Civic Intelligence

Sanford Group Return

990 • Fiscal year 2022 • EIN 45-3791176

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 09, 2023

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

46th percentile

0.30x

Higher debt load relative to assets than 46% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Liabilities / Revenue

17th percentile

0.20x

Higher debt load relative to revenue than 17% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Net Margin

36th percentile

3.0%

Higher net margin than 36% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Top Officer Pay

73rd percentile

$3,445,217

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.1% of source-year revenue.

2022 filings • 501(c)3 • $1B+ nonprofits • Source year 2022

Asset Growth

73rd percentile

2.8%

Faster asset growth than 73% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Revenue Growth

37th percentile

1.8%

Faster revenue growth than 37% of similar nonprofits.

2022 filings • 501(c)3 • $1B+ nonprofits • Annualized from 2021 to 2022

Assets

Up

$3,581,478,897

Up $95,871,116 (+2.8%) from 2021

Net Assets

Up

$2,511,983,210

Up $233,932,648 (+10%) from 2021

Liabilities

Down

$1,069,495,687

Down $138,061,532 (-11%) from 2021

Revenue

Up

$5,321,937,014

Up $93,363,060 (+1.8%) from 2021

Expenses

Up

$5,161,087,710

Up $327,055,321 (+6.8%) from 2021

Net Income

Down

$160,849,304

Down $233,692,261 (-59%) from 2021

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

2022

Assets$3,581,478,897
Liabilities$1,069,495,687
Net Assets$2,511,983,210

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

2022

Revenue$5,321,937,014
Expenses$5,161,087,710
Net Income$160,849,304
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 9, 2023
Return Version
2022v5.0
Gross Receipts
$5,327,534,915
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$1,751,741,875$1,790,130,185▲ $38,388,310
Accounts Receivable$653,343,333$747,066,864▲ $93,723,531
Savings and Temporary Cash Investments$281,391,844$230,746,569▼ $50,645,275
Inventories for Sale or Use$125,839,955$124,928,258▼ $911,697
Prepaid Expenses and Deferred Charges$65,070,623$78,225,069▲ $13,154,446
Other Notes and Loans Receivable, Net$50,879,932$69,083,286▲ $18,203,354
Intangible Assets$48,008,578$47,957,708▼ $50,870
Investments Other Securities-$33,508,819-
Investments Program Related$40,467,353$33,414,398▼ $7,052,955
Cash and Non-Interest-Bearing Accounts$87,235,347$5,350,099▼ $81,885,248
Investments in Publicly Traded Securities$735,389$433,579▼ $301,810
Pledges and Grants Receivable-$220,673-
Total Assets$3,485,607,781$3,581,478,897▲ $95,871,116
Other Assets Total$380,893,552$420,413,390▲ $39,519,838
Liabilities
Tax Exempt Bond Liabilities$505,134,169$479,072,573▼ $26,061,596
Accounts Payable and Accrued Expenses$390,495,684$321,632,155▼ $68,863,529
Other Liabilities$291,497,394$247,578,111▼ $43,919,283
Mortgage Notes Payable Secured by Investment Property$15,455,741$11,901,748▼ $3,553,993
Grants Payable$1,595,748$5,118,766▲ $3,523,018
Deferred Revenue$3,159,894$4,018,002▲ $858,108
Escrow Account Liability$218,589$174,332▼ $44,257
Total Liabilities$1,207,557,219$1,069,495,687▼ $138,061,532
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,278,043,512$2,511,976,110▲ $233,932,598
Net Assets With Donor Restrictions$7,050$7,100▲ $50
Total Net Assets Fund Balance$2,278,050,562$2,511,983,210▲ $233,932,648
Total Liabilities and Net Assets / Fund Balance$3,485,607,781$3,581,478,897▲ $95,871,116

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$653,122,563$1,157,880,386$1,811,002,949
Buildings$928,627,740$775,582,059$1,704,209,799
Land$130,555,153-$130,555,153
Leasehold Improvements$35,091,196$57,956,978$93,048,174
Other Land Buildings$42,733,533$33,588,569$76,322,102
Other Assets Org$83,254,732--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2022$95,588,573$3,297,480▼ $419,011-$98,286,506
2021$92,002,112$3,586,461--$95,588,573
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
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
William Brunner MdPhysicianFT$3,264,442$180,775$3,445,217
Tomasz Stys MdPhysicianFT$2,655,388$191,044$2,846,432
Adam Stys MdPhysicianFT$2,617,365$175,634$2,792,999
Eric Belanger MdPhysicianFT$2,543,991$44,168$2,588,159
Marian Petrasko MdPhysicianFT$2,270,184$191,919$2,462,103
Maria Bell MdTrustee, PhysicianFT$1,020,094$167,542$1,187,636
Mark Lundeen MdTrustee, PhysicianFT$332,590$25,286$357,876
Joann KunkelFormer CFO-sch J, Part Iii, Lines 4a-4b--$339,000$339,000
Andy NorthTrustee, Secretary, Indep ContractorPT$316,771-$316,771
Kim PatrickFormer CLO-sch J, Part Iii, Lines 4a-4b--$315,000$315,000
Nathan WhiteFormer COO-sch J, Part Iii, Lines 4a-4b--$300,000$300,000
Mark Paulson MdTrustee, PhysicianFT$221,637$56,426$278,063
Neil GulsvigTrustee, ChairpersonPT$75,772-$75,772
Lauris MolbertTrustee, Vice ChairPT$35,500-$35,500
Marnie HermannTrusteePT$35,500-$35,500
Don JacobsTrusteePT$34,500-$34,500
James CainTrusteePT$34,500-$34,500
Robin SmithTrustee, TreasurerPT$34,000-$34,000
Wesley EngbrechtTrusteePT$34,000-$34,000
Brent TeikenTrustee, Past ChairPT$33,000-$33,000

