Liabilities / Assets
14th percentile
Higher debt load relative to assets than 14% of similar nonprofits.
EIN 36-3297853 • 501(c)3 • Sioux Falls, SD
Profile
To inspire philanthropy to advance the mission of sanford health, the largest rural health system in the u.s., and related exempt entities. 100% of donor dollars fuel local priorities to support the work of health, healing and comfort.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
14th percentile
Higher debt load relative to assets than 14% of similar nonprofits.
Liabilities / Revenue
21st percentile
Higher debt load relative to revenue than 21% of similar nonprofits.
Net Margin
96th percentile
Higher net margin than 96% of similar nonprofits.
Top Officer Pay
82nd percentile
Higher top officer pay than 82% of similar nonprofits.
Top officer pay equals 2.3% of source-year revenue.
Asset Growth
49th percentile
Faster asset growth than 49% of similar nonprofits.
Revenue Growth
57th percentile
Faster revenue growth than 57% of similar nonprofits.
Assets
Up$1,283,437,010
Up $86,405,276 (+7.2%) from 2023
Liabilities
Down$46,196,908
Down $54,258,338 (-54%) from 2023
Net Assets
Up$1,237,240,102
Up $140,663,614 (+13%) from 2023
Revenue
Up$214,434,250
Up $23,308,955 (+12%) from 2023
Expenses
Up$55,013,694
Up $6,200,762 (+13%) from 2023
Net Income
Up$159,420,556
Up $17,108,193 (+12%) from 2023
Most recent year
2024 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.
Philanthropy in support of related exempt entities. Because the expenses are covered by sanford, 100% of every dollar raised helps deliver compassionate, patient-center care & drives medical research & collaboration to accelerate bold solutions for a brighter tomorrow.
To inspire philanthropy to advance the mission of sanford health - to care, comfort and cure.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Investments in Publicly Traded Securities | $1,179,255,612 | $1,263,795,224 | ▲ $84,539,612 |
| Investments Other Securities | $10,588,235 | $11,176,471 | ▲ $588,236 |
| Pledges and Grants Receivable | $3,744,885 | $3,235,024 | ▼ $509,861 |
| Cash and Non-Interest-Bearing Accounts | $1,572,506 | $1,888,678 | ▲ $316,172 |
| Savings and Temporary Cash Investments | - | $1,373,380 | - |
| Prepaid Expenses and Deferred Charges | $191,479 | $212,614 | ▲ $21,135 |
| Land, Buildings, and Equipment, Net | $17,970 | $13,893 | ▼ $4,077 |
| Accounts Receivable | $200 | $0 | ▼ $200 |
| Total Assets | $1,197,031,734 | $1,283,437,010 | ▲ $86,405,276 |
| Other Assets Total | $1,660,847 | $1,741,726 | ▲ $80,879 |
| Liabilities | |||
| Deferred Revenue | $98,639,046 | $44,072,000 | ▼ $54,567,046 |
| Escrow Account Liability | $1,754,114 | $1,986,122 | ▲ $232,008 |
| Accounts Payable and Accrued Expenses | $14,846 | $103,366 | ▲ $88,520 |
| Other Liabilities | $47,240 | $35,420 | ▼ $11,820 |
| Total Liabilities | $100,455,246 | $46,196,908 | ▼ $54,258,338 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $933,895,356 | $1,069,538,456 | ▲ $135,643,100 |
| Net Assets With Donor Restrictions | $162,681,132 | $167,701,646 | ▲ $5,020,514 |
| Total Net Assets Fund Balance | $1,096,576,488 | $1,237,240,102 | ▲ $140,663,614 |
| Total Liabilities and Net Assets / Fund Balance | $1,197,031,734 | $1,283,437,010 | ▲ $86,405,276 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $8,343 | $325,479 | $333,822 |
| Leasehold Improvements | $5,550 | $34,607 | $40,157 |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $45,736,885 | $187,201 | ▲ $17,449 | - | $45,941,535 |
| 2023 | $45,550,729 | $97,976 | ▲ $88,180 | - | $45,736,885 |
| 2022 | $46,288,628 | $-452,884 | ▼ $285,015 | - | $45,550,729 |
| 2021 | $45,603,927 | $478,014 | ▲ $206,687 | - | $46,288,628 |
| 2020 | $43,970,267 | $1,524,212 | ▲ $109,448 | - | $45,603,927 |
| Name | Title | Other | Total |
|---|---|---|---|
