Sanford Group Return FY2020 filing

Tax-deductible

Sioux Falls, SD501(c)(3)EIN 45-3791176Revenue $4.8B in FY2020

On file with the IRSsanfordhealth.orgPo Box 5039, 57117-5039 · Sioux Falls, SDTax-exempt since Apr 2011Supporting organization — 509(a)(3)

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"dedicated to sharing god's love through the work of health, healing and comfort."

501(c)(3) charity; gifts are tax-deductible.
100¢ of each $1 spent went to programs.
$14.5M paid to officers and key staff.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · Pay: Part VII

Before you give

FY2020 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
5 of 5
filings with a surplus
Average surplus $318.3M a year · 6% of revenue · last 5 filings
Looks good: a surplus in 5 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
100%
of spending
Looks good: 100% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$14.5M
to officers and key staff · 0.3% of spending
Looks good: pay to officers and key staff is 0% of spending; 15% or less.
Pt VII · Sec A
Cash reserves
1 mo
of spending, in cash
Fine: 1.0 months of spending in cash; 1 to 3.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
1
named funder · $43K
Fine: 1 funder names it on their filings; under 3.
Funders’ Sch. I, 990-PF
Liabilities
$1.4B
42% of total assets
Looks good: liabilities are 42% of assets; 50% or less.
Pt X · Ln 26
Independent board members
5
of 12 voting members
Worth a look: 5 of 12 voting members are independent, under half.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$4.8B
Spent
$4.4B
To programs
100%
Net assets
$1.9B
By yearFY2020–FY2024
Revenue
$4.8B
FY2020
Tap a bar for its year
Revenue by fiscal year
FY2020$4.8B
FY2021$5.2B
FY2022$5.3B
FY2023$5.7B
FY2024$6.1B
Expenses
$4.4B
FY2020
Tap a bar for its year
Expenses by fiscal year
FY2020$4.4B
FY2021$4.8B
FY2022$5.2B
FY2023$5.4B
FY2024$5.8B
Net assets
$1.9B
FY2020
Tap a bar for its year
Net assets by fiscal year
FY2020$1.9B
FY2021$2.3B
FY2022$2.5B
FY2023$2.6B
FY2024$3.1B

From the FY2020 Form 990 · see the original

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You’re viewing the FY2020 filing — not the latest on file. See the latest (FY2024) →

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

100 cents of each dollar spent went to programs.

Program services 100% · $4.4B Management & general 0% · $15.0M

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

35 people listed on the 990; $14.5M paid to officers and key staff.

Part VII, Section A · reportable compensation
$3,488,345Pt VII · Sec A
Physician
$2,974,550Pt VII · Sec A
$2,787,050Pt VII · Sec A
$2,658,512Pt VII · Sec A
Trustee/Research Administrator
$1,013,142Pt VII · Sec A
Trustee/Orthopedics Service Chair
$692,452Pt VII · Sec A
Secretary
$310,804Pt VII · Sec A
Past Chair/Physician Regional Chair
$294,486Pt VII · Sec A

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2023FY2022FY2021FY2020
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 →

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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.

Provided by the organization

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3 programs · $4.4B · in their own filed words · FY2020
01

Sanford is the nation's largest not-for-profit integrated rural health system providing medical services at every level from critical access hospitals to tertiary and quaternary care. The Sanford footprint includes over 220,000 square miles with a nine state service area including a network of children's primary care clinic locations…

$4.3Bprogram expense
02

Sanford Research and Sanford Research North are both non-profit health research organizations. Combined, both entities have more than 200 scientists and staff as well as centers, including: Children's Health, focused on pediatric rare diseases and cancer; The Sanford Project, seeking a cure for type 1 diabetes through the body's natural…

$55.9Mprogram expense
03

Medical education is an important service for Sanford. Sanford provides the medical community with high quality educational and professional development that is evidence and research based; accredited for physicians, nurses, pharmacists, and Allied Health Professionals and scientists; inclusive of cultural diversity and addresses the…

$18.9Mprogram 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
Total grants receivedfrom 1 funder$43K
Grants paid · 1,084 grants · $200.8M · 2020–2024
Concordia College CorporationMN · FY2024$3,306,000
North Dakota State University (ndsu)FY2024$2,346,667
Augustana University AssociationSD · FY2024$2,166,750
State of South DakotaFY2024$1,432,412
South Dakota Community FoundationSD · FY2024$1,250,000
University of MaryND · FY2024$647,249
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
Forward Sioux FallsFY2024$250,000
Ndscs FoundationND · FY2024$230,000
See all 1,084 grants →

By the numbers

The FY2020 990, line by line.

