2024-11-08T08:18:57-06:00 2023-12-31 346565596 ERNST & YOUNG US LLP 155 N WACKER DRIVE CHICAGO IL 60606 990 2023-01-01 363297853 SANFORD HEALTH FOUNDATION SANF 6053285700 PO BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 NICHOLAS OLSON EVP, CFO 6053331000 2024-11-08 1 0 JESS WAGENER P01622613 3128792000 2023 2024-10-15 13:58:12Z BILL GASSEN 2301 EAST 60TH ST SIOUX FALLS SD 57104 368199617 0 X WWW.SANFORDHEALTHFOUNDATION.ORG X 1983 SD TO INSPIRE PHILANTHROPY TO ADVANCE THE MISSION OF SANFORD HEALTH. 10 5 0 93 0 0 136186668 128931860 0 0 46232605 62337452 -1333 -144017 182417940 191125295 35450465 48812932 0 0 0 0 0 0 0 0 0 35450465 48812932 146967475 142312363 1051795268 1197031734 148459631 100455246 903335637 1096576488 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 41189225 41189225 DONATIONS HELP SUPPORT THE SANFORD INITIATIVES:THE SANFORD INITIATIVES ENHANCE THE CAPABILITIES OF SANFORD HEALTH AND ALLOW THE ORGANIZATION TO SHARE ITS EXPERTISE WITH THE COMMUNITIES IT SERVES. AREAS OF FOCUS FOR THE SANFORD INITIATIVES INCLUDE SANFORD RESEARCH, CHILDREN'S HEALTH, SPORTS MEDICINE, WEIGHT LOSS, GENETICS, BREAST CANCER, VIRTUAL CARE, INNOVATION AND MORE. SINCE ITS INCEPTION, THE SANFORD INITIATIVES HAVE CONTINUED TO ACHIEVE MAJOR MILESTONES, GIVING WAY TO NEW BREAKTHROUGHS AND NEW DISCOVERIES, ALL OF WHICH ARE HELPING TO TRANSFORM THE FUTURE OF HEALTH CARE. -CHILDHOOD NUTRITION AND FITNESS INITIATIVESSANFORD 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.-THE SANFORD PROJECT SINCE 2008, SANFORD HEALTH HAS BEEN 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.-SANFORD WORLD CLINICSTHE SANFORD WORLD CLINICS 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. 6698954 6698954 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 ($2,757,630), EQUIPMENT AND FACILITY IMPROVEMENT PROJECTS ($3,843,813) AND OTHER INTERNAL PROGRAMS ($97,511). 924753 924753 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. 48812932 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 1 0 1 0 1 0 0 0 0 0 1 0 0 1 0 0 0 0 1 1 1 0 0 1 4 2 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 5 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 MN OR X NICHOLAS OLSON EVP CFO 6053331000 2301 EAST 60TH STREET SIOUX FALLS SD 57104 X MICHELLE BRUHN EVP, CFO & TREASURER (END 6/23) 0.50 59.50 X 0 3526262 105043 BILL GASSEN TRUSTEE, PRESIDENT & CEO 0.50 59.50 X X 0 2821352 439680 BILL MARLETTE INTERIM, EVP, CFO (BEG 6/23) 0.50 59.50 X 0 1306330 378 MARK LUNDEEN MD TRUSTEE, PHYSICIAN 0.50 59.50 X 0 591873 16560 DEB KOSKI CHIEF PHILANTHROPY OFFICER 5.00 55.00 X 0 432198 49029 MICAH ABERSON FORMER EVP 0.00 0.00 X 0 453110 0 ANDY NORTH TRUSTEE, SECRETARY, INDEP CONTRACTOR 0.50 6.61 X X 0 324345 0 BOBBIE TIBBETTS FORMER CHIEF PHILANTHROPY OFFICER 0.00 0.00 X 0 124802 0 NEIL GULSVIG TRUSTEE, CHAIRPERSON 0.50 6.61 X X 0 66718 0 BRENT TEIKEN TRUSTEE, PAST CHAIR 0.50 6.61 X X 0 38404 0 DON JACOBS TRUSTEE (END 12/23) 0.50 6.61 X 0 37332 0 LAURIS MOLBERT TRUSTEE, VICE CHAIR 0.50 6.61 X X 0 37099 0 JAMES CAIN TRUSTEE 0.50 6.61 X 0 35599 0 WESLEY ENGBRECHT TRUSTEE 0.50 6.61 X 0 34599 0 MARNIE HERMANN TRUSTEE, TREASURER (BEG 4/23) 0.50 6.61 X X 0 32099 0 ROBIN SMITH TRUSTEE, TREASURER (END 4/23) 0.50 6.61 X X 0 11000 0 0 9873122 610690 0 1 1 0 CUMBERLAND ADVISORS 2 N TAMIAMI TR STE 303 SARASOTA FL 34236 INVESTMENT MANAGEMENT 857810 FIRST PREMIER BANK PO BOX 2640 SIOUX FALLS SD 571012640 INVESTMENT MANAGEMENT 556075 SCHRODER INVESTMENT MANAGEMENT NA 7 BRYANT PARK NEW YORK NY 10018 INVESTMENT MANAGEMENT 339454 3 1982240 126949620 327339 128931860 65964332 65964332 173129550 176756430 -3626880 -3626880 -3626880 133480 1982240 297401 -163921 -163921 36214 20491 15723 15723 NON-OPERATING REVENUE 525990 4181 4181 4181 191125295 0 0 62193435 X 48812932 48812932 5190 5190 1885069 1885069 114835 501 114334 30343 1975 28368 155893 155893 28471 4592 23879 3414 509 2905 4078 4078 21572 21572 PURCHASED SALARIES 1475825 668511 807314 PURCHASED SERVICES 366172 90248 