Sanford Group Return FY2022 filing

Tax-deductible

Sioux Falls, SD501(c)(3)EIN 45-3791176Revenue $5.3B in FY2022

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.
93¢ of each $1 spent went to programs.
$16.3M 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

FY2022 · 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
93%
of spending
Looks good: 93% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$16.3M
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
Worth a look: 0.5 months of spending in cash; under 1.
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
$1.1B
30% of total assets
Looks good: liabilities are 30% of assets; 50% or less.
Pt X · Ln 26
Independent board members
6
of 13 voting members
Worth a look: 6 of 13 voting members are independent, under half.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$5.3B
+2% vs prior year
Spent
$5.2B
To programs
93%
Net assets
$2.5B
By yearFY2020–FY2024
Revenue
$5.3B
FY2022▲ +2%
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
$5.2B
FY2022▲ +7%
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
$2.5B
FY2022▲ +10%
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 FY2022 Form 990 · see the original

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You’re viewing the FY2022 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

93 cents of each dollar spent went to programs.

Program services 93% · $4.8B Management & general 7% · $349.2M

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

33 people listed on the 990; $16.3M paid to officers and key staff.

Part VII, Section A · reportable compensation
$3,406,075Pt VII · Sec A
$2,806,912Pt VII · Sec A
Physician
$2,750,489Pt VII · Sec A
$2,545,233Pt VII · Sec A
$2,427,171Pt VII · Sec A
Trustee, Physician
$1,143,694Pt VII · Sec A
Trustee, Physician
$343,914Pt VII · Sec A
Trustee, Secretary, Indep Contractor
$316,771Pt 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.

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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

Programs and updates

Conducts medical research to find treatments and cures for pediatric rare diseases, cancer, type 1 diabetes, eating disorders, and genomic medicine.

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Provided by the organization

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3 programs · $4.8B · in their own filed words · FY2022
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…

$4.7Bprogram expense
02

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…

$41.0Mprogram expense
03

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…

$36.1Mprogram 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 FY2022 990, line by line.

