Avera St Mary's (EIN 460230199) - Form 990 Financial Analysis & Trantor Score

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Tuckman-Chang Vulnerability Assessment

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1951

Legal Domicile

Principal Officer

Shantel Krebs

Phone

6052243130

Tax Period

2023-07-01 to 2024-06-30

St Mary's Healthcare Center, founded in 1951, is a mid-sized nonprofit in the Health Care sector that reported $94.8M in total revenue in fiscal year 2017. Expenses of $89.9M left a modest 5% surplus.

Mission

Promotion of health

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Trantor Score

Financial Health & Payment Capacity Assessment (FICO Scale: 300–850)

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $993,638

Program Service Revenue $118,474,317

Investment Income $423,128

Other Revenue $2,217,524

TOTAL REVENUE $122,108,607

Expense Breakdown

Grants Paid $24,893

Salaries & Benefits $60,961,967

Fundraising Expenses $18,307

Program Expenses $113,399,249

Other Expenses $60,195,646

TOTAL EXPENSES $121,182,506

Year-over-Year Comparison

	2023	2022	Change
Revenue	$122,108,607	$108,673,352	+0.1%
Expenses	$121,182,506	$114,138,300	+0.1%
Net Income	$926,101	$-5,464,948	-1.2%

Key Indicators

✗ Grants to Organizations ✗ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

655

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$1,510,986

Total Directors

$1,338,067

Key Employees

$200,646

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Shantel Krebs	President/CEO	2.00	Officer Director	$0	$18,256	$287,910
Mike Weisgram	Chair	2.00	Officer Director	$0	$0	$0
Robert Wylie	Vice Chair	2.00	Officer Director	$0	$0	$0
Kristin Brost	Board Member	2.00	Director	$0	$0	$0
Jamie Cronin	Board Member	2.00	Director	$0	$0	$0
Dr Mark Hagy	Board Member/Orthopedics	2.00	Director	$0	$23,027	$904,234
Sr Debra Kolecka	Board Member	2.00	Director	$0	$0	$0
Michael Larson	Board Member	2.00	Director	$0	$0	$0
Meredith Lee	Board Member	2.00	Director	$0	$0	$0
Kim Olson	Board Member	2.00	Director	$0	$0	$0
Rena Robbennolt	Board Member/Nurse Practicioner	2.00	Director	$0	$45,118	$145,923
Sr Lynn Marie Welbig	Board Member	2.00	Director	$0	$0	$0
Julie Lautt	CFO Avera Health;Secretary/Treasurer	0.01	Officer	$0	$19,401	$1,223,076
Karna Pfeffer	Director - Clinical Excellence & Education	40.00	Key Emp	$152,678	$47,968	$200,646
Matthew Deichert	CRNA	40.00	Highest	$304,101	$55,304	$359,405
Nick Jung	CRNA	40.00	Highest	$291,615	$29,147	$320,762
Michael Murphy	CRNA	40.00	Highest	$294,998	$41,944	$336,942
Scott Oswald	CRNA	40.00	Highest	$321,756	$45,402	$367,158
Kevin Roark	CRNA	40.00	Highest	$297,376	$43,706	$341,082
Dr Mikel Holland	Former Regional President/CEO	42.00		$0	$20,766	$158,024

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2025	No data	No data	No data	No data
2024	$122,108,607	$121,182,506	$98,108,691	$926,101
2023	$108,673,352	$114,138,300	$94,524,377	$-5,464,948
2022	$109,840,175	$115,233,359	$107,994,147	$-5,393,184
2021	$115,525,378	$105,237,181	$117,599,795	$10,288,197
2020	$106,933,224	$99,690,229	$117,040,382	$7,242,995
2019	$102,985,489	$96,503,701	$98,749,089	$6,481,788
2018	$94,784,204	$89,851,018	$102,711,782	$4,933,186

Avera St Mary's