Sanford Health Foundation

Nonprofit profile at a glance

EIN
363297853
IRS 990 coverage
2009–2024
Official website data refreshed
Sep 2026
Forms available
Form 990 2024
Location
Sioux Falls, SD, USA
Phone
6053285700
Rating
69
Verdict
SUPPORTED
Rating confidence
Moderate
Sector
Fund Raising and Fund Distribution

Official website

Reported finances

Revenue
$214,434,250
Expenses
$55,013,694
Assets
$1,283,437,010
Liabilities
$46,196,908

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

18 people listed

Executive titles in this filing

  • BILL GASSEN (TRUSTEE, PRESIDENT & CEO)

Highest reported compensation

  • BILL GASSEN (TRUSTEE, PRESIDENT & CEO): $4,999,360 total reported compensation
  • SCOTT WOOTEN (EVP, CFO (END 4/24)): $2,576,428 total reported compensation
  • NICK OLSON (EVP, CFO (BEG 4/24)): $1,171,262 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

To inspire philanthropy that advances the mission of Sanford Health.

What it reported doing in 2024

Donations help support the sanford initiatives: the sanford initiatives enhance the capabilities of sanford health and allow the organization to share its expertise with the communities it serves. Areas of focus for the sanford initiatives include sanford research, children's health, sports medicine, weight loss, genetics, breast cancer, virtual care, innovation and more. Since its inception, the sanford initiatives have continued to achieve major milestones, giving way to new breakthroughs and new discoveries, all of which are helping to transform the future of health care. -childhood nutrition and fitness initiativessanford health has created sanford fit, a health activation program developed to empower children and parents to make healthy lifestyle choices that help prevent childhood obesity. Sanford fit is comprised of a system of resources and programs including school programs, daycare training, mobile apps, and was developed using a combination of the latest scientific and behavioral research designed to educate, motivate, and inspire children of all ages to live a balanced, healthy lifestyle.-the sanford project since 2008, sanford health has been seeking a cure for type 1 diabetes. The sanford project team is focused on the natural regeneration of insulin-producing beta cells in the diabetic pancreas and the body's autoimmune response in patients with diabetes. The project team launched its first clinical trial and began enrolling patients in august 2010.-sanford imageneticsbecause of one man's continued generosity, sanford health launched a revolutionary program to improve health and prevent disease with personalized plans of care. Sanford imagenetics is a comprehensive program that fully integrates genetics with internal medicine, creating a first-of its-kind model for exceptional, high-quality, and innovative primary care for adults.-edith sanford breast centeredith sanford breast center has pioneered the future of breast cancer research and care. By piecing together the entire genetic puzzle of each woman, we are discovering how to revolutionize treatment and eradicate breast cancer. We are mobilizing participants -- mothers, wives, sisters, and daughters -- to donate their genetic information as we build an extensive bio bank that will underpin our groundbreaking research. As we decode this deadly disease, we will know more specifically what treatments will work for each patient, how to prevent disease on an individual basis, and ultimately, how to find a cure.-sanford world clinicsthe sanford world clinics initiative was designed to meet the unique needs of the areas we serve. Broader primary care services, regenerative medicine, specialized procedures, weight loss programs, and clinic education are just a few of the specializations developed to serve populations around the world. Outside of the national footprint, sanford has established relationships in ghana, china, germany, new zealand, south africa, costa rica, vietnam, and ireland.

Operating model

Revenue model
Donor-supported. 75% of the money available for current operations came from contributions and gifts.
Distribution model
Grant intermediary. The nonprofit sent 100% of its reported program spending out as grants.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - The filed numbers largely add up and most voting board members are independent. A relatively small share of available resources goes toward mission work and few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence.

Rating breakdown

  • Financial Efficiency: 58
  • Transparency & Controls: 71
  • Accountability: 72
  • Sustainability: 93
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 43.8%; rating input score 44
  • Program expense ratio: 100%; rating input score 100
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 68th percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 100%; rating input score 100; 52nd percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 66.7%; rating input score 67; 19th percentile among comparable filings
  • Governance controls: 7 of 9 controls in place; rating input score 78
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 74.3%; rating input score 98; 98th percentile among comparable filings
  • Total-asset coverage ratio: 23.33; rating input score 98; 98th percentile among comparable filings
  • Liabilities to assets ratio: 0.04; rating input score 91; 91st percentile among comparable filings
  • Officer compensation ratio: 1.5%; rating input score 65; 65th percentile among comparable filings

Growth

  • Program expense growth: 3.6% per year; rating input score 100; 27th percentile among comparable filings
  • Revenue growth: 9.1% per year; rating input score 100; 73rd percentile among comparable filings
  • Asset growth: 5.8% per year; rating input score 100; 43rd percentile among comparable filings

Details

  • What they do: 14 programs and campaigns described on the official site
  • Where the money goes: 43.8% of revenue deployed · 100% of spending went to programs
  • Governance: 8 of 12 board members independent · 7 of 9 filing controls reported
  • Programs: 3 filed program accomplishments · $55M in reported program spending
  • Leadership: top reported pay $5M · 18 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 3 contractors listed · $2.1M reported
  • Consistency: 29 of 29 current checks pass
  • Schedules: 10 filed schedules · includes major donors, grants, and executive pay
  • Filing history: 14 filing years from 2009 to 2024
  • Contacts: How to reach this organization
  • Money network: 7 filed money-flow records
  • Related organizations: 44 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • Moderate — Financial Efficiency: Mission deployment rate scored 44/100.
  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Governance controls: 2 of 9 not reported.