Civic Intelligence

Prairie Lakes Health Care System Inc

EIN 46-0391067 • 501(c)3 • Watertown, SD

View Organization Page

Profile

We make a positive difference in the health of the patients and communities we serve.

PO Box 1210Watertown, SD 57201

www.prairielakes.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

27th percentile

0.11x

Higher debt load relative to assets than 27% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Liabilities / Revenue

29th percentile

0.25x

Higher debt load relative to revenue than 29% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Net Margin

76th percentile

16%

Higher net margin than 76% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Top Officer Pay

72nd percentile

$1,546,497

Higher top officer pay than 72% of similar nonprofits.

Top officer pay equals 0.8% of source-year revenue.

501(c)3 • $250M-$1B nonprofits • Source year 2025

Asset Growth

43rd percentile

4.7%

Faster asset growth than 43% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2024 to 2025

Revenue Growth

80th percentile

25%

Faster revenue growth than 80% of similar nonprofits.

501(c)3 • $250M-$1B nonprofits • Annualized from 2024 to 2025

Balance Sheet
Liabilities / Assets27th percentile

Assets

Up

$441,055,297

Up $36,399,218 (+9.0%) from 2023

Liabilities

Up

$54,198,135

Up $5,944,371 (+12%) from 2023

Net Assets

Up

$386,857,162

Up $30,454,847 (+8.5%) from 2023

Operations
Liabilities / Revenue29th percentileNet Margin76th percentile

Revenue

Up

$161,897,147

Up $18,084,576 (+13%) from 2023

Expenses

Up

$147,024,495

Up $9,381,763 (+6.8%) from 2023

Net Income

Up

$14,872,652

Up $8,702,813 (+141%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth43rd percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$600M$400M$200M$0Assets 2011: $169,631,399Liabilities 2011: $34,640,935Net Assets 2011: $134,990,4642011Assets 2012: $181,017,131Liabilities 2012: $32,586,154Net Assets 2012: $148,430,9772012Assets 2013: $211,469,945Liabilities 2013: $30,712,094Net Assets 2013: $180,757,8512013Assets 2014: $234,746,435Liabilities 2014: $29,373,739Net Assets 2014: $205,372,6962014Assets 2015: $245,720,197Liabilities 2015: $28,019,321Net Assets 2015: $217,700,8762015Assets 2016: $247,120,815Liabilities 2016: $26,785,811Net Assets 2016: $220,335,0042016Assets 2017: $308,032,192Liabilities 2017: $63,988,101Net Assets 2017: $244,044,0912017Assets 2018: $329,183,316Liabilities 2018: $60,880,353Net Assets 2018: $268,302,9632018Assets 2019: $328,290,825Liabilities 2019: $54,681,592Net Assets 2019: $273,609,2332019Assets 2020: $318,634,035Liabilities 2020: $54,911,822Net Assets 2020: $263,722,2132020Assets 2021: $435,632,850Liabilities 2021: $53,291,480Net Assets 2021: $382,341,3702021Assets 2022: $432,088,879Liabilities 2022: $52,046,490Net Assets 2022: $380,042,3892022Assets 2023: $404,656,079Liabilities 2023: $48,253,764Net Assets 2023: $356,402,3152023Assets 2024: $441,055,297Liabilities 2024: $54,198,135Net Assets 2024: $386,857,1622024

Highlighted filing

2024

Assets$441,055,297
Liabilities$54,198,135
Net Assets$386,857,162
Open 2024 Filing

Operations Trend

Revenue Growth80th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$200M$150M$100M$50M$0Revenue 2011: $82,006,592Expenses 2011: $72,698,589Net Income 2011: $9,308,0032011Revenue 2012: $85,281,354Expenses 2012: $69,594,300Net Income 2012: $15,687,0542012Expenses 2013: $69,876,0942013Revenue 2014: $91,717,479Expenses 2014: $75,995,373Net Income 2014: $15,722,1062014Revenue 2015: $89,026,612Expenses 2015: $77,963,744Net Income 2015: $11,062,8682015Revenue 2016: $99,642,080Expenses 2016: $83,761,744Net Income 2016: $15,880,3362016Revenue 2017: $111,900,942Expenses 2017: $95,212,010Net Income 2017: $16,688,9322017Revenue 2018: $114,773,656Expenses 2018: $97,296,049Net Income 2018: $17,477,6072018Revenue 2019: $120,059,846Expenses 2019: $100,777,376Net Income 2019: $19,282,4702019Revenue 2020: $115,979,854Expenses 2020: $102,182,844Net Income 2020: $13,797,0102020Revenue 2021: $139,220,491Expenses 2021: $110,908,515Net Income 2021: $28,311,9762021Revenue 2022: $140,443,568Expenses 2022: $125,590,516Net Income 2022: $14,853,0522022Revenue 2023: $143,812,571Expenses 2023: $137,642,732Net Income 2023: $6,169,8392023Revenue 2024: $161,897,147Expenses 2024: $147,024,495Net Income 2024: $14,872,6522024

