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Great Plains Tribal Leaders Health
Great Plains Tribal Leaders Health reported $159.1 million in revenue and $102.4 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $85.63 went to program services, $14.37 to management and general costs and $0.00 to fundraising. Its largest source of revenue was contributions and grants: 65.2% of the total. Government grants made up 65.2%. The highest compensation it reported for one person was $363,791 (MEDICAL DIRECTOR). 8 people received more than $100,000 in reportable compensation. Revenue rose 211% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $102MFor context, the median across 864 covered mental health & crisis intervention charities: $86.13 programs, $13.87 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $159MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 85.6% | 85.2% |
| Management & general Part IX 25(C) ÷ 25(A) | 14.4% | 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 | 65.2% | 26.4% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 65.2% | 14.5% |
| Program service revenue share Part VIII 2g ÷ 12 | 30.1% | 69.3% |
| Highest reported compensation Part VII-A, columns D–F | $363,791 | $324,111 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.36% | 1.28% |
| People paid over $100,000 Part VII, line 2 | 8 | 8 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 21.6 | 6.2 |
| Independent voting board members Part VI 1a–1b | 19 of 19 | 100.0% |
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 expenseHealth centers: the oyate health center is a tribally-owned and operated walk-in primary care clinic located in rapid city, south dakota. The facility is under the management of the Great Plains Tribal Leaders Health board
Epidemiology: the Great Plains Tribal epidemiology center (gptec) is one of 12 epidemiology centers across the nation funded by the indian health service division of epidemiology and disease prevention. Gptec's mission is to provide leadership, technical assistance, support, and advocacy to tribal nations and communities in the Great Plains in order to eliminate the disparities in health that currently exist for tribal people in the area
Community health programs: serving as a liaison between the Great Plains tribes and the various health and human services divisions, including the Great Plains area indian health service, the Great Plains Tribal Leaders Health board works to reduce public health disparities and improve the health and wellness of the american indian peoples who are members of the 18 Great Plains Tribal nations and communities
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 |
|---|---|---|---|---|
| MEDICAL DIRECTOR Key employee, 40.00 hrs/week | $319,768 | $0 | $44,023 | $363,791 |
| PHYSICIAN Highest compensated employee, 40.00 hrs/week | $287,294 | $0 | $44,873 | $332,167 |
| CLINICAL DIRECTOR Highest compensated employee, 40.00 hrs/week | $275,376 | $0 | $43,676 | $319,052 |
| CLINICAL DIRECTOR Highest compensated employee, 40.00 hrs/week | $277,404 | $0 | $29,825 | $307,229 |
| CEO Officer, 40.00 hrs/week | $282,011 | $0 | $25,167 | $307,178 |
| CLINICAL DIRECTOR Highest compensated employee, 40.00 hrs/week | $287,439 | $0 | $18,640 | $306,079 |
| SENIOR VP AND CFO Key employee, 40.00 hrs/week | $198,645 | $0 | $39,515 | $238,160 |
| VP Key employee, 40.00 hrs/week | $159,626 | $0 | $59,515 | $219,141 |
8 people received more than $100,000 in reportable compensation from Great Plains Tribal Leaders Health (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.4M (Part IX, line 5).
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–1b19 · 19 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 11aNo
- 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 4No
- 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 5547
- Volunteers Part I, line 629
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| RAPID CITY MEDICAL CENTER Medical and hospital | $606,035 |
| BLACK HILLS SURGICAL HOSPITAL LLP Medical and hospital | $570,340 |
| SONOSKY CHAMBERS SACHSE ENDRESON & PERRY Legal services | $553,045 |
| RAPID CITY ORAL SURGERY PROF LLC Oral surgery services | $375,655 |
Individuals listed as contractors are left out. 17 contractors were paid more than $100,000 in all.
Correct a figure or respond
Every number above is copied from Great Plains Tribal Leaders Health's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Great Plains Tribal Leaders Health, you can publish a response that is linked from this page.
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Of every $100 Great Plains Tribal Leaders Health spent in FY2025, $85.63 went to programs. The full breakdown, from its IRS Form 990:
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All mental health & crisis intervention charities · Largest charities in South Dakota
Questions people ask
How much of Great Plains Tribal Leaders Health's spending goes to programs?
In the fiscal year ending September 30, 2025, Great Plains Tribal Leaders Health reported that 85.6% of its $102.4 million in expenses went to program services, 14.4% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Great Plains Tribal Leaders Health pay its top executive?
The largest total compensation Great Plains Tribal Leaders Health reported for one person in the fiscal year ending September 30, 2025 was $363,791, for the role of MEDICAL DIRECTOR (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Great Plains Tribal Leaders Health get its money?
Of $159.1 million in revenue in the fiscal year ending September 30, 2025, 65.2% came from contributions and grants (including 65.2% from government grants) and 30.1% from program service revenue (Form 990, Part VIII).
Is Great Plains Tribal Leaders Health a registered charity?
The IRS lists EIN 46-0420063 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 September 30, 2025, object 202602239349301645 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024, object 202532249349300613 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202422269349300042 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202313299349300601 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021 (amended), object 202333299349300103 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202112289349303336 · read the filing
All filings for EIN 46-0420063: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.