Avera St Marys
94% goes to programs $2 to raise $100 Strong reserves
Avera St Marys is a 501(c)(3) organization based in Pierre, South Dakota, registered in 1946, with $122,108,607 in FY2023 revenue. CharityIndex grades it A+, and it directs about 94% of spending to programs.
801 E Sioux Ave, Pierre, SD, 57501 EIN 46-0230199 Since 1946
Revenue (FY2023)
$122.1M
▲ 12.4% vs prior year
Health median: $840K
Expenses (FY2023)
$121.2M
Net assets
$62.9M
Employees
655
CharityIndex rating
One independent A+ to F grade from four published criteria, each scored separately from IRS filings and combined by weight.
A+
A+Program efficiency40% of the rating94% to programs · $2 to raise $100
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 Marys: 94% to programs · $2 to raise $100 earns a A+ on this criterion. See the exact thresholds →
AFinancial health25% of the rating6 mo reserves · +1% margin
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 Marys: 6 mo reserves · +1% margin earns a A on this criterion. See the exact thresholds →
A+Governance25% of the rating6 of 6 checks met
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 Marys: 6 of 6 checks met earns a A+ on this criterion. See the exact thresholds →
ATransparency10% of the rating4 of 5 disclosure signals
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 Marys: 4 of 5 disclosure signals earns a A on this criterion. See the exact thresholds →
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A live seal — it updates automatically when the grade changes and links donors to this verified profile.
Mission
Promotion of health
Contact & location
- Address
- 801 E Sioux Ave, Pierre, SD, 57501
- City
- Pierre
- State
- South Dakota
- Category
- Health Care
- Subcategory
- Hospitals
- Phone
- …
- Website
- …
Financial trends
Revenue grew from $72.7M (FY2013) to $122.1M (FY2023) across 11 reported years.
Financial snapshot
Financial health & position (FY2023)
Liabilities $35.2MNet assets $62.9M
Operating margin
0.8%
Revenue exceeded expenses in the latest fiscal year.
Total assets
$98.1M
Total liabilities
$35.2M
Net assets
$62.9M
Salaries & benefits
$61.0M
50% of expenses
Board members
12
9 independent
Financials by year
| Fiscal year | Revenue | Expenses | Net assets | Total assets | Form |
|---|---|---|---|---|---|
| 2023 | $122,108,607▲12.4% | $121,182,506▲6.2% | $62,932,205▲6.2% | $98,108,691▲3.8% | 990 |
| 2022 | $108,673,352▼1.1% | $114,138,300▼1.0% | $59,284,833▼5.9% | $94,524,377▼12.5% | 990 |
| 2021 | $109,840,175▼4.9% | $115,233,359▲9.5% | $62,971,154▼14.2% | $107,994,147▼8.2% | 990 |
| 2020 | $115,525,378▲8.0% | $105,237,181▲5.6% | $73,392,861▲33.0% | $117,599,795▲0.5% | 990 |
| 2019 | $106,933,224▲3.8% | $99,690,229▲3.3% | $55,198,003▲12.3% | $117,040,382▲18.5% | 990 |
| 2018 | $102,985,489▲8.7% | $96,503,701▲7.4% | $49,136,219▲21.6% | $98,749,089▼3.9% | 990 |
| 2017 | $94,784,204▲3.5% | $89,851,018▲3.5% | $40,414,908▲21.7% | $102,711,782▲49.0% | 990 |
| 2016 | $91,608,445▲12.0% | $86,772,116▲3.5% | $33,218,189▲12.4% | $68,916,757▲12.5% | 990 |
| 2015 | $81,776,317▲2.9% | $83,855,518▲2.3% | $29,549,085▼18.3% | $61,277,349▼18.6% | 990 |
| 2014 | $79,489,780▲9.3% | $81,972,383▲8.4% | $36,164,082▼8.1% | $75,312,722▲9.8% | 990 |
| 2013 | $72,730,735 | $75,628,450▲52.2% | $39,330,713▼2.8% | $68,595,878▲13.3% | 990 |
| 2012 | — | $49,694,386▲18.3% | $40,448,197▼44.7% | $60,526,872▼25.0% | 990 |
| 2011 | — | $42,020,395▼0.2% | $73,089,794▲3.9% | $80,703,661▲2.8% | 990 |
| 2010 | — | $42,093,686▲8.0% | $70,313,454▲15.7% | $78,509,588▲6.7% | 990 |
| 2009 | — | $38,993,037 | $60,796,244 | $73,608,409 | 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.
