Official Seal, Everything Is Broken (2026)

Everything Is Broken

Report No. 1 · Nonprofit Hospital Executive Pay vs Charity Care · Annual Report, 2026 edition

Report No. 1 · 2026 edition · all states

South Dakota

In South Dakota, 0 of the 6 general hospital systems over $100 million with a hospital in the state reported more in chief executive compensation than they gave in charity care; nationally, 73 of 655. The median system with a hospital in South Dakota spent 0.60% of expenses on charity care, against 1.06% for all systems nationally. Highest reported chief executive compensation: $4,999,360, Bill Gassen, Sanford.

30 nonprofit hospital systems have a hospital in South Dakota, 1 of them filing from another state. A system with hospitals in several states is listed on each of those states' pages with its system-wide figures.

#System and CEOCEO payRevenueCharity care,
% of expenses
Charity careCEO pay as %
of charity care
52 SanfordBill Gassen $5.0M $6.1B 1.53% $89.1M 5.6%
161 Monument Health Rapid City HospitalPaulette R Davidson $2.2M $1.3B 0.60% $7.6M 29.1%
368 Avera MckennanRonald Place MD $1.1M $1.9B 0.94% $16.7M 6.7%
549 Prairie Lakes Health Care SystemJohn Allen $704,368 $202.9M 3.25% $5.5M 12.8%
617 Avera St Luke'sDaniel Bjerknes $595,749 $194.4M 0.85% $1.7M 35.1%
705 Avera St Mary'sShantel Krebs $468,629 $150.5M 0.70% $1.0M 45.9%
817 Wagner Community Memorial HospitalBryan Slaba $343,257 $22.5M 2.09% $404,800 84.8%
834 Platte Community Memorial HospitalMark Burket $328,242 $22.7M 0.42% $76,000 431.9%
850 Mobridge Regional HospitalJohn Ayoub $303,936 $33.7M 0.27% $98,000 310.1%
868 Fall River Health ServicesJeremy Schultes $289,053 $33.1M 0.24% $75,607 382.3%
876 Philip Health ServicesMaureen Cadwell $281,342 $19.4M 0.30% $57,795 486.8%
921 St Michael's HospitalAshli Danilko $236,013 $17.0M 0.73% $108,000 218.5%
924 Madison Community HospitalTeresa Mallett $232,761 $38.0M 0.33% $123,000 189.2%
936 Marshall County Healthcare CenterNick Fosness $227,459 $13.2M 0.15% $20,000 1137.3%
955 Faulkton Area Medical CenterHeather Bode $208,605 $13.0M 0.50% $62,000 336.5%
965 Freeman Regional Health ServicesCourtney Unruh $202,585 $19.4M 0.72% $128,000 158.3%
966 St Benedict Health CenterLindsay Weber $201,666 $37.6M 0.42% $112,415 179.4%
984 Landmann-Jungman Memorial HospitalMelissa Gale $187,093 $7.5M 0.12% $9,000 2078.8%
1016 Bennett County Hospital and Nursing HomeShandel Anson $126,784 $12.6M 0.40% $50,174 252.7%
1019 Winner Regional Healthcare CenterBrian Williams $115,695 $27.9M 0.33% $105,000 110.2%

Systems not shown: 10 with an unidentifiable chief executive or charity care reported off line 7a. Each has its own page: Mercy Health Services - Iowa, Sacred Heart Health Services, Avera Queen of Peace, Children's Care Hospital and School, Huron Regional Medical Center, Coteau Des Prairies Hospital, Pioneer Memorial Hospital and Health Services, Douglas County Memorial Hospital, Community Memorial Hospital, Eureka Community Benevolent Hospital Association.

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South Dakota nonprofit hospitals: CEO pay vs charity care