Highlighted filing

2024

Revenue$161,897,147
Expenses$147,024,495
Net Income$14,872,652
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$441,055,297
Liabilities
$54,198,135
Net assets
$386,857,162
Revenue
$161,897,147
Expenses
$147,024,495
Net income
$14,872,652
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$441$54.2$387$162$147$14.9
2023Detailed filing. Detailed filing data is available for this year.$405$48.3$356$144$138$6.17
2022Detailed filing. Detailed filing data is available for this year.$432$52.0$380$140$126$14.9
2021Detailed filing. Detailed filing data is available for this year.$436$53.3$382$139$111$28.3
2020Detailed filing. Detailed filing data is available for this year.$319$54.9$264$116$102$13.8
2019Detailed filing. Detailed filing data is available for this year.$328$54.7$274$120$101$19.3
2018Detailed filing. Detailed filing data is available for this year.$329$60.9$268$115$97.3$17.5
2017Detailed filing. Detailed filing data is available for this year.$308$64.0$244$112$95.2$16.7
2016Detailed filing. Detailed filing data is available for this year.$247$26.8$220$99.6$83.8$15.9
2015Detailed filing. Detailed filing data is available for this year.$246$28.0$218$89.0$78.0$11.1
2014Detailed filing. Detailed filing data is available for this year.$235$29.4$205$91.7$76.0$15.7
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$211$30.7$181$69.9
2012Summary only. Only limited summary data is available for this year.$181$32.6$148$85.3$69.6$15.7
2011Summary only. Only limited summary data is available for this year.$170$34.6$135$82.0$72.7$9.31
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jun 1, 2023 to May 31, 2024
Signed
Mar 28, 2025
Return Version
2023v6.0
Gross Receipts
$604,083,909
Mission and Program Overview

Mission

We make a positive difference in the health of the patients and communities we serve.

Provide high quality, affordable & compassionate healthcare services for the people in the region.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$268,887,742$289,116,838▲ $20,229,096
Land, Buildings, and Equipment, Net$71,891,409$77,008,762▲ $5,117,353
Accounts Receivable$11,608,055$13,995,210▲ $2,387,155
Intangible Assets$6,970,926$7,525,080▲ $554,154
Savings and Temporary Cash Investments$8,597,991$7,269,492▼ $1,328,499
Investments Other Securities$5,175,128$5,201,970▲ $26,842
Inventories for Sale or Use$3,333,167$3,800,328▲ $467,161
Prepaid Expenses and Deferred Charges$1,450,914$1,722,903▲ $271,989
Other Notes and Loans Receivable, Net$1,312,712$1,289,614▼ $23,098
Cash and Non-Interest-Bearing Accounts$2,486$3,485▲ $999
Total Assets$404,656,079$441,055,297▲ $36,399,218
Other Assets Total$25,425,549$34,121,615▲ $8,696,066
Liabilities
Tax Exempt Bond Liabilities$23,332,008$21,070,074▼ $2,261,934
Other Liabilities$9,329,026$16,491,458▲ $7,162,432
Accounts Payable and Accrued Expenses$15,413,280$16,273,851▲ $860,571
Deferred Revenue$179,450$362,752▲ $183,302
Total Liabilities$48,253,764$54,198,135▲ $5,944,371
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$351,283,851$381,714,479▲ $30,430,628
Net Assets With Donor Restrictions$5,118,464$5,142,683▲ $24,219
Total Net Assets Fund Balance$356,402,315$386,857,162▲ $30,454,847
Total Liabilities and Net Assets / Fund Balance$404,656,079$441,055,297▲ $36,399,218

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$50,929,541$41,646,147$92,575,688
Equipment$16,794,549$63,105,088$79,899,637
Other Land Buildings$4,469,615-$4,469,615
Land$4,423,423-$4,423,423
Leasehold Improvements$391,634$2,545,094$2,936,728
Other Assets Org$46,041--
Compensation and Service Providers
Top Officer Pay72nd percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Jeffrey Smith MdPhysicianFT$854,330$518,906$1,373,236
Jacob Schaeffer MdPhysicianFT$421,784$876,608$1,298,392
Richard Howard MdPhysicianFT$1,171,352$63,580$1,234,932
Greg Gerrish MdPhysicianFT$608,187$455,487$1,063,674
Vijay RaoPhysicianFT$590,508$64,918$655,426
John AllenPresident/CEOFT$389,250$65,306$454,556
Shelly TurbakCNOFT$167,139$47,319$214,458
Laurie FieberVP of Clinic OperationsFT$165,623$46,688$212,311
Alison GilbertsonVP of Human ResourcesFT$151,839$44,619$196,458
Tim PugsleyCIOFT$72,115$15,419$87,534
Lynn SeversonCFOFT$63,606$7,937$71,543

