Liabilities / Assets
47th percentile
Higher debt load relative to assets than 47% of similar nonprofits.
990 • Fiscal year 2023 • EIN 45-3791176
Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.
Liabilities / Assets
47th percentile
Higher debt load relative to assets than 47% of similar nonprofits.
Liabilities / Revenue
17th percentile
Higher debt load relative to revenue than 17% of similar nonprofits.
Net Margin
59th percentile
Higher net margin than 59% of similar nonprofits.
Top Officer Pay
76th percentile
Higher top officer pay than 76% of similar nonprofits.
Top officer pay equals 0.1% of source-year revenue.
Asset Growth
51st percentile
Faster asset growth than 51% of similar nonprofits.
Revenue Growth
63rd percentile
Faster revenue growth than 63% of similar nonprofits.
Assets
Up$3,759,919,108
Up $178,440,211 (+5.0%) from 2022
Net Assets
Up$2,630,583,505
Up $118,600,295 (+4.7%) from 2022
Liabilities
Up$1,129,335,603
Up $59,839,916 (+5.6%) from 2022
Revenue
Up$5,738,655,914
Up $416,718,900 (+7.8%) from 2022
Expenses
Up$5,373,525,192
Up $212,437,482 (+4.1%) from 2022
Net Income
Up$365,130,722
Up $204,281,418 (+127%) from 2022
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."
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Land, Buildings, and Equipment, Net | $1,790,130,185 | $1,864,744,233 | ▲ $74,614,048 |
| Accounts Receivable | $747,344,512 | $836,469,834 | ▲ $89,125,322 |
| Savings and Temporary Cash Investments | $230,746,569 | $183,735,153 | ▼ $47,011,416 |
| Inventories for Sale or Use | $124,928,258 | $131,499,348 | ▲ $6,571,090 |
| Prepaid Expenses and Deferred Charges | $78,225,069 | $93,247,192 | ▲ $15,022,123 |
| Other Notes and Loans Receivable, Net | $69,083,286 | $74,098,691 | ▲ $5,015,405 |
| Cash and Non-Interest-Bearing Accounts | $6,676,428 | $59,316,362 | ▲ $52,639,934 |
| Investments Other Securities | $33,508,819 | $57,598,283 | ▲ $24,089,464 |
| Intangible Assets | $47,957,708 | $44,839,780 | ▼ $3,117,928 |
| Investments Program Related | $33,414,398 | $33,679,559 | ▲ $265,161 |
| Pledges and Grants Receivable | $220,673 | $0 | ▼ $220,673 |
| Investments in Publicly Traded Securities | $433,579 | $192,795 | ▼ $240,784 |
| Receivable From Disqualified Prsn | - | $21,449 | - |
| Total Assets | $3,588,870,437 | $3,759,919,108 | ▲ $171,048,671 |
| Other Assets Total | $426,200,953 | $380,476,429 | ▼ $45,724,524 |
| Liabilities | |||
| Tax Exempt Bond Liabilities | $479,072,573 | $451,201,775 | ▼ $27,870,798 |
| Accounts Payable and Accrued Expenses | $321,874,655 | $322,769,972 | ▲ $895,317 |
| Other Liabilities | $247,820,090 | $320,954,903 | ▲ $73,134,813 |
| Deferred Revenue | $4,018,002 | $20,072,536 | ▲ $16,054,534 |
| Mortgage Notes Payable Secured by Investment Property | $11,901,748 | $7,847,503 | ▼ $4,054,245 |
| Grants Payable | $5,118,766 | $6,139,321 | ▲ $1,020,555 |
| Escrow Account Liability | $174,332 | $349,593 | ▲ $175,261 |
| Total Liabilities | $1,069,980,166 | $1,129,335,603 | ▲ $59,355,437 |
| Net Assets / Fund Balance | |||
| Net Assets Without Donor Restrictions | $2,518,883,171 | $2,630,576,405 | ▲ $111,693,234 |
| Net Assets With Donor Restrictions | $7,100 | $7,100 | → $0 |
| Total Net Assets Fund Balance | $2,518,890,271 | $2,630,583,505 | ▲ $111,693,234 |
| Total Liabilities and Net Assets / Fund Balance | $3,588,870,437 | $3,759,919,108 | ▲ $171,048,671 |
| Asset | Book Value | Depreciation | Basis |
|---|---|---|---|
| Equipment | $760,646,759 | $1,189,420,155 | $1,950,066,914 |
| Buildings | $896,388,844 | $776,506,681 | $1,672,895,525 |
| Land | $129,551,293 | - | $129,551,293 |
| Leasehold Improvements | $36,625,973 | $62,610,829 | $99,236,802 |
| Other Land Buildings | $41,531,364 | $37,166,377 | $78,697,741 |
| Other Assets Org | $7,833,285 | - | - |
| Period | Beginning | Contrib. | Gain/Loss | Other Uses | End |
|---|---|---|---|---|---|
| 2023 | $98,286,566 | $538,214 | ▲ $164,705 | - | $98,989,485 |
| 2022 | $95,588,573 | $3,117,005 | ▼ $419,012 | - | $98,286,566 |
| 2021 | $92,002,112 | $3,277,428 | ▲ $309,033 | - | $95,588,573 |
| 2020 | $89,216,166 | $3,261,419 | ▲ $99,138 | - | $92,002,112 |
| 2019 | $84,843,272 | $4,005,822 | ▲ $367,072 | - | $89,216,166 |
| Name | Title | Full / Part Time | Base | Other | Total |
|---|---|---|---|---|---|
| William Brunner Md | Physician | FT | $3,471,007 | $49,423 | $3,520,430 |
| Tomasz Stys Md | Physician | FT | $2,796,443 | $198,187 | $2,994,630 |
| Eric Belanger Md | Physician | FT | $2,918,143 | $43,460 | $2,961,603 |
| Thomas Matzke Md | Physician | FT | $2,846,175 | $51,000 | $2,897,175 |
| Adam Stys Md | Physician | FT | $2,541,208 | $312,910 | $2,854,118 |
| Mark Lundeen Md | Trustee, Physician | FT | $310,852 | $297,581 | $608,433 |
| Andy North | Trustee, Secretary, Indep Contractor | PT | $324,345 | - | $324,345 |
| Neil Gulsvig | Trustee, Chairperson | PT | $66,718 | - | $66,718 |
| Brent Teiken | Trustee, Past Chair | PT | $38,404 | - | $38,404 |
| Don Jacobs | Trustee (end 12/23) | PT | $37,332 | - | $37,332 |
| Lauris Molbert | Trustee, Vice Chair | PT | $37,099 | - | $37,099 |
| James Cain | Trustee | PT | $35,599 | - | $35,599 |
| Wesley Engbrecht | Trustee | PT | $34,599 | - | $34,599 |
| Marnie Hermann | Trustee, Treasurer (beg 4/23) | PT | $32,099 | - | $32,099 |
| Robin Smith | Trustee, Treasurer (end 4/23) | PT | $11,000 | - | $11,000 |
| Name | Title |
|---|---|
| Susan Jarvis | Former President & CEO, Bemidji |
| Karla Eischens | President & CEO, Bemidji |
| Todd Schaffer | President & CEO, Bismarck |
| Tiffany Lawrence | President & CEO, Fargo |
| Paul Hanson | President & CEO, Sioux Falls |
| Bill Gassen | Trustee, President & CEO |
| Michelle Bruhn | Evp, CFO & Treasurer (end 6/23) |
| Jennifer Grennan | Evp, Chief Admin Officer |
| Matt Hocks | Evp, Chief Operating Officer |
| Randy Bury | Former CAO |
| Kim Patrick | Former CLO |
| Micah Aberson | Former Evp, CIO |
| Bill Marlette | Interim, Evp, CFO (beg 6/23) |
| Michael Lebeau Md | SVP, Health Svc Operations |
| Contractor | Services | Location | Compensation |
|---|---|---|---|
| Focusone Solutions LLC | Staffing Services | 1010 N 102ND ST STE 300, Omaha, NE 68114 | $116,434,096 |
| Henry Carlson Construction LLC | Construction Services | 1205 RUSSELL ST, Sioux Falls, SD 57104 | $55,913,294 |
