Nonprofit · EIN 45-3791176
SANFORD
Also known as GROUP RETURN
Tax-exempt · SIOUX FALLS, SD 57117
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $6,110,580,553 | $5,829,138,669 | $281,441,884 | $4,274,026,030 | $1,142,418,868 | $3,131,607,162 |
| December 31, 2023 | 990 | $5,738,655,914 | $5,373,525,192 | $365,130,722 | $3,759,919,108 | $1,129,335,603 | $2,630,583,505 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $106,770,013
- of which government grants
- $31,547,938
- Program service revenue
- $5,979,938,305
- Investment income
- $21,264,847
- Royalties
- $24,178
- Net rental income
- $2,583,210
- Net gain from sales of assets
- $6,870,396
- Other revenue
- $2,607,388
Expenses
- Grants and similar amounts paid
- $47,489,473
- Compensation of officers, directors and key employees
- $25,637,961
- Other salaries and wages
- $2,661,473,477
- Salaries, compensation and benefits (total)
- $3,288,698,827
- Professional fundraising fees
- $0
- Legal fees
- $3,503,714
- Accounting fees
- $1,380,826
- Occupancy
- $121,162,468
- Travel
- $22,214,217
- Depreciation
- $136,664,535
- Program services (functional)
- $5,384,080,057
- Management and general (functional)
- $445,058,612
Balance sheet and other
- Total assets, start of year
- $3,759,919,108
- Total assets, end of year
- $4,274,026,030
- Total liabilities, end of year
- $1,142,418,868
- Net assets, end of year
- $3,131,607,162
- Land, buildings and equipment
- $2,083,399,257
- Publicly traded securities
- $210,450
- Net assets without donor restrictions
- $3,131,607,162
- Gross unrelated business income
- $129,413,179
- Gross receipts
- $6,128,553,345
- Employees
- 3,271
- Volunteers
- 1,302
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| BILL GASSEN | TRUSTEE, PRESIDENT & CEO Trustee or director, Officer | 23.7 | $0 | $4,414,119 | $585,241 |
| WILLIAM BRUNNER MD | PHYSICIAN Highest-paid employee | 60 | $3,286,993 | $0 | $46,564 |
| ADAM STYS MD | PHYSICIAN Highest-paid employee | 60 | $3,250,190 | $0 | $53,103 |
| MATT HOCKS | EVP, CHIEF OPERATING OFFICER Key employee | 54 | $0 | $2,798,445 | $276,533 |
| TOMASZ STYS MD | PHYSICIAN Highest-paid employee | 60 | $2,911,937 | $0 | $48,065 |
| ERIC BELANGER MD | PHYSICIAN Highest-paid employee | 60 | $2,885,080 | $0 | $41,962 |
| ALEXANDER DROFA MD | PHYSICIAN Highest-paid employee | 60 | $2,835,917 | $0 | $48,215 |
| SCOTT WOOTEN | EVP, CFO (END 4/24) Officer | 23.7 | $0 | $2,525,208 | $51,220 |
| JENNIFER GRENNAN | EVP, CHIEF ADMIN OFFICER Key employee | 51 | $0 | $1,991,610 | $207,852 |
| MICHAEL LEBEAU MD | SVP, HEALTH SVC OPERATIONS Key employee | 50 | $0 | $1,824,864 | $209,688 |
| PAUL HANSON | PRESIDENT & CEO, SIOUX FALLS Key employee | 60 | $0 | $1,471,880 | $172,935 |
| TIFFANY LAWRENCE | PRESIDENT & CEO, FARGO Key employee | 55 | $0 | $1,426,252 | $179,445 |
| TODD SCHAFFER | PRESIDENT & CEO, BISMARCK Key employee | 60 | $0 | $1,224,459 | $127,517 |
| NICK OLSON | EVP, CFO (BEG 4/24) Officer | 23.7 | $0 | $1,047,876 | $123,386 |
| SUSAN JARVIS | FORMER PRESIDENT & CEO, BEMIDJI Former | 60 | $0 | $920,606 | $146,335 |
16 more people on this return
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| BILL MARLETTE | INTERIM, EVP, CFO (END 1/24) Officer | 23.7 | $0 | $894,301 | $275 |
| KARLA EISCHENS | PRESIDENT & CEO, BEMIDJI Key employee | 60 | $0 | $729,610 | $107,668 |
| ANDY NORTH | TRUSTEE, SECRETARY, INDEP CONTRACTOR Trustee or director, Officer | 1.91 | $379,383 | $0 | $0 |
| MICHELLE BRUHN | FORMER EVP, CFO & TREASURER Former | 0 | $0 | $293,725 | $0 |
| BRYAN NERMOE | FORMER PRESIDENT & CEO, FARGO Former | 0 | $0 | $252,724 | $0 |
| LAURIS MOLBERT | TRUSTEE, CHAIRPERSON Trustee or director, Officer | 1.91 | $107,199 | $0 | $0 |
| BRENT TEIKEN | TRUSTEE Trustee or director | 1.91 | $84,246 | $0 | $0 |
| JAMES CAIN | TRUSTEE, TREASURER Trustee or director, Officer | 1.91 | $81,651 | $0 | $0 |