Leadership & compensation (FY2023)
Highest-paid: Scott Oswald — $321,756 (0.27% of total expenses)
| Name | Title | Hours/week | Compensation |
|---|---|---|---|
| Scott Oswald | Crna | 40 | $321,756 |
| Matthew Deichert | Crna | 40 | $304,101 |
| Kevin Roark | Crna | 40 | $297,376 |
| Michael Murphy | Crna | 40 | $294,998 |
| Nick Jung | Crna | 40 | $291,615 |
| Karna Pfeffer | Director - Clinical Excellence & Education | 40 | $152,678 |
| Dr Mark Hagy | Board Member/orthopedics | 2 | — |
| Dr Mikel Holland | Former Regional President/ceo | 42 | — |
| Jamie Cronin | Board Member | 2 | — |
| Julie Lautt | Cfo Avera Health;secretary/treasurer | 0.01 | — |
| Kim Olson | Board Member | 2 | — |
| Kristin Brost | Board Member | 2 | — |
| Meredith Lee | Board Member | 2 | — |
| Michael Larson | Board Member | 2 | — |
| Mike Weisgram | Chair | 2 | — |
| Rena Robbennolt | Board Member/nurse Practicioner | 2 | — |
| Robert Wylie | Vice Chair | 2 | — |
| Shantel Krebs | President/ceo | 2 | — |
| Sr Debra Kolecka | Board Member | 2 | — |
| Sr Lynn Marie Welbig | Board Member | 2 | — |
Top vendors & contractors (FY2023)
| Contractor | Services | Paid |
|---|---|---|
| Avera Health | Shared Services | $9,720,470 |
| Amn Healthcare Inc | Contract Labor | $5,795,277 |
| Health Carousel LLC | Contract Labor | $726,686 |
| Avel Ecare Medical Group PC | Clinical Services | $581,376 |
| Prolink Healthcare LLC | Contract Labor | $442,212 |
Grants received · $442K total
19 grants to Avera St Marys totaling $442K, reported by foundations on their Schedule I filings — showing the 15 most recent.
| Grantmaker | Purpose | Year | Amount |
|---|---|---|---|
| South Dakota Community Foundation | Healthcare | 2024 | $8,707 |
| South Dakota Community Foundation | Community welfare and betterment | 2023 | $8,915 |
| Avera Health | Sponsorship | 2021 | $10,000 |
| Avera Health | Sponsorship | 2020 | $14,310 |
| South Dakota Community Foundation | Healthcare | 2020 | $8,000 |
| Paypal Charitable Giving Fund | General support | 2020 | $5,697 |
| Avera Health | Sponsorship | 2019 | $10,000 |
| South Dakota Community Foundation | Healthcare | 2018 | $68,000 |
| Network For Good Inc | Unrestricted | 2018 | $51,034 |
| Avera Health | Sponsorship | 2018 | $10,000 |
| Paypal Charitable Giving Fund | General support | 2018 | $6,202 |
| Avera Health | Sponsorship | 2017 | $129,164 |
| Network For Good Inc | Unrestricted | 2017 | $15,360 |
| Fidelity Investments Charitable Gift Fund | For grant recipient's exempt purposes | 2017 | $10,000 |
| South Dakota Community Foundation | Healthcare/education | 2016 | $10,000 |
Grants made · $24K in FY2018
2 grants totaling $24K in FY2018. All grants made by Avera St Marys →
| Recipient | Purpose | Amount |
|---|---|---|
| South Dakota Community Foundation | Capital area counseling building project fund | $18,000 |
| Jones County Ambulance Service | General support | $6,000 |
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Frequently asked questions
- Is Avera St Marys a legitimate nonprofit?
- Yes. Avera St Marys is a 501(c)(3) organization registered with the U.S. Internal Revenue Service under EIN 46-0230199, based in Pierre, South Dakota. Donations are tax-deductible.
- What is Avera St Marys's EIN?
- Avera St Marys's Employer Identification Number (EIN) is 46-0230199.
- How much revenue does Avera St Marys report?
- Avera St Marys reported $122,108,607 in total revenue on its fiscal year 2023 IRS Form 990 filing.
- How much of Avera St Marys's spending goes to programs?
- Avera St Marys spends about 94% of its total expenses on programs, based on its latest IRS Form 990.
- What financial grade does Avera St Marys have?
- CharityIndex grades Avera St Marys A+, based on program efficiency and fundraising cost.
- How much does Avera St Marys's highest-paid employee make?
- The highest reported compensation on Avera St Marys's latest Form 990 is $321,756, paid to Scott Oswald (Crna).
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Data for Avera St Marys (EIN 46-0230199) 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.