| Locumtenenscom LLC | Staffing Services | PO BOX 405547, Atlanta, GA 30384 | $6,479,253 |
| Mcgough Construction Co LLC | Construction Services | 2737 FAIRVIEW AVE N, St Paul, MN 55113 | $4,554,839 |
| Paul Weiss Rifkind Wharton & Garrison Ll | Consulting Services | 1285 AVENUE OF THE AMERICAS, New York, NY 10019 | $4,466,457 |
| Line Item | Amount |
|---|---|
| Salaries, Compensation, and Employee Benefits | $3,036,308,464 |
| Other Expenses | $2,290,939,774 |
| Grants and Similar Amounts Paid | $46,276,954 |
| Professional Fundraising Fees | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Other Salaries and Wages | $2,264,031,202 | $180,218,847 | - | $2,444,250,049 |
| Fees for Services Other | $344,848,425 | $32,659,903 | - | $377,508,328 |
| Other Employee Benefits | $268,042,660 | $29,904,040 | - | $297,946,700 |
| Payroll Taxes | $146,788,816 | $12,730,080 | - | $159,518,896 |
| Depreciation Depletion | $116,234,236 | $18,672,113 | - | $134,906,349 |
| Information Technology | $43,223,216 | $89,282,999 | - | $132,506,215 |
| Occupancy | $108,852,648 | $8,907,654 | - | $117,760,302 |
| Pension Plan Contributions | $104,843,169 | $7,744,587 | - | $112,587,756 |
| Office Expenses | $39,813,739 | $20,652,949 | - | $60,466,688 |
| Grants to Domestic Orgs | $46,155,099 | - | - | $46,155,099 |
| Insurance | $27,198,915 | $227,388 | - | $27,426,303 |
| Interest | $23,672,174 | $80,620 | - | $23,752,794 |
| Advertising | $3,617,273 | $16,912,523 | - | $20,529,796 |
| Travel | $18,525,942 | $1,602,343 | - | $20,128,285 |
| Current Officers, Directors, Trustees, and Key Employees | $17,816,411 | $1,439,833 | - | $19,256,244 |
| Other Expenses | $14,303,299 | $259,467 | - | $14,562,766 |
| Conferences and Meetings | $4,566,611 | $1,169,607 | - | $5,736,218 |
| Fees for Services Legal | $272,365 | $5,403,746 | - | $5,676,111 |
| Comp Disqual Persons | - | $2,748,819 | - | $2,748,819 |
| Fees for Services Accounting | $76,369 | $1,315,467 | - | $1,391,836 |
| Fees for Services Lobbying | - | $592,687 | - | $592,687 |
| Fees for Service Investment Mgmnt Fees | $581,547 | - | - | $581,547 |
| Grants to Domestic Individuals | $121,855 | - | - | $121,855 |
| All Other Expenses | $123,166,640 | $-187,214,750 | - | $-64,048,110 |
| Total Functional Expenses | $5,118,261,022 | $255,264,170 | $0 | $5,373,525,192 |
| Recipient | Location | Category | Purpose | Amount |
|---|---|---|---|---|
| Augustana University | Sioux Falls, SD | 501(c)(3) | Coalition Building, Economic Development, Health Professions Education, Workforce Developmen | $8,347,500 |
| Dept of Veterans Affairs | Washington, DC | 115 | Community Health Improvement Services | $5,998,054 |
| University of Sd Foundation | Vermillion, SD | 115 | Economic Development, Health Professions Education, Research, Workforce Development | $3,446,227 |
| Concordia College | Moorhead, MN | 501(c)(3) | Health Professions Education, Workforce Development | $3,301,000 |
| Ndsu Foundation & Alumni Assoc | Fargo, ND | 501(c)(3) | Economic Development, Health Professions Education, Workforce Development | $2,846,667 |
| Sd State University Foundation | Brookings, SD | 501(c)(3) | Economic Development, Health Professions Education, Physical Improvement & Housing | $2,084,000 |
| Southeast Technical Institute | Sioux Falls, SD | 501(c)(3) | Health Professions Education | $2,012,500 |
| Fargo Park District | Fargo, ND | 501(c)(6) | Community Support, Physical Improvements & Housing | $1,678,464 |
| Sd Community Foundation | Pierre, SD | 501(c)(3) | Workforce Development | $1,250,000 |
| Northern State University Foundation | Aberdeen, SD | 501(c)3 | Athletic Program Support, Economic Development, Workforce Development | $687,000 |
| Dakota State University | Madison, SD | 115 | Community Health Improvement Services, Economic Development, Workforce Development | $559,816 |
| American Cancer Society | Atlanta, GA | 501(c)(3) | Research | $505,000 |
| University of South Florida | Tampa, FL | 501(c)(3) | Research | $500,000 |
| Link | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $400,000 |
| Univ of Mary | Bismarck, ND | 501(c)(3) | Community Health Improvement Services, Health Professions Education | $268,866 |
| City of Bemidji | Bemidji, MN | 115 | Economic Development, Community Health Improvement Services | $251,500 |
| Forward Sioux Falls | Sioux Falls, SD | 501(c)(6) | Economic Development | $250,000 |
| Sd Military Heritage Alliance | Sioux Falls, SD | 115 | Physical Improvement and Housing | $250,000 |
| Harrisburg School District | Harrisburg, SD | 115 | Community Health Improvement Services, Physical Improvement and Housing | $234,800 |
| Mn State Univ Mankato Fdtn | Mankota, MN | 501(c)(3) | Workforce Development | $200,000 |
| Smsu Fdn | Marshall, MN | 501(c)(3) | Workforce Development | $200,000 |
| Board of Education of the City of Fargo Dba Fargo Public Schools | Fargo, ND | 115 | Community Health Improvement Services, Workforce Development | $185,550 |
| United Way of Cass-clay | Fargo, ND | 501(c)(3) | Coalition Building | $156,900 |
| Sioux Empire United Way | Sioux Falls, SD | 501(c)(3) | Coalition Building | $155,000 |
| Yellow Jacket Foundation | Belle Fourche, SD | 501(c)(3) | Economic Development | $150,000 |
| Moorhead Area Public Schools | St Louis, MO | 501(c)(3) | Community Health Improvement Services | $140,500 |
| Bismarck Public Schools Fdtn | Bismarck, ND | 501(c)(3) | Community Health Improvement Services, Physical Improvement and Housing, Workforce Development | $135,000 |
| Sd State University | Brookings, SD | 501(c)(3) | Health Professions Education, Physical Improvements & Education | $128,000 |
| Independent School District518 | Worthington, MN | 115 | Community Health Improvement Services, Physical Improvement and Housing, Physical Improvements & Housing | $112,000 |
| Bismarck State College Fndtn | Bismarck, ND | 501(c)(3) | Athletic Program Support, Health Professions Education | $110,197 |
| Ronald Mcdonald House | Fargo, ND | 501(c)(3) | Community Support | $110,000 |
| Bemidji State University | Bemidji, MN | 115 | Athletic Program Support, Community Health Improvement Services, Workforce Development, | $105,400 |
| Sf Christian High School | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $104,800 |