Board Members and Trustees

NameTitle
Vince FoleyChair
Rob PetersonPast Chair
Chris CarterVice Chair
Alan Christensen MdDirector
Jesse PetersonDirector
Jonathan OviattDirector
Kristen HendersonDirector
Mark RobyDirector
Tammy DavisDirector
Jay HodgesInterim CFO
Scott MungerSecretary
Mike LukenTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Titan Medical Group LLCLocum Coverage2110 S 169 PLAZA SUITE 100, Omaha, NE 68130$608,818
Medical SolutionsLocum CoveragePO BOX 310737, Des Moines, IA 50331$584,249
Weatherby LocumsLocum CoveragePO BOX 972633, Dallas, TX 75397$534,246
Ap Fbo Unitmed RecruitingLocum CoveragePO BOX 31001, Pasadena, CA 91110$496,752
Dms Health TechnologiesMedical ImagingPO BOX 670747, Dallas, TX 75267$475,057
Revenue and Support

Revenue Composition

Contributions and Grants
$509,238
Program Service Revenue
$137,807,185
Investment Income
$21,347,993
Other Revenue
$2,232,731
All Other Contributions
$509,238
Change in Net Assets
$14,872,652

Audited Revenue Reconciliation

Revenue per Audited Statements
$154,101,187
Revenue Not Reported on Financial Statements
$7,795,960
Revenue Not Reported on Form 990
$15,557,976
Other Revenue Adjustments
$6,649,801
Total Revenue per Audited Statements
$169,659,163
Total Revenue per Form 990
$161,897,147
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$76,077,199
Other Expenses$70,694,096
Grants and Similar Amounts Paid$253,200
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$58,030,621$6,889,912-$64,920,533
Fees for Services Other$10,727,176$3,062,462-$13,789,638
Depreciation Depletion$7,020,785$536,291-$7,557,076
Other Expenses$6,396,601--$6,396,601
Other Employee Benefits$5,272,729--$5,272,729
All Other Expenses$3,654,587$592,716-$4,247,303
Payroll Taxes$3,755,487$477,409-$4,232,896
Office Expenses$1,524,640$612,627-$2,137,267
Information Technology$523,259$1,529,262-$2,052,521
Pension Plan Contributions$1,651,041--$1,651,041
Fees for Service Investment Mgmnt Fees-$1,146,159-$1,146,159
Occupancy$1,078,491--$1,078,491
Interest$856,287--$856,287
Advertising$33,108$656,875-$689,983
Travel$496,291$154,592-$650,883
Insurance$556,902--$556,902
Grants to Domestic Orgs$253,200--$253,200
Fees for Services Legal$141,839$77,028-$218,867
Conferences and Meetings$90,317$69,473-$159,790
Total Functional Expenses$131,219,689$15,804,806$0$147,024,495

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Form 990$147,024,495
Expenses per Audited Statements$139,228,535
Total Expenses per Audited Statements$139,228,535
Expenses Not Reported on Financial Statements$7,795,960
Other Expense Adjustments$6,649,801
Expenses Not Reported on Form 990$0
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Watertown Area Community FoundationWatertown, SD501(c)(3)General Support$50,000
Watertown Area United WayWatertown, SD501(c)(3)Support of United Way Agencies$47,500
Lake Area Technical Institute FoundationWatertown, SD501(c)(3)Scholarships$39,375
Human Service AgencyWatertown, SD501(c)(3)Detox Unit Support$30,000
Sanford ClinicWatertown, SD501(c)(3)Support of Family Planning Clinic.$30,000
Ne Technical High SchoolWatertown, SD501(c)(6)Future Leader Sponsorship$12,400
Watertown CaresWatertown, SD501(c)(3)Housing Support$10,000

International Summary

Offices
0
Employees
0
Spending
$20,857,996

International Compliance

Activity in boycott countries
No
Foreign corporation ownership
No
Foreign partnership interest
Yes
Interest in foreign trust
No
Passive foreign investment company interest
Yes
Transfers to foreign corporations
Yes

