPRISED OF 12 MEMBERS AT THE END OF THE CALENDAR YEAR, INCLUDING 10 COMMUNITY MEMBERS, 1 PHYSICIAN 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 6: SANFORD HEALTH IS AN INTEGRATED HEALTH SYSTEM HEADQUARTERED IN SIOUX FALLS, SOUTH DAKOTA. IT IS ONE OF THE LARGEST RURAL HEALTH SYSTEMS IN THE NATION WITH 56 MEDICAL CENTERS AND 288 CLINIC LOCATIONS IN THE UPPER MIDWEST INCLUDING WYOMING, NORTH DAKOTA, SOUTH DAKOTA, IOWA, MINNESOTA, WISCONSIN, AND THE UPPER PENINSULA OF MICHIGAN AND THREE COUNTRIES. SANFORD HEALTH'S APPROXIMATE 53,000 EMPLOYEES, INCLUDING A NETWORK OF MORE THAN 4,000 PHYSICIANS AND ADVANCED PRACTICE PROVIDERS AND APPROXIMATELY 10,000 REGISTERED NURSES DELIVERING CARE IN MORE THAN 80 SPECIALTY AREAS, MAKE IT THE LARGEST EMPLOYER IN NORTH DAKOTA AND SOUTH DAKOTA.SANFORD HEALTH PROVIDES SERVICES AT EVERY LEVEL FROM CRITICAL ACCESS HOSPITALS TO TERTIARY AND QUATERNARY CARE. THE SANFORD SERVICE AREA COVERS A POPULATION OF APPROXIMATELY FIVE MILLION WITHIN WYOMING, NORTH DAKOTA, SOUTH DAKOTA, NORTHWEST IOWA, MINNESOTA, WISCONSIN, AND THE UPPER PENINSULA OF MICHIGAN AND INCLUDES A NETWORK OF CHILDREN'S PRIMARY CARE CLINIC LOCATIONS ACROSS THE COUNTRY AND WORLD. SANFORD HEALTH OPERATES FULL-TIME EMERGENCY CENTERS AND PROVIDES EMERGENCY CARE TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. SANFORD FACILITIES AND CLINICS PROVIDE SERVICES TO REMOTE AND MEDICALLY UNDERSERVED AREAS THAT WOULD OTHERWISE NOT HAVE ACCESS TO EVEN PRIMARY CARE SERVICES. SANFORD HEALTH FINANCIALLY SUPPORTS HEALTH AND WELLNESS, EDUCATION AND COMMUNITY DEVELOPMENT ACTIVITIES TO IMPROVE THE QUALITY OF LIFE AND STRENGHTEN COMMUNITIES THROUGHOUT THE REGION. EACH FACILITY PROMOTES HEALTH AND HEALING THAT RESPONDS TO THE UNIQUE NEEDS OF THE PATIENTS IN THE COMMUNITY, ENSURING ACCESS TO COMPREHENSIVE AND SPECIALIZED SERVICES. PART VI, LINE 7: COMMUNITY BENEFIT REPORTING IS NOT REQUIRED AND THEREFORE NOT FILED IN NORTH DAKOTA, SOUTH DAKOTA, OR NEBRASKA. FILING IN MINNESOTA IS VOLUNTARY.
Schedule H (Form 990) 2024
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Schedule I
(Form 990)
(Rev. January 2025)
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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC 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
noncash assistance
(h) Purpose of grant
or assistance
(1) 218 SPORTS INC
102 FIRST ST W SUITE 1010
BEMIDJI,MN56601
86-3542403 501(C)(3) 20,000 0     ECONOMIC DEVELOPMENT
(2) ABBOTT HOUSE INC
909 COURT MERRILL ST
MITCHELL,SD57301
46-0229822 501(C)(3) 10,000 0     PHYSICAL IMPROVEMENTS AND HOUSING
(3) ABERDEEN DEVELOPMENT CORP
416 PRODUCTION ST N
ABERDEEN,SD57401
46-6011831 501(C)(6) 10,000 0     ECONOMIC DEVELOPMENT
(4) ABERDEEN FAMILY YMCA
5 S STATE ST
ABERDEEN,SD57401
46-0255779 501(C)(3) 15,000 0     COMMUNITY SUPPORT
(5) ABERDEEN PUBLIC SCHOOLS
1224 S 3RD ST
ABERDEEN,SD57401
46-0423109 501(C)(3) 44,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, WORKFORCE DEVELOPMENT
(6) ACTIVE GENERATIONS
2300 W 46TH ST
SIOUX FALLS,SD57105
46-0305500 501(C)(3) 30,590 0     COMMUNITY SUPPORT
(7) AMERICAN CANCER SOCIETY
250 WILLIAMS ST 4TH FL
ATLANTA,GA30303
13-1788491 501(C)(3) 15,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(8) AMERICAN FOUNDATION FOR SUICIDE PREVENTION
199 WATER ST FLOOR 11
NEW YORK,NY10038
13-3393329 501(C)(3) 7,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(9) AMERICAN GOLD GYMNASTICS
2001 17TH AVE S
FARGO,ND58103
45-0333196 501(C)(3) 40,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(10) AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUE
DALLAS,TX75231
13-5613797 501(C)(3) 36,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(11) AMERICAN RED CROSS
2925 E 57TH ST
SIOUX FALLS,SD57108
53-0196605 501(C)(3) 33,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY SUPPORT
(12) AUGUSTANA
2001 S SUMMIT AVE
SIOUX FALLS,SD57197
46-0224588 501(C)(3) 2,166,750 0     COALITION BUILDING, COMMUNITY SUPPORT, ECONOMIC DEVELOPMENT, HEALTH PROFESSIONS EDUCATION, WORKFORCE DEVELOPMENT
(13) BAGLEY FIRE DEPARTMENT
18 MAIN AVE SOUTH
BAGLEY,MN56621
41-6037185 501(C)(3) 10,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(14) BEEF LOGIC INC
316 S COTEAU AVE
PIERRE,SD57501
87-2043795 501(C)(3) 27,500 0     COMMUNITY SUPPORT
(15) BELTRAMI COUNTY
701 MINNESOTA AVE NW SUITE 220
BEMIDJI,MN56601
41-6005757 115 0 1,233,609 FAIR VALUE DONATION OF BEMIDJI CRISIS CENTER ECONOMIC DEVELOPMENT
(16) BEMIDJI AREA SCHOOL DISTRICT 31
502 MINNESOTA AVE
BEMIDJI,MN56619
41-6000181 115 116,021 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, WORKFORCE DEVELOPMENT
(17) BEMIDJI COMMUNITY ARENA CORP
PO BOX 1726
BEMIDJI,MN566191726
81-3622011 501(C)(3) 60,000 0     ECONOMIC DEVELOPMENT
(18) BEMIDJI STATE UNIVERSITY
1500 BIRCHMONT DR NE
BEMIDJI,MN56601
41-1687554 115 76,000 0     COMMUNITY SUPPORT, ECONOMIC DEVELOPMENT
(19) BEMIDJI YOUTH SOCCER
PO BOX 265
BEMIDJI,MN56619
41-1870778 501(C)(3) 5,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(20) BENEDICTINE SISTERS MOTHER OF GOD MONASTERY
2527 PRAIRIE PARK TRAIL SE
WATERTOWN,SD57201
46-0284619 501(C)(3) 6,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(21) BISMARCK CANCER CENTER
500 N 8TH STREET
BISMARCK,ND58501
45-0454363 501(C)(3) 11,876 0     COMMUNITY SUPPORT
(22) BISMARCK MANDAN CHAMBER EDC
1640 BURNT BOAT DR
BISMARCK,ND58503
45-0116753 501(C)(6) 6,538 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, ECONOMIC DEVELOPMENT, WORKFORCE DEVELOPMENT
(23) BISMARCK MARATHAN
PO BOX 7023
BISMARCK,ND585077023
20-8441757 501(C)(3) 10,609 0     ECONOMIC DEVELOPMENT
(24) BISMARCK PUBLIC SCHOOLS
806 N WASHINGTON ST
BISMARCK,ND58501
45-0442960 501(C)(3) 135,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION, PHYSICAL IMPROVEMENTS AND HOUSING
(25) BISMARCK STATE COLLEGE
1500 EDWARDS AVE
BISMARCK,ND43942
45-0343495 115 131,171 0     HEALTH PROFESSIONS EDUCATION
(26) BOARD OF EDUCATION OF THE CITY OF FARGO
700 7TH ST S
FARGO,ND57192
45-6000294 115 120,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(27) BOY SCOUTS NORTHERN LIGHTS COUNCIL
4200 19TH AVE S
FARGO,ND581037207
45-0226415 501(C)(3) 7,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(28) BOYS AND GIRLS CLUBS OF THE RED RIVER VALLEY
2500 18TH ST S
FARGO,ND58103
45-0316132 501(C)(3) 40,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(29) BRANDON VALLEY BOOSTER CLUB
PO BOX 572
BRANDON,SD57005
46-0393971 501(C)(3) 31,814 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(30) BRANDON VALLEY SCHOOL DISTRICT 49-2
300 S SPLITROCK BLVD
BRANDON,SD57005
46-6002577 115 44,800 0     WORKFORCE DEVELOPMENT
(31) BURKE COMMUNITY MEMORIAL HOSPITAL
PO BOX 319 809 JACKSON ST
BURKE,SD57523
46-0219795 501(C)(3) 25,000 0     PHYSICAL IMPROVEMENTS AND HOUSING
(32) BUTTERFLY HOUSE & AQUARIUM
4320 S OXBOW AVE
SIOUX FALLS,SD57106
52-2370420 501(C)(3) 25,000 0     ECONOMIC DEVELOPMENT
(33) CANTON SCHOOL DISTRICT
800 N MAIN ST
CANTON,SD57013
46-6002143 115 16,444 0     WORKFORCE DEVELOPMENT
(34) CHAMBER OF COMMERCE FARGO MOORHEAD WEST FARGO
PO BOX 2443
FARGO,ND581082443
45-0448041 501(C)(6) 24,356 0     ECONOMIC DEVELOPMENT
(35) CHILDRENS HOME SOCIETY OF SOUTH DAKOTA
801 N SYCAMORE
SIOUX FALLS,SD57110
46-0224542 501(C)(3) 6,000 0     COMMUNITY SUPPORT
(36) CHURCHES UNITED FOR THE HOMELESS
1901 1ST AVE N
MOORHEAD,MN56560
41-1594892 501(C)(3) 50,000 0     COMMUNITY HEALTH IMPROVEMENT ADVOCACY
(37) CITY OF BEMIDJI
1111 EVENT CENTER DR NE
BEMIDJI,MN56601
27-0941862 115 200,000 0     ECONOMIC DEVELOPMENT
(38) CITY OF MITCHELL
612 NORTH MAIN STREET
MITCHELL,SD57301
46-6000305 115 10,000 0     COMMUNITY SUPPORT
(39) CITY OF SIOUX FALLS
224 W NINTH ST
SIOUX FALLS,SD571046407
46-6000425 115 0 6,300,000 FAIR VALUE DONATION OF TEA-ELLIS WELLNESS CENTER COMMUNITY HEALTH IMPROVEMENT SERVICES
(40) CITY OF TRACY MN
336 MORGAN ST
TRACY,MN56175
41-6005581 115 10,000 0     COMMUNITY SUPPORT
(41) CLEARWATER LIFE CENTER
256 2ND AVE SW
CLEARBROOK,MN56634
77-0643868 501(C)(3) 6,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(42) CONCORDIA COLLEGE
901 8TH STREET S
MOORHEAD,MN565609981
41-0693977 501(C)(3) 3,306,000 0     ECONOMIC DEVELOPMENT, HEALTH PROFESSIONS EDUCATION, WORKFORCE DEVELOPMENT
(43) CRIBS FOR KIDS
5450 SECOND AVE
PITTSBURGH,PA15207
25-1442806 501(C)(3) 0 9,186 COST PAK N PLAYS FOR UNDERPRIVILEGED CHILDREN COMMUNITY HEALTH IMPROVEMENT SERVICES
(44) CULLEN CHILDREN'S FOUNDATION
PO BOX 594
WEST FARGO,ND58078
77-0636521 501(C)(3) 15,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(45) DAKOTA ALLIANCE SOCCER CLUB (DASC)
401 W 39TH ST
SIOUX FALLS,SD57105
46-0359817 501(C)(3) 60,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(46) DAKOTA MEDICAL FOUNDATION (DMF)
4141 28TH AVE SOUTH
FARGO,ND58104
45-6012318 501(C)(3) 9,550 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(47) DEAR NICU MAMA
