Civic Intelligence

Sanford Group Return

990 • Fiscal year 2020 • EIN 45-3791176

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 15, 2021

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

(605) 333-1000

Siviq Scores

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

Liabilities / Assets

55th percentile

0.42x

Higher debt load relative to assets than 55% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Liabilities / Revenue

19th percentile

0.29x

Higher debt load relative to revenue than 19% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Net Margin

60th percentile

8.1%

Higher net margin than 60% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Top Officer Pay

100th percentile

$44,353,819

Higher top officer pay than 100% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

2020 filings • 501(c)3 • $1B+ nonprofits • Source year 2020

Asset Growth

57th percentile

12%

Faster asset growth than 57% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Revenue Growth

72nd percentile

8.3%

Faster revenue growth than 72% of similar nonprofits.

2020 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2019 to 2020

Assets

Up

$3,325,190,715

Up $349,796,380 (+12%) from 2019

Net Assets

Up

$1,938,500,778

Up $372,293,668 (+24%) from 2019

Liabilities

Down

$1,386,689,937

Down $22,497,288 (-1.6%) from 2019

Revenue

Up

$4,784,105,083

Up $365,763,659 (+8.3%) from 2019

Expenses

Up

$4,394,501,986

Up $180,030,126 (+4.3%) from 2019

Net Income

Up

$389,603,097

Up $185,733,533 (+91%) from 2019

Historical Trend

Balance Sheet Trend

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

$6.0B$4.0B$2.0B$0Assets 2011: $1,577,600,190Liabilities 2011: $845,339,675Net Assets 2011: $732,260,5152011Assets 2012: $1,897,147,387Liabilities 2012: $1,059,466,486Net Assets 2012: $837,680,9012012Assets 2013: $2,311,855,171Liabilities 2013: $1,233,964,385Net Assets 2013: $1,077,890,7862013Assets 2014: $2,335,827,341Liabilities 2014: $1,222,181,413Net Assets 2014: $1,113,645,9282014Assets 2015: $2,518,921,978Liabilities 2015: $1,456,837,768Net Assets 2015: $1,062,084,2102015Assets 2016: $2,666,510,312Liabilities 2016: $1,574,793,011Net Assets 2016: $1,091,717,3012016Assets 2017: $2,760,585,976Liabilities 2017: $1,598,658,494Net Assets 2017: $1,161,927,4822017Assets 2018: $2,835,813,206Liabilities 2018: $1,553,506,154Net Assets 2018: $1,282,307,0522018Assets 2019: $2,975,394,335Liabilities 2019: $1,409,187,225Net Assets 2019: $1,566,207,1102019Assets 2020: $3,325,190,715Liabilities 2020: $1,386,689,937Net Assets 2020: $1,938,500,7782020Assets 2021: $3,485,607,781Liabilities 2021: $1,207,557,219Net Assets 2021: $2,278,050,5622021Assets 2022: $3,581,478,897Liabilities 2022: $1,069,495,687Net Assets 2022: $2,511,983,2102022Assets 2023: $3,759,919,108Liabilities 2023: $1,129,335,603Net Assets 2023: $2,630,583,5052023Assets 2024: $4,274,026,030Liabilities 2024: $1,142,418,868Net Assets 2024: $3,131,607,1622024

Highlighted filing

2020

Assets$3,325,190,715
Liabilities$1,386,689,937
Net Assets$1,938,500,778

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$8.0B$6.0B$4.0B$2.0B$0Expenses 2011: $2,323,983,9672011Expenses 2012: $2,747,993,3082012Expenses 2013: $3,362,393,6162013Revenue 2014: $3,652,696,559Expenses 2014: $3,550,243,043Net Income 2014: $102,453,5162014Revenue 2015: $3,411,016,895Expenses 2015: $3,207,510,050Net Income 2015: $203,506,8452015Revenue 2016: $3,621,661,130Expenses 2016: $3,409,148,116Net Income 2016: $212,513,0142016Revenue 2017: $3,741,477,877Expenses 2017: $3,602,772,824Net Income 2017: $138,705,0532017Revenue 2018: $3,924,093,992Expenses 2018: $3,811,087,565Net Income 2018: $113,006,4272018Revenue 2019: $4,418,341,424Expenses 2019: $4,214,471,860Net Income 2019: $203,869,5642019Revenue 2020: $4,784,105,083Expenses 2020: $4,394,501,986Net Income 2020: $389,603,0972020Revenue 2021: $5,228,573,954Expenses 2021: $4,834,032,389Net Income 2021: $394,541,5652021Revenue 2022: $5,321,937,014Expenses 2022: $5,161,087,710Net Income 2022: $160,849,3042022Revenue 2023: $5,738,655,914Expenses 2023: $5,373,525,192Net Income 2023: $365,130,7222023Revenue 2024: $6,110,580,553Expenses 2024: $5,829,138,669Net Income 2024: $281,441,8842024

Highlighted filing

2020

Revenue$4,784,105,083
Expenses$4,394,501,986
Net Income$389,603,097
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 15, 2021
Return Version
2020v4.1
Gross Receipts
$4,788,006,530
Mission and Program Overview

Mission

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.

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

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$1,682,943,205$1,707,127,233▲ $24,184,028
Accounts Receivable$582,590,074$586,674,421▲ $4,084,347
Cash and Non-Interest-Bearing Accounts$21,434,357$219,648,573▲ $198,214,216
Savings and Temporary Cash Investments$81,092,458$151,509,732▲ $70,417,274
Inventories for Sale or Use$90,430,284$120,774,742▲ $30,344,458
Prepaid Expenses and Deferred Charges$49,922,293$56,561,572▲ $6,639,279
Other Notes and Loans Receivable, Net$52,089,499$53,222,667▲ $1,133,168
Intangible Assets$51,961,717$49,809,306▼ $2,152,411
Investments Program Related$42,214,085$36,615,860▼ $5,598,225
Investments in Publicly Traded Securities$1,778,446$1,809,675▲ $31,229
Receivable From Disqualified Prsn$105,504$130,819▲ $25,315
Total Assets$2,975,394,335$3,325,190,715▲ $349,796,380
Other Assets Total$318,832,413$341,306,115▲ $22,473,702
Liabilities
Tax Exempt Bond Liabilities$770,491,636$660,831,231▼ $109,660,405
Accounts Payable and Accrued Expenses$308,796,732$385,250,057▲ $76,453,325
Other Liabilities$295,467,393$297,971,594▲ $2,504,201
Mortgage Notes Payable Secured by Investment Property$30,892,029$25,080,749▼ $5,811,280
Deferred Revenue$3,313,175$17,288,177▲ $13,975,002
Escrow Account Liability$226,251$231,916▲ $5,665
Grants Payable$9$36,213▲ $36,204
Total Liabilities$1,409,187,225$1,386,689,937▼ $22,497,288
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$1,565,644,729$1,936,923,319▲ $371,278,590
Net Assets With Donor Restrictions$562,381$1,577,459▲ $1,015,078
Total Net Assets Fund Balance$1,566,207,110$1,938,500,778▲ $372,293,668
Total Liabilities and Net Assets / Fund Balance$2,975,394,335$3,325,190,715▲ $349,796,380

