SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2016
Open to Public Inspection
Name of the organization
Sanford Health Foundation
 
Employer identification number

36-3297853
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Sanford
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
27-1218956
Supporting Organization ND 501(c)(3) 12-II  
 
No
(2)Edith Sanford Breast Cancer Foundation
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
45-0404126
Foundation ND 501(c)(3) 12-II Sanford Health
 
Yes
 
(3)F-M Ambulance Service Inc
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
45-0344371
EMT ND 501(c)(4)   Sanford North
 
Yes
 
(4)Sanford Health Foundation North
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
45-0398104
Foundation ND 501(c)(3) 7 Sanford North
 
Yes
 
(5)Sanford Health Foundation Hillsboro
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
36-3542187
Foundation ND 501(c)(3) 7 Sanford Hillsboro
 
Yes
 
(6)Sanford Health Foundation of Northern Minnesota
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
41-1389317
Foundation MN 501(c)(3) 12-II Sanford Health of Northern Minnesota
 
Yes
 
(7)Sanford Health Foundation West
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
45-0397196
Foundation ND 501(c)(3) 7 Sanford Bismarck
 
Yes
 
(8)Medcenter One Inc Auxiliary
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
23-7293043
Supporting Organization ND 501(c)(3) 12-II Sanford Bismarck
 
Yes
 
(9)Sanford Heart of America Health Plan
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
45-0346132
Insurance ND 501(c)(4)   Sanford Health Plan
 
Yes
 
(10)Sanford Health Foundation Thief River Falls
PO Box 5039 Rte 5218

Sioux Falls,SD571175039
41-1761135
Foundation MN 501(c)(3) 7 Sanford Medical Center Thief River Falls
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2016
Page 2
Schedule R (Form 990) 2016
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) National Student Housing-South Dakota LLC

100 S Phillips Ave
Sioux Falls,SD57104
20-2129839
Investment SD N/A
                 
(2) RAC Rentals LLC

100 S Phillips Ave
Sioux Falls,SD57104
26-1961077
Investment SD N/A
                 










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Sanford Home Medical Equipment Inc

2710 W 12th Street
Sioux Falls,SD57105
46-0388597
Healthcare Equipment SD N/A
C       Yes  
(2) Sanford Health Plan

300 Cherapa Place
Sioux Falls,SD57103
91-1842494
Insurance SD N/A
C       Yes  
(3) Sanford Health Plan of MN

300 Cherapa Place
Sioux Falls,SD57103
46-0445852
Insurance MN N/A
C       Yes  
(4) Sanford Frontiers

1305 W 18th Street PO Box 5039
Sioux Falls,SD571175039
45-5436599
Weight Loss/Fitness SD N/A
C       Yes  
(5) SOB Inc

2701 S Minnesota Avenue Suite 2
Sioux Falls,SD57105
46-0442628
Air Transportation SD Sanford Health Foundation
 
C 629,086 1,036,071 100.000 % Yes  
(6) Sanford Affiliated Services Inc

300 N 7th Street
Bismarck,ND58501
45-0403146
Investment Activity ND N/A
C       Yes  
(7) Sanford World Clinics - Ghana

Sarbah Road Tantri Lorry Station
Cape Coast    
GH
Healthcare GH N/A
C       Yes  
(8) Shanghai Sanford Healthcare Management Consulting Co Ltd

188 Yesheng Road Room A-862 Guoma
Shanghai    
CH
Healthcare CH N/A
C       Yes  
(9) Sanford International - Munich GmbH

Nymphenburger Strasse 3
Munich    
GM
Healthcare GM N/A
C       Yes  
(10) Split Interest Trust (10)

 
 
Trust SD N/A
T       Yes  
Schedule R (Form 990) 2016
Page 3
Schedule R (Form 990) 2016
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Sanford USD Medical Center

B 41,623,300 Cash Method
(2) Sanford Health

S 8,653,618 Cost Basis




Schedule R (Form 990) 2016
Page 4
Schedule R (Form 990) 2016
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2016
Page 5
Schedule R (Form 990) 2016
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2016

Additional Data


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