Avera Gettysburg
Nonprofit profile at a glance
- EIN
- 460234354
- IRS 990 coverage
- 2009–2024
- Forms available
- Form 990 2024
- Location
- Gettysburg, SD, USA
- Phone
- 6057652488
- Rating
- 74
- Verdict
- SUPPORTED
- Rating confidence
- Moderate
- Sector
- Hospital, General
Reported finances
- Revenue
- $16,589,427
- Expenses
- $13,896,933
- Assets
- $47,084,121
- Liabilities
- $26,787,894
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
17 people listed
Executive titles in this filing
- Shantel Krebs (President/CEO Avera St. Mary's)
Highest reported compensation
- Julie Lautt (CFO Avera Health;Secretary/Treasurer): $1,294,581 total reported compensation
- Dr Mark Hagy (Board Member/Orthopedics): $927,669 total reported compensation
- Shantel Krebs (President/CEO Avera St. Mary's): $468,629 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
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.
What it reported doing in 2024
Avera Gettysburg's mission is to provide healthcare services to Gettysburg, South Dakota residents and residents of the surrounding counties including Potter, Sully, Faulk, and Dewey. Avera Gettysburg is a 501(c)(3) organization affiliated with Avera Health. Avera Gettysburg consists of a 7-bed critical access hospital, a physician clinic, and a 40-bed nursing home in Gettysburg, South Dakota. Avera Gettysburg provides acute care, swing-bed, and long-term healthcare services. Services include emergency department, surgery, x-ray, laboratory, CT, outpatient treatment, physical therapy, occupational therapy, ambulatory care, long-term care, and senior living apartments. Following is a breakdown of these statistics by facility: Avera Gettysburg Hospital 73 Acute patient discharges 54 Swing Bed patient discharges 5,501 Outpatient visits 629 Swing-bed patient days 4,674 Clinic visitsOahe Manor 12,431 Long-term resident days 16 Long Term Care patient dischargesAvera Gettysburg 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 $179,594.Avera Gettysburg 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 Gettysburg 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 Gettysburg 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.
Operating model
- Revenue model
- Other-operating. 99% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and some filing-based governance responses are negative or unanswered.
Rating breakdown
- Financial Efficiency: 75
- Transparency & Controls: 65
- Accountability: 79
- Sustainability: 66
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 81.1%; rating input score 81
- Program expense ratio: 90.8%; rating input score 91
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 0 of 6 controls in place; rating input score 0
- Compensation committee: Missing
- Independent consultant: Missing
- Other Form 990s reviewed: Missing
- Written employment contract: Missing
- Compensation survey or study: Missing
- Board or committee approval: Missing
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 80%; rating input score 80; 16th percentile among comparable filings
- Governance controls: 7 of 9 controls in place; rating input score 78
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Fail
- Other executive compensation review process: Fail
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 16.2%; rating input score 78; 78th percentile among comparable filings
- Total-asset coverage ratio: 3.39; rating input score 78; 78th percentile among comparable filings
- Liabilities to assets ratio: 0.57; rating input score 24; 24th percentile among comparable filings
- Officer compensation ratio: 8%; rating input score 29; 29th percentile among comparable filings
Growth
- Program expense growth: 9.2% per year; rating input score 100; 67th percentile among comparable filings
- Revenue growth: 6.9% per year; rating input score 100; 58th percentile among comparable filings
- Asset growth: 11.7% per year; rating input score 100; 71st percentile among comparable filings
Details
- Where the money goes: 81.1% of revenue deployed · 90.8% of spending went to programs
- Governance: 8 of 10 board members independent · 7 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $12.6M in reported program spending
- Leadership: top reported pay $1.3M · 17 people listed · 0 of 6 pay-setting controls reported
- Highest-paid contractors: 1 contractor listed · $1M reported
- Consistency: 32 of 32 current checks pass
- Schedules: 8 filed schedules · includes major donors and executive pay
- Filing history: 15 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 6 filed money-flow records
- Related organizations: 32 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- High — Transparency & Controls: Pay-setting controls scored 0/100.
- Review — Accountability: Governance controls: 2 of 9 not reported.
- High — Sustainability: Liabilities to assets ratio scored 24/100.
- High — Sustainability: Officer compensation ratio scored 29/100.