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$616,755,785$1,068,990,392$1,685,746,177
Buildings$924,256,899$705,426,959$1,629,683,858
Land$120,278,346-$120,278,346
Leasehold Improvements$29,272,482$49,691,812$78,964,294
Other Land Buildings$16,563,721$28,163,957$44,727,678
Other Assets Org$60,369,955--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2020$89,216,166$3,360,625--$92,002,112
2019$84,843,272$4,372,894--$89,216,166
2018$63,648,688$21,194,584--$84,843,272
2017$60,166,967$4,233,247--$63,648,688
2016$62,584,497$-2,436,209▲ $18,679-$60,166,967
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Eric Belanger MDPhysicianFT$3,454,788$74,987$3,529,775
Adam Stys MDPhysicianFT$2,952,874$62,582$3,015,456
Tomasz Stys MDPhysicianFT$2,633,748$191,402$2,825,150
William Brunner MDPhysicianFT$2,655,125$44,817$2,699,942
Maria Bell MDTrustee/Research AdministratorFT$906,084$149,968$1,056,052
Mark Lundeen MDSee Sch J, Part III, Lines 4a-4bFT$1,000,000$1,000,000$1,000,000
Mark Lundeen MDTrustee/Orthopedics Service ChairFT$691,892$37,316$729,208
Mark Paulson MDPast Chair/Physician Regional ChairFT$281,084$52,957$334,041
Andy NorthSecretaryPT$310,804-$310,804
Brent TeikenChairpersonPT$68,500-$68,500
Don JacobsVice ChairpersonPT$44,000-$44,000
David BeitoTrusteePT$41,500-$41,500
Neil GulsvigTreasurerPT$38,500-$38,500
Barb EveristTrusteePT$36,500-$36,500
Patrick DurickTrusteePT$36,000-$36,000
James CainTrusteePT$35,500-$35,500

Board Members and Trustees

NameTitle
Bill Gassen IIICAO/President & CEO (Start 11/20)
Daniel OlsonFormer President, Bemidji
Kelby K KrabbenhoftPresident & CEO (Thru 11/20)
Susan JarvisPresident, Bemidji
Michael LeBeau MDPresident, Bismarck
Bryan NermoePresident, Fargo
Paul HansonPresident, Sioux Falls
Daniel BluePresident, World Clinics (Thru 6/20)
Bill MarletteCFO (Start 10/20) & Treasurer
JoAnn L KunkelChief Financial Officer (Thru 9/20)
Jennifer GrennanChief Legal Officer
Matt HocksChief Operating Officer
Micah AbersonExecutive VP, Sanford
Randy BuryFormer Chief Administrative Officer
Kim PatrickFormer CLO (Thru 12/20)
Nate WhiteFormer COO (Thru 4/20)
Michelle BruhnFormer Sr VP Finance, Health Svc
Allison Wierda-Suttle MDSee Sch J, Part III, Lines 4a-4b
Bill Gassen IIISee Sch J, Part III, Lines 4a-4b
Bill MarletteSee Sch J, Part III, Lines 4a-4b
Daniel BlueSee Sch J, Part III, Lines 4a-4b
JoAnn L KunkelSee Sch J, Part III, Lines 4a-4b
Kelby K KrabbenhoftSee Sch J, Part III, Lines 4a-4b
Kim PatrickSee Sch J, Part III, Lines 4a-4b
Micah AbersonSee Sch J, Part III, Lines 4a-4b
Nate WhiteSee Sch J, Part III, Lines 4a-4b
Randy BurySee Sch J, Part III, Lines 4a-4b
Michelle MickaSr VP Finance, Health Service
Allison Wierda-Suttle MDSr VP, CMO (Thru 12/20)
Nicholas OlsonVP Finance

Highest Paid Contractors

ContractorServicesLocationCompensation
Owens & Minor IncMedical Services12199 Collection Center, Chicago, IL 60693$91,045,936
Focusone Solutions LLCStaffing Services13609 California Street, Omaha, NE 68154$65,818,825
Medtronic USAMedical Services710 Medtronic Parkway, Minneapolis, MN 55432$41,822,212
GE HealthcareMedical Services1053 W Grand Ave, Chicago, IL 60642$27,309,549
Henry Carlson ConstructionConstruction1205 Russell Street, Sioux Falls, SD 57104$17,842,345
Revenue and Support