1The main four
Money inPt VIII
$4.8B
Ln 12
Fees for servicesLn 2g$4.5B
Gifts and grantsLn 1h$266.1M
Investment incomeLn 3$14.6M
Money outPt IX
$4.4B
Ln 25
Programscol B$4.4B
Managementcol C$15.0M
Owns and owesPt X
$1.9B
net assets · Ln 32
Cash and savingsLn 1–2$371.2M
Total assetsLn 16$3.3B
LiabilitiesLn 26$1.4B
PeoplePt VI, VII
35
listed · VII A
PaidVII A15
Voting boardVI 1a12
IndependentVI 1b5
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$266.1M
Government grantsLn 1e$207.9M
Fees for servicesLn 2g$4.5B
Investment incomeLn 3$14.6M
Other incomeLn 4–11$2.1M
Gains on assetsLn 7−$1.1M
Total revenueLn 12$4.8B
Assets in detailPt X, end of year
CashLn 1$219.6M
SavingsLn 2$151.5M
Cash and savings togetherLn 1–2$371.2M
InvestmentsLn 11–13$38.4M
Land, buildings, equipmentLn 10c$1.71B
Other assetsLn 15$341.3M
Total assetsLn 16$3.3B
LiabilitiesLn 26$1.4B
Net assetsLn 32$1.9B
OperationsPt I, VI
EmployeesI 53,040
VolunteersI 61,209
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY20End FY20
Cash and savingsLn 1–2$102.5M$371.2M
InvestmentsLn 11–13$44.0M$38.4M
Land, buildings, equipmentLn 10c$1.68B$1.71B
Total assetsLn 16$2.98B$3.33B
LiabilitiesLn 26$1.41B$1.39B
Net assetsLn 32$1.57B$1.94B
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$49.4M$49.4M
Grants to domestic individualsLn 2$20K$20K
Grants and assistance to foreign recipientsLn 3$232K$232K
Pay of current officers, directors and key staffLn 5$85.5M$78.8M$6.7M
Pay of disqualified personsLn 6$11.3M$11.3M
Other salaries and wagesLn 7$2.07B$1.91B$151.6M
Pension plan contributionsLn 8$89.7M$82.3M$7.4M
Other employee benefitsLn 9$212.3M$188.4M$23.9M
Payroll taxesLn 10$139.7M$128.1M$11.6M
Legal feesLn 11b$2.4M$507K$1.9M
Accounting feesLn 11c$1.3M$77K$1.3M
Lobbying feesLn 11d$556K$556K
Investment management feesLn 11f$94K$94K
Other fees for servicesLn 11g$226.0M$194.9M$31.1M
Advertising and promotionLn 12$22.5M$9.4M$13.1M
Office expensesLn 13$50.9M$33.4M$17.5M
Information technologyLn 14$89.7M$34.1M$55.6M
OccupancyLn 16$91.9M$83.0M$8.9M
TravelLn 17$14.5M$13.5M$991K
Conferences, conventions and meetingsLn 19$4.2M$2.6M$1.5M
InterestLn 20$32.8M$31.9M$904K
Depreciation, depletion and amortizationLn 22$164.3M$141.6M$22.7M
InsuranceLn 23$18.0M$17.9M$66K
Other expenses (24a–d)Ln 24$1.07B$1.07B$2.1M
All other expensesLn 24e−$50.0M$305.7M−$355.7M
Total functional expensesLn 25$4.39B$4.38B$15.0M$0

