2023-10-31T16:32:16-05:00 2022-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2022-01-01 363297853 SANFORD HEALTH FOUNDATION SANF 6053285700 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 BILL MARLETTE EVP, CFO & TREASURER 6053331000 2023-10-31 1 BILL MARLETTE XXX-XX-XXXX 0 JESS WAGENER P01622613 3128792000 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BILL GASSEN 2301 EAST 60TH ST SIOUX FALLS SD 57104 306461008 0 X WWW.SANFORDHEALTHFOUNDATION.ORG X 1983 SD TO INSPIRE PHILANTHROPY TO ADVANCE THE MISSION OF SANFORD HEALTH. 100% OF (CONTINUED ON SCH O) DONOR DOLLARS FUEL THE WORK OF HEALTH, HEALING AND COMFORT. 13 6 0 139 0 0 113994694 136186668 0 0 33481055 46232605 1216585 -1333 148692334 182417940 32783754 35450465 0 0 0 0 0 0 0 0 0 32783754 35450465 115908580 146967475 1085759919 1051795268 127417335 148459631 958342584 903335637 X TO INSPIRE PHILANTHROPY TO ADVANCE THE MISSION OF SANFORD HEALTH, THE LARGEST RURAL HEALTH SYSTEM IN THE U.S., AND RELATED EXEMPT ENTITIES. 100% OF DONOR DOLLARS FUEL LOCAL PRIORITIES TO SUPPORT THE WORK OF HEALTH, HEALING AND COMFORT. 0 0 3828642 3828642 THE FOUNDATION INSPIRES AND FACILITATES PHILANTHROPIC INVESTMENT AND BUILDS COMMUNITY ENGAGEMENT AROUND LOCAL HEALTH CARE-RELATED PROGRAMS, SERVICES AND OPERATIONS OF SANFORD HEALTH WHILE ALSO SEEKING REGIONAL, NATIONAL AND INTERNATIONAL SUPPORT FOR RESEARCH AND OTHER HEALTH INITIATIVES. SPECIFICALLY, DONATIONS HELP PROVIDE PATIENT CARE AND FAMILY SUPPORT ($1,826,714), EQUIPMENT AND FACILITY IMPROVEMENT PROJECTS ($1,892,380) AND OTHER INTERNAL PROGRAMS ($109,548). 1346431 1346431 ADDITIONAL DONATIONS SUPPORT CONTINUING EDUCATION FOR STAFF AND RESEARCH PROGRAMS THAT SUPPORT THE HIGHEST STANDARDS OF PATIENT CARE TODAY AND DRIVE INNOVATION AND DISCOVERY OF THE TREATMENTS AND CURES OF TOMORROW. 30275392 30275392 DONATIONS HELP SUPPORT THE SANFORD INITIATIVESIN FEBRUARY 2007, THE SANFORD INITIATIVES WERE INTRODUCED AS A UNIQUE AND DEFINING ELEMENT OF SANFORD HEALTH. THESE ACTIVITIES HAVE BEEN DESIGNED TO ENHANCE THE HEALTH CARE CAPABILITIES OF THE ORGANIZATION, TO ESTABLISH A HEALTH RESEARCH CENTER RECOGNIZED FOR TRANSLATIONAL DISCOVERY AND CURES, AND TO HELP BUILD A WORLD-CLASS REPUTATION. OVER THE EARLY COURSE OF IMPLEMENTATION, THESE INITIATIVES HAVE BEEN EXPANDED TO INCLUDE A NUMBER OF NEW PROJECTS AND PROGRAMS. BY INTEGRATING STRATEGIC PARTNERSHIPS, AND WORKING QUICKLY TO ENGAGE FORTUITOUS OPPORTUNITY, THE RAPID MEETING OF MILESTONES IS EXEMPLARY OF SANFORD'S COMMITMENT TO CARE AND DISCOVERY.THE SANFORD WORLD CLINIC INITIATIVE WAS DESIGNED TO MEET THE UNIQUE NEEDS OF THE AREAS WE SERVE. BROADER PRIMARY CARE SERVICES, REGENERATIVE MEDICINE, SPECIALIZED PROCEDURES, WEIGHT LOSS PROGRAMS, AND CLINIC EDUCATION ARE JUST A FEW OF THE SPECIALIZATIONS DEVELOPED TO SERVE POPULATIONS AROUND THE WORLD.OUTSIDE OF THE NATIONAL FOOTPRINT, SANFORD HAS ESTABLISHED RELATIONSHIPS IN GHANA, CHINA, GERMANY, NEW ZEALAND, SOUTH AFRICA, COSTA RICA, VIETNAM, AND IRELAND.CHILDHOOD NUTRITION AND FITNESS INITIATIVES - SANFORD HEALTH HAS CREATED SANFORD FIT, A HEALTH ACTIVATION PROGRAM DEVELOPED TO EMPOWER CHILDREN AND PARENTS TO MAKE