Avera St Mary's

Tax-deductible

Pierre, SD501(c)(3)Since 1951HospitalsEIN 46-0230199

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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.

501(c)(3) charity; gifts are tax-deductible.
93¢ of each $1 spent went to programs.
Run by 60 volunteers and 695 employees.
Mission: Form 990 Part I, line 1 · Status: IRS Pub. 78 · Programs: Part IX · People: Part I, lines 5–6

Before you give

FY2024 · Form 990Independent: from IRS data, not the org
Download 990
IRS status
501(c)(3)
not on the IRS revocation list
Looks good: listed by the IRS and not on the revocation list.
IRS BMF · Auto-Revocation List
Tax-deductible gifts
Yes
Donations are tax-deductible
Looks good: the IRS lists gifts to it as deductible.
IRS Pub. 78 · IRS BMF
Latest return
FY2024
latest Form 990
Looks good: the latest return is for FY2024, 2 tax years back; within 2 tax years.
IRS e-file · Filing history
Surplus or deficit
3 of 5
filings with a surplus
Average surplus $1.5M a year · 1% of revenue · last 5 filings
Worth a look: a surplus in 3 of the last 5 filings.
Pt I · Ln 19 · 5 filings
Spent on programs
93%
of spending
Looks good: 93% of spending went to programs; 75% or more.
Pt IX · Ln 25 · col B
Pay to officers and key staff
$1.4M
to officers and key staff · 1% of spending
Top officer’s pay lower than 91% of similar orgs
Looks good: pay to officers and key staff is 1% of spending; 15% or less.
Pt VII · Sec A
Cash reserves
<1 mo
of spending, in cash
Concern: -0.0 months of spending in cash; under 2 weeks.
Pt X · Ln 1–2 · Pt I · Ln 18
Named funders
3
named funders · $159K
Looks good: 3 funders name it on their filings; 3 or more.
Funders’ Sch. I, 990-PF
Liabilities
$36.2M
36% of total assets
Looks good: liabilities are 36% of assets; 50% or less.
Pt X · Ln 26
Independent board members
8
of 10 voting members
Looks good: 8 of 10 voting members are independent, a majority.
Pt VI · Ln 1a–1b
Looks goodFineWorth a lookConcernNo data yetTap a box for the reason.
Revenue
$133.9M
+10% vs prior year
Spent
$132.0M
To programs
93%
Net assets
$64.9M
By yearFY2020–FY2024
Revenue
$133.9M
FY2024▲ +10%
Revenue by fiscal year
FY2020$106.9M
FY2021$115.5M
FY2022$109.8M
FY2023$108.7M
FY2024$122.1M
FY2024$133.9M
Expenses
$132.0M
FY2024▲ +9%
Expenses by fiscal year
FY2020$99.7M
FY2021$105.2M
FY2022$115.2M
FY2023$114.1M
FY2024$121.2M
FY2024$132.0M
Net assets
$64.9M
FY2024▲ +3%
Net assets by fiscal year
FY2020$55.2M
FY2021$73.4M
FY2022$63.0M
FY2023$59.3M
FY2024$62.9M
FY2024$64.9M

From the FY2024 Form 990 · figures checked against the IRS filing · see the original

Form 990 (PDF) Claim

Is it real?

Yes. Never revoked by the IRS. Latest filing on record: FY2024. IRS ruling in Mar 1946.

IRS Pub. 78 · IRS Auto-Revocation List · IRS Business Master File

Where the money goes

93 cents of each dollar spent went to programs.

Program services 93% · $122.8M Management & general 7% · $9.2M Fundraising 0% · $9K

Form 990 Part IX, line 25, columns B–D. Every line is in By the numbers.

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Who runs it and what they're paid

17 people listed on the 990; $1.4M paid to officers and key staff.

Part VII, Section A · reportable compensation
$314,396Pt VII · Sec A
$291,066Pt VII · Sec A
$278,992Pt VII · Sec A
$274,587Pt VII · Sec A
$273,664Pt VII · Sec A
Vice Chair
$0Pt VII · Sec A
Board Member
$0Pt VII · Sec A
Board Member
$0Pt VII · Sec A

Scott Oswald’s $314K as Crna is at the 9th percentile of top reported officer pay among 1747 $100M+ health care nonprofits. Peer set: organizations in the same NTEE major field of work and revenue-size band, compared on each org’s own highest-paid officer/key-employee, from Form 990 Part VII / 990-PF Part VIII. Descriptive placement, not a verdict on whether the pay is appropriate.

Compensation history total reportable pay by year · 8 named individuals · Part VII

NameFY2024FY2024FY2023FY2022FY2021FY2020
Scott Oswald$314,396$321,756$269,914———
Matthew Deichert$291,066$304,101$242,239———
Kevin Roark$278,992$297,376$246,154$221,436$217,984$228,943
Michael Murphy$273,664$294,998$245,608$228,472——
Nick Jung$274,587$291,615$243,415$227,105$225,024$234,079
Erica Trebesch———$181,676$231,903$228,242
Christopher Miller————$231,760$228,522
Kevin Yackley————$217,990—

Total reportable compensation (Form 990 Part VII column D / Schedule J column E) by filing year, matched by name within this organization. The Schedule J base / bonus / deferred breakdown is not parsed into this dataset.

