Sanford, Sanford Bismarck in Bismarck, North Dakota (ND)

Sanford, Sanford Bismarck
Employer Identification Number (EIN)	450226700
Name of Organization	Sanford
Secondary Name	Sanford Bismarck
Address	300 N 7th St, Bismarck, ND 58501-4439
Activities	Other school related activities, Hospital, Other health services
Subsection	Charitable Organization
Ruling Date	04/2011
Deductibility	Contributions are deductible
Foundation	Organizations operated solely for the benefit of and in conjunction with organizations described in 10 through 16 above
Organization	Corporation
Exempt Organization Status	Unconditional Exemption
Tax Period	12/2012
Assets	$0
Income	$0
Filing Requirement	990 - Required to file Form 990-N - Income less than $25,000 per year
Asset Amount	$46,371,801
Amount of Income	$229,784,125
Form 990 Revenue Amount	$229,784,125
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2012: $229,784,125

Sanford, Sanford Bismarck:	$229,784,125
Other organizations performing similar types of work:	$6,791,313

Assets in 2012: $46,371,801

This organization:	$46,371,801
Other organizations performing similar types of work:	$5,000,000

Expenses in 2012: $0

Sanford, Sanford Bismarck:	$0
Other organizations performing similar types of work:	$5,603,496

Expenses allocated to program services in 2007: 89.6%

This organization:	89.6%
Other organizations performing similar types of work:	86.4%

Grants share in income in 2012: -,nan,(ind)%

This organization:	-,nan,(ind)%
Other organizations performing similar types of work:	0.5%

Financial snapshot ($)

Statements Regarding Other IRS Filings and Tax Compliance (for 2012)
Did the organization have unrelated business gross income of $1,000 or more during the year?	Yes
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
Gross income from members or shareholders	$0
Gross income from other sources	$0

Statement of Revenue (for 2012)
Total revenue	$0

Statement of Functional Expenses (for 2012)
Total functional expenses	$0

Balance Sheet (for 2012)
Total assets	$0
Total liabilities	$0
Total net assets or fund balances	$0

Reason for Public Charity Status (for 2012)
The organization is not a private foundation because it is:	A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii)

	2000	2001	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$138,218,325	$159,612,907	$163,801,445	$173,036,077	$189,711,130	$207,420,746	$220,296,342	$229,784,125
Contributions, gifts, grants, and similar amounts received	$60,219	$1,116,192	$5,000	$956,666	$1,355,792	$1,231,352	$914,187	$530,731
Contributions to donor advised funds							$0	$0
Direct public support	$0	$0	$5,000	$0	$0	$0	$0	$132,766
Indirect public support	$0	$1,000,000	$0	$956,666	$1,002,560	$1,121,357	$848,482	$310,317
Government contributions (grants)	$60,219	$116,192	$0	$0	$353,232	$109,995	$65,705	$87,648
Program service revenue including government fees and contracts	$136,622,989	$157,338,058	$163,113,335	$171,568,976	$187,838,579	$205,359,358	$217,957,430	$227,407,233
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$1,076,395	$701,235	$352,582	$184,934	$236,113	$633,584	$825,542	$910,026
Dividends and interest from securities	$302,338	$298,416	$300,746	$293,618	$271,311	$321,284	$487,533	$418,020
Net rental income or (loss)	$174,699	$160,462	$133,274	$147,395	$146,767	$96,245	$130,239	$117,797
Gross rents	$244,178	$229,341	$200,811	$213,696	$260,992	$108,253	$142,560	$129,542
Less: rental expenses	$69,479	$68,879	$67,537	$66,301	$114,225	$12,008	$12,321	$11,745
Other investment income	$0	$0	$0	$0	$0	$0	$0	$0
Gain or (loss) from sales of assets other than inventory	$-18,315	$-1,456	$-103,492	$-115,512	$-137,432	$-221,077	$-18,589	$400,318
Gross amount from sales of assets other than inventory	$40,105	$0	$0	$10,807	$73,974	$7,625	$0	$879,680
Less: cost or other basis and sales expenses	$58,420	$1,456	$103,492	$126,319	$211,406	$228,702	$18,589	$479,362
Net income or (loss) from special events and activities	$0	$0	$0	$0	$0	$0	$0	$0
Gross revenue	$0	$0	$0	$0	$0	$0	$0	$0
Less: direct expenses other than fundraising expenses	$0	$0	$0	$0	$0	$0	$0	$0
Gross profit or (loss) from sales of inventory	$0	$0	$0	$0	$0	$0	$0	$0
Gross sales of inventory, less returns and allowances	$0	$0	$0	$0	$0	$0	$0	$0
Less: cost of goods sold	$0	$0	$0	$0	$0	$0	$0	$0
Other revenue	$0	$0	$0	$0	$0	$0	$0	$0
Total expenses	$143,382,109	$160,311,307	$165,917,683	$173,329,336	$184,202,216	$199,880,778	$216,307,981	$228,407,985
Program services	$131,459,649	$150,132,318	$154,345,810	$163,675,898	$171,547,942	$180,361,476	$194,642,357	$204,583,577
Management and general	$11,922,460	$10,178,989	$11,571,873	$9,653,438	$12,596,884	$19,514,721	$21,665,624	$23,824,408
Fundraising	$0	$0	$0	$0	$57,390	$4,581	$0	$0
Payments to affiliates	$0	$0	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$34,899,467	$34,630,121	$24,054,646	$26,990,314	$32,634,710	$36,739,247	$40,761,170	$46,371,801
Excess or (deficit) for the year	$-5,163,784	$-698,400	$-2,116,238	$-293,259	$5,508,914	$7,539,968	$3,988,361	$1,376,140
Net assets or fund balances at beginning of year	$40,010,225	$34,899,467	$34,630,121	$24,054,646	$26,990,314	$32,634,710	$36,739,247	$40,761,170
Other changes in net assets or fund balances	$53,026	$429,054	$-8,459,237	$3,228,927	$135,482	$-3,435,431	$33,562	$4,234,491

