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South Dakota · Nonprofit

SANFORD GROUP RETURN

SANFORD GROUP RETURN (South Dakota) receives grants from 3 organizations whose IRS filings report $239,955 to it, the largest being University of Chicago ($204,755). 1 of them have funded it in more than one year.

Revenue FY2024
$6.1B
Funders on record
3
Grants received
$240k
Net assets
$3.1B
1/3 repeat funderspeak grant-dependency 0%
01What it does

What Sanford Group Return does

Mission

Sanford health is committed to the healthcare needs of communities throughout the upper midwest. Sanford health provides a full range of primary and specialty healthcare services and strives to be the premier rural health system in the united states.

As stated on its FY2024 Form 990.

Programs

  1. Sanford 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 care to everyone regardless of their ability to pay. Sanford facilities and clinics provide services to remote and medically underserved areas that would otherwise not have access to even primary care services.

    $5,293,466,097 spentof which $47,489,473 as grants$5,949,015,399 earned by the program
    98% of program spending
  2. 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.

    $51,679,766 spent$6,642,227 earned by the program
    1% of program spending
  3. 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.

    $38,934,194 spent$19,511,850 earned by the program
    1% of program spending

The 3 programs described on its FY2024 Form 990, listed largest first by expense. Program spending in total: $5,384,080,057.

02The organization over time

The organization over time

Each line starts at 100 in 2017, so what you read is the shape rather than the size: 150 means half as much again as 2017, 50 means half. The number beside each label in the key is where it ended.

100 = 20172017 Revenue 100 ($3.7B) Expenses 100 ($3.6B) Net assets 100 ($1.2B)2018 Revenue 105 ($3.9B) Expenses 106 ($3.8B) Net assets 110 ($1.3B)2019 Revenue 118 ($4.4B) Expenses 117 ($4.2B) Net assets 135 ($1.6B)2020 Revenue 128 ($4.8B) Expenses 122 ($4.4B) Net assets 167 ($1.9B)2021 Revenue 140 ($5.2B) Expenses 134 ($4.8B) Net assets 196 ($2.3B)2022 Revenue 142 ($5.3B) Expenses 143 ($5.2B) Net assets 216 ($2.5B)2023 Revenue 153 ($5.7B) Expenses 149 ($5.4B) Net assets 226 ($2.6B)2024 Revenue 163 ($6.1B) Expenses 162 ($5.8B) Net assets 270 ($3.1B)
'17'18'19'20'21'22'23'24
Revenue (163)Expenses (162)Net assets (270)

Balance sheet

Total assets and total liabilities at each year end, in dollars. The largest one-year move in total assets was 2023 to 2024, from $3.8B to $4.3B (+14%).

$2.8B
$2.8B
$3.0B
$3.3B
$3.5B
$3.6B
$3.8B
$4.3B
'17'18'19'20'21'22'23'24
Total assetsTotal liabilities

How it's funded, over time

Each bar is one year's revenue split into where it came from, and every bar is the same height — these are shares, not amounts, so a year that raised twice as much looks the same size. Hover a bar for the split.

2017
2018
2019
2020
2021
2022
2023
2024
ContributionsProgram revenueInvestmentOther

Government-grant reliance: 2017 1% · 2018 1% · 2019 1% · 2020 4% · 2021 2% · 2022 1% · 2023 1% · 2024 1%. Grants only. Government contracts and fees sit inside program revenue.

Surplus & reserves

Operating surplus or deficit each year, and months of liquidity in hand. 0 of the last 8 reported years ran a deficit.

$139M
’17
$113M
’18
$204M
’19
$390M
’20
$395M
’21
$161M
’22
$365M
’23
$281M
’24
0.8
months of
reserve

Leadership and staff

The officers, directors, trustees and key employees listed on each return. Joined and no longer listed compare each filing with the year before, matching people by surname and first initial; a year after a gap, or a roster under three people, has no comparison.

Board chair

Lauris Molbert

Trustee, chairperson

As listed on its FY2024 Form 990.

'17'18'19'20'21'22'23'24
Listed5740413531332931
Joined·+6+6+1+5+6+4+7
No longer listed·23579485
03Who funds it

Who funds it, year by year

2018 → 2023: the base held at 1 funder, grant income fell $25k → $21k.

