Is it real?
Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Apr 2011.
IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File
Where the money goes
92 cents of each dollar spent went to programs.
Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.
Something off? Claim to add context
Who runs it and what they're paid
31 people listed on the 990; $16.4M paid to officers and key staff (Part VII, Section A).
Part VII, Section A · reportable compensation
Physician
$3,286,993Pt VII · Sec A
Physician
$3,250,190Pt VII · Sec A
Physician
$2,911,937Pt VII · Sec A
Physician
$2,885,080Pt VII · Sec A
Physician
$2,835,917Pt VII · Sec A
Trustee, Secretary, Indep Contractor
$379,383Pt VII · Sec A
Trustee, Chairperson
$107,199Pt VII · Sec A
Trustee
$84,246Pt VII · Sec A
Trustee, Treasurer
$81,651Pt VII · Sec A
Trustee, Vice Chair
$80,382Pt VII · Sec A
Trustee, Past Chair
$80,055Pt VII · Sec A
Trustee
$80,000Pt VII · Sec A
Trustee (start 1/24)
$79,826Pt VII · Sec A
Trustee (start 1/24)
$78,750Pt VII · Sec A
Trustee
$77,594Pt VII · Sec A
Trustee (start 1/24)
$76,727Pt VII · Sec A
Former Trustee
$13,502Pt VII · Sec A
Former President & CEO, Fargo
$0Pt VII · Sec A
EVP, CFO (end 4/24)
$0Pt VII · Sec A
EVP, CFO (beg 4/24)
$0Pt VII · Sec A
Interim, EVP, CFO (end 1/24)
$0Pt VII · Sec A
EVP, Chief Operating Officer
$0Pt VII · Sec A
EVP, Chief Admin Officer
$0Pt VII · Sec A
SVP, Health Svc Operations
$0Pt VII · Sec A
President & CEO, Sioux Falls
$0Pt VII · Sec A
President & CEO, Fargo
$0Pt VII · Sec A
President & CEO, Bismarck
$0Pt VII · Sec A
President & CEO, Bemidji
$0Pt VII · Sec A
Former EVP, CFO & Treasurer
$0Pt VII · Sec A
Former President & CEO, Bemidji
$0Pt VII · Sec A
Trustee, President & CEO
$0Pt VII · Sec A
Compensation history total reportable pay by year · 8 named individuals · Part VII
| Name | FY2024 | FY2023 | FY2022 | FY2021 | FY2020 |
|---|---|---|---|---|---|
| Eric Belanger MD | $2,885,080 | $2,920,835 | $2,545,233 | $2,948,715 | $3,488,345 |
| William Brunner MD | $3,286,993 | $3,475,847 | $3,406,075 | $3,123,988 | $2,658,512 |
| Adam Stys MD | $3,250,190 | $2,803,290 | $2,750,489 | $3,256,066 | $2,974,550 |
| Tomasz Stys MD | $2,911,937 | $2,948,374 | $2,806,912 | $2,947,037 | $2,787,050 |
| Thomas Matzke MD | — | $2,847,035 | — | — | — |
| Alexander Drofa MD | $2,835,917 | — | — | — | — |
| Marian Petrasko MD | — | — | $2,427,171 | — | — |
| Maria Bell MD | — | — | $1,143,694 | $1,074,403 | $1,013,142 |
Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.
See Sanford Group Return executive salaries →Questions the 990 asks
The form asks each of these directly. These are the filed answers.
- Family or business ties among officersPt VI · Ln 2Yes
- Top official's pay set by an independent reviewPt VI · Ln 15aYes
- Loans to or from officersSch L · Pt II1 listed
Programs and updates
Conducts medical research to find treatments and cures for pediatric rare diseases, cancer, type 1 diabetes, eating disorders, and genomic medicine.
Questions for Sanford Group Return
Your first name shows with your question. Sanford Group Return answers here, for everyone.
3 programs · $5.4B · in their own filed words · FY2024
01
Sanford health, the largest rural health system in the united states, is dedicated to transforming the health care experience and providing access to world-class health care in america's heartland. Sanford provides medical services at every level from critical access hospitals to tertiary and quaternary care.