| Lincoln High School | Sioux Falls, SD | 115 | Community Health Improvement Services | $102,500 |
| Roosevelt High School | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $102,500 |
| Mn State University Moorhead | Moorhead, MN | 115 | Economic Development, Workforce Development | $102,000 |
| Village Family Service Center | Fargo, ND | 501(c)(3) | Community Support | $101,700 |
| Und Alumni Assoc & Foundation | Grand Forks, ND | 501(c)(3) | Health Professions Education, Workforce Development | $101,350 |
| Mckenzie County Healthcare Sys | Watford City, ND | 501(c)(3) | Community Health Improvement Services | $100,000 |
| Univ of Wi Foundation | Madison, WI | 501(c)(3) | Research | $100,000 |
| Winner Regional Foundation | Winner, SD | 501(c)(3) | Community Health Improvement Services | $100,000 |
| Sioux Falls School District | Sioux Falls, SD | 501(c)(3) | Physical Improvement and Housing, Workforce Development | $90,000 |
| Fresh Start Surgical Gifts | Carlsbad, CA | 501(c)(3) | Community Health Improvement Services, Economic Development | $80,000 |
| United Way of Bemidji Area | Bemidji, MN | 501(c)(3) | Coalition Building | $78,630 |
| Levitt at the Falls | Sioux Falls, SD | 501(c)3 | Economic Development | $75,000 |
| Family Advocacy Cntr of North | Bemidji, MN | 501(c)(3) | Community Health Improvement Services | $71,987 |
| Bemidji Community Arena Corp | Bemidji, MN | 501(c)3 | Economic Development | $63,600 |
| Bemidji Area Schools | Bemidji, MN | 115 | Community Health Improvement Services | $61,500 |
| University of Jamestown | Jamestown, ND | 501(c)(3) | Economic Development | $60,700 |
| Dakota Alliance Soccer Club | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $60,250 |
| Greater Bemidji | Bemidji, MN | 501(c)(3) | Workforce Development | $60,000 |
| Sioux Falls Ymca | Sioux Falls, SD | 501(c)(3) | Community Support | $54,500 |
| Chamber of Commerce Fmwf | Fargo, ND | 501(c)(6) | Economic Development | $54,240 |
| Elevate Rapid City | Rapid City, SD | 501(c)(6) | Economic Development | $50,000 |
| Moorhead Youth Hockey Assoc | Moorhead, MN | 501(c)(3) | Physical Improvement and Housing | $50,000 |
| Sd Hall of Fame | Chamberlain, SD | 115 | Economic Development | $50,000 |
| Washington Pavilion | Sioux Falls, SD | 501(c)(3) | Economic Development | $50,000 |
| Wings of Valor Inc | Parker, SD | 501(c)(3) | Community Health Improvement Services | $50,000 |
| Northern Sun Intercollegiate Conference | Burnsville, MN | 501(c)3 | Economic Development | $45,000 |
| Sf Area Community Foundation | Sioux Falls, SD | 501(c)(3) | Economic Development, Physical Improvement & Housing | $45,000 |
| Brandon Valley School | Brandon, SD | 115 | Community Health Improvement Services | $44,800 |
| Aberdeen Public Schools Foundation | Aberdeen, SD | 501(c)(3) | Workforce Development | $40,000 |
| Perham Area Community Center | Perham, MN | 115 | Community Support | $40,000 |
| Sioux Falls Power Hockey | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $40,000 |
| Tea Area School District 41-5 | Tea, SD | 501(c)(3) | Community Health Improvement Services | $40,000 |
| Bio Girls Inc | Fargo, ND | 501(c)(3) | Community Support, Economic Development, Workforce Development | $38,500 |
| Ymca of Cass & Clay Counties | Fargo, ND | 501(c)(3) | Community Support | $36,000 |
| Sf Youth Hockey Assoc | Sioux Falls, SD | 115 | Community Health Improvement Services | $35,750 |
| Ronald Mcdonald House Charity | Sioux Falls, SD | 115 | Community Support | $35,000 |
| Tri City United Soccer Club | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $35,000 |
| International Esperanza Project | Plano, TX | 501(c)(3) | Community Health Improvement Services | $30,551 |
| Active Generations Sioux Falls | Sioux Falls, SD | 501(c)(3) | Community Support | $30,000 |
| Make a Wish | Fargo, ND | 501(c)(3) | Community Support | $30,000 |
| Sd Hosa Future Health Prof | Vermillion, SD | 501(c)(3) | Health Professions Education | $30,000 |
| Sheldon Comm School District | Sheldon, IA | 501(c)(3) | Physical Improvement and Housing | $30,000 |
| Northwest Mn Foundation | Bemidji, MN | 501(c)(3) | Athletic Program Support, Community Health Improvement Services | $28,500 |
| Village Northwest Unlimited | Sheldon, IA | 501(c)(3) | Community Support | $27,500 |
| American Red Cross | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $25,000 |
| Butterfly House & Aquarium | Sioux Falls, SD | 501(c)(3) | Economic Development | $25,000 |
| Community Memorial Hospital | Burke, SD | 501(c)(3) | Physical Improvement and Housing | $25,000 |
| Huether Family Match Pointe | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $25,000 |
| Joy Ranch of Sd | Florence, SD | 501(c)(3) | Community Support | $25,000 |
| Leadership South Dakota | Sioux Falls, SD | 501(c)(3) | Workforce Development | $25,000 |
| Sd Youth Soccer Assoc | Sioux Falls, SD | 501(c)(3) | Community Support | $25,000 |
| Sf Swim Team Inc | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $25,000 |
| Teammates Mentoring of Sioux Falls Foundation | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $25,000 |
| West Central School District | Hartford, SD | 501(c)(6) | Community Health Improvement Services | $24,800 |
| Northwoods Battered Womens | Bemidji, MN | 501(c)(3) | Physical Improvement and Housing | $22,700 |
| Oak Grove Lutheran School | Fargo, ND | 501(c)(3) | Workforce Development | $21,500 |
| Thief River Falls Public Schools Isd 564 | Thief River Falls, MN | 501(c)(3) | Community Health Improvement Services | $20,500 |
| 218 Sports Inc | Bemidji, MN | 501(c)(3) | Economic Development | $20,000 |
| Beef Logic Inc | Pierre, SD | 501(c)(3) | Community Support | $20,000 |
| Call to Freedom Inc | Sioux Falls, SD | 501(c)(3) | Physical Improvement and Housing | $20,000 |
| INDEPENDENT SCHOOL DISTRICT #22 DBA DETROIT LAKES PUBLIC SCHOOLS | Detroit Lakes, MN | 115 | Community Health Improvement Services | $20,000 |
| Legends of Gold | Beresford, SD | 501(c)(3) | Community Health Improvement Services | $20,000 |
| Northern Dental Access Center | Bemidji, MN | 501(c)(3) | Community Health Improvement Services | $20,000 |
| Oahe Family Ymca | Pierre, SD | 501(c)(3) | Community Support | $20,000 |
| Sd Symphony Orchestra | Sioux Falls, SD | 501(c)(3) | Economic Development | $20,000 |