| MARNIE HERMANN | TRUSTEE, VICE CHAIR Trustee or director, Officer | 1.91 | $80,382 | $0 | $0 |
| NEIL GULSVIG | TRUSTEE, PAST CHAIR Trustee or director, Officer | 1.91 | $80,055 | $0 | $0 |
| MARK LUNDEEN MD | TRUSTEE Trustee or director | 1.91 | $80,000 | $0 | $0 |
| DAVID SHULKIN | TRUSTEE (START 1/24) Trustee or director | 1.91 | $79,826 | $0 | $0 |
| STEPHANIE HERSETH SANDLIN | TRUSTEE (START 1/24) Trustee or director | 1.91 | $78,750 | $0 | $0 |
| WESLEY ENGBRECHT | TRUSTEE Trustee or director | 1.91 | $77,594 | $0 | $0 |
| DANA DYKHOUSE | TRUSTEE (START 1/24) Trustee or director | 1.91 | $76,727 | $0 | $0 |
| DON JACOBS | FORMER TRUSTEE Former | 0 | $13,502 | $0 | $0 |
990 for the year ended December 31, 2023: 29 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| MICHELLE BRUHN | EVP, CFO & TREASURER (END 6/23) Officer | 49.64 | $0 | $3,526,262 | $105,043 |
| WILLIAM BRUNNER MD | PHYSICIAN Highest-paid employee | 60 | $3,475,847 | $0 | $44,583 |
| BILL GASSEN | TRUSTEE, PRESIDENT & CEO Trustee or director, Officer | 49.64 | $0 | $2,821,352 | $439,680 |
| TOMASZ STYS MD | PHYSICIAN Highest-paid employee | 60 | $2,948,374 | $0 | $46,256 |
| ERIC BELANGER MD | PHYSICIAN Highest-paid employee | 60 | $2,920,835 | $0 | $40,768 |
| THOMAS MATZKE MD | PHYSICIAN Highest-paid employee | 60 | $2,847,035 | $0 | $50,140 |
| ADAM STYS MD | PHYSICIAN Highest-paid employee | 60 | $2,803,290 | $0 | $50,828 |
| MATT HOCKS | EVP, CHIEF OPERATING OFFICER Key employee | 53.85 | $0 | $2,082,393 | $267,738 |
| JENNIFER GRENNAN | EVP, CHIEF ADMIN OFFICER Key employee | 55 | $0 | $1,455,716 | $191,157 |
| MICHAEL LEBEAU MD | SVP, HEALTH SVC OPERATIONS Key employee | 60 | $0 | $1,346,734 | $201,675 |
| PAUL HANSON | PRESIDENT & CEO, SIOUX FALLS Key employee | 60 | $0 | $1,151,807 | $168,193 |
| BILL MARLETTE | INTERIM, EVP, CFO (BEG 6/23) Officer | 49.64 | $0 | $1,306,330 | $378 |
| TIFFANY LAWRENCE | PRESIDENT & CEO, FARGO Key employee | 55 | $0 | $1,071,549 | $174,779 |
| TODD SCHAFFER | PRESIDENT & CEO, BISMARCK Key employee | 60 | $0 | $991,741 | $122,409 |
| SUSAN JARVIS | FORMER PRESIDENT & CEO, BEMIDJI Former | 60 | $0 | $872,006 | $141,301 |
| KIM PATRICK | FORMER CLO Former | 0 | $0 | $998,482 | $0 |
| MARK LUNDEEN MD | TRUSTEE, PHYSICIAN Trustee or director | 57.99 | $591,873 | $0 | $16,560 |
| KARLA EISCHENS | PRESIDENT & CEO, BEMIDJI Key employee | 60 | $0 | $509,847 | $95,832 |
| MICAH ABERSON | FORMER EVP, CIO Former | 0 | $0 | $453,110 | $0 |
| ANDY NORTH | TRUSTEE, SECRETARY, INDEP CONTRACTOR Trustee or director, Officer | 9.1 | $324,345 | $0 | $0 |
| RANDY BURY | FORMER CAO Former | 0 | $0 | $283,920 | $0 |
| NEIL GULSVIG | TRUSTEE, CHAIRPERSON Trustee or director, Officer | 5.1 | $66,718 | $0 | $0 |
| BRENT TEIKEN | TRUSTEE, PAST CHAIR Trustee or director, Officer | 5.1 | $38,404 | $0 | $0 |
| DON JACOBS | TRUSTEE (END 12/23) Trustee or director | 5.1 | $37,332 | $0 | $0 |
| LAURIS MOLBERT | TRUSTEE, VICE CHAIR Trustee or director, Officer | 5.1 | $37,099 | $0 | $0 |
| JAMES CAIN | TRUSTEE Trustee or director | 5.1 | $35,599 | $0 | $0 |
| WESLEY ENGBRECHT | TRUSTEE Trustee or director | 5.1 | $34,599 | $0 | $0 |
| MARNIE HERMANN | TRUSTEE, TREASURER (BEG 4/23) Trustee or director, Officer | 5.1 | $32,099 | $0 | $0 |
| ROBIN SMITH | TRUSTEE, TREASURER (END 4/23) Trustee or director, Officer | 5.1 | $11,000 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- PO BOX 5039, SIOUX FALLS, SD 57117-5039
- Principal officer (990 for 2024)
- BILL GASSEN, 2301 EAST 60TH ST, SIOUX FALLS, SD 57104
- Signed the 990
- NICHOLAS OLSON, EVP, CFO
- Phone
- (605) 333-1000
- Website
- WWW.SANFORDHEALTH.ORG
- Return prepared by
- ERNST & YOUNG US LLP
Mission
SANFORD HEALTH IS COMMITTED TO THE HEALTHCARE NEEDS OF COMMUNITIES THROUGHOUT THE UPPER MIDWEST. SANFORD HEALTH PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTHCARE SERVICES AND STRIVES TO BE THE PREMIER RURAL HEALTH SYSTEM IN THE UNITED STATES.