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$228,407,985	$204,583,577	$23,824,408	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$28,910
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$7,098,319	$5,421,611	$1,676,708	$0
Compensation of former officers, directors, key employees, etc.	$5,114,967	$5,099,016	$15,951	$0
Compensation and other distributions, not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)	$0	$0	$0	$0
Salaries and wages of employees not included above	$106,134,478	$100,064,249	$6,070,229	$0
Pension plan contributions not included above	$6,727,935	$6,488,193	$239,742	$0
Employee benefits not included above	$7,453,500	$3,159,457	$4,294,043	$0
Payroll taxes	$6,783,556	$6,272,743	$510,813	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$0	$0	$0	$0
Legal fees	$0	$0	$0	$0
Supplies	$47,061,131	$44,855,984	$2,205,147	$0
Telephone	$415,904	$122,398	$293,506	$0
Postage and shipping	$660,511	$660,511	$0	$0
Occupancy	$3,931,512	$3,867,552	$63,960	$0
Equipment rental and maintenance	$5,084,289	$4,219,909	$864,380	$0
Printing and publications	$0	$0	$0	$0
Travel	$937,377	$838,771	$98,606	$0
Conferences, conventions, and meetings	$0	$0	$0	$0
Interest	$1,662,087	$1,662,087	$0	$0
Depreciation, depletion, etc.	$6,090,385	$5,145,363	$945,022	$0
Other expenses not covered above	$23,223,124	$16,676,823	$6,546,301	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$113,620,215	$119,184,255	$117,943,987	$118,391,810	$118,112,571	$122,991,627	$125,161,748	$125,212,059
Cash - non-interest-bearing	$2,057,769	$2,636,889	$9,820	$8,190	$8,425	$7,354	$0	$0
Savings and temporary cash investments	$8,557,767	$14,137,550	$20,310,253	$22,944,453	$25,158,916	$27,373,376	$27,046,230	$29,023,960
Accounts receivable less allowance for doubtful accounts	$20,365,451	$24,558,656	$22,523,726	$23,499,115	$23,209,123	$26,169,766	$29,832,595	$30,313,241
Pledges receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0	$0	$0	$0
Grants receivable	$0	$0	$0	$0	$0	$0	$0	$0
Receivables from current and former officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$904	$0	$0
Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)							$0	$0
Other notes and loans receivable less allowance for doubtful accounts	$0	$0	$0	$0	$0	$0	$9,658	$145,498
Inventories for sale or use	$2,618,022	$2,804,439	$2,127,487	$2,780,313	$2,708,776	$2,908,682	$3,463,357	$3,877,070
Prepaid expenses and deferred charges	$2,391,838	$3,885,463	$3,748,281	$3,634,698	$3,639,209	$2,927,276	$2,821,511	$3,013,349
Investments - publicly-traded securities							$8,195,560	$8,327,609
Investments - other securities	$8,092,769	$8,051,475	$8,019,742	$8,042,629	$8,110,311	$8,116,202	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$2,925,825	$2,610,398	$2,492,865	$3,417,565	$3,238,788	$3,129,620	$3,280,076	$3,101,172
Investments - other	$8,930,956	$4,143,040	$4,160,130	$4,056,261	$4,394,681	$4,650,308	$4,510,908	$6,963,680
Land, buildings, and equipment less accumulated depreciation	$56,325,559	$55,766,826	$51,963,849	$47,308,081	$45,575,749	$45,081,028	$41,815,407	$40,223,357
Other assets, including program-related investments	$1,354,259	$589,519	$2,587,834	$2,700,505	$2,068,593	$2,627,111	$4,186,446	$223,123
Total liabilities	$78,720,748	$84,554,134	$93,889,341	$91,401,496	$85,477,861	$86,252,380	$84,400,578	$78,840,258
Accounts payable and accrued expenses	$18,892,817	$26,343,275	$27,801,647	$30,605,369	$28,091,145	$25,374,085	$27,946,428	$29,546,957
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0	$0	$0	$0
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$52,946,044	$49,996,854	$46,919,255	$43,708,565	$40,350,127	$36,844,293	$33,176,445	$29,346,974
Mortgages and other notes payable	$2,618,291	$3,188,940	$3,600,707	$2,103,296	$1,770,684	$2,784,492	$2,169,158	$2,262,220
Other liabilities	$4,263,596	$5,025,065	$15,567,732	$14,984,266	$15,265,905	$21,249,510	$21,108,547	$17,684,107
Total liabilities and net assets/fund balances	$113,620,215	$119,184,255	$117,943,987	$118,391,810	$118,112,571	$122,991,627	$125,161,748	$125,212,059
Total net assets or fund balances	$34,899,467	$34,630,121	$24,054,646	$26,990,314	$32,634,710	$36,739,247	$40,761,170	$46,371,801

