Avera St Luke's
Avera St Luke's reported $194.4 million in revenue and $199.5 million in expenses for the fiscal year ending June 30, 2025. Of every $100 it spent, $91.93 went to program services, $8.06 to management and general costs and $0.01 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 97.0% of the total. The highest compensation it reported for one person was $2,093,914 (Medicine, Surgery & Orthopedics). 154 people received more than $100,000 in reportable compensation. Revenue rose 2% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending June 30, 2025 · Form 990, Part IX, line 25 · total expenses $199MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
The fiscal year ending June 30, 2025 · Form 990, Part VIII · total revenue $194MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 91.9% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 8.1% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.01 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 1.2% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.9% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 97.0% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $2,093,914 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 1.05% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 154 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 4.5 | 6.6 |
| Independent voting board members Part VI 1a–1b | 9 of 13 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
FY2025 · Form 990, Part III · the three largest programs by expenseAvera St. Luke's mission is to provide healthcare services to Aberdeen, South Dakota residents and residents of the surrounding area. Avera St. Luke's is a 501(c)(3) organization affiliated with Avera Health. Avera St. Luke's consists of 50 acute beds, 10 inpatient behavioral health beds, an 81-bed nursing home in Aberdeen, SD, a 56-bed nursing home in Eureka, SD, a 2-bed surgical center in Aberdeen, SD, and 17 physician clinics. The physician clinics include primary care, ob/gyn, pediatrics, orthopedics, general surgery, radiation, radiology, oncology, therapy, urology, hematology…
Highest reported compensation
FY2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| Medicine, Surgery & Orthopedics Highest compensated employee, 40.00 hrs/week | $2,038,580 | $0 | $55,334 | $2,093,914 |
| Cardiology Highest compensated employee, 40.00 hrs/week | $1,989,267 | $0 | $62,864 | $2,052,131 |
| Treatment & General Surgery Highest compensated employee, 40.00 hrs/week | $1,375,838 | $0 | $59,434 | $1,435,272 |
| Orthopedics and Surgery Highest compensated employee, 40.00 hrs/week | $1,340,142 | $0 | $31,753 | $1,371,895 |
| Medicine, Surgery & Orthopedics Highest compensated employee, 40.00 hrs/week | $1,276,002 | $0 | $42,586 | $1,318,588 |
| CFO Avera Health;Secretary/Treasurer Officer, 0.10 hrs/week | $0 | $1,274,363 | $20,218 | $1,294,581 |
| Board Member/Orthopedics/Surgery Director/trustee, 41.00 hrs/week | $572,370 | $0 | $53,153 | $625,523 |
| Board Member/Anesthesiology Director/trustee, 41.00 hrs/week | $548,721 | $0 | $52,408 | $601,129 |
154 people received more than $100,000 in reportable compensation from Avera St Luke's (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.8M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b13 · 9 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aNo
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2Yes
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4Yes
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 51,258
- Volunteers Part I, line 622
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| Avera Health Shared services | $18,995,189 |
| AMN Healthcare Inc Contract labor | $4,375,593 |
| Huff Construction Inc Construction | $2,645,658 |
| Concord Physician Solutions LLC Locum Fees | $1,758,868 |
| Restorix Health Inc Med Dir/Purch Serv | $830,211 |
Individuals listed as contractors are left out. 39 contractors were paid more than $100,000 in all.
Private foundation grants it received
1 private foundation reported grants to Avera St Luke's totaling $80 on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Avera St Luke's's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Avera St Luke's, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Avera St Luke's spent in FY2025, $91.93 went to programs. The full breakdown, from its IRS Form 990:
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- Urban Health PlanBronx, NY · revenue $194M · programs 83.4% · 2024
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- Aspirus Stevens Point Hospital & ClinicsStevens Point, WI · revenue $195M · programs 73.8% · FY2025
- Bozeman Deaconess Health ServicesBozeman, MT · revenue $193M · programs 55.4% · 2024
All health care charities · Largest charities in South Dakota
Questions people ask
How much of Avera St Luke's's spending goes to programs?
In the fiscal year ending June 30, 2025, Avera St Luke's reported that 91.9% of its $199.5 million in expenses went to program services, 8.1% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Avera St Luke's pay its top executive?
The largest total compensation Avera St Luke's reported for one person in the fiscal year ending June 30, 2025 was $2,093,914, for the role of Medicine, Surgery & Orthopedics (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Avera St Luke's get its money?
Of $194.4 million in revenue in the fiscal year ending June 30, 2025, 1.2% came from contributions and grants (including 0.9% from government grants) and 97.0% from program service revenue (Form 990, Part VIII).
Is Avera St Luke's a registered charity?
The IRS lists EIN 46-0224598 as a 501(c)(3) organization (hospital or medical research organization), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending June 30, 2025, object 202631359349303673 · read the filing
- FY2024: Form 990 for the fiscal year ending June 30, 2024, object 202511349349303671 · read the filing
- FY2023: Form 990 for the fiscal year ending June 30, 2023, object 202411359349310026 · read the filing
- FY2022: Form 990 for the fiscal year ending June 30, 2022, object 202321329349303467 · read the filing
- FY2021: Form 990 for the fiscal year ending June 30, 2021, object 202221369349312282 · read the filing
- FY2020: Form 990 for the fiscal year ending June 30, 2020, object 202101379349305550 · read the filing
All filings for EIN 46-0224598: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.