HEALTHY LIFESTYLE CHOICES THAT HELP PREVENT CHILDHOOD OBESITY. SANFORD FIT IS COMPRISED OF A SYSTEM OF RESOURCES AND PROGRAMS INCLUDING SCHOOL PROGRAMS, DAYCARE TRAINING, MOBILE APPS, AND WAS DEVELOPED USING A COMBINATION OF THE LATEST SCIENTIFIC AND BEHAVIORAL RESEARCH DESIGNED TO EDUCATE, MOTIVATE, AND INSPIRE CHILDREN OF ALL AGES TO LIVE A BALANCED, HEALTHY LIFESTYLE.SANFORD INTERNATIONAL BOARD - THIS BOARD HAS BEEN DEVELOPED AS A GROUP OF AMBASSADORS WHO HELP DETERMINE PACE AND AREAS OF GROWTH AND EVALUATE OVERALL PERFORMANCE. THE SANFORD INTERNATIONAL BOARD WILL HELP IDENTIFY AND STEER INITIATIVES THAT SUPPORT SANFORD'S GLOBAL EFFORTS.THE SANFORD PROJECT BEGINNING IN APRIL 2008, SANFORD HEALTH IS SEEKING A CURE FOR TYPE 1 DIABETES. THE SANFORD PROJECT TEAM IS FOCUSED ON THE NATURAL REGENERATION OF INSULIN-PRODUCING BETA CELLS IN THE DIABETIC PANCREAS AND THE BODY'S AUTOIMMUNE RESPONSE IN PATIENTS WITH DIABETES. THE PROJECT TEAM LAUNCHED ITS FIRST CLINICAL TRIAL AND BEGAN ENROLLING PATIENTS IN AUGUST 2010.SANFORD IMAGENETICSBECAUSE OF ONE MAN'S CONTINUED GENEROSITY, SANFORD HEALTH LAUNCHED A REVOLUTIONARY PROGRAM TO IMPROVE HEALTH AND PREVENT DISEASE WITH PERSONALIZED PLANS OF CARE. SANFORD IMAGENETICS IS A COMPREHENSIVE PROGRAM THAT FULLY INTEGRATES GENETICS WITH INTERNAL MEDICINE, CREATING A FIRST-OF ITS-KIND MODEL FOR EXCEPTIONAL, HIGH-QUALITY, AND INNOVATIVE PRIMARY CARE FOR ADULTS.EDITH SANFORD BREAST CENTEREDITH SANFORD BREAST CENTER HAS PIONEERED THE FUTURE OF BREAST CANCER RESEARCH AND CARE. BY PIECING TOGETHER THE ENTIRE GENETIC PUZZLE OF EACH WOMAN, WE ARE DISCOVERING HOW TO REVOLUTIONIZE TREATMENT AND ERADICATE BREAST CANCER. WE ARE MOBILIZING PARTICIPANTS -- MOTHERS, WIVES, SISTERS, AND DAUGHTERS -- TO DONATE THEIR GENETIC INFORMATION AS WE BUILD AN EXTENSIVE BIO BANK THAT WILL UNDERPIN OUR GROUNDBREAKING RESEARCH. AS WE DECODE THIS DEADLY DISEASE, WE WILL KNOW MORE SPECIFICALLY WHAT TREATMENTS WILL WORK FOR EACH PATIENT, HOW TO PREVENT DISEASE ON AN INDIVIDUAL BASIS, AND ULTIMATELY, HOW TO FIND A CURE. 35450465 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 50 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 6 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN OR X BILL MARLETTE EVP CFO & TREASURER 6053331000 2301 EAST 60TH STREET SIOUX FALLS SD 57104 X BILL GASSEN III TRUSTEE, PRESIDENT & CEO 0.50 59.50 X X 0 2683582 379583 MICHELLE BRUHN EVP, CFO & TREASURER 0.50 59.50 X 0 1530538 186998 MARIA BELL MD TRUSTEE, PHYSICIAN 0.50 59.50 X 0 1143694 43942 DEB KOSKI VP, CHIEF PHIL OFFICER 5.00 55.00 X 0 437558 41567 MARK LUNDEEN MD TRUSTEE, PHYSICIAN 0.50 59.50 X 0 343914 13962 JOANN KUNKEL FORMER CFO-SCH J, PART III, LINE 4A 0.00 0.00 X 0 339000 0 ANDY NORTH TRUSTEE, SECRETARY 0.50 6.61 X X 0 316771 0 MARK PAULSON MD TRUSTEE, PHYSICIAN 0.50 59.50 X 0 239394 38669 NEIL GULSVIG TRUSTEE, CHAIRPERSON 0.50 6.61 X X 0 75772 0 LAURIS MOLBERT TRUSTEE, VICE CHAIR 0.50 6.61 X X 0 35500 0 MARNIE HERMANN TRUSTEE 0.50 6.61 X 0 35500 0 DON JACOBS TRUSTEE 0.50 6.61 X 0 34500 0 JAMES CAIN TRUSTEE 0.50 6.61 X 0 34500 0 ROBIN SMITH TRUSTEE, TREASURER 0.50 6.61 X X 0 34000 0 WESLEY ENGBRECHT TRUSTEE 