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$138,218,325	$159,612,907	$163,801,445	$173,036,077	$189,711,130	$207,420,746	$220,296,342	$229,784,125
Total revenue, gains, and other support per audited financial statements	$138,158,106	$158,496,715	$163,796,445	$172,079,411	$188,646,511	$205,865,527	$219,432,943	$229,381,617
Other expenses	$0	$0	$0	$0	$0	$-521,262	$-96,710	$0
Net unrealized gains on investments	$0	$0	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Recoveries of prior year grants	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$-521,262	$-96,710	$0
Other revenue	$60,219	$1,116,192	$5,000	$956,666	$1,064,619	$1,033,957	$766,689	$402,508
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$60,219	$1,116,192	$5,000	$956,666	$1,064,619	$1,033,957	$766,689	$402,508

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$143,382,109	$160,311,307	$165,917,683	$173,329,336	$184,202,216	$199,880,778	$216,307,981	$228,407,985
Total expenses and losses per audited financial statements	$143,382,109	$160,311,307	$165,917,683	$173,329,336	$184,202,216	$199,359,516	$216,211,271	$228,315,794
Other revenue	$0	$0	$0	$0	$0	$0	$0	$0
Donated services and use of facilities	$0	$0	$0	$0	$0	$0	$0	$0
Prior year adjustments	$0	$0	$0	$0	$0	$0	$0	$0
Losses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$0	$0	$0
Other expenses	$0	$0	$0	$0	$0	$521,262	$96,710	$92,191
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$0
Other	$0	$0	$0	$0	$0	$521,262	$96,710	$92,191

Average hours per week devoted to position	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Current Officers, Directors, Trustees, and Key Employees
40	$456,510	$49,447	$0
40	$249,258	$29,557	$0
40	$345,038	$29,556	$0
40	$370,568	$36,022	$0
40	$231,103	$24,470	$0
40	$322,569	$29,672	$1,397
40	$1,054,977	$29,945	$0
40	$676,189	$49,537	$0
40	$440,963	$29,826	$0
40	$565,535	$65,708	$0
40	$473,033	$29,806	$0
40	$537,190	$20,705	$8,642
40	$175,756	$17,438	$0
40	$268,500	$17,080	$0
40	$453,386	$18,975	$0