Funder
'18
'19
'21
'22
'23
'24*
'25*
total
$205k
funders
1
1
1
1
1
1
1

Left out of every figure on this page: $223k from one payer (the payer shares this organization's board, largest North Dakota Hospital Foundation). These are real filings, and they are not money SANFORD GROUP RETURN raised.

From the IRS filings of SANFORD GROUP RETURN’s funders (the co-funder graph). Association, not causation. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

How concentrated its funding is

SANFORD GROUP RETURN leans on a few funders — its largest provides 85% of grant income and the top three 100%; half comes from just 1 funder.

the vertical line marks half of all grant income — 1 funder to its left

100% of the income these shares are computed over arrives through pass-through sponsors or from payers whose filings do not say what kind of payment it is. Concentration is still measured over all of it, because the money is real; what it does not support is a claim about how many institutions have chosen to fund SANFORD GROUP RETURN.

85%
largest funder
100%
top three
~1
effective funders

Largest funder’s share by year: 2018 100% · 2019 100% · 2021 100% · 2022 100% · 2023 100% — broadly stable.

“Effective funders” = inverse Herfindahl index (1 / Σ shareᵢ²) — the number of equal-sized funders that would give the same concentration. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

Where its funders are

SANFORD GROUP RETURN draws 100% of its grant income from funders outside South Dakota, across 3 states in all.

MN
IL
IN

In-state vs out-of-state, by year

’18
’19
’21
’22
’23
South Dakota out of state home

Funder states come from each funder’s own filing. Trends are read to FY2023, the last fiscal year that has finished arriving. FY2024–FY2026 are still being filed and are shown unshaded; they do not move any figure on this page.

04Its place in the field

Organizations like SANFORD GROUP RETURN

Organizations whose mission and program text most resemble this one, by semantic similarity over every organization in the US filings — the closest peers, and often the clearest route to shared or prospective funders.

In South Dakota

Nationally

05Profile & governance

Read directly from this organization’s own Form 990, as neutral context.

Where the money goes

92% of spending goes to programs.

Program 92%Management 8%Fundraising 0%

Governance

12
board members
67%
independent
✓Conflict-of-interest policy✓Whistleblower policy✓Document retention✓Board reviewed the 990✓Audited financials

Footprint & structure

Files a return copy in 3 states

MN
OR
CA

Part of a family of 53 related entities

  • Dg Developments 2 LLC · disregarded
  • Healthcare Environmental Services LLC · disregarded
  • National Student Housing-South Dakota LLC · disregarded
  • North Country Senior Living LLC · disregarded
  • Rac Rentals LLC · disregarded

Screen this organization

A dated, signed PDF of the compliance screen for SANFORD GROUP RETURN: IRS status (Business Master File, Publication 78, auto-revocation), the OFAC sanctions lists, the Internal Revenue Bulletin, and California registration, with the Rev. Proc. 2018-32 §8.01 reliance elements stated element by element. Generated from the current files at the moment you download it.

A paid feature, included from the $75 plan up. Sign in to download.

Screens are triage, not determinations; a source that cannot be read reports not screened, never clear. Screen this nonprofit · How the screen works · on the API as GET /api/screening/{ein}?format=pdf

Questions and answers

Who funds SANFORD GROUP RETURN?
SANFORD GROUP RETURN (South Dakota) receives grants from 3 organizations whose IRS filings report $239,955 to it, the largest being University of Chicago ($204,755). 1 of them have funded it in more than one year.
How many funders does SANFORD GROUP RETURN have?
IRS filings report 3 organizations giving $239,955 in grants to SANFORD GROUP RETURN, 1 of which have funded it in more than one year.
Who is the largest funder of SANFORD GROUP RETURN?
University of Chicago is the largest funder on record, with $204,755 in grants. The full list of funders is on this page.
How can an organization like SANFORD GROUP RETURN find more funders?
Start with the funders already giving here, then look at the foundations that back similar organizations in South Dakota. The funding by cause and by state pages list the largest funders for a given area and how to approach them.

These figures are read directly from IRS Form 990 / 990-PF e-file XML: this organization’s own return for FY2024 (financials across 2017–2024), and the filings of 3 funders that report grants to it. “On record” means captured in the filings we have parsed — a funder that does not e-file, or whose grant detail is not itemized, will not appear. Filings run roughly 12–24 months behind. Trends on this page end at FY2023, the last fiscal year that has finished arriving; later years are shown and marked, and move no figure. Data on this page was exported October 14, 2026. What this page cannot tell you · view filing