See Avera St Mary's executive salaries →

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Questions the 990 asks

The form asks each of these directly. These are the filed answers.

  • Family or business ties among officersPt VI · Ln 2Yes
  • Top official's pay set by an independent reviewPt VI · Ln 15aNo

Programs and updates

Provides healthcare services, including hospital, nursing home, and clinic care, to residents of Pierre, South Dakota and surrounding areas.

Provided by the organization

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1 program · $122.8M · in their own filed words · FY2024
01

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.

$122.8Mprogram expense

Funders

Who pays for it.

From grant filings on record. Receipts are incomplete: individual donors are never listed.

Grants

Schedule I · received and paid
Grants received · FY2025
Total grants receivedfrom 3 funders$159K
See all 3 funders →
Grants paid · 1 grant · $6K · 2019–2019
Unitemized GrantFY2019$6,500

By the numbers

The FY2024 990, line by line.

1The main four
Money inPt VIII
$133.9M
Ln 12
Fees for servicesLn 2g$127.8M
Other incomeLn 4–11$4.2M
Gifts and grantsLn 1h$1.3M
Money outPt IX
$132.0M
Ln 25
Programscol B$122.8M
Managementcol C$9.2M
Fundraisingcol D$9K
Owns and owesPt X
$64.9M
net assets · Ln 32
Cash and savingsLn 1–2−$234K
Total assetsLn 16$101.1M
LiabilitiesLn 26$36.2M
PeoplePt VI, VII
17
listed · VII A
PaidVII A5
Voting boardVI 1a10
IndependentVI 1b8
2In more detail
Revenue in detailPt VIII
Gifts and grantsLn 1h$1.3M
Government grantsLn 1e$88K
Fees for servicesLn 2g$127.8M
Investment incomeLn 3$598K
Other incomeLn 4–11$4.2M
Gains on assetsLn 7$598K
Total revenueLn 12$133.9M
Assets in detailPt X, end of year
SavingsLn 2−$234K
Cash and savings togetherLn 1–2−$234K
InvestmentsLn 11–13$13.3M
Land, buildings, equipmentLn 10c$42.0M
Other assetsLn 15$25.0M
Total assetsLn 16$101.1M
LiabilitiesLn 26$36.2M
Net assetsLn 32$64.9M
OperationsPt I, VI
EmployeesI 5695
VolunteersI 660
Fiscal year endsHeaderDecember
Conflict-of-interest policyVI 12aYes
Whistleblower policyVI 13Yes
Records policyVI 14Yes
3Year over year
Balance sheet, start vs end of yearPt X · col A, B
LineStart FY24End FY24
Cash and savingsLn 1–2$9K−$234K
InvestmentsLn 11–13$17.2M$13.3M
Land, buildings, equipmentLn 10c$44.0M$42.0M
Total assetsLn 16$98.1M$101.1M
LiabilitiesLn 26$35.2M$36.2M
Net assetsLn 32$62.9M$64.9M
4Every line
Statement of functional expensesPt IX · every line
LineTotalProgramsManagementFundraising
Grants to domestic organizationsLn 1$11K$11K
Other salaries and wagesLn 7$53.7M$52.9M$783K
Pension plan contributionsLn 8$2.0M$1.9M$30K
Other employee benefitsLn 9$5.6M$5.5M$71K
Payroll taxesLn 10$3.3M$3.3M$50K
Legal feesLn 11b$36K$34K$2K
Lobbying feesLn 11d$2K$2K
Other fees for servicesLn 11g$26.9M$19.7M$7.1M$160
Advertising and promotionLn 12$7K$5K$1K$292
Office expensesLn 13$778K$608K$168K$2K
Information technologyLn 14$532K$532K$108
OccupancyLn 16$1.7M$1.4M$309K
TravelLn 17$327K$302K$24K$1K
Conferences, conventions and meetingsLn 19$117K$113K$4K
InterestLn 20$1.1M$1.0M$105K
Depreciation, depletion and amortizationLn 22$5.2M$4.9M$261K
InsuranceLn 23$138K$138K
Other expenses (24a–d)Ln 24$29.0M$28.9M$45K$6K
All other expensesLn 24e$1.7M$1.6M$45K$103
Total functional expensesLn 25$132.0M$122.8M$9.2M$9K

Filing history

YearMoney inMoney outIn minus outNet assetsDownload
FY2024 $122.1M$121.2M$926K$62.9M 990 PDF
FY2023 $108.7M$114.1M−$5.5M$59.3M 990 PDF
FY2022 $109.8M$115.2M−$5.4M$63.0M 990 PDF
FY2021 $115.5M$105.2M$10.3M$73.4M 990 PDF
FY2020 $106.9M$99.7M$7.2M$55.2M 990 PDF