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	26
Are any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, related to each other through family or business relationships?	Yes
Do any officers, directors, trustees, or key employees listed in Form 990, Part V-A, or highest compensated employees listed in Schedule A, Part I, or highest compensated professional and other independent contractors listed in Schedule A, Part II-A or II-B, receive compensation from any other organizations, whether tax exempt or taxable, that are related to the organization?	No
Does the organization have a written conflict of interest policy?	Yes

Loans and Advances	Compensation	Contributions to employee benefit plans & deferred compensation plans	Expense account and other allowances
Former Officers, Directors, Trustees, and Key Employees That Received Compensation or Other Benefits
$0	$15,386	$565	$0
$0	$556,143	$45,045	$11,633
$0	$343,344	$29,753	$165
$0	$357,591	$25,054	$0
$0	$351,591	$25,041	$0
$0	$296,646	$29,599	$0
$0	$318,939	$29,601	$0
$0	$279,023	$29,426	$0
$0	$38,872	$0	$0
$0	$247,996	$29,547	$0
$0	$259,206	$29,610	$0
$0	$164,476	$42,226	$0
$0	$462,403	$29,901	$0
$0	$385,718	$29,807	$0
$0	$578,332	$45,045	$0
$0	$39,081	$0	$0

Other Information
Did the organization have unrelated business gross income of $1,000 or more during the year covered by this return, and has it filed a tax return on Form 990-T for this year?	Yes
Was there a liquidation, dissolution, termination, or substantial contraction during the year?	No
Is the organization related (other than by association with a statewide or nationwide organization) through common membership, governing bodies, trustees, officers, etc., to any other exempt or nonexempt organization?	Yes
Direct and indirect political expenditures	$0
Did the organization file Form 1120-POL for this year?	No
Were substantially all dues nondeductible by members?
Did the organization make only in-house lobbying expenditures of $2,000 or less?
Dues, assessments, and similar amounts from members	$0
Section 162(e) lobbying and political expenditures	$0
Aggregate nondeductible amount of section 6033(e)(1)(A) dues notices	$0
Taxable amount of lobbying and political expenditures	$0
Does the organization elect to pay the section 6033(e) tax on the amount above?
If section 6033(e)(1)(A) dues notices were sent, does the organization agree to add the amount above to its reasonable estimate of dues allocable to nondeductible lobbying and political expenditures for the following tax year?
Initiation fees and capital contributions	$0
Gross receipts for public use of club facilities	$0
At any time during the year, did the organization, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)?	Yes
Amount of tax imposed on the organization during the year under: section 4911	$0
Amount of tax imposed on the organization during the year under: section 4912	$0
Amount of tax imposed on the organization during the year under: section 4955	$0
Did the organization engage in any section 4958 excess benefit transaction during the year or did it become aware of an excess benefit transaction from a prior year?	No
Amount of tax imposed on the organization managers or disqualified persons during the year under sections 4912, 4955, and 4958	$0
Amount of tax above, reimbursed by the organization	$0
At any time during the tax year, was the organization a party to a prohibited tax shelter transaction?	No
Did the organization acquire a direct or indirect interest in any applicable insurance contract?	No
Did the supporting organization, or a fund maintained by a sponsoring organization, have excess business holdings at any time during the year?	No
Number of employees employed in the pay period that includes March 12, 2006	2,364

