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19 health system / hospital employers in South Dakota have substantive broker records on their Form 5500 filings. Median disclosed broker cost in this group runs about $11 per participant per month. Open any company to see its broker of record, disclosed compensation, and benefit lines — or step back to all South Dakota employers.
| Company | Industry | Plan type | Participants | Latest filing | Broker comp |
|---|---|---|---|---|---|
| MONUMENT HEALTH, INC. | Health System / Hospital | Self-funded | 4.5K | 2024 | Disclosed |
| PRIMROSE RETIREMENT COMMUNITIES, LLC | Health System / Hospital | Self-funded | 1.5K | 2025 | Disclosed |
| AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC | Health System / Hospital | Self-funded | 532 | 2024 | Disclosed |
| PRAIRIE LAKES HEALTHCARE SYSTEM | Health System / Hospital | Fully insured | 516 | 2025 | Disclosed |
| HURON REGIONAL MEDICAL CENTER, INC. | Health System / Hospital | Fully insured | 461 | 2025 | Disclosed |
| HME COMPANIES, LLC | Health System / Hospital | Self-funded | 395 | 2025 | Disclosed |
| MADISON COMMUNITY HOSPITAL | Health System / Hospital | Self-funded | 192 | 2025 | Disclosed |
| RUMMEL MEMORIAL HOME, INC. | Health System / Hospital | Self-funded | 183 | 2025 | Disclosed |
| PRESBYTERIAN RETIREMENT VILLAGE OF RAPID CITY, INC. | Health System / Hospital | Self-funded | 173 | 2025 | Disclosed |
| SIOUXLAND SURGERY CENTER, LP | Health System / Hospital | Self-funded | 156 | 2025 | Disclosed |
| LANTIS ENTERPRISES, INC. | Health System / Hospital | Self-funded | 156 | 2025 | Disclosed |
| WINNER REGIONAL HEALTHCARE CENTER | Health System / Hospital | Self-funded | 148 | 2024 | Disclosed |
| BETHANY LUTHERAN HOME FOR THE AGED INC | Health System / Hospital | Self-funded | 140 | 2021 | Disclosed |
| FREEMAN REGIONAL HEALTH SERVICES | Health System / Hospital | Fully insured | 130 | 2025 | Disclosed |
| FALL RIVER HEALTH SERVICES | Health System / Hospital | Self-funded | 120 | 2025 | Disclosed |
| BETHESDA HOME OF ABERDEEN | Health System / Hospital | Fully insured | 119 | 2021 | Disclosed |
| PLATTE HEALTH CENTER | Health System / Hospital | Fully insured | 93 | 2021 | Disclosed |
| JENKINS LIVING CENTER, INC | Health System / Hospital | Self-funded | 79 | 2023 | Disclosed |
| COTEAU DES PRAIRIES HOSPITAL AND CLINIC | Health System / Hospital | Fully insured | 75 | 2025 | Disclosed |
Sourced from Form 5500 filings as submitted to the U.S. Department of Labor. Dataset refreshed October 7, 2026. Plan years are labeled by the year they begin, so a July 2024 – June 2025 plan year is 2024. Filings may lag 12–18 months behind the current plan year.