Revenue Composition

Contributions and Grants
$266,108,775
Program Service Revenue
$4,501,303,320
Investment Income
$14,625,505
Other Revenue
$2,067,483
All Other Contributions
$6,798,563
Change in Net Assets
$389,603,097
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,604,736,831
Other Expenses$1,740,135,761
Grants and Similar Amounts Paid$49,629,394
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,914,608,443$151,637,358-$2,066,245,801
Fees for Services Other$194,878,623$31,146,927-$226,025,550
Other Employee Benefits$188,398,654$23,907,312-$212,305,966
Depreciation Depletion$141,573,896$22,704,538-$164,278,434
Payroll Taxes$128,134,563$11,599,701-$139,734,264
Occupancy$82,971,608$8,879,222-$91,850,830
Information Technology$34,121,592$55,601,942-$89,723,534
Pension Plan Contributions$82,321,479$7,388,928-$89,710,407
Current Officers, Directors, Trustees, and Key Employees$78,784,068$6,702,784-$85,486,852
Office Expenses$33,420,366$17,472,031-$50,892,397
Grants to Domestic Orgs$49,378,256--$49,378,256
Interest$31,855,823$904,008-$32,759,831
Advertising$9,352,583$13,111,297-$22,463,880
Insurance$17,932,920$66,124-$17,999,044
Travel$13,482,356$990,864-$14,473,220
Comp Disqual Persons-$11,253,541-$11,253,541
Other Expenses$5,162,802$1,603,383-$5,162,802
Conferences and Meetings$2,639,487$1,532,763-$4,172,250
Fees for Services Legal$507,373$1,882,611-$2,389,984
Fees for Services Accounting$76,757$1,268,455-$1,345,212
Fees for Services Lobbying-$555,796-$555,796
Foreign Grants$231,505--$231,505
Fees for Service Investment Mgmnt Fees$93,782--$93,782
Grants to Domestic Individuals$19,633--$19,633
All Other Expenses$305,724,049$-355,725,138-$-50,001,089
Total Functional Expenses$4,379,480,089$15,021,897$0$4,394,501,986
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Sanford Health FoundationSioux Falls, SD501(c)(3)General Support$6,608,000
Sd State Univ FoundationBrookings, SD501(c)(3)Ortho Sports Med Contract$3,363,500
Sioux Falls Sports AuthoritySioux Falls, SD115Ortho Sports Med Contract$2,822,000
The Evangelical Lutheran Good Samaritan FoundationSioux Falls, SD501(c)(3)General Support$2,105,619
Augustana UniversitySioux Falls, SD115Horizon 2030 Gift; General Support; Scholarships; PS Professorship$2,093,625
Sanford Health Foundation NorthSioux Falls, SD501(c)(3)General Support$2,024,586
Miami Childrens Health System FoundationMiami, FL501(c)(3)General Support$2,000,000
NdsuFargo, ND501(c)(3)Annual Contribution for sports medicine program, nursing program and scholarships$1,796,585
Summit League IncSioux Falls, SD501(c)(3)Ortho Sports Med Contract$1,600,000
University of South Dakota FoundationVermillion, ND501(c)(3)Ortho Sports Med contracts/scholarships$1,515,340
Sanford Health Foundation WestSioux Falls, SD501(c)(3)General Support$1,040,009
Feeding South DakotaSioux Falls, SD501(c)(3)COVID-19 food insecurity support$1,027,500
Great Plains Food BankFargo, ND115COVID-19 food insecurity support$1,025,000
Sioux Falls Lutheran SchoolSioux Falls, SD501(c)(3)Ortho Sports Med Contract$1,001,000
Cura FoundationNew York, NY501(c)(3)Vatican Foundation$1,000,000
Samaritans FeetCharlotte, NC501(c)(5)Captial campaign pledge matching donation$1,000,000
Univ of South DakotaVermillion, SD501(c)(3)Ortho Sports Med contracts$968,752
Concordia CollegeMoorhead, MN501(c)(3)Annual Contribution per donation agreements in support of various programs such as nursing and sports medicine$886,000
The Bismarck State College FoundationBismarck, ND501(c)(3)Health Sciences Pledge$800,000
Northern State UniversityAberdeen, SD501(c)(3)Ortho Sports Med Contract$769,500
North Country Food BankEast Grand Forks, MN501(c)(3)COVID-19 food insecurity support$650,000
Sanford Health Foundation of Northern MinnesotaSioux Falls, SD501(c)(3)General Support$615,988
American Cancer SocietyAtlanta, GA501(c)(3)Coaches vs Cancer and Relay for Life & Gala events in Sioux Falls and Fargo$554,500
Dakota State UniversityMadison, SD115Ortho Sports Med Contract$524,840
South Dakota Military Heritage Alliance IncSioux Falls, SD501(c)(3)Donation for military and Vet services center and programming$500,000
Forward Sioux FallsSioux Falls, SD501(c)(3)Yearly donation support for SF business development$351,250
Minnesota State University Mankato Foundation IncMankota, MN501(c)(3)Ortho Sports Med Contract$340,000
Alumni Athletica LLCMount Laurel, NJ501(c)(3)General Support$300,000
Minnesota State University MoorheadMoorhead, MN501(c)(3)Annual Contribution per donation agreement for sports medicine program, nursing program and scholarships$300,000
Park District of the City of FargoFargo, ND501(c)(3)Land Development Costs$295,055
Second Harvest HeartlandBrooklyn Park, MN501(c)(3)COVID-19 food insecurity support$275,000
Creighton UniversityOmaha, NE501(c)(3)General Support$250,000
University of NebraskaLincoln, MN501(c)(3)General Support$250,000
Western Illinois University FoundationMacomb, SD-Kevin Lampe Sanford Basketball Endowment$250,000
Children's Hospital ColoradoAurora, CO115Building Project Capital Campaign donation$240,000
Lucile Salter Packard Childrens Hospital at StanfordLos Angeles, CA501(c)(3)General Support$240,000
United Way of Cass-clayFargo, ND501(c)(3)Annual Corporate donation for Fargo area programs$218,344
Camp Cambria FoundationBelle Plaine, MN501(c)(6)Tennis court reconstruction$200,000
Sioux Empire United WaySioux Falls, SD501(c)(3)Yearly pledge donation support$150,538
Sf Area Community FoundationSioux Falls, SD501(c)(3)Donation toward SD Salutes fundraising event $5k; Youth advisory council donation $500$142,500
Sf Christian High SchoolSioux Falls, SD501(c)(3)Ortho Sports Med Contract$137,500
Bismarck Public SchoolsBismarck, ND501(c)(3)Sports Complex, Academic Donation and Athletics Donations$136,800
Harrisburg School DistrictHarrisburg, SD501(c)(3)Ortho Sports Med Contract$130,983
Northern Sun Intercollegiate ConferenceBurnsville, MN501(c)(3)Ortho Sports Med Contract$130,000
Fargo SchoolsFargo, ND501(c)(3)Annual Contribution per donation agreement for sports medicine program; Donations to scholarships, health tech trades, lunch fund$125,050
Fueling Our FutureFargo, ND501(c)(3)Economic Deveopment Fund, FMWF Chamber and GFMEDC$125,000
Global Health Corps IncNew York, NY501(c)(3)General Support$125,000
Sd High School ActivitiesPierre, SD501(c)(3)Yearly donation agreement in support of high school athletics across the state $125k$125,000
Bemidji Area SchoolsBemidji, MN501(c)(3)Angel Fund Donation$120,600
Bemidji Community Arena CorpBemidji, MN501(c)(4)Donation to Naming Rights and Sign Sponsorship$109,971
Village Family Service CenterFargo, ND-$100K - Annual Contribution per donation agreement towards programming, the rest is donation for hole at Bobcat Open, Wine & Dining table, Big Brother Big Sister bowling$102,000
Sioux Falls School DistrictSioux Falls, SD501(c)(3)Donations for multiple commitments: Scoreboards; Angel Fund; CTE Health Careers Camp; Project Lead the Way; Workforce Development HOSA; State Tournament event; Ortho Sports Med$101,900
Alliance for Cell Therapy NowWashington, DC501(c)(6)Donation to advance national cell therapy registry$100,000
Mckenzie County Healthcare SysWatford City, ND501(c)(3)Annual pymnt on $1 million pledge$100,000
Methodist Medical Center FoundationPeoria, IL501(c)(3)General Support$100,000
Nd AssistiveFargo, ND501(c)(3)Donation in support of assistive technolgy for people with various disabilities$100,000
Ronald Mcdonald House Charity of the Red River Valley IncFargo, ND115$100K - Annual Contribution per donation agreement towards their building and $5K donation for Annual Sweetheart Ball$100,000
Sd Governors Office of Economic DevelopmentPierre, SD501(c)(3)Yearly donation support for the Governor's Office fundraising which include the Buffalo Roundup and Pheasant Hunt events$100,000
Theodore Roosevelt Presidential Library FoundationMedora, ND501(c)(3)Donation Commitment $100k$100,000
Und Alumni Association & FoundationGrand Forks, ND501(c)(3)Donations to UND's School of Health & Wellness$100,000
Winner Regional Health and Wellness FoundationWinner, SD-General Support$100,000
United Way of Bemidji AreaBemidji, MN501(c)(3)General Support$98,830
Washington PavilionSioux Falls, SD-Yearly Pilar Partnership donation agreement to include the Kirby Science Discovery Center Fit Zone & Health Quest area$92,700
Levitt at the FallsSioux Falls, SD501(c)(3)Chamber Appeals donation $12k, Yearly contribution $75k naming support; $2k Edith night$89,000
Greater BemidjiBemidji, MN501(c)(3)General Support$85,000
Sioux Falls Storm Tytan Enterprises LLCSioux Falls, SD501(c)(3)Ortho Sports Med Contract paid$82,000
Sanford School of MedicineVermillion, SD501(c)(3)General Support$81,168
Village Northwest UnlimitedSheldon, IA-General Support $50k; Golf benefit fundraiser; Run, Rock & Roll fundraiser$77,500
Second Harvest North Central Food BankGrand Rapids, MN501(c)(3)COVID-19 food insecurity support$75,000
Dakota Alliance Soccer ClubSioux Falls, SD501(c)(3)Yearly donation of $60k; donation of black competitive jerseys $11,250; Legends grant $3000$74,250
Bsc MltBismarck, ND115General Support$73,164
Shiloh Christian SchoolBismarck, ND501(c)(3)Vision 2015 Pledge: Building Contribution: Phase II; Academic & Athletic Donation$68,000
Great Plains ZooSioux Falls, SD501(c)(3)Yearly donation support for the Great Plains Zoo$65,000
Bishop Ogorman Catholic SchoolSioux Falls, SD501(c)(3)Donation to Teacher's Salary Inititive, Dakota Bowl and Charity Tournament$64,250
Denny Sanford Premier CenterSioux Falls, SD501(c)(3)Donation for Mamava nursing pods$61,600
Sd Symphony OrchestraSioux Falls, SD501(c)(3)Yearly support donation $60k$60,000
Helpline Center IncSioux Falls, SD501(c)(3)Yearly donation $10k; Volunteer donation $3,500; High school texting support program $35k; Camp Capacity donation $7,500$56,000
Ymca Sioux Falls RegionSioux Falls, SD-Capital Campaign; Golf Classic$54,500
Make a Wish Foundation of North DakotaFargo, ND115State wide donation in support of the Make A Wish program of giving trips to sick children$52,400