Board Members and Trustees

NameTitle
Susan JarvisPresident & CEO, Bemidji
Todd SchafferPresident & CEO, Bismarck
Tiffany LawrencePresident & CEO, Fargo-beg 3/22
Bryan NermoePresident & CEO, Fargo-end 3/22
Paul HansonPresident & CEO, Sioux Falls
Bill Gassen IiiTrustee, President & CEO
Michelle BruhnEvp, CFO & Treasurer
Jennifer GrennanEvp, Chief Admin Officer
Matt HocksEvp, Chief Operating Officer
Joann KunkelFormer CFO-sch J, Part Iii, Lines 4a
Randy BuryFormer Chief Admin Officer
Kim PatrickFormer CLO-sch J, Part Iii, Lines 4a
Nathan WhiteFormer COO-sch J, Part Iii, Lines 4a
Allison Wierda-suttle MdFormer SVP, CMO-sch J Pt Iii, 4a-4b
Bryan NermoeSee Sch J, Part Iii, Lines 4a-4b
Randy BurySee Sch J, Part Iii, Lines 4a-4b
Michelle MickaSVP, Finance, Health Services
Michael Lebeau MdSVP, Health Svc Operations

Highest Paid Contractors

ContractorServicesLocationCompensation
Focusone Solutions LLCStaffing Services1010 N 102ND ST STE 300, Omaha, NE 68114$300,145,941
Mayo Clinic LaboratoriesLab/medical Services200 FIRST ST SOUTHWEST, Rochester, MN 55905$10,891,161
Mcgough Construction Co LLCConstruction Services2737 FAIRVIEW AVE N, St Paul, MN 55113$7,396,303
Locumtenenscom LLCStaffing Services2655 NORTHWINDS PKWY, Alpharetta, GA 30009$4,561,600
Wapiti Medical StaffingStaffing Services107 FYNN DR SUITE 600, Milbank, SD 57252$4,343,061
Revenue and Support