275924 FUNDRAISING MATERIALS 262079 262079 OTHER EXPENSES 113685 33051 80634 -4466626 -2871189 -1595437 48812932 48812932 0 0 500 1572506 2761583 0 4023489 3744885 200 203504 191479 380979 363009 22048 17970 1043248626 1179255612 10588235 1535518 1660847 1051795268 1197031734 25757 14846 146268050 98639046 2089083 1754114 76741 47240 148459631 100455246 X 742876718 933895356 160458919 162681132 903335637 1096576488 1051795268 1197031734 X 142312363 45137302 5791186 X 0 1 X 1 0 X X 7 SANFORD MEDICAL CENTER 460227855 3 1 45744968 0 SANFORD CLINIC 460447693 10 0 416625 0 SANFORD HOME HEALTH 460282134 10 0 259943 0 SANFORD HEALTH NETWORK 460388596 3 0 1919376 0 SANFORD RESEARCH 460450378 4 0 402045 0 SANFORD WORLD CLINICS 262707628 3 0 68725 0 SANFORD RESEARCH NORTH 450274828 4 0 1250 0 7 48812932 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 SCHEDULE A, PART IV, SECTION A, LINE 1 THE ARTICLES OF INCORPORATION OF SANFORD HEALTH FOUNDATION PROVIDE THAT THEY SHALL 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, QUALIFYING AS EXEMPT ORGANIZATIONS UNDER SECTION 501(C)(3) OF THE CODE, NOW OR HEREAFTER AFFILIATED WITH, 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 FOUNDATION AS WELL AS ALL OF THE NAMED TAX-EXEMPT SUBSIDIARY ORGANIZATIONS. THUS, SANFORD HEALTH FOUNDATION MEETS THE RELATIONSHIP TEST AS A TYPE II ORGANIZATION BECAUSE THERE IS COMMON SUPERVISION AND CONTROL BETWEEN SANFORD HEALTH FOUNDATION AND ITS NAMED SUPPORTED ORGANIZATIONS. SANFORD HEALTH FOUNDATION ALSO SUPPORTS 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, THIS CORPORATION 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 THIS CORPORATION SHALL BE EXERCISED ONLY SO THAT THIS CORPORATION'S 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 FOUNDATION WILL SUPPORT IN ITS ARTICLES OF INCORPORATION DOES NOT OTHERWISE DEFEAT THE ORGANIZATION'S STATUS AS A TYPE II SUPPORTING ORGANIZATION, BECAUSE ITS 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). RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 45550729 97976 88180 45736885 46288628 -452884 -285015 45550729 45603927 478014 206687 46288628 43970267 1524212 109448 45603927 42145816 1626225 198226 43970267 0.00000 1.00000 0.00000 0 0 40157 33099 7058 340822 329910 10912 17970 ANNUITIES PAYABLE 47240 47240 X PART IV, LINE 2B: THE ORGANIZATION HOLDS FUNDS OWNED BY AN UNRELATED FOUNDATION IN CUSTODIAL ACCOUNTS WITH THE FUNDS BALANCE COMMINGLED WITH OTHER INVESTMENT ASSETS OF THE ORGANIZATION. THE USE OF THE FUNDS BALANCE IS 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'S ORGANIZATIONS. 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, 2023; HOWEVER, SOME RELATED ORGANIZATIONS HAVE ESTABLISHED RESERVES. CHILDREN GALA 1046296 970176 76120 1257 20694 164274 EDITH BIG STARS PINK GUITARS 902375 876725 25650 51665 3088 1088 38717 2 167049 135339 31710 15854 764 2115720 1982240 133480 67519 4345 21782 203755 297401 -163921 36214 18872 1619 0 36214 18872 1619 20491 15723 SD 0 CHARITABLE GAMING LICENSURE IS NOT REQUIRED ON THE STATE LEVEL IN SOUTH DAKOTA. 0 0 0 1.00000 BRANDI KOWALCZYK PO BOX 5039 RTE 5218 SIOUX FALLS SD 57117 0 NA - SANFORD HEALTH FOUNDATION DOES NOT HAVE A GAMING MANAGER 0 1 SANFORD MEDICAL CENTER P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460227855 501(C)(3) 45744968 0 SEE FORM 990, PAGE 2, PART III SANFORD CLINIC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460447693 501(C)(3) 416625 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) 259943 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) 1919376 0 SEE FORM 990, PAGE 2, PART III SANFORD RESEARCH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460450378 501(C)(3) 402045 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) 68725 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 1 1 0 0 MICHELLE BRUHN EVP, CFO & TREASURER (END 6/23) 0 517911 0 185400 0 2822951 0 88278 0 16765 0 3631305 0 430889 BILL GASSEN TRUSTEE, PRESIDENT & CEO 0 2105352 0 388071 0 327929 0 438925 0 755 0 3261032 0 0 BILL MARLETTE INTERIM, EVP, CFO (BEG 6/23) 0 856004 0 0 0 450326 0 0 0 378 0 1306708 0 0 MARK LUNDEEN MD TRUSTEE, PHYSICIAN 0 310852 0 0 0 281021 0 16500 0 60 0 608433 0 0 DEB KOSKI CHIEF PHILANTHROPY OFFICER 0 358149 0 32056 0 41993 0 16500 0 32529 0 481227 0 0 MICAH ABERSON FORMER EVP 0 0 0 0 0 453110 0 0 0 0 0 453110 0 0 ANDY NORTH TRUSTEE, SECRETARY, INDEP CONTRACTOR 0 324345 0 0 0 0 0 0 0 0 0 324345 0 0 BOBBIE TIBBETTS FORMER CHIEF PHILANTHROPY OFFICER 0 0 0 0 0 124802 0 0 0 0 0 124802 0 0 PART I, LINE 1A CERTAIN ITEMS LISTED ON LINE 1A ARE PROVIDED BY RELATED ORGANIZATIONS. 