SANFORD GROUP RETURN

EIN: 453791176 501(c)(3)

SIOUX FALLS, SD

Total Revenue
$5,738,655,914
Total Expenses
$5,373,525,192
Total Assets
$3,759,919,108
Net Assets
$2,630,583,505
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Financial Vulnerability Assessment (Tuckman-Chang)

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Financial Trends

Organization Details

Principal Officer
BILL GASSEN
Phone
6053331000
Tax Period
2023-01-01 to 2023-12-31

SANFORD GROUP RETURN is a large national nonprofit that reported $5.7B in total revenue in fiscal year 2023. Expenses of $5.4B left a modest 6% surplus.

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.

Program Service Accomplishments

Program 1
Expenses: $5,035,649,680 Revenue: $5,492,573,325

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...

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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.

Program 2
Expenses: $44,721,169 Revenue: $6,312,341

SANFORD PROVIDES HIGH QUALITY MEDICAL EDUCATIONAL AND PROFESSIONAL DEVELOPMENT THAT IS EVIDENCE AND RESEARCH BASED; ACCREDITED FOR PHYSICIANS, NURSES, PHARMACISTS, AND ALLIED HEALTH PROFESSIONALS AND...

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SANFORD PROVIDES HIGH QUALITY MEDICAL EDUCATIONAL AND PROFESSIONAL DEVELOPMENT THAT IS EVIDENCE AND RESEARCH BASED; ACCREDITED FOR PHYSICIANS, NURSES, PHARMACISTS, AND ALLIED HEALTH PROFESSIONALS AND SCIENTISTS; INCLUSIVE OF CULTURAL DIVERSITY AND ADDRESSES THE NEED FOR SPECIALTY TRAINING. SANFORD IS DEDICATED TO PREPARING HEALTH CARE PROFESSIONALS FOR THE FUTURE. THE SANFORD PROMISE PROGRAM CONNECTS STUDENTS, EDUCATORS AND COMMUNITIES WITH SCIENCE AND RESEARCH IN HEALTH CARE AT A SECONDARY EDUCATION AGE. SANFORD WORKS IN PARTNERSHIP WITH UNIVERSITIES TO PROVIDE ROTATIONS FOR MEDICAL STUDENTS, RESIDENCIES AND FELLOWSHIPS. SANFORD WORKS IN PARTNERSHIP WITH AN EXTENSIVE GROUP OF HIGHER LEARNING ORGANIZATIONS TO PROVIDE STUDENT TRAINING AND LEARNING OPPORTUNITIES IN MANY VENUES ACROSS OUR REGION.

Program 3
Expenses: $37,890,173 Revenue: $8,445,896

RESEARCH ENDEAVORS SPAN CHILDREN'S HEALTH, FOCUSED ON PEDIATRIC RARE DISEASES AND CANCER; THE SANFORD PROJECT, SEEKING TO REDUCE THE BURDEN OF TYPE 1 DIABETES THROUGH DISCOVERY AND CLINICAL...

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RESEARCH ENDEAVORS SPAN CHILDREN'S HEALTH, FOCUSED ON PEDIATRIC RARE DISEASES AND CANCER; THE SANFORD PROJECT, SEEKING TO REDUCE THE BURDEN OF TYPE 1 DIABETES THROUGH DISCOVERY AND CLINICAL APPLICATION; GENOMIC AND MOLECULAR MEDICINE INCLUDING GENOMICS, BIOBANKING AND IMMUNOTHERAPY; EDITH SANFORD BREAST CANCER FOR ADVANCED MOLECULAR RESEARCH AND PERSONALIZED TREATMENT; NEUROBEHAVIORAL SCIENCES, STUDYING EATING DISORDERS, OBESITY AND BARIATRIC SURGERY OUTCOMES AS WELL AS PHYSIOLOGICAL ASPECTS OF EATING AND ADDICTION AND CLINICAL RESEARCH HOSTING DRUG AND DEVICE STUDIES, THE NCI COMMUNITY ONCOLOGY RESEARCH PROGRAM AND THE NEONATAL RESEARCH NETWORK. RESEARCH ALSO LEADS EDUCATIONAL PROGRAMS SUPPORTING SCIENCE IN LOCAL K-12 SCHOOL DISTRICTS, UNDERGRADUATE, GRADUATE AND POST-DOCTORAL PROGRAMS.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

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Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $100,653,729
Program Service Revenue $5,616,529,846
Investment Income $19,460,626
Other Revenue $2,011,713
TOTAL REVENUE $5,738,655,914

Expense Breakdown

Grants Paid $46,276,954
Salaries & Benefits $3,036,308,464
Fundraising Expenses $0
Program Expenses $5,118,261,022
Other Expenses $2,290,939,774
TOTAL EXPENSES $5,373,525,192

Year-over-Year Comparison

2023 2022 Change
Revenue $5,738,655,914 $5,321,937,014 +0.1%
Expenses $5,373,525,192 $5,161,087,710 +0.0%
Net Income $365,130,722 $160,849,304 +1.3%
Key Indicators
Grants to Organizations Grants to Individuals Lobbying Political Activity Foreign Activities Donor Advised Fund Schedule B Required
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Liquidity & Cash Position