Form 990 Part III, line 4, FY2024. The organization’s own words, as filed with the IRS. Find it at the IRS (EIN 45-3791176) · Dispute this line$5.3Bprogram expense
02
Sanford health provides high quality medical educational and professional development that is evidence and research based; accredited for physicians, nurses, pharmacists, and allied health professionals and scientists; inclusive of cultural differences and addresses the need for specialty training.
Form 990 Part III, line 4, FY2024. The organization’s own words, as filed with the IRS. Find it at the IRS (EIN 45-3791176) · Dispute this line$51.7Mprogram expense
03
Research endeavors span children's health, focused on pediatric rare diseases and cancer; the sanford project, seeking to reduce the burden of type 1 diabetes through discovery and clinical application; genomic and molecular medicine including genomics, biobanking and immunotherapy; edith sanford breast cancer for advanced molecular…
Form 990 Part III, line 4, FY2024. The organization’s own words, as filed with the IRS. Find it at the IRS (EIN 45-3791176) · Dispute this line$38.9Mprogram expense
Funders
Who pays for it.
From grant filings on record. Receipts are incomplete: individual donors are never listed.
Grants
Schedule I · received and paid
Grants received · FY2024
University of ChicagoFY2024$43K
Total grants receivedfrom 1 funder$43K
Grants paid · 1,084 grants · $200.8M · 2020–2024
University of South Dakota FoundationSD · FY2024$3,604,552
Concordia College CorporationMN · FY2024$3,306,000
North Dakota State University (ndsu)FY2024$2,346,667
Augustana University AssociationSD · FY2024$2,166,750
South Dakota State University FoundationSD · FY2024$2,125,000
State of South DakotaFY2024$1,432,412
South Dakota Community FoundationSD · FY2024$1,250,000
Und Alumni Association and FoundationND · FY2024$1,036,571
University of MaryND · FY2024$647,249
South Dakota Partners in EducationSD · FY2024$616,922
Fargo Park DistrictFY2024$445,288
Sioux Falls School District 49-5FY2024$310,000
Sioux Empire Triage CenterSD · FY2024$300,000
Seattle Children's HospitalWA · FY2024$250,000
South Dakota Military Heritage Alliance INCSD · FY2024$250,000
Forward Sioux FallsFY2024$250,000
Ndscs FoundationND · FY2024$230,000
Minnesota State University Mankato Foundation IncorporatedMN · FY2024$200,000
By the numbers
The FY2024 990, line by line.
Download 990
1The main four
Money inPt VIII
$6.1B
Ln 12
Fees for servicesLn 2g$6.0B
Gifts and grantsLn 1h$106.8M
Investment incomeLn 3$14.4M
Money outPt IX
$5.8B
Ln 25
Programscol B$5.4B
Managementcol C$445.1M
Owns and owesPt X
$3.1B
net assets · Ln 32
Cash and savingsLn 1–2$395.7M
Total assetsLn 16$4.3B
LiabilitiesLn 26$1.1B
PeoplePt VI, VII
31
listed · VII A
PaidVII A17
Voting boardVI 1a12
IndependentVI 1b8
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$106.8M
Government grantsLn 1e$31.5M
Noncash giftsLn 1g$495K
Fees for servicesLn 2g$6.0B
Investment incomeLn 3$14.4M
Other incomeLn 4–11$9.5M
Gains on assetsLn 7$6.9M
Total revenueLn 12$6.1B
Assets in detailPt X, end of year
CashLn 1$140.9M
SavingsLn 2$254.8M
Cash and savings togetherLn 1–2$395.7M
Accounts receivableLn 4$809.7M
Loans to other insidersLn 6$18K
Notes and loans receivableLn 7$76.1M
Inventories for sale or useLn 8$136.9M
Prepaid expenses and deferred chargesLn 9$101.9M
Land, buildings, equipmentLn 10c$2.08B
InvestmentsLn 11–13$51.1M
Intangible assetsLn 14$186.4M
Other assetsLn 15$432.9M
Total assetsLn 16$4.3B
LiabilitiesLn 26$1.1B
Net assetsLn 32$3.1B
OperationsPt I, VI
EmployeesI 53,040
VolunteersI 61,209
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3More from this return
Hospital careSch H · share of total expense
Charity care at costPt I 7a$89.1M · 1.5%
Bad debtPt III 2$218.2M · 3.7%
Total community benefitPt I 7k$703.4M · 12.1%