| Lauris Molbert | Trustee, Chairperson | $107,199 | $107,199 |
| Brent Teiken | Trustee | $84,246 | $84,246 |
| James Cain | Trustee, Treasurer | $81,651 | $81,651 |
| Marnie Hermann | Trustee, Vice Chair | $80,382 | $80,382 |
| Neil Gulsvig | Trustee, Past Chair | $80,055 | $80,055 |
| Mark Lundeen Md | Trustee | $80,000 | $80,000 |
| David Shulkin | Trustee | $79,826 | $79,826 |
| Stephanie Herseth Sandlin | Trustee | $78,750 | $78,750 |
| Wesley Engbrecht | Trustee | $77,594 | $77,594 |
| Dana Dykhouse | Trustee | $76,727 | $76,727 |
| Name | Title |
|---|---|
| Bill Gassen | Trustee, President & CEO |
| Don Jacobs | Former Trustee |
| Andy North | Trustee, Secretary, Indep Contractor |
| Deb Koski | Chief Philanthropy Officer |
| Nick Olson | Evp, CFO (beg 4/24) |
| Scott Wooten | Evp, CFO (end 4/24) |
| Michelle Bruhn | Former Evp, CFO & Treasurer |
| Bill Marlette | Interim, Evp, CFO (end 1/24) |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| First Premier Bank | Investment Management | PO BOX 2640, Sioux Falls, SD 57101-2640 | $988,820 |
| Cumberland Advisors | Investment Management | 2 N TAMIAMI TR STE 303, Sarasota, FL 34236 | $845,354 |
| Schroder Investment Management Na | Investment Management | 7 BRYANT PARK, New York, NY 10018 | $243,710 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Other Non Cash Contri Table | 1 | $495,000 | Fair Market Value (FMV) |
| Securities Publicly Traded | 2 | $51,044 | Fair Market Value (FMV) |
| Total Noncash Contributions | 3 | $546,044 | - |
| Line Item | Amount |
|---|---|
| Grants and Similar Amounts Paid | $55,013,694 |
| Other Expenses | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Grants to Domestic Orgs | $55,013,694 | - | - | $55,013,694 |
| Fees for Service Investment Mgmnt Fees | - | $2,187,237 | - | $2,187,237 |
| Occupancy | - | $128,588 | $1,048 | $129,636 |
| Other Expenses | - | $641 | $99,173 | $99,814 |
| Advertising | - | $600 | $40,641 | $41,241 |
| Office Expenses | - | $6,727 | $28,547 | $35,274 |
| Conferences and Meetings | - | $20,317 | $10,708 | $31,025 |
| Insurance | - | $21,453 | - | $21,453 |
| Travel | - | $8,077 | $12,423 | $20,500 |
| Fees for Services Accounting | - | $5,780 | - | $5,780 |
| Depreciation Depletion | - | $4,078 | - | $4,078 |
| Fees for Services Other | - | $1,252 | - | $1,252 |
| All Other Expenses | - | $-3,507,472 | $-1,353,026 | $-4,860,498 |
| Total Functional Expenses | $55,013,694 | $0 | $0 | $55,013,694 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Sanford Medical Center | Sioux Falls, SD | 501(c)(3) | See Form 990, Page 2, Part Iii | $53,392,425 |
| Sanford Health Network | Sioux Falls, SD | 501(c)(3) | See Form 990, Page 2, Part Iii | $493,727 |
| Sanford Research | Sioux Falls, SD | 501(c)(3) | See Form 990, Page 2, Part Iii | $489,680 |
| Sanford Home Health | Sioux Falls, SD | 501(c)(3) | See Form 990, Page 2, Part Iii | $312,954 |
| Sanford Clinic | Sioux Falls, SD | 501(c)(3) | See Form 990, Page 2, Part Iii | $273,289 |
| Sanford World Clinics | Sioux Falls, SD | 501(c)(3) | See Form 990, Page 2, Part Iii | $49,086 |
| Line Item | Amount |
|---|---|
| Fundraising Direct Expenses | $473,388 |
| Fundraising Gross Income | $122,300 |
| Professional Fundraising Fees | $0 |
| Event | Gross Receipts | Gross Revenue | Direct Expenses | Net Income |
|---|---|---|---|---|
| Children Gala | $1,174,941 | $68,700 | $90,594 | $-21,894 |
| Edith Big Stars Pink Guitars | $1,021,767 | $29,225 | $121,423 | $-92,198 |
| Total Events | $2,358,384 | $122,300 | $473,388 | $-351,088 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| - | Substantial Contributor | Independent Contractor Arrangement | No | $988,820 |
| Liability | Amount |
|---|---|
| Annuities Payable | $35,420 |
“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: bill gassen, deb koski, bill marlette, nick olson and scott wooten.”
