Skip to content
Nonprofiteer
← SANFORD

Form 990 for tax year 2024

Filed by SANFORD.

Totals

Total revenue
$35,154,776
Total expenses
$49,770,357
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$0
Investment income
$35,154,776
Other revenue
$0
Total assets, end of year
$792,728,642
Total liabilities, end of year
$1,439,615,841
Net assets or fund balances, end of year
-$646,887,199
Program services expenses (Part IX)
$45,788,729
Management and general expenses
$3,981,628
Fundraising expenses
$0
Program service expenses (Part III)
$45,788,729

Program services were 92.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 3 · Investment income

    total $20,164,485 · excluded $20,164,485

  • 7a · Gross sales of assets other than inventory

    securities $115,313,587

  • 7b · Less cost or other basis and sales expenses

    securities $100,323,296

  • 7c · Gain or loss

    securities $14,990,291

  • 7d · Net gain or loss

    total $14,990,291 · excluded $14,990,291

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $21,692,188 · program services $19,956,813 · management and general $1,735,375

  • 8 · Pension plan contributions

    total $134,451 · program services $123,695 · management and general $10,756

  • 9 · Other employee benefits

    total $3,499,875 · program services $3,219,885 · management and general $279,990

  • 10 · Payroll taxes

    total $363,108 · program services $334,060 · management and general $29,048

  • 11a · Fees: management

    total $127,879 · program services $117,649 · management and general $10,230

  • 11b · Fees: legal

    total $1,560,063 · program services $1,435,258 · management and general $124,805

  • 11d · Fees: lobbying

    total $537,769 · program services $537,769

  • 11f · Fees: investment management

    total $1,098,105 · program services $1,010,257 · management and general $87,848

  • 11g · Fees: other

    total $9,948,161 · program services $9,109,287 · management and general $838,874

  • 12 · Advertising and promotion

    total $1,951,062 · program services $1,794,977 · management and general $156,085

  • 13 · Office expenses

    total $194,032 · program services $178,509 · management and general $15,523

  • 16 · Occupancy

    total $218,575 · program services $201,089 · management and general $17,486

  • 17 · Travel

    total $3,012,124 · program services $2,771,154 · management and general $240,970

  • 19 · Conferences, conventions and meetings

    total $1,535,351 · program services $1,412,523 · management and general $122,828

  • 20 · Interest

    total $400,768 · program services $368,707 · management and general $32,061

  • 22 · Depreciation, depletion and amortization

    total $46,163 · program services $42,470 · management and general $3,693

  • 23 · Insurance

    total $625 · program services $575 · management and general $50

  • 24a · Other expenses: NON-PATIENT BAD DEBT

    total $2,472 · program services $2,274 · management and general $198

  • 24b · Other expenses: PURCHASED SERVICES

    total $1,734,009 · program services $1,595,288 · management and general $138,721

  • 24c · Other expenses: EMPLOYEE RECRUITMENT

    total $1,610,099 · program services $1,481,291 · management and general $128,808

  • 24d · Other expenses: PROFESSIONAL DUES

    total $95,757 · program services $88,096 · management and general $7,661

  • 24e · All other expenses

    total $7,721 · program services $7,103 · management and general $618

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $119,801

  • 2 · Savings and temporary cash investments

    beginning of year $39,308 · end of year $1,770,226

  • 4 · Accounts receivable

    beginning of year $127

  • 9 · Prepaid expenses and deferred charges

    beginning of year $649,169 · end of year $85,779

  • 10a · Land, buildings and equipment: cost or other basis

    $822,651

  • 10b · Land, buildings and equipment: accumulated depreciation

    $486,153

  • 10c · Land, buildings and equipment, net

    beginning of year $382,662 · end of year $336,498

  • 11 · Investments: publicly traded securities

    beginning of year $589,137,611 · end of year $730,590,615

  • 12 · Investments: other securities

    beginning of year $8,548,406 · end of year $23,362,567

  • 13 · Investments: program-related

    beginning of year $29,180,386 · end of year $30,591,289

  • 14 · Intangible assets

    beginning of year $6,411,196 · end of year $5,951,091

  • 15 · Other assets

    beginning of year $32,966,783 · end of year $40,577

  • 17 · Accounts payable and accrued expenses

    beginning of year $218,280,960 · end of year $233,434,234

  • 20 · Tax-exempt bond liabilities

    beginning of year $360,240,864 · end of year $344,650,689

  • 21 · Escrow or custodial account liability

    end of year $5,677,959

  • 23 · Secured mortgages and notes payable

    beginning of year $61,345,455 · end of year $274,567,959

  • 25 · Other liabilities

    beginning of year $593,675,000 · end of year $581,285,000

  • 27 · Net assets without donor restrictions

    beginning of year -$566,106,830 · end of year -$646,887,199

Mission and programs · 2024

Mission

SANFORD IS COMMITTED TO THE HEALTHCARE NEEDS OF COMMUNITIES THROUGHOUT THE UPPER MIDWEST. SANFORD PROVIDES A FULL RANGE OF PRIMARY AND SPECIALTY HEALTHCARE SERVICES AND STRIVES TO BE THE PREMIER RURAL HEALTH SYSTEM IN THE UNITED STATES.

