Sanford, Sanford Health in Sioux Falls, South Dakota (SD)

Sanford, Sanford Health
Employer Identification Number (EIN)	311527032
Name of Organization	Sanford
Secondary Name	Sanford Health
Address	PO BOX 5039, Sioux Falls, SD 57117-5039
Activities	Non financial services of facilities to other organizations, Gifts, grants, or loans to other organizations, 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	06/2010
Assets	$50,000,000 to greater
Income	$50,000,000 to greater
Filing Requirement	990 (all other) or 990EZ return
Asset Amount	$231,692,312
Amount of Income	$74,149,181
Form 990 Revenue Amount	$74,149,181
National Taxonomy of Exempt Entities (NTEE)	Health - General and Rehabilitative: Community Health Systems

Non-representatives - add comments:

Amount of income in 2010: $74,149,181

This organization:	$74,149,181
Other organizations performing similar types of work:	$6,791,313

Assets in 2010: $231,692,312

Sanford, Sanford Health:	$231,692,312
Other organizations performing similar types of work:	$5,000,000

Expenses in 2007: $91,376,496

This organization:	$91,376,496
Other organizations performing similar types of work:	$5,603,496

Income to expenses ratio in 2007: 0.8

Sanford, Sanford Health:	0.8
Other organizations performing similar types of work:	1.1

Expenses allocated to program services in 2007: 78.3%

Sanford, Sanford Health:	78.3%
Other organizations performing similar types of work:	86.4%

Number of employees in 2007: 21

This organization:	21
Other organizations performing similar types of work:	83

Employees paid over $50,000 in 2007: 1,204.8%

This organization:	1,204.8%
Other organizations performing similar types of work:	30.9%

Grants share in income in 2007: 9.5%

Sanford, Sanford Health:	9.5%
Other organizations performing similar types of work:	0.5%

Financial snapshot ($)

Revenue for 2007

Assets at end of 2007

Expenses for 2007

Functional Expenses for 2007 ($)

Income-Producing Activities for 2007

	2000	2001	2002	2003	2004	2005	2006	2007
Revenue, Expenses, and Changes in Net Assets or Fund Balances
Total revenue	$6,399,752	$4,740,394	$6,432,815	$12,977,298	$12,797,623	$34,931,560	$63,890,161	$74,149,181
Contributions, gifts, grants, and similar amounts received	$0	$0	$0	$28,274	$2,034	$0	$25,383	$7,010,400
Contributions to donor advised funds							$0	$0
Direct public support	$0	$0	$0	$28,274	$0	$0	$0	$0
Indirect public support	$0	$0	$0	$0	$2,034	$0	$25,383	$6,189,625
Government contributions (grants)	$0	$0	$0	$0	$0	$0	$0	$820,775
Program service revenue including government fees and contracts	$1,870,442	$2,091,687	$2,579,107	$10,411,508	$8,932,720	$29,662,900	$59,028,030	$62,311,505
Membership dues and assessments	$0	$0	$0	$0	$0	$0	$0	$0
Interest on savings and temporary cash investments	$0	$0	$415,730	$508,858	$651,467	$916,499	$965,522	$709,707
Dividends and interest from securities	$4,505,010	$3,311,552	$2,124,618	$2,083,750	$2,745,024	$3,376,952	$3,622,806	$2,638,391
Net rental income or (loss)	$1,053,988	$1,000,265	$359,907	$328,126	$306,883	$272,257	$-3,766	$-129,768
Gross rents	$1,053,988	$1,000,265	$1,581,901	$1,714,927	$1,421,331	$1,405,093	$1,159,430	$850,468
Less: rental expenses	$0	$0	$1,221,994	$1,386,801	$1,114,448	$1,132,836	$1,163,196	$980,236
Other investment income	$-1,023,319	$-1,404,458	$799,266	$-452,350	$-884,433	$0	$0	$0
Gain or (loss) from sales of assets other than inventory	$-6,369	$-289,042	$1,025	$69,132	$1,043,928	$0	$459	$-95,363
Gross amount from sales of assets other than inventory	$0	$0	$5,700	$447,988	$4,516,336	$0	$1,000	$205,431
Less: cost or other basis and sales expenses	$6,369	$289,042	$4,675	$378,856	$3,472,408	$0	$541	$300,794
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	$30,390	$153,162	$0	$0	$702,952	$251,727	$1,704,309
Total expenses	$6,817,374	$8,394,336	$11,691,172	$18,233,556	$15,342,024	$47,312,831	$75,918,110	$91,376,496
Program services	$1,910,498	$2,977,288	$5,626,570	$12,056,784	$11,520,033	$38,076,606	$63,038,392	$71,509,046
Management and general	$4,906,876	$5,417,048	$6,064,602	$6,176,772	$3,821,991	$9,236,225	$12,879,718	$19,867,450
Fundraising	$0	$0	$0	$0	$0	$0	$0	$0
Payments to affiliates	$0	$0	$0	$0	$0	$0	$0	$0
Net assets or fund balances at end of year	$143,310,224	$146,078,233	$152,877,277	$177,637,254	$193,135,596	$196,896,241	$217,453,374	$231,692,312
Excess or (deficit) for the year	$-417,622	$-3,653,942	$-5,258,357	$-5,256,258	$-2,544,401	$-12,381,271	$-12,027,949	$-17,227,315
Net assets or fund balances at beginning of year	$148,447,958	$143,310,224	$146,078,233	$152,877,277	$177,637,254	$193,135,596	$196,896,241	$217,453,374
Other changes in net assets or fund balances	$-4,720,112	$6,421,951	$12,057,401	$30,016,235	$18,042,743	$16,141,916	$32,585,082	$31,466,253

