Civic Intelligence

Sanford

EIN 27-1218956 • 501(c)3 • Sioux Falls, SD

Profile

As part of the Sanford Health System, Sanford's mission statement is "Dedicated to the work of health and healing." Sanford is committed to the healthcare needs of communities throughout South Dakota, North Dakota, Minnesota and Iowa, and provides a full range of primary and specialty health care services.

PO Box 5039 Rte 5218Sioux Falls, SD 57117-5039

www.sanfordhealth.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

99th percentile

1.82x

Higher debt load relative to assets than 99% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Liabilities / Revenue

99th percentile

40.95x

Higher debt load relative to revenue than 99% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Net Margin

4th percentile

-42%

Higher net margin than 4% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2024

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

94th percentile

36%

Faster asset growth than 94% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Revenue Growth

93rd percentile

60%

Faster revenue growth than 93% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2022 to 2024

Assets

Up

$792,728,642

Up $125,293,193 (+19%) from 2023

Liabilities

Up

$1,439,615,841

Up $206,073,562 (+17%) from 2023

Net Assets

Down

-$646,887,199

Down $80,780,369 (-14%) from 2023

Revenue

Up

$35,154,776

Up $17,774,937 (+102%) from 2023

Expenses

Up

$49,770,357

Up $6,787,045 (+16%) from 2023

Net Income

Up

-$14,615,581

Up $10,987,892 (+43%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$2.0B$1.0B$0-$1.0BAssets 2011: $144,631,812Liabilities 2011: $4,495,767Net Assets 2011: $140,136,0452011Assets 2012: $163,482,851Liabilities 2012: $3,040,783Net Assets 2012: $160,442,0682012Assets 2013: $99,722,158Liabilities 2013: $5,636,153Net Assets 2013: $94,086,0052013Assets 2014: $125,511,868Liabilities 2014: $10,165,567Net Assets 2014: $115,346,3012014Assets 2015: $292,261,154Liabilities 2015: $12,179,718Net Assets 2015: $280,081,4362015Assets 2016: $286,998,373Liabilities 2016: $14,878,618Net Assets 2016: $272,119,7552016Assets 2017: $296,769,304Liabilities 2017: $14,426,916Net Assets 2017: $282,342,3882017Assets 2018: $226,243,417Liabilities 2018: $16,161,809Net Assets 2018: $210,081,6082018Assets 2019: $328,228,395Liabilities 2019: $952,420,882Net Assets 2019: -$624,192,4872019Assets 2020: $493,192,629Liabilities 2020: $1,046,747,274Net Assets 2020: -$553,554,6452020Assets 2021: $665,368,621Liabilities 2021: $1,230,871,505Net Assets 2021: -$565,502,8842021Assets 2022: $429,967,937Liabilities 2022: $1,255,345,781Net Assets 2022: -$825,377,8442022Assets 2023: $667,435,449Liabilities 2023: $1,233,542,279Net Assets 2023: -$566,106,8302023Assets 2024: $792,728,642Liabilities 2024: $1,439,615,841Net Assets 2024: -$646,887,1992024

Highlighted filing

2024

Assets$792,728,642
Liabilities$1,439,615,841
Net Assets-$646,887,199

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$100M$0-$100MExpenses 2011: $11,786,6842011Expenses 2012: $14,608,7612012Expenses 2013: $18,337,6072013Revenue 2014: $3,931,387Expenses 2014: $15,839,359Net Income 2014: -$11,907,9722014Revenue 2015: $1,202,224Expenses 2015: $20,009,484Net Income 2015: -$18,807,2602015Revenue 2016: $8,479,600Expenses 2016: $16,574,668Net Income 2016: -$8,095,0682016Revenue 2017: $6,204,663Expenses 2017: $23,015,819Net Income 2017: -$16,811,1562017Revenue 2018: $3,691,190Expenses 2018: $25,193,612Net Income 2018: -$21,502,4222018Revenue 2019: $2,061,439Expenses 2019: $49,715,951Net Income 2019: -$47,654,5122019Revenue 2020: $8,728,636Expenses 2020: $108,012,103Net Income 2020: -$99,283,4672020Revenue 2021: $12,274,166Expenses 2021: $60,060,901Net Income 2021: -$47,786,7352021Revenue 2022: $13,687,193Expenses 2022: $44,302,292Net Income 2022: -$30,615,0992022Revenue 2023: $17,379,839Expenses 2023: $42,983,312Net Income 2023: -$25,603,4732023Revenue 2024: $35,154,776Expenses 2024: $49,770,357Net Income 2024: -$14,615,5812024