| Shiloh Christian School | Bismarck, ND | 501(c)(3) | Community Health Improvement Services | $20,000 |
| Teddy Bear Den | Sioux Falls, SD | 115 | Community Support | $20,000 |
| Warroad Memorial Arena Association Dba Hdm 2024 | Warroad, MN | 501(c)(3) | Economic Development | $20,000 |
| Bismarck Mandan Chamber Edc | Bismarck, ND | 501(c)(6) | Economic Development, Community Health Improvement Services, Workforce Development | $17,950 |
| Canton Schools | Canton, SD | 115 | Workforce Development | $16,444 |
| Veterans Community Project | Kansas City, MO | 501(c)(3) | Physical Improvement and Housing | $16,000 |
| Aberdeen Family Ymca | Aberdeen, SD | 501(c)(3) | Community Support | $15,000 |
| Bismarck Mandan Chamber Fdtn | Bismarck, ND | 501(c)(3) | Economic Development | $15,000 |
| Greatlife Cares Fdn | Sioux Falls, SD | 501(c)(3) | Community Support | $15,000 |
| Junior Achievement of Sd | Sioux Falls, SD | 501(c)(3) | Workforce Development | $15,000 |
| Lifescape Foundation | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $15,000 |
| Mccrossan Boys Ranch | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services, Community Support | $15,000 |
| Rape & Abuse Crisis Center Fm | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $15,000 |
| Sioux Falls Women Run Training | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $15,000 |
| Vermillion Chamber of Commerce | Vermillion, SD | 501(c)(3) | Economic Development | $15,000 |
| Watertown Community Foundation | Watertown, SD | 115 | Economic Development | $15,000 |
| Greater Sf Chamber of Commerce | Sioux Falls, SD | 501(c)(6) | Economic Development | $14,200 |
| St Philips Bemidji | Bemidji, MN | 115 | Community Support | $14,000 |
| Boys & Girls Club Bemidji Area | Bemidji, MN | 501(c)(3) | Community Support | $13,685 |
| Mandan Public School District | Mandan, ND | 115 | Community Health Improvement Services | $12,500 |
| National Kidney Foundation | New York, NY | 501(c)(3) | Community Health Improvement Services | $12,500 |
| Ywca of Cass Clay | Fargo, ND | - | Community Support | $11,500 |
| Bismarck Cancer Center | Bismarck, ND | 501(c)(3) | Community Support, Community Health Improvement Services | $11,325 |
| Nd State College Science Foundation | Wahpeton, ND | 501(c)(3) | Economic Development | $11,269 |
| Helpline Center Inc | Sioux Falls, SD | 501(c)(3) | Community Support | $11,000 |
| Nd Hospital Association | Bismarck, ND | 501(c)(6) | Health Professions Education | $11,000 |
| Dakota Childrens Advocacy Ctr | Bismarck, ND | 501(c)(3) | Community Health Improvement Services | $10,400 |
| Aberdeen Development Corporation | Aberdeen, SD | 501(c)(6) | Economic Development | $10,000 |
| American Heart Assoc Midwest | Dallas, TX | 501(c)(3) | Community Health Improvement Services | $10,000 |
| Boys & Girls Club Sioux Empire | Sioux Falls, SD | 501(c)(3) | Community Support | $10,000 |
| Central Cass Public Schools | Casselton, ND | 115 | Community Health Improvement Services | $10,000 |
| City of Mitchell Dba Mitchell Parks & Recreation | Mitchell, SD | 115 | Community Support | $10,000 |
| City of Tracy | Tracy, MN | 115 | Physical Improvement and Housing | $10,000 |
| City of Yankton | Yankton, SD | 115 | Physical Improvement and Housing | $10,000 |
| Embe | Sioux Falls, SD | 501(c)(3) | Community Support, Community Health Improvement Services | $10,000 |
| Enderlin Historical Society | Enderlin, ND | 501(c)(3) | Community Health Improvement Services | $10,000 |
| Family Wellness | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $10,000 |
| Fitness on Main | Burke, SD | 501(c)(3) | Physical Improvement and Housing | $10,000 |
| Gateway to Science | Bismarck, ND | 501(c)(3) | Economic Development | $10,000 |
| Great North Pole | West Fargo, ND | 501(c)(3) | Community Support | $10,000 |
| Hartford Area Development Fdtn | Hartford, SD | 501(c)(3) | Economic Development | $10,000 |
| Heartview Foundation | Bismarck, ND | 501(c)(3) | Community Support | $10,000 |
| Jeremiah Program | Fargo, ND | 501(c)(3) | Community Support | $10,000 |
| Mandan Park District | Mandan, ND | 115 | Physical Improvement and Housing | $10,000 |
| Petit Kicks Soccer LLC Dba Magic Soccer Fc | Bismarck, ND | 501(c)(3) | Community Health Improvement Services | $10,000 |
| Project Car Call a Ride | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $10,000 |
| Rapid City Club for Boys Inc | Rapid City, SD | 501(c)(3) | Community Support | $10,000 |
| Sd Law Enforcement Charities | Sioux Falls, SD | 501(c)(3) | Community Support | $10,000 |
| Sioux Falls Area Casa Program | Sioux Falls, SD | 501(c)(3) | Community Support | $10,000 |
| South Sudanese Foundation | Fargo, ND | 115 | Economic Development | $10,000 |
| Special Olympics South Dakota | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $10,000 |
| United Way of Gf Egf & Area | Grand Forks, ND | 501(c)(3) | Community Health Improvement Services | $10,000 |
| United Way of Northeastern Sd | Aberdeen, SD | 501(c)(3) | Coalition Building | $10,000 |
| Volunteers of America Dakotas | Sioux Falls, SD | 501(c)(3) | Community Support | $10,000 |
| Warner School Dist 6-5 Fndn | Warner, SD | C Corporation | Physical Improvement and Housing | $10,000 |
| Western Region Economic Dev | Williston, ND | 501(c)(3) | Economic Development | $10,000 |
| Young Mens Christian Assoc Sf | Sioux Falls, SD | 501(c)(3) | Community Health Improvement Services | $10,000 |
| Dakota Medical Foundation | Fargo, ND | 501(c)(3) | Community Health Improvement Services | $9,500 |
| Wheaton Dumont Area Comm Fund | Fergus Falls, MN | 501(c)(3) | Community Health Improvement Services | $9,500 |
| Mo Slope Areawide United Way | Bismarck, ND | 501(c)(3) | Coalition Building, Community Health Improvement Services | $9,000 |
| Project Prep Olympic Develop | Bloomington, MN | 501(c)(3) | Community Health Improvement Services | $8,750 |
| Arthritis Foundation | Atlanta, GA | 501(c)(3) | Community Health Improvement Services | $8,500 |
| Girl Scouts Dakota Horizons | Sioux Falls, SD | 501(c)(3) | Community Support, Economic Development | $8,500 |
| American Heart Association | Boone, IA | 501(c)(3) | Community Health Improvement Services | $8,000 |
| Bemidji Youth Baseball Inc | Bemidji, MN | 501(c)(3) | Community Health Improvement Services | $7,800 |
