Children's CARE Hospital and School
Also known as Lifescape
Children's CARE Hospital and School reported $73.2 million in revenue and $43.0 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $81.71 went to program services, $18.29 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: 63.5% of the total. Government grants made up 10.2%. The highest compensation it reported for one person was $464,972 (CEO). 16 people received more than $100,000 in reportable compensation. Revenue rose 122% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $43MFor 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
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $73MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 81.7% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 18.3% | 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 | 35.2% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 10.2% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 63.5% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $464,972 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.08% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 16 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 18.3 | 6.6 |
| Independent voting board members Part VI 1a–1b | 12 of 13 | 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
FY2025 · Form 990, Part III · the three largest programs by expenseChildren's Care Hospital & School (cchs) is additive to the fabric of care in south dakota by being the sole provider of specific medicaid based services and supports for the children of south dakota.in fiscal year 2025, cchs provided services for over 4,400 individuals from 9 states, from birth through age 21 with disabilities or rehabilitation needs in all of its programs. In south dakota alone, more than 3,800 children were served from 65 of south dakota's 66 counties and 257 towns and cities. More than 1,000 of those children received more than one service from lifescape. Outpatient and…
Highest reported compensation
FY2025 · 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 |
|---|---|---|---|---|
| CEO Officer, 23.00 hrs/week | $0 | $400,377 | $64,595 | $464,972 |
| CFO Officer, 22.00 hrs/week | $0 | $234,559 | $35,874 | $270,433 |
| VP OF MED. & THERAPY SERVI Highest compensated employee, 46.00 hrs/week | $171,594 | $0 | $13,805 | $185,399 |
| DIRECTOR OF NURSING Highest compensated employee, 45.00 hrs/week | $137,367 | $0 | $19,465 | $156,832 |
| CHILDREN'S RESIDENTIAL & EDUCATION Highest compensated employee, 40.00 hrs/week | $148,709 | $0 | $5,680 | $154,389 |
| DIRECTOR OF OUTPATIENT & RMS Highest compensated employee, 19.00 hrs/week | $115,160 | $0 | $28,333 | $143,493 |
| RN Highest compensated employee, 36.00 hrs/week | $121,815 | $0 | $11,948 | $133,763 |
16 people received more than $100,000 in reportable compensation from Children's CARE Hospital and School (Part VII, line 2).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · 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–1b13 · 12 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 15aNo
- 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 26No
- 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 14bNo
- Employees Part I, line 5703
- Volunteers Part I, line 61,137
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| LIFESCAPE It, materials management, and other over | $2,375,464 |
| KOCH HAZARD ARCHITECTS Architect services | $1,599,987 |
| SANFORD USD MEDICAL CENTER Resp. Therapy; it svcs | $513,787 |
| SANFORD CHILDREN'S SPECIALTY CLINIC Physician services | $258,516 |
Individuals listed as contractors are left out. 11 contractors were paid more than $100,000 in all.
Private foundation grants it received
4 private foundations reported grants to Children's CARE Hospital and School totaling $10,189 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 Children's CARE Hospital and School's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Children's CARE Hospital and School, you can publish a response that is linked from this page.
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Of every $100 Children's CARE Hospital and School spent in FY2025, $81.71 went to programs. The full breakdown, from its IRS Form 990:
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All health care charities · Largest charities in South Dakota
Questions people ask
How much of Children's CARE Hospital and School's spending goes to programs?
In the fiscal year ending June 30, 2025, Children's CARE Hospital and School reported that 81.7% of its $43.0 million in expenses went to program services, 18.3% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Children's CARE Hospital and School pay its top executive?
The largest total compensation Children's CARE Hospital and School reported for one person in the fiscal year ending June 30, 2025 was $464,972, for the role of CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Children's CARE Hospital and School get its money?
Of $73.2 million in revenue in the fiscal year ending June 30, 2025, 35.2% came from contributions and grants (including 10.2% from government grants) and 63.5% from program service revenue (Form 990, Part VIII).
Is Children's CARE Hospital and School a registered charity?
The IRS lists EIN 46-0233030 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), 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
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202631139349300623 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202521229349302222 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202441279349301904 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321229349302402 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202221329349306877 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202131349349302598 · read the filing
All filings for EIN 46-0233030: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.