Civic Intelligence

Sanford

990 • Fiscal year 2023 • EIN 27-1218956

Jan 01, 2023 to Dec 31, 2023 • Filed on Feb 07, 2025

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

(605) 333-1000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

97th percentile

1.85x

Higher debt load relative to assets than 97% of similar nonprofits.

2023 filings • NTEE E • $250M-$1B nonprofits • Source year 2023

Liabilities / Revenue

99th percentile

70.98x

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

2023 filings • NTEE E • $250M-$1B nonprofits • Source year 2023

Net Margin

2nd percentile

-147%

Higher net margin than 2% of similar nonprofits.

2023 filings • NTEE E • $250M-$1B nonprofits • Source year 2023

Top Officer Pay

97th percentile

$15,227,956

Higher top officer pay than 97% of similar nonprofits.

Top officer pay equals 87.6% of source-year revenue.

2023 filings • NTEE E • $250M-$1B nonprofits • Source year 2023

Asset Growth

92nd percentile

55%

Faster asset growth than 92% of similar nonprofits.

2023 filings • NTEE E • $250M-$1B nonprofits • Annualized from 2022 to 2023

Revenue Growth

90th percentile

27%

Faster revenue growth than 90% of similar nonprofits.

2023 filings • NTEE E • $250M-$1B nonprofits • Annualized from 2022 to 2023

Assets

Up

$667,435,449

Up $237,467,512 (+55%) from 2022

Net Assets

Up

-$566,106,830

Up $259,271,014 (+31%) from 2022

Liabilities

Down

$1,233,542,279

Down $21,803,502 (-1.7%) from 2022

Revenue

Up

$17,379,839

Up $3,692,646 (+27%) from 2022

Expenses

Down

$42,983,312

Down $1,318,980 (-3.0%) from 2022

Net Income

Up

-$25,603,473

Up $5,011,626 (+16%) from 2022

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$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

2023

Assets$667,435,449
Liabilities$1,233,542,279
Net Assets-$566,106,830

Operations Trend

Revenue, expenses, and net income across loaded years, with this 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

2023

Revenue$17,379,839
Expenses$42,983,312
Net Income-$25,603,473
Jump To
Filing Snapshot
Filing Period
Jan 1, 2023 to Dec 31, 2023
Signed
Feb 7, 2025
Return Version
2023v6.0
Gross Receipts
$78,878,181
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$342,786,384$589,137,611▲ $246,351,227
Investments Program Related-$29,180,386-
Investments Other Securities-$8,548,406-
Intangible Assets$6,912,312$6,411,196▼ $501,116
Prepaid Expenses and Deferred Charges$124,900$649,169▲ $524,269
Land, Buildings, and Equipment, Net$434,411$382,662▼ $51,749
Cash and Non-Interest-Bearing Accounts-$119,801-
Savings and Temporary Cash Investments$15,717$39,308▲ $23,591
Accounts Receivable$263,026$127▼ $262,899
Total Assets$429,967,937$667,435,449▲ $237,467,512
Other Assets Total$79,431,187$32,966,783▼ $46,464,404
Liabilities
Other Liabilities$605,820,000$593,675,000▼ $12,145,000
Tax Exempt Bond Liabilities$375,433,642$360,240,864▼ $15,192,778
Accounts Payable and Accrued Expenses$202,622,407$218,280,960▲ $15,658,553
Mortgage Notes Payable Secured by Investment Property$71,469,732$61,345,455▼ $10,124,277
Total Liabilities$1,255,345,781$1,233,542,279▼ $21,803,502
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-825,377,844$-566,106,830▲ $259,271,014
Total Net Assets Fund Balance$-825,377,844$-566,106,830▲ $259,271,014
Total Liabilities and Net Assets / Fund Balance$429,967,937$667,435,449▲ $237,467,512