LIFESCAPE CHILDREN'S CARE HOSPITAL AND SCHOOLSioux Falls, SD115Donation to foundation for handicapped children's care; Legends grant$52,300
City of SheldonSheldon, IA501(c)(3)Sheldon Events Center donation$50,000
Duncan Regional HospitalDuncan, OK501(c)(3)General Support$50,000
First Tee of South DakotaSioux Falls, SD501(c)(3)Yearly donation $30k; Golf fundraising event $5k; Sanford International donation $15k$50,000
Moorhead Youth AssociationsMoorhead, MN501(c)(3)Donation in Support of youth sport activities$50,000
Northwestern CollegeOrange City, IA501(c)(3)Donation commitment; Science capital project building$50,000
South Dakota Hall of FameChamberlain, SD501(c)(3)Annual commitment donation $50k$50,000
Wings of Valor IncParker, SD-Lease property & fund operations donation for a hunting lodge to serve disabled veterans $50k$50,000
American Red CrossSioux Falls, SD501(c)(3)Crisis funding donations, general support$45,000
FirstlinkFargo, ND501(c)(6)$25K donation to Community Addiction Navigator program, $1K - Annual Breakfast/Giving Tree$45,000
Legends of GoldBeresford, SD115Donation to training center for youth athletes to quality for the Olympics - yearly donation $40k; Easter Wrestling Tournament support $1500$41,500
Moorhead Schools Legacy FoundationMoorhead, MN501(c)(3)Donation in support of Moorhead Schools Foundation which supports educational experiences$40,550
Brandon Valley Booster ClubBrandon, SD115Scoreboards $10,500; Video board donation $40k$40,500
Volunteers of America DakotasSioux Falls, SD-HomePlace Capital Campaign $40k; RC Soup for a Cause $500$40,500
Aberdeen Public Schools FoundaAberdeen, SD501(c)(3)Foundation donation contribution $20k; Scholarship fund contribution $10k; Student activity contribution $10k$40,000
American Gold Gymnastics IncFargo, ND501(c)(3)Annual donation pledge for support and sports medicine$40,000
Food Bank of Siouxland IncSioux City, IA501(c)(3)COVID-19 food insecurity support$40,000
Metro Area Tournament CommitteeFargo, ND115Donation to committee for region and state tournaments that take place throughout the year in the metro area$40,000
Sioux Falls Power HockeySioux Falls, SD115Donation in support of youth hockey and our sports medicine program$40,000
Bismarck Larks Baseball TeamBismarck, ND501(c)(6)2020 Sponsorship in relation to Sports Med coverage contract$39,500
Junior Achievement of SdSioux Falls, SD501(c)(3)Yearly donation pledge and statewide expansion annual drive$38,225
Ground Works Ground Works MidwestSioux Falls, SD115Yearly SD Ag in the classroom program donation$37,500
City of BismarckBismarck, ND115Annual Contribution per donation agreements in support of various programs such as nursing and sports medicine$35,000
Legend HockeySioux Falls, SD501(c)(3)Ortho Sports Med support$35,000
Sd Golf AssociationSioux Falls, SD501(c)(3)Junior Golf donation to foundation for scholarships$35,000
South Dakota Chamber of Commerce & Industry (sdc-bac)Pierre, SD501(c)(3)Yearly membership, Economic Development Seminar$35,000
National Kidney FoundationNew York, NY501(c)(3)Enterprise yearly donations for Kidney Walks, Keep Health Screening, Big Ask Big Give program and golf fundraiser events$33,000
Missouri Slope Areawide United WayBismarck, ND501(c)(3)Premiere Sponsorship Co-Branding with UW; Backpack Program; Corporate Donation$32,250
Sioux Council Boy ScoutsSioux Falls, SD501(c)(6)Chamber Appeals Climb With Us; Friends of Scouting shootout$31,300
Lincoln High SchoolSioux Falls, SD115Ortho Sports Med Contract$30,800
The BanquetSioux Falls, SD501(c)(3)Donation commitment $25k for yearly support; Run for Food fundraising event at Thanksgiving $5k; meal sponsor$30,501
Folds of Honor Kc IncPrairie Village, KS501(c)(3)Legends Grant$30,000
Girl Scouts- Dakota HorizonsSioux Falls, SD501(c)(3)Yearly donation to cover several fundraising events: Cookies Corks & Brews, Amplify your Adventure, S'more Brews Please; The BIG Event, Giving Hearts Day, SD Gives, Girl Scouts Giving Day$30,000
Oak Grove Lutheran SchoolFargo, ND501(c)(3)Annual Contribution per donation agreement for sports medicine, spring gala, various sports camps and scholarships$30,000
Up Aquatics IncFargo, ND501(c)(3)Annual Contribution per donation agreement for new building/pool for area$30,000
Sioux Falls Youth Hockey AssociationSioux Falls, SD501(c)(3)Yearly donation commitment $25k; Legends grant; individual team requests$29,000
Sf CyclonesSioux Falls, SD501(c)(3)Yearly donation support $20k; Legends Grants; Various team sponsorships$28,500
Brandon Valley Baseball AssocBrandon, SD501(c)(6)Field of Dreams Project$28,000
Mayville State UniversityMayville, ND501(c)(3)Annual Contribution per donation agreement for sports medicine program, training room and scholarships$27,600
Yellow Jacket FoundationBelle Fourche, SD-Black Hills State University donation $25k; Scholarships $2k$27,000
Aberdeen Catholic SchoolAberdeen, SD501(c)(3)Capital Campaign for Revitalizing Roncalli High School to include building renovations with a new geothermal heating and cooling system, new windows new spinkler and fire alarm system, new lights and ceilings, adding new boys & girls bathrooms to each wing and new faculty bathrooms; new carpeting in m ost classrooms and upgraded central offices.$25,000
Community Memorial HospitalBurke, SD501(c)(3)Building Project Capital Campaign donation$25,000
Dakota Medical FoundationFargo, ND501(c)(3)Donation for Recovery Reinvented - North Dakota's First lady conference in regards to addiction$25,000
Dow RummelSioux Falls, SD501(c)(3)Capital campaign fund development donation$25,000
Global Interdependence CenterPhiladelphia, PA501(c)(3)Yearly support for World Clinics participation$25,000
Jdrf Mn Chapter DakotaSioux Falls, SD501(c)(3)Juvenile diabetes yearly support, JDRF One Walk donation$25,000
National Multiple Sclerosis Society Greater Northwest ChapterMinneapolis, MN115Yearly donation pledge payment $15k$25,000
Nd Safety CouncilBismarck, ND501(c)(3)General Support$25,000
Red River Childrens AdvocacyFargo, ND501(c)(3)Donation of Support for services for abused children and donation for their annual gala$25,000
Sioux Falls Hope CoalitionSioux Falls, SD501(c)(3)Donation in support of every child having access to attend preschool - $25k$25,000
Sioux Falls Swim TeamSioux Falls, SD501(c)(3)Yearly donation commitment $25k$25,000
St John Paul Ii CatholicFargo, ND501(c)(3)Annual Contribution per donation agreement for sports medicine and as a Gold Partner to the schools for support$25,000
Roosevelt High SchoolSioux Falls, SD501(c)(6)Ortho Sports Med Contract$24,800
Downtown Sioux Falls IncSioux Falls, SD501(c)(3)Yearly donation for Downtown trolley$24,371
Sd High School Coaches AssocSioux Falls, SD501(c)(3)Ortho Sports Med contract$22,500
Tea Area School DistrictTea, SD115Ortho Sports Med Contract$22,200
Bishop Dudley Hospitality HousSioux Falls, SD501(c)(3)Donation to homeless shelter$22,000
Mississippi Headwaters Area Dental Health CenterBemidji, MN501(c)(3)Donation to support dental health project in the community$21,500
Brookings Health SystemBrookings, SD501(c)(3)Progress Lives Here capital campaign donation $20k$20,000
DOMESTIC VIOLENCE & RAPE (WOMEN'S ALLIANCE INC)Dickinson, ND501(c)(3)General Support$20,000
Detroit Lakes SchoolsDetroit Lakes, MN501(c)(3)Annual Contribution per donation agreement for sports medicine program$20,000
Independent School District 518Worthington, MN501(c)(3)Athletic Training support and athletic scholarships$20,000
Leadership South DakotaPlatte, SD501(c)(3)Yearly donation commitment$20,000
Professional Patient Advocates in Life SciencesDanbury, CT501(c)(3)General Support$20,000
Sd SynodSioux Falls, SD501(c)(3)Capital campaign for their Woyatan Retreat Center renovations donation $20k$20,000
Sioux Empire Junior Golf AssnSioux Falls, SD501(c)(6)GreatLife Junior Golf Challenge$20,000
South Dakota Youth Soccer AssociationSioux Falls, SD501(c)(3)Yearly donation pledge $20k$20,000
Watertown Community FoundationWatertown, SD-City of Watertown softball complex$20,000
Sd State UnivBrookings, SD501(c)(3)Ortho Sports Med contracts including donations$18,300
Special Olympics South DakotaSioux Falls, SD501(c)(3)Yearly commitment $10k; Plane Pull fundraising event $5k; Legends Grant $3k$18,000
Ymca of Cass & Clay Counties (fargo Moorhead)Fargo, ND-Donations for Livestrong, Partner of Youth and Nurse station for camp$18,000
Bismarck Mandan Chamber EdcBismarck, ND115Culmination of several different community events for 2021$17,536
Cystic Fibrosis FoundationBethesda, MD501(c)(3)Support to seven events throughout the region for Cystic Fibrosis fundraisers to include Great Strides walks in Fargo, SF, Brookings, Bismarck, Rapid City; a golf tournament and Corks & Kegs event in SF. ($5,000 for each event) Battle for Brooks team in SF for $500.$17,500
Huether Family Match PointeSioux Falls, SD501(c)(3)General Support$17,100
Bismarck Mandan Chamber FdtnBismarck, ND115Community Bowl Project & Bis Public Schools Tournament Fund$17,000
Family Advocacy Center of Northern MinnesotaBemidji, MN501(c)(3)General Support$16,500
Canton SchoolsCanton, SD501(c)(3)Annual use of Suite at Newman Outdoor Field for employee and community engagement$16,435
Bismarck Cancer CenterBismarck, ND115General Support$16,000
Greatlife Cares FdnSioux Falls, SD501(c)(3)Yearly donation $1k; Challenge for a Cause event support$16,000
Lutheran Social Services of North DakotaFargo, ND501(c)(3)Various Donations in regards to Healthy Families, Mental wellness, Building Bridges and cooking healthy$16,000
University of JamestownJamestown, ND501(c)(3)Annual Contribution per donation agreements for Dine & Bid, Scoreboard, Arts, Gator Donation$16,000
Chamber of Commerce FmwfFargo, ND501(c)(3)Sheldon Events Center donation$15,620
Aberdeen Family YmcaAberdeen, SD501(c)(3)Capital Campaign for their Youth Development Center$15,000
Arts PartnershipFargo, ND501(c)(3)Donation that funds many small grants to FM area arts organizations$15,000
Children of the NationsSilverdale, WA115Huether Family Aquatics Center donation$15,000