| Luverne Area Community Found | Luverne, MN | 501(c)(3) | Economic Development | $7,623 |
| Big Idea Inc | Aberdeen, SD | 501(c)(3) | Economic Development | $7,500 |
| Childrens Home Society of Sd | Sioux Falls, SD | 501(c)(3) | Community Support | $7,500 |
| Ms River Cities Initiative | St Louis, MO | 501(c)(3) | Economic Development | $7,500 |
| Northern Lights Council | Fargo, ND | 501(c)(3) | Community Support | $7,500 |
| Premiere Playhouse | Sioux Falls, SD | 501(c)(3) | Economic Development | $7,500 |
| Sioux Falls Hope Coalition | Sioux Falls, SD | 501(c)(3) | Coalition Building | $7,500 |
| Sioux Falls Sports Authority | Sioux Falls, SD | 501(c)(6) | Community Health Improvement Services | $7,500 |
| Bemidji Youth Soccer | Bemidji, MN | 501(c)(3) | Community Health Improvement Services | $7,300 |
| North Dakota Nurses Association | Bismarck, ND | 501(c)(6) | Workforce Development | $7,250 |
| City of Webster | Webster, SD | 115 | Physical Improvement and Housing | $7,143 |
| Alzheimers Association | Chicago, IL | 501(c)(3) | Community Health Improvement Services | $7,000 |
| Make a Wish Minnesota | St Paul, MN | 501(c)(3) | Community Support | $7,000 |
| Knights of Columbus Walleye Cl | Bemidji, MN | 501(c)(8) | Economic Development | $6,900 |
| Great River Rescue | Bemidji, MN | 501(c)(3) | Community Health Improvement Services | $6,600 |
| First City of Lights Foundatio | Bemidji, MN | 501(c)(3) | Economic Development | $6,550 |
| Amer Foundaton Suicide Prevent | New York, NY | 501(c)(3) | Community Health Improvement Services | $6,500 |
| Andria Theatre | Alexandria, MN | 501(c)(3) | Economic Development | $6,500 |
| Emilys Hope Inc | Sioux Falls, SD | 501(c)(3) | Community Support | $6,500 |
| Lost&found | Sioux Falls, SD | 501(c)(3) | Community Support | $6,000 |
| Rotary Club of Alexandria | Alexandria, MN | 501(c)(3) | Community Support | $6,000 |
| Team Foundation | Bagley, MN | 501(c)(3) | Community Support | $6,000 |
| Jamestown Parks & Rec | Jamestown, ND | 115 | Community Health Improvement Services | $5,920 |
| Emerging Prairie | Fargo, ND | 501(c)(3) | Economic Development | $5,760 |
| Downtown Community Partnership | Fargo, ND | 501(c)(6) | Economic Development | $5,750 |
| Lakota Nation Invitational | Rapid City, SD | 501(c)(3) | Workforce Development | $5,500 |
| Reach Literacy | Sioux Falls, SD | 501(c)(3) | Community Support | $5,500 |
| Sleepy Hollow Theatre & Arts | Bismarck, ND | 501(c)(3) | Community Support | $5,500 |
| Region | Activity | Services | Offices | Employees | Spending |
|---|---|---|---|---|---|
| Europe (including Iceland & Greenland) | Investments | - | 0 | 0 | $10,972,000 |
| Central America and the Caribbean | Investment | - | 0 | 0 | $8,000,000 |
| Sub-saharan Africa | Investments | - | 0 | 0 | $2,285,000 |
| Sub-saharan Africa | Program Services | Msa and Emr Work | 0 | 0 | $2,126,000 |
| Central America and the Caribbean | Program Services | - | 0 | 0 | $1,910,000 |
| East Asia and the Pacific | Investments | - | 0 | 0 | $1,600,000 |
| Middle East and North Africa | Investments | - | 0 | 0 | $1,300,000 |
| East Asia and the Pacific | Investments | Msa | 0 | 0 | $410,000 |
| East Asia and the Pacific | Program Services | Operating Expenses for Clinic | 0 | 0 | $113,000 |
| Europe (including Iceland & Greenland) | - | - | 0 | 0 | $60,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Interested Party | Relationship | Description | Shared Revenue | Amount |
|---|---|---|---|---|
| Scott Aberson | Family Relationship - Micah Aberson | Employment | No | $689,919 |
| Jacob Pearlson | Family Relationship - Karla Eischens | Employment | No | $94,435 |
| Kacey Doyle | Family Relationship - Marnie Hermann | Employment | No | $74,583 |
| Kristi Benz | Family Relationship - Lauris Molbert | Employment | No | $59,691 |
| Nichole Hester | Family Relationship - Andy North | Independent Contractor Arrangement | No | $48,869 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $21,449 | - |
| Liability | Amount |
|---|---|
| Deferred Compensation Liability | $197,637,485 |
| Long Term Operating Lease Payable | $72,771,572 |
| Other Non-current Liabilities | $50,545,846 |
| Bond | Issuer | Issued | Issue Price | Purpose |
|---|---|---|---|---|
| B | South Dakota Health and Educational Facilities Authority | 2014-10-28 | $207,014,209 | 2014b: new construction and remodeling of healthcare facilities |
| C | South Dakota Health and Educational Facilities Authority | 2015-10-21 | $192,641,206 | 2015:new construction & advanced refunding of bonds issued 4/19/07, 5/22/07 |
| A | South Dakota Health and Educational Facilities Authority | 2004-09-14 | $70,073,989 | 2004: new construction of healthcare facilities |
| C | South Dakota Health and Educational Facilities Authority | 2012-03-29 | $66,185,000 | 2012ab: refunding bonds issued 9/12/2001 and 10/15/2002 |
| A | South Dakota Health and Educational Facilities Authority | 2014-08-05 | $52,083,720 | 2014a: current refund 2004a issued 9/14/2004 |
| D | South Dakota Health and Educational Facilities Authority | 2016-10-28 | $50,000,000 | 2016: new construction, equipment and improvements |
| D | South Dakota Health and Educational Facilities Authority | 2012-06-14 | $45,000,000 | 2012d:refinance taxable indebtedness used to construct healthcare facility |
| B | City of Chamberlain | 2010-12-30 | $4,000,000 | 2010 chamb: new construction of long-term care facilities |
| Bond | Total Proceeds | Spent | Retired | Issuance Costs |
|---|---|---|---|---|
| B | $207,081,359 | - | $29,840,000 | - |
| C | $192,707,024 | - | $35,000,000 | - |
| A | $71,581,953 | $66,160,644 | $57,925,000 | $764,068 |
| C | $66,185,000 | $80,746,163 | $42,025,000 | $1,906,127 |
| A | $52,083,720 | - | $29,085,000 | $150,032 |
| D | $50,000,000 | - | - | - |
| D | $45,000,000 | - | $21,480,000 | $1,431,628 |
| B | $4,000,000 | $52,083,720 | $3,290,094 | $24,356 |
“The following officers, board members, and key employees are employees of sanford or its related organizations. Many of these employees also serve on other related sanford boards, or have business relationships with each other that span the organization as a whole: bill gassen, jennifer grennan, mark lundeen, michael lebeau, michelle bruhn, paul hanson, matt hocks, todd schaffer, bill marlette, karla eischens & tiffany lawrence.”
