Nonprofit · EIN 46-0230199
AVERA ST MARYS
Tax-exempt · PIERRE, SD 57501
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $133,864,086 | $132,012,173 | $1,851,913 | $101,112,444 | $36,186,367 | $64,926,077 |
| June 30, 2024 | 990 | $122,108,607 | $121,182,506 | $926,101 | $98,108,691 | $35,176,486 | $62,932,205 |
| June 30, 2023 | 990 | $108,673,352 | $114,138,300 | -$5,464,948 | $94,524,377 | $35,239,544 | $59,284,833 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $1,292,498
- of which government grants
- $88,103
- Program service revenue
- $127,799,041
- Investment income
- $598,027
- Net rental income
- $117,753
- Net gain from sales of assets
- $598,027
- Net income from sales of inventory
- $3,834,980
- Other revenue
- $4,174,520
Expenses
- Grants and similar amounts paid
- $10,911
- Other salaries and wages
- $53,706,700
- Salaries, compensation and benefits (total)
- $64,547,240
- Professional fundraising fees
- $0
- Legal fees
- $36,304
- Occupancy
- $1,701,866
- Travel
- $327,341
- Depreciation
- $5,182,300
- Program services (functional)
- $122,835,490
- Management and general (functional)
- $9,167,599
- Fundraising (functional)
- $9,084
Balance sheet and other
- Total assets, start of year
- $98,108,691
- Total assets, end of year
- $101,112,444
- Total liabilities, end of year
- $36,186,367
- Net assets, end of year
- $64,926,077
- Land, buildings and equipment
- $42,036,279
- Net assets without donor restrictions
- $60,504,498
- Net assets with donor restrictions
- $4,421,579
- Gross unrelated business income
- $814,550
- Gross receipts
- $136,031,591
- Employees
- 695
- Volunteers
- 60
- Year formed
- 1951
- State of legal domicile
- SD
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| Julie Lautt | CFO Avera Health;Secretary/Treasurer Officer | 0.1 | $0 | $1,274,363 | $20,218 |
| Dr Mark Hagy | Board Member/Orthopedics Trustee or director | 42 | $0 | $893,268 | $34,401 |
| Shantel Krebs | President/CEO Trustee or director, Officer | 42 | $0 | $447,249 | $21,380 |
| Scott Oswald | CRNA Highest-paid employee | 40 | $314,396 | $0 | $46,518 |
| Matthew Deichert | CRNA Highest-paid employee | 40 | $291,066 | $0 | $54,466 |
| Kevin Roark | CRNA Highest-paid employee | 40 | $278,992 | $0 | $45,672 |
| Nick Jung | CRNA Highest-paid employee | 40 | $274,587 | $0 | $43,562 |
| Michael Murphy | CRNA Highest-paid employee | 40 | $273,664 | $0 | $42,268 |
| Rena Robbennolt Board Member | /Nurse Practitioner (Until Sept.) Trustee or director | 2 | $0 | $127,050 | $48,800 |
| Robert Wylie | Chair Trustee or director, Officer | 2 | $0 | $0 | $0 |
| Kristin Brost | Vice Chair Trustee or director, Officer | 2 | $0 | $0 | $0 |
| Jamie Cronin | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Sr Debra Kolecka | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Jeff Hallem | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Meredith Lee | Board Member Trustee or director | 2 | $0 | $0 | $0 |
2 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| Kim Olson | Board Member Trustee or director | 2 | $0 |
| Sr Lynn Marie Welbig | Board Member Trustee or director | 2 | $0 |
990 for the year ended June 30, 2024: 20 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| Julie Lautt | CFO Avera Health;Secretary/Treasurer Officer | 0.01 | $0 | $1,203,675 | $19,401 |
| Dr Mark Hagy | Board Member/Orthopedics Trustee or director | 2 | $0 | $881,207 | $23,027 |
| Scott Oswald | CRNA Highest-paid employee | 40 | $321,756 | $0 | $45,402 |
| Matthew Deichert | CRNA Highest-paid employee | 40 | $304,101 | $0 | $55,304 |
| Kevin Roark | CRNA Highest-paid employee | 40 | $297,376 | $0 | $43,706 |
| Michael Murphy | CRNA Highest-paid employee | 40 | $294,998 | $0 | $41,944 |
| Nick Jung | CRNA Highest-paid employee | 40 | $291,615 | $0 | $29,147 |
| Shantel Krebs | President/CEO Trustee or director, Officer | 2 | $0 | $269,654 | $18,256 |
| Karna Pfeffer | Director - Clinical Excellence & Education Key employee | 40 | $152,678 | $0 | $47,968 |
| Dr Mikel Holland | Former Regional President/CEO Former | 42 | $0 | $137,258 | $20,766 |
| Rena Robbennolt | Board Member/Nurse Practicioner Trustee or director | 2 | $0 | $100,805 | $45,118 |
| Mike Weisgram | Chair Trustee or director, Officer | 2 | $0 | $0 | $0 |
| Robert Wylie | Vice Chair Trustee or director, Officer | 2 | $0 | $0 | $0 |
| Kristin Brost | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Jamie Cronin | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Sr Debra Kolecka | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Michael Larson | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Meredith Lee | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Kim Olson | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Sr Lynn Marie Welbig | Board Member Trustee or director | 2 | $0 | $0 | $0 |
990 for the year ended June 30, 2023: 22 people
