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, with a nickname or small spelling change read as the same person. 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
Updates and questions
Conducts medical research to find treatments and cures for pediatric rare diseases, cancer, type 1 diabetes, eating disorders, and genomic medicine.
Our summary of the filed mission and programs (Form 990 Part III, line 4), not the words of the organization.
Questions for Sanford Group Return
Your first name shows with your question. Nobody from Sanford Group Return has claimed this page yet, so no one there sees or answers questions until they do.
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 · from the funders’ 2024 returns
Dated by each funder’s own filing year, which may not match this organization’s fiscal year.
Total grants received, 2020–2024from 2 funders$340K
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 2,380 orgs0.45%
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 |
Part VII lists each person's pay for the calendar year, including pay from related organizations and from people who have left; Part IX, line 5 is this organization's own cost for its current officers and key staff over its fiscal year.
The full sourced Quadrant report on Sanford Group Return
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- One sourced report, every figure cited to its 990 line
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$150 one time, for this organization
Buy this report See a full sample reportIn the news
Google News · GDELT · headlines that name it, last 90 days
Headlines that name it, last 90 days0
No headline in the last 90 days named it. Only headlines with its full name (or its website) in the title count; stories that only mention it in the text are left out. Last pulled Nov 9, 2026.
Web rank
Tranco top 1M · sanfordhealth.org
Rank on Nov 10, 202647,199
A month earlierrose 9,420 places since56,619
A quarter earlierrose 9,061 places since56,260
A year earlierrose 2,838 places since50,037
Its place among all websites; a smaller number is more traffic, and rank 1 is the busiest site on the web. Tranco blends five traffic lists (Chrome UX Report, Cloudflare Radar, Umbrella, Majestic, Farsight) over 30 days, so one busy day does not move it. Last pulled Nov 11, 2026.
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
B · Donors
C · Political and lobbying
D · Assets and endowments
F · Foreign
H · Hospitals
I · Grants
J · Pay
K · Bonds
L · Interested persons
M · Noncash
O · Explanations
R · Related orgs
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 III · Program service accomplishments 3 programs, $5,384,080,057 spent
III-4a 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. The sanford footprint of owned, leased and managed sites includes over 250,000 square miles with a nine-state service area including a network of children's primary care clinic locations across the country and the world. Sanford operates full-time emergency centers and provides emergency care to everyone regardless of their ability to pay. Sanford facilities and clinics provide services to remote and medically underserved areas that would otherwise not have access to even primary care services.includes $47,489,473 in grants$5,293,466,097
III-4b 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. Sanford health is dedicated to preparing health care professionals for the future. The sanford promise program connects students, educators and communities with science and research in health care at a secondary education age. Sanford works in partnership with universities to provide rotations for medical students, residencies and fellowships. Sanford works in partnership with an extensive group of higher learning organizations to provide student training and learning opportunities in many venues across our region.$51,679,766
III-4c 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 research and personalized treatment; neurobehavioral sciences, studying eating disorders, obesity and bariatric surgery outcomes as well as physiological aspects of eating and addiction and clinical research hosting drug and device studies, the nci community oncology research program and the neonatal research network. Research also leads educational programs supporting science in local k-12 school districts, undergraduate, graduate and post-doctoral programs.$38,934,194
Part IV · Checklist of required schedules 23 of 49 answered Yes, 2 to look at
IV-26 Loan to or from an officer or insiderYes
IV-28b Business deal with an officer's familyYes
IV-1 A 501(c)(3) charity (Schedule A)Yes
IV-2 Lists its large donors to the IRS (Schedule B)Yes
IV-3 Took part in a political campaignNo
IV-4 LobbiedYes
IV-5 Owes proxy tax on member duesNo
IV-6 Holds donor advised fundsNo
IV-7 Holds conservation easementsNo
IV-8 Holds art or historical collectionsNo
IV-9 Credit counseling or escrow accountsNo
IV-10 Holds endowment fundsYes
IV-11a Reports land, buildings and equipmentYes
IV-11b Reports investments in other securitiesNo
IV-11c Reports program-related investmentsNo
IV-11d Reports other assetsYes
IV-11e Reports other liabilitiesYes
IV-11f Uncertain tax positions footnoteYes
IV-12a Its own audited financial statementsNo
IV-12b In a group's audited financial statementsYes
IV-13 Runs a schoolNo
IV-14a Has an office, staff or agents outside the USNo
IV-14b Over $10,000 of activity outside the USYes
IV-15 Over $5,000 in grants to groups abroadNo
IV-16 Over $5,000 in aid to people abroadNo
IV-17 Over $15,000 to paid fundraisersNo
IV-18 Over $15,000 from fundraising eventsNo