Revenue Composition

Contributions and Grants
$100,939,514
Program Service Revenue
$5,209,223,752
Investment Income
$9,136,742
Other Revenue
$2,637,006
All Other Contributions
$14,705,795
Change in Net Assets
$160,849,304
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$2,907,712,001
Other Expenses$2,208,856,104
Grants and Similar Amounts Paid$44,519,605
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,183,257,619$175,083,344-$2,358,340,963
Fees for Services Other$407,588,646$31,646,211-$439,234,857
Other Employee Benefits$244,644,216$30,244,153-$274,888,369
Depreciation Depletion$150,461,297$21,496,824-$171,958,121
Payroll Taxes$139,476,853$12,974,284-$152,451,137
Information Technology$46,677,250$73,518,712-$120,195,962
Occupancy$99,276,820$10,355,237-$109,632,057
Pension Plan Contributions$88,365,800$8,258,094-$96,623,894
Office Expenses$38,431,076$19,423,729-$57,854,805
Grants to Domestic Orgs$44,383,028--$44,383,028
Interest$24,822,949$93,056-$24,916,005
Current Officers, Directors, Trustees, and Key Employees$19,663,681$1,614,098-$21,277,779
Travel$18,833,612$2,140,552-$20,974,164
Advertising$7,038,078$13,925,696-$20,963,774
Insurance$19,840,249$390,136-$20,230,385
Other Expenses$10,340,928$219,129-$10,560,057
Conferences and Meetings$4,293,797$1,196,300-$5,490,097
Comp Disqual Persons-$4,129,859-$4,129,859
Fees for Services Legal$294,569$2,703,542-$2,998,111
Fees for Services Lobbying-$1,680,186-$1,680,186
Fees for Services Accounting$80,195$1,116,318-$1,196,513
Fees for Service Investment Mgmnt Fees$233,703--$233,703
Grants to Domestic Individuals$126,577--$126,577
Foreign Grants$10,000--$10,000
All Other Expenses$19,751,289$-74,604,425-$-54,853,136
Total Functional Expenses$4,811,881,608$349,206,102$0$5,161,087,710
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Augustana UniversitySioux Falls, SD501(c)(3)Program Support,education/workforce Development,scholarship Endowment$5,058,150
Fargo Park DistrictFargo, ND501(c)(6)Community Health Improvement$3,553,103
Concordia CollegeMoorhead, MN501(c)(3)Education/workforce Development,scholarship Endowment$3,306,500
Univ of Sd FoundationVermillion, SD501(c)(3)Program Support,education/workforce Development,scholarship Endowment$3,143,333
Nicklaus Childrens Hosp FdtnMiami, FL501(c)(3)Community Health Improvement$3,000,000
Samaritans FeetCharlotte, NC501(c)(3)Community Health Improvement$2,540,000
Ndsu Foundation & Alumni AssocFargo, ND501(c)(3)Program Support,education/workforce Development,scholarship Endowment$2,430,000
Summit League IncSioux Falls, SD501(c)(3)Program Support$1,600,000
Sd Community FoundationPierre, SD501(c)(3)Scholarship Endowment$1,266,000
Sd State Univ FoundationBrookings, SD501(c)(3)Program Support,education/workforce Development,scholarship Endowment$1,167,000
South Dakota State UniversityBrookings, SD115Program Support$1,121,500
Sioux Falls Lutheran SchoolSioux Falls, SD501(c)(3)Education/workforce Development$1,000,000
Northern State UniversityAberdeen, SD115Program Support,education/workforce Development$792,000
NdsuFargo, ND501(c)(3)Program Support,education/workforce Development$668,088
Dakota State UniversityMadison, SD115Education/workforce Development,program Support$617,500
American Cancer SocietyAtlanta, GA501(c)(3)Research$514,000
LinkSioux Falls, SD501(c)(3)Community Health Improvement$400,000
Sioux Falls School DistrictSioux Falls, SD501(c)(3)Program Support, Education/workforce Development$336,852
Creighton UniversityOmaha, NE501(c)(3)Scholarship Endowment$250,000
Forward Sioux FallsSioux Falls, SD501(c)(6)Economic Development$250,000
Sd Military Heritage AllianceSioux Falls, SD501(c)(3)Military and Veterans Services$250,000
Sign Fracture Care InternationalRichland, WA501(c)(3)Community Health Improvement$250,000
Univ of Ne FoundationLincoln, NE501(c)(3)Scholarship Endowment$250,000
University of ColoradAurora, CO115Research$250,000
Harrisburg School DistrictHarrisburg, SD115Program Support,education/workforce Development$229,800
Univ of MaryBismarck, ND501(c)(3)Education/workforce Development$210,000
Mn State Univ Mankato FdtnMankota, MN501(c)(3)Scholarship Endowment$200,000
Fargo Public SchoolsFargo, ND501(c)(3)Program Support$187,500
Sioux Empire United WaySioux Falls, SD501(c)(3)Community Health Improvement,economic Development$150,000
Dsu Heritage FdtnDickinson, ND501(c)(3)Education/workforce Development$144,000
Moorhead Area Public SchoolsMoorhead, MN115Education/workforce Development$140,000
Team Makers Club IncFargo, ND501(c)(3)Program Support$131,000
United Way of Cass-clayFargo, ND501(c)(3)Community Health Improvement,economic Development$126,900
Sd High School ActivitiesPierre, SD501(c)(3)Program Support$125,000
Sf Christian High SchoolSioux Falls, SD501(c)(3)Scholarship Endowment,program Support,education/workforce Development$114,460
Und Alumni Assoc & FoundationGrand Forks, ND501(c)(3)Scholarship Endowment$112,500
Bemidji State UniversityBemidji, MN115Program Support,education/workforce Development,scholarship Endowment$112,200
Independent School District518Worthington, MN115Program Support$112,000
Univ of Wi FoundationMadison, WI501(c)(3)Program Support$110,000
Yellow Jacket FoundationBelle Fourche, SD501(c)(3)Program Support$110,000
Ronald Mcdonald HouseFargo, ND501(c)(3)Community Health Improvement$105,000
Bismarck State College FoundBismarck, ND501(c)(3)Education/workforce Development,scholarship Endowment$104,842
Minnesota State University MoorheadMoorhead, MN115Program Support$102,250
Village Family Service CenterFargo, ND501(c)(3)Community Health Improvement$102,000
Mckenzie County Healthcare SysWatford City, ND501(c)(3)Community Health Improvement$100,000
Northern Sun IntercollegiateBurnsville, MN501(c)(3)Scholarship Endowment,program Support$100,000
Smsu FoundationMarshall, MN501(c)(3)Program Support$100,000
Winner Regional Healthcare CtrWinner, SD501(c)(3)Community Health Improvement$100,000
Bemidji Area SchoolsBemidji, MN115Education/workforce Development$98,000
Brandon Valley Booster ClubBrandon, SD501(c)(3)Program Support,education/workforce Development,scholarship Endowment$95,300
United Way of Bemidji AreaBemidji, MN501(c)(3)Economic Development$93,760
Beef Logic IncPierre, SD501(c)(3)Economic Development$75,000
Fresh Start Surgical GiftsCarlsbad, CA501(c)(3)Program Support$75,000
Levitt at the FallsSioux Falls, SD501(c)(3)Economic Development$75,000
Dakota Alliance Soccer ClubSioux Falls, SD501(c)(3)Program Support$74,250
University of JamestownJamestown, ND501(c)(3)Program Support$70,300
Bismarck Public Schools FdtnBismarck, ND501(c)(3)Education/workforce Development,program Support$70,000
Bemidji Community Arena CorpBemidji, MN501(c)(3)Economic Development$69,060
BISMARCK PUBLIC SCHOOL DISTRICT #1Bismarck, ND115Education/workforce Development,program Support$67,004
Sf Youth Hockey AssocSioux Falls, SD501(c)(3)Program Support$65,000
Sioux Falls YmcaSioux Falls, SD501(c)(3)Community Health Improvement$61,090
Folds of Honor South DakotaOwasso, OK501(c)(3)Program Support$60,800
Usd School of MedicineVermillion, SD115Program Support,education/workforce Development,scholarship Endowment$52,004
Wings of Valor IncParker, SD501(c)(3)Military and Veterans Services$51,942
Moorhead Youth Hockey AssocMoorhead, MN501(c)(3)Program Support$50,500
Elevate Rapid CityRapid City, SD501(c)(6)Economic Development$50,000
Sd Hall of FameChamberlain, SD501(c)(3)Economic Development$50,000
Sf Area Community FoundationSioux Falls, SD501(c)(3)Community Health Improvement,economic Development$50,000
Sd Symphony OrchestraSioux Falls, SD501(c)(3)Economic Development$43,000
LifescapeSioux Falls, SD501(c)(3)Program Support$41,898
Perham Area Community CenterPerham, MN115Community Health Improvement$40,500
Aberdeen Public Schools FoundaAberdeen, SD501(c)(3)Program Support$40,000
American Gold Gymnastics IncFargo, ND501(c)(3)Program Support$40,000
Sioux Falls Power HockeySioux Falls, SD501(c)(3)Program Support$40,000
First Tee of South DakotaSioux Falls, SD501(c)(3)Program Support$36,000
American Heart Association IncDallas, TX501(c)(3)Community Health Improvement$34,500
Mayville State UniversityMayville, ND501(c)(3)Program Support,scholarship Endowment$30,000
Sheldon Comm School DistrictSheldon, IA115Program Support$30,000
Young Mens Christian Assoc SfSioux Falls, SD501(c)(3)Program Support$30,000
Downtown Sioux Falls IncSioux Falls, SD501(c)(4)Economic Development$29,104
Northwest Mn FoundationBemidji, MN501(c)(3)Program Support$28,550