	Unrelated business income		Excluded by section 512, 513, or 514		Related or exempt function income
Analysis of Income-Producing Activities (for 2007)
	Business code	Amount	Exclusion code	Amount	Related or exempt function income
Total		$1,067,240		$1,846,161	$226,339,993
Program service revenue
Program service revenue 1	000000	$0	00	$0	$215,093,593
Program service revenue 2	Pharmacies and drug stores	$378,306	00	$0	$8,257,382
Program service revenue 3	000000	$0	00	$0	$914,930
Program service revenue 4	000000	$0	00	$0	$799,020
Program service revenue 5	Medical and diagnostic laboratories	$688,934	00	$0	$1,275,068
		$0		$0	$215,093,593
		$0		$0	$144,169
	Pharmacies and drug stores	$378,306		$0	$8,257,382
	Caterers	$49,966		$0	$575,431
		$0		$0	$914,930
		$0		$0	$55,814
		$0		$0	$353,339
	Miscellaneous store retailers	$16,097		$0	$90,288
		$0		$0	$56,027
		$0		$0	$799,020
	Medical and diagnostic laboratories	$573,968		$0	$0
	Other professional, scientific, and technical services	$48,903		$0	$0
Medicare/Medicaid payments	000000	$0	00	$0	$0
Fees and contracts from government agencies	000000	$0	00	$0	$0
Membership dues and assessments	000000	$0	00	$0	$0
Interest on savings and temporary cash investments	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$910,026	$0
Dividends and interest from securities	000000	$0	Dividends, interest, payments with respect to securities loans, annuities, income from notional principal contracts, loan commitment fees, and other substantially similar income from ordinary and routine investments excluded by section 512(b)(1)	$418,020	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)	$56,797	$0
not debt-financed property	000000	$0	Real property rental income that does not depend on the income or profits derived by the person leasing the property and is excluded by section 512(b)(3)	$61,000	$0
Net rental income or (loss) from personal property	000000	$0	00	$0	$0
Other investment income	000000	$0	00	$0	$0
Gain or (loss) from sales of assets other than inventory	000000	$0	Gain (or loss, to the extent allowed) from the sale of investments and other non-inventory property and from certain property acquired from financial institutions that are in conservatorship or receivership (sections 512(b)(5) and 512(b)(16)(A))	$400,318	$0
Net income or (loss) from special events	000000	$0	00	$0	$0
Gross profit or (loss) from sales of inventory	000000	$0	00	$0	$0
Other revenue	000000	$0	00	$0	$0

EIN of corporation, partnership, or disregarded entity	Percentage of ownership interest	Total income	End-of-year assets
Information Regarding Taxable Subsidiaries and Disregarded Entities (for 2007)
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0
000000000	0%	$0	$0

Compensation	Contributions to employee benefit plans & deferred compensation	Expense account and other allowances
Compensation of the Five Highest Paid Employees Other Than Officers, Directors, and Trustees (for 2007)
$1,032,222	$29,978	$0
$1,018,221	$29,978	$0
$1,018,228	$27,253	$0
$858,747	$45,045	$0
$697,039	$15,952	$0

Total number of other employees paid over $50,000	113

Total number of other employees paid over $50,000

113

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$39,059
Did the organization receive or hold an easement for conservation purposes, including easements to preserve open space, the environment, historic land areas or historic structures?	No
Did the organization provide credit counseling, debt management, credit repair, or debt negotiation services?	No
Did the organization maintain any donor advised funds?	No
Did the organization make any taxable distributions under section 4966?	No
Did the organization make a distribution to a donor, donor advisor, or related person?	No
The total number of donor advised funds owned at the end of the tax year	$0
The aggregate value of assets held in all donor advised funds owned at the end of the tax year	$0
The total number of separate funds or accounts owned at the end of the tax year (excluding donor advised funds included above) where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts	$0
The aggregate value of assets held in all funds or accounts included above at the end of the tax year	$0

Reason for Non-Private Foundation Status
The organization is not a private foundation because it is	Hospital, or a cooperative hospital service organization

	1999	2000	2001	2002	2003	2004	2005	2006
Support Schedule
Total	$0	$0	$0	$0	$0	$0	$0	$0
Gifts, grants, and contributions received	$0	$0	$0	$0	$0	$0	$0	$0
Membership fees received	$0	$0	$0	$0	$0	$0	$0	$0
Gross receipts from admissions, merchandise sold or services performed, or furnishing of facilities in any activity that is related to the organization's charitable, etc., purpose	$0	$0	$0	$0	$0	$0	$0	$0
Gross income from interest, dividends, amounts received from payments on securities loans (section 512(a)(5)), rents, royalties, and unrelated business taxable income (less section 511 taxes) from businesses acquired by the organization after June 30, 1975	$0	$0	$0	$0	$0	$0	$0	$0
Net income from unrelated business activities not included above	$0	$0	$0	$0	$0	$0	$0	$0
Tax revenues levied for the organization's benefit and either paid to it or expended on its behalf	$0	$0	$0	$0	$0	$0	$0	$0
The value of services or facilities furnished to the organization by a governmental unit without charge. Do not include the value of services or facilities generally furnished to the public without charge	$0	$0	$0	$0	$0	$0	$0	$0
Other income	$0	$0	$0	$0	$0	$0	$0	$0