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Governance

Voting Members
10
Independent Members
5
Employees
3175
Volunteers
1247

Governance Policies

Conflict of Interest Policy
Whistleblower Policy
Document Retention Policy

Special Practices & Reported Activities

Operated a School
Operated a Hospital
Provided First Class Travel
Reported Conflict of Interest
Reported Asset Diversion
Excess Benefit Transaction
Made Political Expenditures
Engaged in Lobbying
Operated Donor Advised Fund
Maintained Art Collections
Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers
9
$8,708,710
Total Directors
11
$4,486,660
Key Employees
7
$9,831,570
Highest Compensated
5
reported
Name Title Hours/Week Role Reportable Comp Other Comp Total
MICHELLE BRUHN EVP, CFO & TREASURER (END 6/23) 49.64
Officer
$0 $105,043 $3,631,305
WILLIAM BRUNNER MD PHYSICIAN 60.00
Highest
$3,475,847 $44,583 $3,520,430
BILL GASSEN TRUSTEE, PRESIDENT & CEO 49.64
Officer Director
$0 $439,680 $3,261,032
TOMASZ STYS MD PHYSICIAN 60.00
Highest
$2,948,374 $46,256 $2,994,630
ERIC BELANGER MD PHYSICIAN 60.00
Highest
$2,920,835 $40,768 $2,961,603
THOMAS MATZKE MD PHYSICIAN 60.00
Highest
$2,847,035 $50,140 $2,897,175
ADAM STYS MD PHYSICIAN 60.00
Highest
$2,803,290 $50,828 $2,854,118
MATT HOCKS EVP, CHIEF OPERATING OFFICER 53.85
Key Emp
$0 $267,738 $2,350,131
JENNIFER GRENNAN EVP, CHIEF ADMIN OFFICER 55.00
Key Emp
$0 $191,157 $1,646,873
MICHAEL LEBEAU MD SVP, HEALTH SVC OPERATIONS 60.00
Key Emp
$0 $201,675 $1,548,409
PAUL HANSON PRESIDENT & CEO, SIOUX FALLS 60.00
Key Emp
$0 $168,193 $1,320,000
BILL MARLETTE INTERIM, EVP, CFO (BEG 6/23) 49.64
Officer
$0 $378 $1,306,708
TIFFANY LAWRENCE PRESIDENT & CEO, FARGO 55.00
Key Emp
$0 $174,779 $1,246,328
TODD SCHAFFER PRESIDENT & CEO, BISMARCK 60.00
Key Emp
$0 $122,409 $1,114,150
SUSAN JARVIS FORMER PRESIDENT & CEO, BEMIDJI 60.00
$0 $141,301 $1,013,307
KIM PATRICK FORMER CLO 0.00
$0 $0 $998,482
MARK LUNDEEN MD TRUSTEE, PHYSICIAN 57.99
Director
$591,873 $16,560 $608,433
KARLA EISCHENS PRESIDENT & CEO, BEMIDJI 60.00
Key Emp
$0 $95,832 $605,679
MICAH ABERSON FORMER EVP, CIO 0.00
$0 $0 $453,110
ANDY NORTH TRUSTEE, SECRETARY, INDEP CONTRACTOR 9.10
Officer Director
$324,345 $0 $324,345
RANDY BURY FORMER CAO 0.00
$0 $0 $283,920
NEIL GULSVIG TRUSTEE, CHAIRPERSON 5.10
Officer Director
$66,718 $0 $66,718
BRENT TEIKEN TRUSTEE, PAST CHAIR 5.10
Officer Director
$38,404 $0 $38,404
DON JACOBS TRUSTEE (END 12/23) 5.10
Director
$37,332 $0 $37,332
LAURIS MOLBERT TRUSTEE, VICE CHAIR 5.10
Officer Director
$37,099 $0 $37,099
JAMES CAIN TRUSTEE 5.10
Director
$35,599 $0 $35,599
WESLEY ENGBRECHT TRUSTEE 5.10
Director
$34,599 $0 $34,599
MARNIE HERMANN TRUSTEE, TREASURER (BEG 4/23) 5.10
Officer Director
$32,099 $0 $32,099
ROBIN SMITH TRUSTEE, TREASURER (END 4/23) 5.10
Officer Director
$11,000 $0 $11,000
Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year Revenue Expenses Assets Net Income
2024 No data No data No data No data
2023 $5,738,655,914 $5,373,525,192 $3,759,919,108 $365,130,722
2022 $5,321,937,014 $5,161,087,710 $3,581,478,897 $160,849,304
2021 $5,228,573,954 $4,834,032,389 $3,485,607,781 $394,541,565
2020 $4,784,105,083 $4,394,501,986 $3,325,190,715 $389,603,097
2019 $4,418,341,424 $4,214,471,860 $2,975,394,335 $203,869,564
2018 $3,924,093,992 $3,811,087,565 $2,835,813,206 $113,006,427
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