BondsSch K, Pt X
Tax-exempt bond debt owedX 20$425.4M
Bond issues listedSch K Pt I8
Raised by those issuesSch K Pt I$687.0M
Abroad and in kindSch F, M
Noncash gifts receivedSch M Pt I$495K
Investment feesPt IX, Sch D
Investment fees, as reportedPt IX 11f$712K
Share of the $101.5M endowmentSch D 1g0.70%
Typical, median of 2,202 orgs0.44%
EndowmentSch D · Pt V
| Line | FY24 | FY23 | FY22 | FY21 | FY20 |
|---|---|---|---|---|---|
| End of yearLn 1g | $101.5M | $99.0M | $98.3M | $95.6M | $92.0M |
| AddedLn 1b | $2.4M | $538K | $3.1M | $3.3M | $3.3M |
| SpentLn 1d–1f | −$575K |
4Year over year
Balance sheet, start vs end of yearPt X · col A, B
| Line | Start FY24 | End FY24 |
|---|---|---|
| Cash and savingsLn 1–2 | $243.1M | $395.7M |
| InvestmentsLn 11–13 | $91.5M | $51.1M |
| Land, buildings, equipmentLn 10c | $1.86B | $2.08B |
| Total assetsLn 16 | $3.76B | $4.27B |
| LiabilitiesLn 26 | $1.13B | $1.14B |
| Net assetsLn 32 | $2.63B | $3.13B |
5Every line
Statement of functional expensesPt IX · every line
| Line | Total | Programs | Management | Fundraising |
|---|---|---|---|---|
| Grants to domestic organizationsLn 1 | $47.3M | $47.3M | ||
| Grants to domestic individualsLn 2 | $194K | $194K | ||
| Pay of officers and key staff (Part IX, line 5)Ln 5 | $25.6M | $23.5M | $2.1M | |
| Pay of disqualified personsLn 6 | $1.6M | $1.6M | ||
| Other salaries and wagesLn 7 | $2.66B | $2.44B | $217.7M | |
| Pension plan contributionsLn 8 | $153.4M | $143.5M | $9.9M | |
| Other employee benefitsLn 9 | $277.3M | $245.7M | $31.6M | |
| Payroll taxesLn 10 | $169.2M | $155.8M | $13.4M | |
| Legal feesLn 11b | $3.5M | $651K | $2.9M | |
| Accounting feesLn 11c | $1.4M | $104K | $1.3M | |
| Lobbying feesLn 11d | $824K | $824K | ||
| Investment management feesLn 11f | $712K | $712K | ||
| Other fees for servicesLn 11g | $376.6M | $336.3M | $40.3M | |
| Advertising and promotionLn 12 | $19.6M | $6.0M | $13.6M | |
| Office expensesLn 13 | $62.8M | $42.9M | $19.9M | |
| Information technologyLn 14 | $140.8M | $12.1M | $128.7M | |
| OccupancyLn 16 | $121.2M | $112.4M | $8.8M | |
| TravelLn 17 | $22.2M | $20.1M | $2.1M | |
| Conferences, conventions and meetingsLn 19 | $7.0M | $5.5M | $1.5M | |
| InterestLn 20 | $26.2M | $18.3M | $7.9M | |
| Depreciation, depletion and amortizationLn 22 | $136.7M | $110.0M | $26.7M | |
| InsuranceLn 23 | $26.1M | $23.3M | $2.8M | |
| Other expenses (24a–d)Ln 24 | $1.60B | $1.60B | −$1.8M | |
| All other expensesLn 24e | −$55.5M | $32.1M | −$87.7M | |
| Total functional expensesLn 25 | $5.83B | $5.38B | $445.1M | $0 |
Filing history
| Year | Money in | Money out | In minus out | Net assets | Download |
|---|---|---|---|---|---|
| FY2024 Latest ViewingFiled with the IRS Nov 13, 2025 | $6.1B | $5.8B | $281.4M | $3.1B | 990 PDF |
| FY2023Filed with the IRS Nov 13, 2024 | $5.7B | $5.4B | $365.1M | $2.6B | 990 PDF |
| FY2022Filed with the IRS Nov 9, 2023 | $5.3B | $5.2B | $160.8M | $2.5B | 990 PDF |
| FY2021Filed with the IRS Nov 14, 2022 | $5.2B | $4.8B | $394.5M | $2.3B | 990 PDF |
| FY2020Filed with the IRS Nov 15, 2021 | $4.8B | $4.4B | $389.6M | $1.9B | 990 PDF |
Schedules filed Part IV
A · Public support
D · Assets and endowments
H · Hospitals
I · Grants
J · Pay
M · Noncash
O · Explanations
See the full FY2024 990
Part I · Summary $6,110,580,553 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $100,653,729$106,770,013
I-9 Program service revenuePrior year $5,616,529,846$5,979,938,305
I-10 Investment incomePrior year $19,460,626$21,264,847
I-11 Other revenuePrior year $2,011,713$2,607,388
I-12 Total revenuePrior year $5,738,655,914$6,110,580,553
I-13 Grants and similar amounts paidPrior year $46,276,954$47,489,473
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $3,036,308,464$3,288,698,827