Village Northwest UnlimitedSheldon, IA501(c)(3)Community Health Improvement$27,500
National Kidney FoundationNew York, NY501(c)(3)Community Health Improvement$27,000
West Central School DistrictHartford, SD115Program Support$25,050
Aberdeen Family YmcaAberdeen, SD501(c)(3)Community Health Improvement$25,000
Bismarck Mandan Chamber FoundationBismarck, ND501(c)(3)Economic Development$25,000
Community Memorial HospitalBurke, SD501(c)(3)Community Health Improvement$25,000
FirstlinkFargo, ND501(c)(3)Community Health Improvement$25,000
Ronald Mcdonald House CharitySioux Falls, SD501(c)(3)Community Health Improvement$25,000
Sd Golf Association Junior Golf FoundationSioux Falls, SD501(c)(3)Program Support$25,000
Sd Youth Soccer AssocSioux Falls, SD501(c)(3)Program Support$25,000
Sf Swim Team IncSioux Falls, SD501(c)(3)Program Support$25,000
Sioux Council Boy ScoutsSioux Falls, SD501(c)(3)Education/workforce Development$25,000
Oak Grove Lutheran SchoolFargo, ND501(c)(3)Program Support$24,000
Call to Freedom IncSioux Falls, SD501(c)(3)Community Health Improvement$22,500
Vermillion Chamber of CommerceVermillion, SD501(c)(3)Economic Development$22,500
Thief River Falls SchoolsThief River Falls, MN115Program Support$21,500
Boys & Girls Clubs of the Red River ValleyFargo, ND501(c)(3)Community Health Improvement$20,000
Deadwood Chamber of CommerceDeadwood, SD501(c)(6)Economic Development$20,000
Great North PoleWest Fargo, ND501(c)(3)Community Health Improvement$20,000
Legends of GoldBeresford, SD501(c)(3)Program Support$20,000
Metro Area Tournament CommFargo, ND501(c)(3)Program Support$20,000
Northern Dental Access CenterBemidji, MN501(c)(3)Community Health Improvement$20,000
Professional Patient Advocates in Life SciencesDanbury, CT501(c)(3)Community Health Improvement$20,000
St John Paul Ii Catholic SchlsFargo, ND501(c)(3)Program Support$20,000
Watertown Community FoundationWatertown, SD501(c)(3)Economic Development$20,000
Canton SchoolsCanton, SD115Program Support,education/workforce Development$18,764
Mo Slope Areawide United WayBismarck, ND501(c)(3)Community Health Improvement, Economic Development$18,500
Family Advocacy Cntr of NorthBemidji, MN501(c)(3)Community Health Improvement$18,000
Sd School of Mines and TechnRapid City, SD115Program Support$18,000
Bismarck Mandan Chamber EdcBismarck, ND501(c)(6)Economic Development$17,725
Fargo Youth BaseballFargo, ND501(c)(3)Program Support$17,700
Bio Girls IncFargo, ND501(c)(3)Community Health Improvement$17,000
Mitchell Parks & RecreationMitchell, SD115Community Health Improvement$17,000
Veterans Community ProjectKansas City, MO501(c)(3)Military and Veterans Services$17,000
Bishop Dudley Hospitality HousSioux Falls, SD501(c)(3)Community Health Improvement$16,000
Butterfly House & AquariumSioux Falls, SD501(c)(3)Economic Development$16,000
Chamber of Commerce FmwfFargo, ND501(c)(6)Economic Development$15,920
Junior Achievement of SdSioux Falls, SD501(c)(3)Education/workforce Development$15,200
Arts PartnershipFargo, ND501(c)(3)Program Support$15,000
Bemidji Blue Ox MarathonBemidji, MN501(c)(3)Economic Development$15,000
Glory House of Sioux FallsSioux Falls, SD501(c)(3)Community Health Improvement$15,000
Sioux Falls Women Run TrainingSioux Falls, SD501(c)(6)Community Health Improvement$15,000
Watertown Development CompanyWatertown, SD501(c)(3)Economic Development$15,000
Bemidji Symphony OrchestraBemidji, MN501(c)(3)Program Support$14,500
Mandan Public School District1Mandan, ND115Program Support$12,500
Make a Wish Foundation of South Dakota & MontanaSioux Falls, SD501(c)(3)Community Health Improvement$12,400
Dakota Medical FoundationFargo, ND501(c)(3)Community Health Improvement$12,050
Fargo Youth Hockey AssocFargo, ND501(c)(3)Program Support$12,000
Huether Family Match PointeSioux Falls, SD501(c)(3)Program Support$12,000
Boys & Girls Club Bemidji AreaBemidji, MN501(c)(3)Community Health Improvement$11,540
Natl Multiple Sclerosis SocNew York, NY501(c)(3)Community Health Improvement$11,500
Bismarck Cancer Center FdtnBismarck, ND501(c)(3)Community Health Improvement$11,464
United Way of Northeastern SdAberdeen, SD501(c)(3)Community Health Improvement,economic Development$10,450
INDEPENDENT SCHOOL DIST #2184Luverne, MN115Education/workforce Development$10,250
Special Olympics South DakotaSioux Falls, SD501(c)(3)Community Health Improvement$10,100
Aberdeen Development CorpAberdeen, SD501(c)(6)Economic Development,community Health Improvement$10,000
Alzheimers AssocChicago, IL501(c)(3)Community Health Improvement$10,000
Amer Cancer Action Soc NetworkWashington, DC501(c)(4)Community Health Improvement$10,000
Boy Scouts Voyageurs CouncilHermantown, MN501(c)(3)Education/workforce Development$10,000
Brandon Valley School District 49-2Brandon, SD115Program Support$10,000
Chad Greenways Lead Way FdtnFlorence, KY501(c)(3)Community Health Improvement$10,000
City of YanktonYankton, SD115Economic Development$10,000
Fitness on MainBurke, SD501(c)(3)Community Health Improvement$10,000
Gateway to ScienceBismarck, ND501(c)(3)Education/workforce Development$10,000
Ground WorksSioux Falls, SD501(c)(3)Community Health Improvement$10,000
Hartford Area Development FdtnHartford, SD501(c)(3)Economic Development$10,000
Helpline Center IncSioux Falls, SD501(c)(3)Community Health Improvement$10,000
Hope Haven IncRock Valley, IA501(c)(3)Community Health Improvement$10,000
Minnetonka Touchdown ClubMinnetonka, MN501(c)(3)Program Support$10,000
Mn West FoundationGranite Falls, MN501(c)(3)Scholarship Endowment$10,000
Nameless Coalition for the HomelessBemidji, MN501(c)(3)Economic Support$10,000
Nd AssistiveFargo, ND501(c)(3)Community Health Improvement$10,000
Rapid City Club for Boys IncRapid City, SD501(c)(3)Community Health Improvement$10,000
Sd Law Enforcement CharitiesSioux Falls, SD501(c)(3)Scholarship Endowment$10,000
Sioux Falls Area Casa ProgramSioux Falls, SD501(c)(3)Community Health Improvement$10,000
Volunteers of America DakotasSioux Falls, SD501(c)(3)Community Health Improvement$10,000
Warner School Dist 6-5 FndnWarner, SD501(c)(3)Economic Development$10,000
Western Region Economic DevWilliston, ND501(c)(6)Economic Development$10,000
Harrisburg High SchoolHarrisburg, SD501(c)(3)Program Services$8,050
Aberdeen Area Chamber of CommAberdeen, SD501(c)(6)Economic Development$7,750
Family FestSioux Falls, SD501(c)(3)Community Health Improvement$7,500
Lakota Nation InvitationalRapid City, SD501(c)(3)Economic Development$7,500
Mccrossan Boys RanchSioux Falls, SD501(c)(3)Program Support$7,500
Mo River Baseball ClubBismarck, ND501(c)(3)Program Support$7,500
Nd State College of ScienceWahpeton, ND501(c)(3)Community Health Improvement$7,500
Outdoor Adventure FoundationFargo, ND501(c)(3)Community Health Improvement$7,500
Premiere PlayhouseSioux Falls, SD501(c)(3)Education/workforce Development$7,500
Sioux Falls Sports AuthoritySioux Falls, SD501(c)(3)Economic Development$7,500
Team FoundationBagley, MN501(c)(3)Program Support$7,500
Northern Lights CouncilFargo, ND501(c)(3)Community Health Improvement$7,250
City of WebsterWebster, SD115Community Health Improvement$7,143
Charis Ministry PartnersSioux Falls, SD501(c)(3)Community Health Improvement$7,000
Reinbows Inc of Windom MnWindom, MN501(c)(3)Community Health Improvement$7,000
Bemidji Youth SoccerBemidji, MN501(c)(3)Program Support$6,500
Boys & Girls Club AberdeenAberdeen, SD501(c)(3)Community Health Improvement$6,500
First City of Lights FoundationBemidji, MN501(c)(3)Economic Development$6,500
Nami SdSioux Falls, SD501(c)(3)Community Health Improvement$6,500
Upper Midwest Elite LeagueBloomington, MN501(c)(3)Program Support$6,250
Sd Basketball Coaches AssociationBrookings, SD501(c)(3)Program Support$6,232
Greater Sf Chamber of CommerceSioux Falls, SD501(c)(6)Economic Development$6,200
Becker County Historical SocDetroit Lakes, MN501(c)(3)Economic Development$6,000
Luverne Area Community FoundLuverne, MN501(c)(3)Community Health Improvement$6,000
Northwest Indian Cmty Dev CtrBemidji, MN501(c)(3)Community Health Improvement$6,000
Downtown Community PartnershipFargo, ND501(c)(6)Economic Development$5,500
Valley City State UniversityValley City, ND115Education/workforce Development$5,500
Christian Youth Activity LeagueHarrisburg, SD501(c)(3)Program Support$5,427
Cribs for Kids IncPittsburgh, PA501(c)(3)Program Support$5,036
Department of Veteran AffairsSioux Falls, SD115Community Health Improvement$0
Nd Safety CouncilBismarck, ND501(c)(3)Community Health Improvement$0

