| Ray Jensen MD | Physician - Orthopedic Surgery | 40 | $1.5M | $1.7M |
| Andrew VanOsdol MD | Physician - Surgery | 40 | $993K | $1.1M |
| Richard Little MD | Physician - Orthopedic Surgery | 40 | $938K | $989K |
| Christopher Milnes MD | Physician - Radiologist | 40 | $855K | $944K |
| Wesley Badger | Physician -Surgery | 40 | $810K | $913K |
| Thomas Worsley | Pres.Spearfish Hospital/Hills Market | 55 | $411K | $647K |
| Heather Brewer MD | Board member/Employed Physician | 41.12 | $498K | $625K |
| Mark Schmidt | Pres.Sturgis, Lead-Deadwood Markets | 55 | $264K | $423K |
| Jason Knudson | Board Member/Employed Physician | 40.63 | $308K | $393K |
| Charles Lewis DO | Board Member/Employed Physician | 40.54 | $322K | $362K |
| Barbara Hespen | President Custer Market & System CNO | 55 | $151K | $250K |
| Mark Schulte | VP Rapid City Market | 0 | — | — |
| Brad Archer MD | Chief Medical Officer | 8.57 | — | — |
| Steven Williams | Board Member-Chair | 0.79 | — | — |
| Kathryn Johnson | Board member-Vice Chair | 1.58 | — | — |
| Dan Liekvold | Board member | 0.83 | — | — |
| Kenneth Meirose | Board Member | 1 | — | — |
| Scott Sabers | Board Member | 0.83 | — | — |
| Mark A Thompson | CFO/Treasurer | 8.57 | — | — |
| Teresa Burroff | General Counsel/Sec. Until 11/22 | 8.57 | — | — |
| Paulette Davidson | President and CEO | 9.35 | — | — |
| Stephanie Lahr MD | CIO & CMIO Until 03/23 | 8.57 | — | — |
| Nicole Kerkenbush - Chief | Nursing/Perf Officer Until 06/23 | 8.57 | — | — |