“Sanford is governed by a board of trustees (bot) that has ultimate strategic and decision making authority. The bot delegates certain activities and responsibilities to boards of each of sanford's primary operating subsidiaries. The unique nature and complexity of the subsidiaries requires each to have a delegated board with a singular entity focus. Such bodies, referred to as boards of directors and boards of governors, address matters such as credentialing, accreditation standards, developing budgets, programs and facilities on an entity-specific basis, and generally consist of individuals distinct from the bot. These boards function much like committees in a traditional corporate structure. The bot then acts as a holding company board, synthesizing and reconciling each entity's programs and budgets into a system-wide strategic plan. This structure of governance produces a significant number of trustees, governors and directors. Subsidiaries included within this group tax return consist of sanford health, sanford north, sanford medical center, sanford medical center fargo, sanford clinic, sanford clinic north, sanford health network, sanford health network north, sanford home health, sanford research, sanford research north, sanford world clinics, sanford health of northern minnesota, baker park, inc., sanford west, sanford bismarck, sanford virtual care, and sanford world clinics - klamath falls. 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.”
“The sanford board of trustees appoints the board members for the boards of directors and boards of governors of the subsidiary entities.”
“The sanford board of trustees approves the actions approved by the boards of directors and boards of governors of the subsidiary entities. Form 990, part vi, section b, line 10b: sanford north, sanford clinic 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.”
“The form 990 is prepared internally by the tax department and reviewed by executive management. The tax department prepares return highlights and key disclosures for the executive management team. An external accounting firm reviews and signs the return. Before the return is filed, a complete copy is provided to the current board of trustees.”
“The annual conflict of interest disclosure process is managed by the chief compliance officer (cco). The cco is responsible for assuring that all completed forms are returned in a timely and complete manner. Conflict of interest questionnaires are sent to system trustees, members of the governing boards of subsidiary entities, officers, and key employees for all entities subject to the irs form 990 filings. The disclosures are summarized for review by the executive committee of the board of trustees, pursuant to policy. This review allows: 1) the board to acquire an awareness of financial relationships of board members and key management employees and can invoke the recusal process on a case-by-case basis if potential conflicts are implicated in board decisions and deliberations, and, 2) gives the board the opportunity to seek additional information and clarification about disclosures to determine potential conflicts of interest, and how to manage them.”
“Sanford has a process for determining compensation of the persons listed on part vii, section a. This includes a review and approval by independent persons, review of comparability data and contemporaneous substantiation of the deliberation and decision for such compensation. Sanford engages a nationally recognized independent compensation consulting firm annually to review the total compensation arrangements of the officers and executives of the organization, including the ceo, and to report the findings to them for deliberation and action. The deliberations and actions are recorded in the minutes of the sanford board of trustees. The most recent study was completed in 2023. Part vi, line 16a: sanford medical center, sanford health, and sanford clinic north have participated in joint ventures with taxable entities.”
“Although the organization does not maintain a website where the public can access these documents, it would respond individually to any requests or inquiries from the public for these documents.”
“The table reports the compensation of the sanford officers, directors/trustees, system key employees, and five highest compensated employees and independent contractors. The sanford board of trustees has ultimate governance responsibilities for each subordinate organization.”
“We are reporting one group of top five employees and independent contractors for the entire group. Amounts listed as compensation for the five highest compensated independent contractors include payments for both materials and services.”
“Sanford health, sanford medical center, sanford north, sanford medical center fargo, sanford clinic north, sanford clinic, sanford bismarck, sanford health network north, and sanford world clinics have unrelated business gross income over $1,000.”
“Sanford world clinics has an interest in financial accounts in the foreign countries of ghana, china and germany.”
“Cash sweep for pooled investments -221,754,853. Pension plan acturial gain/loss -10,318,072. Capital contributions to affiliates -21,454,958.”
“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”
“Long term care facilities hold security deposits for tenants.”
“Sanford health foundation, sanford health foundation north, sanford health foundation of northern minnesota and sanford health foundation west hold endowment funds on behalf of the filing organization to be used for assistance in its activities and for providing health care, medical, or educational services.”
“Certain controlled organizations are subject to income taxes. Deferred income tax assets and liabilities are recognized for the differences between the financial and income tax reporting basis of assets and liabilities based on enacted tax rates and laws. A tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination. The deferred income tax provision or benefit generally reflects the net change in deferred income tax assets and liabilities during the year. The current income tax provision reflects the tax consequences of revenues and expenses currently taxable or deductible on various income tax returns for the year reported. Sanford group did not have a material income tax liability at december 31, 2023; some related organizations have established reserves.”
This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.
