Liabilities / Assets
44th percentile
Higher debt load relative to assets than 44% of similar nonprofits.
EIN 45-3791176 • 501(c)3 • Sioux Falls, SD
Profile
Sanford health is committed to the healthcare needs of communities throughout the upper midwest. Sanford health provides a full range of primary and specialty healthcare services and strives to be the premier rural health system in the united states.
Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.
Liabilities / Assets
44th percentile
Higher debt load relative to assets than 44% of similar nonprofits.
Liabilities / Revenue
18th percentile
Higher debt load relative to revenue than 18% of similar nonprofits.
Net Margin
44th percentile
Higher net margin than 44% of similar nonprofits.
Top Officer Pay
62nd percentile
Higher top officer pay than 62% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
78th percentile
Faster asset growth than 78% of similar nonprofits.
Revenue Growth
39th percentile
Faster revenue growth than 39% of similar nonprofits.
Assets
Up$4,274,026,030
Up $514,106,922 (+14%) from 2023
Liabilities
Up$1,142,418,868
Up $13,083,265 (+1.2%) from 2023
Net Assets
Up$3,131,607,162
Up $501,023,657 (+19%) from 2023
Revenue
Up$6,110,580,553
Up $371,924,639 (+6.5%) from 2023
Expenses
Up$5,829,138,669
Up $455,613,477 (+8.5%) from 2023
Net Income
Down$281,441,884
Down $83,688,838 (-23%) from 2023
Most recent year
2024 • Form 990Detailed filing. Detailed filing data is available for this year.
Part of the Sanford Health System, Sanford is committed to the healthcare needs of communities throughout South Dakota, North Dakota, Minnesota and Iowa. Sanford provides a full range of primary and specialty health care services.
To care, comfort and cure
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $1,864,744,233 | $2,083,399,257 | ▲ $218,655,024 |
| Accounts Receivable | $836,469,834 | $809,694,586 | ▼ $26,775,248 |
| Savings and Temporary Cash Investments | $183,735,153 | $254,828,846 | ▲ $71,093,693 |
| Intangible Assets | $44,839,780 | $186,355,134 | ▲ $141,515,354 |
| Cash and Non-Interest-Bearing Accounts | $59,316,362 | $140,911,773 | ▲ $81,595,411 |
| Inventories for Sale or Use | $131,499,348 | $136,859,819 | ▲ $5,360,471 |
| Prepaid Expenses and Deferred Charges | $93,247,192 | $101,889,548 | ▲ $8,642,356 |
| Other Notes and Loans Receivable, Net | $74,098,691 | $76,107,318 | ▲ $2,008,627 |
| Investments Program Related | $33,679,559 | $33,758,470 | ▲ $78,911 |
| Investments Other Securities | $57,598,283 | $17,127,027 | ▼ $40,471,256 |
| Investments in Publicly Traded Securities | $192,795 | $210,450 | ▲ $17,655 |
| Receivable From Disqualified Prsn | $21,449 | $17,989 | ▼ $3,460 |
| Total Assets | $3,759,919,108 | $4,274,026,030 | ▲ $514,106,922 |
| Other Assets Total | $380,476,429 | $432,865,813 | ▲ $52,389,384 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $451,201,775 | $425,371,043 | ▼ $25,830,732 |
| Other Liabilities | $320,954,903 | $360,478,415 | ▲ $39,523,512 |
| Accounts Payable and Accrued Expenses | $322,769,972 | $330,107,354 | ▲ $7,337,382 |
| Deferred Revenue | $20,072,536 | $15,468,583 | ▼ $4,603,953 |
| Mortgage Notes Payable Secured by Investment Property | $7,847,503 | $8,970,172 | ▲ $1,122,669 |
| Grants Payable | $6,139,321 | $1,597,851 | ▼ $4,541,470 |
| Escrow Account Liability | $349,593 | $425,450 | ▲ $75,857 |
| Total Liabilities | $1,129,335,603 | $1,142,418,868 | ▲ $13,083,265 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $2,630,576,405 | $3,131,607,162 | ▲ $501,030,757 |
| Net Assets With Donor Restrictions | $7,100 | $0 | ▼ $7,100 |
| Total Net Assets Fund Balance | $2,630,583,505 | $3,131,607,162 | ▲ $501,023,657 |
| Total Liabilities and Net Assets / Fund Balance | $3,759,919,108 | $4,274,026,030 | ▲ $514,106,922 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $859,002,021 | $1,201,577,491 | $2,060,579,512 |
| Buildings | $1,023,382,962 | $804,122,473 | $1,827,505,435 |
| Land | $134,029,091 | - | $134,029,091 |
| Leasehold Improvements | $26,155,620 | $62,743,144 | $88,898,764 |
| Other Land Buildings | $40,829,563 | $40,266,353 | $81,095,916 |
| Other Assets Org | $12,975,999 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2024 | $98,989,485 | $2,430,924 | ▲ $34,960 | - | $101,455,369 |
| 2023 | $98,286,566 | $538,214 | ▲ $164,705 | - | $98,989,485 |
| 2022 | $95,588,573 | $3,117,005 | ▼ $419,012 | - | $98,286,566 |
| 2021 | $92,002,112 | $3,277,428 | ▲ $309,033 | - | $95,588,573 |
| 2020 | $89,216,166 | $3,261,419 | ▲ $99,138 | - | $92,002,112 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| William Brunner Md | Physician | FT | $3,282,364 | $51,193 | $3,333,557 |
| Adam Stys Md | Physician | FT | $2,941,668 | $361,625 | $3,303,293 |
| Tomasz Stys Md | Physician | FT | $2,748,910 | $211,092 | $2,960,002 |
| Eric Belanger Md | Physician | FT | $2,882,758 | $44,284 | $2,927,042 |
| Alexander Drofa Md | Physician | FT | $2,821,625 | $62,507 | $2,884,132 |