Eci BasketballBismarck, ND501(c)(3)Youth Sports Health and Wellness Donation$15,000
Emerging PrairieFargo, ND501(c)(3)Tedx donation - $15,000$15,000
Fargo Youth Hockey AssociationFargo, ND501(c)(3)Donation to the annual FYHA Squirt International Hockey Tournaments and Hockey night in Fargo$15,000
Glory House of Sioux FallsSioux Falls, SD501(c)(3)Chamber Appeals donation for halfway housing support$15,000
Mitchell Parks & RecreationMitchell, SD501(c)(3)Donation toward providing a personal trainer at the Mitchell Rec Center$15,000
Sd Law Enforcement CharitiesSioux Falls, SD501(c)(3)Yearly donation commitment to children's fundraising charity event$15,000
Sf Lacrosse Booster ClubSioux Falls, SD501(c)(3)General Support$15,000
Sioux Falls Women Run LLCSioux Falls, SD501(c)(3)Donation to women's running event fundraiser $15k$15,000
South Dakota Cattlemens AssociationPierre, ND501(c)(3)Donation to fundraising event for Feeding SD $15k$15,000
Tracy Area Public SchoolsTracy, MN501(c)(3)$15k to the Tracy Independent School District for their Veterans Memorial Center Revitalization Project; General Support$15,000
Vermillion Area Chamber and Development CoVermillion, SD501(c)(3)Vermillion NOW economic development campaign$15,000
Watertown Development CompanyWatertown, SD-Grow Watertown Campaign$15,000
Wave Webster 2020Webster, SD-Webster 2020 Inc$15,000
EmbeSioux Falls, SD501(c)(3)Events support: In Her Shoes, Girls on the Run, Women's Day of Service, Lego League, Giving Tuesday$14,000
Innovative Office SolutionsBurnsville, MN501(c)(3)Clothing/apparel donations to OSM schools$13,497
Childrens Home Society of SdSioux Falls, SD115Donation - Youth empowering non-profit organization$12,900
Bemidji Symphony OrchestraBemidji, MN501(c)(6)Donation to the Support of the local symphony for the community$12,500
Mandan Public SchoolsMandan, ND501(c)(3)New Headset System - Memorial Ballpark Pledge$12,500
Plains Art MuseumFargo, ND501(c)(3)Annual donation to Gala and Art4All programing$12,500
Project Prep Olympic Development ProgramBloomington, MN501(c)(3)Donation in support of the Upper Midwest High School Elite League for Olympic Development$12,500
Susan G Komen Breast CancerOmaha, NE501(c)(3)Yearly donation to fundraising event$12,500
Mccrossan Boys RanchSioux Falls, SD501(c)(3)Banquest fundraising event; Use of horses contract; Rodeo fundraising event; Legends grant$12,100
Collision First Priority of Sioux FallsSioux Falls, SD501(c)(3)Donation - Youth empowering non-profit organization$12,000
Alzheimers AssocChicago, IL501(c)(4)Walk to End Alzheimer's$11,500
Boys & Girls Club of the Bemidji AreaBemidji, MN501(c)(3)Donation to support at risk youth programs in the Bemidji Area$11,040
American Foundation for Suicide PreventionNew York, NY501(c)(3)Out of Darkness Walk$11,000
Aberdeen School DistrictAberdeen, SD115Donations toward support of sports events at the Aberdeen School District via scoreboard contract$10,800
United Way of Northeastern South DakotaAberdeen, SD115Yearly commitment payment $10k; Stamp Out Hunder Food Drive $450$10,450
Bismarck Parks and Recreation DistrictBismarck, ND501(c)(3)Schaumberg Ice Expansion $10k; $250 Babe Ruth World Series Donation$10,250
Aberdeen Library FoundationAberdeen, SD501(c)(3)General Support$10,000
Alexandria Area Arts AssnAlexandria, MN501(c)(3)Donation to the area arts program$10,000
All Star Booster ClubSioux Falls, SD501(c)(3)Donation toward the state gymnastics meet $10k$10,000
City of JacksonJackson, MN115Splash Pad donation$10,000
City of YanktonYankton, SD501(c)(3)Huether Family Aquatics Center donation$10,000
Dakota West Arts Council IncBismarck, ND501(c)(3)Capital City Christmas $10k$10,000
Food Bank of IowaDes Moines, IA501(c)(3)COVID-19 food insecurity support$10,000
Gateway to ScienceBismarck, ND115Discovery of Science 5 year pledge$10,000
Gray AcademyLos Angeles, CA501(c)(3)Donation to cure Batten Disease$10,000
Jamestown Soccer FederationJamestown, ND501(c)(3)Donation in support of the local soccer club$10,000
Lira Dance Theatre Company LLCSioux Falls, SD501(c)(3)Dance scholarships donation$10,000
Luverne Public SchoolsLuverne, MN501(c)(3)Donation toward Wellness & Weight room for school system$10,000
Mandan Park DistrictMandan, ND501(c)(3)New Headset System$10,000
Mn West FoundationGranite Falls, MN501(c)(3)Ortho Sports Med Contract/Scholarship support$10,000
Muscular Dystrophy Association IncChicago, IL501(c)(3)Enterprise donations for Muscle Walks and Toast to Life events$10,000
Outdoor Adventure FoundationFargo, ND501(c)(3)Project Lead the Way; Summer camps; annual business partner$10,000
Petit Kicks SoccerBismarck, ND501(c)(3)Soccer Academy-Athletic Donation$10,000
Presidents Bowl Committee of Sioux Falls IncSioux Falls, SD501(c)(3)Donation to support the local high schools activities/events $10k$10,000
Rapid City Club for Boys IncRapid City, SD501(c)(3)Club for Boys Capital Campaign donation$10,000
Sd Community FoundationPierre, SD501(c)(3)Donation to the SD Veterans Cemetery -$10k$10,000
Sd Guardianship Program IncPierre, SD501(c)(3)Donation for court appointed guardianship for adults who cannot afford assistance - yearly commitment $10k$10,000
Sioux Falls Area Casa ProgramSioux Falls, SD501(c)(3)Yearly fundraising events to include the Bakker Crossing Charity Pro Am $10k$10,000
Sioux Falls Arts CouncilSioux Falls, SD115Yearly donation in support of the local arts and sculpture walk in SF$10,000
Southwest Initiative FoundationHutchinson, MN501(c)(3)Windom Community Foundation donation$10,000
Strawbale Winery South EnterprisesRenner, SD501(c)(3)Yearly donation to Folk-Off fundraising event $10k$10,000
Tri City Storm Soccer ClubFargo, ND501(c)(3)Annual Contribution to support soccer programs for the youth$10,000
Dickinson State UniversityDickinson, ND501(c)(4)Athletic scholarship donation $6,750; Nursing Scholarship $3k$9,750
Boys & Girls Club of Aberdeen Area IncAberdeen, SD501(c)(3)It Just Takes One annual campaign and annual Golf for Kids event$9,350
Bemidji JayceesBemidji, MN501(c)(3)General Support$8,803
NdscsWahpeton, ND501(c)(3)Annual Contribution for workforce affairs, wildcat golf tournament and scholarships$8,500
South Dakota High School Basketball Coaches AssociationBrookings, SD501(c)(3)Scholarship program donation $8500$8,500
Kids Chance of South DakotaSioux Falls, SD501(c)(3)Yearly donation support for children's higher education$8,000
Bio Girls IncFargo, ND501(c)(3)Donation to self-esteem programming for girls 7-12$7,800
American Cancer Society Cancer Action Network IncWashington, DC501(c)(3)Relay for Life & Gala events in Sioux Falls and Fargo$7,500
Bemidji Blue Ox MarathonBemidji, MN501(c)(3)General Support$7,500
Captail Volleyball ClubBismarck, ND501(c)(3)Splash Pad donation$7,500
City of CanbyCanton, SD115Tennis court reconstruction$7,500
Sioux Falls Public School Education FoundationSioux Falls, SD501(c)(3)Public School Proud grant program$7,500
The Leukemia & Lymphoma Society IncRye Brook, NY501(c)(3)Light the Night Sioux Falls event support$7,500
Bsn Sports LLCDallas, TX501(c)(3)Bismarck Event Center Annual Advertising$7,436
Brandon Valley SchoolBrandon, SD501(c)(3)Academics & athletics, Power Program, OSM logo wear and State Championship donations$7,300
City of WebsterWebster, SD501(c)(3)Webster Active Living Trail donation$7,143
Charis Ministry PartnersSioux Falls, SD501(c)(3)Webster Active Living Trail donation$7,000
Family FestSioux Falls, SD501(c)(3)Yearly donation to large family and child oriented event highlighting Sanford's Children Hospital$7,000
Reinbows IncWindom, MN501(c)(3)Equine assisted therapy for disabled children$7,000
Sioux Falls Tennis AssociationSioux Falls, SD501(c)(3)SD Open tournament; Legends grant$7,000
West Fargo Public School DistWest Fargo, SD-Donations to Programming and scholarships for kids to attend$6,900
Boy Scouts of America Voyageurs Area CouncilHermantown, MN501(c)(3)General Support$6,542
Big Idea Committee (aberdeen Chamber of Commerce)Aberdeen, SD501(c)(3)Support for development and wellness initiatives in Aberdeen$6,500
City of FargoFargo, ND115Annual use of Suite at Newman Outdoor Field for employee and community engagement$6,500
Nami Sioux FallsSioux Falls, SD501(c)(3)NAMI Annual conference and NAMI walk support$6,500
Thief River Falls NorskiesThief River Falls, MN501(c)(3)Donation for Ice Logo, Dasher Boards, Programs, jerseys, tickets$6,380
Family WellnessFargo, ND501(c)(3)Donation supporting wellness through nutrician and helathy cooking skills$6,000
Hibbing Community CollegeHibbing, MN501(c)(3)General Support$6,000
Peace Office Jail Chaplains AssociationFargo, ND501(c)(3)Donation supporting mission of jail chaplains$6,000
Realtors for KidsSioux Falls, SD501(c)(3)Fundraising event to benefit children's health needs $6k$6,000
Ronald Mcdonald House CharitySioux Falls, SD501(c)(3)General support$6,000
Sd Biotech AssocSioux Falls, ND501(c)(3)General Support for Research$6,000
Sheyenne Valley Community FounValley City, SD501(c)(3)Annual Contribution per donation agreement for Wellness Center$6,000
Active GenerationsSioux Falls, SD501(c)(3)Hot meal bags donation $3800; $1997 Active Generations at the Levitt$5,797
Jamestown Parks & RecJamestown, ND501(c)(3)Donation in support of new wellness center and for park dasherboards$5,700
Move to Heal South DakotaSioux Falls, SD501(c)(3)Support for GSS and Children's Hospital programming$5,500
Bismarck Event Center City of BismarckBismarck, ND501(c)(3)Sanford Classic-venue rental fee host ESBC Clasic basketball games$5,397
Lutheran Social ServicesSioux Falls, SD501(c)(3)Taste of Cultures & Mentor Appreciation Breakfast donations $5k; Aberdeen annual fundraising event $250$5,250
Spoke N SportSioux Falls, SD501(c)(3)Donations to the Parallel 44 Bike Team via Jacqueline Palfy - Sanford Employee request$5,112
Laker Booster Club IncDetroit Lakes, MN501(c)(3)Donation and support of Mollberg Field Schoreboard update, a multi year donation$5,100
Wheaton Area SchoolsWheaton, ND-Annual Contribution for bleachers at the school$5,050