International Summary

Offices
0
Employees
0
Spending
$30,812,000

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$11,945,000
Central America and the CaribbeanInvestmentCosta Rica Investment, Beginning in 201900$8,000,000
Sub-saharan AfricaProgram ServicesAdministrative Expenses (ghana), Investigation of Potential Research Partner (south Africa)00$2,681,000
Sub-saharan AfricaInvestmentsGhana Investments, Beginning in 201200$2,337,000
Central America and the CaribbeanProgram ServicesAdministrative Expenses (costa Rica)00$2,317,000
East Asia and the PacificInvestmentsNew Zealand Investments, Beginning in 201900$1,600,000
Middle East and North AfricaInvestmentsIsrael Investments, Beginning in 201800$1,300,000
East Asia and the PacificInvestmentsChina Investments, Beginning in 201400$523,000
East Asia and the PacificProgram ServicesAdministrative Expenses (new Zealand)00$106,000
Europe (including Iceland & Greenland)Program ServicesAdministrative Expenses (germany)00$3,000
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
Melinda AndersonFamily Relationship - Mark PaulsonEmploymentNo$169,960
Kathryn NermoeFamily Relationship - Bryan NermoeEmploymentNo$150,884
Kacey DoyleFamily Relationship - Marnie HermannEmploymentNo$65,433
Kristi BenzFamily Relationship - Lauris MolbertEmploymentNo$60,298
Nichole HesterFamily Relationship - Andy NorthIndependent Contractor ArrangementNo$58,844
Mallory NermoeFamily Relationship - Bryan NermoeEmploymentNo$54,485
Megan HemmelgarnFamily Relationship - Mark PaulsonEmploymentNo$17,259
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation Liability$160,597,727
Long Term Operating Lease Payable$66,784,238
Other Non-current Liabilities$20,196,146