| Andy North | Trustee, Secretary, Indep Contractor | - | $379,383 | - | $379,383 |
| 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 (start 1/24) | - | $79,826 | - | $79,826 |
| Stephanie Herseth Sandlin | Trustee (start 1/24) | - | $78,750 | - | $78,750 |
| Wesley Engbrecht | Trustee | - | $77,594 | - | $77,594 |
| Dana Dykhouse | Trustee (start 1/24) | - | $76,727 | - | $76,727 |
| Don Jacobs | Former Trustee | - | $13,502 | - | $13,502 |
| Name | Title |
|---|---|
| Susan Jarvis | Former President & CEO, Bemidji |
| Bryan Nermoe | Former President & CEO, Fargo |
| Karla Eischens | President & CEO, Bemidji |
| Todd Schaffer | President & CEO, Bismarck |
| Tiffany Lawrence | President & CEO, Fargo |
| Paul Hanson | President & CEO, Sioux Falls |
| Bill Gassen | Trustee, President & CEO |
| Nick Olson | Evp, CFO (beg 4/24) |
| Scott Wooten | Evp, CFO (end 4/24) |
| Jennifer Grennan | Evp, Chief Admin Officer |
| Matt Hocks | Evp, Chief Operating Officer |
| Michelle Bruhn | Former Evp, CFO & Treasurer |
| Bill Marlette | Interim, Evp, CFO (end 1/24) |
| Michael Lebeau Md | SVP, Health Svc Operations |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Focusone Solutions LLC | Staffing Services | 1010 N 102ND ST STE 300, Omaha, NE 68114 | $82,249,583 |
| Henry Carlson Construction LLC | Construction Services | 1205 RUSSELL ST, Sioux Falls, SD 57104 | $48,201,317 |
| Sirius Computer Solutions LLC | Software Maintenance & Support | PO BOX 405547, Atlanta, GA 30384 | $40,889,798 |
| Fiegen Construction Company | Construction Services | 3712 S WESTERN AVE SUITE 200, Sioux Falls, SD 57105 | $19,562,363 |
| Epic Systems Group | Software Maintenance & Support | 1979 MILKY WAY, Verona, WI 53593 | $14,086,173 |
| Contribution Type | Contribution Count | Reported Amount | Valuation Method |
|---|---|---|---|
| Other Non Cash Contri Table | 1 | $495,000 | Fair Market Value (FMV) |
| Total Noncash Contributions | 1 | $495,000 | - |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $3,288,698,827 |
| Other Expenses | $2,492,950,369 |
| Grants and Similar Amounts Paid | $47,489,473 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,443,811,412 | $217,662,065 | - | $2,661,473,477 |
| Fees for Services Other | $336,255,426 | $40,330,559 | - | $376,585,985 |
| Other Employee Benefits | $245,679,776 | $31,649,193 | - | $277,328,969 |
| Payroll Taxes | $155,782,890 | $13,411,613 | - | $169,194,503 |
| Pension Plan Contributions | $143,520,974 | $9,916,050 | - | $153,437,024 |
| Information Technology | $12,101,124 | $128,746,596 | - | $140,847,720 |
| Depreciation Depletion | $110,002,562 | $26,661,973 | - | $136,664,535 |
| Occupancy | $112,360,071 | $8,802,397 | - | $121,162,468 |
| Office Expenses | $42,907,221 | $19,935,628 | - | $62,842,849 |
| Grants to Domestic Orgs | $47,295,864 | - | - | $47,295,864 |
| Interest | $18,345,602 | $7,899,306 | - | $26,244,908 |
| Insurance | $23,280,540 | $2,816,491 | - | $26,097,031 |
| Current Officers, Directors, Trustees, and Key Employees | $23,526,842 | $2,111,119 | - | $25,637,961 |
| Travel | $20,079,245 | $2,134,972 | - | $22,214,217 |
| Advertising | $5,997,774 | $13,647,159 | - | $19,644,933 |
| Other Expenses | $10,410,799 | $1,128,035 | - | $11,538,834 |
| Conferences and Meetings | $5,524,046 | $1,525,008 | - | $7,049,054 |
| Fees for Services Legal | $650,966 | $2,852,748 | - | $3,503,714 |
| Comp Disqual Persons | - | $1,626,893 | - | $1,626,893 |
| Fees for Services Accounting | $103,959 | $1,276,867 | - | $1,380,826 |
| Fees for Services Lobbying | - | $823,506 | - | $823,506 |
| Fees for Service Investment Mgmnt Fees | - | $711,706 | - | $711,706 |
| Grants to Domestic Individuals | $193,609 | - | - | $193,609 |
| All Other Expenses | $32,143,555 | $-87,656,773 | - | $-55,513,218 |
| Total Functional Expenses | $5,384,080,057 | $445,058,612 | $0 | $5,829,138,669 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| University of South Dakota (usd) | Vermillion, SD | 501(c)(3) | Economic Development, Health Professions Education, Research, Workforce Development | $3,604,552 |
| Concordia College | Moorhead, MN | 501(c)(3) | Economic Development, Health Professions Education, Workforce Development | $3,306,000 |
| North Dakota State University (ndsu) | Fargo, ND | 115 | Economic Development, Health Professions Education | $2,346,667 |
| Augustana | Sioux Falls, SD | 501(c)(3) | Coalition Building, Community Support, Economic Development, Health Professions Education, Workforce Development | $2,166,750 |
| South Dakota State University (sdsu) Foundation | Brookings, SD | 501(c)(3) | Economic Development, Physical Improvements and Housing, Workforce Development | $2,125,000 |
| State of South Dakota | Pierre, SD | 115 | Economic Development, Physical Improvement and Housing, Health Professions Education, Workforce Development | $1,432,412 |
| Sd Community Foundation | Pierre, SD | 501(c)(3) | Workforce Development | $1,250,000 |