0.50 6.61 X 0 34000 0 BRENT TEIKEN TRUSTEE, PAST CHAIR 0.50 6.61 X X 0 33000 0 0 7351223 704721 0 1 1 0 FIRST PREMIER BANK PO BOX 2640 SIOUX FALLS SD 571012640 INVESTMENT MANAGEMENT 919712 AMERICAN PORTFOLIOS 5101 S NEVADA AVE SIOUX FALLS SD 57108 INVESTMENT MANAGEMENT 735736 FIRST NATIONAL TRUST AND INVESTMENT MANA 100 S PHILLIPS AVE SIOUX FALLS SD 57104 INVESTMENT MANAGEMENT 106033 3 1455244 134731424 101313 136186668 50123153 50123153 120034177 123924445 280 -3890268 -280 -3890548 -3890548 53086 1455244 118343 -65257 -65257 RECOVERY OF UNCOLLECTI 525990 59596 59596 NON-OPERATING REVENUE 525990 4328 4328 63924 182417940 0 0 46231272 X 35450465 35450465 4290 4290 1761481 1761481 43540 -1179 44719 27969 5757 22212 209638 209638 21000 3721 17279 4168 99 4069 31273 31273 19485 19485 PURCHASED SALARIES 1356817 452269 904548 PURCHASED SERVICES 864058 2392 861666 DUES AND MEMBERSHIPS 165231 7863 157368 OTHER NON-OPERATING INC 54957 54957 -4563907 -2497089 -2066818 35450465 35450465 0 0 500 500 2555490 2761583 5298648 4023489 201356 203504 380979 358931 53601 22048 1075435875 1043248626 2214449 1535518 1085759919 1051795268 34407 25757 146268050 2262470 2089083 125120458 76741 127417335 148459631 X 775214127 742876718 183128457 160458919 958342584 903335637 1085759919 1051795268 X 146967475 -201498347 -476075 X 0 1 X 1 0 X X 6 SANFORD MEDICAL CENTER 460227855 3 1 34542656 0 SANFORD CLINIC 460447693 3 0 175248 0 SANFORD HOME HEALTH 460282134 3 0 236211 0 SANFORD HEALTH NETWORK 460388596 3 0 126181 0 SANFORD RESEARCH 460450378 4 0 315230 0 SANFORD WORLD CLINICS 262707628 3 0 54939 0 6 35450465 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 46288628 -452884 -285015 45550729 45603927 684701 46288628 43970267 1633660 45603927 42145816 1824451 43970267 37231957 4913859 42145816 0.00000 1.00000 0.00000 0 0 40157 31591 8566 340822 327340 13482 22048 ANNUITIES PAYABLE 76741 76741 X PART IV, LINE 2B: THE ORGANIZATION MANAGES CUSTODIAL ACCOUNTS OWNED BY RELATED ORGANIZATIONS OF SANFORD HEALTH WITH THE FUNDS BALANCE COMINGLED WITH OTHER INVESTMENT ASSETS OF THE ORGANIZATION. THE USE OF THE FUNDS BALANCE WILL BE OVERSEEN AND EXPENDED BY THE OWNER. PART V, LINE 4: THE ORGANIZATION'S USE OF THE ENDOWMENT FUNDS IS TO MEET THE DONORS INTENT IN PROVIDING HEALTH CARE, MEDICAL, OR EDUCATIONAL SERVICES TO SANFORD HEALTH. 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 HEALTH FOUNDATION DID NOT HAVE AN INCOME TAX LIABILITY AT DECEMBER 31, 2022; HOWEVER, SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. SCHEDULE D, PART V, LINE 1B, COLUMN (A) IN 2022, THE NEGATIVE CONTRIBUTIONS ARE A RESULT OF A PLEDGE WRITTEN OFF AND THE PLEDGE WAS TRANSFERRED TO SANFORD HEALTH FOUNDATION NORTH. THE DONOR WANTED TO FULFILL HIS PLEDGE THROUGH IRA QUALIFIED CHARITABLE DISTRIBUTIONS (IRA QCD). SANFORD HEALTH FOUNDATION IS A SUPPORTING ORGANIZATION, THUS CANNOT ACCEPT AN IRA QCD. THE PLEDGE WAS TRANSFERRED TO SANFORD HEALTH FOUNDATION NORTH, WHICH IS QUALIFIED TO ACCEPT AN IRA QCD, SO THE DONOR COULD MAKE THE PLEDGE PAYMENTS WITH AN IRA QCD. EDITH BIG STARS PINK GUITARS 897750 871925 25825 12325 6711 12353 256 43735 RESULTS RADIO CKC