Lobbying Expenditures by Electing Public Charities (for 2007)
Total exempt purpose expenditures	$0
Total lobbying expenditures	$0
Total lobbying expenditures to influence public opinion (grassroots lobbying)	$0
Total lobbying expenditures to influence a legislative body (direct lobbying)	$0
Other exempt purpose expenditures	$0
Lobbying nontaxable amount	$0
Grassroots nontaxable amount	$0

	Income	Expenses	Net
Unrelated Trade or Business Income (for 2008)
Total	$616,135	$0	$616,135
Gross receipts or sales less returns and allowances	$862,536	$0	$0
Cost of goods sold	$246,401	$0	$0
Gross profit	$616,135	$0	$616,135
Capital gain net income	$0	$0	$0
Net gain	$0	$0	$0
Capital loss deduction for trusts	$0	$0	$0
Income (loss) from partnerships and S corporations	$0	$0	$0
Rent income	$0	$0	$0
Unrelated debt-financed income	$0	$0	$0
Interest, annuities, royalties, and rents from controlled organizations	$0	$0	$0
Investment income of a section 501(c)(7), (9), or (17) organization	$0	$0	$0
Exploited exempt activity income	$0	$0	$0
Advertising income	$0	$0	$0
Other income	$0	$0	$0

Deductions Not Taken Elsewhere (for 2008)
Total deductions	$473,821
Compensation of officers, directors, and trustees	$0
Salaries and wages	$116,996
Repairs and maintenance	$0
Bad debts	$0
Interest	$0
Taxes and licenses	$0
Charitable contributions	$0
Depreciation	$0
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$4,805
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$352,020
Unrelated business taxable income	$0
Unrelated business taxable income before net operating loss deduction	$142,314
Net operating loss deduction	$142,314
Unrelated business taxable income before specific deduction	$0
Specific deduction	$1,000

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Id	Name	Address	State	Established	Total Income
Organizations performing similar types of work
1	Sanford, Sanford Clinic North	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$401,023,634
2	Sanford, Sanford Medical Center Fargo	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$397,156,872
3	Trinity Health & Affiliates, Group Return	PO BOX 5020, Minot, ND 58702-5020	ND	2003-09	$289,148,158
4	Sanford, Sanford Bismarck	300 N 7th St, Bismarck, ND 58501-4439	ND	2011-04	$229,784,125
5	Sanford, Sanford North	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$112,777,768
6	Sanford, Sanford Health Network North	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$1,067,799
7	Partners Healthcare System Inc, Affiliates Group Return	529 Main St Ste 510, Charlestown, MA 02129-1116	MA	2010-11	$10,625,521,687
8	Spectrum Health System Group Return	100 Michigan St Ne Mc 498, Grand Rapids, MI 49503	MI	2014-03	$2,820,080,763
9	Childrens Healthcare Of Atlanta Inc, Group Return	1584 Tullie Cir Ne, Atlanta, GA 30329-2311	GA	2011-04	$1,317,040,754
10	East Texas Medical Center Regional Healthcare System, Group Return	1000 S Beckham Ave, Tyler, TX 75701-1908	TX	2010-04	$847,739,247
11	Uch-Mhs	1400 E Boulder St, Colorado Spgs, CO 80909-5533	CO	2014-08	$483,193,158
12	Bon Secours Charity Health System Affiliated Group, Group Return	255 Lafayette Ave, Suffern, NY 10901-4812	NY	2011-04	$473,866,542
13	Sanford	801 Broadway Drive, Fargo, ND 58122-0001	ND	2011-04	$119,630,599
14	Sanford, Sanford Living Centers	1000 18th St Nw Ste 1, Mandan, ND 58554-1612	ND	2011-04	$29,858,928
15	Sanford, Sanford Hillsboro	PO BOX 609, Hillsboro, ND 58045-0609	ND	2011-04	$8,138,945
16	Northland Pace Program	3811 Lockport St Ste 3, Bismarck, ND 58503-5554	ND	2009-06	$5,942,211
17	Sanford, Sanford Medical Center Mayville	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$2,311,173
18	Sanford, Sanford West	300 N 7th St, Bismarck, ND 58501-4439	ND	2011-04	$1,937,469
19	National Association Of Community Health Representatives Inc, Nachr	1025 N 3rd St Ste 1, Bismarck, ND 58501-3555	ND	2014-08	$0
20	Trinity Health, Trinity Hospitals	PO BOX 5020, Minot, ND 58702-5020	ND	2003-06	$0