	Total	Program services	Management and general	Fundraising
Statement of Functional Expenses (for 2007)
Total functional expenses	$91,376,496	$71,509,046	$19,867,450	$0
Grants paid from donor advised funds		$0
Other grants and allocations		$11,911,782
Specific assistance to individuals		$0
Benefits paid to or for members		$0
Compensation of current officers, directors, key employees, etc.	$3,847,090	$0	$3,847,090	$0
Compensation of former officers, directors, key employees, etc.	$1,605,174	$0	$1,605,174	$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	$29,248,456	$25,641,273	$3,607,183	$0
Pension plan contributions not included above	$804,638	$689,253	$115,385	$0
Employee benefits not included above	$2,573,568	$2,163,611	$409,957	$0
Payroll taxes	$2,282,276	$1,804,416	$477,860	$0
Professional fundraising fees	$0	$0	$0	$0
Accounting fees	$61,990	$0	$61,990	$0
Legal fees	$852,691	$0	$852,691	$0
Supplies	$1,498,928	$1,350,781	$148,147	$0
Telephone	$228,875	$222,682	$6,193	$0
Postage and shipping	$328,461	$276,859	$51,602	$0
Occupancy	$5,484,895	$4,957,996	$526,899	$0
Equipment rental and maintenance	$6,746,197	$6,739,582	$6,615	$0
Printing and publications	$185,282	$184,975	$307	$0
Travel	$696,827	$168,585	$528,242	$0
Conferences, conventions, and meetings	$602,360	$496,877	$105,483	$0
Interest	$1,290,492	$695,997	$594,495	$0
Depreciation, depletion, etc.	$8,020,690	$7,014,417	$1,006,273	$0
Other expenses not covered above	$13,105,824	$7,189,960	$5,915,864	$0

