TY 2020 Form 990 Schedule J

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Andy North Secretary	(i) (ii)	310,804 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	310,804 ------------- 0	0 ------------- 0
2Mark Paulson MD Past Chair/Physician Regional Chair	(i) (ii)	281,084 ------------- 0	15,000 ------------- 0	-1,598 ------------- 0	12,271 ------------- 0	27,284 ------------- 0	334,041 ------------- 0	0 ------------- 0
3Maria Bell MD Trustee/Research Administrator	(i) (ii)	906,084 ------------- 0	54,000 ------------- 0	53,058 ------------- 0	14,250 ------------- 0	28,660 ------------- 0	1,056,052 ------------- 0	0 ------------- 0
4Mark Lundeen MD Trustee/Orthopedics Service Chair	(i) (ii)	691,892 ------------- 0	0 ------------- 0	560 ------------- 0	14,250 ------------- 0	22,506 ------------- 0	729,208 ------------- 0	0 ------------- 0
5Mark Lundeen MD See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	1,000,000 ------------- 0	0 ------------- 0	0 ------------- 0	1,000,000 ------------- 0	0 ------------- 0
6Kelby K Krabbenhoft President & CEO (Thru 11/20)	(i) (ii)	0 ------------- 3,028,187	0 ------------- 1,971,204	0 ------------- 77,951	0 ------------- 45,148	0 ------------- 23,376	0 ------------- 5,145,866	0 ------------- 0
7Kelby K Krabbenhoft See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 44,353,819	0 ------------- 0	0 ------------- 0	0 ------------- 44,353,819	0 ------------- 8,183,861
8Bill Gassen III CAO/President & CEO (Start 11/20)	(i) (ii)	0 ------------- 1,098,215	0 ------------- 244,003	0 ------------- 174,933	0 ------------- 101,820	0 ------------- 1,847	0 ------------- 1,620,818	0 ------------- 0
9Bill Gassen III See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 1,100,000	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 1,100,000	0 ------------- 0
10JoAnn L Kunkel Chief Financial Officer (Thru 9/20)	(i) (ii)	0 ------------- 852,418	0 ------------- 309,501	0 ------------- 150,852	0 ------------- 11,827	0 ------------- 22,487	0 ------------- 1,347,085	0 ------------- 0
11JoAnn L Kunkel See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 6,847,438	0 ------------- 0	0 ------------- 0	0 ------------- 6,847,438	0 ------------- 221,828
12Bill Marlette CFO (Start 10/20) & Treasurer	(i) (ii)	0 ------------- 1,210,291	0 ------------- 317,501	0 ------------- 221,261	0 ------------- 29,289	0 ------------- 2,267	0 ------------- 1,780,609	0 ------------- 0
13Bill Marlette See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 5,903,232	0 ------------- 0	0 ------------- 0	0 ------------- 5,903,232	0 ------------- 1,662,810
14Jennifer Grennan Chief Legal Officer	(i) (ii)	0 ------------- 690,022	0 ------------- 205,000	0 ------------- 108,618	0 ------------- 83,700	0 ------------- 24,365	0 ------------- 1,111,705	0 ------------- 0
15Allison Wierda-Suttle MD Sr VP, CMO (Thru 12/20)	(i) (ii)	0 ------------- 831,467	0 ------------- 212,004	0 ------------- 138,763	0 ------------- 12,244	0 ------------- 25,417	0 ------------- 1,219,895	0 ------------- 0
16Allison Wierda-Suttle MD See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 2,350,610	0 ------------- 0	0 ------------- 0	0 ------------- 2,350,610	0 ------------- 185,678
17Micah Aberson Executive VP, Sanford	(i) (ii)	0 ------------- 1,044,294	0 ------------- 252,003	0 ------------- 167,103	0 ------------- 101,820	0 ------------- 23,944	0 ------------- 1,589,164	0 ------------- 0
18Micah Aberson See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 1,100,000	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 1,100,000	0 ------------- 0
19Bryan Nermoe President, Fargo	(i) (ii)	0 ------------- 791,837	0 ------------- 22,000	0 ------------- 130,999	0 ------------- 98,220	0 ------------- 23,670	0 ------------- 1,066,726	0 ------------- 0
20Michael LeBeau MD President, Bismarck	(i) (ii)	0 ------------- 779,095	0 ------------- 257,502	0 ------------- 128,990	0 ------------- 95,820	0 ------------- 25,732	0 ------------- 1,287,139	0 ------------- 0
21Michelle Micka Sr VP Finance, Health Service	(i) (ii)	0 ------------- 520,072	0 ------------- 127,504	0 ------------- 68,860	0 ------------- 67,020	0 ------------- 24,091	0 ------------- 807,547	0 ------------- 0
22Nicholas Olson VP Finance	(i) (ii)	0 ------------- 342,144	0 ------------- 78,750	0 ------------- 45,672	0 ------------- 8,245	0 ------------- 755	0 ------------- 475,566	0 ------------- 0
23Paul Hanson President, Sioux Falls	(i) (ii)	0 ------------- 795,197	0 ------------- 214,526	0 ------------- 133,589	0 ------------- 98,340	0 ------------- 18,285	0 ------------- 1,259,937	0 ------------- 0