Bond Issues

BondIssuerIssuedIssue PricePurpose
BSouth Dakota Health and Educational Facilities Authority2014-10-28$207,014,2092014b: new construction and remodeling of healthcare facilities
CSouth Dakota Health and Educational Facilities Authority2015-10-21$192,641,2062015:new construction & advanced refunding of bonds issued 4/19/07, 5/22/07
ASouth Dakota Health and Educational Facilities Authority2004-09-14$70,073,9892004: new construction of healthcare facilities
CSouth Dakota Health and Educational Facilities Authority2012-03-29$66,185,0002012ab: refunding bonds issued 9/12/2001 and 10/15/2002
ASouth Dakota Health and Educational Facilities Authority2014-08-05$52,083,7202014a: current refund 2004a issued 9/14/2004
DSouth Dakota Health and Educational Facilities Authority2016-10-28$50,000,0002016: new construction, equipment and improvements
DSouth Dakota Health and Educational Facilities Authority2012-06-14$45,000,0002012d:refinance taxable indebtedness used to construct healthcare facility
BCity of Chamberlain2010-12-30$4,000,0002010 chamb: new construction of long-term care facilities

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
B$207,081,359-$25,260,000-
C$192,707,024-$30,000,000-
A$71,581,953$66,160,644$57,490,000$764,068
C$66,185,000$80,746,163$35,040,000$1,906,127
A$52,083,720-$24,890,000$150,032
D$50,000,000---
D$45,000,000-$19,220,000$1,431,628
B$4,000,000$52,083,720$2,959,679$24,356

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: bill gassen, bryan nermoe, jennifer grennan, maria bell, mark lundeen, mark paulson, michael lebeau, michelle bruhn, michelle micka, paul hanson, matt hocks, susan jarvis, todd schaffer, & tiffany lawrence.

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, sanford virtual care, and sanford world clinics - klamath fallls. 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 their 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 department prepares return highlights and key disclosures for finance senior leadership. Before the return is filed, a complete copy of the return 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 2022. Part vi, line 16a: 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 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.

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
Evp, CFO & Treasurer
Phone
6053331000
Signed
2023-11-09
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Bill Gassen
Voting Board Members
13
Independent Board Members
6
Employees
3,121
Volunteers
1,254

Preparer

Firm
Ernst & Young US Llp
Address
155 N WACKER DRIVE, CHICAGO, IL 60606
Preparer
Jess Wagener
Phone
3128792000
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, sanford health network north, 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:

Net payroll paid by parent net of other expenses paid for affiliates 62,167,718. Pension plan acturial gain/loss 18,822,320. Capital contributions to subsidiaries -901,671.

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 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 world clinics - klamath falls 3001 daggett ave klamath falls, or 97601 92-0396212 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 virtual care 1305 w 18th street, po box 5039 sioux falls, sd 57117-5039 ein: 88-0976483

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 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.

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, 2022; some related organizations have established reserves.