| Und Alumni Foundation | Grand Forks, ND | 501(c)(3) | Economic Development, Workforce Development | $1,036,571 |
| University of Mary | Bismarck, ND | 501(c)(3) | Community Support, Economic Development, Health Professions Education, Workforce Development | $647,249 |
| South Dakota Partners in Education | Sioux Falls, SD | 501(c)(3) | Workforce Development | $616,922 |
| Fargo Park District | Fargo, ND | 501(c)(6) | Economic Development | $445,288 |
| Sioux Falls School District 49-5 | Sioux Falls, SD | 115 | Community Support, Community Health Improvement Services, Physical Improvements and Housing, Workforce Development | $310,000 |
| Sioux Empire Triage Center | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $300,000 |
| Forward Sioux Falls | Sioux Falls, SD | 501(c)(6) | Economic Development | $250,000 |
| SEATTLE CHILDREN'S HOSPITAL | Seattle, WA | 501(c)(3) | Research | $250,000 |
| Sd Military Heritage Alliance Inc | Sioux Falls, SD | 501(c)(3) | Physical Improvements and Housing | $250,000 |
| North Dakota State College of Science Foundation at Wahpeton North Dakota | Wahpeton, ND | 501(c)(3) | Workforce Development | $230,000 |
| City of Bemidji | Bemidji, MN | 115 | Economic Development | $200,000 |
| Minnesota State University - Mankato (msu) | Mankota, MN | 501(c)(3) | Workforce Development | $200,000 |
| Yellow Jacket Foundation | Belle Fourche, SD | 501(c)(3) | Economic Development | $155,200 |
| Independent School District 152 | Moorhead, MN | 501(c)(3) | Community Health Improvement Services | $140,500 |
| Sioux Empire United Way | Sioux Falls, SD | 501(c)(3) | Coalition Building, Community Support | $136,500 |
| Bismarck Public Schools | Bismarck, ND | 501(c)(3) | Community Health Improvement Services, Health Professions Education, Physical Improvements and Housing | $135,000 |
| Harrisburg School District | Harrisburg, SD | 115 | Community Health Improvement Services, Physical Improvement and Housing | $132,300 |
| Bismarck State College | Bismarck, ND | 115 | Health Professions Education | $131,171 |
| University of Jamestown | Jamestown, ND | 501(c)(3) | Community Support, Economic Development | $125,500 |
| Board of Education of the City of Fargo | Fargo, ND | 115 | Community Health Improvement Services | $120,000 |
| Bemidji Area School District 31 | Bemidji, MN | 115 | Community Health Improvement Services, Workforce Development | $116,021 |
| Worthington Public Schools | Worthington, MN | 115 | Community Health Improvements, Physical Improvements and Housing | $110,000 |
| Sioux Falls Christian School | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $104,800 |
| Fargo Ronald Mcdonald | Fargo, ND | 501(c)(3) | Community Support | $104,510 |
| United Way of Cass-clay | Fargo, ND | 501(c)(3) | Coalition Building, Economic Development | $102,310 |
| Elevate Rapid City | Rapid City, SD | 501(c)(6) | Economic Development | $100,000 |
| Mckenzie County Healthcare System | Watford City, ND | 501(c)(3) | Community Health Improvement Services | $100,000 |
| Southwest Minnesota State University (smsu) | Marchall, MN | 115 | Workforce Development | $100,000 |
| Village Family Service Center | Fargo, ND | 501(c)(3) | Coalition Building | $100,000 |
| Winner Regional Foundation | Winner, SD | 501(c)(3) | Community Health Improvement Services | $100,000 |
| Bemidji State University | Bemidji, MN | 115 | Community Support, Economic Development | $76,000 |
| Fresh Start Surgical Gifts | Carlsbad, CA | 501(c)(3) | Community Health Improvement Services | $75,000 |
| Dsu Heritage Foundation | Dickinson, ND | 501(c)(3) | Economic Development | $70,000 |
| South Dakota High School Activities Association (sdhsaa) | Pierre, SD | 501(c)(3) | Community Health Improvement Services | $62,500 |
| Bemidji Community Arena Corp | Bemidji, MN | 501(c)(3) | Economic Development | $60,000 |
| Dakota Alliance Soccer Club (dasc) | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $60,000 |
| Veterans Community Project | Kansas City, MO | 501(c)(3) | Community Health Improvement Services | $60,000 |
| Churches United for the Homeless | Moorhead, MN | 501(c)(3) | Community Health Improvement Advocacy | $50,000 |
| Moorhead Youth Hockey Association | Moorhead, MN | 501(c)(3) | Community Health Improvement Services | $50,000 |
| Samaritans Feet | Charlotte, NC | 501(c)(3) | Community Health Improvement Services | $50,000 |
| Valley City State University | Valley City, ND | 501(c)(3) | Workforce Development | $50,000 |
| Washington Pavilion | Sioux Falls, SD | 501(c)(3) | Economic Development | $50,000 |
| Wings of Valor Inc | Parker, SD | 501(c)(3) | Community Health Improvement Services | $50,000 |
| Sioux Falls Area Community Foundation | Sioux Falls, SD | 501(c)(3) | Community Support, Economic Development, Physical Improvements and Housing | $49,175 |
| United Way of Bemidji Area | Bemidji, MN | 501(c)(3) | Coalition Building | $48,000 |