24Matt Hocks Chief Operating Officer	(i) (ii)	0 ------------- 1,096,674	0 ------------- 280,005	0 ------------- 175,630	0 ------------- 110,570	0 ------------- 24,091	0 ------------- 1,686,970	0 ------------- 0
25Susan Jarvis President, Bemidji	(i) (ii)	0 ------------- 509,622	0 ------------- 88,400	0 ------------- 113,394	0 ------------- 65,820	0 ------------- 24,825	0 ------------- 802,061	0 ------------- 0
26Daniel Blue President, World Clinics (Thru 6/20)	(i) (ii)	0 ------------- 408,573	0 ------------- 191,251	0 ------------- 96,880	0 ------------- 14,250	0 ------------- 17,598	0 ------------- 728,552	0 ------------- 0
27Daniel Blue See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 5,294,695	0 ------------- 0	0 ------------- 0	0 ------------- 5,294,695	0 ------------- 0
28Eric Belanger MD Physician	(i) (ii)	3,454,788 ------------- 0	0 ------------- 0	33,557 ------------- 0	14,250 ------------- 0	27,180 ------------- 0	3,529,775 ------------- 0	0 ------------- 0
29Adam Stys MD Physician	(i) (ii)	2,952,874 ------------- 0	0 ------------- 0	21,676 ------------- 0	14,250 ------------- 0	26,656 ------------- 0	3,015,456 ------------- 0	0 ------------- 0
30Tomasz Stys MD Physician	(i) (ii)	2,633,748 ------------- 0	0 ------------- 0	153,302 ------------- 0	14,250 ------------- 0	23,850 ------------- 0	2,825,150 ------------- 0	0 ------------- 0
31William Brunner MD Physician	(i) (ii)	2,655,125 ------------- 0	0 ------------- 0	3,387 ------------- 0	14,250 ------------- 0	27,180 ------------- 0	2,699,942 ------------- 0	0 ------------- 0
32Michelle Bruhn Former Sr VP Finance, Health Svc	(i) (ii)	0 ------------- 700,526	0 ------------- 171,002	0 ------------- 92,809	0 ------------- 87,900	0 ------------- 24,365	0 ------------- 1,076,602	0 ------------- 0
33Daniel Olson Former President, Bemidji	(i) (ii)	0 ------------- 315,818	0 ------------- 5,300	0 ------------- 44,593	0 ------------- 13,953	0 ------------- 23,945	0 ------------- 403,609	0 ------------- 0
34Kim Patrick Former CLO (Thru 12/20)	(i) (ii)	0 ------------- 678,576	0 ------------- 206,853	0 ------------- 132,884	0 ------------- 14,250	0 ------------- 25,091	0 ------------- 1,057,654	0 ------------- 0
35Kim Patrick See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 2,853,845	0 ------------- 0	0 ------------- 0	0 ------------- 2,853,845	0 ------------- 0
36Randy Bury Former Chief Administrative Officer	(i) (ii)	0 ------------- 888,856	0 ------------- 280,005	0 ------------- 166,120	0 ------------- 111,985	0 ------------- 25,365	0 ------------- 1,472,331	0 ------------- 0
37Randy Bury See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 359,927	0 ------------- 0	0 ------------- 0	0 ------------- 359,927	0 ------------- 226,838
38Nate White Former COO (Thru 4/20)	(i) (ii)	0 ------------- 365,485	0 ------------- 300,000	0 ------------- 67,877	0 ------------- 14,250	0 ------------- 315	0 ------------- 747,927	0 ------------- 0
39Nate White See Sch J, Part III, Lines 4a-4b	(i) (ii)	0 ------------- 0	0 ------------- 0	0 ------------- 3,281,646	0 ------------- 0	0 ------------- 0	0 ------------- 3,281,646	0 ------------- 237,188

Schedule J (Form 990) 2020

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 1a	On Part I, Questions Regarding Compensation, Sanford checked several of the items as provided to listed persons: First Class or Charter Travel - Charter travel for business purposes is provided for individuals as needed and as cost appropriate, in accordance with written policies. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Travel for Companions - Limited travel for companions is required for certain annual meetings. These costs are not included in the W-2's of the individuals as they are incurred for business purposes of Sanford. Tax Indemnification and gross-up payments - Certain compensation may be grossed up to include appropriate tax amounts. Health or social club dues or initiation fees - All Sanford employees are eligible for discounted wellness memberships, a portion of these discounts and other club dues are included as fringe benefits, and taxed as such. Part I, Line 3: The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm annually to review the total compensation arrangements of the officers and executives of the organization, including the CEO, and to report the findings to them for deliberation and action. The deliberations and actions are recorded in the minutes of the Sanford Board of Trustees. The most recent study was completed in 2020.