Raw XML AppendixShowing 400 of 6,945 raw XML fields

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

Path#Value
IRS990/AccountantCompileOrReviewInd00
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt0390495684
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt0321632155
IRS990/AccountsReceivableGrp/BOYAmt0653343333
IRS990/AccountsReceivableGrp/EOYAmt0747066864
IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0"DEDICATED TO SHARING GOD'S LOVE THROUGH THE WORK OF HEALTH, HEALING AND COMFORT."
IRS990/AdvertisingGrp/ManagementAndGeneralAmt013925696
IRS990/AdvertisingGrp/ProgramServicesAmt07038078
IRS990/AdvertisingGrp/TotalAmt020963774
IRS990/AllAffiliatesIncludedInd01
IRS990/AllOtherContributionsAmt014705795
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt0-74604425
IRS990/AllOtherExpensesGrp/ProgramServicesAmt019751289
IRS990/AllOtherExpensesGrp/TotalAmt0-54853136
IRS990/AnnualDisclosureCoveredPrsnInd01
IRS990/AuditCommitteeInd01
IRS990/AuditedFinancialStmtAttInd01
IRS990/BackupWthldComplianceInd01
IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt0BILL MARLETTE EVP CFO & TREASURER
IRS990/BooksInCareOfDetail/PhoneNum06053331000
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02301 EAST 60TH STREET
IRS990/BooksInCareOfDetail/USAddress/CityNm0SIOUX FALLS
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0SD
IRS990/BooksInCareOfDetail/USAddress/ZIPCd057104
IRS990/BusinessRlnWith35CtrlEntInd01
IRS990/BusinessRlnWithFamMemInd01
IRS990/BusinessRlnWithOrgMemInd01
IRS990/CashNonInterestBearingGrp/BOYAmt087235347
IRS990/CashNonInterestBearingGrp/EOYAmt05350099
IRS990/ChangeToOrgDocumentsInd00
IRS990/CntrctRcvdGreaterThan100KCnt0300
IRS990/CollectionsOfArtInd00
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt01614098
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt019663681
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt021277779
IRS990/CompDisqualPersonsGrp/ManagementAndGeneralAmt04129859
IRS990/CompDisqualPersonsGrp/TotalAmt04129859
IRS990/CompensationFromOtherSrcsInd00
IRS990/CompensationProcessCEOInd01
IRS990/CompensationProcessOtherInd01
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt01196300
IRS990/ConferencesMeetingsGrp/ProgramServicesAmt04293797
IRS990/ConferencesMeetingsGrp/TotalAmt05490097
IRS990/ConflictOfInterestPolicyInd01
IRS990/ConservationEasementsInd00
IRS990/ConsolidatedAuditFinclStmtInd01
IRS990/ContractorCompensationGrp/CompensationAmt0300145941
IRS990/ContractorCompensationGrp/CompensationAmt110891161
IRS990/ContractorCompensationGrp/CompensationAmt27396303
IRS990/ContractorCompensationGrp/CompensationAmt34561600
IRS990/ContractorCompensationGrp/CompensationAmt44343061
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt01010 N 102ND ST STE 300
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt1200 FIRST ST SOUTHWEST
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt22737 FAIRVIEW AVE N
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt32655 NORTHWINDS PKWY
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt4107 FYNN DR SUITE 600
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0OMAHA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm1ROCHESTER
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm2ST PAUL
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm3ALPHARETTA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm4MILBANK
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd0NE
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd1MN
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd2MN
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd3GA
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd4SD
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd068114
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd155905
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd255113
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd330009
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd457252
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt0FOCUSONE SOLUTIONS LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt1MAYO CLINIC LABORATORIES
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt2MCGOUGH CONSTRUCTION CO LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt3LOCUMTENENSCOM LLC
IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt4WAPITI MEDICAL STAFFING
IRS990/ContractorCompensationGrp/ServicesDesc0STAFFING SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc1LAB/MEDICAL SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc2CONSTRUCTION SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc3STAFFING SERVICES
IRS990/ContractorCompensationGrp/ServicesDesc4STAFFING SERVICES
IRS990/CreditCounselingInd00
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0100939514
IRS990/CYGrantsAndSimilarPaidAmt044519605
IRS990/CYInvestmentIncomeAmt09136742
IRS990/CYOtherExpensesAmt02208856104
IRS990/CYOtherRevenueAmt02637006
IRS990/CYProgramServiceRevenueAmt05209223752
IRS990/CYRevenuesLessExpensesAmt0160849304
IRS990/CYSalariesCompEmpBnftPaidAmt02907712001
IRS990/CYTotalExpensesAmt05161087710
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt05321937014
IRS990/DecisionsSubjectToApprovaInd01
IRS990/DeductibleArtContributionInd00
IRS990/DeductibleNonCashContriInd00
IRS990/DeferredRevenueGrp/BOYAmt03159894
IRS990/DeferredRevenueGrp/EOYAmt04018002
IRS990/DelegationOfMgmtDutiesInd00
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt021496824
IRS990/DepreciationDepletionGrp/ProgramServicesAmt0150461297
IRS990/DepreciationDepletionGrp/TotalAmt0171958121
IRS990/Desc0SANFORD IS THE NATION'S LARGEST NOT-FOR-PROFIT INTEGRATED RURAL HEALTH SYSTEM PROVIDING MEDICAL SERVICES AT EVERY LEVEL FROM CRITICAL ACCESS HOSPITALS TO TERTIARY AND QUATERNARY CARE. THE SANFORD FOOTPRINT INCLUDES OVER 220,000 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. SANFORD FINANCIALLY SUPPORTS HEALTH AND WELLNESS, EDUCATION AND COMMUNITY DEVELOPMENT ACTIVITIES TO IMPROVE THE QUALITY OF LIFE AND STRENGTHEN COMMUNITIES THROUGHOUT THE REGION. EACH OF SANFORD'S FACILITIES PROMOTES HEALTH AND HEALING THAT RESPONDS TO THE UNIQUE NEEDS OF THE PATIENTS IN THE COMMUNITIES THAT SANFORD SERVES, ENSURING ACCESS TO COMPREHENSIVE AND SPECIALIZED SERVICES. THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT INDICATED THE IMPORTANT NEED FOR BEHAVIORAL HEALTH SERVICES FOR OUR COMMUNITY MEMBERS. SANFORD IS MEETING THIS NEED THROUGH AN INTEGRATED DELIVERY SYSTEM PROVIDING BEHAVIORAL HEALTH WITHIN THE MEDICAL HOME STRUCTURE.PLEASE SEE SCHEDULE H FOR A DESCRIPTION OF ADDITIONAL SERVICES, COMMUNITY BENEFIT ACTIVITIES, AND THE FULL SPECTRUM OF CHARITY CARE THAT SANFORD PROVIDES WITHIN THE COMMUNITY.
IRS990/DescribedInSection501c3Ind01
IRS990/DisregardedEntityInd01
IRS990/DocumentRetentionPolicyInd01
IRS990/DonorAdvisedFundInd00
IRS990/DonorRestrictionNetAssetsGrp/BOYAmt07050
IRS990/DonorRestrictionNetAssetsGrp/EOYAmt07100
IRS990/DonorRstrOrQuasiEndowmentsInd01
IRS990/ElectionOfBoardMembersInd01
IRS990/EmployeeCnt03121
IRS990/EmploymentTaxReturnsFiledInd01
IRS990/EngagedInExcessBenefitTransInd00
IRS990/EscrowAccountInd00
IRS990/EscrowAccountLiabilityGrp/BOYAmt0218589
IRS990/EscrowAccountLiabilityGrp/EOYAmt0174332
IRS990/ExpenseAmt04734788301
IRS990/FamilyOrBusinessRlnInd01
IRS990/FederalGrantAuditPerformedInd01
IRS990/FederalGrantAuditRequiredInd01
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt01116318
IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt080195
IRS990/FeesForServicesAccountingGrp/TotalAmt01196513
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt02703542
IRS990/FeesForServicesLegalGrp/ProgramServicesAmt0294569
IRS990/FeesForServicesLegalGrp/TotalAmt02998111
IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt01680186
IRS990/FeesForServicesLobbyingGrp/TotalAmt01680186
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt031646211
IRS990/FeesForServicesOtherGrp/ProgramServicesAmt0407588646
IRS990/FeesForServicesOtherGrp/TotalAmt0439234857
IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt0233703
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt0233703
IRS990/ForeignActivitiesInd01
IRS990/ForeignCountryCd0CH
IRS990/ForeignCountryCd1GH
IRS990/ForeignCountryCd2GM
IRS990/ForeignFinancialAccountInd01
IRS990/ForeignGrantsGrp/ProgramServicesAmt010000
IRS990/ForeignGrantsGrp/TotalAmt010000
IRS990/ForeignOfficeInd00
IRS990/Form8282PropertyDisposedOfInd00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt00.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt15.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt25.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt310.36
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt40.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt60.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt70.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt80.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt90.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt106.15
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt1110.36
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt125.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt130.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt140.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt152.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt160.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt175.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt180.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt195.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt202.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt210.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt222.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt230.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt240.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt252.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt260.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt272.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt282.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt292.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt302.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt312.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt322.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt332.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt342.01