International Summary

Offices
0
Employees
1
Spending
$22,783,000

International Compliance

Foreign grant records maintained
Yes
Activity in boycott countries
No
Foreign corporation ownership
Yes
Foreign partnership interest
No
Interest in foreign trust
No
Passive foreign investment company interest
No
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Europe (Including Iceland & Greenland)InvestmentsGermany investments beginning in 201500$11,931,000
Sub-Saharan AfricaInvestmentsGhana investments, beginning in 201200$4,222,000
Sub-Saharan AfricaProgram ServicesClinic operations (Ghana)00$3,107,000
Middle East and North AfricaInvestmentsIsrael investments, beginning in 201800$1,300,000
East Asia and the PacificInvestmentsChina investments, beginning in 201400$800,000
East Asia and the PacificInvestmentsNew Zealand investments, beginning in 201900$800,000
North America - Canada and MexicoInvestmentsMexico investments, beginning in 201900$250,000
Europe (Including Iceland & Greenland)Program ServicesClinic operations (Germany), Investigation of potential clinic sites (Ireland, Norway)00$188,000
Central America and the CaribbeanProgram ServicesInvestigation and support of new clinic site (Costa Rica)01$98,000
East Asia and the PacificProgram ServicesClinic operations (China), Investigation of potential additional clinic sites (New Zealand, Australia, Vietnam, Japan)00$76,000
North America - Canada and MexicoProgram ServicesInvestigation of potential clinic site (Mexico), purchased goods and services00$9,000
Middle East and North AfricaProgram ServicesTravel, purchased goods and services00$2,000
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Barb EveristJoint Venture in Everist HealthSanford contributed $6M into Everist Health during the previous years. As a result, Sanford and Barb Everist both owned more than a 10% interest in this company.No$6,000,000
Annette WhiteN White - family relationshipCompensationNo$1,456,798
Daniel AbersonM Aberson - family relationshipCompensationNo$518,768
Christina OlsonN Olson - family relationshipCompensationNo$289,455
Louis KrabbenhoftK Krabbenhoft - family relationshipCompensationNo$202,205
John DurickP Durick - family relationshipCompensationNo$141,337
Melinda AndersonM Paulson - family relationshipCompensationNo$125,105
Kathryn NermoeB Nermoe - family relationshipCompensationNo$119,366
Mallory NermoeB Nermoe - family relationshipCompensationNo$36,340
Megan HemmelgarnM Paulson - family relationshipCompensationNo$26,104