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $2,290,939,774$2,492,950,369
I-18 Total expensesPrior year $5,373,525,192$5,829,138,669
I-19 Revenue less expensesPrior year $365,130,722$281,441,884
Part VI · Governance 8 of 12 board members independent, 1 to look at
VI-1a Voting members of the governing body12
VI-1b Independent voting members8
VI-2 Family or business relationship among officers or directorsYes
VI-12a Written conflict of interest policyYes
VI-13 Written whistleblower policyYes
VI-14 Document retention and destruction policyYes
VI-15a Process for setting top official's payYes
Part VIII · Statement of revenue $6,110,580,553 across 11 lines filed
Lines not itemized here account for $110,688,076 of total revenue; see the IRS return.
VIII-1d Related organizations$72,319,564
VIII-1e Government grants$31,547,938
VIII-1f All other contributions, gifts and grants$2,902,511
VIII-1g Noncash contributions (included above)$495,000
VIII-1h Total contributions, gifts and grants$106,770,013
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $5,813,560,391 · Unrelated business $55,689,838$5,869,250,229
VIII-3 Investment incomeExcluded from tax $14,394,451$14,394,451
VIII-5 RoyaltiesExcluded from tax $24,178$24,178
VIII-6 Net rental income or lossExcluded from tax $2,583,210$2,583,210
VIII-7 Net gain or loss on sales of assetsRelated to mission −$4,768,829 · Unrelated business $730,795 · Excluded from tax $10,908,430$6,870,396
VIII-12 Total revenueRelated to mission $5,845,443,565 · Unrelated business $129,413,179 · Excluded from tax $28,953,796$6,110,580,553
Part IX · Statement of functional expenses $5,829,138,669 across 24 lines filed
IX-1 Grants to domestic organizationsPrograms $47,295,864$47,295,864
IX-2 Grants to domestic individualsPrograms $193,609$193,609
IX-5 Pay of officers and key staff (Part IX, line 5)Programs $23,526,842 · Management $2,111,119$25,637,961
IX-6 Pay of disqualified personsManagement $1,626,893$1,626,893
IX-7 Other salaries and wagesPrograms $2,443,811,412 · Management $217,662,065$2,661,473,477
IX-8 Pension plan contributionsPrograms $143,520,974 · Management $9,916,050$153,437,024
IX-9 Other employee benefitsPrograms $245,679,776 · Management $31,649,193$277,328,969
IX-10 Payroll taxesPrograms $155,782,890 · Management $13,411,613$169,194,503
IX-11b Legal feesPrograms $650,966 · Management $2,852,748$3,503,714
IX-11c Accounting feesPrograms $103,959 · Management $1,276,867$1,380,826
IX-11d Lobbying feesManagement $823,506$823,506
IX-11f Investment management feesManagement $711,706$711,706
IX-11g Other fees for servicesPrograms $336,255,426 · Management $40,330,559$376,585,985
IX-12 Advertising and promotionPrograms $5,997,774 · Management $13,647,159$19,644,933
IX-13 Office expensesPrograms $42,907,221 · Management $19,935,628$62,842,849
IX-14 Information technologyPrograms $12,101,124 · Management $128,746,596$140,847,720
IX-16 OccupancyPrograms $112,360,071 · Management $8,802,397$121,162,468
IX-17 TravelPrograms $20,079,245 · Management $2,134,972$22,214,217
IX-19 Conferences, conventions and meetingsPrograms $5,524,046 · Management $1,525,008$7,049,054
IX-20 InterestPrograms $18,345,602 · Management $7,899,306$26,244,908
IX-22 Depreciation, depletion and amortizationPrograms $110,002,562 · Management $26,661,973$136,664,535
IX-23 InsurancePrograms $23,280,540 · Management $2,816,491$26,097,031
IX-24 Other expenses (24a–d)Programs $1,604,516,599 · Management −$1,826,464$1,602,690,135
IX-24e All other expensesPrograms $32,143,555 · Management −$87,656,773−$55,513,218
IX-25 Total functional expensesPrograms $5,384,080,057 · Management $445,058,612 · Fundraising $0$5,829,138,669
Part X · Balance sheet $4,274,026,030 assets, 26 lines filed
X-1 Cash, non-interest-bearingStart of year $59,316,362$140,911,773
