Sanford is a 501(c)(3) organization based in Sioux Falls, South Dakota, registered in 2011, with $6,110,580,553 in FY2024 revenue. CharityIndex grades it A+, and it directs about 92% of spending to programs.
Revenue (FY2024)
$6.1B
▲ 6.5% vs prior year
Expenses (FY2024)
$5.8B
Net assets
$3.1B
Employees
3,271
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Sanford: 92% to programs · $0 to raise $100 earns a A+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Sanford: 6 mo reserves · +5% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Sanford: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Sanford: 5 of 5 disclosure signals earns a A+ on this criterion. See the exact thresholds →
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To care, comfort and cure
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.
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.
Revenue grew from $3.7B (FY2013) to $6.1B (FY2024) across 11 reported years.
Financial snapshot
Operating margin
4.6%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$4.3B
Total liabilities
$1.1B
Net assets
$3.1B
Salaries & benefits
$3.3B
56% of expenses
Board members
12
8 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2024 | $6,110,580,553▲6.5% | $5,829,138,669▲8.5% | $3,131,607,162▲19.0% | $4,274,026,030▲13.7% | 990 |
| 2023 | $5,738,655,914▲7.8% | $5,373,525,192▲4.1% | $2,630,583,505▲4.7% | $3,759,919,108▲5.0% | 990 |
| 2022 | $5,321,937,014▲1.8% | $5,161,087,710▲6.8% | $2,511,983,210▲10.3% | $3,581,478,897▲2.8% | 990 |
| 2021 | $5,228,573,954▲9.3% | $4,834,032,389▲10.0% | $2,278,050,562▲17.5% | $3,485,607,781▲4.8% | 990 |
| 2020 | $4,784,105,083▲8.3% | $4,394,501,986▲4.3% | $1,938,500,778▲23.8% | $3,325,190,715▲11.8% | 990 |
| 2019 | $4,418,341,424▲12.6% | $4,214,471,860▲10.6% | $1,566,207,110▲22.1% | $2,975,394,335▲4.9% | 990 |
| 2017 | $3,924,093,992▲4.9% | $3,811,087,565▲5.8% | $1,282,307,052▲10.4% | $2,835,813,206▲2.7% | 990 |
| 2016 | $3,741,477,877▲3.3% | $3,602,772,824▲5.7% | $1,161,927,482▲6.4% | $2,760,585,976▲3.5% | 990 |
| 2015 | $3,621,661,130▲6.2% | $3,409,148,116▲6.3% | $1,091,717,301▲2.8% | $2,666,510,312▲5.9% | 990 |
| 2014 | $3,411,016,895▼6.6% | $3,207,510,050▼9.7% | $1,062,084,210▼4.6% | $2,518,921,978▲7.8% | 990 |
| 2013 | $3,652,696,559 | $3,550,243,043▲5.6% | $1,113,645,928▲3.3% | $2,335,827,341▲1.0% | 990 |
| 2012 | — | $3,362,393,616▲22.4% | $1,077,890,786▲28.7% | $2,311,855,171▲21.9% | 990 |
| 2011 | — | $2,747,993,308▲18.2% | $837,680,901▲14.4% | $1,897,147,387▲20.3% | 990 |
| 2010 | — | $2,323,983,967 | $732,260,515 | $1,577,600,190 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: William Brunner Md — $3,286,993 (0.06% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| William Brunner Md | Physician | 60 | $3,286,993 |
| Adam Stys Md | Physician | 60 | $3,250,190 |
| Tomasz Stys Md | Physician | 60 | $2,911,937 |
| Eric Belanger Md | Physician | 60 | $2,885,080 |
| Alexander Drofa Md | Physician | 60 | $2,835,917 |
| Andy North | Trustee, Secretary, Indep Contractor | 1.91 | $379,383 |
| Lauris Molbert | Trustee, Chairperson | 1.91 | $107,199 |
| Brent Teiken | Trustee | 1.91 | $84,246 |
| James Cain | Trustee, Treasurer | 1.91 | $81,651 |
| Marnie Hermann | Trustee, Vice Chair | 1.91 | $80,382 |
| Neil Gulsvig | Trustee, Past Chair | 1.91 | $80,055 |
| Mark Lundeen Md | Trustee | 1.91 | $80,000 |
| David Shulkin | Trustee (start 1/24) | 1.91 | $79,826 |
| Stephanie Herseth Sandlin | Trustee (start 1/24) | 1.91 | $78,750 |
| Wesley Engbrecht | Trustee | 1.91 | $77,594 |
| Dana Dykhouse | Trustee (start 1/24) | 1.91 | $76,727 |
| Don Jacobs | Former Trustee | 0 | $13,502 |
| Bill Gassen | Trustee, President & Ceo | 23.7 | — |
| Bill Marlette | Interim, Evp, Cfo (end 1/24) | 23.7 | — |
| Bryan Nermoe | Former President & Ceo, Fargo | 0 | — |
| Contractor | Services | Paid |
|---|---|---|
| Focusone Solutions LLC | Staffing Services | $82,249,583 |
| Henry Carlson Construction LLC | Construction Services | $48,201,317 |
| Sirius Computer Solutions LLC | Software Maintenance & Support | $40,889,798 |
| Fiegen Construction Company | Construction Services | $19,562,363 |
| Epic Systems Group | Software Maintenance & Support | $14,086,173 |
4 grants to Sanford totaling $161K, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| University of Chicago | Subaward | 2023 | $88,705 |
| University of Chicago | Subaward | 2022 | $20,992 |
| University of Chicago | Subaward | 2021 | $43,881 |
| University of Chicago | Subaward | 2020 | $7,680 |
171 grants totaling $45.3M in FY2024 — showing the 15 largest. All grants made by Sanford →
| Recipient | Purpose | Amount |
|---|---|---|
| Veterans Affairs | Community health improvement services | $11,758,005 |
| City of Sioux Falls | Community health improvement services | $6,300,000 |
| University of South Dakota Foundation | Economic development, health professions education, research, workforce development | $3,604,552 |
| Concordia College Corporation | Economic development, health professions education, workforce development | $3,306,000 |
| North Dakota State University (ndsu) | Economic development, health professions education | $2,346,667 |
| Augustana University Association | Coalition building, community support, economic development, health professions education, workforce development | $2,166,750 |
| South Dakota State University Foundation | Economic development, physical improvements and housing, workforce development | $2,125,000 |
| State of South Dakota | Economic development, physical improvement and housing, health professions education, workforce development | $1,432,412 |
| South Dakota Community Foundation | Workforce development | $1,250,000 |
| Beltrami County | Economic development | $1,233,609 |
| Und Alumni Association and Foundation | Economic development, workforce development | $1,036,571 |
| University of Mary | Community support, economic development, health professions education, workforce development | $647,249 |
| South Dakota Partners In Education | Workforce development | $616,922 |
| Fargo Park District | Economic development | $445,288 |
| Sioux Falls School District 49-5 | Community support, community health improvement services, physical improvements and housing, workforce development | $310,000 |
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Data for Sanford (EIN 45-3791176) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.