“Sanford health 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 act as a holding company board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. Sanford is the sole member of sanford health. Sanford health is the sole member of the organization. The board of trustees of sanford also comprises the board of trustees for sanford health and for the organization. The board of trustees delegates authority to the board of directors of the organization. Actions approved by the organization's board of directors are then subject to approval by the board of trustees.”
“The sanford board of trustees appoints the board members for the board of directors of sanford health foundation.”
“The sanford board of trustees approves the actions approved by the board of directors of sanford health foundation.”
“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.”
“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 them.”
“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 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.”
“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.”
“The sanford board of trustees has ultimate governance responsibilities for each major operation entity within sanford. In addition, a board of directors is established for each major operating entity. This board has specific responsibilities delegated from the board of trustees. Generally these responsibilities are related to the oversight of the day to day operations of that entity.”
“All other expenses: program service expenses 0. Management and general expenses 25,567. Fundraising expenses 8,868. Total expenses 34,435. Expenses reimbursed by sanford health (see explanation below): program service expenses 0. Management and general expenses -3,533,039. Fundraising expenses -1,361,894. Total expenses -4,894,933.”
“All general and administrative expenses and fundraising expenses (the "expenses") are paid for by sanford health to ensure that 100% of donor funds are used to support sanford's work of health, healing, and comfort. As a result, the net cost of these expenses funded by the foundation is $0.”
“Reimbursement for cash flow incurred by sanford health on behalf of the foundation 5,540,936. Uncollectible pledges -1,020,541. Non-gift adjustments to revenue 101,769.”
“The organization holds funds owned by an unrelated foundation in custodial accounts with the funds balance commingled with other investment assets of the organization. The use of the funds balance is overseen and expended by the owner.”
“The organization's use of the endowment funds is to meet the donors intent in providing health care, medical, or educational services to sanford health's organizations.”
“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 health foundation did not have an income tax liability at december 31, 2024; however, some related organizations have established reserves.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
| Path | # | Value |
|---|---|---|
| IRS990/AccountantCompileOrReviewInd | 0 | 0 |
| IRS990/AccountsPayableAccrExpnssGrp/BOYAmt | 0 | 14846 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 103366 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 200 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO INSPIRE PHILANTHROPY TO ADVANCE THE MISSION OF SANFORD HEALTH - TO CARE, COMFORT AND CURE. |
| IRS990/AdvertisingGrp/FundraisingAmt | 0 | 40641 |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 600 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 41241 |
| IRS990/AllOtherContributionsAmt | 0 | 160422963 |
| IRS990/AllOtherExpensesGrp/FundraisingAmt | 0 | -1353026 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | -3507472 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | -4860498 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | NICHOLAS OLSON EVP CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6053331000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2301 EAST 60TH STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SIOUX FALLS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57104 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
| IRS990/BusinessRlnWithFamMemInd | 0 | 0 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 1 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 1572506 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 1888678 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 3 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 0 |
| IRS990/CompensationProcessOtherInd | 0 | 0 |