RADIOTHON 228869 228869 13554 4 381711 354450 27261 11775 17634 1508330 1455244 53086 24100 6711 12353 256 74923 118343 -65257 1 SANFORD MEDICAL CENTER P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460227855 501(C)(3) 34542656 0 SEE FORM 990, PAGE 2, PART III SANFORD CLINIC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460447693 501(C)(3) 175248 0 SEE FORM 990, PAGE 2, PART III SANFORD HOME HEALTH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460282134 501(C)(3) 236211 0 SEE FORM 990, PAGE 2, PART III SANFORD HEALTH NETWORK P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460388596 501(C)(3) 126181 0 SEE FORM 990, PAGE 2, PART III SANFORD RESEARCH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460450378 501(C)(3) 315230 0 SEE FORM 990, PAGE 2, PART III SANFORD WORLD CLINICS P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 262707628 501(C)(3) 54939 0 SEE FORM 990, PAGE 2, PART III 6 0 PART I, LINE 2: GRANTS ARE DISBURSED BY SUPPORTING ORGANIZATION ONLY AFTER THE EXPENDITURE HAS BEEN MADE AND PROPERLY AUTHORIZED BY THE SUPPORTED ORGANIZATION ALONG WITH RELATED DOCUMENTATION INDICATING THE FULFILLMENT OF DONOR WISHES. 1 1 0 0 0 0 0 0 0 BILL GASSEN III TRUSTEE, PRESIDENT & CEO 0 1818239 0 582757 0 282586 0 378828 0 755 0 3063165 0 0 MICHELLE BRUHN EVP, CFO & TREASURER 0 1012253 0 350000 0 168285 0 160681 0 26317 0 1717536 0 0 MARIA BELL MD TRUSTEE, PHYSICIAN 0 1020094 0 54000 0 69600 0 15250 0 28692 0 1187636 0 0 DEB KOSKI VP, CHIEF PHIL OFFICER 0 342958 0 50000 0 44600 0 15250 0 26317 0 479125 0 0 MARK LUNDEEN MD TRUSTEE, PHYSICIAN 0 332590 0 0 0 11324 0 11832 0 2130 0 357876 0 0 JOANN KUNKEL FORMER CFO-SCH J, PART III, LINE 4A 0 0 0 0 0 339000 0 0 0 0 0 339000 0 0 ANDY NORTH TRUSTEE, SECRETARY 0 316771 0 0 0 0 0 0 0 0 0 316771 0 0 MARK PAULSON MD TRUSTEE, PHYSICIAN 0 221637 0 13500 0 4257 0 10612 0 28057 0 278063 0 0 PART I, LINE 1A CERTAIN ITEMS LISTED ON LINE 1A ARE PROVIDED BY RELATED ORGANIZATIONS. PART I, LINE 3: THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2022. 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 A PAYMENT FOR SATISFYING A 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 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: JOANN KUNKEL: NON-COMPETE PAYMENT..........................................$339,000 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 919712 A SUBSTANTIAL CONTRIBUTOR WAS ALSO PAID AS A VENDOR OF SERVICES. 0 X 2 75713 FMV X NEW WEBSITE 1 25600 FMV 0 0 1 0 PART I, COLUMN (B): THE AMOUNTS REPORTED ON PART I, COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS. 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: MARIA BELL, MARK LUNDEEN, MARK PAULSON, DEB KOSKI, MICHELLE BRUHN, AND BILL GASSEN. FORM 990, PART VI, SECTION A, LINE 6 SANFORD HEALTH 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 ACT AS A HOLDING COMPANY BOARD, SYNTHESIZING AND RECONCILING EACH ENTITY'S PROGRAMS AND BUDGETS INTO A SYSTEM-WIDE STRATEGIC PLAN. SANFORD IS THE SOLE MEMBER OF SANFORD HEALTH. SANFORD HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. THE BOARD OF TRUSTEES OF SANFORD ALSO COMPRISES THE BOARD OF TRUSTEES FOR