Skip to content
Nonprofiteer
← All organizations

AVERA ST MARYS

EIN 46-0230199 PIERRE, SD

Browse the largest nonprofits in South Dakota

Revenue 2023
$122,108,607
Expenses 2023
$121,182,506

Program services were 93.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

As filed

Subsection
03
NTEE code
E220
Classification
1700
Street
801 E SIOUX AVE

These codes are the IRS's own and are shown exactly as filed. What each one means is in the Business Master File documentation (opens in a new tab).

Group exemption

A subordinate covered by the group exemption of UNITED STATES CATHOLIC CONFERENCE (EIN 53-0196617). matched by us

The IRS lists each organization's group exemption number; we match a subordinate to its central organization by that number and the affiliation code the IRS assigns.

Mission and programs · 2023

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.

Activities or mission (Part I)

Promotion of health

  • 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.

    Expenses $113,399,249 · Grants $24,893 · Revenue $120,128,180

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Officers and directors · 2023

As listed in Part VII of the 2023 return, in the order the filer printed them. Each return names its own; this is not a roster the organization keeps with us.

  • Shantel Krebs

    President/CEO

    Total calculated
    $287,910
    From this org
    $0
    From related orgs
    $269,654
    Other
    $18,256
    Hours/week
    2 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $253,181 related
    Bonus
    $0 + $4,000 related
    Other
    $0 + $12,473 related
    Deferred
    $0 + $17,737 related
    Nontaxable benefits
    $0 + $519 related
    Filer's total
    $0 + $287,910 related
  • Mike Weisgram

    Chair

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Robert Wylie

    Vice Chair

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Kristin Brost

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Jamie Cronin

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Dr Mark Hagy

    Board Member/Orthopedics

    Total calculated
    $904,234
    From this org
    $0
    From related orgs
    $881,207
    Other
    $23,027
    Hours/week
    2 + 42 related

    Schedule J breakdown matched by us

    Base
    $0 + $760,942 related
    Bonus
    $0 + $31,400 related
    Other
    $0 + $88,865 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $6,527 related
    Filer's total
    $0 + $904,234 related
  • Sr Debra Kolecka

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 7 related
  • Michael Larson

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Meredith Lee

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Kim Olson

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Rena Robbennolt

    Board Member/Nurse Practicioner

    Total calculated
    $145,923
    From this org
    $0
    From related orgs
    $100,805
    Other
    $45,118
    Hours/week
    2 + 42 related
  • Sr Lynn Marie Welbig

    Board Member

    Total calculated
    $0
    Hours/week
    2 + 2 related
  • Julie Lautt

    CFO Avera Health;Secretary/Treasurer

    Total calculated
    $1,223,076
    From this org
    $0
    From related orgs
    $1,203,675
    Other
    $19,401
    Hours/week
    0.01 + 46.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,197,590 related
    Bonus
    $0 + $480 related
    Other
    $0 + $5,605 related
    Deferred
    $0 + $16,500 related
    Nontaxable benefits
    $0 + $2,901 related
    Filer's total
    $0 + $1,223,076 related
  • Karna Pfeffer

    Director - Clinical Excellence & Education

    Total calculated
    $200,646
    From this org
    $152,678
    From related orgs
    $0
    Other
    $47,968
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $141,958
    Bonus
    $6,265
    Other
    $4,455
    Deferred
    $7,965
    Nontaxable benefits
    $40,004
    Filer's total
    $200,647
  • Matthew Deichert

    CRNA

    Total calculated
    $359,405
    From this org
    $304,101
    From related orgs
    $0
    Other
    $55,304
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $253,801
    Bonus
    $33,750
    Other
    $16,550
    Deferred
    $14,938
    Nontaxable benefits
    $40,366
    Filer's total
    $359,405
  • Nick Jung

    CRNA

    Total calculated
    $320,762
    From this org
    $291,615
    From related orgs
    $0
    Other
    $29,147
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $252,651
    Bonus
    $27,750
    Other
    $11,214
    Deferred
    $6,636
    Nontaxable benefits
    $22,511
    Filer's total
    $320,762
  • Michael Murphy

    CRNA

    Total calculated
    $336,942
    From this org
    $294,998
    From related orgs
    $0
    Other
    $41,944
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $257,474
    Bonus
    $26,250
    Other
    $11,274
    Deferred
    $9,295
    Nontaxable benefits
    $32,649
    Filer's total
    $336,942
  • Scott Oswald

    CRNA

    Total calculated
    $367,158
    From this org
    $321,756
    From related orgs
    $0
    Other
    $45,402
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $259,662
    Bonus
    $45,500
    Other
    $16,594
    Deferred
    $11,473
    Nontaxable benefits
    $33,929
    Filer's total
    $367,158
  • Kevin Roark

    CRNA

    Total calculated
    $341,082
    From this org
    $297,376
    From related orgs
    $0
    Other
    $43,706
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $255,912
    Bonus
    $30,250
    Other
    $11,214
    Deferred
    $10,277
    Nontaxable benefits
    $33,429
    Filer's total
    $341,082
  • Dr Mikel Holland

    Former Regional President/CEO

    Total calculated
    $158,024
    From this org
    $0
    From related orgs
    $137,258
    Other
    $20,766
    Hours/week
    42 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $135,783 related
    Bonus
    $0
    Other
    $0 + $1,475 related
    Deferred
    $0 + $6,992 related
    Nontaxable benefits
    $0 + $13,775 related
    Filer's total
    $0 + $158,025 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us. Earlier years are each on their own filing page.