Highlighted filing

2024

Revenue$35,154,776
Expenses$49,770,357
Net Income-$14,615,581

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$793$1,440$647$35.2$49.8$14.6
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$667$1,234$566$17.4$43.0$25.6
2022Detailed filing. Detailed filing data is available for this year.$430$1,255$825$13.7$44.3$30.6
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$665$1,231$566$12.3$60.1$47.8
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$493$1,047$554$8.73$108$99.3
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$328$952$624$2.06$49.7$47.7
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$226$16.2$210$3.69$25.2$21.5
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$297$14.4$282$6.20$23.0$16.8
2016Detailed filing. Detailed filing data is available for this year.$287$14.9$272$8.48$16.6$8.10
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$292$12.2$280$1.20$20.0$18.8
2014Detailed filing. Detailed filing data is available for this year.$126$10.2$115$3.93$15.8$11.9
2013XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$99.7$5.64$94.1$18.3
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$163$3.04$160$14.6
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$145$4.50$140$11.8
Latest Detailed Filing

The latest 2024 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 7, 2023
Return Version
2022v5.0
Gross Receipts
$63,491,275
Mission and Program Overview

Mission

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$542,121,972$342,786,384▼ $199,335,588
Intangible Assets$7,418,548$6,912,312▼ $506,236
Land, Buildings, and Equipment, Net$282,895$434,411▲ $151,516
Accounts Receivable$230,241$263,026▲ $32,785
Prepaid Expenses and Deferred Charges$218,650$124,900▼ $93,750
Savings and Temporary Cash Investments$65$15,717▲ $15,652
Total Assets$665,368,621$429,967,937▼ $235,400,684
Other Assets Total$115,096,250$79,431,187▼ $35,665,063
Liabilities
Other Liabilities$249,845,000$605,820,000▲ $355,975,000
Tax Exempt Bond Liabilities$761,236,105$375,433,642▼ $385,802,463
Accounts Payable and Accrued Expenses$138,740,881$202,622,407▲ $63,881,526
Mortgage Notes Payable Secured by Investment Property$81,049,519$71,469,732▼ $9,579,787
Total Liabilities$1,230,871,505$1,255,345,781▲ $24,474,276
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-565,502,884$-825,377,844▼ $259,874,960
Total Net Assets Fund Balance$-565,502,884$-825,377,844▼ $259,874,960
Total Liabilities and Net Assets / Fund Balance$665,368,621$429,967,937▼ $235,400,684

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$434,411$702,648$1,137,059
Other Assets Org$79,431,187--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sanford Group ReturnSee Schedule O - Key EmployeePT$6,756,125$7,283,835$14,039,960
Sanford Group ReturnSee Schedule O - OfficerPT$2,830,492$1,950,210$4,780,702
Sanford Group ReturnSee Schedule O - Former-$36,400$4,008,460$4,044,860

Board Members and Trustees

NameTitle
Sanford Group ReturnSee Schedule O - Trustee
Sanford Group ReturnSee Schedule O - Hce

Highest Paid Contractors

ContractorServicesLocationCompensation
Leavitt Partners LLCConsulting299 S MAIN ST 2300, Salt Lake City, UT 84111$877,241
Mckinsey & Company INC USProfessional Services140 FOUNTAIN PARKWAY NORTH STE 800, St Petersburg, FL 33716$875,000
New York LifeInsurance PremiumsPO BOX 130539, Dallas, TX 75313$731,849
EdelmanConsulting111 N CANAL ST, Chicago, IL 60606$728,121
First Premier BankInvestment ManagementPO BOX 2640, Sioux Falls, SD 57101$420,539
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$13,687,193
Other Revenue
$0
Change in Net Assets
$-30,615,099
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$25,152,674
Other Expenses$19,149,618
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees-$23,643,628-$23,643,628
Fees for Services Other-$11,414,876-$11,414,876
Travel-$2,340,570-$2,340,570
Other Employee Benefits-$2,136,624-$2,136,624
Fees for Service Investment Mgmnt Fees-$1,940,680-$1,940,680
Conferences and Meetings-$650,748-$650,748
Pension Plan Contributions-$207,076-$207,076
Occupancy-$191,503-$191,503
Office Expenses-$139,032-$139,032
Advertising-$133,690-$133,690
Depreciation Depletion-$66,300-$66,300
Other Expenses-$66,018-$66,018
All Other Expenses-$6,378-$6,378
Interest-$5,000-$5,000
Insurance-$275-$275
Fees for Services Legal-$-14,991-$-14,991
Payroll Taxes-$-834,654-$-834,654
Total Functional Expenses$0$44,302,292$0$44,302,292
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Series 2019 and 2021 Taxable Bonds$605,820,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
AColorado Health Facilities Authority2019-11-20$421,688,6872019a: to refund bonds issued 9/29/2009 and 10/31/2014, and