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 Latest $6.1B$5.8B$281.4M$3.1B 990 PDF
FY2023 $5.7B$5.4B$365.1M$2.6B 990 PDF
FY2022 $5.3B$5.2B$160.8M$2.5B 990 PDF
FY2021 $5.2B$4.8B$394.5M$2.3B 990 PDF
FY2020 Viewing $4.8B$4.4B$389.6M$1.9B 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2020 990 (6 parts)
Part I · Summary $4,784,105,083 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $75,717,791$266,108,775
I-9 Program service revenuePrior year $4,340,390,961$4,501,303,320
I-10 Investment incomePrior year $1,264,847$14,625,505
I-11 Other revenuePrior year $967,825$2,067,483
I-12 Total revenuePrior year $4,418,341,424$4,784,105,083
I-13 Grants and similar amounts paidPrior year $32,126,097$49,629,394
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $2,485,262,586$2,604,736,831
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $1,697,083,177$1,740,135,761
I-18 Total expensesPrior year $4,214,471,860$4,394,501,986
I-19 Revenue less expensesPrior year $203,869,564$389,603,097
Part VI · Governance 5 of 12 board members independent, 1 to look at
VI-1a Voting members of the governing body12
VI-1b Independent voting members5
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 $4,784,105,083 across 10 lines filed
Lines not itemized here account for $138,010,575 of total revenue; see the IRS return.
VIII-1d Related organizations$51,413,992
VIII-1e Government grants$207,896,220
VIII-1f All other contributions, gifts and grants$6,798,563
VIII-1h Total contributions, gifts and grants$266,108,775
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $4,297,351,552 · Unrelated business $65,427,726 · Excluded from tax $513,467$4,363,292,745
VIII-3 Investment incomeExcluded from tax $15,765,119$15,765,119
VIII-5 RoyaltiesExcluded from tax $43,609$43,609
VIII-6 Net rental income or lossExcluded from tax $2,023,874$2,023,874
VIII-7 Net gain or loss on sales of assetsExcluded from tax −$1,139,614−$1,139,614
VIII-12 Total revenueRelated to mission $4,399,255,351 · Unrelated business $93,820,725 · Excluded from tax $24,920,232$4,784,105,083
Part IX · Statement of functional expenses $4,394,501,986 across 25 lines filed
IX-1 Grants to domestic organizationsPrograms $49,378,256$49,378,256
IX-2 Grants to domestic individualsPrograms $19,633$19,633
IX-3 Grants and assistance to foreign recipientsPrograms $231,505$231,505
IX-5 Pay of current officers, directors and key staffPrograms $78,784,068 · Management $6,702,784$85,486,852
IX-6 Pay of disqualified personsManagement $11,253,541$11,253,541
IX-7 Other salaries and wagesPrograms $1,914,608,443 · Management $151,637,358$2,066,245,801
IX-8 Pension plan contributionsPrograms $82,321,479 · Management $7,388,928$89,710,407
IX-9 Other employee benefitsPrograms $188,398,654 · Management $23,907,312$212,305,966
IX-10 Payroll taxesPrograms $128,134,563 · Management $11,599,701$139,734,264
IX-11b Legal feesPrograms $507,373 · Management $1,882,611$2,389,984
IX-11c Accounting feesPrograms $76,757 · Management $1,268,455$1,345,212
IX-11d Lobbying feesManagement $555,796$555,796
IX-11f Investment management feesPrograms $93,782$93,782
IX-11g Other fees for servicesPrograms $194,878,623 · Management $31,146,927$226,025,550
IX-12 Advertising and promotionPrograms $9,352,583 · Management $13,111,297$22,463,880
IX-13 Office expensesPrograms $33,420,366 · Management $17,472,031$50,892,397
IX-14 Information technologyPrograms $34,121,592 · Management $55,601,942$89,723,534
IX-16 OccupancyPrograms $82,971,608 · Management $8,879,222$91,850,830
IX-17 TravelPrograms $13,482,356 · Management $990,864$14,473,220
IX-19 Conferences, conventions and meetingsPrograms $2,639,487 · Management $1,532,763$4,172,250
IX-20 InterestPrograms $31,855,823 · Management $904,008$32,759,831
IX-22 Depreciation, depletion and amortizationPrograms $141,573,896 · Management $22,704,538$164,278,434
IX-23 InsurancePrograms $17,932,920 · Management $66,124$17,999,044
IX-24 Other expenses (24a–d)Programs $1,068,972,273 · Management $2,140,833$1,071,113,106
IX-24e All other expensesPrograms $305,724,049 · Management −$355,725,138−$50,001,089
IX-25 Total functional expensesPrograms $4,379,480,089 · Management $15,021,897 · Fundraising $0$4,394,501,986
Part X · Balance sheet $3,325,190,715 assets, 21 lines filed
Asset lines not itemized here account for $53,353,486; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $21,434,357$219,648,573
X-2 Savings and temporary cash investmentsStart of year $81,092,458$151,509,732
X-4 Accounts receivableStart of year $582,590,074$586,674,421
X-8 Inventories for sale or useStart of year $90,430,284$120,774,742
X-9 Prepaid expenses and deferred chargesStart of year $49,922,293$56,561,572
X-10c Land, buildings and equipment, netStart of year $1,682,943,205$1,707,127,233
X-11 Publicly traded securitiesStart of year $1,778,446$1,809,675
X-13 Program-related investmentsStart of year $42,214,085$36,615,860
X-14 Intangible assetsStart of year $51,961,717$49,809,306
X-15 Other assetsStart of year $318,832,413$341,306,115
X-16 Total assetsStart of year $2,975,394,335$3,325,190,715
X-17 Accounts payable and accrued expensesStart of year $308,796,732$385,250,057
X-18 Grants payableStart of year $9$36,213
X-19 Deferred revenueStart of year $3,313,175$17,288,177
X-20 Tax-exempt bond liabilitiesStart of year $770,491,636$660,831,231
X-25 Other liabilitiesStart of year $295,467,393$297,971,594
X-26 Total liabilitiesStart of year $1,409,187,225$1,386,689,937
X-27 Net assets without donor restrictionsStart of year $1,565,644,729$1,936,923,319
X-28 Net assets with donor restrictionsStart of year $562,381$1,577,459
X-32 Total net assets or fund balancesStart of year $1,566,207,110$1,938,500,778
X-33 Total liabilities and net assetsStart of year $2,975,394,335$3,325,190,715
Part XI · Reconciliation of net assets $1,938,500,778 net assets at year end
XI-1 Total revenue$4,784,105,083
XI-2 Total expenses$4,394,501,986
XI-3 Revenue less expenses$389,603,097
XI-4 Net assets at start of year$1,566,207,110
XI-5 Net unrealized gains (losses) on investments−$873,812
XI-9 Other changes in net assets−$16,435,617
XI-10 Net assets at end of year$1,938,500,778

Form 990 e-file (XML) FY2020 from the IRS · Classification, formation year and address from the IRS Business Master File

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