1The main four
Money inPt VIII
$5.3B
Ln 12
Fees for servicesLn 2g$5.2B
Gifts and grantsLn 1h$100.9M
Investment incomeLn 3$9.1M
Money outPt IX
$5.2B
Ln 25
Programscol B$4.8B
Managementcol C$349.2M
Owns and owesPt X
$2.5B
net assets · Ln 32
Cash and savingsLn 1–2$236.1M
Total assetsLn 16$3.6B
LiabilitiesLn 26$1.1B
PeoplePt VI, VII
33
listed · VII A
PaidVII A17
Voting boardVI 1a13
IndependentVI 1b6
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$100.9M
Government grantsLn 1e$43.0M
Fees for servicesLn 2g$5.2B
Investment incomeLn 3$9.1M
Other incomeLn 4–11$2.6M
Gains on assetsLn 7$3.5M
Total revenueLn 12$5.3B
Assets in detailPt X, end of year
CashLn 1$5.4M
SavingsLn 2$230.7M
Cash and savings togetherLn 1–2$236.1M
InvestmentsLn 11–13$67.4M
Land, buildings, equipmentLn 10c$1.79B
Other assetsLn 15$420.4M
Total assetsLn 16$3.6B
LiabilitiesLn 26$1.1B
Net assetsLn 32$2.5B
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 FY22End FY22
Cash and savingsLn 1–2$368.6M$236.1M
InvestmentsLn 11–13$41.2M$67.4M
Land, buildings, equipmentLn 10c$1.75B$1.79B
Total assetsLn 16$3.49B$3.58B
LiabilitiesLn 26$1.21B$1.07B
Net assetsLn 32$2.28B$2.51B
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$44.4M$44.4M
Grants to domestic individualsLn 2$127K$127K
Grants and assistance to foreign recipientsLn 3$10K$10K
Pay of current officers, directors and key staffLn 5$21.3M$19.7M$1.6M
Pay of disqualified personsLn 6$4.1M$4.1M
Other salaries and wagesLn 7$2.36B$2.18B$175.1M
Pension plan contributionsLn 8$96.6M$88.4M$8.3M
Other employee benefitsLn 9$274.9M$244.6M$30.2M
Payroll taxesLn 10$152.5M$139.5M$13.0M
Legal feesLn 11b$3.0M$295K$2.7M
Accounting feesLn 11c$1.2M$80K$1.1M
Lobbying feesLn 11d$1.7M$1.7M
Investment management feesLn 11f$234K$234K
Other fees for servicesLn 11g$439.2M$407.6M$31.6M
Advertising and promotionLn 12$21.0M$7.0M$13.9M
Office expensesLn 13$57.9M$38.4M$19.4M
Information technologyLn 14$120.2M$46.7M$73.5M
OccupancyLn 16$109.6M$99.3M$10.4M
TravelLn 17$21.0M$18.8M$2.1M
Conferences, conventions and meetingsLn 19$5.5M$4.3M$1.2M
InterestLn 20$24.9M$24.8M$93K
Depreciation, depletion and amortizationLn 22$172.0M$150.5M$21.5M
InsuranceLn 23$20.2M$19.8M$390K
Other expenses (24a–d)Ln 24$1.27B$1.25B$11.8M
All other expensesLn 24e−$54.9M$19.8M−$74.6M
Total functional expensesLn 25$5.16B$4.81B$349.2M$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 Viewing $5.3B$5.2B$160.8M$2.5B 990 PDF
FY2021 $5.2B$4.8B$394.5M$2.3B 990 PDF
FY2020 $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 FY2022 990 (6 parts)
Part I · Summary $5,321,937,014 revenue, 12 lines filed
I-8 Contributions and grantsPrior year $173,849,939$100,939,514
I-9 Program service revenuePrior year $5,046,555,124$5,209,223,752
I-10 Investment incomePrior year $5,533,720$9,136,742
I-11 Other revenuePrior year $2,635,171$2,637,006
I-12 Total revenuePrior year $5,228,573,954$5,321,937,014
I-13 Grants and similar amounts paidPrior year $47,416,673$44,519,605
I-14 Benefits paid to membersPrior year $0$0
I-15 Salaries and benefitsPrior year $2,822,078,981$2,907,712,001
I-16a Professional fundraising feesPrior year $0$0
I-17 Other expensesPrior year $1,964,536,735$2,208,856,104
I-18 Total expensesPrior year $4,834,032,389$5,161,087,710
I-19 Revenue less expensesPrior year $394,541,565$160,849,304
Part VI · Governance 6 of 13 board members independent, 1 to look at
VI-1a Voting members of the governing body13
VI-1b Independent voting members6
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 $5,321,937,014 across 10 lines filed
Lines not itemized here account for $136,195,599 of total revenue; see the IRS return.
VIII-1d Related organizations$43,258,143
VIII-1e Government grants$42,975,576
VIII-1f All other contributions, gifts and grants$14,705,795
VIII-1h Total contributions, gifts and grants$100,939,514
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $4,992,003,346 · Unrelated business $79,757,742 · Excluded from tax $1,267,065$5,073,028,153
VIII-3 Investment incomeExcluded from tax $5,633,495$5,633,495
VIII-5 RoyaltiesExcluded from tax $3,650$3,650
VIII-6 Net rental income or lossExcluded from tax $2,633,356$2,633,356
VIII-7 Net gain or loss on sales of assetsExcluded from tax $3,503,247$3,503,247
VIII-12 Total revenueRelated to mission $5,078,150,819 · Unrelated business $102,695,945 · Excluded from tax $40,150,736$5,321,937,014