19 8TH ST S
FARGO,ND58103
84-2458534 501(C)(3) 5,750 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(48) DETROIT LAKES PUBLIC SCHOOLS
702 LAKE AVENUE
DETROIT LAKES,MN56501
41-0971772 115 20,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(49) DICKINSON PUBLIC SCHOOLS
444 4TH ST W
DICKINSON,ND58601
45-6001585 115 10,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(50) DOWNTOWN COMMUNITY PARTNERSHIP
210 BROADWAY STE 202
FARGO,ND58102
46-4472309 501(C)(6) 20,750 0     ECONOMIC DEVELOPMENT
(51) DSU HERITAGE FOUNDATION
230 8TH AVE W
DICKINSON,ND58601
47-5378716 501(C)(3) 70,000 0     ECONOMIC DEVELOPMENT
(52) ELEVATE RAPID CITY
525 UNIVERSITY LOOP STE 102
RAPID CITY,SD57701
46-0118545 501(C)(6) 100,000 0     ECONOMIC DEVELOPMENT
(53) EMBE
300 W 11TH ST
SIOUX FALLS,SD57104
46-0234998 501(C)(3) 9,010 0     COMMUNITY SUPPORT
(54) EMILY'S HOPE
6225 S MINNESOTA AVE
SIOUX FALLS,SD57108
83-3324332 501(C)(3) 6,500 0     COMMUNITY SUPPORT
(55) FAMILY ADVOCACY CENTER OF NORTHERN MINNESOTA
1000 PAUL BUNYAN DRIVE NW UNIT 118
BEMIDJI,MN56601
20-2102302 501(C)(3) 30,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(56) FARGO PARK DISTRICT
701 MAIN AVE
FARGO,ND58103
45-6002070 501(C)(6) 445,288 0     ECONOMIC DEVELOPMENT
(57) FARGO RONALD MCDONALD
4757 AGASSIZ XING S
FARGO,ND58104
45-0365598 501(C)(3) 104,510 0     COMMUNITY SUPPORT
(58) FEEDING SOUTH DAKOTA
3511 N 1ST AVENUE
SIOUX FALLS,SD57104
36-3293534 501(C)(3) 14,500 0     COMMUNITY SUPPORT
(59) FOLDS OF HONOR SOUTH DAKOTA
PO BOX 91541
SIOUX FALLS,SD57109
30-1250357 501(C)(3) 5,500 0     COMMUNITY SUPPORT
(60) FORWARD SIOUX FALLS
PO BOX 907
SIOUX FALLS,SD57101
46-0396647 501(C)(6) 250,000 0     ECONOMIC DEVELOPMENT
(61) FRESH START SURGICAL GIFTS
2011 PALOMAR AIRPORT RD STE 206
CARLSBAD,CA92011
33-0460177 501(C)(3) 75,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(62) FRIENDS OF LEVITT SHELL SIOUX FALLS
400 N MAIN AVE SUITE 202
SIOUX FALLS,SD57104
61-1699910 501(C)(3) 15,000 0     ECONOMIC DEVELOPMENT
(63) GATEWAY TO SCIENCE CENTER INC
1810 SCHAFER STREET STE 1
BISMARCK,ND58501
45-0443517 501(C)(3) 10,000 0     ECONOMIC DEVELOPMENT
(64) GIRL SCOUTS DAKOTA HORIZONS
1101 S MARION ROAD
SIOUX FALLS,SD57106
46-0250744 501(C)(3) 13,100 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY SUPPORT, WORKFORCE DEVELOPMENT
(65) GRAND FORKS REGION ECONOMIC DEVELOPMENT
120 NORTH 4TH STREET
GRAND FORKS,ND58203
45-0410198 501(C)(6) 10,000 0     ECONOMIC DEVELOPMENT
(66) GREAT NORTH POLE
675 13TH AVE E STE 101
WEST FARGO,ND58078
82-1969429 501(C)(3) 29,120 0     COMMUNITY SUPPORT
(67) GREATER NORTH DAKOTA CHAMBER
PO BOX 2639
BISMARCK,ND58502
45-0141100 501(C)(6) 16,300 0     ECONOMIC DEVELOPMENT
(68) GREATLIFE CARES FOUNDATION
3800 W 53RD ST
SIOUX FALLS,SD57106
47-2447820 501(C)(3) 40,185 0     COMMUNITY SUPPORT
(69) HARRISBURG BASEBALL ASSOCIATION
PO BOX 434
HARRISBURG,SD57032
27-0606157 501(C)(3) 25,000 0     ECONOMIC DEVELOPMENT
(70) HARRISBURG SCHOOL DISTRICT
200 WILLOW ST
HARRISBURG,SD57032
46-6002218 115 132,300 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, PHYSICAL IMPROVEMENT AND HOUSING
(71) HARTFORD
125 N MAIN AVE
HARTFORD,SD57033
46-0354618 501(C)(3) 10,000 0     ECONOMIC DEVELOPMENT
(72) HELPLINE CENTER INC
1000 N WEST AVE STE 310
SIOUX FALLS,SD571041314
23-7424387 501(C)(3) 10,000 0     COMMUNITY SUPPORT
(73) HERO
914 SOUTH DRIVE S
FARGO,ND58104
45-0457109 501(C)(3) 33,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(74) HUETHER FAMILY MATCH POINTE
4210 N BOBHALLA DR
SIOUX FALLS,SD57107
45-2784394 501(C)(3) 25,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(75) IMMIGRANT DEVELOPMENT CENTER
810 4TH AVENUE SUITE 100
SOUTH MOORHEAD,MN56560
20-3368647 501(C)(3) 12,000 0     WORKFORCE DEVELOPMENT
(76) INDEPENDENT SCHOOL DISTRICT 152
1313 30TH AVE S
MOORHEAD,MN56560
41-6008721 501(C)(3) 140,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(77) INTERNATIONAL ESPERANZA PROJECT (IEP)
3141 HOOD STREET SUITE 800
DALLAS,TX75219
81-5106545 501(C)(3) 30,296 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(78) JAMESTOWN AREA CHAMBER OF COMMERCE
120 2ND ST SE
JAMESTOWN,ND58401
45-0116780 501(C)(6) 5,750 0     ECONOMIC DEVELOPMENT
(79) JAMESTOWN PARKS AND RECREATION
1002 2ND AVE SE
JAMESTOWN,ND58401
45-6002100 115 10,920 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, COMMUNITY SUPPORT, ECONOMIC DEVELOPMENT
(80) JUNIOR ACHIEVEMENT
300 S PHILLIPS AVE STE L102
SIOUX FALLS,SD57104
46-0306352 501(C)(3) 15,650 0     WORKFORCE DEVELOPMENT
(81) LAKE AGASSIZ HABITAT FOR HUMANITY
210 11TH ST N
MOORHEAD,MN56560
41-1690131 501(C)(3) 10,000 0     PHYSICAL IMPROVEMENTS AND HOUSING
(82) LAKOTA NATION INVITATIONAL
PO BOX 3140
RAPID CITY,SD57709
46-1310975 501(C)(3) 7,000 0     WORKFORCE DEVELOPMENT
(83) LEADERSHIP SOUTH DAKOTA
PO BOX 91533
SIOUX FALLS,SD57109
82-0880122 501(C)(3) 25,000 0     LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS
(84) LEGENDS OF GOLD
PO BOX 287
BERESFORD,SD57004
27-3794971 501(C)(3) 20,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(85) LOST & FOUND
319 N MAIN AVE
SIOUX FALLS,SD57104
45-4306370 501(C)(3) 6,000 0     COMMUNITY SUPPORT
(86) LUVERNE AREA COMMUNITY FOUNDATION
102 E MAIN ST
LUVERNE,MN56156
41-1512905 501(C)(3) 9,680 0     ECONOMIC DEVELOPMENT
(87) MAKE A WISH
1400 W 17TH ST
SIOUX FALLS,SD57104
46-0375953 501(C)(3) 10,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(88) MAYPORT YOUTH CENTER
PO BOX 302
PORTLAND,ND58274
45-0453349 501(C)(3) 25,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(89) MCCROSSAN BOYS RANCH
47135 260TH STREET
SIOUX FALLS,SD57107
46-0311913 501(C)(3) 13,075 0     COMMUNITY SUPPORT
(90) MCKENZIE COUNTY HEALTHCARE SYSTEM
709 4TH AVE NE
WATFORD CITY,ND58854
77-0637498 501(C)(3) 100,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(91) MINNESOTA STATE UNIVERSITY - MANKATO (MSU)
236 WIGLEY ADMINISTRATION CTR
MANKOTA,MN56001
41-6033423 501(C)(3) 200,000 0     WORKFORCE DEVELOPMENT
(92) MN WEST FOUNDATION
1593 11TH AVENUE
GRANITE FALLS,MN56241
36-3266500 501(C)(3) 10,500 0     WORKFORCE DEVELOPMENT
(93) MOORHEAD YOUTH HOCKEY ASSOCIATION
707 SE MAIN AVE
MOORHEAD,MN56560
23-7221429 501(C)(3) 50,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(94) NATIONAL KIDNEY FOUNDATION
30 EAST 33RD STREET
NEW YORK,NY10016
13-1673104 501(C)(3) 9,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(95) NORTH DAKOTA STATE COLLEGE OF SCIENCE FOUNDATION AT WAHPETON NORTH DAKOTA
800 6TH ST N
WAHPETON,ND58076
45-0407617 501(C)(3) 230,000 0     WORKFORCE DEVELOPMENT
(96) NORTH DAKOTA STATE UNIVERSITY (NDSU)
PO BOX 6050
FARGO,ND581086050
45-6002439 115 2,346,667 0     ECONOMIC DEVELOPMENT, HEALTH PROFESSIONS EDUCATION
(97) NORTHERN SUN INTERCOLLEGIATE CONFERENCE (NSIC)
2999 COUNTY RD 42 W
BURNSVILLE,MN55306
41-1783486 501(C)3 35,000 0     ECONOMIC DEVELOPMENT
(98) NORTHWEST MN FOUNDATION
201 3RD ST NW
BEMIDJI,MN56601
41-1556013 501(C)(3) 25,350 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, HEALTH PROFESSIONS EDUCATION
(99) NORTHWOODS BATTERED WOMEN'S SHELTER
PO BOX 563
BEMIDJI,MN566190563
41-1333404 501(C)(3) 10,000 0     PHYSICAL IMPROVEMENTS AND HOUSING
(100) OAHE FAMILY YMCA
900 E CHURCH ST
PIERRE,SD57501
23-7169291 501(C)(3) 20,000 0     COMMUNITY SUPPORT
(101) OAK GROVE LUTHERAN SCHOOL
124 N TERRACE
FARGO,ND58102
45-0226473 115 20,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(102) PARKER SCHOOL DISTRICT
BOX 517
PARKER,SD57053
46-6003129 115 10,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(103) PATT TILLMAN FOUNDATION
180 N LASALLE ST STE 2910
CHICAGO,IL60601
20-1072336 501(C)(3) 40,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(104) PROJECT CAR RIDES FOR WELL BEING
2425 S WESTERN AVE
SIOUX FALLS,SD57105
46-0358227 501(C)(3) 10,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(105) RAPID CITY CLUB FOR BOYS
320 N 4TH ST
RAPID CITY,SD57701
46-0277778 501(C)(3) 12,500 0     COMMUNITY SUPPORT
(106) REBUILDING TOGETHER FARGO-MOORHEAD INC
505 BROADWAY N STE 206
FARGO,ND58102
27-4415410 501(C)(3) 10,000 0     PHYSICAL IMPROVEMENTS AND HOUSING
(107) ROCK FROM THE HEART
638 MONTROSE AVE
DELANO,MN55328
84-2009806 501(C)(3) 6,550 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(108) RONALD MCDONALD HOUSE CHARITIES OF SD
825 S LAKE ROAD
SIOUX FALLS,SD57104
46-0371152 501(C)(3) 35,000 0     COMMUNITY SUPPORT
(109) SAMARITANS FEET
PO BOX 78992
CHARLOTTE,NC282717045
14-1880905 501(C)(3) 50,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(110) SD CATTLEMEN'S FOUNDATION
PO BOX 29
DE SMET,SD57231
46-2773322 501(C)(3) 10,750 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(111) SD COMMUNITY FOUNDATION
1714 N LINCOLN AVE
PIERRE,SD57501
46-0398115 501(C)(3) 1,250,000 0     WORKFORCE DEVELOPMENT
(112) SD HALL OF FAME