| IRS990/ConferencesMeetingsGrp/FundraisingAmt | 0 | 10708 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 20317 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 31025 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 988820 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 845354 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 243710 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | PO BOX 2640 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 2 N TAMIAMI TR STE 303 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | 7 BRYANT PARK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | SIOUX FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SARASOTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | NEW YORK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | FL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 571012640 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 34236 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 10018 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | FIRST PREMIER BANK |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | CUMBERLAND ADVISORS |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | SCHRODER INVESTMENT MANAGEMENT NA |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | INVESTMENT MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | INVESTMENT MANAGEMENT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | INVESTMENT MANAGEMENT |
| IRS990/ContriRptFundraisingEventAmt | 0 | 2236084 |
| IRS990/CreditCounselingInd | 0 | 1 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 162659047 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 55013694 |
| IRS990/CYInvestmentIncomeAmt | 0 | 52121544 |
| IRS990/CYOtherExpensesAmt | 0 | 0 |
| IRS990/CYOtherRevenueAmt | 0 | -346341 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 159420556 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/CYTotalExpensesAmt | 0 | 55013694 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 214434250 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 98639046 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 44072000 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 4078 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 4078 |
| IRS990/Desc | 0 | DONATIONS HELP SUPPORT THE SANFORD INITIATIVES:THE SANFORD INITIATIVES ENHANCE THE CAPABILITIES OF SANFORD HEALTH AND ALLOW THE ORGANIZATION TO SHARE ITS EXPERTISE WITH THE COMMUNITIES IT SERVES. AREAS OF FOCUS FOR THE SANFORD INITIATIVES INCLUDE SANFORD RESEARCH, CHILDREN'S HEALTH, SPORTS MEDICINE, WEIGHT LOSS, GENETICS, BREAST CANCER, VIRTUAL CARE, INNOVATION AND MORE. SINCE ITS INCEPTION, THE SANFORD INITIATIVES HAVE CONTINUED TO ACHIEVE MAJOR MILESTONES, GIVING WAY TO NEW BREAKTHROUGHS AND NEW DISCOVERIES, ALL OF WHICH ARE HELPING TO TRANSFORM THE FUTURE OF HEALTH CARE. -CHILDHOOD NUTRITION AND FITNESS INITIATIVESSANFORD HEALTH HAS CREATED SANFORD FIT, A HEALTH ACTIVATION PROGRAM DEVELOPED TO EMPOWER CHILDREN AND PARENTS TO MAKE HEALTHY LIFESTYLE CHOICES THAT HELP PREVENT CHILDHOOD OBESITY. SANFORD FIT IS COMPRISED OF A SYSTEM OF RESOURCES AND PROGRAMS INCLUDING SCHOOL PROGRAMS, DAYCARE TRAINING, MOBILE APPS, AND WAS DEVELOPED USING A COMBINATION OF THE LATEST SCIENTIFIC AND BEHAVIORAL RESEARCH DESIGNED TO EDUCATE, MOTIVATE, AND INSPIRE CHILDREN OF ALL AGES TO LIVE A BALANCED, HEALTHY LIFESTYLE.-THE SANFORD PROJECT SINCE 2008, SANFORD HEALTH HAS BEEN SEEKING A CURE FOR TYPE 1 DIABETES. THE SANFORD PROJECT TEAM IS FOCUSED ON THE NATURAL REGENERATION OF INSULIN-PRODUCING BETA CELLS IN THE DIABETIC PANCREAS AND THE BODY'S AUTOIMMUNE RESPONSE IN PATIENTS WITH DIABETES. THE PROJECT TEAM LAUNCHED ITS FIRST CLINICAL TRIAL AND BEGAN ENROLLING PATIENTS IN AUGUST 2010.-SANFORD IMAGENETICSBECAUSE OF ONE MAN'S CONTINUED GENEROSITY, SANFORD HEALTH LAUNCHED A REVOLUTIONARY PROGRAM TO IMPROVE HEALTH AND PREVENT DISEASE WITH PERSONALIZED PLANS OF CARE. SANFORD IMAGENETICS IS A COMPREHENSIVE PROGRAM THAT FULLY INTEGRATES GENETICS WITH INTERNAL MEDICINE, CREATING A FIRST-OF ITS-KIND MODEL FOR EXCEPTIONAL, HIGH-QUALITY, AND INNOVATIVE PRIMARY CARE FOR ADULTS.-EDITH SANFORD BREAST CENTEREDITH SANFORD BREAST CENTER HAS PIONEERED THE FUTURE OF BREAST CANCER RESEARCH AND CARE. BY PIECING TOGETHER THE ENTIRE GENETIC PUZZLE OF EACH WOMAN, WE ARE DISCOVERING HOW TO REVOLUTIONIZE TREATMENT AND ERADICATE BREAST CANCER. WE ARE MOBILIZING PARTICIPANTS -- MOTHERS, WIVES, SISTERS, AND DAUGHTERS -- TO DONATE THEIR GENETIC INFORMATION AS WE BUILD AN EXTENSIVE BIO BANK THAT WILL UNDERPIN OUR GROUNDBREAKING RESEARCH. AS WE DECODE THIS DEADLY DISEASE, WE WILL KNOW MORE SPECIFICALLY WHAT TREATMENTS WILL WORK FOR EACH PATIENT, HOW TO PREVENT DISEASE ON AN INDIVIDUAL BASIS, AND ULTIMATELY, HOW TO FIND A CURE.