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|---|---|---|
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| IRS990/AccountsPayableAccrExpnssGrp/EOYAmt | 0 | 322769972 |
| IRS990/AccountsReceivableGrp/BOYAmt | 0 | 747344512 |
| IRS990/AccountsReceivableGrp/EOYAmt | 0 | 836469834 |
| IRS990/ActivitiesConductedPrtshpInd | 0 | 0 |
| IRS990/ActivityOrMissionDesc | 0 | "DEDICATED TO SHARING GOD'S LOVE THROUGH THE WORK OF HEALTH, HEALING AND COMFORT." |
| IRS990/AdvertisingGrp/ManagementAndGeneralAmt | 0 | 16912523 |
| IRS990/AdvertisingGrp/ProgramServicesAmt | 0 | 3617273 |
| IRS990/AdvertisingGrp/TotalAmt | 0 | 20529796 |
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| IRS990/AllOtherExpensesGrp/ProgramServicesAmt | 0 | 123166640 |
| IRS990/AllOtherExpensesGrp/TotalAmt | 0 | -64048110 |
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| IRS990/AuditedFinancialStmtAttInd | 0 | 1 |
| IRS990/BackupWthldComplianceInd | 0 | 1 |
| IRS990/BooksInCareOfDetail/BusinessName/BusinessNameLine1Txt | 0 | NICHOLAS OLSON EVP CFO |
| IRS990/BooksInCareOfDetail/PhoneNum | 0 | 6053331000 |
| IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt | 0 | 2301 EAST 60TH STREET |
| IRS990/BooksInCareOfDetail/USAddress/CityNm | 0 | SIOUX FALLS |
| IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd | 0 | SD |
| IRS990/BooksInCareOfDetail/USAddress/ZIPCd | 0 | 57104 |
| IRS990/BusinessRlnWith35CtrlEntInd | 0 | 0 |
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| IRS990/CashNonInterestBearingGrp/BOYAmt | 0 | 6676428 |
| IRS990/CashNonInterestBearingGrp/EOYAmt | 0 | 59316362 |
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| IRS990/ContractorCompensationGrp/CompensationAmt | 1 | 55913294 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 2 | 6479253 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 3 | 4554839 |
| IRS990/ContractorCompensationGrp/CompensationAmt | 4 | 4466457 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 0 | 1010 N 102ND ST STE 300 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 1 | 1205 RUSSELL ST |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 2 | PO BOX 405547 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 3 | 2737 FAIRVIEW AVE N |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt | 4 | 1285 AVENUE OF THE AMERICAS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 0 | OMAHA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 1 | SIOUX FALLS |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 2 | ATLANTA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 3 | ST PAUL |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm | 4 | NEW YORK |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 0 | NE |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 1 | SD |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 2 | GA |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 3 | MN |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/StateAbbreviationCd | 4 | NY |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 0 | 68114 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 1 | 57104 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 2 | 30384 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 3 | 55113 |
| IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/ZIPCd | 4 | 10019 |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 0 | FOCUSONE SOLUTIONS LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 1 | HENRY CARLSON CONSTRUCTION LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 2 | LOCUMTENENSCOM LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 3 | MCGOUGH CONSTRUCTION CO LLC |
| IRS990/ContractorCompensationGrp/ContractorName/BusinessName/BusinessNameLine1Txt | 4 | PAUL WEISS RIFKIND WHARTON & GARRISON LL |
| IRS990/ContractorCompensationGrp/ServicesDesc | 0 | STAFFING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 1 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 2 | STAFFING SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 3 | CONSTRUCTION SERVICES |
| IRS990/ContractorCompensationGrp/ServicesDesc | 4 | CONSULTING SERVICES |
| IRS990/CreditCounselingInd | 0 | 0 |
| IRS990/CYBenefitsPaidToMembersAmt | 0 | 0 |
| IRS990/CYContributionsGrantsAmt | 0 | 100653729 |
| IRS990/CYGrantsAndSimilarPaidAmt | 0 | 46276954 |
| IRS990/CYInvestmentIncomeAmt | 0 | 19460626 |
| IRS990/CYOtherExpensesAmt | 0 | 2290939774 |
| IRS990/CYOtherRevenueAmt | 0 | 2011713 |
| IRS990/CYProgramServiceRevenueAmt | 0 | 5616529846 |
| IRS990/CYRevenuesLessExpensesAmt | 0 | 365130722 |
| IRS990/CYSalariesCompEmpBnftPaidAmt | 0 | 3036308464 |
| IRS990/CYTotalExpensesAmt | 0 | 5373525192 |
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| IRS990/CYTotalRevenueAmt | 0 | 5738655914 |
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| IRS990/DeferredRevenueGrp/EOYAmt | 0 | 20072536 |
| IRS990/DelegationOfMgmtDutiesInd | 0 | 0 |
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| IRS990/Desc | 0 | SANFORD HEALTH, THE LARGEST RURAL HEALTH SYSTEM IN THE UNITED STATES, IS DEDICATED TO TRANSFORMING THE HEALTH CARE EXPERIENCE AND PROVIDING ACCESS TO WORLD-CLASS HEALTH CARE IN AMERICA'S HEARTLAND.SANFORD PROVIDES MEDICAL SERVICES AT EVERY LEVEL FROM CRITICAL ACCESS HOSPITALS TO TERTIARY AND QUATERNARY CARE. THE SANFORD FOOTPRINT OF OWNED, LEASED AND MANGED SITES INCLUDES OVER 250,000 SQUARE MILES WITH A NINE-STATE SERVICE AREA INCLUDING A NETWORK OF CHILDREN'S PRIMARY CARE CLINIC LOCATIONS ACROSS THE COUNTRY AND THE WORLD. SANFORD OPERATES FULL-TIME EMERGENCY CENTERS AND PROVIDES EMERGENCY CARE TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. SANFORD FACILITIES AND CLINICS PROVIDE SERVICES TO REMOTE AND MEDICALLY UNDERSERVED AREAS THAT WOULD OTHERWISE NOT HAVE ACCESS TO EVEN PRIMARY CARE SERVICES. |
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| IRS990/DisregardedEntityInd | 0 | 1 |
| IRS990/DocumentRetentionPolicyInd | 0 | 1 |
| IRS990/DonorAdvisedFundInd | 0 | 0 |
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| IRS990/DonorRestrictionNetAssetsGrp/EOYAmt | 0 | 7100 |
| IRS990/DonorRstrOrQuasiEndowmentsInd | 0 | 1 |
| IRS990/ElectionOfBoardMembersInd | 0 | 1 |
| IRS990/EmployeeCnt | 0 | 3175 |
| IRS990/EmploymentTaxReturnsFiledInd | 0 | 1 |
| IRS990/EngagedInExcessBenefitTransInd | 0 | 0 |
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| IRS990/EscrowAccountLiabilityGrp/EOYAmt | 0 | 349593 |
| IRS990/ExpenseAmt | 0 | 5035649680 |
| IRS990/FamilyOrBusinessRlnInd | 0 | 1 |
| IRS990/FederalGrantAuditPerformedInd | 0 | 1 |
| IRS990/FederalGrantAuditRequiredInd | 0 | 1 |
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| IRS990/FeesForServicesAccountingGrp/ProgramServicesAmt | 0 | 76369 |
| IRS990/FeesForServicesAccountingGrp/TotalAmt | 0 | 1391836 |
| IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt | 0 | 5403746 |
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| IRS990/FeesForServicesLegalGrp/TotalAmt | 0 | 5676111 |
| IRS990/FeesForServicesLobbyingGrp/ManagementAndGeneralAmt | 0 | 592687 |
| IRS990/FeesForServicesLobbyingGrp/TotalAmt | 0 | 592687 |
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| IRS990/FeesForServicesOtherGrp/ProgramServicesAmt | 0 | 344848425 |
| IRS990/FeesForServicesOtherGrp/TotalAmt | 0 | 377508328 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/ProgramServicesAmt | 0 | 581547 |
| IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt | 0 | 581547 |
| IRS990/ForeignActivitiesInd | 0 | 1 |
| IRS990/ForeignCountryCd | 0 | CH |
| IRS990/ForeignCountryCd | 1 | GH |
| IRS990/ForeignCountryCd | 2 | GM |
| IRS990/ForeignFinancialAccountInd | 0 | 1 |
| IRS990/ForeignOfficeInd | 0 | 0 |
| IRS990/Form8282PropertyDisposedOfInd | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 0 | 10.36 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 1 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 2 | 10.36 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 3 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 4 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 5 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 6 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 7 | 6.15 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 8 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 9 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 10 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 11 | 10.36 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 12 | 5.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 13 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 14 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 16 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 17 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 19 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 21 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 22 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 23 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 24 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 25 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 26 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 27 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRltdOrgRt | 28 | 2.01 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 0 | 49.64 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 1 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 2 | 49.64 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 3 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 4 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 5 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 6 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 7 | 53.85 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 8 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 9 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 10 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 11 | 49.64 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 12 | 55.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 13 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 14 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 15 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 16 | 57.99 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 17 | 60.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 18 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 19 | 9.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 20 | 0.00 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 21 | 5.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 22 | 5.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 23 | 5.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 24 | 5.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 25 | 5.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 26 | 5.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 27 | 5.10 |