1480 SOUTH MAIN
CHAMBERLAIN,SD57325
46-0324210 501(C)(3) 15,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES, ECONOMIC DEVELOPMENT
(113) SD LAW ENFORCEMENT CHARITIES
101 SOUTH MAIN AVE STE 100
SIOUX FALLS,SD57104
46-0440378 501(C)(3) 10,000 0     COMMUNITY SUPPORT
(114) SD MILITARY HERITAGE ALLIANCE INC
1600 W RUSSELL ST
SIOUX FALLS,SD57104
83-2381925 501(C)(3) 250,000 0     PHYSICAL IMPROVEMENTS AND HOUSING
(115) SD SYMPHONY ORCHESTRA
300 NORTH DAKOTA AVE STE 116
SIOUX FALLS,SD57104
46-6017026 501(C)(3) 20,000 0     ECONOMIC DEVELOPMENT
(116) SD YOUTH SOCCER ASSOCIATION
2127 S MINNESOTA AVE STE 201
SIOUX FALLS,SD57105
23-7183054 501(C)(3) 25,000 0     COMMUNITY SUPPORT
(117) SEATTLE CHILDREN'S HOSPITAL
PO BOX 5371 M/S RC-507
SEATTLE,WA981455005
91-0564748 501(C)(3) 250,000 0     RESEARCH
(118) SECURED MY SCHOOL
2908 W 37TH CIRCLE STE 603
SIOUX FALLS,SD57105
92-0653421 501(C)(3) 6,000 0     COMMUNITY SUPPORT
(119) SF AREA CASA PROGRAM
PO BOX 1901
SIOUX FALLS,SD57101
46-0430647 501(C)(3) 10,000 0     COMMUNITY SUPPORT
(120) SF HOPE COALITION
2601 S MINNESOTA AVE
SIOUX FALLS,SD57105
82-2097994 501(C)(3) 7,500 0     COALITION BUILDING
(121) SF POWER HOCKEY
5808 S PRAIRIE VIEW CT
SIOUX FALLS,SD57108
47-1795011 501(C)(3) 40,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(122) SF PUBLIC SCHOOLS EDUCATION FOUNDATION
PO BOX 560
SIOUX FALLS,SD57101
26-3537657 501(C)(3) 15,000 0     WORKFORCE DEVELOPMENT
(123) SF SWIM TEAM
PO BOX 758
SIOUX FALLS,SD57101
46-0343732 501(C)(3) 25,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(124) SF WOMEN RUN
5235 S SWEETBRIAR CT
SIOUX FALLS,SD57108
81-3518734 501(C)(6) 15,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(125) SHELDON COMMUNITY SCHOOL DISTRICT
1700 E 4TH STREET
SHELDON,IA51201
42-6038825 115 30,000 0     PHYSICAL IMPROVEMENTS AND HOUSING
(126) SHILOH CHRISTIAN SCHOOL
1915 SHILOH DR
BISMARCK,ND58503
45-0348120 501(C)(3) 10,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(127) SIOUX EMPIRE TRIAGE CENTER
132 N DAKOTA AVE
SIOUX FALLS,SD57104
84-4806781 501(C)(3) 300,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(128) SIOUX EMPIRE UNITED WAY
1000 N W AVE 120
SIOUX FALLS,SD571041314
46-0233701 501(C)(3) 136,500 0     COALITION BUILDING, COMMUNITY SUPPORT
(129) SIOUX FALLS AREA COMMUNITY FOUNDATION
200 N CHERAPA PL
SIOUX FALLS,SD57103
31-1748533 501(C)(3) 49,175 0     COMMUNITY SUPPORT, ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS AND HOUSING
(130) SIOUX FALLS CHRISTIAN SCHOOL
6120 S CHARGER CIRCE
SIOUX FALLS,SD57108
46-0340024 501(C)(3) 104,800 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(131) SIOUX FALLS SCHOOL DISTRICT 49-5
201 E 38TH ST
SIOUX FALLS,SD57105
46-6002586 115 310,000 0     COMMUNITY SUPPORT, COMMUNITY HEALTH IMPROVEMENT SERVICES, PHYSICAL IMPROVEMENTS AND HOUSING, WORKFORCE DEVELOPMENT
(132) SIOUX FALLS SPORTS AUTHORITY
200 N PHILLIPS AVE SUITE 304
SIOUX FALLS,SD57104
20-5850491 501(C)(3) 7,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(133) SLEEPY HOLLOW THEATRE & ARTS PARK
PO BOX 675
BISMARCK,ND58502
45-0424373 501(C)(3) 6,000 0     COMMUNITY SUPPORT
(134) SOUTH DAKOTA GOLF ASSOCIATION (SDGA)
PO BOX 88938
SIOUX FALLS,SD57109
46-0310847 501(C)(4) 25,000 0     COMMUNITY SUPPORT
(135) SOUTH DAKOTA GOLF ASSOCIATION JUNIOR GOLF FOUNDATION
PO BOX 88938
SIOUX FALLS,SD57109
46-0449824 501(C)(3) 35,000 0     COMMUNITY SUPPORT
(136) SOUTH DAKOTA HIGH SCHOOL ACTIVITIES ASSOCIATION (SDHSAA)
804 N EUCLID AVE SUITE 102
PIERRE,SD57501
46-0226282 501(C)(3) 62,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(137) SOUTH DAKOTA PARTNERS IN EDUCATION
PO BOX 886
SIOUX FALLS,SD57101
81-3704298 501(C)(3) 616,922 0     WORKFORCE DEVELOPMENT
(138) SOUTH DAKOTA STATE UNIVERSITY (SDSU) FOUNDATION
815 MEDARY AVE
BROOKINGS,SD57007
46-0273801 501(C)(3) 2,125,000 0     ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENTS AND HOUSING, WORKFORCE DEVELOPMENT
(139) SOUTH SUDANESE FOUNDATION
2037 67TH AVE S
FARGO,ND58104
83-4476088 501(C)(3) 20,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(140) SOUTHWEST MINNESOTA STATE UNIVERSITY (SMSU)
1501 STATE ST
MARCHALL,MN56258
41-1687554 115 100,000 0     WORKFORCE DEVELOPMENT
(141) STATE OF SOUTH DAKOTA
500 E CAPITOL
PIERRE,SD57501
46-6000364 115 1,432,412 0     ECONOMIC DEVELOPMENT, PHYSICAL IMPROVEMENT AND HOUSING, HEALTH PROFESSIONS EDUCATION, WORKFORCE DEVELOPMENT
(142) SUMMIT LEAGUE
4000 N HERCULES AVE STE 200
SIOUX FALLS,SD571071401
39-1417116 501(C)(3) 0 85,000 FAIR VALUE DONATION OF RENTAL SPACE COMMUNITY SUPPORT
(143) TEA AREA SCHOOL DISTRICT 41-5
131 N POPLAR AVE
TEA,SD57064
74-3076050 115 25,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(144) TEDDY BEAR DEN
500 S MAIN AVENUE
SIOUX FALLS,SD57104
31-1802800 501(C)(3) 22,500 0     COMMUNITY SUPPORT
(145) THIEF RIVER FALLS SCHOOLS
230 LABREE AVENUE SOUTH
THIEF RIVER FALLS,MN56701
41-6003126 115 12,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(146) UND ALUMNI FOUNDATION
3501 UNIVERSITY AVE STOP 8157
GRAND FORKS,ND58202
45-0348296 501(C)(3) 1,036,571 0     ECONOMIC DEVELOPMENT, WORKFORCE DEVELOPMENT
(147) UNITED WAY OF BEMIDJI AREA
PO BOX 27
BEMIDJI,MN56619
41-1567744 501(C)(3) 48,000 0     COALITION BUILDING
(148) UNITED WAY OF CASS-CLAY
PO BOX 1609
FARGO,ND581071609
41-0810008 501(C)(3) 102,310 0     COALITION BUILDING, ECONOMIC DEVELOPMENT
(149) UNITED WAY OF DOUGLAS AND POPE COUNTY
503 HAWTHORNE ST
ALEXANDRIA,MN56308
23-7450908 501(C)(3) 7,250 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(150) UNITED WAY OF GRAND FORKS EAST GRAND FORKS & AREA
1013 N 5TH ST
GRAND FORKS,ND58203
45-0255772 501(C)(3) 10,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(151) UNITED WAY OF NORTHEASTERN SD
PO BOX 1065
ABERDEEN,SD574021065
23-7086355 501(C)(3) 10,000 0     COALITION BUILDING
(152) UNIVERSITY OF JAMESTOWN
6085 COLLEGE LANE
JAMESTOWN,ND58405
45-0231180 501(C)(3) 125,500 0     COMMUNITY SUPPORT, ECONOMIC DEVELOPMENT
(153) UNIVERSITY OF MARY
7500 UNIVERSITY DR
BISMARCK,ND58504
45-0273403 501(C)(3) 647,249 0     COMMUNITY SUPPORT, ECONOMIC DEVELOPMENT, HEALTH PROFESSIONS EDUCATION, WORKFORCE DEVELOPMENT
(154) UNIVERSITY OF SOUTH DAKOTA (USD)
1110 N DAKOTA ST
VERMILLION,SD57069
46-6018891 501(C)(3) 3,604,552 0     ECONOMIC DEVELOPMENT, HEALTH PROFESSIONS EDUCATION, RESEARCH, WORKFORCE DEVELOPMENT
(155) VALLEY CITY STATE UNIVERSITY
101 COLLEGE ST SW
VALLEY CITY,ND58072
45-6002482 501(C)(3) 50,000 0     WORKFORCE DEVELOPMENT
(156) VETERANS AFFAIRS
810 VERMONT AVE NW
WASHINGTON,DC20420
54-0846950 115 0 11,758,005 COST SERVICES - PGX TESTING FOR VETERANS COMMUNITY HEALTH IMPROVEMENT SERVICES
(157) VETERANS COMMUNITY PROJECT
8900 TROOST
KANSAS CITY,MO64131
47-4960735 501(C)(3) 60,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(158) VETERANS HONOR FLIGHT OF NDMN
PO BOX 294
HUNTER,ND58048
47-3473590 501(C)(3) 7,500 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(159) VILLAGE FAMILY SERVICE CENTER
1201 25TH ST
FARGO,ND58106
45-0226423 501(C)(3) 100,000 0     COALITION BUILDING
(160) VILLAGE NORTHWEST UNLIMITED SHELDON IA
330 VILLAGE CIRCLE
SHELDON,IA51201
42-1044017 501(C)(3) 10,000 0     COMMUNITY SUPPORT
(161) VOLUNTEERS OF AMERICA DAKOTAS
PO BOX 89306
SIOUX FALLS,SD57109
23-7353508 501(C)(3) 10,000 0     COMMUNITY SUPPORT
(162) WARNER SCHOOL DISTRICT
PO BOX 20
WARNER,SD57479
20-4606639 501(C)(3) 10,000 0     PHYSICAL IMPROVEMENTS AND HOUSING
(163) WASHINGTON PAVILION
301 S MAIN AVE
SIOUX FALLS,SD57104
46-0435791 501(C)(3) 50,000 0     ECONOMIC DEVELOPMENT
(164) WATERTOWN DEVELOPMENT COMPANY
PO BOX 332
WATERTOWN,SD57201
47-0813269 501(C)(6) 15,000 0     ECONOMIC DEVELOPMENT
(165) WEBSTER ACTIVE LIVING TRAIL
PO BOX 539
WEBSTER,SD57274
46-6000530 115 7,143 0     PHYSICAL IMPROVEMENTS AND HOUSING
(166) WEST CENTRAL SCHOOL DISTRICT
PO BOX 252
HARTFORD,SD57033
46-0284421 115 24,800 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(167) WILLISTON PUBLIC SCHOOLS
820 E BROADWAY
WILLISTON,ND58801
86-1316289 115 15,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(168) WINGS OF VALOR INC
45618 278TH ST
PARKER,SD57053
84-3711088 501(C)(3) 50,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(169) WINNER REGIONAL FOUNDATION
745 EAST 8TH STREET
WINNER,SD57580
36-3739631 501(C)(3) 100,000 0     COMMUNITY HEALTH IMPROVEMENT SERVICES
(170) WORTHINGTON PUBLIC SCHOOLS
1117 MARINE AVE
WORTHINGTON,MN561871610
41-6008522 115 110,000 0     COMMUNITY HEALTH IMPROVEMENTS, PHYSICAL IMPROVEMENTS AND HOUSING
(171) YELLOW JACKET FOUNDATION
1200 UNIVERSITY ST UNIT 9506
BELLE FOURCHE,SD57717
51-0151319 501(C)(3) 155,200 0     ECONOMIC DEVELOPMENT
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
159
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
13
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) Rev. 1-2025