-SANFORD WORLD CLINICSTHE SANFORD WORLD CLINICS INITIATIVE WAS DESIGNED TO MEET THE UNIQUE NEEDS OF THE AREAS WE SERVE. BROADER PRIMARY CARE SERVICES, REGENERATIVE MEDICINE, SPECIALIZED PROCEDURES, WEIGHT LOSS PROGRAMS, AND CLINIC EDUCATION ARE JUST A FEW OF THE SPECIALIZATIONS DEVELOPED TO SERVE POPULATIONS AROUND THE WORLD. OUTSIDE OF THE NATIONAL FOOTPRINT, SANFORD HAS ESTABLISHED RELATIONSHIPS IN GHANA, CHINA, GERMANY, NEW ZEALAND, SOUTH AFRICA, COSTA RICA, VIETNAM, AND IRELAND. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 0 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 162681132 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 167701646 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 0 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 1754114 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 1986122 |
| IRS990/ExpenseAmt | 0 | 42223761 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 0 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 5780 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 5780 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 1252 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 1252 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 2187237 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 2187237 |
| IRS990/ForeignActivitiesInd | 0 | 0 |
| IRS990/ForeignFinancialAccountInd | 0 | 0 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form1098CFiledInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 59.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 4.66 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 59.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 59.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 59.25 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 48.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 0.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 0.24 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 0.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 0.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 0.75 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 12.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 11 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 585241 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 51220 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 123386 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 275 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 48491 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | BILL GASSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | ANDY NORTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | LAURIS MOLBERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | BRENT TEIKEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | JAMES CAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | MARNIE HERMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | NEIL GULSVIG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MARK LUNDEEN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | DAVID SHULKIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | STEPHANIE HERSETH SANDLIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | WESLEY ENGBRECHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | DANA DYKHOUSE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | SCOTT WOOTEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | NICK OLSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | BILL MARLETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | DEB KOSKI |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | DON JACOBS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MICHELLE BRUHN |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 4414119 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 379383 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 107199 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 84246 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 81651 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 80382 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 80055 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 80000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 79826 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 78750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 77594 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 76727 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 2525208 