Number of organizations performing similar types of work

Alabama	6
Arkansas	5
Arizona	2
California	34
Colorado	11
Connecticut	6
District of Columbia	3
Delaware	2
Florida	20
Georgia	23
Hawaii	9
Iowa	2
Idaho	5
Illinois	23
Indiana	10
Kansas	8
Kentucky	8
Louisiana	5
Massachusetts	67
Maryland	7
Maine	6
Michigan	36
Minnesota	39
Missouri	15
Mississippi	4
Montana	3

North Carolina	27
North Dakota	14
Nebraska	4
New Hampshire	3
New Jersey	33
New Mexico	3
Nevada	2
New York	45
Ohio	26
Oklahoma	7
Oregon	6
Pennsylvania	46
Rhode Island	5
South Carolina	2
South Dakota	10
Tennessee	7
Texas	62
Utah	3
Virginia	29
Vermont	2
Washington	8
Wisconsin	25
West Virginia	8
Wyoming	1
International	1

Total

738

Affiliation	Name	Address	State	Established	Total Income
20 biggest affiliated organizations
Subordinate	Sanford, Sanford Clinic North	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$401,023,634
Subordinate	Sanford, Sanford Medical Center Fargo	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$397,156,872
Subordinate	Sanford, Sanford Bismarck	300 N 7th St, Bismarck, ND 58501-4439	ND	2011-04	$229,784,125
Subordinate	Sanford, Sanford Health Of Northern Minnesot	1300 Anne St Nw, Bemidji, MN 56601-5103	MN	2011-04	$155,660,752
Subordinate	Sanford, Sanford North	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$112,777,768
Subordinate	Sanford, Sanford Health	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2011-04	$74,149,181
Subordinate	Sanford, Sanford Med Cntr Thief River Falls	3001 Sanford Pkwy, Thief Rvr Fls, MN 56701-2700	MN	2011-04	$68,971,183
Subordinate	Sanford, Sanford Health Network North	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$1,067,799
Central	Sanford	801 Broadway Drive, Fargo, ND 58122-0001	ND	2011-04	$119,630,599
Subordinate	Sanford, Group Return	801 Broadway N, Fargo, ND 58102-3641	ND	2011-04	$3,413,720,012
Subordinate	Sanford, Sanford Living Centers	1000 18th St Nw Ste 1, Mandan, ND 58554-1612	ND	2011-04	$29,858,928
Subordinate	Sanford, Sanford Hillsboro	PO BOX 609, Hillsboro, ND 58045-0609	ND	2011-04	$8,138,945
Subordinate	Sanford Medical Center Wheaton	401 12th Street North, Wheaton, MN 56296	MN	2011-04	$7,598,332
Subordinate	Sanford, Sanford Medical Center Mayville	PO BOX 2010, Fargo, ND 58122-0001	ND	2011-04	$2,311,173
Subordinate	Sanford, Sanford West	300 N 7th St, Bismarck, ND 58501-4439	ND	2011-04	$1,937,469
Subordinate	Sanford, Baker Park Inc	803 Dewey Avenue Nw, Bemidji, MN 56601	MN	2011-04	$507,144
Subordinate	Sanford, Sanford Clinic	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2011-04	$0
Subordinate	Sanford, Sanford Usd Medical Center	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2011-04	$0
Subordinate	Sanford, Sanford Research	2301 E 60th St N, Sioux Falls, SD 57104-0569	SD	2011-04	$0
Subordinate	Sanford, Sanford Home Health	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2011-04	$0

Number of affiliated organizations

Minnesota	4
North Dakota	11

South Dakota