| Brandon Valley School District 49-2 | Brandon, SD | 115 | Workforce Development | $44,800 |
| Aberdeen Public Schools | Aberdeen, SD | 501(c)(3) | Community Health Improvement Services, Workforce Development | $44,000 |
| Greatlife Cares Foundation | Sioux Falls, SD | 501(c)(3) | Community Support | $40,185 |
| American Gold Gymnastics | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $40,000 |
| Boys and Girls Clubs of the Red River Valley | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $40,000 |
| Patt Tillman Foundation | Chicago, IL | 501(c)(3) | Community Health Improvement Services | $40,000 |
| Sf Power Hockey | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $40,000 |
| American Heart Association | Dallas, TX | 501(c)(3) | Community Health Improvement Services | $36,000 |
| Northern Sun Intercollegiate Conference (nsic) | Burnsville, MN | 501(c)3 | Economic Development | $35,000 |
| Ronald Mcdonald House Charities of Sd | Sioux Falls, SD | 501(c)(3) | Community Support | $35,000 |
| South Dakota Golf Association Junior Golf Foundation | Sioux Falls, SD | 501(c)(3) | Community Support | $35,000 |
| American Red Cross | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services, Community Support | $33,000 |
| Hero | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $33,000 |
| Brandon Valley Booster Club | Brandon, SD | 501(c)(3) | Community Health Improvement Services | $31,814 |
| Active Generations | Sioux Falls, SD | 501(c)(3) | Community Support | $30,590 |
| International Esperanza Project (iep) | Dallas, TX | 501(c)(3) | Community Health Improvement Services | $30,296 |
| Family Advocacy Center of Northern Minnesota | Bemidji, MN | 501(c)(3) | Community Health Improvement Services | $30,000 |
| Sheldon Community School District | Sheldon, IA | 115 | Physical Improvements and Housing | $30,000 |
| Great North Pole | West Fargo, ND | 501(c)(3) | Community Support | $29,120 |
| Beef Logic Inc | Pierre, SD | 501(c)(3) | Community Support | $27,500 |
| Northwest Mn Foundation | Bemidji, MN | 501(c)(3) | Community Health Improvement Services, Health Professions Education | $25,350 |
| Burke Community Memorial Hospital | Burke, SD | 501(c)(3) | Physical Improvements and Housing | $25,000 |
| Butterfly House & Aquarium | Sioux Falls, SD | 501(c)(3) | Economic Development | $25,000 |
| Harrisburg Baseball Association | Harrisburg, SD | 501(c)(3) | Economic Development | $25,000 |
| Huether Family Match Pointe | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $25,000 |
| Leadership South Dakota | Sioux Falls, SD | 501(c)(3) | Leadership Development and Training for Community Members | $25,000 |
| Mayport Youth Center | Portland, ND | 501(c)(3) | Community Health Improvement Services | $25,000 |
| Sd Youth Soccer Association | Sioux Falls, SD | 501(c)(3) | Community Support | $25,000 |
| Sf Swim Team | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $25,000 |
| South Dakota Golf Association (sdga) | Sioux Falls, SD | 501(c)(4) | Community Support | $25,000 |
| Tea Area School District 41-5 | Tea, SD | 115 | Community Health Improvement Services | $25,000 |
| West Central School District | Hartford, SD | 115 | Community Health Improvement Services | $24,800 |
| Chamber of Commerce Fargo Moorhead West Fargo | Fargo, ND | 501(c)(6) | Economic Development | $24,356 |
| Teddy Bear Den | Sioux Falls, SD | 501(c)(3) | Community Support | $22,500 |
| Downtown Community Partnership | Fargo, ND | 501(c)(6) | Economic Development | $20,750 |
| 218 Sports Inc | Bemidji, MN | 501(c)(3) | Economic Development | $20,000 |
| Detroit Lakes Public Schools | Detroit Lakes, MN | 115 | Community Health Improvement Services | $20,000 |
| Legends of Gold | Beresford, SD | 501(c)(3) | Community Health Improvement Services | $20,000 |
| Oahe Family Ymca | Pierre, SD | 501(c)(3) | Community Support | $20,000 |
| Oak Grove Lutheran School | Fargo, ND | 115 | Community Health Improvement Services | $20,000 |
| Sd Symphony Orchestra | Sioux Falls, SD | 501(c)(3) | Economic Development | $20,000 |
| South Sudanese Foundation | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $20,000 |
| Canton School District | Canton, SD | 115 | Workforce Development | $16,444 |
| Greater North Dakota Chamber | Bismarck, ND | 501(c)(6) | Economic Development | $16,300 |
| Junior Achievement | Sioux Falls, SD | 501(c)(3) | Workforce Development | $15,650 |
| American Cancer Society | Atlanta, GA | 501(c)(3) | Community Health Improvement Services | $15,500 |
| Aberdeen Family Ymca | Aberdeen, SD | 501(c)(3) | Community Support | $15,000 |
| CULLEN CHILDREN'S FOUNDATION | West Fargo, ND | 501(c)(3) | Community Health Improvement Services | $15,000 |
| Friends of Levitt Shell Sioux Falls | Sioux Falls, SD | 501(c)(3) | Economic Development | $15,000 |
| Sd Hall of Fame | Chamberlain, SD | 501(c)(3) | Community Health Improvement Services, Economic Development | $15,000 |