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$382,662$754,397$1,137,059
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Sanford Group ReturnSee Schedule O - Key EmployeePT$6,187,952$3,643,619$9,831,571
Sanford Group ReturnSee Schedule O - OfficerPT$3,479,266$4,719,778$8,199,044
Sanford Group ReturnSee Schedule O - Former-$635,599$2,113,220$2,748,819

Board Members and Trustees

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

Highest Paid Contractors

ContractorServicesLocationCompensation
Mckinsey & Company INC USProfessional Services140 FOUNTAIN PARKWAY NORTH STE 800, St Petersburg, FL 33716$8,457,500
Paul Weiss Refkind Wharton & Garrison LlProfessional Services1285 AVENUE OF THE AMERICAS, New York, NY 10019$4,466,457
Kaufman Hall & Associates LLCHealthcare Consulting5215 OLD ORCHARD ROAD SUITE 800, Skokie, IL 60077$1,031,260
Charles River AssociatesGlobal Consulting Firm200 CLARENDON STREET, Boston, MA 02116-5092$829,969
Advisory Board CompanyConsultingPO BOX 84019, Chicago, IL 60689$577,429
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$0
Investment Income
$16,207,242
Other Revenue
$1,172,597
Change in Net Assets
$-25,603,473
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$23,556,351
Salaries, Compensation, and Employee Benefits$19,426,961
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-$16,193,489-$16,193,489
Fees for Services Other-$14,833,863-$14,833,863
Other Employee Benefits-$2,275,638-$2,275,638
Travel-$2,055,289-$2,055,289
Fees for Service Investment Mgmnt Fees-$1,190,202-$1,190,202
Payroll Taxes-$897,109-$897,109
Fees for Services Lobbying-$520,617-$520,617
Conferences and Meetings-$513,477-$513,477
Interest-$228,728-$228,728
Occupancy-$142,906-$142,906
Advertising-$81,859-$81,859
Office Expenses-$79,028-$79,028
Fees for Services Legal-$73,061-$73,061
Other Expenses-$64,454-$64,454
Pension Plan Contributions-$60,725-$60,725
Depreciation Depletion-$51,749-$51,749
All Other Expenses-$11,626-$11,626
Insurance-$1,195-$1,195
Total Functional Expenses$0$42,983,312$0$42,983,312
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$593,675,000

Bond Issues

BondIssuerIssuedIssue PricePurpose
AColorado Health Facilities Authority2019-11-20$422,438,5442019a: to refund bonds issued 9/29/2009 and 10/31/2014, and

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$422,438,676$70,746,253$39,425,000$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: mark lundeen, michael lebeau, bill gassen, jennifer grennan, todd schaffer, michelle bruhn, paul hanson, karka eischens, tiffany lawrence, matt hocks and bill marlette.

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

The 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.

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

Sanford has a process for determining compensation of the persons listed on part vii, section a. This includes a review and approval by independent persons, 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 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 2023.

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
Nicholas Olson
Title
Evp, CFO
Phone
6053331000
Signed
2025-02-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bill Gassen
Formed
2009
Legal Domicile
Nd
Voting Board Members
10
Independent Board Members
5
Employees
33,490
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

Form 990, Part V, Section A, Line 1C

Although sanford reported payments to 24 different independent contractors of over $100,000, no 1099s were reported on part v, line 1a. The reason for this is because all forms for 2023 were reported under sanford health (ein 31-1527032).

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 13,926,167. Fundraising expenses 0. Total expenses 13,926,167. Purchased services: program service expenses 0. Management and general expenses 907,696. Fundraising expenses 0. Total expenses 907,696.

FORM 990, PART XI, LINE 9:

Cash sweep from affiliated companies for pooled investments 284,347,960. Payroll and other expenses for related tax exempt entities 18,380,021.

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, 2023; some related organizations have established reserves.

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

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IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt130
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt140
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt150
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt911054789
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt1013570188
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt11157205
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt1236241
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IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0BAKER PARK INC
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt1SANFORD BISMARCK

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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
2023Detailed filing. Detailed filing data is available for this year.$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