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, 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 2023. 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: MICHELLE BRUHN: SEPARATION..................................$2,157,592 NONQUALIFIED RETIREMENT PLAN..................$576,899 TOTAL.......................................$2,734,491 BILL MARLETTE: NON-COMPETE...................................$436,802 MICAH ABERSON: NON-COMPETE...................................$453,110 BOBBIE TIBBETTS: NON-COMPETE...................................$124,802 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 556075 INDEPENDENT CONTRACTOR ARRANGEMENT 0 X 6 327339 FMV 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: MARK LUNDEEN, DEB KOSKI, MICHELLE BRUHN, BILL MARLETTE, 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. 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 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 SANFORD HAS A PROCESS FOR DETERMINING COMPENSATION OF THE PERSONS LISTED ON PART VII, SECTION A. THIS INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, 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, 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 2023. 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 DUES AND MEMBERSHIPS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 16,671. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,671. OTHER NON-OPERATING INC / EXP: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 923. TOTAL EXPENSES 923. EXPENSES REIMBURSED BY SANFORD HEALTH (SEE EXPLANATION BELOW): PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES -2,887,860. FUNDRAISING EXPENSES -1,596,360. TOTAL EXPENSES -4,484,220. 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 576,901. UNCOLLECTIBLE PLEDGES -119,362. SANFORD INITIATIVES - NET ASSETS RELEASED FROM RESTRICTION 5,333,647. 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 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 BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 465740381 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 MILLARD GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460396332 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 OLATHE GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460396398 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 PRESCOTT GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 275114421 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 PROPHETSTOWN GOOD SAMARITAN HOUSING INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460392943 PROVIDE LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD 501(C)(3) 10 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 RAPID CITY GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 461579750 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 SANFORD P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 271218956 SUPPORTING ORGANIZATION ND 501(C)(3) 12-II 0 SANFORD HEALTH FOUNDATION NORTH P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450398104 FOUNDATION ND 501(C)(3) 7 SANFORD NORTH 1 SANFORD HEALTH FOUNDATION OF NORTHERN MINNESOTA P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 411389317 FOUNDATION MN 501(C)(3) 7 SANFORD HEALTH OF NORTHERN MINNESOTA 1 SANFORD HEALTH FOUNDATION WEST P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450397196 FOUNDATION ND 501(C)(3) 7 