| Sf Public Schools Education Foundation | Sioux Falls, SD | 501(c)(3) | Workforce Development | $15,000 |
| Sf Women Run | Sioux Falls, SD | 501(c)(6) | Community Health Improvement Services | $15,000 |
| Watertown Development Company | Watertown, SD | 501(c)(6) | Economic Development | $15,000 |
| Williston Public Schools | Williston, ND | 115 | Community Health Improvement Services | $15,000 |
| Feeding South Dakota | Sioux Falls, SD | 501(c)(3) | Community Support | $14,500 |
| Girl Scouts Dakota Horizons | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services, Community Support, Workforce Development | $13,100 |
| Mccrossan Boys Ranch | Sioux Falls, SD | 501(c)(3) | Community Support | $13,075 |
| Rapid City Club for Boys | Rapid City, SD | 501(c)(3) | Community Support | $12,500 |
| Immigrant Development Center | South Moorhead, MN | 501(c)(3) | Workforce Development | $12,000 |
| Thief River Falls Schools | Thief River Falls, MN | 115 | Community Health Improvement Services | $12,000 |
| Bismarck Cancer Center | Bismarck, ND | 501(c)(3) | Community Support | $11,876 |
| Jamestown Parks and Recreation | Jamestown, ND | 115 | Community Health Improvement Services, Community Support, Economic Development | $10,920 |
| SD CATTLEMEN'S FOUNDATION | De Smet, SD | 501(c)(3) | Community Health Improvement Services | $10,750 |
| Bismarck Marathan | Bismarck, ND | 501(c)(3) | Economic Development | $10,609 |
| Mn West Foundation | Granite Falls, MN | 501(c)(3) | Workforce Development | $10,500 |
| Abbott House Inc | Mitchell, SD | 501(c)(3) | Physical Improvements and Housing | $10,000 |
| Aberdeen Development Corp | Aberdeen, SD | 501(c)(6) | Economic Development | $10,000 |
| Bagley Fire Department | Bagley, MN | 501(c)(3) | Community Health Improvement Services | $10,000 |
| City of Mitchell | Mitchell, SD | 115 | Community Support | $10,000 |
| City of Tracy Mn | Tracy, MN | 115 | Community Support | $10,000 |
| Dickinson Public Schools | Dickinson, ND | 115 | Community Health Improvement Services | $10,000 |
| Gateway to Science Center Inc | Bismarck, ND | 501(c)(3) | Economic Development | $10,000 |
| Grand Forks Region Economic Development | Grand Forks, ND | 501(c)(6) | Economic Development | $10,000 |
| Hartford | Hartford, SD | 501(c)(3) | Economic Development | $10,000 |
| Helpline Center Inc | Sioux Falls, SD | 501(c)(3) | Community Support | $10,000 |
| Lake Agassiz Habitat for Humanity | Moorhead, MN | 501(c)(3) | Physical Improvements and Housing | $10,000 |
| Make a Wish | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $10,000 |
| NORTHWOODS BATTERED WOMEN'S SHELTER | Bemidji, MN | 501(c)(3) | Physical Improvements and Housing | $10,000 |
| Parker School District | Parker, SD | 115 | Community Health Improvement Services | $10,000 |
| Project Car Rides for Well Being | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $10,000 |
| Rebuilding Together Fargo-moorhead Inc | Fargo, ND | 501(c)(3) | Physical Improvements and Housing | $10,000 |
| Sd Law Enforcement Charities | Sioux Falls, SD | 501(c)(3) | Community Support | $10,000 |
| Sf Area Casa Program | Sioux Falls, SD | 501(c)(3) | Community Support | $10,000 |
| Shiloh Christian School | Bismarck, ND | 501(c)(3) | Community Health Improvement Services | $10,000 |
| United Way of Grand Forks East Grand Forks & Area | Grand Forks, ND | 501(c)(3) | Community Health Improvement Services | $10,000 |
| United Way of Northeastern Sd | Aberdeen, SD | 501(c)(3) | Coalition Building | $10,000 |
| Village Northwest Unlimited Sheldon Ia | Sheldon, IA | 501(c)(3) | Community Support | $10,000 |
| Volunteers of America Dakotas | Sioux Falls, SD | 501(c)(3) | Community Support | $10,000 |
| Warner School District | Warner, SD | 501(c)(3) | Physical Improvements and Housing | $10,000 |
| Luverne Area Community Foundation | Luverne, MN | 501(c)(3) | Economic Development | $9,680 |
| Dakota Medical Foundation (dmf) | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $9,550 |
| National Kidney Foundation | New York, NY | 501(c)(3) | Community Health Improvement Services | $9,500 |
| Embe | Sioux Falls, SD | 501(c)(3) | Community Support | $9,010 |
| American Foundation for Suicide Prevention | New York, NY | 501(c)(3) | Community Health Improvement Services | $7,500 |
| Boy Scouts Northern Lights Council | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $7,500 |
| Sf Hope Coalition | Sioux Falls, SD | 501(c)(3) | Coalition Building | $7,500 |
| Sioux Falls Sports Authority | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $7,500 |
| Veterans Honor Flight of Ndmn | Hunter, ND | 501(c)(3) | Community Health Improvement Services | $7,500 |
| United Way of Douglas and Pope County | Alexandria, MN | 501(c)(3) | Community Health Improvement Services | $7,250 |
| Webster Active Living Trail | Webster, SD | 115 | Physical Improvements and Housing | $7,143 |
| Lakota Nation Invitational | Rapid City, SD | 501(c)(3) | Workforce Development | $7,000 |