IV-19 Over $15,000 from gamingNo
IV-20a Runs a hospitalYes
IV-21 Over $5,000 in grants to US groupsYes
IV-22 Over $5,000 in grants to US peopleYes
IV-23 Reports top pay in detail (Schedule J)Yes
IV-24a Over $100,000 in tax-exempt bondsYes
IV-25a Gave an insider an excess benefit this yearNo
IV-25b Found an excess benefit from a past yearNo
IV-27 Grant to an insider or their familyNo
IV-28a Business deal with an officer or directorNo
IV-28c Business deal with a firm an officer controlsNo
IV-29 Over $25,000 in noncash giftsYes
IV-30 Gifts of art or historical itemsNo
IV-31 Closed down or dissolvedNo
IV-32 Sold or gave away over 25% of its net assetsNo
IV-33 Owns a single-member companyYes
IV-34 Related to other organizations (Schedule R)Yes
IV-35a Controls another organizationYes
IV-35b Dealings with an organization it controlsNo
IV-36 Transfers to a related non-charityYes
IV-37 Activity through a partnershipNo
IV-38 Explains answers in Schedule OYes
Part V · Other IRS filings and tax compliance no flags
V-1a Forms 1099 filed4,348
V-1b Forms W-2G filed0
V-2a Employees on W-2 forms3,271
V-1c Followed backup withholding rulesYes
V-2b Filed its payroll tax returnsYes
V-3a Over $1,000 of unrelated business incomeSchedule OSanford health, sanford medical center, sanford north, sanford medical center fargo, sanford clinic north, sanford clinic, sanford bismarck, sanford health network north, and sanford world clinics have unrelated business gross income over $1,000.Yes
V-3b Filed Form 990-T for that incomeYes
V-4a Holds an account in a foreign countrySchedule OSanford world clinics has an interest in financial accounts in the foreign countries of ghana, china and germany.Yes
V-5a Party to a prohibited tax shelterNo
V-5b Knew another party was in a tax shelterNo
V-6a Raised gifts that are not tax deductibleNo
V-7a Gifts where the donor got something backNo
V-7c Sold donated property it had to reportNo
V-7e Took money to pay a donor's insuranceNo
V-7f Paid premiums on a donor's insuranceNo
V-14a Sold indoor tanningNo
V-15 Owes tax on pay over $1 millionNo
V-16 Owes the college endowment taxNo
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 directorsSchedule OThe following officers, board members, and key employees are employees of sanford or its related organizations. Many of these employees also serve on other related sanford boards or have business relationships with each other that span the organization as a whole: bill gassen, jennifer grennan, paul hanson, matt hocks, todd schaffer, michael lebeau, bill marlette, nick olson, scott wooten, karla eischens, and tiffany lawrence.Yes
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 paySchedule OSanford has a process for determining compensation of the persons listed on part vii, section a. This includes review and approval by independent persons or board of trustees committee, review of comparability data and contemporaneous substantiation of the deliberation and decision for such compensation. Sanford 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. The executive committee of the board of trustees approves all compensation changes for…Yes
Part VII · Officers, directors and key employees 31 people listed, 17 paid by the organization
VII-1a William Brunner MDPhysician$3,286,993
VII-1a Adam Stys MDPhysician$3,250,190
VII-1a Tomasz Stys MDPhysician$2,911,937
VII-1a Eric Belanger MDPhysician$2,885,080
VII-1a Alexander Drofa MDPhysician$2,835,917
VII-1a Andy NorthTrustee, Secretary, Indep Contractor$379,383
VII-1a Lauris MolbertTrustee, Chairperson$107,199
VII-1a Brent TeikenTrustee$84,246
VII-1a James CainTrustee, Treasurer$81,651
VII-1a Marnie HermannTrustee, Vice Chair$80,382
VII-1a Neil GulsvigTrustee, Past Chair$80,055
VII-1a Mark Lundeen MDTrustee$80,000
VII-1a David ShulkinTrustee$79,826
VII-1a Stephanie Herseth SandlinTrustee$78,750
VII-1a Wesley EngbrechtTrustee$77,594
VII-1a Dana DykhouseTrustee$76,727
VII-1a Don JacobsFormer Trustee$13,502
VII-1a Bill GassenTrustee, President & CEO$0
VII-1a Bill MarletteInterim, EVP, CFO$0
VII-1a Bryan NermoeFormer President & CEO, Fargo$0
VII-1a Jennifer GrennanEVP, Chief Admin Officer$0
VII-1a Karla EischensPresident & CEO, Bemidji$0
VII-1a Matt HocksEVP, Chief Operating Officer$0
VII-1a Michael Lebeau MDSVP, Health Svc Operations$0
VII-1a Michelle BruhnFormer EVP, CFO & Treasurer$0
VII-1a Nick OlsonEVP, CFO$0
VII-1a Paul HansonPresident & CEO, Sioux Falls$0
VII-1a Scott WootenEVP, CFO$0
VII-1a Susan JarvisFormer President & CEO, Bemidji$0
VII-1a Tiffany LawrencePresident & CEO, Fargo$0
VII-1a Todd SchafferPresident & CEO, Bismarck$0
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 $2,111,119Part VII lists each person's pay for the calendar year, including pay from related organizations and from people who have left; Part IX, line 5 is this organization's own cost for its current officers and key staff over its fiscal year.$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 assetsSchedule OCash sweep for pooled investments 168,240,510. Pension plan termination adjustment and other changes 57,364,410. Net assets released for acquired ppe 7,100. Capital contribution to subsidiaries -21,233,826. Net assets tranferred for accounts payable 57,357,310.$261,735,504
XI-10 Net assets at end of year$3,131,607,162
Schedule O · Explanations 13 explanations
O-1 Part V, line 3aSanford health, sanford medical center, sanford north, sanford medical center fargo, sanford clinic north, sanford clinic, sanford bismarck, sanford health network north, and sanford world clinics have unrelated business gross income over $1,000.