International Activities

RegionActivityServicesOfficesEmployeesSpending
Central America and the CaribbeanInvestments-00$20,857,996
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
457(b) Payable$7,009,906
Rou Lease Liabilities$6,271,780
Lease Obligations$1,225,000
Long-term Pto$921,390
Naming Rights Payable$750,000
Due To/from Related Party$175,441
Asset Retirement Obligation$137,941

Bond Issues

BondIssuerIssuedIssue PricePurpose
ASouth Dakota Health and Educational Facilities Authority2017-01-27$36,000,000Funding of the new specialty clinic building

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$36,000,000-$14,910,000$397,999

Bond Financing Compliance

No rebate due
No
Rebate not yet due
Yes
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
No
Exception to rebate
No
Corrective action procedures
Yes
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 1A

“The executive committee shall be comprised of the officers of the corporation. Except as may be limited by the board, the executive committee shall have and exercise the authority of the board in the management of the business of the corporation. The executive committee shall act in the intervals between meetings of the board and shall at all times be subject to the control and direction of the board. The executive committee shall also serve as the corporation's compensation committee, unless it or the board delegates those responsibilities to another committee of the board. The executive committee shall not usurp the functions of the other standing committees, although it will coordinate projects, tasks and communications among such committees. A majority of the executive committee shall constitute a quorum for the transaction of any business.”

Form 990, Part VI, Section B, Line 11B

“Executive management reviews the form 990 in detail. The form 990 is presented to the finance committee chair for final review prior to filing with the irs.”

Form 990, Part VI, Section B, Line 12C

“A conflict of interest statement is signed by all board members annually. This statement discloses any areas that may potentially present a conflict of interest with themselves or family members. The conflict of interest policy is monitored by the ceo and the board. Members will excuse themselves during board meeting from any discussion or voting on an issue where there may be a conflict of interest.”

Form 990, Part VI, Section B, Line 15A

“Compensation comparability studies are reviewed each year for all positions. The human resources department has access to various compensation surveys, which are reviewed to determine if the hospital's compensation is reasonable compared to other facilities. The board delegates vice president executive compensation approval to the ceo based on the organization's compensation philosophy in conjuction with market benchmarks. This process was last completed in july 2024 and is ongoing as needed.”

Form 990, Part VI, Section C, Line 19

“Financial statements are available through filings with bonding authority. Governing documents and the conflict of interest policy are not made available to the public”

Filing and Contact Details

Filer

Filer Name
Prairie Lakes Health Care System Inc
EIN
46-0391067
Phone
6058827000
Address
PO BOX 1210, WATERTOWN, SD 57201

Signing Officer

Name
Lynn Severson
Title
CFO
Phone
6058827000
Signed
2025-03-28
Discuss with paid preparer
Yes

Organization Details

Principal Officer
John Allen
Formed
1986
Legal Domicile
Sd
Voting Board Members
15
Independent Board Members
15
Employees
842
Volunteers
49

Preparer

Firm
Cliftonlarsonallen Llp
Address
10401 W INNOVATION DR STE 300, WAUWATOSA, WI 53226
Preparer
Kristen Donlevy
Phone
4144761880
Supplemental Narrative

Additional Explanations

FORM 990, PART XI, LINE 9:

“Change in beneficial interest in prairie lakes foundation 24,219. Returned grant payments”

Financial Statement Notes

PART X, LINE 2:

“The internal revenue service (irs) has determined that prairie lakes is a tax-exempt, not-for-profit corporation under section 501(c)(3) of the internal revenue code (irc). The health system follows the guidance in the accounting standards regarding the recognition and measurement of uncertain tax positions. The guidance clarifies the accounting for uncertainty in income taxes recognized in an entity's financial statements. The guidance further prescribes recognition and measurement of tax provisions taken or expected to be taken on a tax return that are not certain to be realized. The application of this standard has no impact on the health system's financial statements.”

PART XI, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt expense 6,396,601. Donation expense 253,200.”

PART XII, LINE 4B - OTHER ADJUSTMENTS:

“Bad debt expense 6,396,601. Donation expense 253,200.”

Raw XML AppendixShowing 400 of 1,146 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/ActivitiesConductedPrtshpInd00
IRS990/ActivityOrMissionDesc0PROVIDE HIGH QUALITY, AFFORDABLE & COMPASSIONATE HEALTHCARE SERVICES FOR THE PEOPLE IN THE REGION.
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IRS990/Desc0PRAIRIE 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. 33 PHYSICIANS HAVE BEEN RECRUITED OVER THE PAST DECADE TO BUILD NEW SERVICES AND BETTER SERVE THE COMMUNITY. IN 2024, WE ADDED A PRIMARY CARE CLINIC TO OUR SERVICES LINE, ADDING OVER 20 MEDICAL PROFESSIONALS.
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