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons$105,504$130,819▲ $25,315
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred compensation liability$171,417,661
Defined benefit pension liability$66,543,074
Operating Lease Payable - LT$45,606,676
Other non-current liabilities$13,668,992
Lease Settlement Payable$735,191

Bond Issues

BondIssuerIssuedIssue PricePurpose
DSouth Dakota Health and Educational Facilities Authority2014-10-28$207,014,2092014B: New construction and remodeling of healthcare facilities
ASouth Dakota Health and Educational Facilities Authority2015-10-21$192,641,2062015:New construction & advanced refunding of bonds issued 4/19/07, 5/22/07
BCity of Fargo2011-02-09$134,069,8212011: Refunding bonds issued 12/5/1996, 11/8/2000, and 6/18/2002
CSouth Dakota Health and Educational Facilities Authority2012-11-01$128,733,6412012E: New construction and remodeling of healthcare facilities
ASouth Dakota Health and Educational Facilities Authority2004-09-14$70,073,9892004: New construction of healthcare facilities
ASouth Dakota Health and Educational Facilities Authority2012-03-29$66,185,0002012AB: Refunding bonds issued 9/12/2001 and 10/15/2002
CSouth Dakota Health and Educational Facilities Authority2014-08-05$52,083,7202014A: Current refund 2004A issued 9/14/2004
BSouth Dakota Health and Educational Facilities Authority2016-10-28$50,000,0002016: New Construction, equipment and improvements
BSouth Dakota Health and Educational Facilities Authority2012-06-14$45,000,0002012D:Refinance taxable indebtedness used to construct healthcare facility
DCity of Chamberlain2010-12-30$4,000,0002010 Chamb: New construction of long-term care facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
D$207,081,359-$20,000,000-
A$192,707,024---
B$134,069,821$66,160,644$57,960,000$1,470,647
C$129,135,779$52,083,720$2,344,257$24,356
A$71,581,953$134,069,821$56,675,000$764,068
A$66,185,000-$14,910,000$1,431,628
C$52,083,720-$16,755,000-
B$50,000,000---
B$45,000,000-$17,085,000$150,032
D$4,000,000$80,746,163$22,485,000$1,906,127

Bond Financing Compliance

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

Governance Checklist

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

Governance Explanations

Form 990, Part VI, Section A, line 2

The following officers, board members, and key employees are employees of Sanford or its related organizations. Many of these employees also serve on other related Sanford boards, or have business relationships with each other that span the organization as a whole: Allison Wierda-Suttle, Bill Gassen, Bill Marlette, Bryan Nermoe, Jennifer Grennan, JoAnn Kunkel, Kelby Krabbenhoft, Maria Bell, Mark Lundeen, Mark Paulson, Micah Aberson, Michael LeBeau, Michelle Bruhn, Michelle Micka, Paul Hanson, Randy Bury, Matt Hocks, Nicholas Olson, Susan Jarvis.

Form 990, Part VI, Section A, line 6

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 and Sanford Living Centers. The Board of Trustees of Sanford is also the Board of Trustees for Sanford Health, Sanford North and Sanford West, and Sanford is the sole corporate member of these entities. These entities, in turn, are the sole corporate members of the subsidiaries. The actions approved by a subsidiary's Board of Directors are then approved by the Sanford Board of Trustees.

Form 990, Part VI, Section A, line 7A

The Sanford Board of Trustees appoints the board members for the Boards of Directors and Boards of Governors of the subsidiary entities.

Form 990, Part VI, Section A, line 7B

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 and Sanford Health Network have local chapters, branches or affiliates over which the organization has the legal authority to exercise direct or indirect supervision and control.

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

The Form 990 is prepared internally by the Tax Department and reviewed by executive management. An external accounting firm reviews the return. The Tax Departmemt prepares return highlights and key disclosures for the Board of Trustees meeting prior to the return filing date. Before the return is filed, a complete copy is provided to the current Board of Trustees.

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

The annual Conflict of Interest disclosure process is managed by the Chief Compliance Officer (CCO). The CCO is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of Interest questionnaires are sent to System Trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the IRS Form 990 filings. The disclosures are summarized for review by the executive committee of the Board of Trustees, pursuant to policy. This review allows: 1) The Board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis if potential conflicts are implicated in Board decisions and deliberations, and, 2) Gives the Board the opportunity to seek additional information and clarification about disclosures to determine potential conflicts of interest, and how to manage them.

Form 990, Part VI, Section B, line 15

The Executive Compensation Committee of the Sanford Board of Trustees directly engages a nationally recognized independent compensation consulting firm annually to review the total compensation arrangements of the officers and executives of the organization, including the CEO, and to report the findings to them for deliberation and action. The deliberations and actions are recorded in the minutes of the Sanford Board of Trustees. The most recent study was completed in 2020. Part VI, Line 16a: Sanford Health, Sanford Medical Center, Sanford Clinic, Sanford Medical Center Fargo and Sanford Clinic North have participated in joint ventures with taxable entities.

Form 990, Part VI, Section C, line 19

Although the organization does not maintain a website where the public can access these documents, it would respond individually to any requests or inquiries from the public for these documents.

Form 990, Part VII, Section A

The Sanford Board of Trustees has ultimate goverance responsibilities for each major operating 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.

Form 990, Part VII, Section B

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.

Filing and Contact Details

Filer

Filer Name
Sanford Group Return
EIN
45-3791176
Phone
6053331000
Address
PO Box 5039 Rte 5218, Sioux Falls, SD 57117-5039

Signing Officer

Name
Bill Marlette
Title
CFO & Treasurer
Phone
6053331000
Signed
2021-11-15
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bill Gassen
Voting Board Members
12
Independent Board Members
5
Employees
2,940
Volunteers
1,465

Preparer

Firm
Deloitte Tax LLP
Address
50 South Sixth Street Suite 2800, Minneapolis, MN 55402
Preparer
Chris Meskimen
Phone
6123974000
Supplemental Narrative

Additional Explanations

Part V, Line 3A:

Sanford Health, Sanford Medical Center, Sanford North, Sanford Medical Center Fargo, Sanford Clinic North, Sanford Clinic, Sanford Bismarck and Sanford World Clinics have unrelated business gross income over $1,000.

Part V, Line 4A:

Sanford World Clinics has an interest in financial accounts in the foreign countries of Ghana, China and Germany.

Form 990, Part XI, line 9:

Capital Contributions to subsidiaries -83,028,402. DB Pension Actuarial Gains/Losses -12,299,562. Net payroll paid by parent net of other expenses paid for affiliates 78,892,347.