O-2 Part V, line 4aSanford world clinics has an interest in financial accounts in the foreign countries of ghana, china and germany.
O-3 Part VI, line 2The following officers, board members, and key employees are employees of sanford or its related organizations. Many of these employees also serve on other related sanford boards or have business relationships with each other that span the organization as a whole: bill gassen, jennifer grennan, paul hanson, matt hocks, todd schaffer, michael lebeau, bill marlette, nick olson, scott wooten, karla eischens, and tiffany lawrence.
O-4 Part VI, line 6Sanford is governed by a board of trustees (BOT) that has ultimate strategic and decision making authority. The BOT delegates certain activities and responsibilities to boards of each of sanford's primary operating subsidiaries. The unique nature and complexity of the subsidiaries requires each to have a delegated board with a singular entity focus. Such bodies, referred to as boards of directors and boards of governors, address matters such as credentialing, accreditation standards, developing budgets, programs and facilities on an entity-specific basis, and generally consist of individuals distinct from the BOT. These boards function much like committees in a traditional corporate structure. The BOT then acts as a holding company board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. This structure of governance produces a significant number of trustees, governors and directors. Subsidiaries included within this group tax return consist of sanford health, sanford north, sanford medical center, sanford medical center fargo, sanford clinic, sanford clinic north, sanford health network, sanford health network north, sanford home health, sanford research, sanford research north, sanford world clinics, sanford health of northern minnesota, baker park, INC., sanford west, sanford bismarck, sanford virtual care, sanford world clinics - klamath falls, and sanford health of south dakota. The board of trustees of sanford is also the board of trustees for sanford health, sanford north, sanford west, and sanford health of south dakota, and sanford is the sole corporate member of these entities. These entities, in turn, are the sole corporate members of their subsidiaries. The actions approved by a subsidiary's board of directors are then approved by the sanford board of trustees.
O-5 Part VI, line 7aThe sanford board of trustees appoints the board members for the boards of directors and boards of governors of the subsidiary entities.
O-6 Part VI, line 7bThe sanford board of trustees approves the actions approved by the boards of directors and boards of governors of the subsidiary entities. Form 990, part vi, section b, line 10b: sanford north, sanford clinic, sanford health network, and sanford health of south dakota have local chapters, branches or affiliates over which the organization has the legal authority to exercise direct or indirect supervision and control.
O-7 Part VI, line 11bThe form 990 is prepared internally by the tax department and reviewed by executive management. The tax department prepares return highlights and key disclosures for the executive management team. An external accounting firm reviews and signs the return. Before the return is filed, a complete copy is provided to the current board of trustees.
O-8 Part VI, line 12cThe annual conflict of interest disclosure process is managed by the chief compliance officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of interest questionnaires are sent to the system board of trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the irs form 990 filings. The CCO reviews the disclosures and when a conflict of interest is deemed to exist, refers the disclosure to the sanford executive compliance committee for development of an administrative or management plan to address or eliminate the conflict of interest. Sanford will not engage in any contract, transaction or arrangement involving a board member's conflict of interest unless a majority of the disinterested members of the audit and compliance committee determine that appropriate safeguards are in place to protect sanford's charitable mission.
O-9 Part VI, line 15Sanford has a process for determining compensation of the persons listed on part vii, section a. This includes review and approval by independent persons or board of trustees committee, review of comparability data and contemporaneous substantiation of the deliberation and decision for such compensation. Sanford 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. The executive committee of the board of trustees approves all compensation changes for the CEO in advance, relies on the market data provided by the independent consulting firm in making changes, and documents the basis for any changes in committee minutes.
O-10 Part VI, line 19Although the organization does not maintain a website where the public can access these documents, it would respond individually to any requests or inquiries from the public for these documents.
O-11 Form 990, part vii, section aThe table reports the compensation of the sanford officers, directors/trustees, system key employees, and five highest compensated employees and independent contractors. The sanford board of trustees has ultimate governance responsibilities for each subordinate organization.
O-12 Form 990, part vii, section bWe are reporting one group of top five employees and independent contractors for the entire group. Amounts listed as compensation for the five highest compensated independent contractors include payments for both materials and services.
O-13 Part XI, line 9Cash sweep for pooled investments 168,240,510. Pension plan termination adjustment and other changes 57,364,410. Net assets released for acquired ppe 7,100. Capital contribution to subsidiaries -21,233,826. Net assets tranferred for accounts payable 57,357,310.
Form 990 e-file FY2024 from the IRS (about our sources) · Classification, formation year and address from the IRS Business Master File
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