Activities or mission (Part I)

TO CARE, COMFORT AND CURE

  • SANFORD IS A NON-PROFIT ORGANIZATION DEVELOPED TO PROMOTE THE HEALTH AND WELL-BEING OF PERSONS IN ITS SERVICE AREA THROUGH PLANNING AND ESTABLISHMENT OF POLICY FOR COORDINATION AND OVERSIGHT OF SANFORD'S CONTROLLED ORGANIZATIONS.

    Expenses $45,788,729

As filed on the 2024 return.

Listed in Part VII

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - TRUSTEE

    Total calculated
    $1,205,813
    From this org
    $0
    From related orgs
    $1,205,813
    Other
    $0
    Hours/week
    1.47 + 3.42 related

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - OFFICER

    Total calculated
    $9,641,626
    From this org
    $8,881,504
    From related orgs
    $0
    Other
    $760,122
    Hours/week
    18 + 42 related

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - KEY EMPLOYEE

    Total calculated
    $12,748,758
    From this org
    $11,467,118
    From related orgs
    $0
    Other
    $1,281,640
    Hours/week
    9 + 51 related

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - HCE

    Total calculated
    $15,408,027
    From this org
    $0
    From related orgs
    $15,170,117
    Other
    $237,910
    Hours/week
    0 + 60 related

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - FORMER

    Total calculated
    $1,624,892
    From this org
    $1,478,557
    From related orgs
    $0
    Other
    $146,335
    Hours/week
    0

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Schedule J

Itemized on Schedule J with no Part VII listing of the same name on this return:

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - HCE

    Schedule J breakdown

    Base
    $0 + $14,577,325 related
    Bonus
    $0 + $100,000 related
    Other
    $0 + $492,792 related
    Deferred
    $0 + $84,833 related
    Nontaxable benefits
    $0 + $153,077 related
    Filer's total
    $0 + $15,408,027 related

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - KEY EMPLOYEE

    Schedule J breakdown

    Base
    $6,378,510
    Bonus
    $4,016,168
    Other
    $1,072,440
    Deferred
    $1,084,716
    Nontaxable benefits
    $196,924
    Filer's total
    $12,748,758

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - OFFICER

    Schedule J breakdown

    Base
    $3,783,354
    Bonus
    $2,233,048
    Other
    $2,865,102
    Deferred
    $750,364
    Nontaxable benefits
    $9,758
    Filer's total
    $9,641,626

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - FORMER

    Schedule J breakdown

    Base
    $667,662
    Bonus
    $463,698
    Other
    $347,197
    Deferred
    $117,675
    Nontaxable benefits
    $28,660
    Filer's total
    $1,624,892

  • SANFORD GROUP RETURN

    SEE SCHEDULE O - TRUSTEE

    Schedule J breakdown

    Base
    $0 + $1,205,813 related
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $1,205,813 related

Answered yes

  • 1a · First-class or charter travel
  • 1a · Travel for companions
  • 1a · Tax indemnification and gross-up payments
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
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. THE EXECUTIVE COMMITTEE OF THE BOARD OF TRUSTEES APPROVES ALL COMPENSATION CHANGES FOR THE CEO IN ADVANCE, RELIES ON THE MARKET DATA PROVIDED BY THE INDEPENDENT CONSULTING FIRM IN MAKING CHANGES, AND DOCUMENTS THE BASIS FOR ANY CHANGES IN COMMITTEE MINUTES.
PART I, LINE 7
A MATERIAL PORTION OF EXECUTIVE COMPENSATION IS LINKED TO ACHIEVING ORGANIZATIONAL GOALS RELATED TO QUALITY OF CARE, PATIENT EXPERIENCE, EMPLOYEE EXPERIENCE AND FINANCIAL PERFORMANCE. THE GOALS ARE SET IN ADVANCE AND APPROVED BY THE BOARD OF TRUSTEES.
SCHEDULE J PART III
PLEASE SEE SCHEDULE O FOR ELECTION UNDER TREASURY REGULATION SECTION 1.6033-2(D)(5) TO DISCLOSE COMPENSATION AND OTHER INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, FORMER EMPLOYEES AND CERTAIN OTHER HIGHLY PAID EMPLOYEES ON A CONSOLIDATED BASIS ON THE SANFORD GROUP RETURN, EIN: 45-3791176.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2024
Filed
10 November 2025
IRS schema version
2024v5.2
Source object
202533149349305963

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.