Avera St Mary's

EIN: 460230199 501(c)(3) Health Care

Pierre, SD

Total Revenue
$122,108,607
Total Expenses
$121,182,506
Total Assets
$98,108,691
Net Assets
$62,932,205
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Financial Trends

Organization Details

Formation Year
1951
Legal Domicile
SD
Principal Officer
Shantel Krebs
Phone
6052243130
Tax Period
2023-07-01 to 2024-06-30

Avera St Mary's, founded in 1951, is a major nonprofit in the Health Care sector that reported $122.1M in total revenue in fiscal year 2023. Revenue grew 12% year-over-year, indicating healthy expansion.

Mission

Avera is a health ministry rooted in the Gospel. Our mission is to make a positive impact in the lives and health of persons and communities by providing quality services guided by Christian values.

Program Service Accomplishments

Program 1
Expenses: $113,399,249 Revenue: $120,128,180

Avera St. Mary's mission is to provide healthcare services to Pierre, South Dakota residents and residents of the surrounding area. Avera St. Mary's is a 501(c)(3) organization affiliated with Avera...

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Avera St. Mary's mission is to provide healthcare services to Pierre, South Dakota residents and residents of the surrounding area. Avera St. Mary's is a 501(c)(3) organization affiliated with Avera Health. Avera St. Mary's consists of a 50-bed hospital, an 80-bed nursing home, senior living apartments, and one physician clinic in Pierre, South Dakota. The program services offered include primary care, ob/gyn, pediatrics, orthopedics, general surgery, emergency, internal medicine, oncology, podiatry, urology, dermatology, pain management, ENT, speech therapy, occupational therapy, respiratory therapy, and wound care. Avera St. Mary's provides acute care and long-term healthcare services.Following is a breakdown of these statistics by facility:Avera St. Mary's Hospital 1,634 Acute patient discharges 455 Newborn patient discharges 117 Swing bed patient discharges 59,429 Outpatient visits 754 Swing-bed patient days 744 Newborn patient days 90,744 Clinic visitsAvera Maryhouse 20,870 Long-term resident days 104 Long Term Care patient dischargesAvera St. Mary's maintains records to identify and monitor the level of charity care it provides. These records include the amount of charges forgone for services and supplies furnished under its charity care policy and equivalent service statistics. The amount of charges foregone, based on established rates, were $12,392,847.Avera St. Mary's also provides community benefit health activities at less than or at no cost to support those in the area serviced, see Schedule H. As a member of the Avera Health Network, Avera St. Mary's upholds the vision of the Presentation and Benedictine Sisters to work through collaboration to provide quality, effective health ministry and to improve the healthcare of individuals and our communities through a regionally integrated network of persons and institutions. Avera St. Mary's engages in activities designed to improve the health of individuals and communities in response to a calling to heal the sick, the elderly, and the oppressed.

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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

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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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Governance

Voting Members
12
Independent Members
9
Employees
655
Volunteers
61

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
4
$1,510,986
Total Directors
12
$1,338,067
Key Employees
1
$200,646
Highest Compensated
5
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
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