Schedule I (Form 990) Rev. 1-2025
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1) GENERAL SUPPORT FOR COMMUNITY PROGRAMS 1063 20,609   COST SANFORD CARES CHRISTMAS PROGRAM; WHICH INCLUDES PHYSICAL ACTIVITES, BACKPACKS AND $25 GIFT CARDS. THE NUMBER OF RECIPIENTS WAS ESTIMATED BASED ON THE QUANTITY OF GIFTS AND OTHER ITEMS LISTED ON THE APPLICABLE INVOICES.
(2) YOUTH SPORTS PROGRAM ASSISTANCE 576 70,000   COST ASSISTANCE FOR UNIFORMS, WARMUPS, GYM RENTALS, AND TRAVEL EXPENSES. THE NUMBER OF RECIPIENTS WAS DETERMINED BY MULTIPLYING THE APPROXIMATE NUMBER OF TEAMS THAT PARTICIPATE IN THESE PROGRAMS EACH YEAR BY THE APPROXIMATE NUMBER IF PLAYERS PER TEAM.
(3) SCHOLARSHIPS 38 103,000   COST THE SANFORD HEALTH EQUITY IN EDUCATION SCHOLARSHIP IS A TARGETED FINANCIAL SCHOLARSHIP PROGRAM AIDING UNDERREPRESENTED AND TRADITIONALLY UNDERSERVED POPULATIONS SEEKING HIGHER EDUCATION. AN AMOUNT OF $5,000 WAS AWARDED TO FIVE DIFFERENT INDIVIDUALS IN 2024. THE SANFORD HEALTH MILITARY AND VETERAN SCHOLARSHIP IS AWARDED TO ANY VETERAN, GUARD/RESERVE, OR ACTIVE-DUTY MILITARY SERVICE MEMBER WHO HAS DEMONSTRATED EXCEPTIONAL CHARACTER AND LEADERSHIP IN FURTHERING THEIR OWN PROGRESS AND IN ENRICHING THE LIVES OF OTHERS. AN AMOUNT OF $5,000 WAS AWARDED TO FOUR DIFFERENT INDIVIDUALS IN 2024. THE SANFORD HEALTH NETWORK SCHOLARSHIP OFFERS FINANCIAL SUPPORT FOR STUDENTS WHO ARE CONTINUING EDUCATION IN A FIELD THAT CAN ENHANCE THEIR CONTRIBUTIONS ACROSS SANFORD'S FOOTPRINT. BY OFFERING THIS SCHOLARSHIP, SANFORD IS MAKING AN INVESTMENT IN OUR REGION'S FUTURE WORKFORCE AND ALL THE COMMUNITIES WE SERVE. AN AMOUNT OF $2,000 WAS AWARDED TO 29 DIFFERENT INDIVIDUALS IN 2024.
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
PART I, LINE 2: PRIOR TO DISBURSEMENT ALL GRANT FUND REQUESTS ARE REVIEWED TO ENSURE THE RECEIVING ORGANIZATION AND PROPOSED USE OF FUNDS ALIGN WITH SANFORD'S MISSION.
Schedule I (Form 990) Rev. 1-2025