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 1047876 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 894301 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 485983 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 13502 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 293725 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | TRUSTEE, PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | TRUSTEE, SECRETARY, INDEP CONTRACTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE, CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | TRUSTEE, TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | TRUSTEE, VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | TRUSTEE, PAST CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | EVP, CFO (END 4/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | EVP, CFO (BEG 4/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | INTERIM, EVP, CFO (END 1/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | CHIEF PHILANTHROPY OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | FORMER TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | FORMER EVP, CFO & TREASURER |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/FormationYr | 0 | 1983 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 1 |
| IRS990/FundraisingAmt | 0 | 2236084 |
| IRS990/FundraisingDirectExpensesAmt | 0 | 473388 |
| IRS990/FundraisingGrossIncomeAmt | 0 | 122300 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -864016 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 12 |
| IRS990/GrantAmt | 0 | 42223761 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 55013694 |
| IRS990/GrantsToDomesticOrgsGrp/TotalAmt | 0 | 55013694 |
| IRS990/GrantsToIndividualsInd | 0 | 0 |
| IRS990/GrantsToOrganizationsInd | 0 | 1 |
| IRS990/GrantToRelatedPersonInd | 0 | 0 |
| IRS990/GrossAmountSalesAssetsGrp/SecuritiesAmt | 0 | 258577296 |
| IRS990/GrossReceiptsAmt | 0 | 474348950 |
| IRS990/GroupReturnForAffiliatesInd | 0 | 0 |
| IRS990/IncludeFIN48FootnoteInd | 0 | 1 |
| IRS990/IndependentAuditFinclStmtInd | 0 | 0 |
| IRS990/IndependentVotingMemberCnt | 0 | 8 |
| IRS990/IndivRcvdGreaterThan100KCnt | 0 | 0 |
| IRS990/IndoorTanningServicesInd | 0 | 0 |
| IRS990/InfoInScheduleOPartIIIInd | 0 | X |
| IRS990/InfoInScheduleOPartIXInd | 0 | X |
| IRS990/InfoInScheduleOPartVIIInd | 0 | X |
| IRS990/InfoInScheduleOPartVIInd | 0 | X |
| IRS990/InfoInScheduleOPartXIInd | 0 | X |
| IRS990/InsuranceGrp/ManagementAndGeneralAmt | 0 | 21453 |
| IRS990/InsuranceGrp/TotalAmt | 0 | 21453 |
| IRS990/InvestmentIncomeGrp/ExclusionAmt | 0 | 52985560 |
| IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt | 0 | 52985560 |
| IRS990/InvestmentInJointVentureInd | 0 | 0 |
| IRS990/InvestmentsOtherSecuritiesGrp/BOYAmt | 0 | 10588235 |
| IRS990/InvestmentsOtherSecuritiesGrp/EOYAmt | 0 | 11176471 |
| IRS990/InvestmentsPubTradedSecGrp/BOYAmt | 0 | 1179255612 |
| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 1263795224 |
| IRS990/IRPDocumentCnt | 0 | 3 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
| IRS990/LandBldgEquipAccumDeprecAmt | 0 | 360086 |
| IRS990/LandBldgEquipBasisNetGrp/BOYAmt | 0 | 17970 |
| IRS990/LandBldgEquipBasisNetGrp/EOYAmt | 0 | 13893 |
| IRS990/LandBldgEquipCostOrOtherBssAmt | 0 | 373979 |
| IRS990/LegalDomicileStateCd | 0 | SD |
| IRS990/LessCostOthBasisSalesExpnssGrp/SecuritiesAmt | 0 | 259441312 |
| IRS990/LoanOutstandingInd | 0 | 0 |
| IRS990/LobbyingActivitiesInd | 0 | 0 |
| IRS990/LocalChaptersInd | 0 | 0 |
| IRS990/MaterialDiversionOrMisuseInd | 0 | 0 |
| IRS990/MembersOrStockholdersInd | 0 | 1 |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | 1 |
| IRS990/MinutesOfGoverningBodyInd | 0 | 1 |
| IRS990/MissionDesc | 0 | TO INSPIRE PHILANTHROPY TO ADVANCE THE MISSION OF SANFORD HEALTH, THE PREMIER RURAL HEALTH SYSTEM IN THE U.S., AND RELATED EXEMPT ENTITIES. 100% OF DONOR DOLLARS FUEL LOCAL PRIORITIES TO CARE, COMFORT AND CURE. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | 0 |
| IRS990/MoreThan5000KToOrgInd | 0 | 0 |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 1096576488 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 1237240102 |
| IRS990/NetGainOrLossInvestmentsGrp/ExclusionAmt | 0 | -864016 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | -864016 |
| IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt | 0 | -351088 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | -351088 |
| IRS990/NetUnrelatedBusTxblIncmAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | -23379106 |
| IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt | 0 | 933895356 |
| IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt | 0 | 1069538456 |
| IRS990/NoncashContributionsAmt | 0 | 546044 |
| IRS990/NondeductibleContributionsInd | 0 | 0 |
| IRS990/OccupancyGrp/FundraisingAmt | 0 | 1048 |
| IRS990/OccupancyGrp/ManagementAndGeneralAmt | 0 | 128588 |
| IRS990/OccupancyGrp/TotalAmt | 0 | 129636 |
| IRS990/OfficeExpensesGrp/FundraisingAmt | 0 | 28547 |
| IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt | 0 | 6727 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 35274 |
| IRS990/OfficerMailingAddressInd | 0 | 0 |
| IRS990/OperateHospitalInd | 0 | 0 |
| IRS990/Organization501c3Ind | 0 | X |
| IRS990/OrganizationFollowsFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/BOYAmt | 0 | 1660847 |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 1741726 |
| IRS990/OtherChangesInNetAssetsAmt | 0 | 4622164 |
| IRS990/OtherExpensesGrp/Desc | 0 | PURCHASED SALARIES |
| IRS990/OtherExpensesGrp/Desc | 1 | PURCHASED SERVICES |
| IRS990/OtherExpensesGrp/Desc | 2 | FUNDRAISING MATERIALS |
| IRS990/OtherExpensesGrp/Desc | 3 | DONOR STEWARDSHIP |
| IRS990/OtherExpensesGrp/FundraisingAmt | 0 | 899724 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 1 | 43022 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 2 | 217740 |
| IRS990/OtherExpensesGrp/FundraisingAmt | 3 | 99173 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 0 | 607096 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 1 | 515528 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 2 | 98 |
| IRS990/OtherExpensesGrp/ManagementAndGeneralAmt | 3 | 641 |
| IRS990/OtherExpensesGrp/TotalAmt | 0 | 1506820 |
| IRS990/OtherExpensesGrp/TotalAmt | 1 | 558550 |
| IRS990/OtherExpensesGrp/TotalAmt | 2 | 217838 |
| IRS990/OtherExpensesGrp/TotalAmt | 3 | 99814 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 47240 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 35420 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 525990 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | NON-OPERATING REVENUE |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 4747 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 4747 |
| IRS990/OtherRevenueTotalAmt | 0 | 4747 |
| IRS990/PartialLiquidationInd | 0 | 0 |
| IRS990/PayPremiumsPrsnlBnftCntrctInd | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/BOYAmt | 0 | 3744885 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 3235024 |
| IRS990/PoliticalCampaignActyInd | 0 | 0 |
| IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt | 0 | 191479 |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 212614 |
| IRS990/PrincipalOfficerNm | 0 | BILL GASSEN |
| IRS990/ProfessionalFundraisingInd | 0 | 0 |
| IRS990/ProgSrvcAccomActy2Grp/Desc | 0 | THE FOUNDATION INSPIRES AND FACILITATES PHILANTHROPIC INVESTMENT AND BUILDS COMMUNITY ENGAGEMENT AROUND LOCAL HEALTH CARE-RELATED PROGRAMS, SERVICES AND OPERATIONS OF SANFORD HEALTH WHILE ALSO SEEKING REGIONAL, NATIONAL AND INTERNATIONAL SUPPORT FOR RESEARCH AND OTHER HEALTH INITIATIVES. SPECIFICALLY, DONATIONS HELP PROVIDE PATIENT CARE AND FAMILY SUPPORT ($3,400,795), EQUIPMENT AND FACILITY IMPROVEMENT PROJECTS ($8,434,076), OTHER INTERNAL PROGRAMS ($114,070) AND COMMUNITY BENEFIT ($84,139). |
| IRS990/ProgSrvcAccomActy2Grp/ExpenseAmt | 0 | 12033080 |
| IRS990/ProgSrvcAccomActy2Grp/GrantAmt | 0 | 12033080 |
| IRS990/ProgSrvcAccomActy3Grp/Desc | 0 | ADDITIONAL DONATIONS SUPPORT CONTINUING EDUCATION FOR STAFF AND RESEARCH PROGRAMS THAT SUPPORT THE HIGHEST STANDARDS OF PATIENT CARE TODAY AND DRIVE INNOVATION AND DISCOVERY OF THE TREATMENTS AND CURES OF TOMORROW. |
| IRS990/ProgSrvcAccomActy3Grp/ExpenseAmt | 0 | 756853 |
| IRS990/ProgSrvcAccomActy3Grp/GrantAmt | 0 | 756853 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | 0 |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/PYContributionsGrantsAmt | 0 | 128931860 |
| IRS990/PYExcessBenefitTransInd | 0 | 0 |
| IRS990/PYGrantsAndSimilarPaidAmt | 0 | 48812932 |
| IRS990/PYInvestmentIncomeAmt | 0 | 62337452 |
| IRS990/PYOtherExpensesAmt | 0 | 0 |
| IRS990/PYOtherRevenueAmt | 0 | -144017 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 0 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | 142312363 |
| IRS990/PYSalariesCompEmpBnftPaidAmt | 0 | 0 |
| IRS990/PYTotalExpensesAmt | 0 | 48812932 |
| IRS990/PYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/PYTotalRevenueAmt | 0 | 191125295 |
| IRS990/QuidProQuoContributionsInd | 0 | 1 |
| IRS990/QuidProQuoContriDisclInd | 0 | 1 |
| IRS990/RcvFndsToPayPrsnlBnftCntrctInd | 0 | 0 |
No mirrored PDF or thumbnail assets are attached yet.