SANFORD HEALTH AND FOR THE ORGANIZATION. THE BOARD OF TRUSTEES DELEGATES AUTHORITY TO THE BOARD OF DIRECTORS OF THE ORGANIZATION. ACTIONS APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS ARE THEN SUBJECT TO APPROVAL BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A THE SANFORD BOARD OF TRUSTEES APPOINTS THE BOARD MEMBERS FOR THE BOARD OF DIRECTORS OF SANFORD HEALTH FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7B THE SANFORD BOARD OF TRUSTEES APPROVES THE ACTIONS APPROVED BY THE BOARD OF DIRECTORS OF SANFORD HEALTH FOUNDATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED INTERNALLY BY THE TAX DEPARTMENT AND REVIEWED BY EXECUTIVE MANAGEMENT. AN EXTERNAL ACCOUNTING FIRM REVIEWS THE RETURN. THE TAX DEPARTMENT PREPARES RETURN HIGHLIGHTS AND KEY DISCLOSURES FOR THE BOARD OF TRUSTEES MEETING PRIOR TO THE RETURN FILING DATE. BEFORE THE RETURN IS FILED, A COMPLETE COPY IS PROVIDED TO THE CURRENT BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 12C THE ANNUAL CONFLICT OF INTEREST DISCLOSURE PROCESS IS MANAGED BY THE CHIEF COMPLIANCE OFFICER (CCO). THE CCO IS RESPONSIBLE FOR ASSURING THAT ALL COMPLETED FORMS ARE RETURNED IN A TIMELY AND COMPLETE MANNER. CONFLICT OF INTEREST QUESTIONNAIRES ARE SENT TO SYSTEM TRUSTEES, MEMBERS OF THE GOVERNING BOARDS OF SUBSIDIARY ENTITIES, OFFICERS, AND KEY EMPLOYEES FOR ALL ENTITIES SUBJECT TO THE IRS FORM 990 FILINGS. THE DISCLOSURES ARE SUMMARIZED FOR REVIEW BY THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES, PURSUANT TO POLICY. THIS REVIEW ALLOWS: 1) THE BOARD TO ACQUIRE AN AWARENESS OF FINANCIAL RELATIONSHIPS OF BOARD MEMBERS AND KEY MANAGEMENT EMPLOYEES AND CAN INVOKE THE RECUSAL PROCESS ON A CASE-BY-CASE BASIS IF POTENTIAL CONFLICTS ARE IMPLICATED IN BOARD DECISIONS AND DELIBERATIONS, AND, 2) GIVES THE BOARD THE OPPORTUNITY TO SEEK ADDITIONAL INFORMATION AND CLARIFICATION ABOUT DISCLOSURES TO DETERMINE POTENTIAL CONFLICTS OF INTEREST, AND HOW TO MANAGE THEM. FORM 990, PART VI, SECTION B, LINE 15 A RELATED PARTY, SANFORD HEALTH, DOES HAVE A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII SECTION A, INCLUDING A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, REVIEW OF COMPARABILITY DATA AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION FOR SUCH COMPENSATION. THE EXECUTIVE COMPENSATION COMMITTEE OF THE SANFORD BOARD OF TRUSTEES DIRECTLY ENGAGES A NATIONALLY RECOGNIZED INDEPENDENT COMPENSATION CONSULTING FIRM ANNUALLY TO REVIEW THE TOTAL COMPENSATION ARRANGEMENTS OF THE OFFICERS AND EXECUTIVES OF THE ORGANIZATION, INCLUDING THE CEO, AND TO REPORT THE FINDINGS TO THEM FOR DELIBERATION AND ACTION. THE DELIBERATIONS AND ACTIONS ARE RECORDED IN THE MINUTES OF THE SANFORD BOARD OF TRUSTEES. THE MOST RECENT STUDY WAS COMPLETED IN 2022. 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 THE SANFORD BOARD OF TRUSTEES HAS ULTIMATE GOVERNANCE RESPONSIBILITIES FOR EACH MAJOR OPERATION ENTITY WITHIN SANFORD. IN ADDITION, A BOARD OF DIRECTORS IS ESTABLISHED FOR EACH MAJOR OPERATING ENTITY. THIS BOARD HAS SPECIFIC RESPONSIBILITIES DELEGATED FROM THE BOARD OF TRUSTEES. GENERALLY THESE RESPONSIBILITIES ARE RELATED TO THE OVERSIGHT OF THE DAY TO DAY OPERATIONS OF THAT ENTITY. FORM 990, PART IX, LINE 24E DONOR STEWARDSHIP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 954. FUNDRAISING EXPENSES 53,873. TOTAL EXPENSES 54,827. FUNDRAISING MATERIALS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 43,946. TOTAL EXPENSES 43,946. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 17,938. FUNDRAISING EXPENSES 1,566. TOTAL EXPENSES 19,504. EXPENSES REIMBURSED BY SANFORD HEALTH (SEE EXPLANATION BELOW): PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -2,515,981. FUNDRAISING EXPENSES -2,166,203. TOTAL EXPENSES -4,682,184. FORM 990, PART IX, LINE 24E, EXPENSES REIMBURSED BY SANFORD HEALTH ALL GENERAL AND ADMINISTRATIVE EXPENSES AND FUNDRAISING EXPENSES (THE "EXPENSES") ARE PAID FOR BY SANFORD HEALTH TO ENSURE THAT 100% OF DONOR FUNDS ARE USED TO SUPPORT SANFORD'S WORK OF HEALTH, HEALING, AND COMFORT. AS A RESULT, THE NET COST OF THESE EXPENSES FUNDED BY THE FOUNDATION IS $0. FORM 990, PART XI, LINE 9: REIMBURSEMENT FOR CASH FLOW INCURRED BY SANFORD HEALTH ON BEHALF OF THE FOUNDATION -476,075. ADAMS COUNTY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 461495572 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 ARLINGTON GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 371805492 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 BOISE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 363370371 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 COLLISTER DRIVE HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 300872973 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) PF THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 F-M AMBULANCE SERVICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450344371 EMT ND 501(C)(4) SANFORD NORTH 1 GOOD SAMARITAN SOCIETY INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460349951 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271212446 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 HOWARD LAKE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 364885253 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LEA COUNTY GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 453946645 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 LILAC WAY GOOD SAMARITAN HOUSING GP INC P O 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HASTINGS VILLAGE GARDENS GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271212511 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 LILAC WAY GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 364786577 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 MILLARD GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271212324 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 NATIONAL STUDENT HOUSING-SOUTH DAKOTA LLC 100 S PHILLIPS AVE SIOUX FALLS SD 57104 202129839 INVESTMENT SD N/A 0 0 OLATHE GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 205297369 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 PENNINGTON COUNTY GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 384060178 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 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