Form 990 Elections

Form 990, Page 1, Line H(a) - Listing of Subordinate Organizations: Names, Addresses, and EINs Sanford Health 1305 W 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 31-1527032 Sanford USD Medical Center 1305 W 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0227855 Sanford Home Health 1305 W 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0282134 Sanford Health Network 1305 W 18th Street Sioux Falls, SD 57105 EIN: 46-0388596 Sanford Clinic 1305 W 18th Street, PO Box 5039 Sioux Falls, SD 57117-5039 EIN: 46-0447693 Sanford Research 2301 E 60th Street N Sioux Falls, SD 57104 EIN: 46-0450378 Sanford Research North 120 8th Street South Fargo, ND 58103 EIN: 45-0274828 Sanford World Clinics 1305 W 18th Street Sioux Falls, SD 57105 EIN: 26-2707628 Sanford North 801 Broadway Drive, PO Box 2010 Fargo, ND 58122 EIN: 45-0385890 Sanford Clinic North 801 Broadway Drive, PO Box 2010 Fargo, ND 58122 EIN: 91-1770748 Sanford Medical Center Fargo 801 Broadway Drive, PO Box 2010 Fargo, ND 58122 EIN: 45-0226909 Sanford Health Network North 801 Broadway Drive, PO Box 2010 Fargo, ND 58122 EIN: 45-0409348 Sanford Health of Northern Minnesota 1300 Anne Street NW Bemidji, MN 56601 EIN: 41-1266009 Baker Park, Inc. 803 Dewey Avenue NW Bemidji, MN 56601 EIN: 41-1372480 Sanford West 300 N 7th Street Bismarck, ND 58501 EIN: 45-0397195 Sanford Bismarck 300 N 7th Street Bismarck, ND 58501 EIN: 45-0226700 Sanford Living Centers 1000 18th Street NW, Suite 1 Mandan, ND 58554 EIN: 45-0416454

Financial Statement Notes

Part IV, Line 2B:

Long term care facilities hold security deposits for tenants.

Part V, Line 4:

Sanford Health Foundation, Sanford Health Foundation North, Sanford Health Foundation Hillsboro, Sanford Health Foundation of Northern Minnesota, Sandford Health Foundation of Thief River Falls 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.

Part X, Line 2:

Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination. The deferred income tax provision or benefit generally reflects the net change in deferred income tax assets and liabilities during the year. The current income tax provision reflects the tax consequences of revenues and expenses currently taxable or deductible on various income tax returns for the year reported. Sanford Group did not have a material income tax liability at December 31, 2020; some related organizations have established reserves.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1268524
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt130
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt14103667
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt150
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1634314
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt170
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1831556
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt190
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20108065
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2137661
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt220
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt23125764
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt240
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt25121890
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt26121552
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2791111
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt289000
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt29116625
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30134661
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3190645
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3231848
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt330
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3441430
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3540906
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3638100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3741430
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt38112265
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3937898
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt4039341
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt410
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt42137350
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt430
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt4414565
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt450
IRS990/Form990PartVIISectionAGrp/PersonNm0Brent Teiken
IRS990/Form990PartVIISectionAGrp/PersonNm1Don Jacobs
IRS990/Form990PartVIISectionAGrp/PersonNm2Neil Gulsvig
IRS990/Form990PartVIISectionAGrp/PersonNm3Andy North
IRS990/Form990PartVIISectionAGrp/PersonNm4Mark Paulson MD
IRS990/Form990PartVIISectionAGrp/PersonNm5Barb Everist
IRS990/Form990PartVIISectionAGrp/PersonNm6David Beito
IRS990/Form990PartVIISectionAGrp/PersonNm7James Cain
IRS990/Form990PartVIISectionAGrp/PersonNm8Maria Bell MD
IRS990/Form990PartVIISectionAGrp/PersonNm9Patrick Durick
IRS990/Form990PartVIISectionAGrp/PersonNm10Mark Lundeen MD
IRS990/Form990PartVIISectionAGrp/PersonNm11Mark Lundeen MD
IRS990/Form990PartVIISectionAGrp/PersonNm12Kelby K Krabbenhoft
IRS990/Form990PartVIISectionAGrp/PersonNm13Kelby K Krabbenhoft
IRS990/Form990PartVIISectionAGrp/PersonNm14Bill Gassen III
IRS990/Form990PartVIISectionAGrp/PersonNm15Bill Gassen III
IRS990/Form990PartVIISectionAGrp/PersonNm16JoAnn L Kunkel
IRS990/Form990PartVIISectionAGrp/PersonNm17JoAnn L Kunkel
IRS990/Form990PartVIISectionAGrp/PersonNm18Bill Marlette
IRS990/Form990PartVIISectionAGrp/PersonNm19Bill Marlette
IRS990/Form990PartVIISectionAGrp/PersonNm20Jennifer Grennan
IRS990/Form990PartVIISectionAGrp/PersonNm21Allison Wierda-Suttle MD
IRS990/Form990PartVIISectionAGrp/PersonNm22Allison Wierda-Suttle MD
IRS990/Form990PartVIISectionAGrp/PersonNm23Micah Aberson
IRS990/Form990PartVIISectionAGrp/PersonNm24Micah Aberson
IRS990/Form990PartVIISectionAGrp/PersonNm25Bryan Nermoe
IRS990/Form990PartVIISectionAGrp/PersonNm26Michael LeBeau MD
IRS990/Form990PartVIISectionAGrp/PersonNm27Michelle Micka
IRS990/Form990PartVIISectionAGrp/PersonNm28Nicholas Olson
IRS990/Form990PartVIISectionAGrp/PersonNm29Paul Hanson
IRS990/Form990PartVIISectionAGrp/PersonNm30Matt Hocks
IRS990/Form990PartVIISectionAGrp/PersonNm31Susan Jarvis
IRS990/Form990PartVIISectionAGrp/PersonNm32Daniel Blue
IRS990/Form990PartVIISectionAGrp/PersonNm33Daniel Blue
IRS990/Form990PartVIISectionAGrp/PersonNm34Eric Belanger MD
IRS990/Form990PartVIISectionAGrp/PersonNm35Adam Stys MD
IRS990/Form990PartVIISectionAGrp/PersonNm36Tomasz Stys MD
IRS990/Form990PartVIISectionAGrp/PersonNm37William Brunner MD
IRS990/Form990PartVIISectionAGrp/PersonNm38Michelle Bruhn
IRS990/Form990PartVIISectionAGrp/PersonNm39Daniel Olson
IRS990/Form990PartVIISectionAGrp/PersonNm40Kim Patrick
IRS990/Form990PartVIISectionAGrp/PersonNm41Kim Patrick
IRS990/Form990PartVIISectionAGrp/PersonNm42Randy Bury
IRS990/Form990PartVIISectionAGrp/PersonNm43Randy Bury
IRS990/Form990PartVIISectionAGrp/PersonNm44Nate White
IRS990/Form990PartVIISectionAGrp/PersonNm45Nate White
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt068500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt144000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt238500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3310804
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt4294486
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt536500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt641500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt735500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt81013142
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt936000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10692452
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt111000000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$4,274$1,142$3,132$6,111$5,829$281
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,760$1,129$2,631$5,739$5,374$365
2022Detailed filing. Detailed filing data is available for this year.$3,581$1,069$2,512$5,322$5,161$161
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$3,486$1,208$2,278$5,229$4,834$395
2020Detailed filing. Detailed filing data is available for this year.$3,325$1,387$1,939$4,784$4,395$390
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,975$1,409$1,566$4,418$4,214$204
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,836$1,554$1,282$3,924$3,811$113
2017Detailed filing. Detailed filing data is available for this year.$2,761$1,599$1,162$3,741$3,603$139
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2,667$1,575$1,092$3,622$3,409$213
2015Detailed filing. Detailed filing data is available for this year.$2,519$1,457$1,062$3,411$3,208$204
2014Detailed filing. Detailed filing data is available for this year.$2,336$1,222$1,114$3,653$3,550$102
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$2,312$1,234$1,078$3,362
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,897$1,059$838$2,748
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1,578$845$732$2,324