Prairie Lakes Health CARE System
Prairie Lakes Health CARE System reported $202.9 million in revenue and $169.7 million in expenses for the fiscal year ending May 31, 2025. Of every $100 it spent, $88.08 went to program services, $11.92 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: 80.1% of the total. The highest compensation it reported for one person was $1,546,497 (PHYSICIAN). 131 people received more than $100,000 in reportable compensation. Revenue rose 75% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending May 31, 2025 · Form 990, Part IX, line 25 · total expenses $170MFor 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 May 31, 2025 · Form 990, Part VIII · total revenue $203MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 88.1% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 11.9% | 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 | Not reported | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 0.0% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 80.1% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $1,546,497 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.91% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 131 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 29.1 | 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 expensePrairie Lakes Health Care System serves ten counties in northeastern south dakota and western minnesota. It is committed to providing accessible, high quality, cost-effective healthcare services. 34 physicians have been recruited over the past decade to build new services and better serve the community. In 2025, a new clinic opened in castlewood, south dakota focusing on primary care and physical therapy
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 |
|---|---|---|---|---|
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,466,218 | $0 | $80,279 | $1,546,497 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,414,016 | $0 | $49,058 | $1,463,074 |
| DIRECTOR/PHYSICIAN Director/trustee, 40.00 hrs/week | $1,297,767 | $0 | $80,279 | $1,378,046 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,175,212 | $0 | $87,779 | $1,262,991 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $1,098,681 | $0 | $80,279 | $1,178,960 |
| PRESIDENT/CEO Officer, 40.00 hrs/week | $601,671 | $0 | $102,697 | $704,368 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $609,090 | $0 | $80,279 | $689,369 |
| CIO Officer, 40.00 hrs/week | $304,717 | $0 | $101,327 | $406,044 |
131 people received more than $100,000 in reportable compensation from Prairie Lakes Health CARE System (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 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- 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 14bYes
- Employees Part I, line 5938
- Volunteers Part I, line 648
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| CONSULTING RADIOLOGISTS LTD Locum coverage | $1,403,851 |
| DMS HEALTH TECHNOLOGIES Medical imaging | $727,065 |
| WEATHERBY LOCUMS Locum coverage | $715,335 |
| SIGHTPATH MEDICAL LLC Locum coverage | $620,604 |
| MAYO COLLABORATIVE SERVICES Specialty laboratory services | $409,828 |
Individuals listed as contractors are left out. 28 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Prairie Lakes Health CARE System's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Prairie Lakes Health CARE System, you can publish a response that is linked from this page.
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Of every $100 Prairie Lakes Health CARE System spent in FY2025, $88.08 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Geisinger HealthDanville, PA · revenue $203M · programs 94.0% · 2024
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- Ascension TexasSt Louis, MO · revenue $203M · programs 99.7% · FY2025
- Marietta Healthcare PhysiciansMarietta, OH · revenue $204M · programs 93.7% · FY2025
- South Florida Baptist HospitalPlant City, FL · revenue $203M · programs 85.9% · 2024
All health care charities · Largest charities in South Dakota
Questions people ask
How much of Prairie Lakes Health CARE System's spending goes to programs?
In the fiscal year ending May 31, 2025, Prairie Lakes Health CARE System reported that 88.1% of its $169.7 million in expenses went to program services, 11.9% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Prairie Lakes Health CARE System pay its top executive?
The largest total compensation Prairie Lakes Health CARE System reported for one person in the fiscal year ending May 31, 2025 was $1,546,497, for the role of PHYSICIAN (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Prairie Lakes Health CARE System get its money?
Of $202.9 million in revenue in the fiscal year ending May 31, 2025, 0.0% came from contributions and grants and 80.1% from program service revenue (Form 990, Part VIII).
Is Prairie Lakes Health CARE System a registered charity?
The IRS lists EIN 46-0391067 as a 501(c)(3) organization (hospital or medical research organization), 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 May 31, 2025, object 202611039349301571 · read the filing · XML
- FY2024: Form 990 for the fiscal year ending May 31, 2024, object 202520939349300142 · read the filing
- FY2023: Form 990 for the fiscal year ending May 31, 2023, object 202401039349301515 · read the filing
- FY2022: Form 990 for the fiscal year ending May 31, 2022, object 202301089349301355 · read the filing
- FY2021: Form 990 for the fiscal year ending May 31, 2021, object 202211089349301341 · read the filing
- FY2020: Form 990 for the fiscal year ending May 31, 2020, object 202121049349301842 · read the filing
All filings for EIN 46-0391067: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.