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt060.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt155.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt255.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt349.64
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt460.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt50.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt60.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt760.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt860.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt960.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1053.85
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1149.64
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1255.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1360.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1460.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1557.99
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1660.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1755.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1860.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt1955.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt2057.99
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt210.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt229.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt230.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt240.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt2557.99
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt260.00
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt275.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt285.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt295.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt305.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt315.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt325.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt335.10
IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt345.10
IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd0X
IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd1X
IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd2X
IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd3X
IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd4X
IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd5X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd2X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd3X
IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd12X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd0X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd1X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd2X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd3X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd4X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd5X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd6X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd7X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd8X
IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd9X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OfficerInd4X
IRS990/Form990PartVIISectionAGrp/OfficerInd5X
IRS990/Form990PartVIISectionAGrp/OfficerInd6X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt039142
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt137952
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt3379583
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt439520
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt742510
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt842926
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt934932
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10248300
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt11186998
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt12183409
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt13182111
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt14154600
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1543942
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt16110906
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt17132767
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt18122025
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1980707
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2013962
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt210
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt220
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt230
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt240
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt2538669
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt260
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt270
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt280
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt290
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt300
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt310
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt320
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt330
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt340
IRS990/Form990PartVIISectionAGrp/PersonNm0WILLIAM BRUNNER MD
IRS990/Form990PartVIISectionAGrp/PersonNm1BRYAN NERMOE
IRS990/Form990PartVIISectionAGrp/PersonNm2BRYAN NERMOE
IRS990/Form990PartVIISectionAGrp/PersonNm3BILL GASSEN III
IRS990/Form990PartVIISectionAGrp/PersonNm4TOMASZ STYS MD
IRS990/Form990PartVIISectionAGrp/PersonNm5RANDY BURY
IRS990/Form990PartVIISectionAGrp/PersonNm6RANDY BURY
IRS990/Form990PartVIISectionAGrp/PersonNm7ADAM STYS MD
IRS990/Form990PartVIISectionAGrp/PersonNm8ERIC BELANGER MD
IRS990/Form990PartVIISectionAGrp/PersonNm9MARIAN PETRASKO MD
IRS990/Form990PartVIISectionAGrp/PersonNm10MATT HOCKS
IRS990/Form990PartVIISectionAGrp/PersonNm11MICHELLE BRUHN
IRS990/Form990PartVIISectionAGrp/PersonNm12JENNIFER GRENNAN
IRS990/Form990PartVIISectionAGrp/PersonNm13MICHAEL LEBEAU MD
IRS990/Form990PartVIISectionAGrp/PersonNm14PAUL HANSON
IRS990/Form990PartVIISectionAGrp/PersonNm15MARIA BELL MD
IRS990/Form990PartVIISectionAGrp/PersonNm16TODD SCHAFFER
IRS990/Form990PartVIISectionAGrp/PersonNm17TIFFANY LAWRENCE
IRS990/Form990PartVIISectionAGrp/PersonNm18SUSAN JARVIS
IRS990/Form990PartVIISectionAGrp/PersonNm19MICHELLE MICKA
IRS990/Form990PartVIISectionAGrp/PersonNm20MARK LUNDEEN MD
IRS990/Form990PartVIISectionAGrp/PersonNm21JOANN KUNKEL
IRS990/Form990PartVIISectionAGrp/PersonNm22ANDY NORTH
IRS990/Form990PartVIISectionAGrp/PersonNm23KIM PATRICK
IRS990/Form990PartVIISectionAGrp/PersonNm24NATHAN WHITE
IRS990/Form990PartVIISectionAGrp/PersonNm25MARK PAULSON MD
IRS990/Form990PartVIISectionAGrp/PersonNm26ALLISON WIERDA-SUTTLE MD
IRS990/Form990PartVIISectionAGrp/PersonNm27NEIL GULSVIG
IRS990/Form990PartVIISectionAGrp/PersonNm28LAURIS MOLBERT
IRS990/Form990PartVIISectionAGrp/PersonNm29MARNIE HERMANN
IRS990/Form990PartVIISectionAGrp/PersonNm30DON JACOBS
IRS990/Form990PartVIISectionAGrp/PersonNm31JAMES CAIN
IRS990/Form990PartVIISectionAGrp/PersonNm32ROBIN SMITH
IRS990/Form990PartVIISectionAGrp/PersonNm33WESLEY ENGBRECHT
IRS990/Form990PartVIISectionAGrp/PersonNm34BRENT TEIKEN
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt03406075
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt42806912
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt72750489
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt82545233
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt92427171
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt151143694
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20343914
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt210
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt22316771
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt230
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt240
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt25239394
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt260
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2775772
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2835500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt2935500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3034500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3134500
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3234000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3334000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt3433000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1457274
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt22719941
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt32683582
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt556688
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt62769572
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt102164525
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt111530538
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt121476061
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt131420525
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt141254502
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt16948736
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt17924767
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt18805036
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt19615816
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt21339000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt220
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt23315000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt24300000
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt250
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt26264600
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt270
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt280
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt290
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt300
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt310
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt320
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt330
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt340
IRS990/Form990PartVIISectionAGrp/TitleTxt0PHYSICIAN
IRS990/Form990PartVIISectionAGrp/TitleTxt1PRESIDENT & CEO, FARGO-END 3/22
IRS990/Form990PartVIISectionAGrp/TitleTxt2SEE SCH J, PART III, LINES 4A-4B

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

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
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$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