X-2 Savings and temporary cash investmentsStart of year $183,735,153$254,828,846
X-4 Accounts receivableStart of year $836,469,834$809,694,586
X-6 Loans to other insidersStart of year $21,449$17,989
X-7 Notes and loans receivableStart of year $74,098,691$76,107,318
X-8 Inventories for sale or useStart of year $131,499,348$136,859,819
X-9 Prepaid expenses and deferred chargesStart of year $93,247,192$101,889,548
X-10c Land, buildings and equipment, netStart of year $1,864,744,233$2,083,399,257
X-11 Publicly traded securitiesStart of year $192,795$210,450
X-12 Other securitiesStart of year $57,598,283$17,127,027
X-13 Program-related investmentsStart of year $33,679,559$33,758,470
X-14 Intangible assetsStart of year $44,839,780$186,355,134
X-15 Other assetsStart of year $380,476,429$432,865,813
X-16 Total assetsStart of year $3,759,919,108$4,274,026,030
X-17 Accounts payable and accrued expensesStart of year $322,769,972$330,107,354
X-18 Grants payableStart of year $6,139,321$1,597,851
X-19 Deferred revenueStart of year $20,072,536$15,468,583
X-20 Tax-exempt bond liabilitiesStart of year $451,201,775$425,371,043
X-21 Escrow or custodial accountsStart of year $349,593$425,450
X-23 Secured mortgages and notes payableStart of year $7,847,503$8,970,172
X-25 Other liabilitiesStart of year $320,954,903$360,478,415
X-26 Total liabilitiesStart of year $1,129,335,603$1,142,418,868
X-27 Net assets without donor restrictionsStart of year $2,630,576,405$3,131,607,162
X-28 Net assets with donor restrictionsStart of year $7,100$0
X-32 Total net assets or fund balancesStart of year $2,630,583,505$3,131,607,162
X-33 Total liabilities and net assetsStart of year $3,759,919,108$4,274,026,030
Part XI · Reconciliation of net assets $3,131,607,162 net assets at year end
XI-1 Total revenue$6,110,580,553
XI-2 Total expenses$5,829,138,669
XI-3 Revenue less expenses$281,441,884
XI-4 Net assets at start of year$2,630,583,505
XI-5 Net unrealized gains (losses) on investments−$42,153,731
XI-9 Other changes in net assets$261,735,504
XI-10 Net assets at end of year$3,131,607,162
Form 990 e-file FY2024 from the IRS (about our sources) · Classification, formation year and address from the IRS Business Master File
Compare with another nonprofit
The names, titles, and financial information shown on this page are reproduced from IRS Form 990 filings, which are public records. More
Philanthropy.org does not alter the content of those filings. All information appears exactly as reported by the filing organization for the tax year shown. A filing can only be corrected by the organization filing an amended return with the IRS; the corrected information appears here at our next update.
We publish only information contained in the public IRS filing, and less than the filing contains. Our pages do not display home addresses, telephone numbers, personal email addresses, or other personal contact information, even where the filing includes them.
Many people share the same name. A name shown on this page reflects only what one organization reported in one IRS filing for one tax year. It should not be interpreted as identifying any other individual with the same or a similar name.
If you are no longer affiliated with the organization, your name will generally stop appearing in future IRS filings once the organization no longer reports you. Pages for tax years in which you were reported remain published because those filings remain part of the public record.
Philanthropy.org does not alter or remove IRS filing records. Removing a page from this website would not remove the underlying IRS filing, which remains publicly available from the IRS and other publishers of the same information.
If you believe the IRS filing itself is inaccurate, contact the filing organization or the IRS directly.