Sanford Health Group Return

Nonprofit profile at a glance

EIN
460462161
IRS 990 coverage
2009–2009
Forms available
Form 990 2009
Location
Sioux Falls, SD, USA
Phone
6053331000
Rating confidence
Limited
Sector
Community Health Systems

Official website

Reported finances

Revenue
$1,038,063,979
Expenses
$1,002,342,880
Assets
$721,276,979
Liabilities
$471,447,240

Source: IRS Form 990. Selected filing: tax year 2009. Amounts in USD.

Leadership & pay

50 people listed

Source: IRS Form 990. Selected filing: tax year 2009. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

Sanford's mission is "Dedicated to the Work of Health and Healing." Part of the Sanford Health System, Sanford is committed to the healthcare needs of communities throughout South Dakota, North Dakota, Minnesota and Iowa. Sanford provides a full range of primary and specialty health care services.

What it reported doing in 2009

Sanford Research is a non-profit research organization formed between Sanford Health and the University of South Dakota. In 2007, a transformational gift of $400 million by Denny Sanford has allowed for an expansion of current goals and will enable Sanford Research to become one of the premiere research institutions in the United States and the world. Sanford Research is composed of several research centers, including Cancer Biology, Cardiovascular Health, Health Disparities, Methodology and Data Analysis, Sanford Children's Health, and the Sanford Project.Sanford USD Medical Center is a 500-bed tertiary care regional medical center and the primary teaching hospital for the Sanford School of Medicine. It also features:*400 physician multi-specialty practice for Sanford *1.25 million outpatient and 50,000 inpatient visits per year *Stable, compliant population base for clinical research *Electronic medical record and clinical information system *Multi-generational families for clinical studies *Accommodating regulatory environment *Comprehensive research infrastructure *Ongoing in-house research *The Sanford Project *Global presence in clinical and research relationships The Cancer Biology Research Center features basic and translational research with strengths in breast, head and neck, ovarian, colon, cervical and lymphoid cancers. Research teams are working on projects aimed at understanding the molecular, cellular and genetic basis of cancer that can lead to the discovery of new biomarkers, drug targets and novel therapies which will improve the health and survival of cancer patients.The Cardiovascular Health Research Center includes basic studies examining cardiac and skeletal muscle development, how these processes are altered in muscular dystrophy, and how diabetes and the sympathetic nervous system affect the pathogenesis of heart failure. Research projects also focus on clinical studies examining the role of Omega-3 fatty acids in cardiovascular disease.The Health Disparities Research Center provides an infrastructure for communities and investigators to partner in designing and implementing research programs with the goal of eliminating health disparities. Active research and service projects focus on a variety of public health topics, including maternal and child health, obesity and nutrition, and adolescent health.During FY 2010, Sanford planned for a more than $7 million grant to be awarded in FY 2011 to help address health disparities among American Indians. The grant will help establish a National Center for Minority Health Disparities (NCMHD) Exploratory Center of Excellence. The five-year award totaling $7,162,047 from the U.S. Department of Health and Human Services is a collaborative grant with the University of South Dakota and the Sanford Research/USD Health Disparities Research Center. This award is a renewal of a five-year program project lead by Amy Elliott, PhD. Collaborative partners for this project includes the University of South Dakota, Sanford, the Aberdeen Area Tribal Chairman's Health Board and Sinte Gleska University.This grant will create infrastructure and unite resources to conduct health disparities research, provide educational opportunities for Native American students and increase the dissemination and utilization of scientific and health information relevant to health diversity population.The Methodology and Data Analysis Research Center collaborates with other centers on study design, monitoring, and data analysis for basic, clinical, and population research. The center also encompasses primary biostatistical and epidemiologic research focusing on methodology, as well as disease etiology and prevention.The National Institute for Athletic Health & Performance (NIAHP) focuses on new research to address training, competition, and rehabilitation challenges for youth and other populations. From this research, the NIAHP partners with sport and sports medicine national governing bodies in deve

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Cannot be determined from the filing. The filing does not provide enough consistent spending detail to tell whether the nonprofit works directly or through others.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

- The available evidence is not sufficient to produce an overall rating for this filing. This is not a warning sign.

Rating breakdown

  • Financial Efficiency: NotEnoughData
  • Transparency & Controls: 55
  • Accountability: 68
  • Sustainability: 42
  • Growth: NotEnoughData

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: Limited
  • Program expense ratio: Limited
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 90.9%; rating input score 91; 8th 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: Scored; rating input score 0
  • Grant itemization coverage: 92.3%; rating input score 92; 21st percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 53.3%; rating input score 53; 11th percentile among comparable filings
  • Governance controls: 8 of 9 controls in place; rating input score 89
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: Pass
    • Form 990 shared with the board: Fail
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: 3.4%; rating input score 55; 55th percentile among comparable filings
  • Total-asset coverage ratio: 0.72; rating input score 28; 28th percentile among comparable filings
  • Liabilities to assets ratio: 0.65; rating input score 25; 25th percentile among comparable filings
  • Officer compensation ratio: 2.3%; rating input score 42; 42nd percentile among comparable filings

Growth

  • Program expense growth: Limited
  • Revenue growth: Limited
  • Asset growth: Limited

Details

  • Where the money goes: Financial trends and filed revenue, expense, asset, and liability detail
  • Governance: 8 of 15 board members independent · 8 of 9 filing controls reported
  • Programs: 5 filed program accomplishments · $823.4M in reported program spending
  • Leadership: top reported pay $2.7M · 50 people listed · 0 of 6 pay-setting controls reported
  • Highest-paid contractors: 5 contractors listed
  • Consistency: 31 of 32 current checks pass · 1 finding to review
  • Schedules: 13 filed schedules · includes major donors, foreign activity, grants, and executive pay
  • Money network: 15 filed money-flow records
  • Related organizations: 42 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.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 53/100.
  • High — Transparency & Controls: Foreign activity oversight scored 0/100.
  • High — Sustainability: Total-asset coverage ratio scored 28/100.
  • Review — Sustainability: Operating margin scored 55/100.
  • Review — Accountability: Governance controls: Form 990 shared with the board not reported.
  • High — Sustainability: Liabilities to assets ratio scored 25/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.
  • Moderate — Sustainability: Officer compensation ratio scored 42/100.