	2000	2001	2002	2003	2004	2005	2006	2007
Balance Sheets
Total assets	$144,551,943	$154,594,474	$166,660,213	$198,784,243	$223,823,411	$230,162,316	$251,970,490	$270,897,921
Cash - non-interest-bearing	$648,286	$473,741	$5,009,524	$8,689,657	$9,408,735	$5,705,190	$0	$500
Savings and temporary cash investments	$0	$0	$17,948,472	$16,749,292	$23,331,494	$24,951,317	$32,842,555	$40,057,192
Accounts receivable less allowance for doubtful accounts	$333,187	$476,467	$483,459	$489,275	$523,909	$305,187	$0	$490,130
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	$0	$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	$4,645,727	$4,601,695	$4,795,210	$4,274,165	$545,000	$715,427	$2,216,015	$2,261,515
Inventories for sale or use	$122,421	$131,327	$137,789	$144,418	$0	$0	$0	$0
Prepaid expenses and deferred charges	$160,380	$8,975,159	$10,588,759	$11,593,995	$106,980	$1,083,407	$2,089,436	$3,380,766
Investments - publicly-traded securities							$95,925,923	$91,063,240
Investments - other securities	$104,276,115	$89,274,446	$69,649,666	$97,127,167	$116,140,011	$103,829,902	$0	$0
Investments - land, buildings, and equipment less accumulated depreciation	$2,174,726	$2,685,105	$3,516,598	$3,738,275	$2,767,686	$4,391,864	$5,188,973	$10,074,200
Investments - other	$2,142,025	$968,112	$1,005,515	$1,778,942	$475,982	$8,642,292	$4,922,243	$1,075,537
Land, buildings, and equipment less accumulated depreciation	$19,957,828	$40,801,263	$42,926,148	$44,131,528	$48,043,000	$63,749,076	$91,774,977	$110,435,732
Other assets, including program-related investments	$10,091,248	$6,207,159	$10,599,073	$10,067,529	$22,480,614	$16,788,654	$17,010,368	$12,059,109
Total liabilities	$1,241,719	$8,516,241	$13,782,936	$21,146,989	$30,687,815	$33,266,075	$34,517,116	$39,205,609
Accounts payable and accrued expenses	$1,241,719	$6,644,015	$6,330,824	$9,394,236	$7,648,851	$8,783,429	$7,215,072	$10,904,053
Grants payable	$0	$0	$0	$0	$0	$0	$0	$0
Deferred revenue	$0	$0	$0	$0	$0	$0	$0	$96,721
Loans from officers, directors, trustees, and key employees	$0	$0	$0	$0	$0	$0	$0	$0
Tax-exempt bond liabilities	$0	$0	$4,320,000	$6,690,000	$4,055,000	$3,910,000	$3,760,000	$3,600,000
Mortgages and other notes payable	$0	$0	$0	$0	$10,500,000	$9,700,000	$10,865,476	$17,029,252
Other liabilities	$0	$1,872,226	$3,132,112	$5,062,753	$8,483,964	$10,872,646	$12,676,568	$7,575,583
Total liabilities and net assets/fund balances	$144,551,943	$154,594,474	$166,660,213	$198,784,243	$223,823,411	$230,162,316	$251,970,490	$270,897,921
Total net assets or fund balances	$143,310,224	$146,078,233	$152,877,277	$177,637,254	$193,135,596	$196,896,241	$217,453,374	$231,692,312

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
Total revenue	$6,399,752	$4,740,394	$6,432,815	$12,977,298	$12,797,623	$34,931,560	$63,890,161	$74,149,181
Total revenue, gains, and other support per audited financial statements	$431,527,000	$531,692,000	$593,364,000	$651,717,000	$672,991,000	$828,299,000	$1,218,204,000	$944,399,000
Other expenses	$460,375,000	$578,532,309	$621,583,872	$679,745,701	$706,858,404	$872,348,916	$1,217,461,646	$942,640,580
Net unrealized gains on investments	$-5,320,000	$-5,170,691	$-5,514,008	$8,435,349	$1,825,947	$8,303,629	$8,193,646	$-1,560,420
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	$465,695,000	$583,703,000	$627,097,880	$671,310,352	$705,032,457	$864,045,287	$1,209,268,000	$944,201,000
Other revenue	$35,247,752	$51,580,703	$34,652,687	$41,005,999	$46,665,027	$78,981,476	$63,147,807	$72,390,761
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$191,978
Other	$35,247,752	$51,580,703	$34,652,687	$41,005,999	$46,665,027	$78,981,476	$63,147,807	$72,198,783