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic Attach to Form 990.
medium right arrow graphic Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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 on 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 on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on 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
 
No
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), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on 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
Yes
 
b
Any related organization? .......................
5b
Yes
 
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on 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
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1BILL GASSEN
TRUSTEE, PRESIDENT & CEO
(i)

(ii)
0
-------------
2,334,458
0
-------------
1,624,395
0
-------------
455,266
0
-------------
584,349
0
-------------
892
0
-------------
4,999,360
0
-------------
0
2WILLIAM BRUNNER MD
PHYSICIAN
(i)

(ii)
3,282,364
-------------
0
0
-------------
0
4,629
-------------
0
16,627
-------------
0
29,937
-------------
0
3,333,557
-------------
0
0
-------------
0
3ADAM STYS MD
PHYSICIAN
(i)

(ii)
2,941,668
-------------
0
0
-------------
0
308,522
-------------
0
17,250
-------------
0
35,853
-------------
0
3,303,293
-------------
0
0
-------------
0
4MATT HOCKS
EVP, CHIEF OPERATING OFFICER
(i)

(ii)
0
-------------
1,499,992
0
-------------
1,059,337
0
-------------
239,116
0
-------------
240,957
0
-------------
35,576
0
-------------
3,074,978
0
-------------
0
5TOMASZ STYS MD
PHYSICIAN
(i)

(ii)
2,748,910
-------------
0
0
-------------
0
163,027
-------------
0
17,250
-------------
0
30,815
-------------
0
2,960,002
-------------
0
0
-------------
0
6ERIC BELANGER MD
PHYSICIAN
(i)

(ii)
2,882,758
-------------
0
0
-------------
0
2,322
-------------
0
16,457
-------------
0
25,505
-------------
0
2,927,042
-------------
0
0
-------------
0
7ALEXANDER DROFA MD
PHYSICIAN
(i)

(ii)
2,821,625
-------------
0
0
-------------
0
14,292
-------------
0
17,250
-------------
0
30,965
-------------
0
2,884,132
-------------
0
0
-------------
0
8SCOTT WOOTEN
EVP, CFO (END 4/24)
(i)

(ii)
0
-------------
245,207
0
-------------
0
0
-------------
2,280,001
0
-------------
43,522
0
-------------
7,698
0
-------------
2,576,428
0
-------------
0
9JENNIFER GRENNAN
EVP, CHIEF ADMIN OFFICER
(i)

(ii)
0
-------------
1,020,580
0
-------------
803,726
0
-------------
167,304
0
-------------
172,875
0
-------------
34,977
0
-------------
2,199,462
0
-------------
0
10MICHAEL LEBEAU MD
SVP, HEALTH SVC OPERATIONS
(i)

(ii)
0
-------------
1,034,038
0
-------------
613,493
0
-------------
177,333
0
-------------
174,475
0
-------------
35,213
0
-------------
2,034,552
0
-------------
0
11PAUL HANSON
PRESIDENT & CEO, SIOUX FALLS
(i)

(ii)
0
-------------
858,148
0
-------------
466,466
0
-------------
147,266
0
-------------
146,495
0
-------------
26,440
0
-------------
1,644,815
0
-------------
0
12TIFFANY LAWRENCE
PRESIDENT & CEO, FARGO
(i)

(ii)
0
-------------
832,476
0
-------------
456,270
0
-------------
137,506
0
-------------
143,293
0
-------------
36,152
0
-------------
1,605,697
0
-------------
0
13TODD SCHAFFER
PRESIDENT & CEO, BISMARCK
(i)

(ii)
0
-------------
715,457
0
-------------
385,548
0
-------------
123,454
0
-------------
124,825
0
-------------
2,692
0
-------------
1,351,976
0
-------------
0
14NICK OLSON
EVP, CFO (BEG 4/24)
(i)

(ii)
0
-------------
783,688
0
-------------
138,354
0
-------------
125,834
0
-------------
122,494
0
-------------
892
0
-------------
1,171,262
0
-------------
0
15SUSAN JARVIS
FORMER PRESIDENT & CEO, BEMIDJI
(i)

(ii)
0
-------------
654,160
0
-------------
169,974
0
-------------
96,472
0
-------------
117,675
0
-------------
28,660
0
-------------
1,066,941
0
-------------
0
16BILL MARLETTE
INTERIM, EVP, CFO (END 1/24)
(i)

(ii)
0
-------------
420,002
0
-------------
470,299
0
-------------
4,000
0
-------------
0
0
-------------
275
0
-------------
894,576
0
-------------
0
17KARLA EISCHENS
PRESIDENT & CEO, BEMIDJI
(i)

(ii)
0
-------------
417,820
0
-------------
231,329
0
-------------
80,461
0
-------------
81,795
0
-------------
25,873
0
-------------
837,278
0
-------------
0
18ANDY NORTH
TRUSTEE, SECRETARY, INDEP CONTRACTOR
(i)

(ii)
379,383
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
379,383
-------------
0
0
-------------
0
19MICHELLE BRUHN
FORMER EVP, CFO & TREASURER
(i)

(ii)
0
-------------
0
0
-------------
293,725
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
293,725
0
-------------
0
20BRYAN NERMOE
FORMER PRESIDENT & CEO, FARGO
(i)

(ii)
0
-------------
0
0
-------------
0
0
-------------
252,724
0
-------------
0
0
-------------
0
0
-------------
252,724
0
-------------
0
21DON JACOBS
FORMER TRUSTEE
(i)

(ii)
13,502
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
13,502
-------------
0
0
-------------
0
Schedule J (Form 990) (Rev. 1-2025)

Schedule J (Form 990) (Rev. 1-2025)
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A ON PART I, QUESTIONS REGARDING COMPENSATION, SANFORD CHECKED SEVERAL OF THE ITEMS AS PROVIDED TO LISTED PERSONS: CHARTER TRAVEL IS PERMITTED FOR BUSINESS PURPOSES WHEN APPROVED AS NECESSARY AND REASONABLE BY EXECUTIVE LEADERSHIP. THESE COSTS ARE NOT INCLUDED IN THE W-2'S OF EMPLOYEES BECAUSE THEY ARE INCURRED FOR BUSINESS PURPOSES OF SANFORD. CHARTER AIR TRAVEL FOR PERSONAL USE WAS PROVIDED TO ONE OFFICER. THE ENTIRE BENEFIT WAS TREATED AS TAXABLE COMPENSATION. FOR INTERNATIONAL TRAVEL OUTSIDE OF NORTH AMERICA WITH FLIGHT TIMES IN EXCESS OF 6 HOURS, SANFORD REIMBURSES THE COST OF A BUSINESS CLASS TICKET. TRAVEL FOR COMPANIONS - LIMITED TRAVEL FOR COMPANIONS IS OFFERED FOR CERTAIN MEETINGS AND EVENTS. THESE COSTS ARE INCLUDED IN THE W-2'S OR 1099'S OF THE INDIVIDUALS. FOR CHARTER AIR TRAVEL, SANFORD USES THE SIFL (STANDARD INDUSTRY FARE LEVEL) RATE METHOD TO IMPUTE THE FRINGE BENEFIT TO THE EMPLOYEE, OFFICER OR TRUSTEE. TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - CERTAIN COMPENSATION MAY BE GROSSED UP TO INCLUDE APPROPRIATE TAX AMOUNTS.
PART I, LINE 3 SANFORD ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES APPROVES ALL COMPENSATION CHANGES FOR THE CEO IN ADVANCE, RELIES ON THE MARKET DATA PROVIDED BY THE INDEPENDENT CONSULTING FIRM IN MAKING CHANGES, AND DOCUMENTS THE BASIS FOR ANY CHANGES IN COMMITTEE MINUTES.
PART I, LINES 4A-B LINE 4A-SEVERANCE OR CHANGE OF CONTROL PAYMENT UPON HIRE OR PROMOTION, SELECT OFFICERS AND KEY EMPLOYEES SIGN AN EXECUTIVE SEVERANCE AGREEMENT (THE "AGREEMENT"). THE AGREEMENT PROVIDES THAT THE EXECUTIVE WILL RECEIVE A MULTIPLE OF HIS OR HER SALARY (BASED ON YEARS OF SERVICE OR POSITION) AS A PAYMENT IN THE EVENT OF A DEFINED SEPARATION EVENT, WHICH CAN INCLUDE AN INVOLUNTARY SEPARATION OR AN EMPLOYEE VOLUNTARILY LEAVING FOR A DEFINED CONTRACTUAL REASON. EXECUTIVES MAY ALSO QUALIFY FOR THE PAYMENT AFTER SATISFYING THE CONDITIONS OF THE NON-COMPETE. FINAL SEPARATION PAYMENTS MIGHT VARY FROM THE AMOUNT PROVIDED IN THE AGREEMENT AS A RESULT OF NEGOTIATIONS SURROUNDING POST-SEPARATION OBLIGATIONS AND INCENTIVES (THE "SEPARATION" PAYMENT). LINE 4B - SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS FOR EXECUTIVES, A PORTION OF THE RETIREMENT AND OTHER DEFERRED COMPENSATION REPORTED RELATES TO A 457(F) SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. THIS PLAN PROVIDES FOR A SUBSTANTIAL RISK OF FORFEITURE AND THERE IS NO GUARANTEE THAT ANY AMOUNT WILL ULTIMATELY BE PAID. SANFORD SPONSORS NONQUALIFIED RETIREMENT PLANS FOR SELECT OFFICERS OR KEY EMPLOYEES. CERTAIN OF THE BELOW OFFICERS OR KEY EMPLOYEES WERE PAID AS A RESULT OF A VESTING EVENT. LINES 4A AND 4B - PAYMENTS THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS AND/OR SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS: SCOTT WOOTEN: SEPARATION..................................$2,143,876 NONQUALIFIED RETIREMENT PLAN...................$33,255 TOTAL.......................................$2,177,131 BRYAN NERMOE: NON-COMPETE PAYMENT...........................$252,724
PART I, LINE 5 SANFORD PHYSICIANS ARE COMPENSATED BASED ON THE PROFESSIONAL SERVICES THEY PERFORM WITHIN THE CLINIC IN WHICH THEY PROVIDE CARE. GENERALLY, THE MODEL IS BASED ON PRODUCTION.
PART I, LINE 7 A MATERIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED TO ACHIEVING ORGANIZATIONAL GOALS RELATED TO QUALITY OF CARE, PATIENT EXPERIENCE, EMPLOYEE EXPERIENCE AND FINANCIAL PERFORMANCE. THE GOALS ARE SET IN ADVANCE AND APPROVED BY THE BOARD OF TRUSTEES.
Schedule J (Form 990) (Rev. 1-2025)

Additional Data


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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
Attach to Form 990.

Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SANFORD GROUP RETURN
 
Employer identification number
45-3791176
Part
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 2004: NEW CONSTRUCTION OF HEALTHCARE FACILITIES   X   X   X
B CITY OF CHAMBERLAIN
 
46-0000094 000000000 12-30-2010 4,000,000 2010 CHAMB: NEW CONSTRUCTION OF LONG-TERM CARE FACILITIES   X   X   X
C SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 000000000 03-29-2012 66,185,000 2012AB: REFUNDING BONDS ISSUED 9/12/2001 AND 10/15/2002   X   X   X
D SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 000000000 06-14-2012 45,000,000 2012D:REFINANCE TAXABLE INDEBTEDNESS USED TO CONSTRUCT HEALTHCARE FACILITY   X   X   X
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 83755VWA8 08-05-2014 52,083,720 2014A: CURRENT REFUND 2004A ISSUED 9/14/2004   X   X   X
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 83755VXE9 10-28-2014 207,014,209 2014B: NEW CONSTRUCTION AND REMODELING OF HEALTHCARE FACILITIES   X   X   X
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 83755VZW7 10-21-2015 192,641,206 2015:NEW CONSTRUCTION & ADVANCED REFUNDING OF BONDS ISSUED 4/19/07, 5/22/07   X   X   X
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 000000000 10-28-2016 50,000,000 2016: NEW CONSTRUCTION, EQUIPMENT AND IMPROVEMENTS   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 58,375,000 3,636,506 46,015,000 23,800,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 71,581,953 4,000,000 66,185,000 45,000,000
4 Gross proceeds in reserve funds ............. 191,513 6,903 7,065  
5 Capitalized interest from proceeds .............   31,874    
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 764,068 1,906,127 24,356 150,032
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 70,817,885 4,000,000 110,529,233 45,000,000
11 Other spent proceeds ............. 52,083,720   66,160,644  
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2006 2010 2012 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X     X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
Part
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   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
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 .... 0 % 0 % 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 ......... 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X     X X  
c No rebate due? ......... X     X X     X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified 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 the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (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? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/14/2006 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/29/2013 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/30/2019 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/12/2020
SCHEDULE K, PART I, BOND ISSUES BONDS ISSUED 10/28/2014, COLUMN(C) CUSIP #: 83755VXF6 AND 83755VXE9 BONDS ISSUED 9/14/2004, COLUMN(C) CUSIP #: 83755VHY3 AND 83755VHZ0
PART I, COLUMN E AND PART II, LINE 3 BONDS ISSUED 10/28/2014, COLUMN(C) CUSIP #: 83755VXF6 AND 83755VXE9 BONDS ISSUED 10/21/2015, COLUMN(C) CUSIP #: 83755VZW7 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN E) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.
PART II, LINE 4 BONDS ISSUED 08/05/2014, COLUMN(C) CUSIP #: 83755VWA8 BONDS ISSUED 10/28/2014, COLUMN(C) CUSIP #: 83755VXF6 AND 83755VXE9 BONDS ISSUED 10/21/2015, COLUMN(C) CUSIP #: 83755VZW7 THE AMOUNTS SHOWN HERE CONSIST OF DEBT SERVICE FUND DEPOSITS.
PART III PART III HAS NOT BEEN COMPLETED FOR THE 3/29/2012 SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY BONDS. THESE BONDS REFUNDED PRE-2003 DEBT THAT DOES NOT HAVE TO BE REPORTED.
PART IV, LINE 6 WITH RESPECT TO THE 3/29/2012 AND 10/21/2015 SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY BONDS, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF BONDS.
Schedule K (Form 990) (Rev. 1-2025)

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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
Attach to Form 990.

Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SANFORD GROUP RETURN
 
Employer identification number
45-3791176
Part
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 2004: NEW CONSTRUCTION OF HEALTHCARE FACILITIES   X   X   X
B CITY OF CHAMBERLAIN
 
46-0000094 000000000 12-30-2010 4,000,000 2010 CHAMB: NEW CONSTRUCTION OF LONG-TERM CARE FACILITIES   X   X   X
C SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 000000000 03-29-2012 66,185,000 2012AB: REFUNDING BONDS ISSUED 9/12/2001 AND 10/15/2002   X   X   X
D SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 000000000 06-14-2012 45,000,000 2012D:REFINANCE TAXABLE INDEBTEDNESS USED TO CONSTRUCT HEALTHCARE FACILITY   X   X   X
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 83755VWA8 08-05-2014 52,083,720 2014A: CURRENT REFUND 2004A ISSUED 9/14/2004   X   X   X
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 83755VXE9 10-28-2014 207,014,209 2014B: NEW CONSTRUCTION AND REMODELING OF HEALTHCARE FACILITIES   X   X   X
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 83755VZW7 10-21-2015 192,641,206 2015:NEW CONSTRUCTION & ADVANCED REFUNDING OF BONDS ISSUED 4/19/07, 5/22/07   X   X   X
SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY
 
46-0315509 000000000 10-28-2016 50,000,000 2016: NEW CONSTRUCTION, EQUIPMENT AND IMPROVEMENTS   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 58,375,000 3,636,506 46,015,000 23,800,000
2 Amount of bonds legally defeased ..............        
3 Total proceeds of issue .................. 71,581,953 4,000,000 66,185,000 45,000,000
4 Gross proceeds in reserve funds ............. 191,513 6,903 7,065  
5 Capitalized interest from proceeds .............   31,874    
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 764,068 1,906,127 24,356 150,032
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 70,817,885 4,000,000 110,529,233 45,000,000
11 Other spent proceeds ............. 52,083,720   66,160,644  
12 Other unspent proceeds .............        
13 Year of substantial completion ............. 2006 2010 2012 2012
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2020, a current refunding issue)? ........
  X   X X     X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2020, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 2
Part
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   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............   X   X   X   X
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? .............   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
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 .... 0 % 0 % 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 ......... 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 ............. 0 % 0 % 0 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............   X   X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..        
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............                
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X   X
b Exception to rebate? ........   X X     X X  
c No rebate due? ......... X     X X     X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? ..... X   X   X   X  
Schedule K (Form 990) (Rev. 1-2025)

Schedule K (Form 990) (Rev. 1-2025)
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
4a Has the organization or the governmental issuer entered into a qualified 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 the hedge terminated? ........                
5a Were gross proceeds invested in a guaranteed investment contract (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? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K. (See instructions).
Return Reference Explanation
DATE REBATE COMPUTATION PERFORMED ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 09/14/2006 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 03/29/2013 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/30/2019 ISSUER NAME: SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 11/12/2020
SCHEDULE K, PART I, BOND ISSUES BONDS ISSUED 10/28/2014, COLUMN(C) CUSIP #: 83755VXF6 AND 83755VXE9 BONDS ISSUED 9/14/2004, COLUMN(C) CUSIP #: 83755VHY3 AND 83755VHZ0
PART I, COLUMN E AND PART II, LINE 3 BONDS ISSUED 10/28/2014, COLUMN(C) CUSIP #: 83755VXF6 AND 83755VXE9 BONDS ISSUED 10/21/2015, COLUMN(C) CUSIP #: 83755VZW7 DIFFERENCES BETWEEN THE ISSUE PRICE (PART I, COLUMN E) AND TOTAL PROCEEDS (PART II, LINE 3) ARE DUE TO INVESTMENT EARNINGS.
PART II, LINE 4 BONDS ISSUED 08/05/2014, COLUMN(C) CUSIP #: 83755VWA8 BONDS ISSUED 10/28/2014, COLUMN(C) CUSIP #: 83755VXF6 AND 83755VXE9 BONDS ISSUED 10/21/2015, COLUMN(C) CUSIP #: 83755VZW7 THE AMOUNTS SHOWN HERE CONSIST OF DEBT SERVICE FUND DEPOSITS.
PART III PART III HAS NOT BEEN COMPLETED FOR THE 3/29/2012 SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY BONDS. THESE BONDS REFUNDED PRE-2003 DEBT THAT DOES NOT HAVE TO BE REPORTED.
PART IV, LINE 6 WITH RESPECT TO THE 3/29/2012 AND 10/21/2015 SOUTH DAKOTA HEALTH AND EDUCATIONAL FACILITIES AUTHORITY BONDS, THIS QUESTION IS BEING ANSWERED WITHOUT REGARD TO A YIELD-RESTRICTED ADVANCE REFUNDING ESCROW FINANCED WITH PROCEEDS OF BONDS.
Schedule K (Form 990) (Rev. 1-2025)

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990)
(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
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, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
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), section 501(c)(4), and section 501(c)(29) 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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e) Original principal amount (f) Balance due (g) In default? (h) Approved by board or committee? (i) Written agreement?
To From Yes No Yes No Yes No
(1) PAIGE SCHAFFER FAMILY RELATIONSHIP - TODD SCHAFFER EDUCATION   X 20,000 17,989   No   No Yes  
Total ............... $ 17,989
Part III
Grants or Assistance Benefiting 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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990) (Rev. 1-2025)
Schedule L (Form 990) (Rev. 1-2025)
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) KACEY DOYLE FAMILY RELATIONSHIP - MARNIE HERMANN 83,066 EMPLOYMENT   No
(2) KRISTI BENZ FAMILY RELATIONSHIP - LAURIS MOLBERT 70,204 EMPLOYMENT   No
(3) NICHOLE HESTER FAMILY RELATIONSHIP - ANDY NORTH 68,316 INDEPENDENT CONTRACTOR ARRANGEMENT   No
(4) JACOB PEARLSON FAMILY RELATIONSHIP - KARLA EISCHENS 97,676 EMPLOYMENT   No
(5) CHRISTINA OLSON FAMILY RELATIONSHIP - NICK OLSON 206,891 EMPLOYMENT   No
(6) MALLORY NERMOE FAMILY RELATIONSHIP - BRYAN NERMOE 54,860 EMPLOYMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  




SCHEDULE M
(Form 990)


Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large image Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large image Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2024
Open to Public Inspection
Name of the organization
SANFORD GROUP RETURN
 
Employer identification number

45-3791176
Part I
Types of Property
(a)
Check if applicable
(b)
Number of contributions or items contributed
(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g
(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods .......
     
