Avera St Lukes is a 501(c)(3) organization based in Aberdeen, South Dakota, registered in 1943, with $197,141,413 in FY2023 revenue. CharityIndex grades it A+, and it directs about 93% of spending to programs.
Revenue (FY2023)
$197.1M
▼ 1.5% vs prior year
Health median: $840K
Expenses (FY2023)
$199.8M
Net assets
$78.0M
Employees
1,306
Measures how much of every dollar spent actually reaches programs, plus what it costs to raise $100 of donations. The worse of the two measures sets the letter (85%+ to programs is an A; under $15 to raise $100 is an A), averaged over the three most recent filings. For Avera St Lukes: 93% to programs · $1 to raise $100 earns a A+ on this criterion. See the exact thresholds →
Measures whether the organization is built to last: how many months its reserves would cover expenses (3+ months earns an A-range score, but hoarding 5+ years of budget is capped) and whether it runs a surplus or a deficit. For Avera St Lukes: 5 mo reserves · -1% margin earns a A on this criterion. See the exact thresholds →
Checks how the organization is run, from its own Form 990: an independent board majority, a board of five or more, conflict-of-interest, whistleblower and document-retention policies, and independently audited financials. The share of disclosed checks that pass sets the letter. For Avera St Lukes: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
Counts five disclosure signals: a recent filing, a mission statement, program descriptions, a listed website, and the full expense breakdown. More disclosure, better letter. For Avera St Lukes: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
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Promotion of health
Revenue grew from $163.1M (FY2013) to $197.1M (FY2023) across 10 reported years.
Financial snapshot
Operating margin
-1.4%
Spent more than it raised in the latest fiscal year.
Total assets
$150.1M
Total liabilities
$72.1M
Net assets
$78.0M
Salaries & benefits
$111.8M
56% of expenses
Board members
15
10 independent
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $197,141,413▼1.5% | $199,815,005▼4.5% | $78,006,707▼1.2% | $150,122,754▼3.4% | 990 |
| 2022 | $200,128,779▼4.8% | $209,172,426▼0.5% | $78,957,056▼10.2% | $155,386,406▼9.9% | 990 |
| 2021 | $210,216,713▲0.7% | $210,130,543▲5.1% | $87,970,016▼1.3% | $172,474,557▼4.2% | 990 |
| 2020 | $208,771,594▲9.2% | $199,843,482▲2.7% | $89,129,755▲18.9% | $180,080,420▼4.4% | 990 |
| 2019 | $191,142,000▼4.6% | $194,521,855▼5.6% | $74,964,718▼3.0% | $188,282,898▲15.7% | 990 |
| 2018 | $200,339,260▲2.2% | $206,107,094▲4.1% | $77,304,555▼9.5% | $162,705,089▼4.9% | 990 |
| 2017 | $195,970,181▲0.7% | $198,053,977▲0.3% | $85,401,323▼12.5% | $171,105,213▼9.9% | 990 |
| 2015 | $194,593,685▲9.9% | $197,443,228▲8.9% | $97,608,125▼9.6% | $189,823,411▼6.5% | 990 |
| 2014 | $177,043,271▲8.5% | $181,318,337▲4.0% | $107,992,820▼8.1% | $202,990,393▲10.9% | 990 |
| 2013 | $163,109,926 | $174,396,666▲1.8% | $117,477,738▼5.8% | $183,011,769▼0.1% | 990 |
| 2012 | — | $171,239,593▲4.1% | $124,677,751▼5.7% | $183,140,994▼5.9% | 990 |
| 2011 | — | $164,529,483▲8.7% | $132,161,095 | $194,638,569▼2.5% | 990 |
| 2010 | — | $151,349,705▲8.2% | $132,214,888▲13.3% | $199,660,556▲8.1% | 990 |
| 2009 | — | $139,846,561 | $116,696,347 | $184,646,524 | 990 |
Original Form 990 PDFs (the Form column) are served by ProPublica Nonprofit Explorer, as filed with the IRS. Create a free account to download the CSV report.
Highest-paid: Brandon Fites Md — $2,999,342 (1.50% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Brandon Fites Md | Sports Medicine, Surgery & Orthopedics | 40 | $2,999,342 |
| Susheel Gundewar Md | Cardiology | 40 | $1,913,170 |
| Leslie Lenter Md | Interventional Radiology & Radiology | 40 | $1,550,096 |
| Ryan Gnesda Md | Radiology | 40 | $1,477,815 |
| Daniel Fritz Md | Radiology | 40 | $1,242,294 |
| Garrett Wobst Md | Board Member/orthopedics/surgery | 41 | $625,813 |
| Adam Lefebvre Md | Board Member/anesthesiology | 41 | $518,726 |
| Tom J Snyder | Vp - Strategy Network Ops (end 03/2024) | 40 | $222,455 |
| Daniel Bjerknes | President/ceo | 40 | — |
| Diana Reynen | Board Member | 1 | — |
| Heidi Golz | Chair | 1 | — |
| John Fritz Md | Board Member | 1 | — |
| Julie Lautt | Cfo Avera Health;secretary/treasurer | 0.1 | — |
| Kristen Fauth | Board Member | 1 | — |
| Michael Herman | Vice Chair | 1 | — |
| Paula Jensen | Board Member | 1 | — |
| Richard Inman | Board Member | 1 | — |
| Shane Franks | Board Member | 1 | — |
| Sr Kathleen Bierne | Board Member | 1 | — |
| Sr Marietta Kerkvliet | Board Member | 1 | — |
| Contractor | Services | Paid |
|---|---|---|
| Avera Health | Shared Services | $17,456,804 |
| Amn Healthcare Inc | Contract Labor | $5,862,582 |
| Prolink Healthcare LLC | Contract Labor | $1,049,945 |
| Concord Physician Solutions LLC | Locum Fees | $987,472 |
| Huff Construction Inc | Construction | $952,964 |
6 grants to Avera St Lukes totaling $106K, reported by foundations on their Schedule I filings.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| South Dakota Community Foundation | Healthcare | 2022 | $5,800 |
| South Dakota Community Foundation | Healthcare | 2021 | $8,000 |
| Avera Health | Sponsorship | 2020 | $18,600 |
| South Dakota Community Foundation | Healthcare | 2020 | $11,000 |
| Donor Advised Charitable Giving | Health | 2018 | $11,000 |
| Avera Health | Sponsorship | 2017 | $51,449 |
1 grant totaling $10K in FY2023. All grants made by Avera St Lukes →
| Recipient | Purpose | Amount |
|---|---|---|
| Redfield Community Memorial Hospital and Clinic Foundation | Donation to ems center | $10,000 |
Explore more
Data for Avera St Lukes (EIN 46-0224598) comes from the IRS Business Master File and e-filed Form 990 returns, via CharityIndex. Figures reflect what the organization reported to the IRS for each fiscal year.