	2000	2001	2002	2003	2004	2005	2006	2007
Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
Total expenses	$6,817,374	$8,394,336	$11,691,172	$18,233,556	$15,342,024	$47,312,831	$75,918,110	$91,376,496
Total expenses and losses per audited financial statements	$423,748,000	$525,858,000	$576,449,000	$621,396,000	$653,437,000	$730,404,000	$826,639,000	$915,978,000
Other revenue	$451,714,000	$568,915,000	$599,267,000	$643,525,000	$682,153,000	$754,448,000	$813,869,000	$896,992,000
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	$451,714,000	$568,915,000	$599,267,000	$643,525,000	$682,153,000	$754,448,000	$813,869,000	$896,992,000
Other expenses	$34,783,374	$51,451,336	$34,509,172	$40,362,556	$44,058,024	$71,356,831	$63,148,110	$72,390,496
Investment expenses	$0	$0	$0	$0	$0	$0	$0	$191,978
Other	$34,783,374	$51,451,336	$34,509,172	$40,362,556	$44,058,024	$71,356,831	$63,148,110	$72,198,518

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
60	$1,266,680	$121,950	$11,776
60	$397,767	$47,894	$264
60	$308,156	$46,038	$1,625
60	$685,178	$67,880	$8,676
60	$813,253	$66,643	$3,310

Total number of officers, directors, and trustees permitted to vote on organization business at board meetings	15
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?	No
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?	Yes
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	$379,030	$0	$0
$0	$1,137,113	$85,707	$3,324

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	21

	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		$630,204		$3,860,068	$62,648,509
Program service revenue
Program service revenue 1	000000	$0	00	$0	$55,996,448
Program service revenue 2	000000	$0	00	$0	$5,287,715
Program service revenue 3	000000	$0	Income from research conducted by a college, university, or hospital (section 512(b)(8))	$516,800	$0
Program service revenue 4	Other professional, scientific, and technical services	$375,428	00	$0	$0
Program service revenue 5	Other professional, scientific, and technical services	$133,239	00	$0	$1,875
		$0	Income from research conducted by a college, university, or hospital (section 512(b)(8))	$516,800	$0
		$0		$0	$1,875
		$0		$0	$55,996,448
	Other professional, scientific, and technical services	$375,428		$0	$0
	Other professional, scientific, and technical services	$133,239		$0	$0
		$0		$0	$5,287,715
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	Passive income activities with controlled organizations	$121,537	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)	$588,170	$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)	$2,638,391	$0
Net rental income or (loss) from real estate
debt-financed property	000000	$0	00	$0	$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)	$-129,768	$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))	$-95,363	$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	Gross income from an unrelated activity that is regularly carried on but, in light of continuous losses sustained over a number of tax periods, cannot be regarded as being conducted with the motive to make a profit (not a trade or business)	$341,838	$1,362,471

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)
911842494	100%	$94,338,074	$25,317,383
460388597	100%	$8,478,064	$9,192,937
460449572	100%	$2,306,868	$5,539,579
202129839	100%	$307,268	$4,692,336

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)
$320,952	$74,423	$1,535
$330,514	$46,653	$7,479
$315,753	$61,705	$2,914
$290,425	$61,948	$491
$321,564	$11,562	$0

Total number of other employees paid over $50,000	243

Total number of other employees paid over $50,000

243

Statements About Activities (for 2007)
Expenses paid or incurred in connection with the lobbying activities	$244,532
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	Not controlled by disqualified persons/supports non private foundation
Type of supporting organization	Type III