Part I, Lines 4a-b	Part I, Line 4a Severance or Change of Control and Line 4b Supplemental Nonqualified Retirement Plan Payments. Line 4a-Severance or Change of Control 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. Final separation payments might vary from the amount provided in the Agreement as a result of negotiations surrounding early retirements and post-separation obligations and incentives (the "Separation" payment). Line 4b-Supplemental Nonqualified Retirement Plan Payments-Defined Benefit SERP Annuity Plan In 1983, a Defined Benefit Supplemental Executive Retirement Plan ("DB SERP annuity plan") was established. The DB SERP annuity plan provided lifetime annuity payments to plan participants based on their historical salary and years of service. The annuity benefit was designed to provide a similar benefit as provided by the qualified defined benefit pension plan. As of 2020, Kelby Krabbenhoft and Bill Marlette, with 24 and 31 years of service respectively, were the only two remaining participants. In November 2020, the Sanford Board of Trustees made the decision to accelerate termination of the DB SERP annuity plan to limit future financial liability and because Sanford does not intend to use an average pay/annuity supplemental structure on a go forward basis. Kelby Krabbenhoft's and Bill Marlette's benefit had been previously accrued for and disclosed as retirement and other deferred compensation on historical 990 forms. As a result of the plan termination, the total benefit was vested and reportable as taxable income on the plan participants' W-2s in 2020. Line 4b-Supplemental Nonqualified Retirement Plan Payments-Defined Benefit SERP Lump Sum Plans As also required by plan termination rules, Sanford terminated all other defined benefit supplemental executive retirement plans. Kelby Krabbenhoft participated in a DB SERP lump sum plan tied to retention and his succession plan. Mark Lundeen participated in a separate DB SERP lump sum plan tied to retention. Line 4b-Supplemental Nonqualified Retirement Plan Payments-Defined Contribution SERP Plan Sanford sponsors a Defined Contribution Supplemental Executive Retirement Plan ("DC SERP plan") for select officers or key employees. The DC SERP plan provides that Sanford will make discretionary contributions into participant accounts. Certain of the below officers or key employees were paid as a result of a vesting event which include reaching a pre-established retirement age or a defined separation event. Line 4a and 4b-Payments The following individuals received severance or change of control payments and/, or supplemental nonqualified retirement plan payments: Mark Lundeen, 40 years of service: DB SERP lump sum plan $ 1,000,000 Kelby Krabbenhoft, 24 years of service: Separation $15,000,000 DB SERP annuity and lump sum plans $29,353,819 Total $44,353,819 Bill Gassen III, 9 years of service: Retention plan agreement $1,100,000 JoAnn Kunkel, 28 years of service: Separation $6,498,707 DC SERP plan $ 348,731 Total $6,847,438 Bill Marlette, 31 years of service: DB SERP annuity plan $5,903,232 Allison Wierda-Suttle, 19 years of service: Separation $2,008,332 DC SERP plan $ 342,278 Total $2,350,610 Micah Aberson, 6 years of service: Retention plan agreement $1,100,000 Daniel Blue, 31 years of service: Separation $5,058,502 DC SERP plan $ 236,193 Total $5,294,695 Kim Patrick, 21 years of service: Separation $2,853,845 Randy Bury, 40 years of service: DC SERP plan $ 359,927 Nate White, 16 years of service: Separation $2,970,256 DC SERP plan $ 311,390 Total $3,281,646
Part I, Line 6	Sanford physicians are compensated based on the professional services they perform within the clinic in which they provide care. Generally, the model is based on production.
Part I, Line 7	Certain employees are eligible for a discretionary incentive bonus. Bonuses are paid based on the achievement of financial and other goals.

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