| Rock From the Heart | Delano, MN | 501(c)(3) | Community Health Improvement Services | $6,550 |
| Bismarck Mandan Chamber Edc | Bismarck, ND | 501(c)(6) | Community Health Improvement Services, Economic Development, Workforce Development | $6,538 |
| Clearwater Life Center | Clearbrook, MN | 501(c)(3) | Community Health Improvement Services | $6,500 |
| EMILY'S HOPE | Sioux Falls, SD | 501(c)(3) | Community Support | $6,500 |
| Benedictine Sisters Mother of God Monastery | Watertown, SD | 501(c)(3) | Community Health Improvement Services | $6,000 |
| Childrens Home Society of South Dakota | Sioux Falls, SD | 501(c)(3) | Community Support | $6,000 |
| Lost & Found | Sioux Falls, SD | 501(c)(3) | Community Support | $6,000 |
| Secured My School | Sioux Falls, SD | 501(c)(3) | Community Support | $6,000 |
| Sleepy Hollow Theatre & Arts Park | Bismarck, ND | 501(c)(3) | Community Support | $6,000 |
| Dear Nicu Mama | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $5,750 |
| Jamestown Area Chamber of Commerce | Jamestown, ND | 501(c)(6) | Economic Development | $5,750 |
| Bemidji Youth Soccer | Bemidji, MN | 501(c)(3) | Community Health Improvement Services | $5,500 |
| Folds of Honor South Dakota | Sioux Falls, SD | 501(c)(3) | Community Support | $5,500 |
| Beltrami County | Bemidji, MN | 115 | Economic Development | $0 |
| City of Sioux Falls | Sioux Falls, SD | 115 | Community Health Improvement Services | $0 |
| Cribs for Kids | Pittsburgh, PA | 501(c)(3) | Community Health Improvement Services | $0 |
| Summit League | Sioux Falls, SD | 501(c)(3) | Community Support | $0 |
| Veterans Affairs | Washington, DC | 115 | Community Health Improvement Services | $0 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | Investments | Msa | 0 | 0 | $8,000,000 |
| Sub-saharan Africa | Program Services | - | 0 | 0 | $2,215,000 |
| East Asia and the Pacific | Investments | Msa and Emr Work | 0 | 0 | $1,600,000 |
| Central America and the Caribbean | Program Services | - | 0 | 0 | $1,346,000 |
| Middle East and North Africa | Investments | Operating Expenses for Clinic | 0 | 0 | $1,300,000 |
| East Asia and the Pacific | Program Services | - | 0 | 0 | $49,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Christina Olson | Family Relationship - Nick Olson | Employment | No | $206,891 |
| Jacob Pearlson | Family Relationship - Karla Eischens | Employment | No | $97,676 |
| Kacey Doyle | Family Relationship - Marnie Hermann | Employment | No | $83,066 |
| Kristi Benz | Family Relationship - Lauris Molbert | Employment | No | $70,204 |
| Nichole Hester | Family Relationship - Andy North | Independent Contractor Arrangement | No | $68,316 |
| Mallory Nermoe | Family Relationship - Bryan Nermoe | Employment | No | $54,860 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | $21,449 | $17,989 | ▼ $3,460 |
| Liability | Amount |
|---|---|
| Deferred Compensation Liability | $229,551,512 |
| Long Term Operating Lease Payable | $81,163,050 |
| Other Non-current Liabilities | $49,763,853 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | South Dakota Health and Educational Facilities Authority | 2014-10-28 | $207,014,209 | 2014b: new construction and remodeling of healthcare facilities |
| C | South Dakota Health and Educational Facilities Authority | 2015-10-21 | $192,641,206 | 2015:new construction & advanced refunding of bonds issued 4/19/07, 5/22/07 |
| A | South Dakota Health and Educational Facilities Authority | 2004-09-14 | $70,073,989 | 2004: new construction of healthcare facilities |
| C | South Dakota Health and Educational Facilities Authority | 2012-03-29 | $66,185,000 | 2012ab: refunding bonds issued 9/12/2001 and 10/15/2002 |
| A | South Dakota Health and Educational Facilities Authority | 2014-08-05 | $52,083,720 | 2014a: current refund 2004a issued 9/14/2004 |
| D | South Dakota Health and Educational Facilities Authority | 2016-10-28 | $50,000,000 | 2016: new construction, equipment and improvements |
| D | South Dakota Health and Educational Facilities Authority | 2012-06-14 | $45,000,000 | 2012d:refinance taxable indebtedness used to construct healthcare facility |
| B | City of Chamberlain | 2010-12-30 | $4,000,000 | 2010 chamb: new construction of long-term care facilities |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $207,081,359 | - | $33,495,000 | - |
| C | $192,707,024 | - | $34,650,000 | - |
| A | $71,581,953 | $66,160,644 | $58,375,000 | $764,068 |
| C | $66,185,000 | $80,746,163 | $46,015,000 | $1,906,127 |
| A | $52,083,720 | - | $2,400,000 | $150,032 |
| D | $50,000,000 | - | $40,000,000 | - |
| D | $45,000,000 | - | $23,800,000 | $1,431,628 |
| B | $4,000,000 | $52,083,720 | $3,636,506 | $24,356 |
“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, jennifer grennan, paul hanson, matt hocks, todd schaffer, michael lebeau, bill marlette, nick olson, scott wooten, karla eischens, and tiffany lawrence.”