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Schedules filed Part IV

III · Programs I · Grants R · Related orgs G · Fundraising L · Interested persons A · Public support F · Foreign M · Noncash
See the full FY2024 990 (4 parts)
Part VIII · Statement of revenue $133,864,086 across 10 lines filed
Lines not itemized here account for $4,933,280 of total revenue; see the IRS return.
VIII-1a Federated campaigns$17,000
VIII-1d Related organizations$1,117,527
VIII-1e Government grants$88,103
VIII-1f All other contributions, gifts and grants$69,868
VIII-1h Total contributions, gifts and grants$1,292,498
VIII-2a-f Program service revenue, itemized rows (sum of 2a–2f as filed)Related to mission $126,700,741$126,700,741
VIII-6 Net rental income or lossExcluded from tax $117,753$117,753
VIII-7 Net gain or loss on sales of assetsExcluded from tax $598,027$598,027
VIII-11a-d Other revenue, itemized rows (sum of 11a–11d as filed)Related to mission $221,787$221,787
VIII-12 Total revenueRelated to mission $131,041,258 · Unrelated business $814,550 · Excluded from tax $715,780$133,864,086
Part IX · Statement of functional expenses $132,012,173 across 19 lines filed
IX-1 Grants to domestic organizationsPrograms $10,911$10,911
IX-7 Other salaries and wagesPrograms $52,923,627 · Management $783,073$53,706,700
IX-8 Pension plan contributionsPrograms $1,924,419 · Management $29,518$1,953,937
IX-9 Other employee benefitsPrograms $5,511,506 · Management $71,182$5,582,688
IX-10 Payroll taxesPrograms $3,253,959 · Management $49,956$3,303,915
IX-11b Legal feesPrograms $33,915 · Management $2,389$36,304
IX-11d Lobbying feesManagement $2,395$2,395
IX-11g Other fees for servicesPrograms $19,735,274 · Management $7,128,213 · Fundraising $160$26,863,647
IX-12 Advertising and promotionPrograms $5,103 · Management $1,110 · Fundraising $292$6,505
IX-13 Office expensesPrograms $608,344 · Management $167,891 · Fundraising $1,739$777,974
IX-14 Information technologyPrograms $531,964 · Management $108$532,072
IX-16 OccupancyPrograms $1,393,168 · Management $308,698$1,701,866
IX-17 TravelPrograms $302,284 · Management $23,878 · Fundraising $1,179$327,341
IX-19 Conferences, conventions and meetingsPrograms $113,159 · Management $4,031$117,190
IX-20 InterestPrograms $1,021,906 · Management $104,880$1,126,786
IX-22 Depreciation, depletion and amortizationPrograms $4,920,884 · Management $261,416$5,182,300
IX-23 InsuranceManagement $138,016$138,016
IX-24 Other expenses (24a–d)Programs $28,916,337 · Management $45,421 · Fundraising $5,611$28,967,369
IX-24e All other expensesPrograms $1,628,730 · Management $45,424 · Fundraising $103$1,674,257
IX-25 Total functional expensesPrograms $122,835,490 · Management $9,167,599 · Fundraising $9,084$132,012,173
Part X · Balance sheet $101,112,444 assets, 18 lines filed
X-2 Savings and temporary cash investmentsStart of year $8,540−$233,596
X-4 Accounts receivableStart of year $13,678,696$15,415,569
X-8 Inventories for sale or useStart of year $4,654,161$4,524,220
X-9 Prepaid expenses and deferred chargesStart of year $419,021$423,481
X-10c Land, buildings and equipment, netStart of year $44,049,040$42,036,279
X-12 Other securitiesStart of year $16,871,859$12,818,072
X-13 Program-related investmentsStart of year $358,301$496,225
X-14 Intangible assetsStart of year $651,686$651,686
X-15 Other assetsStart of year $17,417,387$24,980,508
X-16 Total assetsStart of year $98,108,691$101,112,444
X-17 Accounts payable and accrued expensesStart of year $6,865,726$7,731,785
X-20 Tax-exempt bond liabilitiesStart of year $15,728,440$15,614,536
X-25 Other liabilitiesStart of year $1,170,460$2,079,724
X-26 Total liabilitiesStart of year $35,176,486$36,186,367
X-27 Net assets without donor restrictionsStart of year $58,887,351$60,504,498
X-28 Net assets with donor restrictionsStart of year $4,044,854$4,421,579
X-32 Total net assets or fund balancesStart of year $62,932,205$64,926,077
X-33 Total liabilities and net assetsStart of year $98,108,691$101,112,444
Part XI · Reconciliation of net assets $64,926,077 net assets at year end
XI-1 Total revenue$133,864,086
XI-2 Total expenses$132,012,173
XI-3 Revenue less expenses$1,851,913
XI-4 Net assets at start of year$62,932,205
XI-5 Net unrealized gains (losses) on investments$464,989
XI-9 Other changes in net assets−$323,030
XI-10 Net assets at end of year$64,926,077

Form 990 e-file (XML) FY2024 from the IRS · Classification, formation year and address from the IRS Business Master File

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