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded .        
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests ....
       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures .....
       
14 Qualified conservation
contribution—Other ...
       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( SIMIL TRUCK ) X 1 495,000 FMV
26 Other Right pointing arrow large image ( )
27 Other Right pointing arrow large image ( )
28 Other Right pointing arrow large image ( )
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? ...................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2024)
Schedule M (Form 990) (2024)
Page 2
Part IISupplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
PART I, COLUMN (B): THE AMOUNT REPORTED ON PART I, COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS.
Schedule M (Form 990) (2024)

Additional Data


Software ID:  
Software Version:  
SCHEDULE O
(Form 990)
(Rev. January 2025)
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 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
Open to Public
Inspection
Name of the organization
SANFORD GROUP RETURN
 
Employer identification number

45-3791176
Return Reference Explanation
PART V, LINE 3A: SANFORD HEALTH, SANFORD MEDICAL CENTER, SANFORD NORTH, SANFORD MEDICAL CENTER FARGO, SANFORD CLINIC NORTH, SANFORD CLINIC, SANFORD BISMARCK, SANFORD HEALTH NETWORK NORTH, AND SANFORD WORLD CLINICS HAVE UNRELATED BUSINESS GROSS INCOME OVER $1,000.
PART V, LINE 4A: SANFORD WORLD CLINICS HAS AN INTEREST IN FINANCIAL ACCOUNTS IN THE FOREIGN COUNTRIES OF GHANA, CHINA AND GERMANY.
FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING OFFICERS, BOARD MEMBERS, AND KEY EMPLOYEES ARE EMPLOYEES OF SANFORD OR ITS RELATED ORGANIZATIONS. MANY OF THESE EMPLOYEES ALSO SERVE ON OTHER RELATED SANFORD BOARDS OR HAVE BUSINESS RELATIONSHIPS WITH EACH OTHER THAT SPAN THE ORGANIZATION AS A WHOLE: BILL GASSEN, JENNIFER GRENNAN, PAUL HANSON, MATT HOCKS, TODD SCHAFFER, MICHAEL LEBEAU, BILL MARLETTE, NICK OLSON, SCOTT WOOTEN, KARLA EISCHENS, AND TIFFANY LAWRENCE.
FORM 990, PART VI, SECTION A, LINE 6 SANFORD IS GOVERNED BY A BOARD OF TRUSTEES (BOT) THAT HAS ULTIMATE STRATEGIC AND DECISION MAKING AUTHORITY. THE BOT DELEGATES CERTAIN ACTIVITIES AND RESPONSIBILITIES TO BOARDS OF EACH OF SANFORD'S PRIMARY OPERATING SUBSIDIARIES. THE UNIQUE NATURE AND COMPLEXITY OF THE SUBSIDIARIES REQUIRES EACH TO HAVE A DELEGATED BOARD WITH A SINGULAR ENTITY FOCUS. SUCH BODIES, REFERRED TO AS BOARDS OF DIRECTORS AND BOARDS OF GOVERNORS, ADDRESS MATTERS SUCH AS CREDENTIALING, ACCREDITATION STANDARDS, DEVELOPING BUDGETS, PROGRAMS AND FACILITIES ON AN ENTITY-SPECIFIC BASIS, AND GENERALLY CONSIST OF INDIVIDUALS DISTINCT FROM THE BOT. THESE BOARDS FUNCTION MUCH LIKE COMMITTEES IN A TRADITIONAL CORPORATE STRUCTURE. THE BOT THEN ACTS AS A HOLDING COMPANY BOARD, SYNTHESIZING AND RECONCILING EACH ENTITY'S PROGRAMS AND BUDGETS INTO A SYSTEM-WIDE STRATEGIC PLAN. THIS STRUCTURE OF GOVERNANCE PRODUCES A SIGNIFICANT NUMBER OF TRUSTEES, GOVERNORS AND DIRECTORS. SUBSIDIARIES INCLUDED WITHIN THIS GROUP TAX RETURN CONSIST OF SANFORD HEALTH, SANFORD NORTH, SANFORD MEDICAL CENTER, SANFORD MEDICAL CENTER FARGO, SANFORD CLINIC, SANFORD CLINIC NORTH, SANFORD HEALTH NETWORK, SANFORD HEALTH NETWORK NORTH, SANFORD HOME HEALTH, SANFORD RESEARCH, SANFORD RESEARCH NORTH, SANFORD WORLD CLINICS, SANFORD HEALTH OF NORTHERN MINNESOTA, BAKER PARK, INC., SANFORD WEST, SANFORD BISMARCK, SANFORD VIRTUAL CARE, SANFORD WORLD CLINICS - KLAMATH FALLS, AND SANFORD HEALTH OF SOUTH DAKOTA. THE BOARD OF TRUSTEES OF SANFORD IS ALSO THE BOARD OF TRUSTEES FOR SANFORD HEALTH, SANFORD NORTH, SANFORD WEST, AND SANFORD HEALTH OF SOUTH DAKOTA, AND SANFORD IS THE SOLE CORPORATE MEMBER OF THESE ENTITIES. THESE ENTITIES, IN TURN, ARE THE SOLE CORPORATE MEMBERS OF THEIR SUBSIDIARIES. THE ACTIONS APPROVED BY A SUBSIDIARY'S BOARD OF DIRECTORS ARE THEN APPROVED BY THE SANFORD BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7A THE SANFORD BOARD OF TRUSTEES APPOINTS THE BOARD MEMBERS FOR THE BOARDS OF DIRECTORS AND BOARDS OF GOVERNORS OF THE SUBSIDIARY ENTITIES.
FORM 990, PART VI, SECTION A, LINE 7B THE SANFORD BOARD OF TRUSTEES APPROVES THE ACTIONS APPROVED BY THE BOARDS OF DIRECTORS AND BOARDS OF GOVERNORS OF THE SUBSIDIARY ENTITIES. FORM 990, PART VI, SECTION B, LINE 10B: SANFORD NORTH, SANFORD CLINIC, SANFORD HEALTH NETWORK, AND SANFORD HEALTH OF SOUTH DAKOTA HAVE LOCAL CHAPTERS, BRANCHES OR AFFILIATES OVER WHICH THE ORGANIZATION HAS THE LEGAL AUTHORITY TO EXERCISE DIRECT OR INDIRECT SUPERVISION AND CONTROL.
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE EXECUTIVE MANAGEMENT TEAM. AN EXTERNAL ACCOUNTING FIRM REVIEWS AND SIGNS THE RETURN. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDED TO THE CURRENT BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION B, LINE 12C THE ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS IS MANAGED BY THE CHIEF COMPLIANCE OFFICER (CCO). THE CCO IS RESPONSIBLE FOR ASSURING THAT ALL COMPLETED FORMS ARE RETURNED IN A TIMELY AND COMPLETE MANNER. CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO THE SYSTEM BOARD OF TRUSTEES, MEMBERS OF THE GOVERNING BOARDS OF SUBSIDIARY ENTITIES, OFFICERS, AND KEY EMPLOYEES FOR ALL ENTITIES SUBJECT TO THE IRS FORM 990 FILINGS. THE CCO REVIEWS THE DISCLOSURES AND WHEN A CONFLICT OF INTEREST IS DEEMED TO EXIST, REFERS THE DISCLOSURE TO THE SANFORD EXECUTIVE COMPLIANCE COMMITTEE FOR DEVELOPMENT OF AN ADMINISTRATIVE OR MANAGEMENT PLAN TO ADDRESS OR ELIMINATE THE CONFLICT OF INTEREST. SANFORD WILL NOT ENGAGE IN ANY CONTRACT, TRANSACTION OR ARRANGEMENT INVOLVING A BOARD MEMBER'S CONFLICT OF INTEREST UNLESS A MAJORITY OF THE DISINTERESTED MEMBERS OF THE AUDIT AND COMPLIANCE COMMITTEE DETERMINE THAT APPROPRIATE SAFEGUARDS ARE IN PLACE TO PROTECT SANFORD'S CHARITABLE MISSION.
FORM 990, PART VI, SECTION B, LINE 15 SANFORD HAS A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII, SECTION A. THIS INCLUDES REVIEW AND APPROVAL BY INDEPENDENT PERSONS OR BOARD OF TRUSTEES COMMITTEE, REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION FOR SUCH COMPENSATION. SANFORD ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES APPROVES ALL COMPENSATION CHANGES FOR THE CEO IN ADVANCE, RELIES ON THE MARKET DATA PROVIDED BY THE INDEPENDENT CONSULTING FIRM IN MAKING CHANGES, AND DOCUMENTS THE BASIS FOR ANY CHANGES IN COMMITTEE MINUTES.
FORM 990, PART VI, SECTION C, LINE 19 ALTHOUGH THE ORGANIZATION DOES NOT MAINTAIN A WEBSITE WHERE THE PUBLIC CAN ACCESS THESE DOCUMENTS, IT WOULD RESPOND INDIVIDUALLY TO ANY REQUESTS OR INQUIRIES FROM THE PUBLIC FOR THESE DOCUMENTS.
FORM 990, PART VII, SECTION A THE TABLE REPORTS THE COMPENSATION OF THE SANFORD OFFICERS, DIRECTORS/TRUSTEES, SYSTEM KEY EMPLOYEES, AND FIVE HIGHEST COMPENSATED EMPLOYEES AND INDEPENDENT CONTRACTORS. THE SANFORD BOARD OF TRUSTEES HAS ULTIMATE GOVERNANCE RESPONSIBILITIES FOR EACH SUBORDINATE ORGANIZATION.
FORM 990, PART VII, SECTION B WE ARE REPORTING ONE GROUP OF TOP FIVE EMPLOYEES AND INDEPENDENT CONTRACTORS FOR THE ENTIRE GROUP. AMOUNTS LISTED AS COMPENSATION FOR THE FIVE HIGHEST COMPENSATED INDEPENDENT CONTRACTORS INCLUDE PAYMENTS FOR BOTH MATERIALS AND SERVICES.
FORM 990, PART XI, LINE 9: CASH SWEEP FOR POOLED INVESTMENTS 168,240,510. PENSION PLAN TERMINATION ADJUSTMENT AND OTHER CHANGES 57,364,410. NET ASSETS RELEASED FOR ACQUIRED PPE 7,100. CAPITAL CONTRIBUTION TO SUBSIDIARIES -21,233,826. NET ASSETS TRANFERRED FOR ACCOUNTS PAYABLE 57,357,310.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) (Rev. 1-2025)