| Name | Title | Hours / week | Compensation | From related orgs | Other / benefits |
|---|---|---|---|---|---|
| Julie Lautt | CFO Avera Health;Secretary/Treasurer Officer | 0.1 | $0 | $1,086,452 | $17,088 |
| Dr Mark Hagy | Board Member/Orthopedics Trustee or director | 42 | $0 | $827,282 | $29,930 |
| Dr Mikel Holland | Regional President/CEO (End 03/2023) Trustee or director, Officer | 42 | $0 | $397,658 | $54,210 |
| Dr Amy Lueking - Board mbr | to 03/2023)/VP of Med Affairs/CMO Trustee or director | 42 | $0 | $327,482 | $49,050 |
| Scott Oswald | CRNA Highest-paid employee | 40 | $269,914 | $0 | $39,376 |
| Matthew Deichert | CRNA Highest-paid employee | 40 | $242,239 | $0 | $49,189 |
| Kevin Roark | CRNA Highest-paid employee | 40 | $246,154 | $0 | $41,139 |
| Michael Murphy | CRNA Highest-paid employee | 40 | $245,608 | $0 | $40,044 |
| Nick Jung | CRNA Highest-paid employee | 40 | $243,415 | $0 | $17,079 |
| Karna Pfeffer | VP Patient Care Key employee | 40 | $163,729 | $0 | $45,677 |
| Rena Robbennolt Beg 032023 | Board Member/Nurse Practioner Trustee or director | 2 | $0 | $95,041 | $42,943 |
| Todd Forkel | Former President/CEO Former | 0 | $0 | $113,998 | $11,419 |
| Shantel Krebs | Interim President/CEO (Beg 03/2023) Trustee or director, Officer | 42 | $0 | $107,215 | $5,497 |
| Mike Weisgram | Chair Trustee or director, Officer | 2 | $0 | $0 | $0 |
| Sr Penny Bingham | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Kristin Brost | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Jamie Cronin | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Michael Larson | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Meredith Lee | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Kim Olson | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Sr Lynn Marie Welbig | Board Member Trustee or director | 2 | $0 | $0 | $0 |
| Robert Wylie | Board Member Trustee or director | 2 | $0 | $0 | $0 |
Address and contacts
- Address (IRS master file)
- 801 E SIOUX AVE, PIERRE, SD 57501-3323
- Principal officer (990 for 2024)
- Shantel Krebs, 801 East Sioux Avenue, Pierre, SD 57501
- Signed the 990
- Julie Lautt, CFO Avera Health
- Phone
- (605) 224-3130
- Return prepared by
- Eide Bailly LLP
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 accomplishments
- 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, laboratory, 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 1,542 Acute patient discharges 464 Newborn patient discharges 96 Swing bed patient discharges 62,334 Outpatient visits 614 Swing-bed patient days 771 Newborn patient days 96,599 Clinic visitsAvera Maryhouse 20,625 Long-term resident days 134 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 $3,452,863.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.Expenses $122,835,490 · grants $10,911 · revenue $131,041,258
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 46-0230199
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Hospital or medical research organization
- Exempt since
- 1946
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E220)
- Group exemption
- 0928: UNITED STATES CATHOLIC CONFERENCE
- Assets (IRS master file)
- $101,112,444
- Income (IRS master file)
- $136,031,591
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $133,864,086 | $132,012,173 | $101,112,444 | IRS |
| 990-T | June 2025 | – | – | – | IRS |
| 990 | June 2024 | $122,108,607 | $121,182,506 | $98,108,691 | IRS |
| 990-T | June 2024 | – | – | – | IRS |
| 990 | June 2023 | $108,673,352 | $114,138,300 | $94,524,377 | XML |
| 990-T | June 2023 | – | – | – | IRS |
| 990 | June 2022 | $109,840,175 | $115,233,359 | $107,994,147 | IRS |
| 990-T | June 2022 | – | – | – | IRS |
| 990 | June 2021 | – | – | – | IRS |
| 990-T | June 2021 | – | – | – | IRS |
| 990 | June 2020 | – | – | – | IRS |
| 990 | June 2019 | – | – | – | IRS |
| 990 | June 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 46-0230199).
Questions about AVERA ST MARYS
- What is the EIN of AVERA ST MARYS?
- The employer identification number (EIN) of AVERA ST MARYS is 46-0230199.
- Is AVERA ST MARYS tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 1946.
- Which annual return does AVERA ST MARYS file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of AVERA ST MARYS due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did AVERA ST MARYS last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of AVERA ST MARYS?
- The 990 for the year ended June 30, 2025 names Shantel Krebs.
- Who are the officers and directors of AVERA ST MARYS?
- The 990 for the year ended June 30, 2025 lists 17 people; 5 received compensation from the organization.
- How much revenue does AVERA ST MARYS have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $133,864,086, expenses of $132,012,173 and total assets of $101,112,444 at year end.
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