“Sanford 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 acts as a holding company board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. This structure of governance produces a significant number of trustees, governors and directors. Subsidiaries included within this group tax return consist of sanford health, sanford north, sanford medical center, sanford medical center fargo, sanford clinic, sanford clinic north, sanford health network, sanford health network north, sanford home health, sanford research, sanford research north, sanford world clinics, sanford health of northern minnesota, baker park, inc., sanford west, sanford bismarck, sanford virtual care, sanford world clinics - klamath falls, and sanford health of south dakota. The board of trustees of sanford is also the board of trustees for sanford health, sanford north, sanford west, and sanford health of south dakota, and sanford is the sole corporate member of these entities. These entities, in turn, are the sole corporate members of their subsidiaries. The actions approved by a subsidiary's board of directors are then approved by the sanford board of trustees.”
“The sanford board of trustees appoints the board members for the boards of directors and boards of governors of the subsidiary entities.”
“The sanford board of trustees approves the actions approved by the boards of directors and boards of governors of the subsidiary entities. Form 990, part vi, section b, line 10b: sanford north, sanford clinic, sanford health network, and sanford health of south dakota have local chapters, branches or affiliates over which the organization has the legal authority to exercise direct or indirect supervision and control.”
“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 the system board of trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the irs form 990 filings. The cco reviews the disclosures and when a conflict of interest is deemed to exist, refers the disclosure to the sanford executive compliance committee for development of an administrative or management plan to address or eliminate the conflict of interest. Sanford will not engage in any contract, transaction or arrangement involving a board member's conflict of interest unless a majority of the disinterested members of the audit and compliance committee determine that appropriate safeguards are in place to protect sanford's charitable mission.”
“Sanford has a process for determining compensation of the persons listed on part vii, section a. This includes review and approval by independent persons or board of trustees committee, 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 table reports the compensation of the sanford officers, directors/trustees, system key employees, and five highest compensated employees and independent contractors. The sanford board of trustees has ultimate governance responsibilities for each subordinate organization.”
“We are reporting one group of top five employees and independent contractors for the entire group. Amounts listed as compensation for the five highest compensated independent contractors include payments for both materials and services.”
“Sanford health, sanford medical center, sanford north, sanford medical center fargo, sanford clinic north, sanford clinic, sanford bismarck, sanford health network north, and sanford world clinics have unrelated business gross income over $1,000.”
“Sanford world clinics has an interest in financial accounts in the foreign countries of ghana, china and germany.”
“Cash sweep for pooled investments 168,240,510. Pension plan termination adjustment and other changes 57,364,410. Net assets released for acquired ppe 7,100. Capital contribution to subsidiaries -21,233,826. Net assets tranferred for accounts payable 57,357,310.”
“Long term care facilities hold security deposits for tenants.”
“Sanford health foundation, sanford health foundation north, sanford health foundation of northern minnesota and sanford health foundation west hold endowment funds on behalf of the filing organization to be used for assistance in its activities and for providing health care, medical, or educational services.”
“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 group did not have a material income tax liability at december 31, 2024; 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 | 322769972 |
| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 330107354 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 836469834 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 809694586 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | TO CARE, COMFORT AND CURE |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 13647159 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 5997774 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 19644933 |
| IRS990/AllAffiliatesIncludedInd | 0 | 1 |
| IRS990/AllOtherContributionsAmt | 0 | 2902511 |
| IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt | 0 | -87656773 |
| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 32143555 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | -55513218 |
| IRS990/AnnualDisclosureCoveredPrsnInd | 0 | 1 |
| IRS990/AuditCommitteeInd | 0 | 1 |
| IRS990/AuditedFinancialStmtAttInd | 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 | 1 |
| IRS990/BusinessRlnWithOrgMemInd | 0 | 0 |
| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 59316362 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 140911773 |
| IRS990/ChangeToOrgDocumentsInd | 0 | 0 |
| IRS990/CntrctRcvdGreaterThan100KCnt | 0 | 409 |
| IRS990/CollectionsOfArtInd | 0 | 0 |
| IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt | 0 | 2111119 |
| IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt | 0 | 23526842 |
| IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt | 0 | 25637961 |
| IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt | 0 | 1626893 |
| IRS990/CompDisqualPersonsGrp/TotalAmt | 0 | 1626893 |
| IRS990/CompensationFromOtherSrcsInd | 0 | 0 |
| IRS990/CompensationProcessCEOInd | 0 | 1 |
| IRS990/CompensationProcessOtherInd | 0 | 1 |
| IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt | 0 | 1525008 |
| IRS990/ConferencesMeetingsGrp/ProgramServicesAmt | 0 | 5524046 |
| IRS990/ConferencesMeetingsGrp/TotalAmt | 0 | 7049054 |
| IRS990/ConflictOfInterestPolicyInd | 0 | 1 |
| IRS990/ConservationEasementsInd | 0 | 0 |
| IRS990/ConsolidatedAuditFinclStmtInd | 0 | 1 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 0 | 82249583 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 48201317 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 40889798 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 19562363 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 14086173 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1010 N 102ND ST STE 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1205 RUSSELL ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 405547 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 3712 S WESTERN AVE SUITE 200 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1979 MILKY WAY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SIOUX FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | SIOUX FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | VERONA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | WI |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 68114 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 57104 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 30384 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 57105 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 53593 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | FOCUSONE SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | HENRY CARLSON CONSTRUCTION LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | SIRIUS COMPUTER SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | FIEGEN CONSTRUCTION COMPANY |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | EPIC SYSTEMS GROUP |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | STAFFING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | SOFTWARE MAINTENANCE & SUPPORT |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | SOFTWARE MAINTENANCE & SUPPORT |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 106770013 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 47489473 |
| IRS990/CYInvestmentIncomeAmt | 0 | 21264847 |
| IRS990/CYOtherExpensesAmt | 0 | 2492950369 |
| IRS990/CYOtherRevenueAmt | 0 | 2607388 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 5979938305 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 281441884 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 3288698827 |
| IRS990/CYTotalExpensesAmt | 0 | 5829138669 |
| IRS990/CYTotalFundraisingExpenseAmt | 0 | 0 |
| IRS990/CYTotalProfFndrsngExpnsAmt | 0 | 0 |
| IRS990/CYTotalRevenueAmt | 0 | 6110580553 |
| IRS990/DecisionsSubjectToApprovaInd | 0 | 1 |
| IRS990/DeductibleArtContributionInd | 0 | 0 |
| IRS990/DeductibleNonCashContriInd | 0 | 1 |
| IRS990/DeferredRevenueGrp/BOYAmt | 0 | 20072536 |
| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 15468583 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
| IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt | 0 | 26661973 |
| IRS990/DepreciationDepletionGrp/ProgramServicesAmt | 0 | 110002562 |
| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 136664535 |
| IRS990/Desc | 0 | SANFORD HEALTH, THE LARGEST RURAL HEALTH SYSTEM IN THE UNITED STATES, IS DEDICATED TO TRANSFORMING THE HEALTH CARE EXPERIENCE AND PROVIDING ACCESS TO WORLD-CLASS HEALTH CARE IN AMERICA'S HEARTLAND. SANFORD PROVIDES MEDICAL SERVICES AT EVERY LEVEL FROM CRITICAL ACCESS HOSPITALS TO TERTIARY AND QUATERNARY CARE. THE SANFORD FOOTPRINT OF OWNED, LEASED AND MANAGED SITES INCLUDES OVER 250,000 SQUARE MILES WITH A NINE-STATE SERVICE AREA INCLUDING A NETWORK OF CHILDREN'S PRIMARY CARE CLINIC LOCATIONS ACROSS THE COUNTRY AND THE WORLD. SANFORD OPERATES FULL-TIME EMERGENCY CENTERS AND PROVIDES EMERGENCY CARE TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. SANFORD FACILITIES AND CLINICS PROVIDE SERVICES TO REMOTE AND MEDICALLY UNDERSERVED AREAS THAT WOULD OTHERWISE NOT HAVE ACCESS TO EVEN PRIMARY CARE SERVICES. |
| IRS990/DescribedInSection501c3Ind | 0 | 1 |
| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
| IRS990/DonorRestrictionNetAssetsGrp/BOYAmt | 0 | 7100 |
| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 0 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 3271 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
| IRS990/EscrowAccountInd | 0 | 0 |
| IRS990/EscrowAccountLiabilityGrp/BOYAmt | 0 | 349593 |
| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 425450 |
| IRS990/ExpenseAmt | 0 | 5293466097 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
| IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt | 0 | 1276867 |
| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 103959 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 1380826 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 2852748 |
| IRS990/FeesForServicesLegalGrp/ProgramServicesAmt | 0 | 650966 |
| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 3503714 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 823506 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 823506 |
| IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt | 0 | 40330559 |
| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 336255426 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 376585985 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt | 0 | 711706 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 711706 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignCountryCd | 0 | CH |
| IRS990/ForeignCountryCd | 1 | GH |
| IRS990/ForeignCountryCd | 2 | GM |
| IRS990/ForeignFinancialAccountInd | 0 | 1 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form1098CFiledInd | 0 | 1 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 36.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 2.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 36.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 36.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 36.30 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 6.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 9.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 10.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 28 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 29 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 30 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 23.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 1.91 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 23.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 23.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 23.70 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 54.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 51.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 50.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 29 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 30 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | 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/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 6 | 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 | 276533 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 207852 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 209688 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 172935 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 179445 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 127517 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 107668 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 46564 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 53103 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 48065 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 41962 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 48215 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 29 | 146335 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 30 | 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 | MATT HOCKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | JENNIFER GRENNAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | MICHAEL LEBEAU MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | PAUL HANSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | TIFFANY LAWRENCE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | TODD SCHAFFER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | KARLA EISCHENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | WILLIAM BRUNNER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | ADAM STYS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | TOMASZ STYS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | ERIC BELANGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | ALEXANDER DROFA MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | DON JACOBS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | MICHELLE BRUHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 29 | SUSAN JARVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 30 | BRYAN NERMOE |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 379383 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 107199 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 84246 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 81651 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 80382 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 80055 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 80000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 79826 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 78750 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 77594 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 76727 |
| 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/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 3286993 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 3250190 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 2911937 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 2885080 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 2835917 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 13502 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 29 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 30 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 4414119 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 2525208 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 1047876 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 894301 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 2798445 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 1991610 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 1824864 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 1471880 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 1426252 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 1224459 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 729610 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 293725 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 29 | 920606 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 30 | 252724 |
| 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 (START 1/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | TRUSTEE (START 1/24) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | TRUSTEE (START 1/24) |
| 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 | EVP, CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | EVP, CHIEF ADMIN OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | SVP, HEALTH SVC OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | PRESIDENT & CEO, SIOUX FALLS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | PRESIDENT & CEO, FARGO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | PRESIDENT & CEO, BISMARCK |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | PRESIDENT & CEO, BEMIDJI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | FORMER TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | FORMER EVP, CFO & TREASURER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 29 | FORMER PRESIDENT & CEO, BEMIDJI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 30 | FORMER PRESIDENT & CEO, FARGO |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
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