Employer identification number (EIN)	Name of organization	Type of organization	Is the supported organization listed in the supporting organization's governing documents?	Amount of support
Information about the supported organizations
460227855	Sanford, Sanford Usd Medical Center		Yes	$45,375,816
460282134	Sanford, Sanford Home Health	Organization that receives a substantial part of its support from a governmental unit or from the general public	Yes	$1,916,483
460388596	Sanford, Sanford Health Network		Yes	$4,350,270
460447693	Sanford, Sanford Clinic		Yes	$6,492,519
363297853	Sanford Health Foundation		Yes	$466,857
Total				$58,601,945

	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 2009)
Total	$757,538	$0	$757,538
Gross receipts or sales less returns and allowances	$167,793	$0	$0
Cost of goods sold	$0	$0	$0
Gross profit	$167,793	$0	$167,793
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	$1,054,881	$0	$105,488
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	$4,842,571	$0	$484,257

Deductions Not Taken Elsewhere (for 2009)
Total deductions	$744,698
Compensation of officers, directors, and trustees	$0
Salaries and wages	$30,258
Repairs and maintenance	$0
Bad debts	$0
Interest	$0
Taxes and licenses	$0
Charitable contributions	$1,426
Depreciation	$0
Depletion	$0
Contributions to deferred compensation plans	$0
Employee benefit programs	$6,052
Excess exempt expenses	$0
Excess readership costs	$0
Other deductions	$706,962
Unrelated business taxable income	$0
Unrelated business taxable income before net operating loss deduction	$12,840
Net operating loss deduction	$12,840
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 Health, Group Return	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2001-03	$1,040,242,737
2	Sanford, Sanford Health	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2011-04	$74,149,181
3	Partners Healthcare System Inc, Affiliates Group Return	529 Main St Ste 510, Charlestown, MA 02129-1116	MA	2010-11	$10,625,521,687
4	Spectrum Health System Group Return	100 Michigan St Ne Mc 498, Grand Rapids, MI 49503	MI	2014-03	$2,820,080,763
5	Childrens Healthcare Of Atlanta Inc, Group Return	1584 Tullie Cir Ne, Atlanta, GA 30329-2311	GA	2011-04	$1,317,040,754
6	East Texas Medical Center Regional Healthcare System, Group Return	1000 S Beckham Ave, Tyler, TX 75701-1908	TX	2010-04	$847,739,247
7	Uch-Mhs	1400 E Boulder St, Colorado Spgs, CO 80909-5533	CO	2014-08	$483,193,158
8	Bon Secours Charity Health System Affiliated Group, Group Return	255 Lafayette Ave, Suffern, NY 10901-4812	NY	2011-04	$473,866,542
9	Indiana University Health Arnett Inc	950 N Meridian St Ste 300, Indianapolis, IN 46204-1091	IN	2011-03	$418,418,068
10	St Lukes Health System Ltd	190 E Bannock St, Boise, ID 83712-6241	ID	2007-02	$241,486,750
11	Institute For Transfusion Medicine, Group Return	Five Parkway Center, Pittsburgh, PA 15220-3608	PA	2010-03	$203,995,601
12	Riverside Healthcare Association Inc, Riverside Physician Services Inc	608 Denbigh Blvd Ste 800, Newport News, VA 23608-4487	VA	2010-04	$161,388,295
13	Fall River Health Services	1201 Highway 71 S, Hot Springs, SD 57747-8800	SD	1999-06	$13,180,163
14	Good Samaritan-Sanford Community Health Services	4800 W 57th St, Sioux Falls, SD 57108-2239	SD	1999-03	$7,571,637
15	Regional Health Inc	353 Fairmont Blvd, Rapid City, SD 57701-7375	SD	2006-07	$1,215,784
16	Asniya	Po Box 9746, Rapid City, SD 57702	SD	2005-03	$0
17	Sanford, Sanford Clinic	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2011-04	$0
18	Sanford, Sanford Health Network	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2011-04	$0
19	Sanford, Sanford Research	2301 E 60th St N, Sioux Falls, SD 57104-0569	SD	2011-04	$0
20	Sanford, Sanford Usd Medical Center	PO BOX 5039, Sioux Falls, SD 57117-5039	SD	2011-04	$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