Part IX · Statement of functional expenses $5,161,087,710 across 25 lines filed
IX-1 Grants to domestic organizationsPrograms $44,383,028$44,383,028
IX-2 Grants to domestic individualsPrograms $126,577$126,577
IX-3 Grants and assistance to foreign recipientsPrograms $10,000$10,000
IX-5 Pay of current officers, directors and key staffPrograms $19,663,681 · Management $1,614,098$21,277,779
IX-6 Pay of disqualified personsManagement $4,129,859$4,129,859
IX-7 Other salaries and wagesPrograms $2,183,257,619 · Management $175,083,344$2,358,340,963
IX-8 Pension plan contributionsPrograms $88,365,800 · Management $8,258,094$96,623,894
IX-9 Other employee benefitsPrograms $244,644,216 · Management $30,244,153$274,888,369
IX-10 Payroll taxesPrograms $139,476,853 · Management $12,974,284$152,451,137
IX-11b Legal feesPrograms $294,569 · Management $2,703,542$2,998,111
IX-11c Accounting feesPrograms $80,195 · Management $1,116,318$1,196,513
IX-11d Lobbying feesManagement $1,680,186$1,680,186
IX-11f Investment management feesPrograms $233,703$233,703
IX-11g Other fees for servicesPrograms $407,588,646 · Management $31,646,211$439,234,857
IX-12 Advertising and promotionPrograms $7,038,078 · Management $13,925,696$20,963,774
IX-13 Office expensesPrograms $38,431,076 · Management $19,423,729$57,854,805
IX-14 Information technologyPrograms $46,677,250 · Management $73,518,712$120,195,962
IX-16 OccupancyPrograms $99,276,820 · Management $10,355,237$109,632,057
IX-17 TravelPrograms $18,833,612 · Management $2,140,552$20,974,164
IX-19 Conferences, conventions and meetingsPrograms $4,293,797 · Management $1,196,300$5,490,097
IX-20 InterestPrograms $24,822,949 · Management $93,056$24,916,005
IX-22 Depreciation, depletion and amortizationPrograms $150,461,297 · Management $21,496,824$171,958,121
IX-23 InsurancePrograms $19,840,249 · Management $390,136$20,230,385
IX-24 Other expenses (24a–d)Programs $1,254,330,304 · Management $11,820,196$1,266,150,500
IX-24e All other expensesPrograms $19,751,289 · Management −$74,604,425−$54,853,136
IX-25 Total functional expensesPrograms $4,811,881,608 · Management $349,206,102 · Fundraising $0$5,161,087,710
Part X · Balance sheet $3,581,478,897 assets, 23 lines filed
Asset lines not itemized here account for $69,083,286; see the IRS return.
X-1 Cash, non-interest-bearingStart of year $87,235,347$5,350,099
X-2 Savings and temporary cash investmentsStart of year $281,391,844$230,746,569
X-3 Pledges and grants receivable$220,673
X-4 Accounts receivableStart of year $653,343,333$747,066,864
X-8 Inventories for sale or useStart of year $125,839,955$124,928,258
X-9 Prepaid expenses and deferred chargesStart of year $65,070,623$78,225,069
X-10c Land, buildings and equipment, netStart of year $1,751,741,875$1,790,130,185
X-11 Publicly traded securitiesStart of year $735,389$433,579
X-12 Other securities$33,508,819
X-13 Program-related investmentsStart of year $40,467,353$33,414,398
X-14 Intangible assetsStart of year $48,008,578$47,957,708
X-15 Other assetsStart of year $380,893,552$420,413,390
X-16 Total assetsStart of year $3,485,607,781$3,581,478,897
X-17 Accounts payable and accrued expensesStart of year $390,495,684$321,632,155
X-18 Grants payableStart of year $1,595,748$5,118,766
X-19 Deferred revenueStart of year $3,159,894$4,018,002
X-20 Tax-exempt bond liabilitiesStart of year $505,134,169$479,072,573
X-25 Other liabilitiesStart of year $291,497,394$247,578,111
X-26 Total liabilitiesStart of year $1,207,557,219$1,069,495,687
X-27 Net assets without donor restrictionsStart of year $2,278,043,512$2,511,976,110
X-28 Net assets with donor restrictionsStart of year $7,050$7,100
X-32 Total net assets or fund balancesStart of year $2,278,050,562$2,511,983,210
X-33 Total liabilities and net assetsStart of year $3,485,607,781$3,581,478,897
Part XI · Reconciliation of net assets $2,511,983,210 net assets at year end
XI-1 Total revenue$5,321,937,014
XI-2 Total expenses$5,161,087,710
XI-3 Revenue less expenses$160,849,304
XI-4 Net assets at start of year$2,278,050,562
XI-5 Net unrealized gains (losses) on investments−$7,005,023
XI-9 Other changes in net assets$80,088,367
XI-10 Net assets at end of year$2,511,983,210

Form 990 e-file (XML) FY2022 from the IRS · Classification, formation year and address from the IRS Business Master File

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