Program accomplishments
- SANFORD HEALTH, THE LARGEST RURAL HEALTH SYSTEM IN THE UNITED STATES, IS DEDICATED TO TRANSFORMING THE HEALTH CARE EXPERIENCE AND PROVIDING ACCESS TO WORLD-CLASS HEALTH CARE IN AMERICA'S HEARTLAND. SANFORD PROVIDES MEDICAL SERVICES AT EVERY LEVEL FROM CRITICAL ACCESS HOSPITALS TO TERTIARY AND QUATERNARY CARE. THE SANFORD FOOTPRINT OF OWNED, LEASED AND MANAGED SITES INCLUDES OVER 250,000 SQUARE MILES WITH A NINE-STATE SERVICE AREA INCLUDING A NETWORK OF CHILDREN'S PRIMARY CARE CLINIC LOCATIONS ACROSS THE COUNTRY AND THE WORLD. SANFORD OPERATES FULL-TIME EMERGENCY CENTERS AND PROVIDES EMERGENCY CARE TO EVERYONE REGARDLESS OF THEIR ABILITY TO PAY. SANFORD FACILITIES AND CLINICS PROVIDE SERVICES TO REMOTE AND MEDICALLY UNDERSERVED AREAS THAT WOULD OTHERWISE NOT HAVE ACCESS TO EVEN PRIMARY CARE SERVICES.Expenses $5,293,466,097 · grants $47,489,473 · revenue $5,949,015,399
- SANFORD HEALTH 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 DIFFERENCES AND ADDRESSES THE NEED FOR SPECIALTY TRAINING. SANFORD HEALTH 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.Expenses $51,679,766 · revenue $6,642,227
- 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.Expenses $38,934,194 · revenue $19,511,850
What it must file and when
IRS records say it files Group return. Included in a group return filed by its parent. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 45-3791176
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Supporting organization (509(a)(3))
- Exempt since
- 2011
- Accounting year ends
- December
- Files
- Group return
- Group exemption
- 5851: SANFORD
- Assets (IRS master file)
- $4,274,026,030
- Income (IRS master file)
- $6,128,553,345
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $6,110,580,553 | $5,829,138,669 | $4,274,026,030 | XML |
| 990 | December 2023 | $5,738,655,914 | $5,373,525,192 | $3,759,919,108 | XML |
| 990 | December 2022 | $5,321,937,014 | $5,161,087,710 | $3,581,478,897 | IRS |
| 990 | December 2021 | – | – | – | IRS |
| 990 | December 2020 | – | – | – | IRS |
| 990 | June 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 45-3791176).
Questions about SANFORD
- What is the EIN of SANFORD?
- The employer identification number (EIN) of SANFORD is 45-3791176.
- Is SANFORD tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2011.
- Which annual return does SANFORD file?
- Form Group return. Included in a group return filed by its parent.
- When is the next return of SANFORD due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did SANFORD last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who is the principal officer of SANFORD?
- The 990 for the year ended December 31, 2024 names BILL GASSEN.
- Who are the officers and directors of SANFORD?
- The 990 for the year ended December 31, 2024 lists 31 people; 17 received compensation from the organization.
- How much revenue does SANFORD have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $6,110,580,553, expenses of $5,829,138,669 and total assets of $4,274,026,030 at year end.
Other nonprofits in SIOUX FALLS
- AVERA MCKENNAN EIN 46-0224743 · last filed 990 for 2025
- SIGNATRY CHARITABLE TRUST EIN 82-5070897 · last filed 990 for 2024
- THE EVANGELICAL LUTHERAN GOOD SAMARITAN SOCIETY EIN 45-0228055 · last filed 990 for 2024
- MARGOT AND TOM PRITZKER SCIENCE FOUNDATION EIN 88-3935630 · last filed 990 for 2024
- AVERA HEALTH EIN 46-0422673 · last filed 990 for 2025
- AVERA HEALTH PLANS INC EIN 46-0451539 · last filed 990 for 2024
- SANFORD HEALTH FOUNDATION EIN 36-3297853 · last filed 990 for 2024
- AUGUSTANA UNIVERSITY ASSOCIATION EIN 46-0224588 · last filed 990 for 2025