Sanford Group Return
Sanford Group Return reported $6.11 billion in revenue and $5.83 billion in expenses for calendar year 2024. Of every $100 it spent, $92.36 went to program services, $7.64 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 97.9% of the total. The highest compensation it reported for one person was $4,999,360 (TRUSTEE, PRESIDENT & CEO). 2,543 people received more than $100,000 in reportable compensation. Revenue rose 38% between 2019 and 2024. Source: Form 990, 2024.
Where $100 of spending went
Calendar year 2024 · Form 990, Part IX, line 25 · total expenses $5.83BFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
Calendar year 2024 · Form 990, Part VIII · total revenue $6.11BThe 990 scorecard · same measures for every charity, no grades
| Measure | 2024 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 92.4% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 7.6% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 1.7% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.5% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 97.9% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $4,999,360 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.09% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 2,543 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 6.4 | 6.6 |
| Independent voting board members Part VI 1a–1b | 8 of 12 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
2024 · Form 990, Part III · the three largest programs by expenseSanford 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…
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…
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…
Highest reported compensation
2024 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| TRUSTEE, PRESIDENT & CEO Director/trustee, officer, 23.70 hrs/week | $0 | $4,414,119 | $585,241 | $4,999,360 |
| PHYSICIAN Highest compensated employee, 60.00 hrs/week | $3,286,993 | $0 | $46,564 | $3,333,557 |
| PHYSICIAN Highest compensated employee, 60.00 hrs/week | $3,250,190 | $0 | $53,103 | $3,303,293 |
| EVP, CHIEF OPERATING OFFICER Key employee, 54.00 hrs/week | $0 | $2,798,445 | $276,533 | $3,074,978 |
| PHYSICIAN Highest compensated employee, 60.00 hrs/week | $2,911,937 | $0 | $48,065 | $2,960,002 |
| PHYSICIAN Highest compensated employee, 60.00 hrs/week | $2,885,080 | $0 | $41,962 | $2,927,042 |
| PHYSICIAN Highest compensated employee, 60.00 hrs/week | $2,835,917 | $0 | $48,215 | $2,884,132 |
| EVP, CFO (END 4/24) Officer, 23.70 hrs/week | $0 | $2,525,208 | $51,220 | $2,576,428 |
2,543 people received more than $100,000 in reportable compensation from Sanford Group Return (Part VII, line 2). Compensation of current officers, directors and key employees totaled $26M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
2024 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b12 · 8 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26Yes
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bYes
- Employees Part I, line 53,271
- Volunteers Part I, line 61,302
Largest outside contractors
2024 · Form 990, Part VII, Section B · businesses only| FOCUSONE SOLUTIONS LLC Staffing services | $82,249,583 |
| 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 |
Individuals listed as contractors are left out. 409 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to Sanford Group Return totaling $40 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Sanford Group Return's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Sanford Group Return, you can publish a response that is linked from this page.
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Of every $100 Sanford Group Return spent in 2024, $92.36 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Indiana University HealthIndianapolis, IN · revenue $6.08B · programs 95.3% · 2024
- Duke University Health SystemDurham, NC · revenue $6.17B · programs 84.8% · FY2025
- Highmark Health GroupPittsburgh, PA · revenue $6.06B · programs 91.1% · 2024
- Inova Health CARE ServicesFairfax, VA · revenue $6.42B · programs 85.0% · 2024
- Ochsner Clinic FoundationNew Orleans, LA · revenue $6.04B · programs 80.5% · 2024
All health care charities · Largest charities in South Dakota
Questions people ask
How much of Sanford Group Return's spending goes to programs?
In calendar year 2024, Sanford Group Return reported that 92.4% of its $5.83 billion in expenses went to program services, 7.6% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Sanford Group Return pay its top executive?
The largest total compensation Sanford Group Return reported for one person in calendar year 2024 was $4,999,360, for the role of TRUSTEE, PRESIDENT & CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Sanford Group Return get its money?
Of $6.11 billion in revenue in calendar year 2024, 1.7% came from contributions and grants (including 0.5% from government grants) and 97.9% from program service revenue (Form 990, Part VIII).
Is Sanford Group Return a registered charity?
The IRS lists EIN 45-3791176 as a 501(c)(3) organization (supporting organization (509(a)(3))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- 2024: Form 990 for calendar year 2024, object 202523179349302617 · read the filing · XML
- 2023: Form 990 for calendar year 2023, object 202443189349301504 · read the filing
- 2022: Form 990 for calendar year 2022, object 202323139349302342 · read the filing
- 2021: Form 990 for calendar year 2021, object 202213189349302121 · read the filing
- 2020: Form 990 for calendar year 2020, object 202123199349301822 · read the filing
- 2019: Form 990 for calendar year 2019, object 202032549349301563 · read the filing
All filings for EIN 45-3791176: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.