Official Seal, Everything Is Broken (2026)

Everything Is Broken

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

South Dakota · Ranked 549 of 1033 by CEO pay.

Prairie Lakes Health Care System

John Allen, President/CEO. Fiscal year ending 2025-05.

$704,368
CEO total compensation
Form 990 Part VII, columns D+E+F
3.25%
of expenses spent on charity care
Schedule H Part I line 7a
12.8%
CEO pay as a share of all charity care

§1The filing

Total revenue
$202,908,452
Total expenses
$169,708,989
Net assets
$410,869,249
Employees
938
Hospitals covered
1 facilities across 1 filing
Charity care, net
$5,510,160
Bad debt
$5,234,764
Medicare surplus (shortfall), as filed
($1,412,328)
CEO pay from the organization (Part VII col. D)
$601,671
From related organizations (col. E)
$0
Other compensation, including deferred pay and nontaxable benefits (col. F)
$102,697
CEO total compensation (D+E+F)
$704,368 to John Allen

Medicare surplus (shortfall) is Schedule H Part III line 7: Medicare revenue minus the cost of Medicare care. A figure in parentheses is a shortfall. Like bad debt, it is not community benefit on the IRS form.

Source: Form 990, Prairie Lakes Health Care System, EIN 46-0391067, fiscal year ending 2025-05, as published by the IRS. CEO identification: ceo title.

§2Community benefit versus charity care

What the system reported as total community benefit (Schedule H line 7k)$26.9M Of which charity care to patients who could not pay (line 7a)$5.5M (20%)

The rest of line 7k is Medicaid shortfall, medical education, research, subsidized services and contributions. Bad debt ($5.2M) and Medicare shortfall are reported separately by the IRS and are not community benefit on the form.

Every number on this page was copied from the filing linked above. If a figure is wrong, send the filing that contradicts it and the correction runs at the top of this page.

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Prairie Lakes Health Care System: CEO pay $704,368, charity care 3.25% of expenses