| IRS990/Form990PartVIISectionAGrp/AverageHoursPerWeekRt | 28 | 5.10 |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/FormerOfcrDirectorTrusteeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/HighestCompensatedEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 9 | X |
| IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd | 10 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/KeyEmployeeInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 0 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 1 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 2 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 3 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 4 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 5 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 6 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 7 | X |
| IRS990/Form990PartVIISectionAGrp/OfficerInd | 8 | X |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 0 | 105043 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 1 | 44583 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 2 | 439680 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 3 | 46256 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 4 | 40768 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 5 | 50140 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 6 | 50828 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 7 | 267738 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 8 | 191157 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 9 | 201675 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 10 | 168193 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 11 | 378 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 12 | 174779 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 13 | 122409 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 14 | 141301 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 16 | 16560 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 17 | 95832 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 0 | MICHELLE BRUHN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 1 | WILLIAM BRUNNER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 2 | BILL GASSEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 3 | TOMASZ STYS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 4 | ERIC BELANGER MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 5 | THOMAS MATZKE MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 6 | ADAM STYS MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 7 | MATT HOCKS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 8 | JENNIFER GRENNAN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 9 | MICHAEL LEBEAU MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 10 | PAUL HANSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 11 | BILL MARLETTE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 12 | TIFFANY LAWRENCE |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 13 | TODD SCHAFFER |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 14 | SUSAN JARVIS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 15 | KIM PATRICK |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 16 | MARK LUNDEEN MD |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 17 | KARLA EISCHENS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 18 | MICAH ABERSON |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 19 | ANDY NORTH |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 20 | RANDY BURY |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 21 | NEIL GULSVIG |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 22 | BRENT TEIKEN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 23 | DON JACOBS |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 24 | LAURIS MOLBERT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 25 | JAMES CAIN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 26 | WESLEY ENGBRECHT |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 27 | MARNIE HERMANN |
| IRS990/Form990PartVIISectionAGrp/PersonNm | 28 | ROBIN SMITH |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 0 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 1 | 3475847 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 2 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 3 | 2948374 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 4 | 2920835 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 5 | 2847035 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 6 | 2803290 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 7 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 8 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 9 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 10 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 11 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 12 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 13 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 14 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 15 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 16 | 591873 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 17 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 18 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 19 | 324345 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 20 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 21 | 66718 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 22 | 38404 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 23 | 37332 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 24 | 37099 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 25 | 35599 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 26 | 34599 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 27 | 32099 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt | 28 | 11000 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 0 | 3526262 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 1 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 2 | 2821352 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 3 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 4 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 5 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 6 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 7 | 2082393 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 8 | 1455716 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 9 | 1346734 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 10 | 1151807 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 11 | 1306330 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 12 | 1071549 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 13 | 991741 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 14 | 872006 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 15 | 998482 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 16 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 17 | 509847 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 18 | 453110 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 19 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 20 | 283920 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 21 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 22 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 23 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 24 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 25 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 26 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 27 | 0 |
| IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt | 28 | 0 |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 0 | EVP, CFO & TREASURER (END 6/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 1 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 2 | TRUSTEE, PRESIDENT & CEO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 3 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 7 | EVP, CHIEF OPERATING OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 8 | EVP, CHIEF ADMIN OFFICER |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 9 | SVP, HEALTH SVC OPERATIONS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | PRESIDENT & CEO, SIOUX FALLS |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | INTERIM, EVP, CFO (BEG 6/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 12 | PRESIDENT & CEO, FARGO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | PRESIDENT & CEO, BISMARCK |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | FORMER PRESIDENT & CEO, BEMIDJI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | FORMER CLO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | TRUSTEE, PHYSICIAN |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | PRESIDENT & CEO, BEMIDJI |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 18 | FORMER EVP, CIO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 19 | TRUSTEE, SECRETARY, INDEP CONTRACTOR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 20 | FORMER CAO |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 21 | TRUSTEE, CHAIRPERSON |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 22 | TRUSTEE, PAST CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 23 | TRUSTEE (END 12/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 24 | TRUSTEE, VICE CHAIR |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 25 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 26 | TRUSTEE |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 27 | TRUSTEE, TREASURER (BEG 4/23) |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 28 | TRUSTEE, TREASURER (END 4/23) |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | 1 |
| IRS990/Form990TFiledInd | 0 | 1 |
| IRS990/FormerOfcrEmployeesListedInd | 0 | 1 |
| IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd | 0 | X |
| IRS990/FSAuditedInd | 0 | 1 |
| IRS990/FundraisingActivitiesInd | 0 | 0 |
| IRS990/GainOrLossGrp/OtherAmt | 0 | 8300837 |
| IRS990/GainOrLossGrp/SecuritiesAmt | 0 | -26079 |
| IRS990/GamingActivitiesInd | 0 | 0 |
| IRS990/GoverningBodyVotingMembersCnt | 0 | 10 |
| IRS990/GovernmentGrantsAmt | 0 | 33041666 |
| IRS990/GrantAmt | 0 | 45746954 |
| IRS990/GrantsPayableGrp/BOYAmt | 0 | 5118766 |
| IRS990/GrantsPayableGrp/EOYAmt | 0 | 6139321 |
| IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt | 0 | 121855 |
| IRS990/GrantsToDomesticIndividualsGrp/TotalAmt | 0 | 121855 |
| IRS990/GrantsToDomesticOrgsGrp/ProgramServicesAmt | 0 | 46155099 |
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Displayed year
2023 • Form 990Detailed filing. Detailed filing data is available for this year.