SANFORD BISMARCK 1 SIOUX FALLS DOWNTOWN GOOD SAMARITAN HOUSING GP INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 452473519 LOW INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD 501(C)(3) 12-I THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY 1 THE EVANGELICAL LUTHERAN GOOD SAMARITAN FOUNDATION P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 460422866 FOUNDATION MN 501(C)(3) 12-I SANFORD HEALTH 1 THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 450228055 LONG-TERM CARE, SENIOR HOUSING & HOME AND COMMUNITY BASED SERVICES ND 501(C)(3) 10 SANFORD 1 ADA COUNTY GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 364799439 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 ADAMS COUNTY GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 383896526 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 COLLISTER DRIVE HOUSING LLC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 611752929 LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A 0 0 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 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 PRESCOTT GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 275115281 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 RAPID CITY GOOD SAMARITAN HOUSING LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 352466169 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 RUTH STREET GOOD SAMARITAN HOUSING LLC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 611748321 LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A 0 0 SIOUX FALLS DOWNTOWN GOOD SAMARITAN LP P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 320377442 PROVIDE LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS SD N/A 0 0 TEXAS GOOD SAMARITAN HOUSING LLC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 371774574 LOW-INCOME HOUSING TO SENIORS AND OTHER ELIGIBLE POPULATIONS AS GP SD N/A 0 0 GOOD SAMARITAN INSURANCE PLAN OF NEBRASKA INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 815037667 INSURANCE NE N/A C 0 GOOD SAMARITAN SOCIETY INSURANCE LTD P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 980379099 INSURANCE CJ N/A C 0 HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 900491537 PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A S 0 HERITAGE HEALTHCARE SERVICES INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 850418562 PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A S 0 HERITAGE HOME HEALTHCARE & HOSPICE INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 850463468 PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A S 0 HERITAGE HOME HEALTHCARE OF ARIZONA INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 204243949 PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A S 0 HERITAGE HOME HEALTHCARE SERVICES INC P O BOX 5039 RTE 5218 SIOUX FALLS SD 571175039 850463469 PROVIDE HOME AND COMMUNITY BASED SERVICES NM N/A S 0 SANFORD FRONTIERS 1305 W 18TH STREET PO BOX 5039 SIOUX FALLS SD 571175039 455436599 SPORTS/ALTERNATIVE INVESTMENTS SD N/A C 0 SANFORD HEALTH PLAN 300 CHERAPA PLACE SIOUX FALLS SD 57103 911842494 INSURANCE SD N/A C 0 SANFORD HEALTH PLAN OF MN 300 CHERAPA PLACE SIOUX FALLS SD 57103 460445852 INSURANCE MN N/A C 0 SANFORD INTERNATIONAL - MUNICH GMBH NYMPHENBURGER STRASSE 3 MUNICH GM HEALTHCARE GM N/A C 0 SANFORD WORLD CLINICS - GHANA SARBAH ROAD TANTRI LORRY STATION CAPE COAST GH HEALTHCARE GH N/A C 0 SHANGHAI SANFORD HEALTHCARE MANAGEMENT CONSULTING CO LTD 188 YESHENG ROAD ROOM A-862 GUOMA SHANGHAI CH HEALTHCARE CH N/A C 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 SANFORD RESEARCH B 402045 CASH METHOD SANFORD HOME HEALTH B 259943 CASH METHOD SANFORD CLINIC B 416625 CASH METHOD SANFORD MEDICAL CENTER B 45744968 CASH METHOD SANFORD HEALTH MANAGEMENT & GENERAL EXPENSES FUNDING Q 2887860 CASH METHOD SANFORD HEALTH FUNDRAISING EXPENSES FUNDING Q 1596360 CASH METHOD SANFORD HEALTH S 5061108 CASH METHOD SANFORD WORLD CLINICS B 68725 CASH METHOD SANFORD HEALTH NETWORK B 1919376 CASH METHOD