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

(Rev. January 2025)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
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 (if applicable) 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) DG DEVELOPMENTS 2 LLC
1300 W 57TH ST SUITE 100
SIOUX FALLS,SD57108
26-7317570
REAL ESTATE SD 0 3,703,275 SANFORD HEALTH
 
(2) HEALTHCARE ENVIRONMENTAL SERVICES LLC
PO BOX 2010
FARGO,ND58122
20-5236701
RETAIL ENTERPRISES ND 1,310,345 3,998,029 SANFORD NORTH
 
(3) NATIONAL STUDENT HOUSING-SOUTH DAKOTA LLC
1305 W 18TH ST
SIOUX FALLS,SD57105
20-2129839
REAL ESTATE SD 0 2,452,979 SANFORD HEALTH
 
(4) NORTH COUNTRY SENIOR LIVING LLC
1000 ANNE ST NW
BEMIDJI,MN56601
26-3862586
SENIOR HOUSING CO 4,637,086 4,471,766 SANFORD HEALTH OF NORTHERN MINNESOTA
 
(5) RAC RENTALS LLC
1305 W 18TH ST
SIOUX FALLS,SD57105
26-1961077
REAL ESTATE SD 0 2,812,779 SANFORD HEALTH
 
(6) SANFORD HEALTHCARE ACCESSORIES LLC
3223 32ND AVE SW
FARGO,ND58103
20-2404179
SALES OF DURABLE MEDICAL EQUIP ND 62,763,414 43,668,395 SANFORD HEALTH
 
(7) SOUTHWEST MINNESOTA RADIATION CENTER LLC
1018 6TH AVENUE
WORTHINGTON,MN56187
46-0447693
RADIATION SERVICES MN 0 0 SANFORD HEALTH NETWORK
 
(8) BLACK HILLS SURGICAL HOSPITAL LLC
216 ANAMARIA DR
RAPID CITY,SD57701
46-0440466
HEALTHCARE SD 1,544,710 213,369,668 SANFORD HEALTH OF SOUTH DAKOTA
 
(9) BLACK HILLS URGENT CARE LLC
216 ANAMARIA DR
RAPID CITY,SD57701
45-4308839
HEALTHCARE SD 0 16,961,936 BLACK HILLS SURGICAL HOSPITAL LLC
 
(10) ORTHOPAEDIC BUILDING PARTNERSHIP LLC
7720 MT RUSHMORE RD
RAPID CITY,SD57702
46-0349014
REAL ESTATE SD 141,038 0 SANFORD HEALTH OF SOUTH DAKOTA
 
(11) NORTHEAST WYOMING SURGERY CENTER LLC
1307 WEST 3RD ST STE B
GILLETTE,WY82716
82-0489706
HEALTHCARE WY 438,308 10,223,949 SANFORD HEALTH OF SOUTH DAKOTA
 
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 entity?
Yes No
(1)ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-1495572
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(2)ARLINGTON GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
37-1805492
PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(3)BOISE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
36-3370371
PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(4)COLLISTER DRIVE HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
30-0872973
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(5)F-M AMBULANCE SERVICE INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0344371
EMT ND 501(C)(4)   SANFORD NORTH
 
Yes
 
(6)GOOD SAMARITAN SOCIETY INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0349951
PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(7)HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
27-1212446
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(8)HOWARD LAKE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
36-4885253
PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(9)LEA COUNTY GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-3946645
PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(10)LILAC WAY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-5740381
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(11)LOVINGTON GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0392944
PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(12)MILLARD GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0396332
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(13)OLATHE GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0396398
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(14)PRESCOTT GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
27-5114421
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(15)PROPHETSTOWN GOOD SAMARITAN HOUSING INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0392943
PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(16)RAPID CITY GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-1579750
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(17)SANFORD
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
27-1218956
SUPPORTING ORGANIZATION ND 501(C)(3) 12-II  
 
No
(18)SANFORD HEALTH FOUNDATION
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
36-3297853
FOUNDATION SD 501(C)(3) 12-II SANFORD HEALTH
 
Yes
 
(19)SANFORD HEALTH FOUNDATION NORTH
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0398104
FOUNDATION ND 501(C)(3) 7 SANFORD NORTH
 
Yes
 
(20)SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
41-1389317
FOUNDATION MN 501(C)(3) 7 SANFORD HEALTH OF NORTHERN MINNESOTA
 
Yes
 
(21)SANFORD HEALTH FOUNDATION WEST
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0397196
FOUNDATION ND 501(C)(3) 7 SANFORD BISMARCK
 
Yes
 
(22)SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-2473519
LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
 
 
No
(23)THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
46-0422866
FOUNDATION MN 501(C)(3) 12-I SANFORD HEALTH
 
Yes
 
(24)THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY
P O BOX 5039 RTE 5218

SIOUX FALLS,SD571175039
45-0228055
LONG-TERM CARE, SENIOR HOUSING & HOME AND COMMUNITY BASED SERVICES ND 501(C)(3) 10 SANFORD
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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) COLLISTER DRIVE HOUSING LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
61-1752929
LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
        No     No  
(2) HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
27-1212511
PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
        No     No  
(3) OLATHE GOOD SAMARITAN HOUSING LP

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
20-5297369
PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A
        No     No  
(4) RUTH STREET GOOD SAMARITAN HOUSING LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
61-1748321
LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
        No     No  
(5) TEXAS GOOD SAMARITAN HOUSING LLC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
37-1774574
LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A
        No     No  




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
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
81-5037667
INSURANCE NE N/A
C         No
(2) GOOD SAMARITAN SOCIETY INSURANCE LTD

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
98-0379099
INSURANCE CJ N/A
C         No
(3) HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
90-0491537
PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
S         No
(4) HERITAGE HEALTHCARE SERVICES INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
85-0418562
PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
S         No
(5) HERITAGE HOME HEALTHCARE & HOSPICE INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
85-0463468
PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
S         No
(6) HERITAGE HOME HEALTHCARE OF ARIZONA INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
20-4243949
PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
S         No
(7) HERITAGE HOME HEALTHCARE SERVICES INC

P O BOX 5039 RTE 5218
SIOUX FALLS,SD571175039
85-0463469
PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A
S         No
(8) SANFORD FRONTIERS

1305 W 18TH STREET PO BOX 5039
SIOUX FALLS,SD571175039
45-5436599
SPORTS/ALTERNATIVE INVESTMENTS SD N/A
C         No
(9) SANFORD HEALTH PLAN

300 CHERAPA PLACE
SIOUX FALLS,SD57103
91-1842494
INSURANCE SD N/A
C         No
(10) SANFORD HEALTH PLAN OF MN

300 CHERAPA PLACE
SIOUX FALLS,SD57103
46-0445852
INSURANCE MN N/A
C         No
(11) SANFORD INTERNATIONAL - MUNICH GMBH

NYMPHENBURGER STRASSE 3
MUNICH    
GM
HEALTHCARE GM N/A
C         No
(12) SANFORD WORLD CLINICS - GHANA LBG

SARBAH ROAD TANTRI LORRY STATION
CAPE COAST    
GH
HEALTHCARE GH N/A
C         No
(13) SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD

188 YESHENG ROAD ROOM A-862 GUOMA
SHANGHAI    
CH
HEALTHCARE CH N/A
C         No
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
Yes
 
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
Yes
 
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
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 related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) FM AMBULANCE

R 2,369,829 CASH METHOD
(2) SANFORD FRONTIERS

B 24,214,049 CASH METHOD
(3) SANFORD HEALTH FOUNDATION

R 646,003 CASH METHOD
(4) SANFORD HEALTH FOUNDATION

P 4,894,933 CASH METHOD
(5) SANFORD HEALTH FOUNDATION

C 55,013,125 CASH METHOD
(6) SANFORD HEALTH FOUNDATION NORTH

S 3,097,891 CASH METHOD
(7) SANFORD HEALTH FOUNDATION NORTH

P 2,647,538 CASH METHOD
(8) SANFORD HEALTH FOUNDATION NORTH

C 4,555,636 CASH METHOD
(9) SANFORD HEALTH FOUNDATION NORTHERN MN

P 570,490 CASH METHOD
(10) SANFORD HEALTH FOUNDATION NORTHERN MN

C 3,217,437 CASH METHOD
(11) SANFORD HEALTH FOUNDATION NORTHERN MN

S 483,700 CASH METHOD
(12) SANFORD HEALTH FOUNDATION WEST

P 1,193,171 CASH METHOD
(13) SANFORD HEALTH FOUNDATION WEST

C 1,510,221 CASH METHOD
(14) SANFORD HEALTH FOUNDATION WEST

S 846,721 CASH METHOD
(15) SANFORD WORLD CLINICS - GHANA

B 42,890 CASH METHOD
(16) THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION

R 2,045,533 CASH METHOD
(17) THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION

P 992,725 CASH METHOD
(18) THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION

C 232,828 CASH METHOD
(19) THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY

S 160,245,265 CASH METHOD
Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(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 Yes No






























Schedule R (Form 990) (Rev. 1-2025)
Schedule R (Form 990) (Rev. 1-2025)
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) (Rev. 1-2025)

Additional Data


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