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$421,688,820$69,996,396$28,815,000$2,894,833

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

The 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: maria bell, mark lundeen, mark paulson, michael lebeau, bill gassen, bryan nermoe, jennifer grennan, tood schaffer, michelle bruhn, michelle micka, paul hanson, susan jarvis, and matt hocks.

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared internally by the tax department and reviewed by executive management. An external accounting firm reviews the return. The tax department prepares return highlights and key disclosures for the board of trustees meeting prior to the return filing date. Before the return is filed, a complete copy is provided to the current board of trustees.

Form 990, Part VI, Section B, Line 12C

The 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 system trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the irs form 990 filings. The disclosures are summarized for review by the executive committee of the board of trustees, pursuant to policy. This review allows: 1) the board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis if potential conflicts are implicated in board decisions and deliberations, and, 2) gives the board the opportunity to seek additional information and clarification about disclosures to determine potential conflicts of interest, and how to manage such.

Form 990, Part VI, Section B, Line 15

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 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 2022.

Form 990, Part VI, Section C, Line 19

Although 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.

Filing and Contact Details

Filer

Filer Name
Sanford
EIN
27-1218956
Phone
6053331000
Address
PO BOX 5039 RTE 5218, SIOUX FALLS, SD 57117-5039

Signing Officer

Name
Bill Marlette
Title
Evp, CFO & Treasurer
Phone
6053331000
Signed
2023-11-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bill Gassen
Formed
2009
Legal Domicile
Nd
Voting Board Members
13
Independent Board Members
6
Employees
33,172
Volunteers
0

Preparer

Firm
Ernst & Young US Llp
Address
155 N WACKER DRIVE, CHICAGO, IL 60606
Preparer
Jess Wagener
Phone
3128792000
Supplemental Narrative

Additional Explanations

Election

Pursuant to treasury reg section 1.6033-2(d)(5), sanford has elected to report information about contributions, gifts & grants, compensation, and other information about officers, directors, trustees, key employees, former employees, certain other highly paid employees, certain professional contractors, and certain other contractors on a consolidated basis for all of the members of the group, including the parent organization, on the group return, sanford group return, ein 45-3791176.

Form 990, Part IX, Line 11G

Consulting services: program service expenses 0. Management and general expenses 10,212,688. Fundraising expenses 0. Total expenses 10,212,688. Purchased services: program service expenses 0. Management and general expenses 1,200,309. Fundraising expenses 0. Total expenses 1,200,309. Cs supply chain: program service expenses 0. Management and general expenses 1,879. Fundraising expenses 0. Total expenses 1,879.

FORM 990, PART XI, LINE 9:

Payroll and other expenses for related tax exempt entities -146,935,197. Payoff bonds for related tax exempt entity

Financial Statement Notes

PART X, LINE 2:

Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination. The deferred income tax provision or benefit generally reflects the net change in deferred income tax assets and liabilities during the year. The current income tax provision reflects the tax consequences of revenues and expenses currently taxable or deductible on various income tax returns for the year reported. Sanford did not have a tax liability at december 31, 2022; some related organizations have established reserves.

Raw XML AppendixShowing 400 of 1,286 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/CreditCounselingInd00
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0SANFORD MEDICAL CENTER
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt2SANFORD CLINIC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt3SANFORD CLINIC NORTH
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt4SANFORD HOME HEALTH
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt6SANFORD RESEARCH
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt7SANFORD HEALTH OF NORTHERN MINNESOTA

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