Filings

  • 2023
    Revenue
    $122,108,607
    Expenses
    $121,182,506
    Contributions
    $993,638
    Grants paid
    $24,893
  • 2022
    Revenue
    $108,673,352
    Expenses
    $114,138,300
    Contributions
    $210,022
    Grants paid
    $23,205

The four totals the IRS asks for on Part I of the Form 990, as filed. A dash means the figure was not present on the return — not that it was zero.

Other returns filed

  • 2024 · 990-T

    Revenue
    not reported
    Expenses
    not reported
    Assets (EOY)
    not reported
  • 2023 · 990-T

    Revenue
    not reported
    Expenses
    not reported
    Assets (EOY)
    not reported
  • 2022 · 990-T

    Revenue
    not reported
    Expenses
    not reported
    Assets (EOY)
    not reported
  • 2021 · 990

    Revenue
    $109,840,175
    Expenses
    $115,233,359
    Assets (EOY)
    $107,994,147
  • 2021 · 990-T

    Revenue
    not reported
    Expenses
    not reported
    Assets (EOY)
    not reported
  • 2020 · 990

    Revenue
    $115,525,378
    Expenses
    $105,237,181
    Assets (EOY)
    $117,599,795
  • 2020 · 990-T

    Revenue
    not reported
    Expenses
    not reported
    Assets (EOY)
    not reported
  • 2019 · 990

    Revenue
    $106,933,224
    Expenses
    $99,690,229
    Assets (EOY)
    $117,040,382
  • 2018 · 990

    Revenue
    $102,985,489
    Expenses
    $96,503,701
    Assets (EOY)
    $98,749,089
  • 2017 · 990

    Revenue
    $94,784,204
    Expenses
    $89,851,018
    Assets (EOY)
    $102,711,782

Nonprofiteer parses Forms 990, 990-EZ and 990-PF, in a window of recent tax years. These returns are recorded from the IRS e-file index, so their figures were extracted by that index rather than read from the return here — treat them as a different source from the filings above, not as more of the same record. A dash means the index carries no figure; Form 990-T listings carry none at all. Showing the 10 most recent; the API carries the rest.

Grants made

No itemized grants to organizations. Schedule I is filed only by organizations that granted more than $5,000 to a recipient, so most filers have none.

Grants received

The 10 largest by cash amount. The API serves every itemized grant.

Related organizations

From Schedule R Part II, where a filer lists the tax-exempt organizations it is related to by control. It does not record shared board members or money.

Declared on its 2023 return

Declared as related by

Taxable family

From Schedule R Parts I, III and IV: entities that legally are the filer, and taxable partnerships, corporations and trusts it is related to. These record ownership and control, not shared board members or money.

Related partnerships on its 2023 return

  • Avera Home Medical Equipment of Floyd Valley Hospital LLC

    Medical services - home medical equipment · SD

  • Avera Home Medical Equipment of Lakes Regional Healthcare LLC

    Medical services - home medical equipment · SD

  • Avera Home Medical Equipment of Sioux Center LLC

    Medical services - home medical equipment · SD

  • Avera Home Medical Equipment of Spencer Hospital LLC

    Medical services - home medical equipment · SD

  • Brookings Health System - Avera HME LLC

    Healthcare services · SD

  • Caravan Health ACO 15 LLC dba Prairie Vista Care Organization

    Accountable care organization · TX

  • Caravan Health ACO 41 LLC dba Prairie View Care Organization

    Accountable care organization · TX

  • Heart Hospital of South Dakota LLC

    Healthcare services · SD

  • Surgical Associates Endoscopy Clinic LLC

    Surgical associates · SD

Related corporations and trusts on its 2023 return

  • Accounts Management Inc

    C · Collection agency · SD

  • Alucent Australia Pty Ltd

    Biotech Research · AS

  • Alucent Biomedical Inc

    C · Biotech Research · SD

  • Avera Property Insurance Inc

    C · Insurance · SD

  • DakotaCare Administrative Services Inc

    C · Insurance · SD

  • Kore Cares In Home Services LLC

    S · In-home care services · SD

  • South Dakota State Medical Holding Company Inc

    C · Insurance · SD

  • Valley Health Services

    C · Rental Real Estate · SD

Other IRS files

Auto-Revocation List

Not listed. The IRS publishes this list for organizations whose exemption was automatically revoked for failing to file for three consecutive years.

Publication 78

Not present in the most recent drop.

These are two separate IRS files on two separate schedules, shown as published and not reconciled with each other. Neither is a statement about whether a contribution is deductible today: 19,245 organizations appear in Publication 78 while the IRS's own revocation file lists them as currently revoked, more than half of those revoked before 2019. Absence from Publication 78 is evidence of nothing, and presence is not evidence either. Verify current status with the IRS before relying on it.

What this page reflects

The registration facts above come from the IRS Business Master File published 13 October 2026 and read 1 November 2026, for every organization at once. Returns through tax year 2023, the newest we have parsed for this organization.